Expectations Of Health Care Professionals Research Articles

Focusing on experts: Expectations of healthcare professionals regarding the use of telemedicine in intensive care units.

Telemedical applications are solutions to challenges in the healthcare system. However, it is unclear what intensive care unit healthcare professionals expect from such solutions. This study investigated the expectations and concerns of nurses and physicians when implementing telemedicine tools in intensive care units (tele-ICU). The study was conducted in intensive care units in 2020 during the second wave of the COVID-19 pandemic. It used a mixed-methods approach targeted at physicians and nurses and involved 14 qualitative interviews and 63 quantitative questionnaires. The qualitative and quantitative data showed that both nurses and physicians were willing to use tele-ICU. Nurses recognised the advantages of real-time access to expertise offered by tele-ICU, but feared this would reduce physicians' on-site patient time. Physicians, in turn, were concerned that they would be expected to be continuously on call. The majority in both groups agreed that any tele-ICU solution must be simple to use and integrate easily into existing organisational structures, networks, and work routines. Additionally, COVID-19 significantly influenced expectations: those who reported having more personal health concerns during the pandemic were more predisposed to favour the use of tele-ICU. Overall, tele-ICU supports better care, but a successful implementation depends on its ease of use and context-sensitive approaches. Effectively integrating tele-ICU solutions into daily clinical routines requires input from nurses and physicians and their involvement in the implementation process from the outset, as well as consideration of existing organisational structures. Such measures will vastly increase the chance of acceptance and successful adoption of telemedical solutions in clinical practice.

Insights and expectations of health care professionals on the implementation of the new pediatric Regional Immunization Calendar in Calabria, Italy

Insights and expectations of health care professionals on the implementation of the new pediatric Regional Immunization Calendar in Calabria, Italy

Teaching clinical communication skills in postgraduate medical education with particular emphasis on palliative medicine

Clinical communication skills have been taught and researched for more than 40 years. This set of processes and communication skills with patients and/or their family, and other healthcare professionals, improves the quality of healthcare services, increases patient involvement in the treatment process and improves job satisfaction. It seems particularly important for physicians working in palliative care to have these skills. The process of pre-graduate and post-graduate training was analysed in terms of teaching clinical communication and the expectations of healthcare professionals, with a particular focus on palliative medicine. The results were compared with those of a survey of 123 physicians who identified their training needs in clinical communication. The results show that there is a significant gap between physicians' expectations of their clinical communication skills training and the requirements of the curricula. It is therefore reasonable to modify the existing clinical communication curricula.

Adverse reactions of different COVID-19 vaccines among healthcare professionals: A qualitative study in Mosul, Iraq

BackgroundCOVID-19 disease was highly infectious causing a declaration of a global pandemic and the scientists believed that developing a safe and effective vaccine was the solution. Various vaccine candidates were announced by different health authorities. Many factors affect the acceptance of vaccines. This study aims to explore the perceptions, attitudes, and expectations of healthcare professionals (HCPs) toward COVID-19 vaccines. MethodA qualitative study approach was conducted by using face-to-face semi-structured interviews with HCPs in Mosul city, Iraq. ResultsTwenty-five HCPs participated in the interviews. After qualitative analysis four main themes emerged: perception of vaccines; participants believed that vaccines were vital inventions, motivations to take the vaccine; most HCPs were motivated based on the scientific evidence regarding COVID-19 vaccines, expectations about the safety and efficacy of COVID-19 vaccines; participants had different opinions based on the type of the vaccine and the available data, side effects experienced; severe side effects were expected but only mild adverse reactions were experienced by the majority. ConclusionHCPs had good knowledge about COVID-19 vaccines which was not affected by rumors and misinformation. In contrast to their expectations, the experienced side effects of the first and the second doses were mild to moderate in severity. The majority of HCPs based their choice of the vaccine on the efficacy and safety profile of the available options.

Mobile App Support for Cardiopulmonary Resuscitation: Development and Usability Study.

BackgroundThe user requirements for in-hospital cardiopulmonary resuscitation (CPR) support apps are understudied. To study usability, functionality, and design based on user requirements, we applied a mixed methods research design using interviews, observations, and a Kano questionnaire to survey perspectives of both physicians and nurses.ObjectiveThis study aims to identify what an in-hospital CPR support app should include to meet the requirements and expectations of health care professionals by evaluating the CprPrototype app.MethodsWe used a mixed methods research design. The qualitative methods consisted of semistructured interviews and observations from an advanced life support (ALS) course; both provided input to the subsequent questionnaire development. The quantitative method is a questionnaire based on the Kano model classifying user requirements as must-be, one-dimensional (attributes causing satisfaction when present and dissatisfaction when absent), attractive, indifferent, and reverse (attributes causing dissatisfaction when present and satisfaction when absent). The questionnaire was supplemented with comment fields. All respondents were physicians and nurses providing ALS at hospitals in the Central Denmark Region.ResultsA total of 83 physicians and nurses responded to the questionnaire, 15 physicians and nurses were observed during ALS training, and 5 physicians were interviewed. On the basis of the Kano questionnaire, 53% (9/17) of requirements were classified as indifferent, 29% (5/17) as attractive, and 18% (3/17) as one-dimensional. The comments revealed 7 different categories of user requirements with noticeable differences between those of physicians and nurses: technological challenges, keep track of time, documentation and history, disturbing element, improvement areas: functions, improvement areas: design, and better guidance.ConclusionsThe study provides recommendations to developers on the user requirements that need to be addressed when developing CPR support apps. Three features (one-dimensional attributes) must be incorporated in an in-hospital CPR support app: reminder of rhythm check, reminder of resuscitation drugs, and differentiate between adults and children. In addition, 5 features (attractive attributes) would result in higher user satisfaction: all functions on one side, access to the patient journal in the app, automatic time recording when cardiac arrest is called, sound to guide the chest compression rate (metronome), and send CPR history to the DANARREST (Danish in-hospital cardiac arrest registry) database.

The role of electronic medical records in improving the quality of health care services: Comparative study

PurposeThe purpose of this study is to identify the quality of health care services’ differences between adopted Electronic Medical Record (EMR) and paper-based record hospitals. Moreover, to identify how the quality of electronic medical records affect the quality of health care services. MethodsA cross-sectional, descriptive, and comparative design was utilized between two groups in this study. The study was conducted in two public hospitals in Jordan. One hospital which had adopted the EMR system in their works and another hospital that had paper-based record. A convenience sampling technique was used to select 410 health professionals from the selected hospitals (205 participants from each hospital). SERVQUAL and E-S-QUAL questionnaires were adopted to collect the data about the quality of EMR and quality of health care service. Statistical Package for the Social Sciences (SPSS) Version 21 was deployed to analyze the collected data. ResultThe results indicate that the quality of health care services (expectation and perception) in EMRs adopted hospital is higher than the quality of health care services in the hospital using paper-based record. Quality of EMRs and its domains (efficiency, availability, fulfilment, and privacy) are high in both perception and expectation of health care professionals in EMR-adopted hospitals. Moreover, there is a significant relationship between the whole perception of the quality of electronic medical records and the quality of services, and between each domain of quality of EMRs and total perception of quality of services. ConclusionAdoption of a high quality of EMR has a significant impact on improving the quality of health care services.

A commentary on expectations of healthcare professionals when applying the international continence society standards to basic assessment of lower urinary tract function.

The International Continence Society (ICS) has sustained a drive to improve the clinical assessment of lower urinary tract function for many years. Increasingly, healthcare professionals (HCPs) engage with the guidance, and patients benefit from the precision that results when their carers apply a sensible and logical approach to assessment. The current supplementary issue of Neurourology and Urodynamics (NAU) summarizes the fundamentals derived from major ICS initiatives, emphasizing what HCPs must know when dealing with these patients, regardless of the medical discipline in which they work. It also introduces the basics of urodynamics testing to trainees and HCPs who may refer patients for testing. In this editorial review we draw out some additional points of consideration. We emphasize the need to avoid using terms in a clinical context that could imply causative mechanism, until the mechanism has actually been identified. We caution against the use of severity thresholds, until there is proper data to justify their application for any given patient group. Finally, we provide a description of the philosophical basis of urodynamics testing, including videourodynamics. This commentary should be read in the context of the other articles provided in the NAU supplement.

Initiators and Barriers to Discussion and Treatment of Premature Ejaculation Among Men and Their Partners in Asia Pacific - Results From a Web-based Survey.

IntroductionPremature ejaculation (PE) is one of the most prevalent yet under-reported sexual disorders. Differing sociocultural norms across the Asia-Pacific region provide unique challenges in PE management.MethodsThis web-based study collected data from 5,038 men and women across 11 countries in the Asia-Pacific region. Respondents were recruited from an existing database.Main Outcome MeasuresThe initiators and barriers for PE discussions and for seeking professional management following self-treatment, as well as their choices and expectations of healthcare professionals (HCPs).ResultsMore than two-thirds of respondents have discussed PE with their partners, and men are more likely to initiate the discussion. Top drivers were for both partners to attain sexual satisfaction and greater fulfillment in the relationship. Emotional insecurity was the top barrier for men as they did not want to feel hurt or inadequate. Before consulting an HCP, more than two-thirds of men self-treated their PE for at least 20 months. The primary reason for stopping self-treatment and seeking medical management was a lack of improvement in sexual satisfaction. The ideal attributes that men seek in their HCP included trust and being knowledgeable about PE management.ConclusionAttitudes and barriers to PE and its treatment in the Asia-Pacific region are poorly understood. Many men are reluctant to seek professional advice and therefore resort to self-treatment for extended periods. HCPs can play a key role to empower PE sufferers and partners to understand the prevalence, medical relevance, treatability, and negative impacts of PE on sexual and overall relationships. Greater awareness of the diverse cultural and social norms, education of both partners and HCPs, and the involvement of HCPs through a patient-centric approach are all pivotal in managing PE optimally across the Asia-Pacific region.

Bioethics Casebook 2.0: Using Web-Based Design and Tools to Promote Ethical Reflection and Practice in Health Care.

AbstractThe idea of the Internet as Gutenberg 2.0—a true revolution in disseminating information—is now a routine part of how bioethics education works. The Internet has become indispensable as a channel for sharing teaching materials and connecting learners with a central platform (such as a professional society's website or a course page on a university's web portal) that houses materials to support an online or hybrid curriculum or a traditional course. A newer idea in bioethics education reflects developments in web‐based medical education more broadly and draws on design principles developed for the Internet. This approach to online bioethics education requires thinking about web‐based learning as an engaging, potentially immersive experience, about learners' expectations concerning web‐based learning, and about differences between self‐directed learning and teaching to support group learning.In clinician education in bioethics, the interrelated goals of ethical reflection and practice for professionals and of continuous quality improvement in health care are supported by a focus on real‐world challenges and by encouraging the habits of self‐directed learning. In this paper, we describe how an international, interdisciplinary team used a web‐based framework to develop a health care ethics casebook whose content, design, and pedagogy were tailored to the needs and expectations of health care professionals and other audiences in Singapore; we also explain how they used this framework to make the casebook accessible nationwide and to support cross‐cultural learning.

The experiences of acute non-surgical pain of children who present to a healthcare facility for treatment: a systematic review protocol.

REVIEW QUESTION / OBKECTIVE The qualitative objective of this systematic review is to identify and synthesize the best available evidence on experiences of acute non-surgical pain, including pain management, of children (between four to 18 years) when they present to a healthcare facility for treatment. The specific objectives are to identify: Children’s experiences of their acute, non-surgical pain, including pain management Children’s expectations of others in managing their acute, non-surgical pain including, but not limited to parents and nurses INCLUSION CRITERIA Types of participants This review will consider studies that include children aged four to 18 years who present to a healthcare facility for treatment of their acute (less than three months), non-surgical pain caused by any injury or medical condition. Children younger than four years typically have not developed linguistic skills that enable them to articulate their experiences. Phenomena of interest This review will consider studies that explore children’s experiences of acute, non-surgical pain and their expectations of other people in managing their pain, including, but not limited to, parents and nurses. Studies focusing on children with postoperative pain or those reporting on children with chronic pain will be excluded. Context Any healthcare facility, including, but not limited to, general practitioners, hospitals, emergency departments and outpatient clinics will be considered.

Use of assistive technology in cognitive rehabilitation: Exploratory studies of the opinions and expectations of healthcare professionals and potential users

Objective: To provide recommendations for the successful implementation of Assistive Technology (AT) in cognitive rehabilitation by investigating the attitudes towards AT of professionals, individuals with acquired brain injury (ABI) and their caregivers in two exploratory studies.Method: A total of 147 professionals in cognitive rehabilitation filled out a web-based survey. Fifteen patients with ABI and 14 caregivers were interviewed.Results: Most professionals were willing to use AT in the future, although only 27% used AT currently in a treatment setting. Professionals with AT experience were more positive than those without about the potential of AT and their own ability to use it in their treatment programmes. Most patients and caregivers were positive about using AT in the future, still, only a minority currently used AT. Refusal to reimburse AT devices by health insurance companies appeared an important barrier for a more widespread use.Conclusions: Although enthusiasm about AT was evident in both studies, a lack of progress in the implementation of AT was noted. This could be improved by promoting knowledge and hands-on experience of professionals who work in rehabilitation centres. More evidence on the efficacy of AT is required to improve coverage of AT devices by insurance companies.

A local consensus process making use of focus groups to enhance the implementation of a national integrated health care standard on obesity care

Recent guidelines on obesity management promote integrated care. There is little knowledge about local opportunities and barriers, faced by health care professionals and patients, that affect implementation of an integrated national health care standard in a local setting. Our aim is to understand experiences and expectations of health care professionals and patients as part of the local implementation process. Eight focus groups and two interviews have been conducted among 24 patients (60+) and 29 professionals from seven different care disciplines. Both patients and professionals have identified serious barriers to implement the national standard: older adults do not feel taken seriously and experience lacking support from professionals. Professionals give contradictory advice and recommendations do not match needs of older adults. Professionals actually feel reluctant to discuss weight-related topics due to several reasons: they do not consider obesity being a chronic disease, lack of qualifications to support self-management and perceived lack of awareness and motivation among patients. Focus groups have proven their value to ascertain the opportunities and barriers older adults and professionals foresee while improving obesity care in order to meet the standards as required in a national guideline. Our research provides an emerging picture of health care professionals and patients having contradictory views and expectations about 'the others' role and their notions on the capability to intervene on patient's weight problems. Without this emerging picture, we would have missed important information on barriers to overcome. The likelihood of successful implementation would then have been small.

Women's Expectations of Healthcare Professionals in Case of Intimate Partner Violence in Serbia

Women who have experienced intimate partner violence use health care services more often than non-abused women, but it is unclear what they expect from physicians in relation to their intimate partner violence experience. In this study the authors explored whether women in Serbia expect physicians to help them after having experienced intimate partner violence, what kind of help the women expected, and if none, why none is expected. The authors of this study conducted structured interviews with 120 women who visited six primary healthcare centres. Quantitative data were analyzed using descriptive statistics, while qualitative data were analyzed applying content analyses. The majority of women (81.7%) expected healthcare professionals to help them in the event of intimate partner violence, mainly through giving advice, information, contacting other institutions, services, and providing understanding and support. Fewer women expected help in the form of documenting violence and contacting police. Only a minority (8.3%) did not expect help, noting that intimate partner violence is beyond the scope of healthcare professionals' interest or competencies, and/or that violence was a private problem, while 10% were unsure about the role of physicians in the case of intimate partner violence. The majority of women in this study expected help with intimate partner violence. Physicians should be aware of these expectations and how to provide support to women experiencing intimate partner violence.

Bridging Physician-Patient Perspectives Following an Adverse Medical Outcome

Mark Montijo, PhD; Kathleen Nelson, RN, MPA; Mark Scafidi, JD; Dave St Pierre, MHROD; Dorothy Tarrant, LCSW, MPA; Jocelyne Vistan, MA; Maureen Whitmore, MA Fall 2011 - Volume 15 Number 4 “Human error and systems conditions periodically align and

Perspectiva de los profesionales sobre la investigación biomédica

Biomedical research is a necessary subject and enjoys social prestige. Aims To ascertain the views and expectations of health care professionals on research, analysing the influence of their academic training and professional level. Design and methods An anonymous questionnaire was distributed to physicians and qualified nurses working in a, tertiary hospital, seven primary care centres and two nursing homes (health care centres for the elderly). Results Cronbach's coefficient α=0.817. Response rate: 64% (432 out of 682 questionnaires distributed). Women: 71%. Mean age: 37 years. Mean years involved in health care: 14 years. 79% of people considered research as a part of their job, although in practice only 43% were doing it. Overall participation in activities was: Conferences (71%), education (42%), publications (34%) and ongoing projects (17%). Physicians dedicated more off duty time (37%) to research than qualified nurses (CI95%: 28 to 46%). The majority of physicians having their doctoral thesis would like to carry out research activities, and 84% did so in their free time and 74% had active research projects in progress. They identified physician workload as the main factor that impedes performing research. Proposals to increase research activities were focused on improving resources. Conclusions The majority of health care professionals expressed a great motivation. The perception of research varies depending upon professional qualification. Physicians having their doctoral thesis were more involved and had a different perception of research, being more critical about available resources. Overall research perception was more positive among those with less academic training, as well as among those centres with less research activities.

Healthcare professionals and managers' participation in developing an intervention: A pre-intervention study in the elderly care context

BackgroundIn order to increase the chances of success in new interventions in healthcare, it is generally recommended to tailor the intervention to the target setting and the target professionals. Nonetheless, pre-intervention studies are rarely conducted or are very limited in scope. Moreover, little is known about how to integrate the results of a pre-intervention study into an intervention. As part of a project to develop an intervention aimed at improving care for the elderly in France, a pre-intervention study was conducted to systematically gather data on the current practices, issues, and expectations of healthcare professionals and managers in order to determine the defining features of a successful intervention.MethodsA qualitative study was carried out from 2004 to 2006 using a grounded theory approach and involving a purposeful sample of 56 healthcare professionals and managers in Paris, France. Four sources of evidence were used: interviews, focus groups, observation, and documentation.ResultsThe stepwise approach comprised three phases, and each provided specific results. In the first step of the pre-intervention study, we gathered data on practices, perceived issues, and expectations of healthcare professionals and managers. The second step involved holding focus groups in order to define the characteristics of a tailor-made intervention. The third step allowed validation of the findings. Using this approach, we were able to design and develop an intervention in elderly care that met the professionals' and managers' expectations.ConclusionThis article reports on an in-depth pre-intervention study that led to the design and development of an intervention in partnership with local healthcare professionals and managers. The stepwise approach represents an innovative strategy for developing tailored interventions, particularly in complex domains such as chronic care. It highlights the usefulness of seeking out the insight of healthcare professionalnd managers and emphasizes the need to intervene at different levels. Further research will be needed in order to develop a more thorough understanding of the impacts of such strategies on the final outcomes of intervention implementations.

Pain management in ER

For over 30 years, the International Association for the Study of Pain has defined pain as «an unpleasant sensorial and emotional experience associated to real or potential tissue damage». Today, evident shortcomings still exist in the use of adequate analgesia, especially in the emergency medicine context: pain is the most common symptom amongst the Emergency Department patients (reaching a prevalence of over 60%), however, statistics reported in literature show that only 45% of patients receive analgesic prescriptions on discharge. In recent years, the influence of changes connected to accreditation standards has generated new expectations of healthcare professionals; although this aspect connected to the evolution of public health provides a stimulus to the evolution of the practical aspect of everyday clinical work, we must not forget that doctors take the Hippocratic oath, the ethical obligation to treat suffering and pain, which is especially pertinent to doctors working in Emergency conditions. The quality of the service provided with regard to pain-relief in ED cannot exclude an analysis of the local situation, the definition of roles, the extrinsication of potential with the ultimate aim of providing a service as close as possible to user hopes. Organisational efforts must be directed at reaching excellent quality levels, in which the monitoring of the activities performed takes place through the registration and periodic re-evaluation of the deriving data. Through this observational, prospective study, we intend to evaluate the effective prevalence of the pain symptom in the Emergency Department and the impact of the use of different classes of analgesia, also estimating the latency between the onset of the symptom and triage in order to quantify the efficacy of the analgesia practiced.

Satisfaction of patients with physicians and nurses

BACKGROUND: The patients? satisfaction survey provides data on patients? experiences of healthcare professionals at the Institute of Oncology Sremska Kamenica. This feedback provides us with valuable information where to focus improvement efforts. The main objective in this study was to explore level of satisfaction of patients with physicians and nurses and to provide information of patients? expectation of healthcare professionals. METHODS: The data were collected from the patients of four different hospital departments using a Survey Questionnaire designed by the Institute of Public Health of Serbia and Ministry of Health of the Republic of Serbia. Eight items regarding physicians and nurses were selected from this questionnaire. Sample was every eligible patient discharged from the Institute of Oncology Sremska Kamenica, from 1 to 5 November 2004 (n = 65). RESULTS: The findings confirm positive feedback of the most surveyed patients with healthcare professionals. However, the results showed different level of satisfaction of patients with physicians and nurses. CONCLUSION: The survey results showed that patients had mostly positive level of satisfaction with physicians and nurses; these results can be used to prioritize patient-centered improvements in healthcare in our Institute.

Point-of-Care Testing in Diabetes Management: What Role Does It Play?

Diabetes is a multisystem disease requiring complex management provided by a variety health care professionals (HCPs). Comprehensive care of patients with diabetes requires frequent testing of hemoglobin A1c (A1C),and research indicates that use of point-of-care testing (POCT) can affect patients' A1C results in the shortterm. The purpose of this qualitative study was to explore the ideas, opinions, and expectations of HCPs and patients with diabetes about the potential role of POCT, including its impact on patient-provider interactions, patient care, and issues of implementation.In-depth interviews, which were audiotaped and transcribed verbatim, were conducted with key stakeholders. The analysis used immersion and crystalization strategies. Thirty-seven interviews were conducted: seven with endocrinologists and internists, seven with family physicians, eight with diabetes educators, seven with family practice nurses, and eight with patients with diabetes.Two major themes emerged from the data analysis: 1) the impact of POCT on the clinical encounter and the care of patients, and 2) the POCT machine, including accuracy and the cost of incorporating the machine into clinical practice. The analysis revealed strong similarities across all groups of HCPs, and patients also expressed similar concerns.This study illuminates perceptions of HCPs and patients regarding the impact of POCT on diabetes management. POCT was viewed as having many benefits in the clinical care of patients with diabetes, including face-to-face encounters that offer immediate feedback, proactive patient education,increased collaboration between patients and providers, and improved patient adherence. However, logistical issues, such as the machine's accuracy and cost factors, could be significant barriers to implementation

Young adults' perceptions of living with chronic inflammatory bowel disease.

King's (1981, 1995b) Theory of Goal Attainment provided the theoretical framework for this qualitative, descriptive study exploring the perceptions of five young adults living with chronic inflammatory bowel disease (IBD). Through in-depth interviews, the participants had the opportunity to share their perceptions of what mattered most as they lived the experiences of this illness. The uniqueness and individuality of perceptions, the challenges of chronic bowel disease, recommendations for the future, and participants' expectations of healthcare professionals were explored. Persons with chronic IBD are faced with many life-disrupting challenges that profoundly affect their personal, interpersonal, and social systems. This research study supported the premise that understanding the patient's perspective and reaching perceptual accuracy through human-to-human interaction is critical to healthcare outcomes and achievement of the young adult's health goals.