Family Healthcare Professionals Research Articles

Vaccine mistrust among family healthcare professionals and vaccine hesitancy in the communities they serve in Turkey in 2019: a cross-sectional study

ABSTRACT Aim This study aims to determine the causes of vaccine mistrust among family healthcare professionals (FHP) in the unit where they serve and vaccine hesitancy of families. Method The study group consisted of 682 FHPs working in a primary health care institution. The data collection tools of the study included a sociodemographic data form and a vaccine hesitancy data form. Pearson’s chi-square analysis and logistic regression analysis were performed to analyze the data. Findings To the question of “Do you trust the active ingredient in the vaccines?”, only 2.1% of FHPs responded “I do not trust” and 18.9% answered “I am indecisive”. 70.7% of FHPs said that at least one vaccine hesitant family was in the unit where they served. The most important reasons stated by FHPs on behalf of such families were vaccine mistrust (73.2%), the belief that they may be harmful for the child (58.7%), and the belief that vaccines cause autism (55.6%). In the univariate analysis, vaccine mistrust was significantly higher in FHPs who were measles-hesitant and responded “The decision to get vaccinated or not should belong to the family voluntarily”. From logistic regression analysis, vaccine mistrust in FHPs increased 2.8-fold for those who did not think vaccination should be compulsory, 2.7-fold for those who did not think that vaccination refusal should be legally enforced, and 1.61-fold for those under age 35 years. Conclusion It was observed that FHPs had high sensitivity and positive attitudes toward vaccination in general.

Where is the family voice? Examining the relational dimensions of the family- healthcare professional and its perceived impact on patient care outcomes in mental health and addictions.

BackgroundWe explored the relationship between family members and healthcare professionals (HCPs), specifically how family members can influence the course and outcome of patient care for youth. Exploring this under-researched area provided an opportunity to understand the tripartite relationship between the family, the youth experiencing mental health problems or substance use concerns and their HCP.MethodsA qualitative research design was used to gain a full understanding of how family members experience relationships with HCPs. We interviewed 21 family members using semi-structure questions to explore the type of relationships formed between HCPs and family members throughout a patient’s course of care, the family member’s perceived role in the care of their youth accessing mental health or addiction services and the family member’s awareness of formalized structures (i.e., hospital rules, policies) and resources that support family involvement.ResultsWithin a relationship-centred framework, four themes, with various sub-themes emerged from the interviews: 1) The family member–HCP relationship regarding creating a positive impression, being an extension of the patient and the discovery of “pink flags”; 2) The family member–youth–HCP relationship regarding the receptivity of youth to family involvement and a youth’s individual right to privacy; 3)The family member’s relationship to self with regard to the situation being a family illness; and 4) The family member’s relationship with friends, family and peers regarding the feelings of loneliness, stigma and shame and the lack of understanding about mental health problems and substance use.ConclusionsOur study provided in-depth information about the importance of family involvement in the care and health outcomes of youth who are accessing mental health and addiction services. Family members experienced and conceptualized their relationships with HCPs, their youth, themselves and their friends and peers as active interactions that influenced the course and outcomes of care. Future studies are needed to collect the multiple perspectives of youth and HCPs alongside with the family perspectives.

Relação entre o profissional de saúde da família e o idoso

O estudo tem como objetivo discutir a relação dos profissionais de saúde da família com os idosos. Foi desenvolvido com base na abordagem qualitativa, cujos dados foram coletados utilizando-se a técnica de grupo focal, seguida da análise de conteúdos. Verificou-se que a relação profissional de saúde e idoso por meio da comunicação é presente de forma compromissada e humanizada, a qual traz beneficios e influencia na mudança de comportamento do idoso; no entanto, as ações são fundamentadas no modelo biomédico e educação em saúde tradicional. Os resultados indicam que a relação do profissional de saúde e idoso se coloca ainda como um desafio para a resolutividade da atenção básica e indica a necessidade de conscientização de gestores para qualificação profissional na perspectiva de associar o trabalho em saúde por uma sociedade mais justa e igualitária, superando o modelo de atenção tradicional.