Needs Assessment Questionnaire Research Articles

Spiritual Needs Assessment in Post-Secular Contexts: An Integrative Review of Questionnaires.

Research across healthcare contexts has shown that, if provided appropriately, spiritual care can be of significant benefit to patients. It can be challenging, however, to incorporate spiritual care in daily practice, not least in post-secular, culturally entwined, and pluralist contexts. The aim of this integrative review was to locate, evaluate and discuss spiritual-needs questionnaires from the post-secular perspective in relation to their applicability in secular healthcare. Eleven questionnaires were evaluated and discussed with a focus on religious/spiritual (RS) wording, local culturally entwined and pluralist contexts, and on whether a consensual understanding between patient and healthcare professional could be expected through RS wording. By highlighting some factors involved in implementing a spiritual-needs questionnaire in diverse cultural and vernacular contexts, this article can assist by providing a general guideline. This article offers an approach to the international exchange and implementation of knowledge, experiences, and best practice in relation to the use of spiritual needs-assessment questionnaires in post-secular contexts.

The Middle Managers' Essential Leadership Styles: A Case of Global Technology Company in Myanmar

This article is a needs assessment research, comprising two objectives, 1) examining the leadership styles and 2) proposingthe Organization development programs to enhance the middle managers' leadership styles for the future developmentprogram. Five leadership variables are studied: transformational leadership, transactional leadership, authentic leadership,servant leadership, and adaptive leadership. The research instrument was a needs-assessment questionnaire to examine thedifferences and rank the priority needs using PNIModified. The target samples comprise generation Y and Z employees ofGlobal Technology Company in Myanmar. The sampling method is purposive sampling, comprising of 60 respondents.The PNIModified results indicated that adaptive leadership was ranked the first-order need, servant leadership was rankedthe second-order need, transformational leadership was ranked the third-order need, authentic leadership was ranked thefourth, and transactional leadership was ranked the fifth-order need. Four sets of recommendations for the Organizationdevelopment program proposed for the managers and employees. Moreover, it is important at the management level toconcentrate on performance and objectives rather than human desires to achieve operational effectiveness. Givingpositive guidance and direction to employees would help them become more goal-oriented. Another main requirementin the global technology middle management is to monitor the success of subordinates and take prompt correctivesteps.

NEED ASSESSMENT COUNSELING FOR SCHOOL ADOLESCENT STUDENTS

The youth in the 21st century are facing numerous issues that may affect their ability to do well and properly in school. Every student has strong needs and desires to reach some set goals but in this competitive era, their life is being complicated day by day and vastly affected by various mental health problems in schools, and many other educational, vocational, social, emotional, and behavioral problems among them in our country. One of the reasons for these problems is lack of guidance and counseling services in our schools. According to Şahin Kesici, “a student whose personal guidance and counseling need is satisfied can; establish harmonious relationship with friends and parents, knows his/herself, improve problem solving and communication skills. Besides, s/he can improve social skills, cope with test anxiety and make effective decisions” (Kesici, 2007, p. 1327). On the other hand, when the needs are not met, and a student’s functioning in school suffers for an extended period, the student may break away from school completely (DeSocio & Hootman, 2004). To overcome negative psychological aspects which affect the student’s life, the present research paper is an attempt to identify need assessment counseling for school adolescent students. Need assessment questionnaire (NAQ) constructed and developed by Dogar, Azeem, Majoka, Mehmood, and Latif (2011) which included different areas, i.e. educational, vocational, social, emotional and behavioral needs of students counseling was administered to a sample of 168 (84 male and 84 female) adolescent students of 10th class. The results of the present study indicated that the main effect of gender (male and female) branch of study (science and social science) and the interaction effect between branch of study (science and social sciences) and gender (male and female) were found significant on overall counseling needs. Whereas gender and branch (stream) of study differences were not found in the counseling domains (educational, vocational, social, emotional, and behavioral) areas of counseling needs.

Designing the Curriculum of General Medicine with Military Approach

Background: Military medicine is one of the important orders of military systems that takes responsibility for providing health services to the military forces. Military physicians need knowledge and skills required for their role. In today's world, different countries have designed and developed certain activities and curricula for military medical education at general and professional levels. The present research was carried out to design a curriculum for doctoral degree in General Medicine with military medicine approach. Methods: This study is a combinational research. In the qualitative section, the content analysis of global experience was used to develop a need-assessment questionnaire and in the quantitative section, survey method and Delphi need-assessment technique were used. The samples of the present research in the qualitative part were the countries of America and Russia and in the quantitative part consisted of 35 experienced professionals in 2 Military Medical University Results: According to the findings, 30 theoretical-practical courses have been added to the existing courses in General Medicine in doctoral degree and also the special curricula of military medicine were added to each of the available courses. Conclusion: Addition of 30 special courses of Military Medicine and changes in any of the courses available and also the addition of special military topics can play very important role in training the special physicians for military environments.

Evaluating Barriers and Opportunities in Delivering High-Quality Oncology Care in a Resource-Limited Setting Using a Comprehensive Needs Assessment Tool.

PurposeDespite recognition of both the growing cancer burden in low- and middle-income countries and the disproportionately high mortality rates in these settings, delivery of high-quality cancer care remains a challenge. The disparities in cancer care outcomes for many geographic regions result from barriers that are likely complex and understudied. This study describes the development and use of a streamlined needs assessment questionnaire (NAQ) to understand the barriers to providing quality cancer care, identifies areas for improvement, and formulates recommendations for implementation.MethodsUsing a comprehensive NAQ, in-depth interviews were conducted with 17 hospital staff involved in cancer care at two teaching hospitals in Nigeria. Data were analyzed using content analysis and organized into a framework with preset codes and emergent codes, where applicable.ResultsData from the interviews were organized into six broad themes: staff, stuff, system, space, lack of palliative care, and provider bias, with key barriers within themes including: financial, infrastructural, lack of awareness, limited human capacity resources, lack of palliative care, and provider perspective on patient-related barriers to cancer care. Specific solutions based on ability to reasonably implement were subcategorized into short-, medium-, and long-term goals.ConclusionThis study provides a framework for a streamlined initial needs assessment and a unique discussion on the barriers to high-quality oncology care that are prevalent in resource-constrained settings. We report the feasibility of collecting and organizing data using a streamlined NAQ and provide a thorough and in-depth understanding of the challenges in this setting. Knowledge gained from the assessments will inform steps to improve oncology cancer in these settings.

Investigation on the needs assessment of pre-service training for new nurses in different grade of hospitals

Objective To understand needs of course content and training methods in nurses' pre-service training, and to explore differences in demands of pre-service traning course content in different grade of hospitals, so as to provide references and practical guidance for construction of a scientific and reliable pre-service training plan for nurses. Methods From December 2016 to January 2017, a total of 400 nurses from different hospitals in a certain city were selected by cluster sampling method, and investigated with self-designed new nurse pre-service training needs assessment questionnaire. The research data was analyzed by SPSS 20.0 statistical analysis software. Results Finally a total of 365 nurses were included in study. The score of total 50 items in questionnaire was 4.03 to 4.69, among which there were 30 items' results tending to very need (M≥4.5) , and results of other items were need. Clinical practice simulation (including demonstration, scene simulation) was main training methods. The differences of pre-service training course content needs including laws, and standards regulations safety management communication skills health education and the nurse self psychological care in nurses from different grade of hospitals were statistically significant (P<0.01) . Conclusions All nurses have a high degree of demand for pre-service training, and hope methods of pre-service training to be diversification. The requirements for pre-service training of nurses are different from hospital grade. Key words: Nurses; Pre-service training; Needs assessment; Hospital grade

Sexual Quality of Life and Needs for Sexology Care of Cancer Patients Admitted for Radiotherapy: A 3-Month Cross-Sectional Study in a Regional Comprehensive Reference Cancer Center

BackgroundProviding early and better care in onco-sexuality and a better understanding of the sexual health care needs of patients before they start treatment is required. ObjectiveTo assess sexual quality of life and need for sexology care of patients when they are starting radiotherapy. DesignWe performed a cross-sectional study of adult patients with cancer admitted for radiotherapy treatment in a regional comprehensive cancer center. MethodsWe selected all consecutive adult patients scheduled to start radiotherapy within a 3-month period and excluded patients who could not complete the questionnaires. Patients were asked to complete the Sexual Quality of Life Questionnaire (SQoL) and a needs-assessment questionnaire. OutcomesTotal score on the SQoL and willingness (yes or no) to get help for a sexual problem. ResultsThe study sample was composed of 77 men and 123 women. The average SQoL scores were 68.4 ± 20.9 and 47.1 ± 13.0 for men and women, respectively (P < .001). Of sexually active patients, 58% had decreased frequency of intercourse or had completely stopped sexual activity after their cancer diagnosis. Half the participants wanted care for their sexual concerns. The proportion desiring specific types of care varied from 28.5% (couple counseling) to 54.5% (sexual physician) with variation by sex or type of cancer. Furthermore, 11.5% of participants declared their willingness to join support groups. Clinical ImplicationsEarly interventions before radiotherapy could improve sexual quality of life, particularly in women. Strengths and LimitationsStrengths are the SQoL validated in men and women, the original window for assessment, and the study location. Limitations are the monocentric design, the potential recall bias for data before cancer diagnosis, and the fact that some patients had treatments before radiotherapy. ConclusionOur data suggest the need to examine the sexual health trajectory in a prospective fashion from diagnosis to survivorship.Almont T, Delannes M, Ducasson A, et al. Sexual Quality of Life and Needs for Sexology Care of Cancer Patients Admitted for Radiotherapy: A 3-Month Cross-Sectional Study in a Regional Comprehensive Reference Cancer Center. J Sex Med 2017;14:566–576.

Unmet needs of multiple sclerosis patients in the community

BackgroundThere is no evidence that disease modifying therapies (DMTs) are beneficial in progressive (non-relapsing) MS. However, these patients may benefit from multidiscipliniary interventions, and require financial and community support. Non-pharmacological needs of MS patients may be overlooked during fund allocation, and identification of unmet needs is important to optimise care and inform governmental resource distribution. AimTo identify unmet needs of MS patients in 3 areas during an Irish epidemiology study.Patients and methods: Observational study in 3 regions in Ireland: South Dublin SCD (an urban area), Donegal DGL and Wexford WEX (rural counties).A validated Needs Assessment Questionnaire (NAQ) was completed by MS patients at research clinics, or by telephone if unable to attend. ResultsWe identified 632 patients with multiple sclerosis: 23% SCD (urban), 30.8% WEX, and 46.2% DGL.MS subtype was relapsing remitting (RR) in 51.1%, secondary progressive (SP) in 39.7%, and primary progressive (PP) in 9.2%. EDSS was </=6 in 86% and >6.5 in 14%. NAQ was completed by 325 (49.9%).Group A: 155 (47.7%) reported no unmet needs relating to MS.Group B: 170 (52.3%) reported unmet needs relating to MS,including all in a group continuing to use disease-modifying therapy without benefit (EDSS>6.5).Number of unmet needs per patient in group B: 1 need 27%, ≥2 needs 73%, ≥5 24%.Unmet needs overall correlated with EDSS >6.5 (p<0.001),MS subtype: RR 36.4%/SP 69.8%/PP 59.5% (p<0001),increased age (p 0.003) and MS duration (p 0.003). Multivariate analysis: presence of unmet needs related to higher EDSS (p<0.001), rural residence (p<0.05), SPMS (p<0.05).Financial unmet needs frequency differed by county: DGL 23.9%, WEX 17%, SCD 10.4% (p 0.045) and marital status: 24% single, 13.5% married (p 0.03).Multivariate analysis: related to rural residence (p<0.05), being single (p<0.05).Occupational therapy (OT) unmet needs frequency differed by subtype:RR 6%/SP 24.5%/ PP 19% (p 0.001), MS duration: 19.7 v 14.8y (p 0.003)and increasing age: 52.5 v 45.8y (p 0.0006).Multivariate analysis: rural, older age, higher EDSS (p<0.05).Physiotherapy unmet needs frequency differed by subtype: RR 17.2%/SP 43.4%/PP 31.7% (p<0.001), MS duration (p<0.001), and age (p 0.002).Multivariate analysis: related to higher EDSS (p<0.001).Employment unmet needs frequency differed by gender:male 22.9%, female 12.8% (p 0.02).Social unmet needs frequency differed by subtype: RR 12%/SP 39.2%/PP 32.5%, MS duration and age (p 0.001): multivariate analysis: SPMS (p<0.001). DiscussionMore than 50% reported unmet needs relating to MS: suggesting non-pharmacological needs are not optimally addressed, particularly in older, single, rural residents, with greater EDSS and progressive non-relapsing MS. Physiotherapy offers significant benefits, but is the most frequently reported unmet need.These findings highlight the need for increased fund allocation, especially for development of community supports and multidisciplinary/ social services.Identifying unmet needs may help inform health service planning, and emphasises particular need for improved resources in a high-risk group of MS patients.

Development of a community pharmacy human papillomavirus vaccine program for underinsured university students along the United States/Mexico border

To describe the development and implementation of a human papillomavirus (HPV) vaccine patient assistance program (PAP) for university students, and to acquire information on the number who accessed the program and completed the series. University of Texas at El Paso University Student Health Clinic Pharmacy, Fall 2011-Spring 2014. A community pharmacy located within the university student health clinic providing services to an underinsured student population. Existing evidence shows the benefit of using PAP in community pharmacies but is nonspecific regarding the use of PAP for vaccines in an uninsured and underinsured Hispanic student population. The implementation of this unique HPV vaccine program in a community setting aims to increase awareness, access, and rates. Primary measures included results from a needs-assessment questionnaire that were used to implement the HPV vaccine program. After implementation, utilization data were collected on the number of students who qualified and enrolled in the HPV PAP and the number of students who completed the HPV series. The preliminary data from a needs assessment indicated that a majority (72.1%, n = 80) of students did not understand how HPV is transmitted. A total of 89 students qualified for PAP. The majority were women (81%). A total of 71 students (79.8%) received their second dose and 43 (48.3%) completed the series. Although pharmacists continue to provide vaccine services, minorities such as the Hispanic population continue to be underimmunized. Students may not be taking the proper precautions to prevent the acquisition of HPV. For these reasons services such as this HPV vaccine program are warranted. Pharmacists need to continue to educate and advocate on the importance of vaccines and how they prevent disease.

FACTORS RELATING TO UNMET NEEDS OF IRISH MS PATIENTS

BackgroundNon-pharmacological MS-related needs may be overlooked during fund allocation.Identification of unmet needs (UN) and associated clinical/demographic factors may inform service planning and guide resource allocation to optimise care.AimTo identify unmet...

Correlation analysis between quality of life in hospitalized AIDS patients and their nursing needs

Objective To evaluate the quality of life and care needs of hospitalized AIDS patients and analyze the relationship between them to provide basis for clinic nurses' helping patients to improve the quality of life. Methods We adopted the general information questionnaire, patient care needs assessment questionnaire, as well as the World Health Organization Quality of life Scale (WHOQOL)and used cluster sampling method to make face to face interviews with 36 hospitalized AIDS patients. Results The care needs of the 36 AIDS patients were at a high level,all areas of quality of life were lower than the norm. The quality of life of hospitalized AIDS patients was negatively correlated with the care needs. Conclusions Clinic nursing staffs should understand and assess the care needs of patients initiatively and take appropriate measures to improve quality of life of hospitalized AIDS patients. Key words: AIDS; Hospitalized; Quality of life; Care need

Race/Ethnicity-Based Concerns Over Understanding Cancer Diagnosis and Treatment Plan

BackgroundRace/ethnicity and culture influence illness perceptions, health beliefs and behaviors, and communication with health care providers. However, information about the impact of race/ethnicity on the understanding of cancer diagnosis and treatment plan is limited. MethodsNine hundred seventy-three cancer patients completed an information needs-assessment questionnaire prior to starting treatment at 20 geographically distinct clinical cancer sites within the University of Rochester Community Clinical Oncology Program network, x2Test was used to examine the association between race/ethnicity and education, occupation, and perception and use of available information. 7 test and analysis of covariance were used to examine race/ethnicity-based differences in concerns over understanding cancer diagnosis/treatment plan and the effect of race/ethnicity controlling for demographics. ResultsThere were 904 non-Hispanic white and 69 nonwhite (blacks, Latinos, and others) patients in the sample. Whites and nonwhites were comparable in educational attainment and occupation. However, there was a statistically significant race/ethnicity-based difference in concerns over understanding the diagnosis and treatment plan for cancer, even after controlling for sex (male, female), age, education, and occupation (p < .001). More nonwhite patients indicated that additional information would have been helpful in dealing with these concerns (p < .001). ConclusionsNonwhite cancer patients reported more concerns about understanding their diagnosis and treatment plan and were more likely to indicate that additional information would have been helpful. The findings emphasize the need for oncology professionals to confirm patients' understanding and ensure patients' information needs have been met, particularly when working with racial/ethnic minorities.

When Nurses Grieve

This study explored spirituality as an aspect of support for nurses grieving the loss of patients. Previous research has sought to understand the grief support needs of nurses; spirituality is one support nurses describe. Fifty-eight nurses responded to questions related to spirituality from a Needs Assessment Questionnaire (NAQ) designed to study grief support for nurses. Nurses reported spirituality as important in their daily lives (75%) and in helping them cope with patient-related grief (70%), and cited spiritual-based resources as beneficial in coping. Spirituality can play an important role in coping with grief and should be included in nurses' support.

An analysis of students' aspirations, expectations and gains in institutions of higher education in Zimbabwe

This study seeks to determine if the students' expectations, aspirations, perceived and envisaged needs or gains are addressed by institutions of higher education setting up any new devolution degree universities. A randomly selected sample of 116 students who enrolled at Masvingo University College to study a Bachelor of Education (Primary Education) degree was used to determine if students' expectations, aspirations, and needs or gains were addressed by the programme. Of the 116 randomly selected students used in this study, 65 (56.0%) were male and 51 (44.0%) female primary school teachers who held a primary school professional qualification. A 40-item Needs Assessment Questionnaire that examined students' expectations, aspirations, perceived and envisaged needs or gains using Eisner's (1985) five orientations, namely: the development of cognitive processes; academic rationalism; personal relevance; social adaptation or reconstruction; and curriculum as technology, was administered to them. While the programme aims at academic excellence, the study found that 15 students did not attempt A-level studies and 11 had irrelevant A- level qualifications. This implies that 26 (21.7%) of the recruited students were ill-qualified for the programme and depended on their Certificate in Education or Diploma in Education main study subjects as the basis for their choices of specialisation courses on the programme. Given the five specialisation courses to choose from, the study found that 115 (31.9%) candidates opted for Environmental Science; 106 (29.4%) for English; 90 (25.0%) for Shona and only 9 (2.5%) for Ndebele. Shona and Ndebele are vernacular languages that are officially used in schools and tertiary institutions in Zimbabwe. Admittedly, it is possible that the limited choice of specialisation courses on offer had an adverse effect on students' choices. The implications of these findings to education were discussed in detail in the study. Journal of Psychology in Africa 2004, 14(1): 47–59

Assessment of Unmet Needs Among Survivors of Breast Cancer

Published literature on survivors of breast cancer suggests that a small subset of survivors will develop moderate-to-severe psychopathology. The current study aimed to develop and pilot a needs-assessment questionnaire specifically for survivors of the disease. An initial qualitative phase generated items for inclusion in a “Survivors Module” needs-assessment instrument. In the second phase, 95 survivors in remission were asked to complete the Survivors Module as well as measures of depression and anxiety, menopausal symptoms, and quality of life. Two weeks later, they completed the Survivors Module again to establish test-retest reliability. Initial pilot testing of the Survivors Module suggests that the module is a valid and reliable instrument, although further validation and analysis of its psychometric properties using a larger sample would be warranted. A large minority of survivors were found to have many unmet psychosocial needs in a number of areas, particularly in the domain of needs regarding information and medical communication. Unmet needs for help in coping with breast cancer also were prevalent.

The Subjective Index of Physical and Social Outcome: its usefulness in a younger stroke population.

Studies on stroke subjects that aim to improve their well-being or community support have not been shown to be effective when measures of disability and handicap have been employed. This paper illustrates the usefulness of the Subjective Index of Physical and Social Outcome (SIPSO) with young adults following a stroke. The study comprised a cross-sectional survey of people (57% male; 39% female; median age 55.7) with a stroke (1-10 years ago), aged 18-65, recruited via NHS stroke registers and young stroke groups (response rate 53%). The SIPSO was incorporated into a postal needs-assessment questionnaire. Median SIPSO score: 24.5 (IQR 17-32). The SIPSO internal reliability: ICC 0.91 (95% CI, 0.90-0.92), item to total SIPSO correlations ranged from 0.52-0.83. The SIPSO construct validity was good: those with poorer employment, mobility and sex-life outcomes had lower SIPSO scores than those with better outcomes; there was no association between age and SIPSO scores, SIPSO scores were not significantly different for men and women. Test-retest reliability was good. The SIPSO had excellent reliability and validity properties in his population. Further work on its responsiveness needs to be carried out. The measurement of personal experience of integration can be a vital basis for effective clinical care.