Readiness Of Healthcare Providers Research Articles

Effectiveness of Training Program on Improving Health Care Providers' Readiness for Managing Domestic Violence in Jimma Medical Center: Pre-Experimental Study.

Domestic violence (DV) is a pervasive human-right violation and is an impediment to the achievement of Sustainable Development Goals by 2030. Although they may not often disclose their violence, survivors of DV are most likely to be treated by health care providers. Thus, this study aimed to assess the effectiveness of training intervention in improving the readiness of health care providers for managing domestic violence in Jimma Medical Center. Pre-experimental study design was undertaken among 64 health care providers of Jimma Medical Center on two rounds from March 16 to 19 and from May 18 to 21/2022. Data were collected by using a structured self-administered questionnaire and entered into Epi-data version 4.6 and exported to SPSS version 23 for analysis. To test the difference in the participants' readiness to manage DV in terms of knowledge and attitude; a Paired-samples t-test analysis was done at 95%-confidence-interval and p-value <0.05. To quantify the magnitude of the intervention's effect, Eta-squared was computed as an effect size statistic. The overall knowledge score was improved from pre-intervention (M= 12.44, SD=4.55) to post-intervention (M=15.66, SD= 5.48, t(4.29), p<0.0005). The overall attitude score was improved from pre-intervention (M= 156.4, SD= 15.68) to post-intervention (M=169.1, SD=20.67, t(3.8), p<0.0005). The Eta-squared value for the knowledge was 0.23 and for the attitude was 0.19 both indicating a large effect size. Significant improvement in the study participants' readiness for managing DV was a result in this study with a large effect size. Thus, different concerned stakeholders should provide training intervention for health care providers of Jimma Medical center to improve their readiness to manage survivors of domestic violence thereby contributing to the reduction of the negative consequences that can be resulted from poor management of domestic violence.

Knowledge, Perceptions, Satisfaction, and Readiness of Health-Care Providers Regarding COVID-19 in Northern Ethiopia.

BackgroundTo protect health-care providers (HCPs) from COVID-19, the WHO recommends applying basic principles of infection prevention and control measures at all health-care facilities. This study aimed to assess the knowledge, perceptions, satisfaction, and readiness of HCPs regarding COVID-19 in Tigrai, Ethiopia in 2020.MethodsThis cross-sectional study was conducted from June 1 to July, 2020. Data were collected using a self-administered structured questionnaire. Multistage sampling followed by purposive sampling were used to recruit study subjects. SPSS 21 was used to compute proportions and χ2 to identify risk factors.ResultsOf 765 participants, 88% had adequate knowledge, close to a third showed positive perceptions and were satisfied with their job and nearly a quarter demonstrated readiness to prevent and control COVID-19. Education, knowledge, readiness, perceptions, and job satisfaction with associated with type and readiness of health facilities.ConclusionDespite adequate knowledge of the HCPs about COVID-19, their perceptions and job satisfaction are a concern for the health-care system. Only one in five HCPs was found to be ready to prevent and control COVID-19. Efforts should be exerted to improve perceptions, job satisfaction, and readiness of HCPs to fight COVID-19.

Readiness of Healthcare Providers for e-Hospitals: Cross-sectional Analysis in China

The growth and development of smartphone and e-health technologies has enabled the employment of extended care hospitals such as e-hospitals in China in order to facilitate the success of a primary healthcare center (PHC) based integrated delivery model. Although the adoption of this innovation in healthcare delivery is essential, few studies have directed their research towards understanding the perspectives of healthcare providers. This study aims to identify the current readiness of healthcare providers to adopt e-hospital technologies, determine factors influencing their adoption, and describe perceived facilitators and barriers in regards to e-hospital use. A cross-sectional study was conducted from July to September of 2019 in Western China. This study included a self-administered questionnaire that was used to assess participants socio-demographic characteristics, online medical practice, willingness to use e-hospitals, and perceived facilitators/barriers to using e-hospitals. Multivariate regression analysis was performed in order to evaluate independent factors associated with e-hospital use. The survey population consisted of 2,298 medical professionals from a tertiary hospital, secondary hospital, PHC, and private hospital. Overall, 86.3% had a positive response toward the usage of e-hospitals. Age (P<0.05), familiarity with e-hospitals (P<0.001), and prior work experience in online healthcare settings (P<0.001) were associated with participants' readiness to use e-hospitals. Gender, education level, professional level, the tier of the affiliated hospital, and workload were not statistically associated. Healthcare providers who had positive attitudes towards e-hospitals considered improved efficiency, patient satisfaction, communication among physicians, increased reputation, and alleviated workload to be advantages of adoption. The participants who were unwilling to use e-hospitals perceived lack of time, insufficient authenticity/reliability, and underdeveloped policies as potential challenges. Improving operative proficiency in electronic devices, accommodating to work schedules, increasing familiarity, and regulating practices will improve the readiness of healthcare providers to use e-hospitals.

Readiness of Lung Cancer Screening Sites to Deliver Smoking Cessation Treatment: Current Practices, Organizational Priority, and Perceived Barriers.

Lung cancer screening represents an opportunity to deliver smoking cessation advice and assistance to current smokers. However, the current tobacco treatment practices of lung cancer screening sites are unknown. The purpose of this study was to describe organizational priority, current practice patterns, and barriers for delivery of evidence-based tobacco use treatment across lung cancer screening sites within the United States. Guided by prior work examining readiness of health care providers to deliver tobacco use treatment, we administered a brief online survey to a purposive national sample of site coordinators from 93 lung cancer screening sites. Organizational priority for promoting smoking cessation among lung cancer screening enrollees was high. Most sites reported that, at the initial visit, patients are routinely asked about their current smoking status (98.9%) and current smokers are advised to quit (91.4%). Fewer (57%) sites provide cessation counseling or refer smokers to a quitline (60.2%) and even fewer (36.6%) routinely recommend cessation medications. During follow-up screening visits, respondents reported less attention to smoking cessation advice and treatment. Lack of patient motivation and resistance to cessation advice and treatment, lack of staff training, and lack of reimbursement were the most frequently cited barriers for delivering smoking cessation treatment. Although encouraging that lung cancer screening sites endorsed the importance of smoking cessation interventions, greater attention to identifying and addressing barriers for tobacco treatment delivery is needed in order to maximize the potential benefit of integrating smoking cessation into lung cancer screening protocols. This study is the first to describe practice patterns, organizational priority, and barriers for delivery of smoking cessation treatment in a national sample of lung cancer screening sites.

Using the Untested Ebola Drug in Ebola Affected Patients: An Ethical Dilemma

The 2014 Ebola outbreak is the largest Ebola outbreak in history and the first in West Africa [1]. No specific vaccine or medicine (e.g., antiviral drug) has been proven to be effective against Ebola [2]. The standard treatment for Ebola remains supportive therapy [3]. ZMapp, being developed by Mapp Biopharmaceutical Inc., is an experimental treatment, for the use of the individuals infected with Ebola virus [3]. The product is a combination of three different monoclonal antibodies that bind to the protein of the Ebola virus [3]. The use of the drug for the Ebola infection presents a huge dilemma since it could have harmful side-effects and it has not yet been tested in humans for its effectiveness [3]. The Ebola infected patients might survive the Ebola infection but may die from side-effects of the drug ZMapp which are not yet known. ZMapp may cause side-effects which may not occur immediately and may be seen much later. Moreover, at this time very few courses of this experimental treatment have been manufactured [3] which raises issues on whom to use this drug if infected with the Ebola virus. Since, ZMapp is an experimental drug, patients may not agree to take this drug. This may be easy if the relationship between the patient and the health care provider is good. It will be interesting to study whether or not the Ebola infected patients who have received ZMapp develop any side-effects in future which could be related to this drug. The Ebola infection has posed a great challenge to the anti-microbial world and has raised many questions on the readiness of health care providers to contain this infection.

Is the medical community ready for worker notification?

Although the potential for early detection of disease has been of central importance in the evolution of worker notification policy and practice, it is not the only positive outcome of medical intervention. The provider-patient encounter also creates an important opportunity for patient-centered risk communication that may result in workplace modifications as well as lifestyle changes to reduce the likelihood of subsequent illness and injury--both work and nonwork related. At the same time, it may signal the beginning of a series of social, legal, and political actions that may have positive or negative consequences for notified workers. This article identifies several important roles for members of the medical community relating to worker and community notification programs and explores the readiness of health care professionals in assuming these roles. It is suggested that health care providers lack both the training and sociopolitical sensitivity needed for meaningful participation in the notification process. This article addresses possible short-term and long-term approaches to enhancing the readiness of health care providers and suggests that effective intervention with notified workers requires a willingness to step beyond the confines of the medical model.