Barriers and facilitators influencing the implementation of an interactive Internet-portal application for patient education in psychiatric hospitals

2008 ◽  
Vol 70 (3) ◽  
pp. 412-419 ◽  
Author(s):  
Marita Koivunen ◽  
Heli Hätönen ◽  
Maritta Välimäki
Keyword(s):  
Patient Education ◽  
Psychiatric Hospitals ◽  
Barriers And Facilitators ◽  
Internet Portal

scholarly journals Involving clinical staff members in the management of low back pain in general practice: a qualitative interview study

2019 ◽  
Author(s):  
Randi Hessellund Knudsen ◽  
Janus Laust Thomsen ◽  
Camilla Aakjaer Andersen ◽  
Tamana Afzali ◽  
Allan Riis
Keyword(s):  
General Practice ◽  
Low Back Pain ◽  
Back Pain ◽  
Patient Education ◽  
Clinical Staff ◽  
Barriers And Facilitators ◽  
Self Management ◽  
Low Back ◽  
Staff Members ◽  
Member Involvement

Abstract Background Low back pain (LBP) is the leading cause of disability worldwide. Patient education and self-management have the potential to improve the care of patients. However, high workload and little available time for consultations are argued to challenge the delivery of optimal care in general practice. Involving clinical staff members in the management of diabetes and of patients with hypertension has shown to be feasible. Consequently, involving clinical staff members in providing education and information to patients may improve the delivery of patient information and education. However, this require a shift in the division of tasks and general practitioners’ (GPs’) barriers and facilitators for this is currently unknown. The aim is to explore GPs’ barriers and facilitators to involve clinical staff members in the treatment of LBP in general practice. Methods This is a qualitative, semi-structured interview study. We used the phenomenological approach to study experiences and attitudes towards changing the management of patients with LBP from the GPs’ perspectives. Analysis was conducted using inductive descriptive methods. Results We conducted five 60-minute interviews with Danish GPs. All GPs had experience with task delegation, but it varied which tasks the GPs delegated and to which types of clinical staff members. The following barriers towards clinical staff member involvement were identified: Patients with LBP is a heterogeneous group with a variety of treatment needs, the examination and treatment can be considered as one coherent process, and it would require external support.
Involving clinical staff members can release GP time. Another facilitator was the possibility for improving the uptake of clinical guidelines and involvement of practice nurses was considered to improve the provision of patient education and lead to greater patient self-management. Conclusion While some GPs currently consider delegation to clinical staff members a good idea in the treatment of LBP, others prefer the existing treatment strategy without clinical staff member involvement. Consequently, healthcare providers need to address existing barriers and facilitators for involving clinical staff members when advocating for a future multi professional treatment strategy of LBP in general practice.

Iranian nurses and nursing students' attitudes on barriers and facilitators to patient education: A survey study

2014 ◽  
Vol 14 (5) ◽  
pp. 551-556 ◽  
Author(s):  
Raheb Ghorbani ◽  
Mohsen Soleimani ◽  
Mohammad-Reza Zeinali ◽  
Mohammad Davaji
Keyword(s):  
Nursing Students ◽  
Patient Education ◽  
Barriers And Facilitators ◽  
Survey Study ◽  
Students Attitudes

scholarly journals A Study of the Barriers and Facilitators of Patient Education from the Viewpoint of Nursing Students at Jahrom College of Nursing

2016 ◽  
Vol 15 (3) ◽  
pp. 471-476 ◽  
Author(s):  
Zohreh Badiyepeymaie Jahromi
Keyword(s):  
Nursing Students ◽  
Patient Education ◽  
Medical Science ◽  
Cross Sectional Study ◽  
Barriers And Facilitators ◽  
Cross Sectional ◽  
Knowledge And Skills ◽  
Inadequate Knowledge ◽  
Clinical Environments ◽  
College Of Nursing

Objective: Patient education is the process of enhancing patients’ knowledge and skills in order to encourage the required attitude and behaviors for maintaining or improving their health. This study aims to explore the barriers and facilitators of patient education in clinical environments from the viewpoint of nursing students.Materials and Method: 78 senior and junior nursing students at Jahrom University of Medical Sciences formed the participants of this descriptive-cross-sectional study. The participants were selected based on the census method. The questionnaire used to collect data included questions about students’ demography, barriers (10 questions), and facilitators (10 questions) in patient education.Results: The most important barriers to patient education were lack of appropriate educational facilities (4.34±0.99), time limitation (4.31±1.10), and nurses’ inadequate knowledge and skills (4.29±0.59). The most important facilitators were enhancing the knowledge and skills of educator (4.49±0.50), raising the interest of the educator (4.44±0.74), and implementing of the education step-by-step (4.40±0.49).Conclusion: Patient education is an important part of patient care thus nursing teachers should be encouraged to incorporate patient education in the curriculum as part of the introduction of diseases, and stress such issues as evaluation of patients’ health literacy, familiarity with educational tools, and methods of enabling patients.Bangladesh Journal of Medical Science Vol.15(3) 2016 p.471-476

scholarly journals Barriers and Facilitators to Integrating Clinical Breast Examinations With Cervical Cancer Screening Programs in Outpatient Clinics in Western Kenya

2021 ◽  
pp. 1722-1729
Author(s):  
Prisca C. Diala ◽  
Magdalene Randa ◽  
Jackline Odhiambo ◽  
Gregory Ganda ◽  
Craig R. Cohen ◽  
...  
Keyword(s):  
Breast Cancer ◽  
Cervical Cancer ◽  
Cancer Screening ◽  
Patient Education ◽  
Cervical Cancer Screening ◽  
Clinical Training ◽  
Barriers And Facilitators ◽  
Screening Programs ◽  
Clinical Breast ◽  
Clinical Breast Examinations

PURPOSE Nearly half of Kenyan women with breast cancer present with advanced disease—owing partially to limited patient education and screening limitations in low- and middle-income countries. With increasing access to nurse-led cervical cancer screening (CCS) in government clinics in Kenya, we investigated provider-perceived barriers and facilitators to integrating clinical breast examinations (CBEs) with ongoing CCS programs in Kisumu County, Kenya. METHODS CCS providers within the Ministry of Health Clinics in Kisumu County, Kenya, were recruited to participate in a two-phase, sequential, mixed methods study. Knowledge of CBE guidelines was assessed with a questionnaire. Providers with significant CCS and CBE experience then completed a one-on-one interview discussing barriers and facilitators to integration. RESULTS Sixty-nine providers from 20 randomly selected facilities participated in the survey. Providers all agreed that breast cancer screening was very important. Although 93% said that they routinely offered CBEs, only 22% of these providers screened at least eight of their last 10 patients. Forty-four percent identified four or more of five signs and symptoms of breast cancer, and 33% identified four to five risk factors. Although providers showed enthusiasm for integration of CBEs into their practices, barriers were identified and grouped into four themes: (1) fragmentation of services, (2) staffing shortage and inadequate on-the-job training, (3) limited space and referral system challenges, and (4) limited patient awareness on need for cancer screening. CONCLUSION Addressing providers' concerns by providing routine on-the-job clinical training, improving staffing shortages, strengthening the diagnostic and treatment referral pathway, and increasing patient education are some of the first steps in facilitating integration of CBEs with CCS services in primary care clinics in Kenya.

scholarly journals SAT0617-HPR QUALITATIVE STUDY EXPLORING THE BARRIERS AND FACILITATORS TO HOME-BASED EXERCISE PROGRAMS ADHERENCE WITH KNEE OSTEOARTHRITIS: THE PERSPECTIVES PHYSIOTHERAPISTS AND PATIENTS.

2020 ◽  
Vol 79 (Suppl 1) ◽  
pp. 1268.3-1269
Author(s):  
H. Akgül ◽  
N. Sermenlİ Aydin ◽  
Z. Sari ◽  
M. Bİrtane ◽  
E. Tonga
Keyword(s):  
Patient Education ◽  
Focus Group ◽  
Qualitative Study ◽  
Knee Osteoarthritis ◽  
Exercise Adherence ◽  
Barriers And Facilitators ◽  
Home Exercise ◽  
Exercise Programs ◽  
Home Based ◽  
Turkish Patients

Background:Home exercise programs are widely used in the treatment of knee osteoarthritis (OA). However, adherence to these exercises decreases in the long term due to different factors. In recent years, new approaches are being developed to increase exercise adherence (EA) for patients with OA. Although it is known that EA is low in Turkish patients, there is no study that examines the barriers of adherence to home exercise programs in patients with OA by qualitative research methods.Objectives:Aim of our study was to investigate the barriers and facilitators for adherence of home-based exercises for knee osteoarthritis management from the perspective of physiotherapists and patients.Methods:A Qualitative study by using focus groups discussions and semi-structured interviews were designed to investigate the barriers and facilitators to home-based exercise program adherence for OA. Two researchers facilitated focus group interview. Participants of focus group members were eight physiotherapists (PT) working with OA with different experience levels. Third researcher conduct the interviews which lasted 30-60 minutes with patients (patients with knee OA, n=5 ages>50). Data were audio recorded, transcribed verbatim and thematically analyzed with NVIVO 12 software. Three researchers conducted the thematic analysis to ensure the validity.Results:In total, 25 main themes from the focus group discussions and interviews were determined. Major barrier themes from focus group were (a) beliefs to exercise benefits (b) patient education and (c)fear avoidance beliefs on exercise; from the interviews were (a)negligence of self-management (b)fatigue and (c)patient education. Patients and therapists all agreed for patient education is one of the most important factors for home EA. Patients wanted to get education on arthritis management. A patient said:“Actually, the clinicians should give information more deeply. I don’t know which is correct for me after therapy, resting or moving?”Major facilitator themes from the focus group were (a)motivation from PT (b)client-centred exercise (c)digital technology; from interviews were (a) motivational approaches of therapists (wats-up messages) (b) having pain and (c)patient education for disease management. Therapists agreed on that personalized exercise is the most important facilitator. A therapist commented,“If the personalized exercise given the patient with correct intensity and repetitions, I don’t think that patients would not do their home exercises.”Conclusion:This is the first qualitative study about exercise adherence in knee osteoarthritis in Turkey. It has been determined that the lack of education and motivation are the most important barriers. More studies are needed to examine the factors affecting EA for patients with OA. In future studies, implementations to increase home EA on Turkish patients with OA should be investigated by qualitative research methods.References:[1]MacKay C. Qualitative study exploring the factors influencing physical therapy management of early knee osteoarthritis in Canada. BMJ 2018 open.[2]Carmona-Terés, Understanding knee osteoarthritis from the patients’ perspective: a qualitative study.” BMC musculoskeletal disorders 18.1 (2017): 225.[3]Marlene F.Exercise for osteoarthritis of the knee: a Cochrane systematic review. British journal of sports medicine 2015 49(24).Disclosure of Interests:None declared

scholarly journals Shared decision-making with involuntary hospital patients: a qualitative study of barriers and facilitators

BJPsych Open ◽  
2018 ◽  
Vol 4 (3) ◽  
pp. 113-118 ◽  
Author(s):  
Domenico Giacco ◽  
Liza Mavromara ◽  
Jennifer Gamblen ◽  
Maev Conneely ◽  
Stefan Priebe
Keyword(s):  
Decision Making ◽  
Shared Decision Making ◽  
Patient Involvement ◽  
Psychiatric Hospitals ◽  
Barriers And Facilitators ◽  
Hospital Treatment ◽  
Shared Decision ◽  
Difficult Patient ◽  
Code Of Practice ◽  
Additional Information

BackgroundLast year, there were more than 63 622 involuntary admissions to psychiatric hospitals in England. One of the core principles stipulated in the code of practice for care under the Mental Health Act is involving involuntary patients in care decisions.AimsIdentifying barriers and facilitators to shared decision-making with involuntary patients.MethodFocus groups and individual interviews with patients and clinicians who have experience with involuntary hospital treatment were carried out. Data were subjected to thematic analysis.ResultsTwenty-two patients and 16 clinicians participated. Barriers identified included challenges in communication, and noisy and busy wards making one-to-one meetings difficult. Patient involvement was identified as easier if initiated early after admission and if the whole clinical team was on board. Carers' presence helped decision-making through providing additional information and comfort.ConclusionsThe barriers and facilitators identified can inform changes in the practice of involuntary care to increase patient involvement.Declaration of interestNone.

From darkness to light: Barriers and facilitators to mental health recovery in the South African context

2020 ◽  
pp. 002076402098112
Author(s):  
Anneliese de Wet ◽  
Chrisma Pretorius
Keyword(s):  
Mental Health ◽  
South Africa ◽  
Focus Groups ◽  
Service Providers ◽  
Public Mental Health ◽  
Psychiatric Hospitals ◽  
Barriers And Facilitators ◽  
Service Users ◽  
Western Cape ◽  
Public Mental Health Care

Background: South Africa is a low and middle income country facing many challenges in public mental health care and implementation of recovery. Aims: To contribute to what barriers and facilitators to recovery might be for service users in South Africa, from the perspective of service users, carers and service providers from three psychiatric hospitals in the Western Cape province. Method: Interviews and focus groups were conducted with service users, carers and service providers. Interviews and focus groups were transcribed and analysed using atlas.ti software and reflexive thematic analysis, from the bottom up. Results: The barriers, environment, family, public mental health services, stigma and service users’ attitude or behaviour generated, were found to be the most salient. The facilitators to recovery generated were support, family or friends, service providers, structure and empowerment. The need for support was identified as an underlying component to all these themes. Conclusion: Barriers and facilitators to recovery seemed to have both intrapersonal and external sources that intersect at times. Recovery needs to be supported at an individual level, especially through an under-utilised resource such as peer support work, but in conjunction with the development of recovery-enabling environments in services and communities in South Africa.

Adoption of an Internet-based patient education programme in psychiatric hospitals

2011 ◽  
Vol 18 (10) ◽  
pp. 914-923 ◽  
Author(s):  
M. ANTTILA ◽  
M. VÄLIMÄKI ◽  
M. KOIVUNEN ◽  
T. LUUKKAALA ◽  
M. KAILA ◽  
...  
Keyword(s):  
Patient Education ◽  
Psychiatric Hospitals ◽  
Education Programme ◽  
Patient Education Programme
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