Understanding Inpatient Perceptions of Indwelling Urinary Catheters Using the Health Belief Model

2016 ◽  
Vol 37 (9) ◽  
pp. 1098-1100 ◽  
Author(s):  
Joshua Quast ◽  
Mary Jo Knobloch ◽  
Erin Patterson ◽  
Suzanne Purvis ◽  
Daniel Shirley ◽  
...  

Patient interviews using the Health Belief Model framework identified thematic patient perceptions of indwelling urinary catheters and catheter-associated urinary tract infections. Generally, patients perceived catheters as convenient and were unaware of catheter alternatives and risks for infection. Better patient education is needed to reduce urinary catheter use and infections.Infect Control Hosp Epidemiol 2016;37:1098–1100

2019 ◽  
Vol 47 (1) ◽  
pp. 18-22 ◽  
Author(s):  
Teresa Caya ◽  
Mary Jo Knobloch ◽  
Jackson Musuuza ◽  
Emily Wilhelmson ◽  
Nasia Safdar

2016 ◽  
Vol 37 (5) ◽  
pp. 576-582 ◽  
Author(s):  
Cydney Heid ◽  
Mary Jo Knobloch ◽  
Lucas T. Schulz ◽  
Nasia Safdar

OBJECTIVETo identify themes associated with patient perceptions of antibiotic use and the role of patients in inpatient antimicrobial stewardship.DESIGNWe conducted semi-structured interviews with 30 hospitalized patients using the Health Belief Model as the framework for questions and analysis.SETTINGAn academic tertiary care hospital in Madison, Wisconsin.PARTICIPANTSA total of 30 general medicine inpatients receiving at least 1 anti-infective medication were interviewed.RESULTSParticipants recognized antibiotic resistance as a serious public health threat but expressed low perceived susceptibility to being personally affected by antibiotic resistance. Views of susceptibility were influenced by a high degree of trust in physicians and misperceptions regarding the mechanisms underlying resistance. Participants expressed high self-efficacy and a desire to be involved in their health care. Perceived roles for patients in preventing the inappropriate use of antibiotics ranged from asking questions and speaking up about concerns to active involvement in decision making regarding antibiotic treatments. Few participants reported being offered the opportunity to engage in such shared decision making while hospitalized.CONCLUSIONSOur findings suggest an important role for patients in improving antibiotic use in hospitals. However, patient engagement has not been recognized as a critical component of antimicrobial stewardship programs. Our study suggests that the likelihood of patient engagement in stewardship practices is currently limited by low perceived susceptibility and lack of cues to act. Further investigation into how patients may be engaged as good stewards of antibiotics may reveal new ways to improve antibiotic prescribing practices in the inpatient setting.Infect Control Hosp Epidemiol 2016;37:576–582


2020 ◽  
pp. 001391652093263
Author(s):  
Sojung Claire Kim ◽  
Sandra L. Cooke

We examine psychological mediating mechanisms to promote ocean health among the U.S. public. Ocean acidification (OA) was chosen as the focus, as experts consider it as important as climate change with the same cause of humanity’s excessive carbon dioxide (CO2) emissions, but it is lesser known. Empathy is a multi-dimensional concept that includes cognitive and emotional aspects. Previous literature argues that environmental empathy can facilitate positive behaviors. We tested the hypothesis that empathy affects beliefs and behavioral intentions regarding ocean health using the Health Belief Model. We found that higher empathy toward ocean health led to higher perceived susceptibility and severity from OA, greater perceived benefits of CO2 emissions reduction, greater perceived barriers, and keener attention to the media. Beliefs and media attention positively influenced behavioral intentions (e.g., willingness to buy a fuel efficient car). Theoretical and practical implications regarding audience targeting and intervention design are discussed.


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