scholarly journals Psychosocial determinants of healthcare personnel’s willingness to carry real-time locating system tags during daily inpatient care in hospital managing COVID-19 patients: insights from a mixed-methods analysis

JAMIA Open ◽  
2021 ◽  
Author(s):  
Huiling Guo ◽  
Zhilian Huang ◽  
Jeanette Y P Yeo ◽  
Yinchu Wang ◽  
Angela Chow
Keyword(s):  
Mixed Methods ◽  
Real Time ◽  
Inpatient Care ◽  
Principal Component ◽  
Contact Tracing ◽  
Healthcare Personnel ◽  
Multivariable Logistic Regression Analysis ◽  
Successful Implementation ◽  
Cross Sectional ◽  
Willingness To Use

Abstract Objective Real-time locating systems (RTLS) enable contact tracing and hand hygiene reminders, to improve hospital safety. Successful implementation requires healthcare personnel (HCP) to carry RTLS tags continuously. We assessed for determinants of HCP’s willingness to use RTLS tags during routine inpatient care, and evaluated concerns using mixed-methods analysis. Materials and Methods We conducted a cross-sectional study in the 330-bed purpose-built National Centre for Infectious Diseases in Singapore, from January 15 through February 4, 2020. The anonymous survey comprised 24 questions based on constructs from behavioral models and an open-ended question. Principal component analysis was performed to derive the latent factor structure applied in the multivariable logistic regression analysis. Concerns were analyzed using thematic analysis. Results Of 260 HCP (nurses [40.8%], ancillary and administrative staff [23.1%], allied health professionals [18.5%], and physicians [17.7%]), 75% were willing to use the RTLS tag. After adjusting for age, gender, healthcare professional group, and duration of practice, the acceptance of the use of the RTLS tag (adjusted OR 11.28 [95% CI 4.39–29.00], P < .001) was highly associated with the willingness to use the RTLS tag. HCP who perceived the tag to be easy to use (adjusted OR 2.80 [95% CI 1.37–5.72], P = .005), were also more willing to use the tag. HCP were willing to carry the RTLS tag for the purpose of contact tracing despite privacy concerns. Conclusion More communications on the intentions and data protection standards of the RTLS, and accessory enhancements for HCP’s convenient and sustained use of the RTLS tag are crucial, to optimize RTLS’s usefulness during the COVID-19 pandemic.

scholarly journals Protocol to assess the values and preferences towards SARS-CoV-2 self-testing among the general population and their representatives, healthcare personnel and decision-makers in health: a multi-country mixed methods study (Preprint)

2021 ◽  
Author(s):  
Sonjelle Shilton ◽  
Elena Ivanova Reipold ◽  
Albert Roca ◽  
Guillermo Z. Martínez-Pérez
Keyword(s):  
Mixed Methods ◽  
General Population ◽  
Research Question ◽  
Qualitative Inquiry ◽  
Decision Makers ◽  
Healthcare Personnel ◽  
Surveillance Systems ◽  
Cross Sectional ◽  
Self Testing ◽  
Views And Perceptions

UNSTRUCTURED Background: Accessible, safe and client-centred SARS-CoV-2 testing services are an effective way to halt its transmission. Testing enables individuals to isolate or quarantine to prevent further transmission. In countries with limited health systems and laboratory capacity, the provision of accessible and safe screening for COVID-19 is challenging. Self-testing provides a convenient, private and safe testing option. However, it also raises some important concerns relating to a lack of counselling and a clear pathway to ensure timely reporting of self-test results to national surveillance systems. Investigating community members’ views and perceptions is crucial to inform the most effective and safe strategies for implementing SARS-CoV-2 self-testing. Methods: This study will be conducted in nine countries: Brazil, India, Indonesia, Kenya, Malawi, Nigeria, Peru, Philippines and South Africa. It is a multi-site, mixed methods, observational study that consists of two components: cross-sectional surveys and a qualitative inquiry among four respondent groupings: the general population, general population representatives, healthcare workers and decision-makers. Our main research question is how useful, and under which circumstances, would SARS-CoV-2 self-testing be for populations in low-resource settings, to diagnose and prevent the spread of SARS-CoV-2? The general population and the healthcare worker surveys will be analysed separately, using bivariate and multivariate inferential analysis and descriptive statistics. The qualitative inquiries, which will comprise semi-structured interviews and group interviews, will be audio recorded, transcribed and coded. Thematic analysis will be conducted. Discussion: The views and perceptions of local populations are crucial for leading the discussion around the safest strategies for implementing SARS-CoV-2 self-testing. This study intends to generate evidence about the different sociocultural specificities that may hinder or accelerate the widespread utilisation of SARS-CoV-2 self-testing. Dissemination of results will be via publications, presentations at conferences, and dissemination events specifically targeted at local decision makers, civil society and patient groups.

scholarly journals Adverse maternal outcomes associated with Cesarean deliveries and their determinants: hospital based cross sectional, mixed- methods study

2021 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Mulugeta Meles Dibabi ◽  
Alemu Tamiso Debiso ◽  
Kaleb Mayisso Rodamo
Keyword(s):  
Mixed Methods ◽  
Sample Size ◽  
Adverse Outcomes ◽  
Healthcare Personnel ◽  
Sufficient Evidence ◽  
Medical Illness ◽  
Cross Sectional ◽  
Content Type ◽  
Cesarean Deliveries ◽  
Set Up

PurposeThe purpose of this study was to examine adverse outcomes associated with cesarean deliveries and to assess potential confounding factors.Design/methodology/approachA hospital-based cross-sectional study was conducted from September 1−30, 2019 using mixed methods of data collection. Multistage sampling was used to draw the eligible study participants. The sample size was calculated using the single population proportion formula. A systematic random sampling technique was used to draw the sample size. 180 original medical records were excluded because of having missed information, leaving 1,618 women as the study population. We used the questionnaire adapted from the Ethiopian Demographic and Health Survey to collect quantitative data and analyzed using SPSS version 22, while thematic analysis for qualitative measures was used to generate themes regarding associated perspectives of participants from a community.FindingsMore than 383 women delivered by cesarean section. 20% of the mothers with the mean age at birth of 26.1 ± 4.8 experienced adverse outcomes. Adjusted odds ratio (AOR) was used to measure the association of determinants and was 2.95 (95% CI 1.19–7.29) for nonuse of antenatal care, 3.18 (95% CI 1.43–6.94) for nonuse of prophylaxis, 4.28 (95% CI 1.58−11.61) for history of medical illness and 7.09 (95% CI 1.19−45.59) for use of substandard operation set up compared with their counterparts.Research limitations/implicationsStrengths of the study include the finding of the study are reliably reported in mixed study methods examining hospital-based institutional and personal risk factors and exploring the whole community's perspectives. However, the important limitations of the study indicate that the study poses a number of challenges related to studying design, therefore there was not sufficient evidence of causality to draw conclusions from the findings. In addition, the study was conducted at a single hospital so that it is not convenient to generalize the findings of the study for setting different in social and economic status.Originality/valueBased on the findings, attention has been drawn to healthcare personnel to provide training and consultation services for pregnant women and for health care administration to ensure standard set up for operation.

scholarly journals Willingness to Use Electronic Medical Record (EMR) System in Healthcare Facilities of Bahir Dar City, Northwest Ethiopia

2020 ◽  
Vol 2020 ◽  
pp. 1-9
Author(s):  
Birhanu Berihun ◽  
Desta Debalkie Atnafu ◽  
Getachew Sitotaw
Keyword(s):  
Logistic Regression ◽  
Health Professionals ◽  
Digital Health ◽  
Scale Up ◽  
Multivariable Logistic Regression Analysis ◽  
Bahir Dar ◽  
Management Support ◽  
Cross Sectional ◽  
Major Barrier ◽  
Willingness To Use

Background. Globally, electronic information and communication technology has been applied and much expanded in the healthcare industry. However, in developing counties including Ethiopia, EMR system adoption and utilization for medical practice are still inconsistent, and healthcare institutions which started utilization currently have also failed to sustain. A desirable readiness of healthcare experts is mandatory to expand digital health service delivery. Thus, this study is aimed at estimating the proportion of the willingness of professionals in Bahir Dar city to use EMR and at identifying factors associated with this proportion. Methods. An institution-based cross-sectional study was conducted from September 1 to October 30, 2019, among 634 health professionals. Respondents were selected using a simple random sampling method. Data were entered into EpiData version 3.1 and exported to SPSS version 23 for further analysis. Descriptive statistics were computed to describe study variables and presented using tables. Willingness to use the EMR system was computed. Bivariable and multivariable binary logistic regression models were fitted to identify the associated factors. The odds ratio with 95% confidence interval was used to measure the strength of association. Results. A total of 616 health professionals participated in the study with a response rate of 97%. The proportion of willingness to use the EMR system was 85.9%. Among health professionals who were not willing to use EMR, lack of access to EMR training (73.4%) was a major barrier to the willingness to use EMR. A multivariable logistic regression analysis showed that those health professionals who had good computer skill (AOR=2.5; 95% CI: 1.3-4.6), good knowledge on EMR (AOR=2.1; 95% CI: 1-4.4), gotten EMR training (AOR=3.8; 95% CI: 1.7-8.1), EMR guideline access (AOR=2.8; 95% CI: 1.4-5.6), and management support (AOR=2.6; 95% CI: 1.4-4.8) were more likely willing to use the EMR system. Conclusions. Majority of the professionals were willing to use the EMR system. EMR program should involve computer illiterate, less knowledgeable, those unable to access EMR guidelines, and managerially unsupported professionals. Enhancing health professionals’ attitude and contextualizing EMR training in the healthcare curricula are highly recommended to scale up EMR use.

scholarly journals Intelligent Software-Aided Contact Tracing Framework: Towards Real-Time Model-Driven Prediction of Covid-19 Cases in Nigeria

2021 ◽  
Vol 7 (1) ◽  
pp. 67-76
Author(s):  
Edward N. Udo ◽  
◽  
Etebong B. Isong ◽  
Emmanuel E. Nyoho ◽  
◽  
...  
Keyword(s):  
Real Time ◽  
Routing Algorithm ◽  
Principal Component ◽  
World Health ◽  
Contact Tracing ◽  
Android Application ◽  
Time Model ◽  
Model Driven ◽  
Intelligent Software ◽  
Health Organization

As many countries around the world are trying to live with the deadly coronavirus by adhering to the safety measures put in place by their government as regulated by World Health Organization (WHO), it becomes very vital to continuously trace patients with COVID-19 symptoms for isolation, quarantine and treatment. In this work, an intelligent software-aided contact tracing for real-time model-driven prediction of COVID-19 cases is proposed utilizing COVID-19 dataset from kaggle.com. The dataset is preprocessed using One-Hot encoding and Principal Component Analysis. Isolation Forest algorithm is used to train and predict COVID-19 cases. The performance of the model is evaluated using Accuracy, Precision, Recall and F1-Score. The intelligent software-aided contact tracing framework has four layers: symptoms, modeling/prediction, cloud storage/contact routing and contact tracers. The contact tracing system is an android application that receives symptom values, predict it and automatically send the prediction result together with user’s contact and location details to the closest contact tracer via the Firebase real-time database. The closest contact tracer is determined by employing a dynamic routing algorithm (contact routing algorithm) that uses Open Shortest Path First (OSPF) protocol to compute the distance between two geographic locations (user and contact tracer) and chooses a contact tracer with shortest distance to the patient utilizing a unicast routing technique (routing a patient to a contact tracer in a one-to-one relationship). The predictive model along with the android application for software-aided contact tracing is implemented using the python, and Java programming language on Pycharm and Android Studio IDE respectively. This Framework is capable of predicting COVID-19 patients, notifying contact tracers of positive cases for proper follow-up which can subsequently curtail the spread of the virus.

scholarly journals Use of unified theory of acceptance and use of technology model for telemedicine services: an exploratory study

2018 ◽  
Vol 5 (9) ◽  
pp. 4112 ◽  
Author(s):  
A. S. Irfanahemad ◽  
B. S. Nandakumar ◽  
Radhika K.
Keyword(s):  
Health Care ◽  
Health Information System ◽  
Healthcare Services ◽  
Cross Sectional Study ◽  
Perceived Usefulness ◽  
Health Care Personnel ◽  
Healthcare Personnel ◽  
Successful Implementation ◽  
Quality Health Care ◽  
Cross Sectional

Background: While quality health-care is considered a fundamental human right for all citizens; the challenge remains in making it accessible to all. Information systems have been identified as possible solution that can be used to alleviate disparity between rural and urban healthcare services and bridge the digital divide. Literature has suggested that one of the barriers for successful implementation of health information system is the user acceptance by health care personnel. The main objective of this study is to assess perceived usefulness, relative advantages of telemedicine technology among health personnel of selected district.Methods: This is a cross-sectional study, using Semi-structured questionnaire. Data was collected from research participants from PHCs of Bijapur district, during July to November 2017.Results: In general the health-care personnel were aware of the benefit of tele-medicine to improve effectiveness and efficiency of the health care system. The barriers to the effective implementation of tele-medicine include lack of knowledge and lack of awareness regarding use and usage of the tele-medicine system.Conclusions: Health care personnel do acknowledge that tele-medicine can help to increase the effectiveness of the healthcare system. In general the acceptance of tele-medicine among healthcare personnel is positive. However in order to integrate it into standard work practices, specific training and capacity building for tele services is essential among health care personnel.

Contrast-enhanced ultrasound of the abdominal aorta – current status and future perspectives

VASA ◽  
2019 ◽  
Vol 48 (2) ◽  
pp. 115-125 ◽  
Author(s):  
Xin Li ◽  
Daniel Staub ◽  
Vasileios Rafailidis ◽  
Mohammed Al-Natour ◽  
Sanjeeva Kalva ◽  
...  
Keyword(s):  
Real Time ◽  
Vascular Diseases ◽  
Aneurysm Rupture ◽  
Vasa Vasorum ◽  
Current Status ◽  
Contrast Enhanced Ultrasound ◽  
Aortic Diseases ◽  
Cross Sectional ◽  
Vascular Abnormalities ◽  
Contrast Enhanced

Abstract. Ultrasound has been established as an important diagnostic tool in assessing vascular abnormalities. Standard B-mode and Doppler techniques have inherent limitations with regards to detection of slow flow and small vasculature. Contrast-enhanced ultrasound (CEUS) is a complementary tool and is useful in assessing both the macro- and microvascular anatomy of the aorta. CEUS can also provide valuable physiological information in real-time scanning sessions due to the physical and safety profiles of the administered microbubbles. From a macrovascular perspective, CEUS has been used to characterize aortic aneurysm rupture, dissection and endoleaks post-EVAR repair. With regard to microvasculature CEUS enables imaging of adventitial vasa vasorum thereby assessing aortic inflammation processes, such as monitoring treatment response in chronic periaortitis. CEUS may have additional clinical utility since adventitial vasa vasorum has important implications in the pathogenesis of aortic diseases. In recent years, there have been an increasing number of studies comparing CEUS to cross-sectional imaging for aortic applications. For endoleak surveillance CEUS has been shown to be equal or in certain cases superior in comparison to CT angiography. The recent advancement of CEUS software along with the ongoing development of drug-eluting contrast microbubbles has allowed improved targeted detection and real-time ultrasound guided therapy for aortic vasa vasorum inflammation and neovascularization in animal models. Therefore, CEUS is uniquely suited to comprehensively assess and potentially treat aortic vascular diseases in the future.

Uncertainty about cellulitis and unmet patient information needs: a mixed methods study

2018 ◽  
Vol 68 (suppl 1) ◽  
pp. bjgp18X697349
Author(s):  
Anna Lalonde ◽  
Emma Teasdale ◽  
Ingrid Muller ◽  
Joanne Chalmers ◽  
Peter Smart ◽  
...  
Keyword(s):  
Mixed Methods ◽  
Information Needs ◽  
Qualitative Data ◽  
Information Provision ◽  
Mixed Methods Study ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Face To Face ◽  
Patient Information Needs ◽  
History Of

BackgroundCellulitis is a common painful infection of the skin and underlying tissues that recurs in approximately a third of cases. Patients’ ability to recover from cellulitis or prevent recurrence is likely to be influenced by their understanding of the condition.AimTo explore patients’ perceptions of cellulitis and their information needs.MethodMixed methods study comprising semi-structured, face-to-face interviews and cross-sectional survey, recruiting through primary care, secondary care and advertising. Adults aged 18 or over with a history of cellulitis (first or recurrent) were invited to complete a survey, take part in an interview or both. Qualitative data was analysed thematically.ResultsThirty interviews were conducted between August 2016 and July 2017. Qualitative data revealed low prior awareness of cellulitis, uncertainty around diagnosis, concern/surprise at the severity of cellulitis, and perceived insufficient information provision. People were surprised they had never heard of the condition and that they had not received advice or leaflets giving self-care information. Some sought information from the internet and found this bewildering. Two hundred and forty surveys were completed (response rate 17%). These showed that, while most people received information on the treatment of cellulitis (60.0%, n = 144), they reported receiving no information about causes (60.8%, n = 146) or prevention of recurrence (73.3%, n = 176).ConclusionThere is a need for provision of basic information for people with cellulitis, particularly being informed of the name of their condition, how to manage acute episodes, and how to reduce risk of recurrence.

Doctor Retention in Ireland - What it may mean for the Global Health Workforce Reform Agenda Comment on "Doctor Retention: A Cross-sectional Study of How Ireland Has Been Losing the Battle"

2020 ◽  
Author(s):  
Bernard Hope Taderera
Keyword(s):  
Global Health ◽  
Health Workforce ◽  
Cross Sectional Study ◽  
Early Career ◽  
Healthcare Personnel ◽  
Health Coverage ◽  
Cross Sectional ◽  
Middle Income ◽  
Reform Agenda ◽  
Medical Graduates

The study of healthcare personnel migration in Ireland reports that most medical graduates plan to leave the country’s health system. It may be possible to address this challenge by understanding and addressing the reasons why young doctors plan to leave. Future studies should contribute to the retention of early career doctors in highincome countries such as Ireland. This will help reduce the migration of doctors from low- and middle-income countries in order to address the global health workforce crisis and its impact on the attainment of universal health coverage in all health systems.

PENGARUH POLA ASUH NUTRISI DAN STIMULASI TERHADAP PERKEMBANGAN ANAK USIA 1-2 TAHUN DI WILAYAH KERJA PUSKESMAS BABADAN KABUPATEN INDRAMAYU

2017 ◽  
Vol 4 (2) ◽  
pp. 46-57
Author(s):  
Nanda Yansih Putri
Keyword(s):  
Mixed Methods ◽  
Cross Sectional

Kekurangan gizi pada awal kehidupan anak berdampak pada kualitas sumber daya manusia. Penelitian ini bertujuan untuk mengetahui pengaruh pola asuh nutrisi dan stimulasi pada perkembangan anak usia 1-2 tahun di wilayah kerja Puskesmas Babadan Kabupaten Indramayu. Penelitian ini dilakukan dengan menggunakan model mixed methods concurrent triangulasi. Penelitian kuantitatif menggunakan pendekatan observasional analitik dengan potong lintang (cross sectional). Sampel yang dipilih untuk penelitian kuantitatif adalah ibu dan anak yang berusia 1-2 tahun yaitu sebanyak 96 responden. Penelitian kualitatif menggunakan strategi studi kasus. Hasil penelitian didapatkan Pola asuh nutrisi baik 81,3%,serta stimulasi baik 71,9%. Terdapat hubungan yang bermakna pola asuh nutrisi dan stimulasi terhadap perkembangan anak usia 1-2 tahun (nilai p=0,014 dan 0,007). Hasil wawancara dengan responden didapatkan pola asuh nutrisi yang dilakukan dalam penyajian makan belum dilakukan dengan baik, serta stimulasi diberikan dengan bantuan keluarga dan dilakukan secara rutin.

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