Preference to Patient-Centeredness in Undergraduate Audiology Students in Portugal

2016 ◽  
Vol 27 (10) ◽  
pp. 816-823 ◽  
Author(s):  
Vinaya Manchaiah ◽  
David Tomé ◽  
Ashley L. Dockens ◽  
Monica Harn ◽  
Purushothaman Ganesan
Keyword(s):  
Survey Design ◽  
Education And Training ◽  
Full Scale ◽  
Patient Centeredness ◽  
Cross Sectional Survey ◽  
Patient Centered ◽  
Cross Sectional ◽  
Significant Difference ◽  
The Difference ◽  
And Training

Background: In health care, the model of patient-centered care is growing; and improved outcomes have been linked to patient-centeredness. Practicing audiologists have been found to strongly prefer a patient-centered approach as years in practice increase. It is unknown whether patient-centeredness begins during education and training. Purpose: The current study was aimed at understanding the preference to patient-centeredness in undergraduate audiology students in Portugal. Research Design: The study used a cross-sectional survey design. Study Sample: One hundred and thirty-seven undergraduate audiology students completed patient–practitioner orientation scale (PPOS) and provided some demographic details. Data Collection and Analysis: The data were analyzed using one-way analysis of variance and one-sample t tests. Results: A significant difference was found for sharing subscale (p ≤ 0.001), caring subscale (p = 0.033), and the PPOS full scale (p ≤ 0.001) among different undergraduate groups. Further, post hoc tests showed that the difference between year 1 and with years 2, 3, and 4 were significant for sharing subscale and PPOS full scale, but not for caring subscale. No significant differences were observed among the years 2, 3, and 4 for sharing subscale, caring subscale, and for PPOS full scale. When compared audiologists’ preferences from a previous study on audiologists with students’ preferences in the current study, significant difference for both subscales and full scale was found between year 1 students and audiologists (p ≤ 0.001), with higher preference to patient-centeredness was reported by qualified audiologists. Also, significant difference was found between audiologists and overall undergraduate group for caring subscale (p = 0.001). Conclusions: The current study suggests that audiology education influences preference to patient-centeredness. Within a year of undergraduate coursework, students tend to develop high preference to patient-centeredness, which stays stable during four years of undergraduate studies. These results provide useful insights to audiology education and training, particularly in the context of audiological rehabilitation.

Noncongruence between Audiologist and Patient Preferences for Patient-Centeredness

2017 ◽  
Vol 28 (07) ◽  
pp. 636-643 ◽  
Author(s):  
Vinaya Manchaiah ◽  
Ashley L. Dockens ◽  
Monica Bellon-Harn ◽  
Erin S. Burns
Keyword(s):  
Hearing Loss ◽  
Patient Preferences ◽  
Survey Design ◽  
Healthcare Providers ◽  
Patient Centeredness ◽  
Cross Sectional Survey ◽  
Patient Centered ◽  
Cross Sectional ◽  
Study Results ◽  
Orientation Scale

AbstractTrends in preferences of both healthcare providers and patients to patient-centeredness have been emphasized in research. However, an understanding of the nature of preferences to patient-centeredness within the context of the audiologist–patient relationship is needed.The purpose of this study is to explore the congruence between audiologist and patient preferences for patient-centeredness.A cross-sectional survey design was used to gather data from audiologists and patients with hearing loss.Participants included 75 audiologists and 105 consecutive patients with hearing loss.Participants completed the modified Patient–Practitioner Orientation Scale (PPOS) and provided selected demographic information. Data were analyzed using an independent sample t test to evaluate the differences between audiologist and patient congruence. Regression analysis was performed to evaluate factors contributing to preferences for patient-centeredness.Patients had significantly lower scores in PPOS full scale when compared to the audiologists [t (170) = 0.78; p ≤ 0.001] with a very large effect size (Cohen’s d = 1.43). Patients also had significantly lower scores when compared to the audiologists on both the sharing [t (170) = 1.01; p ≤ 0.001] and caring [t (170) = 0.56; p ≤ 0.001] subscales. Statistically significant lower scores were noted for patients when compared to audiologists on 12 items on the PPOS. No relationship between any demographic factors and preferences for patient-centeredness were found.The current study results indicated noncongruence in preferences for patient-centeredness among audiologists and patients with hearing loss. Results point toward the need for more research considering the nature and impact of patient-centered audiology practice.

Healthcare Providers’ Attitudes, Knowledge, and Practice Behaviors for Educating Patients About Advance Directives: A National Survey

2018 ◽  
Vol 36 (5) ◽  
pp. 387-395 ◽  
Author(s):  
Frances R. Nedjat-Haiem ◽  
Tamara J. Cadet ◽  
Anup Amatya ◽  
Shiraz I. Mishra
Keyword(s):  
Online Survey ◽  
Survey Design ◽  
Healthcare Providers ◽  
Medical Decision ◽  
Cross Sectional Survey ◽  
Patient Centered ◽  
Cross Sectional ◽  
Practice Behaviors ◽  
Centered Care ◽  
Seriously Ill Patients

Background: Advance care planning for end-of-life care emerged in the mid-1970’s to address the need for tools, such as the advance directive (AD) legal document, to guide medical decision-making among seriously ill patients, their families, and healthcare providers. Objective: Study aims examine providers’ perspectives on AD education that involve examining (1) a range of attitudes about educating patients, (2) whether prior knowledge was associated with practice behaviors in educating patients, and (3) specific factors among healthcare providers such as characteristics of work setting, knowledge, attitudes, and behaviors that may influence AD education and documentation. Design: To examine providers’ views, we conducted a cross-sectional, online survey questionnaire of healthcare providers using social media outreach methods for recruitment. Methods: This study used a cross-sectional survey design to examine the proposed aims. Healthcare providers, recruited through a broad approach using snowball methods, were invited to participate in an online survey. Logistic regression analyses were used to examine providers’ views toward AD education. Results: Of 520 participants, findings indicate that most healthcare providers said that they were knowledgeable about AD education. They also viewed providing education as beneficial to their practice. These findings suggest that having a positive attitude toward AD education and experiencing less organizational barriers indicate a higher likelihood that providers will educate patients regarding ADs. Conclusion: Various disciplines are represented in this study, which indicates that attitudes and knowledge influence AD discussions. The importance of AD discussions initiated by healthcare providers is critical to providing optimal patient-centered care.

scholarly journals Does a Comparison View Improve the Reliability of Staging Wrist Osteoarthritis?

Hand ◽  
2016 ◽  
Vol 12 (5) ◽  
pp. 439-445 ◽  
Author(s):  
Paul W. L. ten Berg ◽  
Tessa Drijkoningen ◽  
Thierry G. Guitton ◽  
David Ring
Keyword(s):  
Survey Study ◽  
Kappa Statistics ◽  
Scaphoid Nonunion ◽  
Educational Training ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Significant Difference ◽  
The Difference ◽  
Improve Reliability ◽  
Comparison View

Background: Radiological grading of wrist osteoarthritis associated with scaphoid nonunion advanced collapse (SNAC) can be difficult. A comparison radiograph of the contralateral healthy wrist and an educational training in the various SNAC stages may improve reliability. Our purposes were to evaluate the difference in the reliability: (1) between observers who rate SNAC wrists with and without a comparison radiograph; and (2) between observers who receive training prior to ratings and those who do not. Methods: In this cross-sectional survey study, 82 fully trained orthopedic or hand surgeons rated anteroposterior radiographs of 19 patient wrists following a scaphoid nonunion based on SNAC stages 0 to 4. Observers were randomized online in 4 groups: one group rated unilateral views without training, a second group unilateral views with training, a third group bilateral views without training, and a fourth group bilateral views with training. Training included a 1-page clarification of the SNAC stages. Interobserver agreement was calculated using kappa statistics. Results: There was no significant difference between agreement between observers who rated unilateral radiographs (κ = 0.55) and who rated bilateral radiographs (κ = 0.58) ( P = .14), nor between agreement between observers who received training (κ = 0.59) and who did not (κ = 0.54) ( P = .058). Conclusions: The use of an additional comparison view and/or training does not seem to be clinically relevant in SNAC staging. There is room for improvement in the way we assess patients with SNAC wrists.

scholarly journals Health Literacy is Associated with Health Behaviors in Students from Vocational Education and Training Schools: A Danish Population-Based Survey

2020 ◽  
Vol 17 (2) ◽  
pp. 671 ◽  
Author(s):  
Charlotte Demant Klinker ◽  
Anna Aaby ◽  
Lene Winther Ringgaard ◽  
Anneke Vang Hjort ◽  
Melanie Hawkins ◽  
...  
Keyword(s):  
Health Literacy ◽  
Health Behavior ◽  
Vocational Education ◽  
Economic Status ◽  
Education And Training ◽  
Vocational Education And Training ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Scale Scores ◽  
And Training

Health literacy has been identified as an important and changeable intermediary determinant of health equity. Vocational education and training (VET) schools are a relevant setting for health behavior interventions seeking to diminish health inequities because many VET students come from low socio-economic status backgrounds. This study examines VET students’ health literacy and its association with health behavior based on a cross-sectional survey among 6119 students from 58 VET schools in Denmark in 2019. Two scales from the Health Literacy Questionnaire was used to assess domains of health literacy. Data were analyzed using Anova and logistic regression. The study population consisted of 43.4% female, and mean age was 24.2 years (range 15.8–64.0). The health literacy domain ‘Actively managing my health’ mean was 2.51, SD 0.66, and ‘Appraisal of health information’ mean was 2.37, SD 0.65. For both domains, being female, older age, attending the VET educational program Care-health-pedagogy, and higher self-rated health were associated with higher scale scores. In the adjusted analyses, lower scale scores were associated with less frequent breakfast, daily smoking, high-risk alcohol behavior and moderate-to-low physical activity. Our results show that low health literacy is associated with unhealthy behaviors in this population. Our results support and inform health literacy research and practice in educational institutions and services.

scholarly journals The effect of curricula approaches to the development of the student’s clinical reasoning ability

Curationis ◽  
2005 ◽  
Vol 28 (2) ◽  
Author(s):  
T Khanyile ◽  
F Mfidi
Keyword(s):  
Nursing Students ◽  
Clinical Reasoning ◽  
Survey Design ◽  
Traditional Approach ◽  
Descriptive Analysis ◽  
Problem Based Learning ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Jump Exercise ◽  
Significant Difference

A comparative analysis was undertaken using descriptive and cross sectional survey design, to explore the effect of Problem Based Learning and Traditional approach on the development of clinical reasoning abilities of nursing students. Using quota sampling, a sample of 87 subjects was used from two University Nursing Departments, each using these curricula approaches. Students from their first, second and fourth year were interviewed, using the Triple Jump Exercise as an instrument to collect data. Data analysis using the SAS computer software package was employed to obtain both descriptive and statistical summarizations. Though descriptive analysis of the scores of clinical reasoning showed a slight difference between the two curricular approaches, this was not confirmed statistically as the two factor ANOVA and Tukey’s methods revealed no significant differences by approaches. The only significant difference was revealed between the students’ levels of study with senior levels (4th years) outperforming their juniors. These findings therefore conclude that, students using Problem Based Learning and Traditional approach perform on a similar level in clinical reasoning.

scholarly journals Integrative Medicine in General Practice in Australia: A Mixed-Methods Study Exploring Education Pathways and Training Needs

2021 ◽  
Vol 10 ◽  
pp. 216495612110375
Author(s):  
Carolyn Ee ◽  
Kate Templeman ◽  
Amy Forth ◽  
Vicki Kotsirilos ◽  
Gillian Singleton ◽  
...  
Keyword(s):  
Mixed Methods ◽  
General Practitioners ◽  
Integrative Medicine ◽  
Informal Education ◽  
Education And Training ◽  
Mixed Methods Study ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
And Training ◽  
Advanced Skills

Background Globally, a substantial proportion of general practitioners (GPs) incorporate integrative medicine (IM) into their clinical practice. Objective This study aimed to map the IM education and training pathways and needs of a cohort of Australian GPs who are members of the Royal Australian College of General Practitioners’ IM Specific Interest Network, which is a group of GPs with interest in IM. Methods We conducted a mixed-methods study comprising of an online, cross-sectional survey supplemented with in-depth semi-structured interviews. Data from the survey and interviews were initially analysed separately and then combined. Results Eighty-three (83) of 505 eligible GPs/GPs in training (16.4%) participated in the survey, and 15 GPs were interviewed. Results from the two datasets either converged or were complementary. Almost half (47%) of survey respondents had undertaken formal undergraduate or postgraduate IM education, a short course (63%), informal education (71%) or self-education (54%), in at least one of 20 IM modalities listed. Interviewees affirmed there was no single education pathway in IM. Survey respondents who identified as practicing IM were significantly more likely to have IM education, positive attitudes towards IM, particularly natural products, and higher self-rated IM knowledge and competencies. However, knowledge gaps were identified in professional skills domains of population health and context, and organisational and legal dimensions of applied IM practice. Interviewees also highlighted a range of professional and systemic barriers to the practice of IM, education, and training. There was broad support for recognition of IM as a sub-specialty through formalised post-graduate training and accreditation. Most survey respondents (62%) expressed interest in post-fellowship recognition of GPs with advanced skills in IM. Conclusion Our findings demonstrate that it is important to define best practice in IM for GPs in Australia and provide a standardised pathway towards recognition of advanced skills in IM.

scholarly journals Knowledge on Classroom Behaviour Modification Techniques of Pre-Service Teachers of Colleges of Education in Ghana

2020 ◽  
pp. 62-71
Author(s):  
Grace Yeboah ◽  
Eric Nyarko-Sampson ◽  
Linda Dzama Forde
Keyword(s):  
Classroom Management ◽  
Survey Design ◽  
Simple Random Sampling ◽  
Colleges Of Education ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Behaviour Modification ◽  
Classroom Behaviour ◽  
Significant Difference ◽  
Education In Ghana

Classroom discipline is one of the most thought-provoking issues in modern education.Studies has it that students’ classroom misconduct interferes with teaching and learning and is believed to be a precursor to later school dropout and similar negative social outcomes. This study aimed at investigating the knowledge of pre-service teachers of Colleges of Education in Ghana on the concept of behaviour modification techniques in the classroom. A cross-sectional survey design was used for the study. Stratified and simple random sampling techniques were used to obtain a sample size of three hundred and sixty participants for the study. Data was collected using behaviour modification questionnaire developed by the researchers and analysed using SPSS data analysis software. The results show that most of the participants have insufficient knowledge on behaviour modification techniques for classroom management even though they exhibited strong knowledge on few of the items. At 5% level of significance, there was virtually no significant difference found to exist in pre-service teachers’ knowledge of behaviour modification practices in terms of gender difference. Furthermore, the study revealed that programme of study never had a significant effect on the pre-service teachers’ knowledge on classroom behaviour modification techniques. It is recommended that training programmes of teacher education should be reviewed to strengthen the knowledge of pre-service teachers on classroom behaviour modification techniques.

scholarly journals Using Facebook Advertising to Recruit Representative Samples: Feasibility Assessment of a Cross-Sectional Survey

10.2196/14021 ◽  
2019 ◽  
Vol 21 (8) ◽  
pp. e14021 ◽  
Author(s):  
Lance Garrett Shaver ◽  
Ahmed Khawer ◽  
Yanqing Yi ◽  
Kris Aubrey-Bassler ◽  
Holly Etchegary ◽  
...  
Keyword(s):  
Older Adults ◽  
Survey Research ◽  
Health Survey ◽  
Smoking Status ◽  
Cancer Awareness ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Significant Difference ◽  
The Difference ◽  
Facebook Advertising

Background Facebook has shown promise as an economical means of recruiting participants for health research. However, few studies have evaluated this recruitment method in Canada, fewer still targeting older adults, and, to our knowledge, none specifically in Newfoundland and Labrador (NL). Objective This study aimed to assess Facebook advertising as an economical means of recruiting a representative sample of adults aged 35 to 74 years in NL for a cross-sectional health survey. Methods Facebook advertising was used to recruit for a Web-based survey on cancer awareness and prevention during April and May 2018; during recruitment, additional advertisements were targeted to increase representation of demographics that we identified as being underrepresented in our sample. Sociodemographic and health characteristics of the study sample were compared with distributions of the underlying population to determine representativeness. Cramer V indicates the magnitude of the difference between the sample and population distributions, interpreted as small (Cramer V=0.10), medium (0.30), and large (0.50). Sample characteristics were considered representative if there was no statistically significant difference in distributions (chi-square P>.01) or if the difference was small (V≤0.10), and practically representative if 0.10<V≤0.20. The cost per recruit of Facebook advertising was compared with a quote for a random digit dialing (RDD)–recruited postal survey to determine if this method was economical. Results Facebook advertising is feasible and economical to conduct survey research, reaching 34,012 people, of which 2067 clicked on the ad, for a final sample size of 1048 people at Can $2.18 per recruit versus the quoted Can $23,316.05 for 400 recruits (Can $35.52 per recruit) via RDD. The sample was representative of rural and urban geography (P=.02; V=0.073), practically representative of age (P=.003; V=0.145) and income (P<.001; V=0.188), and over-representative of women (P<.001; V=0.507) and higher levels of education (P<.001; V=0.488). The sample was representative of the proportion of people with a regular health care provider (P=.94; V=0.025), diabetes prevalence (P=.002; V=0.096), and having had a colonoscopy or sigmoidoscopy (P=.27; V=0.034), and it was practically representative of smoking status (P<.001; V=0.14), and body mass index (P<.001; V=0.135). The sample was not representative of arthritis prevalence (P<.001; V=0.573), perceived health (P<.001; V=0.384), or time since last seasonal flu shot (P<.001; V=0.449). Conclusions Facebook advertising offers an easy, rapid, and economical means to recruit a partially representative (representative or practically representative of 8 of the 13 characteristics studied) sample of middle-aged and older adults for health survey research. As Facebook uses a nonrandom targeting algorithm, caution is warranted in its applications for certain types of research.

scholarly journals Perceptions of nurse managers and staff nurses regarding Technological Competency as Caring in Nursing theory in general hospitals in Japan

2021 ◽  
Author(s):  
Youko Nakano ◽  
Tomoya Yokotani ◽  
Feni Betriana ◽  
Chihiro Kawai ◽  
Hirokazu Ito ◽  
...  
Keyword(s):  
Nurse Managers ◽  
Survey Design ◽  
Healthcare Providers ◽  
Staff Nurses ◽  
Cross Sectional Survey ◽  
Online Data ◽  
Cross Sectional ◽  
General Hospitals ◽  
Significant Difference ◽  
Technological Competency

Background: Nurses as primary healthcare providers demonstrate quality nursing care through competencies with healthcare technologies, while nurse managers assume the primacy of managing quality healthcare in their respective care settings. However, little is known about perceptions of the influence of care technologies on their nursing practice. Objective: This study aimed to determine managers’ and staff nurses’ perceptions regarding the Technological Competency as Caring in Nursing (TCCN) theory in general hospitals in Japan. Methods: This study employed a cross-sectional survey design, with 421 participants selected using a stratified sampling method. Technological Competency as Caring in Nursing Instrument–Revised (TCCNI-R) was used for online data collection using Survey Monkey©. Data were analyzed using Welch’s t-test and ANOVA. Results: Nurses with years of experience within the range of 20 to less than 30 years showed the highest TCCNI-R scores among the two groups. Nurses who had received education on caring in nursing showed significant differences for Factor 2 (Technological Competency as Caring), that of expressing Technological Competency as Caring. Three other factors showed no significant difference, namely in Factor 1 (Nursing Expression as Caring), Factor 3 (Technology and Caring), and Factor 4 (Technological Knowing). However, the average scores of these factors were high, which reflect high professional ethics and occupational discipline and increased awareness of caring in nursing. It was also found that the nurse managers were more aware of the TCCN than were the staff nurses. The nurse managers were also more aware of providing care using technology, recognizing the need-to-know patient needs through technology and providing care to the ever-changing patient’s condition. Conclusion: The study discovered that continuing education is needed regarding the practice of nursing based on theory, enabling appropriate and accurate understanding of practicing knowing persons as caring in nursing. Funding: JSPS KAKENHI Grant Number JP17K12159

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