Archives of public health = Archives belges de sante publique最新文献

{"title":"Correction to: Differences between health technology assessment topics in high- and middle-income coun8tries: a scoping review.","authors":"Sepehr Ghazinoory, Basireh Majidi, Shohreh Nasri, Mohammad Ehsan Zandi, Hosein Farrokhi, Majid Javedani, Majid Barzanouni","doi":"10.1186/s13690-022-00808-3","DOIUrl":"https://doi.org/10.1186/s13690-022-00808-3","url":null,"abstract":"","PeriodicalId":365748,"journal":{"name":"Archives of public health = Archives belges de sante publique","volume":" ","pages":"66"},"PeriodicalIF":3.3,"publicationDate":"2022-02-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8862272/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39639204","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Assessment of men involvement in family planning services use and associated factors in rural Ghana.","authors":"Senanu Abigail Kpekpo Kwawukume,&nbsp;Alexander Suuk Laar,&nbsp;Tanko Abdulai","doi":"10.1186/s13690-022-00822-5","DOIUrl":"https://doi.org/10.1186/s13690-022-00822-5","url":null,"abstract":"<p><strong>Background: </strong>In low-and-middle income countries (LMICs) less attention is paid to men's involvement in Family Planning (FP) programs where public health officials have advocated the involvement of men as a strategy for addressing the dismal performance of FP programs. The study assessed the involvement of men in FP use and the factors which promote or hinder the uptake of FP services among partners in a rural setting of northern Ghana.</p><p><strong>Methods: </strong>A cross-sectional descriptive study was used to collect data from 200 respondents. Study respondents were selected through random cluster sampling.</p><p><strong>Results: </strong>The findings showed that male partners' knowledge (95.5%) and approval (72.8%) of FP services were high. About 48% of men were involved in FP service utilization. Having living children (aOR; 1.71(1.27, 2.15)) and being knowledgeable (aOR; 6.14(1.38, 10.90)) about FP were positively associated men's involvement in FP service utilization. The findings also indicated that men had a higher propensity (X² = 4.5534, p = 0.033) of supporting a FP method use. Women who reported that their spouse supported FP method use were more likely to use a contraceptive method (X² = 9.5223, P = 0.002) if their spouse supported FP method use (X2 = 9.5223, P = 0.002) and if their partners had some education (X2 = 14.1133, P = 0.000). Reasons for low contraceptive use were health risks, side effects, and socio-cultural norms.</p><p><strong>Conclusion: </strong>Family planning programs need to include men at all levels of health promotion and education of FP programs to help reduce misconceptions about contraceptive methods to increase acceptance and use among partners in rural settings of Ghana.</p>","PeriodicalId":365748,"journal":{"name":"Archives of public health = Archives belges de sante publique","volume":" ","pages":"63"},"PeriodicalIF":3.3,"publicationDate":"2022-02-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8862224/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39942852","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Trust and willingness towards COVID-19 vaccine uptake: a mixed-method study in Ghana, 2021.","authors":"Joshua Amo-Adjei,&nbsp;Anastasiia Nurzhynska,&nbsp;Ruth Essuman,&nbsp;Anna-Leena Lohiniva","doi":"10.1186/s13690-022-00827-0","DOIUrl":"https://doi.org/10.1186/s13690-022-00827-0","url":null,"abstract":"<p><strong>Background: </strong>On the account of limited doses of COVID-19 available to the country, the Government of Ghana created a priority list of persons to target for its vaccination agenda. In this paper, we look at trust and how it informs willingness to take the COVID-19 vaccine among persons targeted for the first phase of COVID-19 vaccination program in Ghana.</p><p><strong>Methods: </strong>A sequential mixed-method investigation was conducted among the priority population - persons 60 years and above, frontline government functionaries, health workers, persons with underlying health conditions and, religious leaders and teachers. We sampled 415 respondents from the target population for a survey and 15 religious and traditional leaders from three cities; Accra, Cape Coast and Tamale for follow-up in-depth interviews based on the results of the survey data. Quantitative data is presented with descriptive proportions and multinomial logistic regression and thematic approach is applied to the interview data.</p><p><strong>Results: </strong>Trust and willingness to take the vaccine are high in this priority population. Trust in the effectiveness and safety of the vaccine, rather than socioeconomic characteristics of respondents better predicted acceptance. From interview narratives, mistrust in political actors - both local and foreign, believe in superior protection of God and seeming misunderstanding of vaccine development processes countermand acceptance. On the other hand, the professional influence of people in one's social networks, and past triumphs of vaccination programmes against concerning childhood diseases embed trust and acceptance.</p><p><strong>Conclusions: </strong>Attention ought to be given to trust enhancing triggers while strategic communication approaches are used to remove triggers of mistrust.</p>","PeriodicalId":365748,"journal":{"name":"Archives of public health = Archives belges de sante publique","volume":" ","pages":"64"},"PeriodicalIF":3.3,"publicationDate":"2022-02-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8860287/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39639198","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Development and validation of contextual measures of sexual harassment perceptions, experiences, and coping for women employees in Ethiopian hospitality workplaces.","authors":"Mulugeta Dile Worke,&nbsp;Zewdie Birhanu Koricha,&nbsp;Gurmesa Tura Debelew","doi":"10.1186/s13690-022-00828-z","DOIUrl":"https://doi.org/10.1186/s13690-022-00828-z","url":null,"abstract":"<p><strong>Background: </strong>Sexual harassment among female employees in the hospitality industry is a complex phenomenon, and it has ramifications for employment, psychological, physical, and reproductive health. Nevertheless, our interpretation is constrained by a lack of agreement on its definition and measurement. As a result, hospitality workplaces require accurate tools that provide a detailed understanding of sexual harassment and inputs for action to limit adverse outcomes. Thus, this study aimed to develop a reliable and valid measure of female hospitality employees' perceptions, experiences, and coping features concerning sexual harassment.</p><p><strong>Methods: </strong>Item development, scale development, and scale evaluation were all parts of the design process. Following a round of feedback from the expert group, qualitative results, and a comprehensive literature review on related themes, item pools were created for the first version of the questionnaire. Pre-testing, survey administration, item reduction, and transformation of extracted latent factors of individual items into a unified and measurable construct were also performed. Field testing included five cognitive interviews with women who had experienced sexual harassment, a pre-test study of 30 women, and a survey of 345 women who worked in hospitality workplaces. Finally, tests for dimensionality, reliability, and validity were conducted.</p><p><strong>Results: </strong>In Bahir Dar, Ethiopia, 345 women working in the hospitality workplaces, with a mean age of 24.31 ± 4.30 years, took part in this study. The robust maximum likelihood estimation approach was used to do confirmatory factor analysis. The model's stability was determined by calculating the goodness of fit and the factorial invariance. Subsequently, the validity was confirmed. The findings supported the validity and reliability of the questionnaires designed for the target group. Therefore, the questionnaires can be used as research instruments.</p><p><strong>Conclusions: </strong>The sexual harassment perceptions, experiences and coping scales provide a locally verified method for assessing sexual harassment in Ethiopia by government authorities and local and international non-governmental organisations, which aid in providing necessary services and the evaluation of efforts aimed at improving workplace safety, workplace health, and psychosocial well-being.</p>","PeriodicalId":365748,"journal":{"name":"Archives of public health = Archives belges de sante publique","volume":" ","pages":"59"},"PeriodicalIF":3.3,"publicationDate":"2022-02-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8857844/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39811677","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Healthcare-associated infections and antimicrobial use in Belgian nursing homes: results of three point prevalence surveys between 2010 and 2016.","authors":"Katrien Latour,&nbsp;Boudewijn Catry,&nbsp;Brecht Devleesschauwer,&nbsp;Frank Buntinx,&nbsp;Jan De Lepeleire,&nbsp;Béatrice Jans","doi":"10.1186/s13690-022-00818-1","DOIUrl":"https://doi.org/10.1186/s13690-022-00818-1","url":null,"abstract":"<p><strong>Background: </strong>Belgium monitors the burden of healthcare-associated infections (HAIs) and antimicrobial use in nursing homes (NHs) by participating in the European point prevalence surveys (PPSs) organised in long-term care facilities (HALT surveys). We present the main findings of the three national PPSs conducted in NHs participating in at least one of these surveys, and in a cohort that participated in all three consecutive surveys.</p><p><strong>Methods: </strong>All NHs were invited to voluntarily participate and conduct the survey on one single day in May-September 2010 (HALT-1), in April-May 2013 (HALT-2) or in September-November 2016 (HALT-3). Data were collected at institutional, ward and resident level. A detailed questionnaire had to be completed for all eligible (i.e. living full time in the facility since at least 24 h, present at 8:00 am and willing to participate) residents receiving at least one systemic antimicrobial agent and/or presenting at least one active HAI on the PPS day. The onset of signs/symptoms had to occur more than 48 h after the resident was (re-)admitted to the NH.</p><p><strong>Results: </strong>A total of 107, 87 and 158 NHs conducted the HALT-1, HALT-2 and HALT-3 survey, respectively. The median prevalence of residents with antimicrobial agent(s) increased from 4.3% (95% confidence interval (CI): 3.5-4.8%) in HALT-1 to 4.7% (95% CI: 3.5-6.5%) in HALT-2 and 5.0% (95% CI: 4.2-5.9%) in HALT-3. The median prevalence of residents with HAI(s) varied from 1.8% (95% CI: 1.4-2.7%) in HALT-1 to 3.2% (95% CI: 2.2-4.2%) in HALT-2 and 2.7% (95% CI: 2.1-3.4%) in HALT-3. Our post-hoc analysis on the cohort (n = 25 NHs) found similar trends. In all three surveys, respiratory tract infections were most frequently reported, followed by skin/wound infections in HALT-1 and urinary tract infections in HALT-2 and HALT-3. Antimicrobials were most commonly prescribed for the therapeutic treatment of an infection: 66.4% in HALT-1, 60.9% in HALT-2 and 64.1% in HALT-3. Uroprophylaxis accounted for 28.7%, 35.6% and 28.4% of all prescriptions, respectively.</p><p><strong>Conclusions: </strong>None withstanding the limitations peculiar to the study design, the PPSs enabled us to assess the occurrence of and to increase awareness for HAIs and rational antimicrobial use in NHs at both local and national level.</p>","PeriodicalId":365748,"journal":{"name":"Archives of public health = Archives belges de sante publique","volume":" ","pages":"58"},"PeriodicalIF":3.3,"publicationDate":"2022-02-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8855602/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39797223","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The triangle of inequality in dental services: arguments for a new conceptual framework.","authors":"Arash Ghanbarzadegan,&nbsp;Peivand Bastani,&nbsp;Madhan Balasubramanian,&nbsp;David Brennan,&nbsp;Lisa Jamieson","doi":"10.1186/s13690-022-00826-1","DOIUrl":"https://doi.org/10.1186/s13690-022-00826-1","url":null,"abstract":"<p><p>This short communication paper aimed to compile the main determinants of inequality in dental services by distinguishing between access, utilisation, and provision of dental services. Recent findings integrated, and a dedicated conceptual framework entitled \"Triangle of inequality in dental services\" has been suggested. These can contribute a rich knowledge in this area and open a new window for policymakers and researchers to seek applied interventions to decrease inequality and improve access and utilisation in communities. This paper aims to synthesise the available evidence and add value to the scope. It highlights a dedicated concept for inequality in dental services beyond other areas of public health.</p>","PeriodicalId":365748,"journal":{"name":"Archives of public health = Archives belges de sante publique","volume":" ","pages":"60"},"PeriodicalIF":3.3,"publicationDate":"2022-02-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8855648/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39811277","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The impact of surge adaptations on hospitalist care teams during the COVID-19 pandemic utilizing a rapid qualitative analysis approach.","authors":"Angela Keniston,&nbsp;Vishruti Patel,&nbsp;Lauren McBeth,&nbsp;Kasey Bowden,&nbsp;Alexandra Gallant,&nbsp;Marisha Burden","doi":"10.1186/s13690-022-00804-7","DOIUrl":"https://doi.org/10.1186/s13690-022-00804-7","url":null,"abstract":"<p><strong>Background: </strong>Hospital systems have rapidly adapted to manage the influx of patients with COVID-19 and hospitalists, specialists in inpatient care, have been at the forefront of this response, rapidly adapting to serve the ever-changing needs of the community and hospital system. Institutional leaders, including clinical care team members and administrators, deployed many different strategies (i.e. adaptations) to manage the influx of patients. While many different strategies were utilized in hospitals across the United States, it is unclear how frontline care teams experienced these strategies and multifaceted changes. As these surge adaptations likely directly impact clinical care teams, we aimed to understand the perceptions and impact of these clinical care and staffing adaptations on hospitalists and care team members in order to optimize future surge plans.</p><p><strong>Methods: </strong>Qualitative, semi-structured interviews and focus groups with hospitalist physicians, advanced practice providers (APPs), and hospital nursing and care management staff at a quaternary academic medical center. Interviews focused on the impact of COVID-19 surge practices on the following areas: (1) the experience of clinical care teams with the adaptations used to manage the surge (2) the perception and experience with the communication strategies utilized (3) the personal experience with the adaptations (i.e. how they impacted the individual) and (4) if participants had recommendations on strategies for future surges. We utilized rapid qualitative analysis methods to explore themes and subthemes.</p><p><strong>Results: </strong>We conducted five focus groups and 21 interviews. Three themes emerged from the work including (1) dynamic clinical experience with a lot of uncertainty, (2) the importance of visible leadership with a focus on sense-making, and (3) the significant emotional toll on care team members. Subthemes included sufficient workforce, role delineation and training, information sharing, the unique dichotomy between the need for flexibility and the need for structure, the importance of communication, and the emotional toll not only on the provider but their families. Several recommendations came from this work.</p><p><strong>Conclusions: </strong>COVID-19 surge practices have had direct impact on hospitalists and care team members. Several tactics were identified to help mitigate the many negative effects of COVID-19 on frontline hospitalist providers and care teams.</p>","PeriodicalId":365748,"journal":{"name":"Archives of public health = Archives belges de sante publique","volume":" ","pages":"57"},"PeriodicalIF":3.3,"publicationDate":"2022-02-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8851813/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39933603","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Use and misuse of prescription stimulants by university students: a cross-sectional survey in the french-speaking community of Belgium, 2018.","authors":"Martine Sabbe,&nbsp;Javier Sawchik,&nbsp;Mégane Gräfe,&nbsp;Françoise Wuillaume,&nbsp;Sara De Bruyn,&nbsp;Pierre Van Antwerpen,&nbsp;Guido Van Hal,&nbsp;Martin Desseilles,&nbsp;Jamila Hamdani,&nbsp;Hugues Malonne","doi":"10.1186/s13690-022-00816-3","DOIUrl":"https://doi.org/10.1186/s13690-022-00816-3","url":null,"abstract":"<p><strong>Background: </strong>Misuse of prescription stimulants (PS) has been reported among students to enhance academic performance in Flanders (Belgium). However, PS misuse among students in the French-speaking community is unknown. The main purpose of the study was to estimate the prevalence of medical use and misuse of PS by university students in the French-speaking community (Belgium), and to investigate the reasons and sources associated with PS misuse.</p><p><strong>Methods: </strong>A cross-sectional online survey was performed in 2018. All university students 18 years and older were invited to participate and asked about PS use, including medical (i.e., used for therapeutic purposes) and nonmedical reasons and sources of PS.</p><p><strong>Results: </strong>In total, 12 144 students participated in the survey (median age = 21 years, 65.5% female). The estimated prevalence of PS use was 6.9% (ever use) and 5.5% (past-year). Among ever users, 34.7% were classified as medical users and 65.3% as misusers. Lifetime prevalence of misuse was estimated at 4.5%. The most common reason for medical use was treatment of attention disorder (85.9%). Reasons for misuse were mainly to improve concentration (76.1%) or to stay awake and study longer (50.7%). Friends or acquaintances inside the student community and general practitioners were the main sources of PS for misuse (41.5% and 23.5%, respectively).</p><p><strong>Conclusions: </strong>This study found that rates of misuse of PS in French-speaking universities in Belgium were in line with studies conducted in Flanders and Europe. Academic institutions can use these results to tailor their drug prevention campaigns.</p>","PeriodicalId":365748,"journal":{"name":"Archives of public health = Archives belges de sante publique","volume":" ","pages":"54"},"PeriodicalIF":3.3,"publicationDate":"2022-02-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8848864/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39927335","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Antenatal care follow-up decreases the likelihood of cultural malpractice during childbirth and postpartum among women who gave birth in the last one-year in Gozamen district, Ethiopia: a community-based cross-sectional study.","authors":"Yeshinat Lakew Ambaw,&nbsp;Birhanu Wubale Yirdaw,&nbsp;Mulunesh Abuhay Biwota,&nbsp;Abebayehu Melesew Mekuryaw,&nbsp;Birhan Tsegaw Taye","doi":"10.1186/s13690-022-00814-5","DOIUrl":"https://doi.org/10.1186/s13690-022-00814-5","url":null,"abstract":"<p><strong>Background: </strong>Recent evidence has found widespread reports of women experiencing cultural malpractice during childbirth in Asia and sub-Saharan African countries. Despite an endeavor made to drop maternal and neonatal mortality, Ethiopia remains amongst the highest mortality rate. Thus, strengthening antenatal care (ANC) follow-up is the midst of cultural malpractice reduction during childbirth. This study was aimed to assess the magnitude of cultural malpractice and associated factors during childbirth and postpartum among women who gave birth within one year in Gozamen district, Ethiopia.</p><p><strong>Methods: </strong>A community-based cross-sectional study was conducted from November 1st to December 30th, 2019. A two-stage sampling technique was used to get a total of 600 women who gave birth within the last one year. Data were collected by using a semi-structured and pretested questionnaire. Then, data were entered into Epi info version 7.0 and exported to SPSS version 25 for analysis. Both bivariate analysis and a multivariable logistic regression model were fitted. The level of significance was declared based on the adjusted odds ratio (AOR) with its 95% confidence interval (CI) and a p-value of ≤0.05.</p><p><strong>Result: </strong>The Overall magnitude of cultural malpractices during childbirth and postpartum was found to be 31.2% (95%CI: 27.8, 34.7). Out of 600 women, 203(33.9%) were delivered at home, 67(11.2%) practiced abdominal massage, 31(16.6%) avoided colostrum, 24(12.8%) practiced pre-lacteal feeding and 138 (23%) washed their baby before 24 h after delivery. Mothers who have antenatal follow-up (AOR=0.52 95%CI 0.28, 0.94), married marital relation (AOR=0.24, 95%CI:0.07, 0.89), being farmer husband occupation (AOR=6.25 (95%CI: 1.22, 30.30), parity ≥5 (AOR=5, 95%CI: 2.44, 9.52), had significant association with cultural malpractice during childbirth and postpartum.</p><p><strong>Conclusions: </strong>This study showed there is an improvement in the magnitude of cultural malpractices during childbirth and postpartum, but still it's high as compared to the country's maternal health service utilization aim. A well-enforced health education program by well-trained healthcare personnel besides sufficient number of ANC visits are needed to overcome these cultural practices. Further, intervention modalities health education communication outreach programs would be very important to reduce the prevalence of cultural malpractices in the community.</p>","PeriodicalId":365748,"journal":{"name":"Archives of public health = Archives belges de sante publique","volume":" ","pages":"53"},"PeriodicalIF":3.3,"publicationDate":"2022-02-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8845281/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39927330","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Physicians' perceptions and preferences for implementing venous thromboembolism (VTE) clinical practice guidelines: a qualitative study using the Theoretical Domains Framework (TDF).","authors":"Juliana Abboud,&nbsp;Abir Abdel Rahman,&nbsp;Niaz Shaikh,&nbsp;Martin Dempster,&nbsp;Pauline Adair","doi":"10.1186/s13690-022-00820-7","DOIUrl":"https://doi.org/10.1186/s13690-022-00820-7","url":null,"abstract":"<p><strong>Background: </strong>Venous thromboembolism is a primary cause of morbidity and mortality in hospitalised patients. Clinical practice guidelines were developed to prevent venous thromboembolism events. This study adopted the Theoretical Domains Framework to explore the beliefs and perceptions of physicians adoption of clinical practice guidelines for the uptake of venous thromboembolism prevention guidelines.</p><p><strong>Methods: </strong>Semi-structured interviews were conducted with a stratified purposive sample of internal medicine physicians in an acute hospital. The interview topic guide was developed using the Theoretical Domains Framework to identify the factors perceived to influence the practice. Two researchers coded the interview transcripts using thematic content analysis. Emerging relevant themes were mapped to TDF domains.</p><p><strong>Results: </strong>A total of sixteen medical physicians were interviewed over a six-month period. Nine theoretical domains derived from thirty-three belief statements were identified as relevant to the target behaviour; knowledge (education about the importance of VTE guidelines); beliefs about capabilities (with practice VTE tool easier to implement); beliefs about consequences (positive consequences in reducing the development of VTE, length of stay, financial burden and support physician decision) and (negative consequence risk of bleeding); reinforcement (recognition and continuous reminders); goals (patient safety goal); environmental context and resources (workload and availability of medications were barriers, VTE coordinator and electronic medical record were enablers); social influences (senior physicians and patient/family influence the VTE practice); behavioural regulation (monitoring and mandatory hospital policy); and nature of the behaviour.</p><p><strong>Conclusions: </strong>Using the Theoretical Domains Framework, factors thought to influence the implementation of VTE clinical practice guidelines were identified which can be used to design theoretically based interventions by targeting specific psychological constructs and linking them to behaviour change techniques to change the clinical practice of physicians.</p>","PeriodicalId":365748,"journal":{"name":"Archives of public health = Archives belges de sante publique","volume":" ","pages":"52"},"PeriodicalIF":3.3,"publicationDate":"2022-02-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8845331/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39927333","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}