International journal of healthcare最新文献

{"title":"Incorporating cultural values and use of technology platforms may help outreach Asian Americans in cancer clinical trial participation","authors":"Angela Sun, Joyce W Cheng, Julie H T Dang, Charlene F Cuaresma, A. Valdez-Dadia, Rachel J Mesia, Penny Lo, Edward A. Chow, Vanessa Ho, Tung T. Nguyen, Moon S. Chen","doi":"10.5430/IJH.V4N2P34","DOIUrl":"https://doi.org/10.5430/IJH.V4N2P34","url":null,"abstract":"Asian Americans are the fastest growing ethnic group in U.S. However, they represent only 1.7% of U.S. cancer clinical trial participants. This pilot study describes findings on barriers, promoters and recommendations related to cancer clinical trial participation from Asian Americans. The research team conducted 3 focus groups comprised of 21 community members and 4 key informant interviews with healthcare providers. Qualitative methodology was used to identify themes about cancer clinical trial participation. Barriers and promoters were categorized based on themes identified and previous study findings. Eight major themes and 5 recommendations were identified from the focus group data. Five major themes and 7 recommendations were identified from the key informant data. Asian Americans’ decision to participate in cancer clinical trials is largely influenced by their cultural values and practices such as altruism and family-based decision making process. Technology platforms provide promising venues to reach Asian Americans. Family-based decision making process, altruism, and the use of technology platforms may need to be considered when outreaching to Asian Americans on cancer clinical trial participation.","PeriodicalId":73454,"journal":{"name":"International journal of healthcare","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2018-06-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87368494","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Effects of Middle East Respiratory Syndrome Coronavirus on post-traumatic stress disorder and burnout among registered nurses in South Korea","authors":"Younglee Kim, Eunju Seo, Youngseon Seo, V. Dee, E. Hong","doi":"10.5430/IJH.V4N2P27","DOIUrl":"https://doi.org/10.5430/IJH.V4N2P27","url":null,"abstract":"Background: The unprecedented nationwide outbreak of the Middle East Respiratory Syndrome Coronavarius (MERS-CoV) from June to July in 2015 took the Korean healthcare system unexpectedly and created physical and psychological stress and trauma to Registered Nurses unprepared to deal with the viral outbreak.Purpose: We investigated the effects of Middle East Respiratory Syndrome Coronavirus (MERS-CoV), post-traumatic stress disorder (PTSD) and burnout among Korean registered nurses (RNs).Methods: A descriptive cross sectional design using a self-administered survey of a convenience sample of 112 Korean RNs. The Impact of Event Scale-Revised-Korean version (IES-R-K) for PTSD and the Maslach Burnout Inventory-Human Services Survey (MBI-HSS) for burnout were utilized.Results: Overall prevalence for symptoms of PTSD was 50.0%. PTSD was significantly correlated to burnout (r = .480, p = .000), especially two burnout subscales, emotional exhaustion (r = .533, p = .000), and depersonalization (r = .497, p = .000).Conclusions: Future anticipatory guidance and management of traumatic outbreak or disaster should be considered for nurses’ mental health. Public health and safety at the national level must address quality health outcomes for both patients and healthcare professionals alike.","PeriodicalId":73454,"journal":{"name":"International journal of healthcare","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2018-06-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87195410","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The experiences of mothers and caregivers on feeding practices of children under the age of five years with undernutrition in Oshikoto region, Namibia","authors":"Ester Mulenga, H. Amukugo, A. Shilunga","doi":"10.5430/IJH.V4N2P20","DOIUrl":"https://doi.org/10.5430/IJH.V4N2P20","url":null,"abstract":"Background: Undernutrition in children under the age of five years is prevalent in the developing countries which increase the risk of morbidity and mortality among such age group. Lack of information related to nutrition and feeding practices as well as other factors such as employment and pressure from family and community members cause mothers and caregivers of children under the age of five years to use inappropriate methods of feeding which contribute to undernutrition.Purpose: The aim of this article is to relate the experiences of mothers and caregivers on feeding practices of children under the age of five years in Oshikoto region, Namibia.Methods: A qualitative study design was utilized to explore and describe the experiences of mothers and caregivers on feeding practices of children under the age of five years. The study population comprised of mothers and caregivers of children diagnosed with undernutrition either severe or moderate, admitted in pediatric units or registered on Nutritional Assessment Counseling and Support programme. A purposive sampling was used to select participants and a total number of fifteen mothers/caregivers were interviewed. The data were transcribed verbatim and analysed using Tesch steps.Results: The study revealed that mothers and caregivers experienced lack of information related to nutrition and feeding practices and other contextual constraints which resulted in the utilization of suboptimal feeding practices of children under the age of five years.Conclusions: Due to challenges experienced by mothers and caregivers, they need to be empowered with knowledge on nutrition and feeding practices of children under the age of five years.","PeriodicalId":73454,"journal":{"name":"International journal of healthcare","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2018-05-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84595875","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Building the integrated system of urological services: The impact on utilization and cost of care","authors":"Apolihin O., Sheiman I., S. S., Katibov M.","doi":"10.5430/ijh.v4n2p10","DOIUrl":"https://doi.org/10.5430/ijh.v4n2p10","url":null,"abstract":"Integrated pathways are commonly seen as the way to strengthen service delivery in many countries. Russia has traditionally had a multilevel system of care that consists of facilities varying in terms of the complexity of cases treated. The attempts are currently made to strengthen this system with an emphasis on closer interaction between individual providers. The recent innovation is to establish a new intermediate level of inter-district specialty centers that serve the population of a few local areas and provide additional services. The early detection of new cases and their follow-up management have been activated as a part of a new model. It is piloted in a Russian region with the focus on the cases of benign prostate hyperplasia. The objective of the paper is to present the new model and to evaluate its first impact on urological service performance. The major findings include: 1) the growth of the new urological cases detected at the level of primary care and a gradual decline in the frequency of the most complicated and neglected cases; 2) the optimization of patients flows across the levels of service delivery – the rise in the utilization at the first levels of service delivery and the decline in the share of tertiary care; 3) the need for additional funding to treat the increased number of cases, with the first signs of slowing down this process; 4) a decrease in unit costs as the result of the changes in the structure of new cases, shifts in the utilization of care by the levels of service delivery. These trends are discussed with the focus on the identification of strengths and weaknesses of the new model, as well as the ways to ensure its sustainability.The major lesson learnt is that building a multilevel system of service delivery can be seen as the instrument of integration of care and efficiency savings for a country with limited financial resources for health. This process should go parallel with more profound changes in the health system, of which the most important is strengthening primary care, particularly coordination function of general practitioners.","PeriodicalId":73454,"journal":{"name":"International journal of healthcare","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2018-05-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80445631","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Patient Participation in the Development of a Customized M-Health Intervention to Improve Medication Adherence in Poorly Adherent Individuals with Bipolar Disorder (BD) and Hypertension (HTN).","authors":"Carol Blixen, Martha Sajatovic, David J Moore, Colin Depp, Clint Cushman, Jamie Cage, Marina Barboza, Logan Eskew, Peter Klein, Jennifer B Levin","doi":"10.5430/ijh.v4n1p25","DOIUrl":"10.5430/ijh.v4n1p25","url":null,"abstract":"<p><strong>Objective: </strong>Individuals living with bipolar disorder (BD) have poorer management of chronic medical conditions such as hypertension (HTN), and worse treatment adherence than the general population. The study objective was to obtain information from patients with both BD and HTN that would inform the development of an m-Health intervention to improve medication adherence for poorly adherent individuals living with both these chronic illnesses.</p><p><strong>Methods: </strong>Focus group methodology was used to collect information from 13 participants on perceived barriers and facilitators to BD and HTN medication adherence, as well as feedback on the demonstration and use of a bidirectional text messaging system for medication reminders. Focus groups were audiotaped, transcribed verbatim, and analyzed using content analysis with an emphasis on dominant themes.</p><p><strong>Results: </strong>Forgetfulness was the most frequently mentioned barrier to taking antihypertensive medications, and decisions about taking them were often influenced by BD mood fluctuations and the burden of having to take <i>\"too many pills\"</i> for both chronic illnesses. Participants' feedback about the use of a text-messaging system to help with medication adherence for BD and HTN was very positive, and their suggestions for modification were incorporated into a more customized system for testing in a Phase 2 trial.</p><p><strong>Conclusions: </strong>Our findings indicate that patient engagement in the development of an m-health intervention has the potential to improve adherence with both BD and HTN medications in individuals with known sub-optimal adherence. Patient engagement in health care is essential if we are to optimize patient outcomes.</p>","PeriodicalId":73454,"journal":{"name":"International journal of healthcare","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2018-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6217830/pdf/nihms964049.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"36709387","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":"Community Perceptions of Barriers to Stroke Recovery and Prevention in Greater Kampala, Uganda: Implications for Policy and Practice.","authors":"Carol Blixen, Jane Nakibuuka, Mark Kaddumukasa, Haddy Nalubwama, Mathew Amollo, Elly Katabira, Martha Sajatovic","doi":"10.5430/ijh.v3n2p8","DOIUrl":"10.5430/ijh.v3n2p8","url":null,"abstract":"<p><strong>Objective: </strong>Stroke risk and stroke burden are increasing in Sub Saharan Africa. Qualitative analysis was used to assess perceived barriers to stroke recovery and prevention in an urban/suburban Ugandan population in order to refine and implement a promising nurse and peer-led self-management intervention previously conducted in the United States.</p><p><strong>Methods: </strong>In depth <b>i</b>nterviews and focus groups were conducted with 48 participants (stroke survivors, caretakers, and those at risk for stroke. All interviews and focus groups were audiotaped, transcribed verbatim, and analyzed using content analysis, with an emphasis on dominant themes.</p><p><strong>Results: </strong>Three major domains of perceived barriers to stroke recovery and prevention emerged from the data: (1) Individual barriers (PTSD, stress, resistance to seeking care, medication non-adherence, unhealthy lifestyles, functional impairment, and a paucity of stroke knowledge); (2) Family/community barriers (lack of family and community support and caretaker burden); and (3) Provider and healthcare system barriers (lack of access and inadequate follow-up). Importantly, participants in this study identified a pressing need for increasing stroke awareness in the community as part of recovery and prevention efforts.</p><p><strong>Conclusions: </strong>Stroke risk reduction efforts implemented at the patient, community, and healthcare system levels are needed. These efforts could, perhaps, be modeled along the lines of a previous very successful public health initiative to reduce HIV burden in Uganda.</p>","PeriodicalId":73454,"journal":{"name":"International journal of healthcare","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2017-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6510505/pdf/nihms-992169.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37231880","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}