Browsing by Subject "healthcare providers"

Now showing 1 - 6 of 6
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    Are Health Care Professionals Prepared to Implement Human Papillomavirus Testing? A Review of Psychosocial Determinants of Human Papillomavirus Test Acceptability in Primary Cervical Cancer Screening
    (Liebert, 2020-03) Tatar, Ovidiu; Wade, Kristina; McBride, Emily; Thompson, Erika; Head, Katharine J.; Perez, Samara; Shapiro, Gilla K.; Waller, Jo; Zimet, Gregory; Rosberger, Zeev; Communication Studies, School of Liberal Arts
    Background: Guidelines for cervical cancer screening have been updated to include human papillomavirus (HPV) testing, which is more sensitive compared to cytology in detecting cervical intraepithelial neoplasia. Because of its increased sensitivity, a negative HPV test is more reassuring for a woman that she is at low risk for precancerous cervical lesions than a negative Pap test. Prompted by the inadequate translation of HPV test-based screening guidelines into practice, we aimed to synthesize the literature regarding health care providers (HCPs) knowledge, attitudes, and practices related to HPV testing and the influence of psychosocial factors on HCPs acceptability of HPV testing in primary cervical cancer screening. Materials and Methods: We searched MEDLINE, Embase, PsycINFO, CINAHL, Global Health, and Web of Science for journal articles from January 1, 1980 to July 25, 2018. A narrative synthesis of HCPs knowledge, attitudes, and practices related to HPV testing is provided. Informed by the Patient Pathway framework, we used deductive thematic analysis to synthesize the influence of psychosocial factors on HCPs acceptability of HPV testing. Results: The most important HCP knowledge gaps are related to the superior sensitivity of the HPV test and age-specific guideline recommendations for HPV testing. Thirty to fifty percent of HCPs are not compliant with guideline recommendations for HPV testing, for example, screening at shorter intervals than recommended. Barriers, facilitators, and contradictory evidence of HCPs' acceptability of the HPV test are grouped by category: (1) factors related to the HCP; (2) patient intrinsic factors; (3) factors corresponding to HCP's practice environment; and (4) health care system factors. Conclusions: HCP's adherence to guidelines for HPV testing in cervical cancer screening is suboptimal and could be improved by specialty organizations ensuring consistency across guidelines. Targeted educational interventions to address barriers of HPV test acceptability identified in this review may facilitate the translation of HPV testing recommendations into practice.
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    Connecting Care – Empowering The Patient Through Their Waiting Experience
    (Office of the Vice Chancellor for Research, 2016-04-08) Sieferd, Edward J.; Hsu, Hsueh-Fen; Semidey, Lisa; Mohebbi, Mahdiyeh; Rong, Jiacheng; Chen, Linjun; Phillips, Milesha; Stevens, Madison; Jin, Siying; Hong, Youngbok
    Waiting at a hospital is a challenge for patients and their families. Many individuals go to the hospital, waiting for hours to receive their tests and results. This waiting experience places a burden on individuals and causes stress in a tense time in their lives. This research was a partnership between healthcare providers and graduate program of Design Thinking and Leadership, Department of Visual Communication Design, Herron School of Art and Design. The goal of this people-centered research was to examine and enhance the patient waiting experience at the Registration, Lab and Radiology service areas of a Carmel Hospital. To understand the patient experiences, we approached the project utilizing people-centered design methods. The design research team conducted ethnographic observations and interviews involving patients and staff within the Laboratory, Registration, and Radiology spaces at a hospital. In responding to defined problems within these spaces, the design team identified the desirable patient communication flow and developed an integrative communication system that aligned with the touch points of the patient journey. This communication system included wrist bands, digital message boards, an expanded pager system, as well as redesigned interior spaces. The two major findings from the research were: One, current communication levels between provider staff and patients resulted in negative patient perceptions of the service. Two, patients wanted more integrated ways to maintain communication between service providers and themselves. From these findings, it was recommended that service providers adapt a more integrated communication system to deliver an optimal patient experience.
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    The effect of a one-time 15-minute guided meditation (Isha Kriya) on stress and mood disturbances among operating room professionals: a prospective interventional pilot study
    (F1000Research, 2019-03-26) Rangasamy, Valluvan; Thampi Susheela, Ammu; Mueller, Ariel; F. H. Chang, Tracy; Sadhasivam, Senthilkumar; Subramaniam, Balachundhar; Anesthesia, School of Medicine
    Background: Operating room professionals are exposed to high levels of stress and burnout. Besides affecting the individual, it can compromise patient safety and quality of care as well. Meditation practice is getting recognized for its ability to improve wellness among various populations, including healthcare providers. Methods: Baseline stress levels of perioperative healthcare providers were measured via an online survey using a Perceived Stress Scale (PSS) questionnaire. An in-person meditation workshop was demonstrated during surgical grand rounds and an international anesthesia conference using a 15-minute guided Isha Kriya meditation. The participants were then surveyed for mood changes before and after meditation using a Profile of Mood States (POMS) questionnaire. Results: Surgeons and anesthesiologists were found to have higher median (interquartile range) Perceived Stress Scores as compared to nurses respectively (17 [12, 20] and 17 [12, 21] vs 14 [9, 19]; P = 0.01). Total mood disturbances were found to be significantly reduced after meditation in both the surgical grand rounds (pre-meditation median [IQR] 99 [85, 112] vs 87 [80, 93] post-meditation; P < 0.0001) and anesthesia conference cohorts (pre-meditation 92 [86, 106] vs 87 [81, 92] post-meditation; P < 0.0001). Conclusions: Isha Kriya, a guided meditation, is easy to learn and takes less than 15 minutes to complete. This meditation technique improves mood changes and negative emotions among operating room professionals and could be used as a potential tool for improving wellness.
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    THE EFFECTIVENESS OF A HORTICULTURE THERAPY CLASS ON PERCEIVED EMOTIONS FOR COLLEGE NURSING STUDENTS: A PRELIMINARY STUDY
    (Office of the Vice Chancellor for Research, 2015-04-17) Chen, Shih-Ni; Sun, Jia-Ling
    Objective: Horticultural therapy (HT) is a dynamic, guided therapeutic process that involves healthcare providers teaching patients to work with plants and natural materials. Through engaging in horticultural activities, patients achieve specific goals such as improved physical strength, memory, cognitive abilities, task initiation, language skills, and socialization. The aim of the study was to evaluate the efficacy of a horticultural therapy (HT) class for college nursing students who perceive high levels of stress in their academic and clinical nursing studies. Method: The study was conducted at a health science university in an urban city of northern Taiwan. After explaining the procedure to and receiving consent from participants, a total of 116 college, nursing students, aged 20-39 years, mean age 26.90 (4.72), all females were recruited into the study. One group pretest and posttest design and convenient sampling were adopted. Participants received a pretest one week prior to the three-week HT class. The three-week HT class was conducted once per week with two hours for each section. Learning was evaluated with a posttest one week after the end of the HT class. Personal characteristics and outcome data was collected by a constructed questionnaire including five parts: the demographic section, the attitude towards HT, the knowledge of HT, the perceived emotional status, and the Chinese State-Trait Anxiety Inventory (C-STAI). Results: After the three-week HT class, student-perceived emotional management and status significantly improved. While students perceived greater HT knowledge, there was no significant difference in the HT knowledge pre and post-test scores. While a decrease in anxiety was found, it failed to reach a 0.05 level of significance. It showed relationships between pretest emotional status and previous experience with the decreased level of anxiety in the results of the multiple regression analysis. Conclusion: Engaging students in experiencing HT during an academic class could improve college nursing students' emotional status. Further refinement of the HT class and research design are suggested, such as adding a control group and involving more therapeutic activities into the class.
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    Human Papillomavirus Vaccine Initiation among 9-13-Year-Olds in the United States
    (Elsevier, 2015) Donahue, Kelly L.; Hendrix, Kristin S.; Sturm, Lynne A.; Zimet, Gregory D.; Department of Pediatrics, IU School of Medicine
    OBJECTIVE: The quadrivalent and 9-valent human papillomavirus (HPV) vaccines are licensed for administration among 9-26-year-old males and females, with routine vaccination recommended for 11-12-year-olds. Despite the availability of the vaccine at younger ages, few studies have explored vaccine uptake prior to age 13, and national HPV vaccination surveillance data is limited to 13-17-year-olds. Our objective was to examine rates and predictors of HPV vaccine initiation among 9-13-year-olds in the United States. METHODS: A national sample of mothers of 9-13-year-olds in the United States (N=2,446) completed a 2014 Web-based survey assessing socio-demographic characteristics, child's HPV vaccination history, provider communication regarding the vaccine, and other attitudes and behaviors pertaining to vaccination and healthcare utilization. The main outcome measure was child's initiation of the HPV vaccine (i.e., receipt of one or more doses). RESULTS: Approximately 35% of the full sample and 27.5% of the 9-10-year-olds had initiated HPV vaccination. Females were more likely than males to have initiated HPV vaccination by the age of 13 but not by younger ages. Strength of health provider recommendation regarding HPV vaccination was a particularly salient predictor of vaccine initiation. CONCLUSIONS: Approximately a third of children may be initiating the HPV vaccine series before or during the targeted age range for routine administration of the vaccine. Because coverage remains below national targets, further research aimed at increasing vaccination during early adolescence is needed. Improving providers' communication with parents about the HPV vaccine may be one potential mechanism for increasing vaccine coverage.
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    Provider Communication and Mothers’ Willingness to Vaccinate Against HPV and Influenza: A Randomized Health Messaging Trial
    (Elsevier, 2017) Donahue, Kelly; Hendrix, Kristin; Sturm, Lynne; Zimet, Gregory; Department of Pediatrics, School of Medicine
    Objective Understand the effect of a health messaging intervention focused on provider communication about vaccination on mothers’ willingness to vaccinate children against HPV and seasonal influenza. Methods 2,476 mothers of 9-13-year-olds in the U.S. completed a Web-based survey in August 2014. Mothers were randomized to one of two groups targeting HPV or influenza vaccine. Mothers whose child had not received the target vaccine (i.e., zero doses of HPV vaccine/no prior-year administration of influenza vaccine) were randomized to the intervention. The study used a 3x2 between-subjects design; illustrated vignettes depicted one of three levels of provider recommendation strength (brief mention of vaccination, strong recommendation of vaccination, or personal disclosure of vaccination of own children), and presence or absence of information comparing safety of vaccination to the safety of a common daily activity. Outcome was mothers’ willingness to have their child receive the target vaccine (0-100.) Perceived benefits of vaccination were assessed prior to viewing the intervention and included as a covariate in analyses, along with child gender. Results For HPV vaccine, there was a main effect of safety information, F(1,684)=7.99, p=.005, and perceived benefits of vaccination, F(1,684)=221.64, p<.001) on mothers’ willingness to vaccinate. For influenza, perceived benefits of vaccination significantly related to willingness, F(1,462)=105.78, p<.001). Child gender was not associated with willingness. Conclusions Provider communication about vaccination may need to be tailored to the vaccine in question. A next step to increasing coverage for both HPV and influenza vaccines may be an intervention aimed at increasing mothers’ perceived benefits of vaccination.