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https://www.readbyqxmd.com/read/29223041/understanding-motivations-for-dietary-supplementation-during-pregnancy-a-focus-group-study
#1
Lenka Malek PhD, Wendy J Umberger PhD, Maria Makrides PhD, Carmel T Collins PhD, Shao Jia Zhou PhD
OBJECTIVE: to increase understanding of psychosocial factors (behavioural, normative and control beliefs) motivating vitamin and mineral supplement use during pregnancy. DESIGN: ten focus group discussions and two in-depth interviews were conducted using a script comprising questions based on study objectives. All discussions were recorded, transcribed verbatim and analysed using a framework approach. SETTING: South Australia, Australia. SUBJECTS: 40 women aged 21-45 years who were either pregnant or<12 months postpartum...
November 26, 2017: Midwifery
https://www.readbyqxmd.com/read/29222994/supportive-environments-for-physical-activity-in-deprived-communities-in-the-united-kingdom-a-qualitative-study-using-photo-elicitation
#2
Alexia Sawyer, Marcella Ucci, Russell Jones, Lee Smith, Abi Fisher
The health benefits of regular physical activity are substantial and well-established. However, population activity levels are insufficient to obtain health benefits in the United Kingdom (UK), and strategies to increase activity, particularly in income-deprived communities, are sought. Socioecological models of physical activity posit that activity levels are influenced by social, physical and wider environmental factors. In line with a growing evidence base, there is a need to understand the factors that contribute to an activity-supportive neighbourhood within deprived settings within the UK...
December 2, 2017: Social Science & Medicine
https://www.readbyqxmd.com/read/29222704/healthcare-system-barriers-to-long-term-follow-up-for-adult-survivors-of-childhood-cancer-in-british-columbia-canada-a-qualitative-study
#3
A Fuchsia Howard, Arminee Kazanjian, Sheila Pritchard, Rob Olson, Haroon Hasan, Kelly Newton, Karen Goddard
PURPOSE: Risk-stratified life-long follow-up care is recommended for adult childhood cancer survivors (CCS) to ensure appropriate prevention, screening, and management of late effects. The identification of barriers to long-term follow-up (LTFU), particularly in varying healthcare service contexts, is essential to develop and refine services that are responsive to survivor needs. We aimed to explore CCS and healthcare professionals (HCP) perspectives of healthcare system factors that function as barriers to LTFU in British Columbia, Canada...
December 8, 2017: Journal of Cancer Survivorship: Research and Practice
https://www.readbyqxmd.com/read/29222286/improving-emergency-department-based-care-of-sickle-cell-pain
#4
REVIEW
Jeffrey A Glassberg
Pain is the leading cause of emergency department (ED) visits for individuals living with sickle cell disease (SCD). The care that is delivered in the ED is often cited by patients with SCD as the area of health care in greatest need of improvement. In 2014, the National Heart, Lung, and Blood Institute released guidelines for the care of SCD, including recommendations for the management of acute sickle cell pain in the ED. These guidelines provide a framework to understand the elements of ideal emergency sickle cell pain care; however, they do not provide guidance on barriers and facilitators to achieving these ideals in the complex system of the ED...
December 8, 2017: Hematology—the Education Program of the American Society of Hematology
https://www.readbyqxmd.com/read/29221529/the-effect-of-early-marriage-timing-on-women-s-and-children-s-health-in-sub-saharan-africa-and-southwest-asia
#5
Marcos Delprato, Kwame Akyeampong
BACKGROUND: Age of marriage is a barrier to mother's health care around pregnancy and children health outcomes. OBJECTIVE: We provide evidence on the health benefits of postponing early marriage among young wives (from age 10-14 to age 15-17) on women's health care and children's health for sub-Saharan Africa (SSA) and Southwest Asia (SWA). METHODS: We use data for 39 countries from the Demographic and Health Surveys to estimate the effects of postponing early marriage for women's health care and children's health outcomes and immunization using matching techniques...
May 2017: Annals of Global Health
https://www.readbyqxmd.com/read/29221522/barriers-to-smoking-cessation-among-drug-resistant-tuberculosis-patients-in-south-africa
#6
Zifikile Phindile Shangase, Joyce Mahlako Tsoka-Gwegweni, Catherine O Egbe
BACKGROUND: Drug-resistant tuberculosis (DR-TB) remains a significant cause of morbidity and mortality. The long-term health effects of smoking and the risk of adverse TB outcomes, including increased periods of infectiousness, have been reported among DR-TB patients in South Africa. OBJECTIVES: This study aimed to identify the barriers to smoking cessation among DR-TB inpatients at a hospital in Durban, South Africa. METHODS: A qualitative design using in-depth interviews with a purposive sample of 20 DR-TB inpatients was employed...
May 2017: Annals of Global Health
https://www.readbyqxmd.com/read/29221423/assess-identify-make-it-happen-aim-for-preschools-a-tool-to-decrease-early-childhood-obesity
#7
Charlotte V Farewell, Jini E Puma, Jamie Powers, Elaine S Belansky
Early childhood obesity is at epidemic proportions and is a major risk factor for the development of chronic diseases in adulthood. Since the majority of preschoolers are placed in center-based care, best practice policy, system, and environment (PSE) changes in early child care settings plays an important role in defining early development of obesogenic behaviors. However, implementation of best practice PSE changes is often a challenge in low resource settings due to staff turnover, time constraints, cultural beliefs, and lack of health-related knowledge...
December 1, 2017: Health Promotion Practice
https://www.readbyqxmd.com/read/29221421/a-qualitative-study-of-latino-grandparents-involvement-in-and-support-for-grandchildren-s-leisure-time-physical-activity
#8
Hui Xie, Linda L Caldwell, Steven Loy, Mayra Robledo
BACKGROUND: Latino grandparents are often involved in rearing of grandchildren. However, their roles in promoting Latino children's leisure time physical activity (LTPA) have been largely overlooked by researchers. AIM: The purpose of this study is to examine Latino grandparents' involvement in and support for grandchildren's (age 2-12) LTPA as well as issues facing Latino grandparents. METHOD: Participants included 53 Latino grandparents who lived with/cared for or used to live with/care for grandchildren of 2 to 12 years old in three low-income areas of Los Angeles County...
December 1, 2017: Health Education & Behavior: the Official Publication of the Society for Public Health Education
https://www.readbyqxmd.com/read/29220703/referral-to-specialist-physiotherapists-in-the-management-of-whiplash-associated-disorders-perspectives-of-healthcare-practitioners
#9
Aila Nica Bandong, Andrew Leaver, Martin Mackey, Michele Sterling, Joan Kelly, Carrie Ritchie, Trudy Rebbeck
BACKGROUND: Guidelines for whiplash associated disorders (WAD) recommend early referral to specialists (e.g. specialist physiotherapists) of people who are not recovering. This recommendation is a key component of a proposed clinical pathway of care for WAD. OBJECTIVE: To explore healthcare practitioners' opinions about referral to specialist physiotherapists of people with WAD at high risk of non-recovery. DESIGN: Qualitative descriptive study...
November 22, 2017: Musculoskeletal Science & Practice
https://www.readbyqxmd.com/read/29220615/medication-assisted-treatment-mat-for-opioid-addiction-introduction-to-the-special-issue
#10
Karen McElrath, Herman Joseph
Several countries are experiencing public health crises as a result of opioid addiction. Fatal overdoses have reached record highs in many regions and Hepatitis C virus is the norm among people who inject drugs in several countries. Thus, providing for the global availability of medication-assisted treatment (MAT) for opioid addiction is more important than ever. In this article, we introduce readers to the collection of papers that appear in this special issue on MAT for opioid addiction. We describe the articles and commentaries thematically to include topics that address 1) the contemporary history of methadone maintenance, 2) the provision of and access and barriers to MAT, 3) compliance and outcomes of MAT, 4) health issues among MAT patients, 5) race, ethnicity, and social class backgrounds of MAT patients, 6) criminalization and stigma, and 7) challenges associated with the expansion of MAT...
December 8, 2017: Substance Use & Misuse
https://www.readbyqxmd.com/read/29219878/community-based-management-of-multiple-drug-resistant-tuberculosis-in-a-tertiary-hospital-in-tanzania-a-best-practice-implementation-project
#11
Isaya Jelly, Micah D J Peters
BACKGROUND: The World Health Organization (WHO) has prioritized collaboration with communities in its 2016 "End TB" implementation strategy. Acknowledging the difficulties that some communities face in gaining access to health facilities due to barriers such as stigma, discrimination, healthcare expenditure, transport and income loss, partnering with communities in the roll-out of community-based TB management activities is vital. AIM: The aim of this project was to make a contribution to promoting evidence-based practice with regards to the community-based management of multidrug-resistant tuberculosis (MDR-TB) at Kibong'oto National Infectious Disease Hospital, Tanzania, and thereby supporting improvements in patient outcomes and resource utilization...
December 2017: JBI Database of Systematic Reviews and Implementation Reports
https://www.readbyqxmd.com/read/29219098/analyzing-implementation-dynamics-using-theory-driven-evaluation-principles-lessons-learnt-from-a-south-african-centralized-chronic-dispensing-model
#12
Bvudzai Priscilla Magadzire, Bruno Marchal, Tania Mathys, Richard O Laing, Kim Ward
BACKGROUND: Centralized dispensing of essential medicines is one of South Africa's strategies to address the shortage of pharmacists, reduce patients' waiting times and reduce over-crowding at public sector healthcare facilities. This article reports findings of an evaluation of the Chronic Dispensing Unit (CDU) in one province. The objectives of this process evaluation were to: (1) compare what was planned versus the actual implementation and (2) establish the causal elements and contextual factors influencing implementation...
December 4, 2017: BMC Health Services Research
https://www.readbyqxmd.com/read/29219097/analysis-of-the-impact-of-healthcare-support-initiatives-for-physically-disabled-people-on-their-access-to-care-in-the-city-of-saint-louis-senegal
#13
Diarra Bousso Senghor, Oumar Diop, Issa Sombié
BACKGROUND: People with disabilities represent approximately 6% of the Senegalese population. They face significant barriers to accessing health care. Although several initiatives have been implemented to improve access to health care for this vulnerable population, few studies have examined the effects of these initiatives. We conducted a mixed methods study in three neighborhoods in Saint-Louis City (Senegal) to assess the impact of health systems and social assistance programs aimed at improving access to health care for people with disabilities...
December 4, 2017: BMC Health Services Research
https://www.readbyqxmd.com/read/29219085/perceptions-about-data-informed-decisions-an-assessment-of-information-use-in-high-hiv-prevalence-settings-in-south-africa
#14
Edward Nicol, Debbie Bradshaw, Jeannine Uwimana-Nicol, Lilian Dudley
BACKGROUND: Information-use is an integral component of a routine health information system and essential to influence policy-making, program actions and research. Despite an increased amount of routine data collected, planning and resource-allocation decisions made by health managers for managing HIV programs are often not based on data. This study investigated the use of information, and barriers to using routine data for monitoring the prevention of mother-to-child transmission of HIV (PMTCT) programs in two high HIV-prevalence districts in South Africa...
December 4, 2017: BMC Health Services Research
https://www.readbyqxmd.com/read/29219031/the-role-of-community-pharmacists-in-the-identification-and-ongoing-management-of-women-at-risk-for-perinatal-depression-a-qualitative-study
#15
Sabrine Elkhodr, Maya Saba, Claire O'Reilly, Bandana Saini
BACKGROUND: While pharmacists are among the most accessible primary health professionals within a mother's healthcare team to identify potential cases of perinatal depression (PND), very little in the literature suggests that this role has been explored. AIM: The aim of this study was to explore community pharmacists' perspectives on their potential roles in perinatal mental health promotion (recognition and health education) and the factors affecting these roles...
December 1, 2017: International Journal of Social Psychiatry
https://www.readbyqxmd.com/read/29218966/building-compassion-literacy-enabling-care-in-primary-health-care-nursing
#16
Letitia Helen Burridge, Sarah Winch, Margaret Kay, Amanda Henderson
This paper introduces the concept of compassion literacy and discusses its place in nursing within the general practice setting. Compassion literacy is a valuable competency for sustaining the delivery of high quality care. Being compassion literate enables practice nurses to provide compassionate care to their patients and to recognise factors that may constrain this. A compassion literate practice nurse may be more protected from compassion fatigue and its negative consequences. Understanding how to enable self-compassion and how to support the delivery of compassionate care within the primary care team can enhance the care experienced by the patient while improving the positive engagement and satisfaction of the health professionals...
2017: Collegian: Journal of the Royal College of Nursing, Australia
https://www.readbyqxmd.com/read/29218803/community-pharmacist-led-clinical-services-physician-s-understanding-perceptions-and-readiness-to-collaborate-in-a-midwestern-state-in-the-united-states
#17
Cameron Gordon, Elizabeth Unni, Jaime Montuoro, Diane B Ogborn
OBJECTIVES: Many pharmacists are actively enhancing their role in the delivery of health care by offering a variety of pharmacist-led clinical services. The delivery of these services within community pharmacies can contribute to overcoming the cost and accessibility challenges currently facing U.S. health care, especially when pharmacist-physician collaborative efforts are utilized. The study purpose was to identify general and family practice physicians' awareness of pharmacists' delivery of clinical services, uncover their perceived barriers to collaboration with community pharmacists, and collect their input on how to overcome such barriers in order to better understand how pharmacist-led clinical services can be integrated, improved and more widely utilized as a healthcare delivery mechanism...
December 7, 2017: International Journal of Pharmacy Practice
https://www.readbyqxmd.com/read/29218728/a-service-concept-and-tools-to-improve-maternal-and-newborn-health-in-nigeria-and-uganda
#18
Mariana Salgado, Melanie Wendland, Damaris Rodriguez, Meghan A Bohren, Olufemi T Oladapo, Olubunmi A Ojelade, Kidza Mugerwa, Bukola Fawole
OBJECTIVE: The "Better Outcomes in Labor Difficulty" (BOLD) project used a service design process to design a set of tools to improve quality of care during childbirth by strengthening linkages between communities and health facilities in Nigeria and Uganda. This paper describes the Passport to Safer Birth concept and the tools developed as a result. METHODS: Service design methods were used to identify facilitators and barriers to quality care, and to develop human-centered solutions...
December 7, 2017: International Journal of Gynaecology and Obstetrics
https://www.readbyqxmd.com/read/29218726/healthcare-providers-perspectives-on-labor-monitoring-in-nigeria-and-uganda-a-qualitative-study-on-challenges-and-opportunities
#19
Fan Yang, Meghan A Bohren, David Kyaddondo, Musibau A Titiloye, Akinpelu O Olutayo, Olufemi T Oladapo, João Paulo Souza, A Metin Gülmezoglu, Kidza Mugerwa, Bukola Fawole
OBJECTIVE: To explore current practices, challenges, and opportunities in relation to monitoring labor progression, from the perspectives of healthcare professionals in low-resource settings. METHODS: Thematic analysis of qualitative data (in-depth interviews [IDIs] and focus group discussions [FDGs]) obtained from a purposive sample of healthcare providers and managers in selected health facilities in Nigeria and Uganda. RESULTS: A total of 70 IDIs and 16 FGDs with doctors, midwives, and administrators are included in this analysis...
December 7, 2017: International Journal of Gynaecology and Obstetrics
https://www.readbyqxmd.com/read/29217960/knowledge-management-implementation-and-the-tools-utilized-in-healthcare-for-evidence-based-decision-making-a-systematic-review
#20
REVIEW
Leila Shahmoradi, Reza Safadari, Worku Jimma
Background: Healthcare is a knowledge driven process and thus knowledge management and the tools to manage knowledge in healthcare sector are gaining attention. The aim of this systematic review is to investigate knowledge management implementation and knowledge management tools used in healthcare for informed decision making. Methods: Three databases, two journals websites and Google Scholar were used as sources for the review. The key terms used to search relevant articles include: "Healthcare and Knowledge Management"; "Knowledge Management Tools in Healthcare" and "Community of Practices in healthcare"...
September 2017: Ethiopian Journal of Health Sciences
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