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Alissa NA, Alwargash M. Awareness and Attitudes toward Health Education and Promotion among Physicians and Nurses: Implications for Primary Health Care. INQUIRY : A JOURNAL OF MEDICAL CARE ORGANIZATION, PROVISION AND FINANCING 2024; 61:469580241248127. [PMID: 38654504 PMCID: PMC11041534 DOI: 10.1177/00469580241248127] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 01/31/2024] [Revised: 03/23/2024] [Accepted: 04/02/2024] [Indexed: 04/26/2024]
Abstract
Health promotion and education are collaborative efforts involving patients, healthcare providers, and society, crucial for preventing and managing disease outbreaks. However, in Saudi Arabia, the actual or perceived endeavors of physicians and nurses in health education and promotion are not widely understood, which holds significant implications for those working in the field. This study aimed to evaluate the level of awareness and attitude toward health education and promotion among physicians and nurses in primary healthcare centers in Najran, Saudi Arabia. A descriptive cross-sectional study design was employed, and 187 participants were incorporated into the analysis. Questionnaires were distributed to physicians and nurses at the primary health care centers. Participants completed a face-to-face survey questionnaire about their awareness and attitude toward health education and promotion. One of the authors was physically present at the primary health care centers to assist the participants with answering the questionnaire questions. Saudis and physicians had higher awareness than non-Saudis and nurses, respectively. Work experience and institutional factors did not significantly influence awareness. A positive correlation between awareness and attitude was observed. However, perceived shortcomings in current approaches were identified, including a lack of skills and training, poor communication, and inadequate leadership support. Despite these challenges, healthcare professionals held positive attitudes toward health education, recognizing its importance in behavior change, reducing disparities, and influencing community policies. The study highlights the need for targeted interventions, including research on effective models, training programs, and improved communication and leadership support, to address identified gaps and optimize health education implementation.
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Affiliation(s)
- Nawal A. Alissa
- Community Health Sciences Department, College of Applied Medical Sciences, King Saud University,Riyadh, Saudi Arabia
| | - Mohammed Alwargash
- Health Informatic Specialist, Forensic Medical Services Center in Najran, Najran, Saudi Arabia
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Melariri HI, Kalinda C, Chimbari MJ. Indicators for measuring health promotion practice among healthcare workers in the Nelson Mandela Bay Municipality, South Africa: A cross-sectional study. S Afr Fam Pract (2004) 2022. [DOI: 10.4102/safp.v64i1.5401] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/01/2022] Open
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Knowledge, attitudes, and practices of primary healthcare providers with assessing and supporting older informal caregivers. Geriatr Nurs 2022; 44:159-166. [PMID: 35182804 DOI: 10.1016/j.gerinurse.2022.02.004] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/06/2021] [Revised: 01/31/2022] [Accepted: 02/01/2022] [Indexed: 11/23/2022]
Abstract
A time burden, financial strain, and prioritizing care recipient needs over their own are key barriers preventing informal caregivers from engaging in health-promoting self-care. Primary healthcare providers are well positioned to assess and support informal caregivers. A cross sectional descriptive, correlational study was used to examine the knowledge, attitudes, and practices of healthcare providers regarding assessment and support of older informal caregivers. The Healthcare Professional Facilitated Health Promotion (HPFHP) Model guides this study by depicting the collaborative patient-healthcare professional relationship. The Caregiver Self-Care Survey for Healthcare Providers measured the knowledge, attitudes, and practices of 80 healthcare providers on assessing and supporting older informal caregivers. Descriptive and inferential statistics were calculated using IBM Statistical Package for the Social Sciences (SPSS) 28.0 software. Results indicated that despite positive attitudes, knowledge deficit and system level barriers prevented integration of caregiver assessment in practice. A caregiver identification process, user-friendly assessment tool, and system level changes are overdue.
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Zhou C, Tan F, Lai S, Chen J, Cai Q, Yin X, Guo S, Wu S, Yang L. Health Promotion Capacity Among Chinese Healthcare Professionals and Its Influence on Preventive Health Service Practices. J Multidiscip Healthc 2022; 15:343-352. [PMID: 35237040 PMCID: PMC8882668 DOI: 10.2147/jmdh.s349449] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/15/2021] [Accepted: 02/08/2022] [Indexed: 11/23/2022] Open
Abstract
Background This study evaluated the current health promotion capacity level of Chinese healthcare professionals and explored the association between health promotion capacity and preventive health service practices. Methods A total of 124 doctors and 72 nurses were recruited from 6 county hospitals and 12 community health centers from June to August 2019 in Zhejiang Province, China. Health promotion capacity was measured using the revised Chinese version of the Health Promotion Professionals Core Competency Scale. Results The mean total score on the health promotion capacity scale was 45.04 (SD = 7.30). Total health promotion capacity score was negatively associated with county hospitals (β = −0.32, p < 0.001; Ref: community health center) and positively associated with a monthly income of more than 5001 RMB ($786.39) (β = 0.25, p = 0.004; Ref: less than 5000 RMB ($786.24)). All domain scores of the health promotion capacity scale were positively related to preventive health service practices. Conclusion Health promotion capacity is one of the most important capacities among healthcare professionals, and there is a particular need to improve nurses’ capacity. A higher level of health promotion capacity is beneficial for implementing preventive health services.
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Affiliation(s)
- Chi Zhou
- School of Public Health, Hangzhou Normal University, Hangzhou, 311121, People’s Republic of China
| | - Fang Tan
- School of Public Health, Hangzhou Normal University, Hangzhou, 311121, People’s Republic of China
| | - Sihong Lai
- School of Public Health, Hangzhou Normal University, Hangzhou, 311121, People’s Republic of China
| | - Jingchun Chen
- School of Public Health, Hangzhou Normal University, Hangzhou, 311121, People’s Republic of China
| | - Qi Cai
- School of Public Health, Hangzhou Normal University, Hangzhou, 311121, People’s Republic of China
| | - Xiaoyu Yin
- School of Public Health, Hangzhou Normal University, Hangzhou, 311121, People’s Republic of China
| | - Shuli Guo
- School of Public Health, Hangzhou Normal University, Hangzhou, 311121, People’s Republic of China
| | - Shuang Wu
- The Second Affiliated Hospital of Zunyi Medical University, Zunyi, 563100, People’s Republic of China
| | - Lei Yang
- School of Public Health, Hangzhou Normal University, Hangzhou, 311121, People’s Republic of China
- Correspondence: Lei Yang, School of Public Health, Hangzhou Normal University, No. 2318, Yuhangtang Road, Cangqian, Yuhang District, Hangzhou, 311121, People’s Republic of China, Tel/Fax +86-0571-28865510, Email
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Melariri HI, Kalinda C, Chimbari MJ. Training, Attitudes, and Practice (TAP) among healthcare professionals in the Nelson Mandela Bay municipality, South Africa: A health promotion and disease prevention perspective. PLoS One 2021; 16:e0259884. [PMID: 34818364 PMCID: PMC8612580 DOI: 10.1371/journal.pone.0259884] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/07/2021] [Accepted: 10/28/2021] [Indexed: 12/20/2022] Open
Abstract
Background Healthcare professionals (HCPs) play a pivotal role in ensuring access to quality healthcare of patients. However, their role in health promotion (HP) and disease prevention (DP) has not been fully explored. This study aimed at determining how training, attitude, and practice (TAP) of HCPs influence their practice of HP and DP. Methods Data on TAP regarding HP and DP were collected from 495 HCPs from twenty-three hospitals in the study area using a standardized questionnaire. Bivariate, univariate, and multivariate analyses were conducted to describe how the TAP of HCPs influence their HP and DP practices. The analysis was further desegregated at the three levels of healthcare (primary, secondary and tertiary levels). Results Most of the medical doctors 36.12% (n = 173), registered nurses 28.39% (n = 136), and allied health professionals (AHPs) 11.27% (n = 54) indicated the absence of coordinated HP training for staff in their facilities. Similarly, 32.93% (n = 193) of the HCPs, indicated having participated in HP or DP training. Among those that had participated in HP and DP training, benefits of training were positive behaviour, attributions, and emotional responses. When compared at the different levels of healthcare, enhanced staff satisfaction and continuing professional development for HP were statistically significant only at the tertiary healthcare level. Multivariate analysis showed a likelihood of reduced coordinated HP training for staff among medical doctors (Coef 0.15; 95% CI 0.07–0.32) and AHPs (Coef 0.24; 95% CI 0.10–0.59) compared to nurses. Furthermore, medical doctors (Coeff: 0.66; 95% CI: 0.46–0.94) were less likely to agree that HCPs should model good health behavior to render HP services as compared to nurses. Conclusion Training in HP and DP empowers HCPs with the requisite knowledge and attitude necessary for effective practice. Several HCPs at different levels of care had limited knowledge of HP and DP because of inadequate training. We recommend a strategy aimed at addressing the knowledge and attitudinal gaps of HCPs to ensure effective HP and DP services to patients.
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Affiliation(s)
- Herbert I. Melariri
- College of Health Sciences, University of KwaZulu Natal, Howard College Campus, Durban, South Africa
- Eastern Cape Department of Health, Port Elizabeth Provincial Hospital, Gqeberha, South Africa
- * E-mail:
| | - Chester Kalinda
- College of Health Sciences, University of KwaZulu Natal, Howard College Campus, Durban, South Africa
- University of Global Health Equity (UGHE), Bill and Joyce Cummings Institute of Global Health, Kigali, Rwanda
| | - Moses J. Chimbari
- College of Health Sciences, University of KwaZulu Natal, Howard College Campus, Durban, South Africa
- Great Zimbabwe University, Masvingo, Zimbabwe
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Alsufyani AM, Almalki KE, Almutairi A, Aljuaid SM, Alsufyani BO. Educational and Behavioral Models for Promoting Health in Saudi Arabia: A Theoretical Overview. Cureus 2020; 12:e9471. [PMID: 32874800 PMCID: PMC7455385 DOI: 10.7759/cureus.9471] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022] Open
Abstract
In recent years, the field of environmental health promotion gained new prominence as awareness of physical environmental stressors and exposures escalated in Saudi Arabia. Although, several theories and conceptual models are routinely used for guiding health education and promotion interventions, they are rarely applied to environmental health issues in Saudi Arabia. This study theoretically reviews the educational and behavioral models for promoting health in Saudi Arabia. This study examines how education and behavioral models can reduce exposure to environmental health risks. In particular, this article describes the application of ecological theory with regard to its theoretical, analytical, and methodological challenges to future research in educational and behavioral studies. The implications of ecological theory are discussed for environmental health promotion. Ecological theory can further demonstrate the dimensions of health behaviors such as procedures for changing them. Health behaviors are also affected by many forces such as physical and social environments. This theory can assist planners in identifying the most appropriate target audiences, methods to improve change, and consequences for assessment. This theory is also important in including social, cultural, and physical factors that affect health consequences, which include factors such as social cohesion, behavioral patterns, emotional wellbeing, genetic heritage, and developmental maturation.
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Affiliation(s)
- Abdulaziz M Alsufyani
- Comprehensive Rehabilitation Center, Ministry of Human Resources and Social Development, Taif, SAU
| | - Khaled E Almalki
- Primary Health Care Center, Ministry of Health Holdings, Riyadh, SAU
| | - Abeer Almutairi
- Ministry of Health, King Fahad Specialist Hospital, Buridah, SAU
| | - Sayer M Aljuaid
- Comprehensive Rehabilitation Center, Ministry of Human Resources and Social Development, Taif, SAU
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Seif Rabiei MA, Khanlarzadeh E, Nikpajouh A, Doaee M, Sanaei Z. Evaluating health promotion standards at the Farshchian heart center of Hamadan, Iran. Hosp Pract (1995) 2020; 48:282-288. [PMID: 32597257 DOI: 10.1080/21548331.2020.1788819] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/24/2022]
Abstract
OBJECTIVE Farshchian Heart Center is the fifth health-promoting hospital and the first center of its type in Western Iran that officially joined the International Network of Health Promoting Hospitals and Health Services (HPH) in 2016. The purpose of the present study is to evaluate the health promotion standards at this center in 2018. METHODS We conducted this cross-sectional study at Farshchian Heart Center of Hamadan. The main data collection instruments included questionnaires obtained from indicators of five different main standards of health-promoting hospitals developed by the World Health Organization (WHO) which were evaluated from three different perspectives: Management staff, hospital employees, and patients. The data were analyzed by SPSS version 21 software. RESULTS We evaluated 111 hospital employees, 109 patients, and 6 management staff. Nurses (46.8%) comprised the majority of the hospital staff respondents. Less than half (42.3%) of the hospital staff expressed awareness of hospital health promotion policies; however, only 13.5% had attended various health promotion programs. Only 51.4% of patients knew about the hospital health promotion policies and 17.4% of them participated in relevant programs. The mean score for patient satisfaction with the hospital health promotion programs according to the visual analogue scale (VAS, range: 0-10) was 7.16 ± 2.45, which was significantly higher in outpatients (8.16 ± 1.85) compared to inpatients (6.44 ± 2.59, p = 0.001). Two thirds (66.7%) of the management staff expressed awareness of implementation of these programs. CONCLUSION The results of this study demonstrated that health promotion policies based on WHO standards were not well-recognized among patients, hospital employees, and management staff in Farshchian Heart Center of Hamadan, Iran.
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Affiliation(s)
- Mohamad Ali Seif Rabiei
- Department of Community Medicine, School of Medicine, Hamadan University of Medical Sciences , Hamadan. Iran
| | - Elham Khanlarzadeh
- Department of Community Medicine, School of Medicine, Hamadan University of Medical Sciences , Hamadan. Iran
| | - Akbar Nikpajouh
- Rajaei Cardiovascular Medical and Research Center, Iran University of Medical Sciences , Tehran, Iran
| | - Mahdieh Doaee
- Aja University of Medical Science, School of Medicine , Tehran, Iran
| | - Zahra Sanaei
- Department of Community Medicine, Education Development Office, Hamadan University of Medical Science , Hamadan, Iran
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