PERCEPTION AND ATTITUDE OF HEALTH-CARE PERSONNEL REGARDING THE CONCEPT OF INTEGRATION IN NURSING

ABSTRACTObjectives: To assess the perception of health-care personnel regarding the concept of integration in nursing, to assess the attitude of health-carepersonnel toward the concept of integration in nursing, and to determine the association of perception and attitude toward the concept of integrationin nursing with selected socio-demographic variables.Methods: Research approach adopted was descriptive survey approach. Population were 159 health-care personnel's working at various hospitalsand institutions in Maharashtra. Purposive sampling technique was used. Data were collected using structured rating scale, which consisted of3 sections. Section 1 comprising demographic data, Sections 2 and 3 consisted 10 questions to assess the perception and attitude of health-carepersonnel. Tool was developed pretesting and reliability of the rating scale was done.Results: Findings of the study showed that majority 118 (74.21%) of respondents had low perception, 41 (25.78%) had medium perception, andnone of respondents had high perception regarding the concept of integration. Classification of respondents based on the levels of attitude, the79 (49.68%) had unfavorable attitude, 75 (47.16%) had moderately favorable attitude, and 5 (3.14%) had favorable attitude.Conclusions: As the result shows that there is medium to low level of perception between the health-care personnel regarding the concept ofintegration and the attitude is also unfavorable, there is need to find out the barriers of integration in nursing profession.Keywords: Perception, Attitude, Integration, Health-care personnel

Theory of Planned Behavior on Factors Affecting Exclusive Breastfeeding: A Path Analysis Evidence from Surabaya

Background:Infant and young child feeding is critical for child health and survival. Exclusive breastfeeding is the process of feeding a newborn baby exclusively with breast milk and no other supplement. It is recommended by WHO since it has several advantages for both child and mother. However, the prevalence of exclusive breastfeeding among infants younger than six months in developing countries remained low at 33% in 1995 and 39% in 2010. This study aimed to determine factors affecting exclusive breastfeeding using Theory of Planned and Behavior. Subjects and Method: This was a cross sectional study carried out at 25 Posyandus (integrated family health posts) in Gunung Anyar Puskesmas (Community Health Center), Surabaya, East Java, Indonesia, from April to May 2018. A sample of 200 was selected from 25 Posyandus of 2 strata. The dependent variable was exclusive breastfeeding. The independent variables were intention, attitude, subjective norm, knowledge, family support, and health personnel support. The data were collected by questionnaire and analyzed by a path analysis. Results:Exclusive breastfeeding was directly affected by intention (b= 2.59; 95% CI= 1.88 to 3.30; p< 0.001) and attitude (b= 1.19; 95% CI= 0.49 to 1.90; p= 0.001). Exclusive breastfeeding was indirectly affected by subjective norm, knowledge, family support, and health personnel support. Conclusion:Exclusive breastfeeding is directly affected by intention and attitude, but indirectly affected by subjective norm, knowledge, family support, and health personnel support Keywords:exclusive breastfeeding,intention, attitude, subjective norm, knowledge, family support, health personnel support

What are the Factors Affecting the Use of Pap Smear for Cervical Cancer Early Detection in Women? A New Path Analysis Evidence from Banyumas, Central Java

Background: Cervical cancer is a major public health issue. It is the second most common cancer among women in the world, and one of leading cause of death by gynecologic malignant tumor in developing countries. Pap smear has been recognized as an effective strategy for reducing the incidence and mortality rate of cervical cancer. This study aimed to investigate the determinants of Pap smear utilization for cervical cancer early detection in women of reproductive age using path analysis model. Subjects and Method: This was a case-control study conducted in Cilongok and Ajibarang Sub-districts, Banyumas, Central Java, from January 3 to February 3, 2018. A total sample of 200 women reproductive age was selected for this study by fixed disease sampling. The dependent variable was Pap smear utilization. The independent variables were education level, attitude, perception on the quality health care, access to the health center, family support, peer support, and health personnel support. The data were collected by questionnaire and analyzed by path analysis. Results: The use of Pap smear increased with high education (b= 2.63; 95% CI= 1.77 to 3.48 p<0.001), good perception on quality of health care(b= 1.04; 95% CI= 0.22 to 1.86; p= 0.012), positive attitude (b= 1.48; 95% CI= 0.51 to 2.44 p= 0.003), good access to health center (b= 1.02; 95% CI= 0.20 to 1.84 p= 0.015), strong family support (b= 1.29; 95% CI= 0.22 to 2.61; p= 0.029), and strong health personnel support (b= 2.02; 95% CI= 0.60 to 3.45 p= 0.005). The use of Pap smear was indirectly associated with peer support through perception on quality health care. Conclusion: The use of Pap smear increases with education, perception on quality of health care, attitude, access to health center, family support, and health personnel support. Keywords: Pap smear, cervical cancer, education, attitude, perception, family support, peer support, health personnel suppor

Factors Associated with the Integrated Family Health Post Utilization in Sidoarjo, East Java

Background: Nutrition is an important public health problem in Indonesia. As many as 37.2% of children under five had stunting. Nutritional status affects morbidity, mortality, and quality of human resources. Therefore, nutritional status needs to be monitored. The nutritional status of infants at the integrated family health post (posyandu) can be monitored by looking at the number of children weighed/ the number of all children (D/ S) coverage. Based on health data of 2014, the coverage of D/ S in Sidoarjo regency was 60.4%, in the work area of ​​Puskesmas Kepadangan was 68.8%, and in Jiken village was 53.1%. One of the causes of the low numbers was the low utilization of posyandu by mothers and children under five. The purpose of the study was to analyze factors associated with the utilization of posyandu by mothers and children under five. Subjects and Method: This was an analytic observational study with a cross-sectional design. The data was conducted at Jiken Tulangan village, Sidoarjo, East Java, from November 2016 to April 2017. The source population was 112 mothers who had children aged 6 to 59 months. A sample of 88 children under five and their mothers was selected by purposive sampling. The dependent variable was posyandu utilization. The independent variables were age, education, employment status, knowledge, attitude, distance to posyandu, maternal and child health monitoring book ownership, family support, health personnel role, and community health worker’s (CHWs) role. The data were collected by questionnaire and analyzed by Chi-square test. Results: Posyandu utilization increased with higher maternal knowledge (OR= 4.28; 95%CI=1.69 to 10.86; p= 0.003), employed mothers (OR= 4.18; 95% CI= 1.68to 10.44; p= 0.003), positive maternal attitude (OR= 3.70; 95% CI= 1.53to 8.95; p= 0.006), maternal and child health monitoring book ownership (OR= 3.01; 95% CI= 1.26 to 7.21; p= 0.022), strong family support (OR= 3.80; 95% CI= 1.57 to 9.23; p= 0.005), CHW’s role (OR=8.82; 95% CI= 2.90 to 26.79; p< 0,001), health personnel support (OR=4.56; 95% CI= 1.85 to 11.16; p= 0.002), and close distance to posyandu (OR= 2.78; 95% CI= 1.13 to 6.81; p= 0.041). Conclusion: Posyandu utilization is affected by knowledge, employment status, positive attitude, maternal and child health monitoring book ownership, strong family support, CHW’s role, health personnel support, and distance to posyandu. Keywords: posyandu utilization, knowledge, attitude, family support, CHW’s role, health personnel support, distance, children under fiv

Energy Consumption of Lactating Mothers: Current Situation and Problems

Recommendations on the adequacy of nutrient intake indicate that lactating mothers have higher nutritional needs than do pregnant mothers. High nutrient intake is necessary to help mothers recover after childbirth, produce milk, and maintain the quantity and quality of breast milk. It also prevents maternal malnutrition. Research has shown, however, that the dietary energy consumption of mothers during lactation was significantly lower than that during pregnancy. The current study explored the factors associated with decreased nutritional intake during maternal lactation. The study was conducted in March&ndash;April 2013, and the subjects were mothers with infants aged &gt;6 months. Results revealed that the factors causing low dietary energy consumption among breastfeeding mothers were poor nutritional knowledge and attitude toward high energy intake requirements during lactation, lack of time to cook and eat because of infant care, reduced consumption of milk and supplements, dietary restrictions and prohibitions, and suboptimal advice from midwives/health personnel. Beginning from the antenatal care visit, health personnel should conduct effective counseling on the importance of nutrient intake during lactation. Advice should be provided not only to mothers, but also to their families to enable them to thoroughly support the mothers as they breastfeed their infants

Can social workers recognize depression in the elderly?

The purpose of this study is to explore whether social workers can recognize depression in the elderly. The elderly who are experiencing depression usually do not seek treatment from mental health professionals. Instead they go to primary care personnel in medical settings. Yet, social workers are employed in medical settings and are part of the primary care personnel. But, often the medical and/or mental health communities\u27 lack of recognition of late life depression results from the attitude that old age is innately a downward spiral into limitations, weakness, helplessness, and burdensome existence

Health Promoting Behaviors among Family Caregivers of Patients with Heart Failure

บทคัดย่อ วัตถุประสงค์: เพื่อศึกษาความสัมพันธ์ระหว่างปัจจัยส่วนบุคคลที่คัดสรร การรับรู้ความสามารถของตนเอง การรับรู้ประโยชน์ของการปฏิบัติพฤติกรรมส่งเสริมสุขภาพ การรับรู้อุปสรรคของการปฏิบัติพฤติกรรมส่งเสริมสุขภาพ และความรู้สึกนึกคิดที่สัมพันธ์กับพฤติกรรมที่ปฏิบัติ กับพฤติกรรมส่งเสริมสุขภาพของญาติผู้ดูแลผู้ป่วยหัวใจล้มเหลว วิธีการศึกษา: การวิจัยครั้งนี้เป็นการวิจัยบรรยายเชิงความสัมพันธ์ ศึกษาในกลุ่มตัวอย่างคือ ญาติผู้ดูแลผู้ป่วยหัวใจล้มเหลว จำนวน 322 คน โดยกลุ่มตัวอย่างได้มาจากการเลือกตามคุณสมบัติที่กำหนด เครื่องมือที่ใช้ในการเก็บข้อมูลเป็นแบบสอบถามประกอบด้วย 6 ส่วน ได้แก่ 1) แบบสอบถามข้อมูลส่วนบุคคล 2) แบบสอบถามการรับรู้ความสามารถของตนเอง 3)แบบสอบถามการรับรู้ประโยชน์ของการปฏิบัติพฤติกรรมส่งเสริมสุขภาพ 4) แบบสอบถามการรับรู้อุปสรรคของการปฏิบัติพฤติกรรมส่งเสริมสุขภาพ 5) แบบสอบถามความรู้สึกนึกคิดที่สัมพันธ์กับพฤติกรรมที่ปฏิบัติ และ 6) แบบสอบถามพฤติกรรมส่งเสริมสุขภาพ ซึ่งแบบสอบถามผ่านการพิจารณาจากผู้ทรงคุณวุฒิ 3 คน และมีค่าความเชื่อมั่นของแบบสอบถาม 2 – 6 มากกว่า 0.80 ทุกฉบับ วิเคราะห์ข้อมูลโดยใช้สถิติบรรยายแสดงค่าร้อยละ ค่าเฉลี่ยและค่าเบี่ยงเบนมาตรฐาน สัมประสิทธิ์สหสัมพันธ์อีต้า และสหสัมพันธ์เพียร์สัน กำหนดระดับนัยสำคัญทางสถิติที่ P &lt; 0.05 ผลการศึกษา: กลุ่มตัวอย่างส่วนใหญ่เป็นเพศหญิง อยู่ในวัยผู้ใหญ่ ระยะเวลาเป็นผู้ดูแลผู้ป่วยภาวะหัวใจล้มเหลว 1 - 4 ปี พบว่าปัจจัยส่วนบุคคลที่คัดสรรส่วนใหญ่และการรับรู้ประโยชน์ของการปฏิบัติพฤติกรรมส่งเสริมสุขภาพไม่สัมพันธ์กับพฤติกรรมส่งเสริมสุขภาพ ในขณะที่การรับรู้ความสามารถของตนเองและความรู้สึกนึกคิดที่สัมพันธ์กับพฤติกรรมที่ปฏิบัติมีความสัมพันธ์ทางบวกกับพฤติกรรมส่งเสริมสุขภาพของญาติผู้ดูแลผู้ป่วย ส่วนโรคประจำตัวและการรับรู้อุปสรรคของการปฏิบัติพฤติกรรมส่งเสริมสุขภาพมีความสัมพันธ์ทางลบกับพฤติกรรมการส่งเสริมสุขภาพของญาติผู้ดูแล สรุป: พฤติกรรมส่งเสริมสุขภาพของญาติผู้ดูแลผู้ป่วยสัมพันธ์ทางบวกกับการรับรู้ความสามารถของตนเองและความรู้สึกนึกคิดที่สัมพันธ์กับพฤติกรรม และสัมพันธ์ทางลบกับการรับรู้อุปสรรคของการปฏิบัติพฤติกรรมส่งเสริมสุขภาพ ข้อค้นพบนี้อาจใช้ชี้นำการส่งเสริมพฤติกรรมสุขภาพของญาติผู้ดูแลผู้ป่วยหัวใจล้มเหลว โดยเน้นส่งเสริมการรับรู้ความสามารถของตนเองในการปฏิบัติพฤติกรรมส่งเสริมสุขภาพของผู้ดูแล คำสำคัญ: ญาติผู้ดูแล ผู้ป่วยภาวะหัวใจล้มเหลว พฤติกรรมส่งเสริมสุขภาพ   Abstract Objective: To examine the associations between the health-promoting behaviors among family caregivers of the patients with heart failure and select personnel factors, perceived self-efficacy, perceived benefits of action, perceived barriers to action, and attitude towards action. Methods: This descriptive correlational study recruited a sample of 322 participants. The questionnaires included 1) the Personnel Data Questionnaire, 2) the Perceived Self-Efficacy Questionnaire, 3) the Perceived Benefits of Action Questionnaire, 4) the Perceived Barriers to Action Questionnaire, 5) the Attitude towards Action, and 6) the Health-Promoting Behavior Questionnaire were used for data collection. All parts of a questionnaire have been validated by three experts. The reliabilities of questionnaires parts 2 to 6 yielded a high internal consistency reliability with Cronbach’s alpha coefficients greater than 0.80 in each part. Data were analyzed by using descriptive statistics, eta coefficient, and Pearson’s product moment correlation coefficient, with P &lt; 0.05 as a statistical significance level. Results: Most of the participants were female adults. They reported 1 – 4 years of caregiving experience. Most of the select personnel factors and perceived benefits of action were not associated with the health-promoting behaviors. Although perceived self-efficacy and attitude towards action were significantly positively associated with the health-promoting behaviors, their underlying diseases and perceived barriers to action were significantly negatively associated with the health-promoting behaviors. Conclusion: Health-promoting behaviors among caregivers of heart failure patients were positively associated with perceived self-efficacy and attitude towards action, and negatively related to perceived barriers to action. The findings could guide the intervention to enhance health-promoting behaviors among these caregivers by promoting their perceived self-efficacy to perform health-promoting behaviors. Keywords: Family caregivers, patients with heart failure, health-promoting behavior

A descriptive study to assess the knowledge, attitude and practices regarding health hazards management against traffic pollution among traffic policemen working at Udaipur District.

Introduction and Aim- Traffic police personnel are suffering from many health hazards like skin irritations, varicose veins, arthropathy, photosensitivity, lung diseases, certain cardiovascular diseases, cancers etc due to their nature of duty. The aim of study was to assess the knowledge, attitude and practices regarding health hazards management against traffic pollution among traffic policemen working at Udaipur District. Methods- A descriptive study was conducted in Udaipur District and sample size was 60 traffic policemen who were working at traffic intersections. Structured knowledge questionnaire, likert scale and observational practice checklist was used as tools for data collection. Results- The findings of the study revealed that most of the traffic policemen (75%) had average knowledge, 86.5% had favourable attitude and all traffic policemen had poor practices regarding health hazards management against traffic pollution. There was positive co-relation between knowledge &amp; practices and attitude &amp; practices. Place of posting and attended any educational programme on traffic pollution and its health hazards had association with knowledge of traffic policemen and no association of attitude and practice with demographic variables. Discussion- It was concluded that traffic policemen had average knowledge, favourable attitude and poor practices regarding health hazards management against traffic pollution. Keywords: Knowledge, attitude, practices, traffic pollution, health hazards, traffic policeme

Biomedical Waste Management: A study of knowledge, attitude and practice among health care personnel at tertiary care hospital in Rajkot

Background: Bio medical waste (BMW) collection and proper disposal has become a significant concern for both the medical and general community. Effective management of biomedical waste is not only a legal necessity but also a social responsibility. Objective: To know the knowledge, attitude and practice among health care personnels working in tertiary care centre. Methods: The study was conducted from January 2013 to June 2013. It was a descriptive observational hospital based cross sectional study. Study participants included the resident doctors intern doctors, nursing staff, laboratory technicians, ward boys and sweepers working in the institute who are dealing with BMW. The study was conducted by using pretested, semi-structured proforma. The data was tabulated and interpretation was done by using percentages through Epi Info 3.5.1 software. Results: It included 123 resident doctors and interns, 92 nurses, 13 laboratory technicians, and 54 sanitary staff. Majority of study participants belongs to 21-30 years (61%) age group. More than two third of study participants working in hospital from 1 to 5 years. Only 44.3% study participants received training for bio medical waste management. HIV (74.47%) and Hepatitis B (56.03%) were the main infectious diseases transmitted by the bio medical waste. Conclusion: The importance of training regarding bio medical waste management cannnot be overemphasized, lack of proper and complete knowledge about bio medical waste management impacts practices of appropriate waste disposal

Preferences of Hungarian consumers for quality, access and price attributes of health care services — result of a discrete choice experiment

In 2010, a household survey was carried out in Hungary among 1037 respondents to study consumer preferences and willingness to pay for health care services. In this paper, we use the data from the discrete choice experiments included in the survey, to elicit the preferences of health care consumers about the choice of health care providers. Regression analysis is used to estimate the effect of the improvement of service attributes (quality, access, and price) on patients’ choice, as well as the differences among the socio-demographic groups. We also estimate the marginal willingness to pay for the improvement in attribute levels by calculating marginal rates of substitution. The results show that respondents from a village or the capital, with low education and bad health status are more driven by the changes in the price attribute when choosing between health care providers. Respondents value the good skills and reputation of the physician and the attitude of the personnel most, followed by modern equipment and maintenance of the office/hospital. Access attributes (travelling and waiting time) are less important. The method of discrete choice experiment is useful to reveal patients’ preferences, and might support the development of an evidence-based and sustainable health policy on patient payments