The Experts below are selected from a list of 360 Experts worldwide ranked by ideXlab platform
Carol Bower - One of the best experts on this subject based on the ideXlab platform.
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changes in Health Professionals knowledge attitudes and practice following provision of educational resources about prevention of prenatal alcohol exposure and fetal alcohol spectrum disorder
Paediatric and Perinatal Epidemiology, 2011Co-Authors: Janet M Payne, Elizabeth J Elliott, Heather Dantoine, C Oleary, Nadine Henley, Anne Bartu, Carol BowerAbstract:We provided Health Professionals in Western Australia (WA) with educational resources about prevention of prenatal alcohol exposure and fetal alcohol spectrum disorder and assessed changes in their knowledge, attitudes and practice concerning fetal alcohol syndrome (FAS) and alcohol consumption in pregnancy. Following our 2002 survey of Health Professionals in WA, we developed and distributed educational resources to 3348 Health Professionals in WA in 2007. Six months later we surveyed 1483 of these Health Professionals. Prevalence rate ratios [PRR] and 95% confidence intervals [CI] were calculated to compare 2007 results with results from the 2002 survey. Of the 1001 responding Health Professionals, 69.8% had seen the educational resources; of these 77.1% have used them and 48.5% said the resources had assisted them to change their practice or their intention to change their practice. Compared with 2002, there was an increase in the proportion who knew all the essential features of FAS from 11.7% to 15.8% [PRR 1.35; 95% CI 1.09, 1.67] and had diagnosed FAS, from 4.8% to 7.3% [PRR 1.52; 95% CI 1.08, 2.13]. In 2007, 98.1% of Health Professionals stated they would advise pregnant women to consider not drinking at all or advise them that no alcohol in pregnancy is the safest choice. Health Professionals surveyed in 2007 have increased their knowledge, changed their attitudes and practice about FAS, and altered the advice they give to pregnant women about alcohol consumption since our survey in 2002. It is essential that we build on this change and continue to support Health Professionals' knowledge, attitudes and practice about the prevention of prenatal alcohol exposure and fetal alcohol spectrum disorder. The educational resources for Health Professionals may be ordered as hard copies and downloaded from the internet http://www.ichr.uwa.edu.au/alcoholandpregnancy.
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Health Professionals knowledge practice and opinions about fetal alcohol syndrome and alcohol consumption in pregnancy
Australian and New Zealand Journal of Public Health, 2005Co-Authors: Jan Payne, Elizabeth J Elliott, Heather Dantoine, C Oleary, Anne Mahony, Eric Haan, Carol BowerAbstract:OBJECTIVE: To measure the knowledge, attitudes and practices of Health Professionals regarding fetal alcohol syndrome (FAS) and alcohol use during pregnancy. METHOD: A postal survey of a representative random sample of Health Professionals was conducted in Western Australia (WA) in 2002/03. 1,143 (79%) of 1,443 eligible Health Professionals completed the survey (87 Aboriginal Health Workers, 286 allied Health Professionals, 537 community nurses, 170 general practitioners and 63 obstetricians). RESULTS: Of 1,143 Health Professionals, 12% identified all four essential diagnostic features of FAS. Most (95%) had never diagnosed FAS. Although 82% believed that making a diagnosis of FAS might improve treatment plans and 85% agreed FAS was preventable, 53% said the diagnosis might be stigmatising. Only 2% felt very prepared to deal with FAS and most wanted information for themselves and their clients. Of the 659 Health Professionals caring for pregnant women, only 45% routinely ask about alcohol use in pregnancy, only 25% routinely provide information on the consequences of alcohol use in pregnancy and only 13% provide advice consistent with NHMRC guidelines on alcohol consumption in pregnancy. CONCLUSION: Health Professionals have identified the need for educational materials for themselves and their clients. IMPLICATIONS: FAS is likely to be under-ascertained in Australia due to a lack of knowledge of FAS by Health Professionals. Until this lack of knowledge is addressed, opportunities for diagnosis and prevention of FAS will be limited.
Susan Bewley - One of the best experts on this subject based on the ideXlab platform.
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experiences of seeking help from Health Professionals in a sample of women who experienced domestic violence
Health & Social Care in The Community, 2003Co-Authors: Loraine J Bacchus, Gill Mezey, Susan BewleyAbstract:The present paper describes a qualitative study of women who suffered domestic violence. The aim was to explore their experiences of seeking help from Health Professionals and assess their psychological Health. Purposive sampling was used to select a subsample from a larger sample of women who were screened for domestic violence as part of a study undertaken at Guy's and St Thomas' Hospitals in London, UK. In-depth, semi-structured interviews were conducted with the subsample of women during the postpartum period (up to 14 months). Interviews were conducted in women's homes and general practitioners' (GPs) surgeries. The sample consisted of 10 women who had experienced domestic violence in the past 12 months (including the current pregnancy), and six women who had experienced domestic violence in the past 12 months but not the current pregnancy. The main outcome measures included: women's experiences of seeking help from Health Professionals; and assessment for postnatal depression, post-traumatic stress disorder (PTSD) and psychological distress. Women scored highly on measures of postnatal depression and PTSD. With regard to seeking help, there was a tendency for women to regard GPs, and accident and emergency staff as less helpful compared with Health visitors in responding to domestic violence. Lack of privacy, continuity of care and time constraints were dominant themes which emerged from women's contacts with Health Professionals. Very few women voluntarily disclosed domestic violence to a Health professional and even fewer were asked directly about domestic violence by one. It is important for Health Professionals to enquire about domestic violence in a sensitive manner and provide a response that takes into accounts the complexity of women's needs. Domestic violence training is necessary to equip Health Professionals with the knowledge and skills they need to respond to domestic violence more effectively.
Xun Wang - One of the best experts on this subject based on the ideXlab platform.
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impact of international experience on research capacity of chinese Health Professionals
Globalization and Health, 2015Co-Authors: Liming Zhang, Xun WangAbstract:Context It is common practice worldwide for Health Professionals to study abroad. However, the outcome of such experience has not been rigorously evaluated in China. Our current study aimed to quantify the impact on research of studying abroad among Chinese Health Professionals.
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impact of international experience on research capacity of chinese Health Professionals
Globalization and Health, 2015Co-Authors: Tingjiao Liu, Liming Zhang, Lina Sun, Xun WangAbstract:It is common practice worldwide for Health Professionals to study abroad. However, the outcome of such experience has not been rigorously evaluated in China. Our current study aimed to quantify the impact on research of studying abroad among Chinese Health Professionals. A self-administered structured questionnaire was developed among Health Professionals in Harbin Medical University and its affiliated hospitals who had studied abroad (‘returning’ Professionals) and Health Professionals who did not have experience abroad (‘resident’ Professionals). 166 ‘returning’ Professionals (Group A) and 166 age-, sex- and specialty-matched ‘resident’ Professionals (Group B) were included in the study. SPSS software was used for data entry and analysis. The total IF of papers published by Group A and Group B was, respectively, 1933.52 and 629.23 (P 0.05). The total IF of papers published at home, and the number of NSFC had no relationship with the duration abroad (both P > 0.05) nor the age of going abroad (both P > 0.05). The total IF of papers published at home and the number of NSFC were positively correlated with the total IF of papers published abroad (both P < 0.01). This study reflects the beneficial experience of working overseas. The opportunity for overseas experience should not be limited by age. Overseas study should be prolonged.
Greg Rowles - One of the best experts on this subject based on the ideXlab platform.
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communicating with parents about vaccination a framework for Health Professionals
BMC Pediatrics, 2012Co-Authors: Julie Leask, Paul Richard Kinnersley, Cath Jackson, Francine M Cheater, Helen Bedford, Greg RowlesAbstract:A critical factor shaping parental attitudes to vaccination is the parent’s interactions with Health Professionals. An effective interaction can address the concerns of vaccine supportive parents and motivate a hesitant parent towards vaccine acceptance. Poor communication can contribute to rejection of vaccinations or dissatisfaction with care. We sought to provide a framework for Health Professionals when communicating with parents about vaccination. Literature review to identify a spectrum of parent attitudes or ‘positions’ on childhood vaccination with estimates of the proportion of each group based on population studies. Development of a framework related to each parental position with determination of key indicators, goals and strategies based on communication science, motivational interviewing and valid consent principles. Five distinct parental groups were identified: the ‘unquestioning acceptor’ (30–40%), the ‘cautious acceptor’ (25–35%); the ‘hesitant’ (20–30%); the ‘late or selective vaccinator’ (2–27%); and the ‘refuser’ of all vaccines (<2%). The goals of the encounter with each group will vary, depending on the parents’ readiness to vaccinate. In all encounters, Health Professionals should build rapport, accept questions and concerns, and facilitate valid consent. For the hesitant, late or selective vaccinators, or refusers, strategies should include use of a guiding style and eliciting the parent’s own motivations to vaccinate while, avoiding excessive persuasion and adversarial debates. It may be necessary to book another appointment or offer attendance at a specialised adverse events clinic. Good information resources should also be used. Health Professionals have a central role in maintaining public trust in vaccination, including addressing parents’ concerns. These recommendations are tailored to specific parental positions on vaccination and provide a structured approach to assist Professionals. They advocate respectful interactions that aim to guide parents towards quality decisions.
Conrad V Fernandez - One of the best experts on this subject based on the ideXlab platform.
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complementary and alternative therapies survey of knowledge and attitudes of Health Professionals at a tertiary pediatric women s care facility
Complementary Therapies in Clinical Practice, 2007Co-Authors: Janis Brown, Elizabeth Cooper, Lyn Frankton, Michelle Steeveswall, Jane Gillisring, Wanda Barter, Ann Mccabe, Conrad V FernandezAbstract:Nurses, physicians, and allied Health Professionals at the IWK Health Centre, Halifax, NS, Canada, a tertiary care, regional center for a population of 2.5 million were surveyed. We examined personal attitudes and professional practice in addressing the use of complementary and alternative medicine (CAM) use by patients. We also examined the availability of CAM-related information to Health Professionals. The findings suggest that Health Professionals: (1) are supportive of the use of selected CAM therapies by patients; (2) have almost no personal experience of CAM; (3) have limited knowledge about CAM and acquire that information mainly from the Internet, friends or family rather than professional journals; (4) are uncomfortable discussing CAM with patients and; (5) rarely or never ask patients about CAM use. We have identified barriers for Health Professionals to effective communication about CAM use by their patients and families. Improved access to existing policies and scientific publications, and specific continuing professional development opportunities focused on speaking openly and non-judgmentally with patients are likely to enhance accurate guidance of patients in the highly prevalent use of CAM.
