Knowledge, attitude, and practice toward value-based care among Chinese nurse: a cross-sectional study
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ABSTRACT:
SUBMITTER: Li Y
PROVIDER: S-EPMC11346283 | biostudies-literature | 2024 Jan
REPOSITORIES: biostudies-literature
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| S-EPMC10908786 | biostudies-literature
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| S-EPMC11685201 | biostudies-literature
Project description:The Taiwanese government has promoted palliative care consultation services (PCCS) to support terminally ill patients in acute ward settings to receive palliative care since 2005. Such an intervention can enhance the quality of life and dignity of terminally ill patients. However, research focusing on the relationship between the knowledge, attitude and practice of a PCCS using path modelling in nursing staff is limited. Therefore, the aim of this study was to elucidate the effect of path modeling on the knowledge, attitude and practice toward PCCS in Taiwanese nursing staff.This was a cross-sectional, descriptive study design using convenience sampling. Data collected included demographics, knowledge, attitude and practice as measured by the PCCS inventory (KAP-PCCSI). Two hundred and eighty-four nursing staff from a medical center in northern Taiwan participated in the study in 2013. We performed descriptive statistics, regression analysis, and path modeling using SPSS 19.0 and set p < 0.05 as the statistical significance threshold.The results showed that the identical factor significantly associated with knowledge, attitude, and practice toward PCCS among nurses was the frequency of contact with PCCS. In addition, higher level of knowledge toward PCCS was associated with working in haematology and oncology wards, and participation in education related to palliative care. A more positive attitude toward PCCS was associated with working in a haematology and oncology ward, and experience of friends or relatives dying. Higher level of practice toward PCCS was associated with nurses who participated in education related to palliative care. In the path modeling, we found that holders of a master's degree indirectly positive affected practice toward PCCS. Possession of a bachelor degree or above, being single, working within a haematology and oncology ward, and frequency of contact with PCCS positively affected practice toward PCCS.Based on this study, it is proposed that consultation with PCCS has a positive impact on the care of terminally ill patients. Encouragement of staff to undertake further education can improve the practice of ward staff providing palliative care.
| S-EPMC5561561 | biostudies-other
Project description:BackgroundSodium benzoate, a common food preservative, may harm fetuses, which could increase the safety concern for pregnant women, but the knowledge, attitude, and practice (KAP) of food preservatives' impact on health among pregnant women is limited. This study explored the KAP of pregnant women regarding food preservatives.MethodsThis cross-sectional study was conducted in Henan Province between March and April 2023 among pregnant women. An investigated-designed questionnaire was administered to collect the demographic characteristics and KAP scores. Scores of < 60%, 60-79%, and ≥ 80% were considered poor, moderate, and good, respectively.ResultsThe study collected 515 valid questionnaires [303 (58.83%) < 30-years-old participants] for analysis. The knowledge, attitude, and practice scores were 10.21 ± 2.90 (/17; 60.06%), 29.59 ± 2.73 (/40; 73.98%), and 22.86 ± 3.56 (/30; 76.20%), respectively. The structural equation model (SEM) showed that the knowledge of food preservatives directly affected attitudes (β = 0.168, P = 0.005) and practice (β = 0.250, P = 0.021) and indirectly affected practice (β = 0.047, P = 0.004). The attitudes toward food preservatives directly affected practice (β = 0.280, P = 0.021).ConclusionPregnant women in Henan Province have moderate knowledge, attitudes, and practices toward food preservatives. Education interventions are needed to improve the knowledge gaps identified in this study, which could also be encountered in other regions.Trial registrationNot applicable.
| S-EPMC11921639 | biostudies-literature
Project description:ObjectiveTo explore the knowledge, attitude, and practice (KAP) toward interstitial lung disease (ILD) among patients and analyze the factors affecting KAP.MethodsThis cross-sectional study enrolled patients with ILD treated at the Respiratory Department of Shanghai Pulmonary Hospital between January 2023 and June 2023. A self-administered questionnaire was developed to evaluate their KAP toward ILD through convenient sampling. Multivariate regression analysis and structural equation model (SEM) were used to analyze the factors influencing KAP and their interactions.ResultsA total of 397 patients were enrolled, with 61.71% male. The mean KAP scores were 4.60 ± 3.10 (possible range: 0-12), 16.97 ± 2.16 (possible range: 5-25), and 32.60 ± 7.16 (possible range: 9-45), respectively. Multivariate logistic regression analysis showed that junior high school [OR = 2.003, 95%CI: 1.056-3.798, p = 0.033], high school and above [OR = 2.629, 95%CI: 1.315-5.258, p = 0.006], and duration of disease ≥5 years [OR = 1.857, 95%CI: 1.132-3.046, p = 0.014] were independently associated with adequate knowledge. The knowledge [OR = 1.108, 95%CI: 1.032-1.189, p = 0.005] and duration of disease ≥5 years [OR = 0.525, 95%CI: 0.317-0.869, p = 0.012] were independently associated with a positive attitude. The knowledge [OR = 1.116, 95%CI: 1.036-1.202, p = 0.004], attitude [OR = 1.180, 95%CI: 1.061-1.312, p = 0.002], and the age of >70 years [OR = 0.447, 95%CI: 0.245-0.817, p = 0.009] were independently associated with the proactive practice. SEM showed that patients' knowledge of ILD directly affected their attitude (β = 0.842, p < 0.001) and practice (β = 0.363, p < 0.001), and their attitude also affected their practice (β = 0.347, p = 0.014).ConclusionPatients with ILD in China had poor knowledge, intermediate attitude, and proactive practice toward ILD, which suggests that the health education of patients should be further strengthened.
| S-EPMC11222668 | biostudies-literature
Project description:BackgroundNurses represent China's largest healthcare workforce. Nurse practitioners (NPs) play an essential role in providing cost-effective quality healthcare and bridging the healthcare gaps. However, NPs are relatively new in China, and limited evidence exists on senior nurses' knowledge of and attitudes toward NPs.AimsThis study aimed to describe senior nurses' knowledge, attitudes, and perceived facilitators and barriers of NPs in China using a self-designed, culturally adaptive questionnaire.MethodsA cross-sectional online survey was conducted among 412 senior nurses in Hunan Province from December 2021 to January 2022. The Knowledge and Attitudes towards Nurse Practitioners Questionnaire (KANPQ) was developed based on the Delphi method, which included 30 items under three dimensions: knowledge (22 items), attitude (2 items), and perceived facilitators and barriers (6 items). Multivariate linear regression was conducted to explore factors associated with senior nurses' attitudes toward NPs.ResultsThe average KANPQ knowledge score was 68.56 ± 22.69, with 55.09%,10.20%, and 34.71% of participants showing good, moderate, and poor levels of knowledge, respectively. The average KANPQ attitude score was 7.79 ± 1.72, with 65.3% thinking NPs were necessary and 69.9% expressing willingness to become NPs. Nurses with higher professional titles and better knowledge of NPs had more positive attitudes toward NPs. The three most frequently mentioned barriers to NP implementation were patient trust, laws, and education.ConclusionsApproximately one-third of senior nurses have poor knowledge and negative attitudes toward NPs, indicating much room for improvement. Strengthening the education and training of NPs, especially among those with lower professional titles and lower knowledge of NPs, may help improve their knowledge and attitudes toward NPs. In addition, continuous political, social, economic, and individual efforts are needed to facilitate the successful development of NPs in China.
| S-EPMC11346258 | biostudies-literature
Project description:BackgroundPatients still experience unnecessary pain in many hospitals, especially after surgery, despite increasing awareness of pain management in many healthcare settings. Unrelieved postoperative pain has been shown to increase the incidence of postoperative complications (such as atelectasis, pneumonia, thromboembolism, and impaired immune function. Little known and not known, evidence to understand gaps in nurses' attitudes and practices regarding postoperative pain management in our hospital.MethodsA descriptive cross-sectional study was performed with 144 nurses A systematic random sampling technique was used to select study participants. Data were collected using a self-administered and verified structured questionnaire; Data were entered and analyzed using SPSS software version 24. Descriptive results are presented by frequency, percentage, mean, bar graph, and pie chart.ResultsOverall results from 144 study participants showed that nurses had good knowledge 78 (54.2%), favorable attitudes 67 (60.4%), and practice 81 (56). %) on pain management after surgery. In terms of nurse training, 60 (41.7%) have a bachelor's degree holders and only 34 (23.6%) nurses are trained in postoperative pain management.ConclusionsIn this study, the nurses' overall knowledge of postoperative management was good, with favorable attitudes and good practices. But the level of knowledge, attitude, and practice according to the research are only average; therefore, it will make it possible to recommends to the responsible authorities of universities, hospitals, and nurses to organize continuing education.
| S-EPMC9758382 | biostudies-literature
Project description:BackgroundThis study aimed to investigate the knowledge, attitude, and practice (KAP) toward oral health management among orthodontic patients.MethodsA cross-sectional study on orthodontic patients was conducted at Suzhou Dushu Lake Hospital from December 20, 2023, to March 19, 2024. Demographic data and KAP scores were collected using self-designed questionnaires. The cutoff for adequate KAP dimension scores was 70%.ResultsThe study included 418 orthodontic patients, of whom 274 (65.55%) were female, and 144 (34.45%) were male. The average age was 32.70 ± 8.47 years (33.72 ± 8.46 in females and 32.17 ± 8.44 in males). The mean knowledge, attitude, and practice scores were 11.80 ± 4.06 (possible range: 0-16), 27.00 ± 3.18 (possible range: 6-30), and 31.13 ± 6.01 (possible range: 8-40), respectively. The proportions of participants who scored above a cutoff of 70% were 247 (59.09%) for knowledge, 403 (96.41%) for attitude, and 290 (69.38%) for practice. Multivariate logistic regression showed that knowledge score (OR = 1.243, 95% CI: [1.152-1.342], P < 0.001), attitude score (OR = 1.255, 95% CI: [1.140-1.381], P < 0.001), and wearing an appliance for 3 to 6 months (OR = 4.309, 95% CI: [1.565-11.861], P = 0.005) were independently linked to proactive practice. Structural equation modeling demonstrated that knowledge directly influenced attitude (β = 0.684, P < 0.001) and practice (β = 0.527, P < 0.001), while attitude had a direct impact on practice (β = 0.587, P < 0.001).ConclusionsThe majority of orthodontic patients demonstrated adequate knowledge, positive attitudes, and proactive practices toward oral health management. Nonetheless, continuous education is still essential for certain groups, such as recently fitted orthodontic patients, to ensure sustained improvement in oral health outcomes.
| S-EPMC11658226 | biostudies-literature
Project description:BackgroundPalliative care is defined as basic care that is provided for patients who suffer from pain and suffering due to illness. These cares are primarily provided by nurses, so their knowledge and attitude play a significant role in this area. In this study, the aim was to investigate nurses' knowledge and attitudes regarding palliative and supportive care, as well as related factors.MethodsThe present study is a cross-sectional, descriptive study that was conducted on 370 nurses working in Shahid Behaeshti hospital randomly selected between February to May 2023 in Kashan, Iran. The questionnaire of demographic and professional information, knowledge and attitude was completed by the samples in the form of self-reporting. The data were analyzed using descriptive statistics, independent sample t-tests and univariate regression.ResultsThe mean knowledge score of nurses was 10.16 ± 2.16, and the attitude score was 55.32 ± 10.56. Knowledge scores were higher for nurses (p = 0.02), nurses with experience caring for dying patients (p = 0.002), and nurses with job satisfaction (p = 0.02). The mean attitude score among nurses who attended a palliative care training course was also higher (p = 0.03). There were several predictors of knowledge, including age, bachelor's degree, experience caring for a dying patient, being a head nurse, and job satisfaction (R2 = 0.062, Adjusted R = 0.055, p < 0.05). It was determined that work experience, experience with an ill patient, palliative care training and feeling the need to have training as predictors of attitudes towards palliative care (R2 = 0.129, Adjusted R = 0.110, p < 0.05).ConclusionsIt is concluded that holding palliative care training courses and paying attention to the obstacles that prevent the implementation of this care are necessary and important in order to improve nurses' knowledge and attitudes.
| S-EPMC11667887 | biostudies-literature
Project description:Background Nonsteroidal anti-inflammatory drugs (NSAIDs) are common drugs in patients with osteoarthritis (OA). NSAIDs are generally used at home by patients, without supervision, requiring proper knowledge and attitudes for correct practice. This study investigated the knowledge, attitude, and practice (KAP) of patients with OA toward NSAIDs. Methods This cross-sectional study enrolled patients with OA at the Qingpu Branch of Zhongshan Hospital of Fudan University between January and March 2024. The KAP scores and demographic information of respondents were collected through a self-designed questionnaire. Results There were 645 participants, with 579 (89.8%) over 45 years old and 394 (61.1%) females. The average scores for knowledge, attitude, and practice were 16.26 ± 3.79 (possible range: 0-24), 18.12 ± 1.99 (possible range: 5-35), and 29.20 ± 5.52 (possible range: 10-50), respectively. The structural equation model (SEM) found that for individuals currently using NSAIDs, the attitude had a direct effect on practice (β = 0.978, P < 0.001). For individuals not using NSAIDs, the attitude had a direct effect on practice (β = 0.936, P < 0.001). Conclusion This study suggested that adequate NSAID knowledge is the prerequisite for correct NSAID-related medical decisions, while attitude has a crucial intermediary effect. Healthcare professionals and society should strengthen education regarding the relevant knowledge of NSAIDs and guide the cultivation of positive attitudes toward NSAIDs.
| S-EPMC11496538 | biostudies-literature