Investigating factors influencing patient trust in a developing Pacific Island Country, Fiji, 2018

Chandra, Swastika; Mohammadnezhad, Masoud

doi:10.1016/j.heliyon.2020.e05680

Cited by 5 publications

(4 citation statements)

References 41 publications

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“…Despite the current evidence on the positive impact of patient trust on health outcomes (Chandra & Mohammadnezhad, 2020), there are no studies that have been conducted in Ethiopia. Thus, we are the first to conduct patient trust in HCPs among hospitalized patients at the Jimma medical center, Ethiopia.…”

Section: Discussionmentioning

confidence: 99%

Patients’ Trust in Health Care Providers Among Hospitalized Patients, Jimma, South West Ethiopia

et al. 2023

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Introduction Trust is a fundamental aspect of the patient–health care provider (HCP) relationship associated with adherence to medical treatment and continuity of follow-up. Despite its importance there is a paucity of information in Ethiopia. Objectives This study aimed to assess patient trust in HCPs at the Jimma medical center (JMC), Ethiopia. Methods An institution based cross-sectional study was conducted among 404 participants from April 16 to June 29, 2020. Study participants were selected using a systematic sampling technique. Data were collected on socio-demographic characteristics, health related and clinical characteristics, and patient trust in the patient–HCP. The collected data were entered into Epi-Data version 3.1 then exported to SPSS version 23.0 for analysis. Variables with a p-value <.25 on bivariate analysis were considered as candidates for multivariate analyses. Statistical significance on multivariable analysis was declared with p-value < .05 and 95% confidence intervals (CI). Results In our study, 38% of patients had low trust. Among the 397 study participants, 46.6% were female. One-third (33.2%) of respondents had no formal education. Patients who live alone [(AOR) 4.30(1.98–9.33), p = .00], and self-reported as a poor current health status [(AOR) 2.32(1.39–3.88), p = .002] were positively associated to patient trust in patient–HCP. On the other hand, duration of disease more than one year after diagnosis [(AOR) 0.48 (0.25–0.92), p = .028], comorbid disease [(AOR) 0.39(0.22−0.67), p = .001], and impaired physical mobility [(AOR) 0.27(0.16−0.45), p = .001] were negatively associated with patient trust in HCP. Conclusion This study pinpoints that 38 out of 100 patients had low trust. Living alone and having poor self-reported current health status increased low trust. This calls for HCPs to rebuild trust and give due attention to patients living alone and with poor health status.

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Section: Discussionmentioning

confidence: 99%

Patients’ Trust in Health Care Providers Among Hospitalized Patients, Jimma, South West Ethiopia

et al. 2023

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“…HCWs answering questions and concerns would enhance trust towards the provider and compliance with immunization and that providers should not have a dismissive or authoritative attitude and let parents initiate the topic of vaccines and concerns [38]. Respect for HCWs and their profession influences the trust [39] and the attitudes of HCWs towards the parents are important motivators for parent in taking advantage of the immunization services [40]. Studies have shown that for parents' trust was more important than individual attitudes regarding vaccine behavior and also as vaccine decisionmaking is a process and not a snap decision, therefore it is important for a provider to establish trust and develop rapport as way of balancing power between the patient and provider and allow the patient to lead the vaccine discussion [38].…”

Section: Barriers and Challengesmentioning

confidence: 99%

“…HCWs have obligations to work for the betterment of their clients, being trustworthy, have a high level of clinical and judgement skills and fulfilling legal obligations [39].Parents believe in the protective effect of vaccines and follow the advice of their children's health care which indicated the critical opportunity for doctors and HCWs to respond to parental concerns about vaccine safety [42], with vaccine safety noted to be the main concern for most parents [43]. Immunization providers and other HCWs have an important role to play in the decisionmaking process of parents by providing complete information on vaccines, especially the risks and benefits [44].…”

Section: Hcws Knowledge and Attitudementioning

confidence: 99%

“…There needs to be effective strategies developed to confront vaccine hesitancy and reliable and trustworthy sources available for parents to access information regarding immunization and vaccines [43]. HCWs should further strengthen their interpersonal and communication skills [39] and given the pivotal role that HCWs play in parental immunization decision-making, further investigations into how providers communicate with vaccine hesitant parents is the important first step in determining which communication practices are effective [41].…”

Section: Hcws Knowledge and Attitudementioning

confidence: 99%

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Perceptions of Healthcare Workers (HCWs) towards childhood immunization and immunization services in Fiji: a qualitative study

Balgovind

Mohammadnezhad

2022

BMC Pediatr

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Introduction Childhood immunization has been globally recognized as the single most effective strategy in preventing childhood diseases and mortality. The perceptions of healthcare workers are important as their behavior and attitudes influence parental decision–making process. This research aimed to explore the factors that influence healthcare workers’ experience and perceptions about delivering childhood immunization in Fiji. Materials and methods A qualitative study was conducted in three randomly selected health centers in Suva, Fiji from March 1st to April 5th, 2021. Five focus group discussions were conducted with healthcare workers who were chosen purposively, had worked in the health center for at least 6 months and included either gender. Those that did not consent or did not meet the inclusion criteria were excluded. The interviews were guided by semi–structured open–ended questionnaire and were recorded into a digital voice recorder. The data were coded, sorted, and then categorized into themes, and transcribed onto Microsoft Word. Thematic analysis was utilized to sort the key phrases from the recorded interviews. Results There were a total of 22 participants for the focus group discussions, with their ages ranging from 25 to 51 years, included 3 medical officers, 1 nurse practitioner and 18 registered nurses. Three major themes emerged, which included: healthcare worker factors, parental factors and health system factors. Subthemes identified from the healthcare worker factors were worker knowledge and attitudes. The subtheme for parental factors that emerged were defaulters, parental attitudes, perceived behavior and religious beliefs. For health system factors the subthemes were service delivery, registration, infrastructure, staff turnover, staff training and changes to the immunization schedule. Conclusion Some of the perceived barriers reported by the healthcare workers were parental religious beliefs, parental knowledge and attitude, social or physical factors (finances, transportation, childcare and work conflicts), access to health services, immunization services and policies, hours of operation, waiting time and missed opportunities. Health workers acknowledged that they have an important role to play in immunization as they are the source of information and motivation for parents. Further studies are needed to be conducted nationally to determine the perceptions of healthcare workers towards immunization and how the services can be improved on a national level.

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Towards the Green Analytics: Design and Development of Sustainable Drinking Water Quality Monitoring System for Shekhawati Region in Rajasthan

Khatri

Gupta

et al. 2021

MAPAN

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Investigating factors influencing patient trust in a developing Pacific Island Country, Fiji, 2018

Cited by 5 publications

References 41 publications

Patients’ Trust in Health Care Providers Among Hospitalized Patients, Jimma, South West Ethiopia

Patients’ Trust in Health Care Providers Among Hospitalized Patients, Jimma, South West Ethiopia

Perceptions of Healthcare Workers (HCWs) towards childhood immunization and immunization services in Fiji: a qualitative study

Towards the Green Analytics: Design and Development of Sustainable Drinking Water Quality Monitoring System for Shekhawati Region in Rajasthan

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