Knowledge Level of the Primary Healthcare Providers on Chronic Obstructive Pulmonary Disease and Pulmonary Rehabilitation

Göktalay, Tuğba; Tuncal, Ayşe Nur; Sarı, Seçil; Köroğlu, Galip; Havlucu, Yavuz; Yorgancıoğlu, Arzu

doi:10.1155/2015/538246

Cited by 14 publications

(14 citation statements)

References 10 publications

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“…In addition to gaps in knowledge and skills, Ugandan primary care is hampered by lack of continuity in the diagnosing of chronic respiratory problems as well as by lack of skills building of technological diagnostic procedures. Studies from other countries have also shown gaps in knowledge and skills among primary care clinicians for managing patients presenting with chronic respiratory symptoms [32]. For example , Yawn, et al 2008 found that primary care physicians, Nurse Practitioners (NPs), and Physician Assistants (PAs) working in some parts of the US lacked awareness of COPD guidelines [33], and a similar problem was detected in the UK amongst practice nurses many of whom lacked confidence and training [34].…”

Section: Discussionmentioning

confidence: 99%

Training needs for Ugandan primary care health workers in management of respiratory diseases: a cross sectional survey

Nantanda

Kayingo

Jones³

et al. 2020

BMC Health Serv Res

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Background: Respiratory diseases are among the leading causes of morbidity and mortality in Uganda, but there is little attention and capacity for management of chronic respiratory diseases in the health programmes. This survey assessed gaps in knowledge and skills among healthcare workers in managing respiratory illnesses. Methods: A cross sectional study was conducted among primary care health workers, specialist physicians and healthcare planners to assess gaps in knowledge and skills and, training needs in managing respiratory illnesses. The perspectives of patients with respiratory diseases were also sought. Data were collected using questionnaires, patient panel discussions and review of pre-service training curricula for clinicians and nurses. Survey Monkey was used to collect data and descriptive statistical analysis was undertaken for quantitative data, while thematic content analysis techniques were utilized to analyze qualitative data. Results: A total of 104 respondents participated in the survey and of these, 76.9% (80/104) were primary care health workers, 16.3% (17/104) specialist clinicians and 6.7% (7/104) healthcare planners. Over 90% of the respondents indicated that more than half of the patients in their clinics presented with respiratory symptoms. More than half (52%) of the primary care health workers were not comfortable in managing chronic respiratory diseases like asthma and COPD. Only 4% of them were comfortable performing procedures like pulse oximetry, nebulization, and interpreting x-rays. Majority (75%) of the primary care health workers had received in-service training but only 4% of the sessions focused on respiratory diseases. The pre-service training curricula included a wide scope of respiratory diseases, but the actual training had not sufficiently prepared health workers to manage respiratory diseases. The patients were unsatisfied with the care in primary care and reported that they were often treated for the wrong illnesses. Conclusions: Respiratory illnesses contribute significantly to the burden of diseases in primary care facilities in Uganda. Management of patients with respiratory diseases remains a challenge partially because of inadequate knowledge and skills of the primary care health workers. A training programme to improve the competences of health workers in respiratory medicine is highly recommended.

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Section: Discussionmentioning

confidence: 99%

Training needs for Ugandan primary care health workers in management of respiratory diseases: a cross sectional survey

Nantanda

Kayingo

Jones³

et al. 2020

BMC Health Serv Res

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“…Education and training programs are recommended even for pulmonologists in recent guidelines [33]. In a study conducted in Turkey, primary healthcare providers such as family practitioners and homecare staff were found to have inadequate information about COPD and PR [34]. In a Turkish survey study, it was reported that the levels of knowledge of chest physicians about PR was substantially in the range of low to moderate in a small city of Turkey [35].…”

Section: Discussionmentioning

confidence: 99%

Patients with COPD who underwent pulmonary rehabilitation in Turkey: prevalence, distribution, and mortality.

et al. 2020

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Background: Pulmonary rehabilitation (PR) is an effective, evidenced-based treatment. Despite its proven effect, it is still underused. The aim of this study was to present the number of patients with chronic obstructive pulmonary disease (COPD) who underwent PR, general mortality percentages, the rate of patients prescribed PR by pulmonologists, and the distribution of institutions where PR was performed between 2008 and 2016 in Turkey. Materials and methods: The documents were obtained from Turkish Institution of Social Insurance. Ages, sexes, and numbers of patients with COPD who underwent PR between 2008 and 2016 were recorded. The number of patients with COPD who had been prescribed PR by physicians and the type of hospitals in which these patients underwent PR were identified. The general annual and the general total mortality rates between 2008 and 2016 among patients with COPD who underwent PR in 2008 were also determined. Results: The mean age ranges of patients with COPD who underwent PR were 67.4 ± 12.3 to 72.0 ± 13.2 years, and 62.2% (n = 60,852) of patients were male. The number of patients increased progressively from 3,214 to 18,664. The rate of patients prescribed PR programs between 2008 and 2016 was between 0.32% and 0.59% among all registered patients with COPD. Between 52.0% and 94.8% (5,488/10,549 and 16,792/17,707 patients, respectively) of the programs were prescribed by a pulmonologist, and 62.9% (n = 62,613) of patients received PR in secondary public hospitals. The general annual mortality rates were between 6.2% and 11.1% (115/1,855 and 358/3,214 patients) in patients who underwent PR in 2008, and the general total mortality rate was 52.8% (1,696/3,214 patients) over the 9-year period in the same patient group. Conclusion: PR was still an underutilized approach in Turkey between 2008 and 2016. The awareness of PR should be increased in our country. In order to achieve this, we think that PR should be within the scope of health policies.

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“…Studies from other countries have also shown gaps in knowledge and skills among primary care clinicians for managing patients presenting with chronic respiratory symptoms [32]. For example, Yawn, et al 2008 found that primary care physicians, Nurse Practitioners (NPs), and Physician Assistants (PAs) working in some parts of the US lacked awareness of COPD guidelines [33], and a similar problem was detected in the UK amongst practice nurses many of whom lacked confidence and training [34].…”

Section: Discussionmentioning

confidence: 99%

Training needs for Ugandan primary care health workers in management of respiratory diseases: a cross sectional survey

Nantanda

Kayingo

Jones

et al. 2019

Preprint

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Background Respiratory diseases are among the leading causes of morbidity and mortality in Uganda, but there is little attention to chronic respiratory diseases in the health programmes. In general, there is limited capacity and clinical experience for chronic illness. This survey assessed the gaps in knowledge and skills, among healthcare workers in managing respiratory illnesses.Methods A cross sectional study was conducted among primary care health workers, specialist physicians and health care planners to assess gaps in knowledge and skills as well as training needs in managing respiratory illnesses. The perspectives of patients with respiratory diseases were also sought. Data were collected using questionnaires, patient panel discussions and review of pre-service training curricula for clinicians, nurses and midwives. Survey Monkey was used to collect survey data. Descriptive statistical analysis was undertaken for quantitative data, and thematic content analysis for qualitative data.Results A total of 104 respondents participated in the survey and of these, 76.9% (80/104) were primary care health workers, 16.3% (17/104) specialists and 6.7% (7/104) healthcare planners. Over 90% of the respondents indicated that more than half of their patients presented with respiratory symptoms. More than half (52%) of the primary care health workers were not comfortable in diagnosing and managing chronic respiratory diseases like asthma and COPD. Only 4% of them were comfortable performing procedures like pulse oximetry, nebulization, and interpreting x-rays. Majority (75%) of the primary care health workers had received in-service training but only 4% of the sessions focused on respiratory diseases. The clinicians indicated that the pre-service training curricula included a wide scope of respiratory diseases, but the actual training had not sufficiently prepared them to manage respiratory diseases. The patients were unsatisfied with the care in primary care facilities and reported that they were often treated for the wrong illnesses.Conclusions Respiratory illnesses contribute significantly to the burden of diseases in primary care facilities in Uganda. Management of patients with respiratory diseases remains a challenge partially because of inadequate knowledge and skills of the primary care health workers. A training programme to improve the competences of health workers in respiratory medicine is highly recommended.

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Knowledge Level of the Primary Healthcare Providers on Chronic Obstructive Pulmonary Disease and Pulmonary Rehabilitation

Cited by 14 publications

References 10 publications

Training needs for Ugandan primary care health workers in management of respiratory diseases: a cross sectional survey

Training needs for Ugandan primary care health workers in management of respiratory diseases: a cross sectional survey

Patients with COPD who underwent pulmonary rehabilitation in Turkey: prevalence, distribution, and mortality.

Training needs for Ugandan primary care health workers in management of respiratory diseases: a cross sectional survey

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