Implementation of palliative care for patients with terminal diseases from the viewpoint of healthcare personnel

Arisanti, Nita; Sasongko, Elsa Pudji Setiawati; Pandia, Veranita; Hilmanto, Dany

doi:10.1186/s13104-019-4260-x

Cited by 15 publications

(36 citation statements)

References 21 publications

(27 reference statements)

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“…A previous report described the use of mHealth services by midwives collaborating with CHWs [ 16 ]. Some studies have noted the use of mHealth to help provide healthcare services for patients and families [ 7 ], including for palliative care [ 17 , 18 ], which further highlights the pivotal role of mHealth [ 19 ]. A recent literature review identified that data collection may be the main challenge in many community programs and that using mHealth should be included in the training of CHWs [ 9 ] so they can provide more effective support [ 20 ].…”

Section: Introductionmentioning

confidence: 99%

Understanding mobile application development and implementation for monitoring Posyandu data in Indonesia: a 3-year hybrid action study to build “a bridge” from the community to the national scale

et al. 2021

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Background Limited information is available on how mobile health (mHealth) application (app) technology on mother and child health (MCH) is developed. This research aimed (a) to explore the process of developing mobile apps for MCH community-based services in the Indonesian setting of Pos Pelayanan Terpadu (Posyandu/Integrated Health Service Post), (b) to determine the feasibility of using the app by community health workers (CHWs), and (c) to evaluate the scalability of the mobile app at the national level in Indonesia. Methods A hybrid method was used to synergistically combine the action research principles and mixed methods comprising qualitative and quantitative methods. This study was conducted in the Pasawahan District, Purwakarta, Indonesia, from 2017 to 2019. Content analysis, coding, and categorizing were performed using NVivo 12 Pro for transcribed data. The Wilcoxon test (2018 and 2019) was conducted using STATA 15 Special Edition. Results (1) The use of a CHW notebook for data entry into the Posyandu Information System book delayed the data reporting process, resulting in the need to develop a mobile app. (2) There were significant differences in CHWs’ knowledge (p = 0.000) and skills (p = 0.0097) on training (2018) and Posyandu phases (2019). (3) A total of 964 Posyandu have been registered in the Posyandu mobile app from almost all provinces in Indonesia. Conclusions The three-year hybrid approach includes the crucial phases that are necessary to develop a mobile app that is more user-friendly and can act as a substitute for CHWs’ book. Hence, its implementation is promising for use at the national level.

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Section: Introductionmentioning

confidence: 99%

Understanding mobile application development and implementation for monitoring Posyandu data in Indonesia: a 3-year hybrid action study to build “a bridge” from the community to the national scale

et al. 2021

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“…Practice is described by 5 domains and 20 questions. 1 The domains are case notification (4 questions), comprehensive and integrated care (10 questions), follow up (2 questions), and interdisciplinary collaboration (4 questions). Response categories for all items included yes, sometimes and never.…”

Section: Methodsmentioning

confidence: 99%

“…1,[5][6][7][8] In some countries, palliative care has been not implemented yet due to limited number of trained health workers. 1 One study highlights that only physicians who were interested in the end of life care have good knowledge regarding the care. 6 Health workers who demonstrate optimal practice in palliative care had a stronger effect to patient's outcome.…”

Section: Introductionmentioning

confidence: 99%

The Development of Instrument to Assess Physician’s Practice in the Management of Patients With Terminal Diseases

Arisanti

Sasongko

Pandia

et al. 2020

J Prim Care Community Health

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Background The need for improving knowledge and practice of palliative care delivered by health workers become an agenda in several countries. In order to measure the practice, an instrument is needed. The study analyzed the validity and reliability of the instrument to assess the physician’s practice in the management of patients with terminal diseases. Methods This was a cross-sectional study involving 89 physicians practicing in primary health care. The instrument of practice has been developed and resulted 5 domains consist of 20 items. An overview of reliability, construct validity, uni-dimensionality, and hierarchy of the person-items of the instrument were analyzed using Rasch Model. Results The reliability of the instrument is excellent with a person measure reliability of 0.85 and the item measure reliability of 0.96. Construct validity is confirmed with the MNSQ outfit values in the range of 0.54 to 1.59 and Pt Measure Corr. values in the range of 0.31 to 0.8. This instrument has a value of more than 20% unidimensionality which indicates the level of independence for items is good. Conclusion The instrument has good validity and reliability to assess physician’s practice in the management of patients with terminal disease.

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“…There is also a record of the use of mHealth by midwives collaborating with CHWs (16). Some studies identi ed mHealth use to help healthcare services for patients and families (6), including for palliative care (17,18), which also highlights its pivotal role (19). A recent literature review proposes that data collection is the main challenge and that it should be included in CHWs' skills training to support many community programs by using mHealth (8) so that they may provide more effective support (20).…”

Section: Introductionmentioning

confidence: 99%

Understanding mobile application development and implementation to monitor Posyandu data in Indonesia: a 3-years hybrid action research to build “a bridge” from the community to national use

Rinawan,

Susanti,

Amelia

et al. 2020

Preprint

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Background. There is a small number of facts available to understand better how mobile health application technology on mother and child health (MCH) is developed. This study is aimed: (a) to explore the process of developing the mobile app in MCH community-based services in the Indonesian setting/Posyandu, (b) to perform feasibility assessment among the community health workers (CHWs), and (c) to see the potential use of the mobile app in the country. Method. Using a hybrid method in which the action research principles and the mixed-method, which comprise qualitative and quantitative methods, were synergistically combined for the end-users. The study was conducted in Pasawahan sub-district, Purwakarta, Indonesia, from 2017 to 2019. Content analysis, coding, and categorizing were carried out using NVivo 12 Pro for the transcribed data. Wilcoxon Test (2018 and 2019) was conducted using STATA 15 Special Edition. Results. (1) The use of a CHW notebook for data entry in the Posyandu information system book delayed the data reporting process, resulting in the need to develop a mobile app; (2) There are significant differences of CHW’s knowledge (p=0.000) and skills (p=0.0097) on training (2018) and Posyandu phases (2019); (3) As many as 964 posyandu are registered to Posyandu mobile app from almost all provinces in Indonesia. Conclusions. The 3-years hybrid approach suggests the crucial phases to develop a mobile app in a more user-friendly manner to substitute the use of CHW’s old-fashion book use and that its implementation is promising for national use.

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Implementation of palliative care for patients with terminal diseases from the viewpoint of healthcare personnel

Cited by 15 publications

References 21 publications

Understanding mobile application development and implementation for monitoring Posyandu data in Indonesia: a 3-year hybrid action study to build “a bridge” from the community to the national scale

Understanding mobile application development and implementation for monitoring Posyandu data in Indonesia: a 3-year hybrid action study to build “a bridge” from the community to the national scale

The Development of Instrument to Assess Physician’s Practice in the Management of Patients With Terminal Diseases

Understanding mobile application development and implementation to monitor Posyandu data in Indonesia: a 3-years hybrid action research to build “a bridge” from the community to national use

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