Limits...
Barriers to and facilitators of partner notification for chlamydia trachomatis among health care professionals.

Theunissen KA, Schipper P, Hoebe CJ, Crutzen R, Kok G, Dukers-Muijrers NH - BMC Health Serv Res (2014)

Bottom Line: Yet, data on the effectiveness and factors impacting implementation of PN in the Netherlands are lacking.Important barriers were identified as: sub-optimal guidelines, inaccurate sexual history, a lack of feedback regarding the motivational strategies that were used, and the lack of feedback regarding overall PN effectiveness.Future efforts should concentrate on introducing PN protocols, providing feedback on both the effectiveness of strategies used by health care professionals, and on the PN process as a whole, and educating health care professionals about Motivational Interviewing strategies.

View Article: PubMed Central - PubMed

Affiliation: Department of Sexual Health, Infectious Diseases and Environmental Health, South Limburg Public Health Services, PO Box 2022, 6160 HA, Geleen, The Netherlands. Kevin.theunissen@ggdzl.nl.

ABSTRACT

Background: Partner notification (PN) is an essential case-finding tool in the management of sexually transmitted infections (STIs). Yet, data on the effectiveness and factors impacting implementation of PN in the Netherlands are lacking. With the aim of further exploring and improving the PN process, the current study assessed perceived barriers and facilitators among health care professionals in the STI clinical setting. In particular, we explored the management of PN in young heterosexual patients diagnosed with Chlamydia trachomatis (Ct).

Methods: We conducted semi-structured interviews among 22 health care professionals (response rate 52%) from 5 of the 8 national STI clinics in the Netherlands. We carried out qualitative content analysis using a framework approach. All participants were nurses, aged mid 20's to late 50's, and all but one were female.

Results: All health care professionals felt comfortable discussing PN. Other perceived facilitators for PN included: time, one-on-one consultations, interviewing skills (i.e. Motivational Interviewing) and a proactive helping style. Important barriers were identified as: sub-optimal guidelines, inaccurate sexual history, a lack of feedback regarding the motivational strategies that were used, and the lack of feedback regarding overall PN effectiveness. The health care professionals placed an emphasis on the care and treatment of the individual index patient rather than on discussion of PN, or on motivating and helping patients to engage in PN.

Conclusions: Health care professionals identified several barriers that need to be overcome, and facilitators which need to be maintained. Future efforts should concentrate on introducing PN protocols, providing feedback on both the effectiveness of strategies used by health care professionals, and on the PN process as a whole, and educating health care professionals about Motivational Interviewing strategies. Moreover, the possible implementation of an Internet-based PN system should be explored.

No MeSH data available.


Related in: MedlinePlus

Care professionals’ perceived barriers to and facilitators of partner notification derived from semi-structured interviews (n = 22).
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Fig1: Care professionals’ perceived barriers to and facilitators of partner notification derived from semi-structured interviews (n = 22).

Mentions: The barriers to and facilitators of PN (as perceived by health care professionals) are outlined below, using quotes to illustrate our findings. An overview of all barriers and facilitators is provided in Figure 1.Figure 1


Barriers to and facilitators of partner notification for chlamydia trachomatis among health care professionals.

Theunissen KA, Schipper P, Hoebe CJ, Crutzen R, Kok G, Dukers-Muijrers NH - BMC Health Serv Res (2014)

Care professionals’ perceived barriers to and facilitators of partner notification derived from semi-structured interviews (n = 22).
© Copyright Policy - open-access
Related In: Results  -  Collection

License 1 - License 2
Show All Figures
getmorefigures.php?uid=PMC4279885&req=5

Fig1: Care professionals’ perceived barriers to and facilitators of partner notification derived from semi-structured interviews (n = 22).
Mentions: The barriers to and facilitators of PN (as perceived by health care professionals) are outlined below, using quotes to illustrate our findings. An overview of all barriers and facilitators is provided in Figure 1.Figure 1

Bottom Line: Yet, data on the effectiveness and factors impacting implementation of PN in the Netherlands are lacking.Important barriers were identified as: sub-optimal guidelines, inaccurate sexual history, a lack of feedback regarding the motivational strategies that were used, and the lack of feedback regarding overall PN effectiveness.Future efforts should concentrate on introducing PN protocols, providing feedback on both the effectiveness of strategies used by health care professionals, and on the PN process as a whole, and educating health care professionals about Motivational Interviewing strategies.

View Article: PubMed Central - PubMed

Affiliation: Department of Sexual Health, Infectious Diseases and Environmental Health, South Limburg Public Health Services, PO Box 2022, 6160 HA, Geleen, The Netherlands. Kevin.theunissen@ggdzl.nl.

ABSTRACT

Background: Partner notification (PN) is an essential case-finding tool in the management of sexually transmitted infections (STIs). Yet, data on the effectiveness and factors impacting implementation of PN in the Netherlands are lacking. With the aim of further exploring and improving the PN process, the current study assessed perceived barriers and facilitators among health care professionals in the STI clinical setting. In particular, we explored the management of PN in young heterosexual patients diagnosed with Chlamydia trachomatis (Ct).

Methods: We conducted semi-structured interviews among 22 health care professionals (response rate 52%) from 5 of the 8 national STI clinics in the Netherlands. We carried out qualitative content analysis using a framework approach. All participants were nurses, aged mid 20's to late 50's, and all but one were female.

Results: All health care professionals felt comfortable discussing PN. Other perceived facilitators for PN included: time, one-on-one consultations, interviewing skills (i.e. Motivational Interviewing) and a proactive helping style. Important barriers were identified as: sub-optimal guidelines, inaccurate sexual history, a lack of feedback regarding the motivational strategies that were used, and the lack of feedback regarding overall PN effectiveness. The health care professionals placed an emphasis on the care and treatment of the individual index patient rather than on discussion of PN, or on motivating and helping patients to engage in PN.

Conclusions: Health care professionals identified several barriers that need to be overcome, and facilitators which need to be maintained. Future efforts should concentrate on introducing PN protocols, providing feedback on both the effectiveness of strategies used by health care professionals, and on the PN process as a whole, and educating health care professionals about Motivational Interviewing strategies. Moreover, the possible implementation of an Internet-based PN system should be explored.

No MeSH data available.


Related in: MedlinePlus