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Results for “needs assessment”

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At least 19 recordsLinked to original sources
PubMed1979

The nature of needs assessment in community mental health.

Confusion in defining needs assessment is discussed. A tripartite model of needs assessment is proposed: an identification of a problem; a statement about priorities; and a chosen solution. The parts can be used independently or linked together to plan new or altered services. Various needs assessment techniques are examined for their usefulness in each area. Two examples of needs assessment processes are given.

Community Mental Health Services↗
PubMedDate not supplied

Tracheal suctioning: a tool for evaluation and learning needs assessment.

A 21-item observation tool developed by one of the authors was used to assess learning needs of 30 registered nurses who regularly suction intubated patients. Of the nurses observed, 97 percent had excellent regard for proper equipment utilization and 91 percent for maintenance of sterile environment. These high percentages were responsible for pulling the overall average scores to 65 percent, thus partially disguising the acute need for patient assessment (38 percent), psychological support (57 percent), and procedure (62 percent). Scores for subgroups of nurses--associate degree (group 1), diploma (group II), And baccalaureate (group III)--were 72, 69, and 65, respectively. Of particular concern were low scores in the assessment and psychological support categories. Despite increased emphasis on both of these areas in nursing programs in the last decade, AD graduates received scores of 52 and 57 percent while diploma graduates received scores of 38 and 58 percent and baccalaureate graduates received scores of 26 and 55 percent.

Asepsis↗
PubMed1979

Synthetic estimates as an approach to needs assessment: issues and experience.

An overview of a study which applied the synthetic estimates technique to derive rates, numbers, types and characteristics of potential clientele for substance abuse related programs in the State and counties of Oregon is presented. A brief description is given of the methods utilized to obtain estimates as well as the means for examining their validity. Inasmuch as the objective of the study was to provide useful information to State and local program planners and administrators, the experience of utilizing the study's findings is presented. Several applications are highlighted to indicate the range of ways in which the study was utilized. The experience of applying the results in a program and policy context surfaced several issues concerning the requirements for validity and accuracy, specificity and, finally, the role of synthetic estimates in needs assessment. The experience suggests that the information derived by this technique will be most useful if integrated with a range of other types of information, both quantiative and subjective.

Adolescent↗
PubMed1978

Cardiovascular disease education in Texas health education classes -- a needs assessment.

This study ascertained to what extent cardiovascular diseases and associated risk factors are taught in public secondary health education classes in Texas, the disparity between what is taught and what is desired in terms of time allotment and educational materials, to what extent health education teachers are academically prepared to teach cardiovascular diseases and associated risk factors, and to what extent teachers utilize self-instructional materials. A questionnaire was mailed to a random sample of health education teachers in Texas. There was a return of 45.4%. The findings indicated that more time is devoted to teaching the cardiovascular system than disease and risk factors; there is a disparity between what is taught and what is desired; the teachers rated their preparation as average; and the use of self-instructional materials by high school students as average to excellent.

Cardiovascular Diseases↗
PubMed2025

Quantitative Outcomes for Shared Assessment and Management in Forensic Mental Health: A Meta-Analysis and Systematic Review.

Despite leading models of mental health care encouraging user involvement, users in forensic mental health (FMH) report poor involvement given the difficulty in reconciling shared approaches with risk-averse and legally mandated settings. While previous research has demonstrated qualitative benefits to shared approaches in FMH and has led to a proliferation of self-rated assessment tools, there remains to quantify agreement on self-rated tools and to clarify the impact of shared approaches on care. This meta-analysis examines (1) the correlation between clinician and user ratings, (2) the predictive validity of self-ratings for violence, and (3) the effects of shared risk management on violence and restriction in FMH. Five databases were searched from inception to April 2024, selecting for adult FMH inpatients, shared risk assessment, needs assessment or violence management as interventions, and quantitative outcomes (correlation, agreement, predictive validity, and effect on violence or restriction rates). Fifteen quantitative evaluations were retained. One of three planned meta-analyses could be conducted, with seven records providing paired clinician-user t-tests. Eleven more records provided clinical recommendations on operationalizing shared approaches. Random-effects meta-analysis showed a significant and large paired standard difference of .95 (95% CI = [.49,1.42]) across tools, with significant differences in DUNDRUM-3, DUNDRUM-4, and CANFOR sub-models. While acknowledging between-study heterogeneity, results substantiate quantitative differences where clinicians generally rate more needs and lesser progress than users across tools, showing that self-ratings can and should be used to broach collaborative discussions on needs and progress during FMH treatment. There remains an evidence gap for quantitative benefits in care outcomes and a need to standardize agreement measures for future comparisons and clinical sub-group analyses.

Humans↗
PubMed1978

Construct validation of the health belief model.

A multitrait-multimethod design was employed to assess the construct validity of the Health Belief Model. The data were obtained from a nonrepresentative sample of 85 graduate students at The University of Michigan's School of Public Health. The traits consisted of the respondents' perceptions of: health interest, locus of control, susceptibility to influenza, severity of influenza, benefits provided by a flu shot, and the barriers or costs associated with getting a flu shot. Each trait was measured by three methods: a seven-point Likert scale, a fixed-alternative multiple choice scale, and a vignette. The results indicate that the Health Belief Model variables can be measured with a substantial amount of convergent validity using Likert or multiple choice questionnaire items. With regard to discriminant validity, evidence suggests that subjects' perceptions of barriers and benefits are quite different from their perceptions of susceptibility and severity. Perceptions of susceptibility and severity are substantially but not entirely independent. Perceived benefits and barriers demonstrate a strong negative relationship which suggests the possibility that these two variables represent opposite ends of a single continuum and not separate health beliefs. These preliminary results provide the basis for developing brief health belief scales that may be administered to samples of consumers and providers to assess educational needs. Such needs assessment, in turn, could then be used to tailor messages and programs to meet the particular needs of a client group.

Attitude to Health↗
PubMed1979

Some thoughts on epidemiologic indexes for assessing the need for treatment of periodontal diseases.

Various indexes have been developed and used to collect information on the prevalence, aetiology and prevention of periodontal disease, but few efforts have been made to utilize this information to assess treatment needs in the populations examined. Recently, Johansen et al. (1973) have developed the Periodontal Treatment Needs System and Møller and Beck (1976) included an assessment of treatment requirements in the Collaborative Study of Dental Manpower Systems sponsored by WHO and the USPHS. The value of these various indexes and the problems encountered in their application to field studies are discussed in detail. The lessons learned have been incorporated into the second edition of the booklet Oral Health Surveys (WHO, 1977), but it is contended that the methods advocated are still less than perfect. Particular doubt is cast on the recommendation for the use of a periodontal probe in field surveys often conducted in primitive conditions and by examiners with minimal training and experience. It is suggested that the critical depth of 3 mm is too small to be regarded as requiring radical treatment. The need for a treatment index is questioned in the light of the probability that treatment needs could not be fully met even in developed countries.

Dental Health Surveys↗