wow-inequalities/02-data/intermediate/wos_sample/b7ade9b0466d9a330637ec33545abadd-walters-i-gareth-an/info.yaml

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2023-09-28 14:46:10 +00:00
abstract: 'Introduction Occupational asthma (OA) accounts for one in six cases of
adult-onset asthma and is associated with a large societal cost. Many
cases of OA are missed or delayed, leading to ongoing exposure to the
causative agent and avoidable lung function loss and poor
employment-related outcomes. Enquiry about work-related symptoms and the
nature of work by healthcare professionals (HCPs) is limited, evident in
primary and secondary care. Potential reasons cited for this are time
pressure, lack of expertise and poor access to specialists. Aim To
understand organisational factors and beliefs and behaviours among
primary HCPs that may present barriers to identifying OA. Methods We
employed a qualitative phenomenological methodology and undertook 20-45
min interviews with primary HCPs in West Midlands, UK. We used purposive
and snowball sampling to include general practitioners (GPs) and
practice nurses with a range of experience, from urban and rural
settings. Interviews were recorded digitally and transcribed
professionally for analysis. Data were coded by hand, and thematic
analysis was undertaken and determined theoretically until themes were
saturated. Results Eleven HCPs participated (eight GPs, three nurses).
Four themes were identified that were considered to impact on
identification of OA: (1) training and experience, (2) perceptions and
beliefs, (3) systems constraints, and (4) variation in individual
practice. OA-specific education had been inadequate at every stage of
training and practice, and clinical exposure to OA had been generally
limited. OA-specific beliefs varied, as did clinical behaviour with
working-age individuals with asthma. There was a focus on diagnosis and
treatment rather than attributing causation. Identified issues regarding
organisation of asthma care were time constraints, lack of continuity,
referral pressure, use of guidelines and templates, and external
targets. Conclusion Organisation and delivery of primary asthma care,
negative OA-related beliefs, lack of formal education, and exposure to
OA may all currently inhibit its identification.'
affiliation: 'Walters, GI (Corresponding Author), Univ Hosp Birmingham NHS Fdn Trust,
Reg NHS Occupat Lung Dis Serv, Birmingham, W Midlands, England.
Walters, GI (Corresponding Author), Univ Birmingham, Occupat \& Environm Med, Birmingham,
W Midlands, England.
Walters, Gareth, I, Univ Hosp Birmingham NHS Fdn Trust, Reg NHS Occupat Lung Dis
Serv, Birmingham, W Midlands, England.
Walters, Gareth, I, Univ Birmingham, Occupat \& Environm Med, Birmingham, W Midlands,
England.
Barber, Christopher M., Northern Gen Hosp, Ctr Workplace Hlth, Sheffield, S Yorkshire,
England.'
article-number: e000938
author: Walters I, Gareth and Barber, Christopher M.
author-email: gareth.walters@heartofengland.nhs.uk
author_list:
- family: Walters I
given: Gareth
- family: Barber
given: Christopher M.
da: '2023-09-28'
doi: 10.1136/bmjresp-2021-000938
eissn: 2052-4439
files: []
journal: BMJ OPEN RESPIRATORY RESEARCH
keywords: 'asthma; occupational lung disease; asthma in primary care; asthma
epidemiology; asthma guidelines'
keywords-plus: RESPIRATORY-DISEASES
language: English
number: '1'
number-of-cited-references: '28'
orcid-numbers: Walters, Gareth/0000-0002-7436-2261
papis_id: fed66a1d37890c21da6b2d4506645db3
ref: Waltersi2021barriersidentifying
times-cited: '0'
title: 'Barriers to identifying occupational asthma among primary healthcare professionals:
a qualitative study'
2023-10-01 08:15:07 +00:00
type: article
2023-09-28 14:46:10 +00:00
unique-id: WOS:000688485600002
usage-count-last-180-days: '0'
usage-count-since-2013: '1'
volume: '8'
web-of-science-categories: Respiratory System
year: '2021'