Patients’ knowledge and awareness about patient support programs: a cross-sectional study on Lebanese adults with chronic diseases

Abstract Objective Patient Support Programs (PSPs) have become a trend among pharmaceutical companies and a standard service offering to patients. The objective of the present study is to describe the status of PSPs in Lebanon and to assess the extent of knowledge and awareness among Lebanese patients about the PSPs. Methods A cross-sectional study was conducted between April and July 2017. A convenient sample of patients was randomly selected from outpatient clinics at four hospitals within the Greater Beirut Area. A questionnaire was used to address the study objective. Bivariate analysis was performed using the Chi-square test. Data were analyzed by using SPSS version 23. Results Out of 385 patients who participated in the study, 45.45 percent were aged between 46 and 66 years. None of them indicated that they were enrolled in a PSP, and only 13 percent of the respondents were aware of the existence of such a program. In terms of adherence habits, 55.6 percent of the patients self-reported that they do not skip any dose of their medication and consume their medication as prescribed by their healthcare providers. The main reason for nonadherence reported by the majority of nonadherent participants 144 (84.2%) was simple forgetfulness. Conclusions There is a severe lack of awareness of PSPs in Lebanon. Given the important role that PSPs play in creating value for patients—in terms of healthcare follow-up practices, improved adherence habits, and cost savings—there should be a more substantial effort by pharmaceutical companies to expand and promote their PSPs in the Lebanese market.

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Faktor Yang Berhubungan Dengan Kinerja Tenaga Kesehatan Di Rawat INAP RSUD Batusangkar

Jurnal Endurance ◽

10.22216/jen.v3i3.3005 ◽

2018 ◽

Vol 3 (3) ◽

pp. 440

Author(s):

Sri Handayani ◽

Puteri Fannya ◽

Putri Nazofah

Keyword(s):

Health Personnel ◽

Poor Performance ◽

Cross Sectional Study ◽

The Philippines ◽

Bivariate Analysis ◽

Sectional Study ◽

Chi Square ◽

Cross Sectional ◽

Chi Square Test ◽

Master Level

Based on data from the Indonesia Ministry of Health in 2015, In Indonesia, new professional nurses were just 2% of the total nurses. This figure was much lower than the Philippines which has reached 40% with bachelor and master level as their education. The purpose of this study was to determine the relationship between age, and leadership with the performance of health personnel. The design of this research was analytical research with Cross Sectional Study. The population in this study was all nurses and doctors who served in the internal room, children, surgery and midwifery. Sampling using total sampling by questionnaires. The data was processed by univariate and bivariate analysis using Chi-square test. The result showed that 57,8% nurses had poor performance, 56,3% doctors had poor performance, 64,4% nurses had average age 26-35 years, 56,2% doctors had average age 36-45 years, 64.4% nurses have poor leadership, and 50.0% of doctors have less good leadership. There is a relationship between age and leadership with the performance of health personnel. Berdasarkan data kemenkes RI tahun 2015 jumlah tenaga kesehatan terbanyak yaitu perawat sebanyak 147.264 orang (45,65%). Di Indonesia, perawat profesional baru mencapai 2% dari total perawat yang ada. Angka ini jauh lebih rendah dibandingkan dengan Filipina yang sudah mencapai 40% dengan pendidikan strata satu dan dua. Tujuan penelitian ini untuk mengetahui hubungan antara umur, kepemimpinan dengan kinerja tenaga kesehatan. Jenis penelitian yang digunakan adalah desain penelitian analitik dengan Cross Sectional Study. Populasi pada penelitian ini adalah semua perawat dan dokter. Pengambilan sampel dengan menggunakan Total Sampling. Pengambilan data menggunakan kuesioner. Data diolah dengan analisis univariat menggunakan statistik deskriptif dan analisis bivariat menggunakan uji Chi-square. Hasil penelitian didapatkan 57,8% perawat memiliki kinerja kurang baik, 56,3% dokter memiliki kinerja kurang baik, 64,4% perawat memiliki umur rata-rata 26-35 tahun 64,4%, 56,2% dokter memiliki umur rata-rata 36-45 tahun, 64,4% perawat memiliki kepemimpinan kurang baik, 50,0% dokter memiliki kepemimpinan kurang baik. Terdapat hubungan antara umur dan kepemimpinan dengan kinerja tenaga kesehatan.

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Knowledge and Practice of Health Professionals in the Management of Dysphagia

International Journal of Environmental Research and Public Health ◽

10.3390/ijerph18042139 ◽

2021 ◽

Vol 18 (4) ◽

pp. 2139

Author(s):

Eduardo Sánchez-Sánchez ◽

Ylenia Avellaneda-López ◽

Esperanza García-Marín ◽

Guillermo Ramírez-Vargas ◽

Jara Díaz-Jimenez ◽

...

Keyword(s):

Healthcare Providers ◽

Cross Sectional Study ◽

Clinical Settings ◽

Sectional Study ◽

Swallowing Disorder ◽

Cross Sectional ◽

Anonymous Questionnaire ◽

Knowledge And Practice ◽

Definition Of ◽

Management Of Dysphagia

The aim of this study was to determine healthcare providers’ knowledge and practices about dysphagia. A descriptive cross-sectional study was carried out based on a self-administered and anonymous questionnaire addressed to healthcare providers in Spain. A total of 396 healthcare providers participated in the study. Of these, 62.3% knew the definition of dysphagia as a swallowing disorder. In addition, up to 39.2% of the participants reported that they did not know whether the EatingAssessmentTool (EAT-10) dysphagia screening test was usedin their own clinical settings. Similarly, up to 49.1% of them did not know the ClinicalExaminationVolume-Viscosity (MECV-V) method. Nearly all participants (98.8%) reported that thickeners must be used forall liquids administered to patients. A higher percentage of respondents based the choice of texture on patient’s tolerance (78.2%) rather than on the MECV-V result (17.3%). In addition,76.4% of the professionals had witnessed a bronchoaspiration; after it, 44.4% (n = 175) of them reported the appearance of pneumonia, and 14.5% (n = 57) the death of the patient (p = 0.005). The participants revealeda moderate/low knowledge ofthe definition, diagnosis, and clinical management of liquid dysphagia, which indicates some room for improvements.

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Perceived Loneliness and Severe Sleep Disorders in Adult Women during the Covid-19 Quarantine: A Cross-Sectional Study in Colombia

Journal of Primary Care & Community Health ◽

10.1177/21501327211025170 ◽

2021 ◽

Vol 12 ◽

pp. 215013272110251

Author(s):

Álvaro Monterrosa-Castro ◽

Angélica Monterrosa-Blanco ◽

Andrea González-Sequeda

Keyword(s):

Sleep Disorders ◽

Rating Scale ◽

Statistical Significance ◽

Cross Sectional Study ◽

Bivariate Analysis ◽

Adult Women ◽

Sectional Study ◽

Cross Sectional ◽

Emotional Loneliness ◽

Social Loneliness

Background: Quarantine is a measure to control COVID-19 spread, resulting in an increased perception of loneliness. In turn, sleep disorders (SD) may be more frequently reported in uncertain circumstances. Objectives: To identify the association between loneliness and severe SD, in women quarantined due to the COVID-19 pandemic. Methods: A cross-sectional study carried out in women, between 40 and 79 years and living in Colombia. The women were invited through social network to complete 5 digital instruments: de Jong Gierveld Loneliness Scale, Menopause Rating Scale, Fear of COVID-19 Five-item Version, Coronavirus Anxiety Scale, and Francis Religion Scale. Bivariate analysis and adjusted logistic regression between loneliness and SD were performed. Results: 1133 women participated, half of them under 50 years old. 43.1% had emotional loneliness, 39.9% social loneliness and 43.3% general loneliness. SD were identified in 6 out of 10 women, those with mild SD presented an OR of 1.84, 1.85, and 1.64, for emotional, social and general loneliness, respectively. Loneliness was associated twice with moderate SD, and more than twice with severe SD. Very severe SD reached OR:5.81 for emotional loneliness, OR:4.38 social loneliness and OR:4.02 general loneliness. In the presence of religiosity, fear and anxiety due to COVID-19, statistical significance was retained for associations, except intense SD with general loneliness. Conclusions: SD were significantly associated with loneliness in our study population. It is important to assess sleep quality and perception of loneliness in middle-aged women, especially during periods of quarantine due to a pandemic to avoid health implications.

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Perspectives of Healthcare Professionals Regarding Factors Associated with Antimicrobial Resistance (AMR) and Their Consequences: A Cross Sectional Study in Eastern Province of Saudi Arabia

Antibiotics ◽

10.3390/antibiotics10070878 ◽

2021 ◽

Vol 10 (7) ◽

pp. 878

Author(s):

Mohamed A. Baraka ◽

Amany Alboghdadly ◽

Samar Alshawwa ◽

Asim Ahmed Elnour ◽

Hassan Alsultan ◽

...

Keyword(s):

Antimicrobial Resistance ◽

Inappropriate Prescribing ◽

Healthcare Providers ◽

Cross Sectional Study ◽

Sectional Study ◽

Key Factors ◽

Eastern Province ◽

Cross Sectional ◽

Factors Associated ◽

Factors Influencing

Factors reported in the literature associated with inappropriate prescribing of antimicrobials include physicians with less experience, uncertain diagnosis, and patient caregiver influences on physicians’ decisions. Monitoring antimicrobial resistance is critical for identifying emerging resistance patterns, developing, and assessing the effectiveness of mitigation strategies. Improvement in prescribing antimicrobials would minimize the risk of resistance and, consequently, improve patients’ clinical and health outcomes. The purpose of the study is to delineate factors associated with antimicrobial resistance, describe the factors influencing prescriber’s choice during prescribing of antimicrobial, and examine factors related to consequences of inappropriate prescribing of antimicrobial. A cross-sectional study was conducted among healthcare providers (190) in six tertiary hospitals in the Eastern province of Saudi Arabia. The research panel has developed, validated, and piloted survey specific with closed-ended questions. A value of p < 0.05 was considered to be statistically significant. All data analysis was performed using the Statistical Package for Social Sciences (IBM SPSS version 23.0). 72.7% of the respondents have agreed that poor skills and knowledge are key factors that contribute to the inappropriate prescribing of antimicrobials. All of the respondents acknowledged effectiveness, previous experience with the antimicrobial, and reading scientific materials (such as books, articles, and the internet) as being key factors influencing physicians’ choice during antimicrobial prescribing. The current study has identified comprehensive education and training needs for healthcare providers about antimicrobial resistance. Using antimicrobials unnecessarily, insufficient duration of antimicrobial use, and using broad spectrum antimicrobials were reported to be common practices. Furthermore, poor skills and knowledge were a key factor that contributed to the inappropriate use and overuse of antimicrobials, and the use of antimicrobials without a physician’s prescription (i.e., self-medication) represent key factors which contribute to AMR from participants’ perspectives. Furthermore, internal policy and guidelines are needed to ensure that the antimicrobials are prescribed in accordance with standard protocols and clinical guidelines.

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Correlation Between Functional Health Literacy and Self-efficacy in People with Type 2 Diabetes Mellitus: Cross-sectional Study

Clinical Nursing Research ◽

10.1177/10547738211006841 ◽

2021 ◽

pp. 105477382110068

Author(s):

Luis Angel Cendejas Medina ◽

Renan Alves Silva ◽

Magda Milleyde de Sousa Lima ◽

Lívia Moreira Barros ◽

Rafael Oliveira Pitta Lopes ◽

...

Keyword(s):

Diabetes Mellitus ◽

Type 2 Diabetes ◽

Type 2 Diabetes Mellitus ◽

Self Efficacy ◽

Cross Sectional Study ◽

Functional Health ◽

Bivariate Analysis ◽

Sectional Study ◽

Cross Sectional

To analyze the correlation between functional health literacy (FHL) and self-efficacy (SE) in people with type 2 Diabetes Mellitus. Cross-sectional study was conducted among September and October 2019, with 196 people with type 2 diabetes. Data were collected using the Functional Literacy in Health instrument (B-TOFHLA) and the Diabetes Management Self-Efficacy Scale for Patients with Type 2 Diabetes Mellitus (DMSES). Bivariate analysis was used to verify the relationship among the constructs. Most diabetics showed an average B-TOFHLA score of 74.75, considered adequate, and self-efficacy of 4.07, high. The association between SE and FHL in the bivariate analysis found no statistical significance ( p > .05), in the same sense as the B-TOFHLA score and the DMSES domains ( p > .05). Constructs were not related to each other in terms of skills arising from judgments and decisions with motivational confidence by the investigated audience.

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Healthcare Provider Attitudes toward the Newly Developed COVID-19 Vaccine: Cross-Sectional Study

Nursing Reports ◽

10.3390/nursrep11010018 ◽

2021 ◽

Vol 11 (1) ◽

pp. 187-194

Author(s):

Gasmelseed Ahmed ◽

Zainab Almoosa ◽

Dalia Mohamed ◽

Janepple Rapal ◽

Ofelia Minguez ◽

...

Keyword(s):

Private Hospital ◽

Univariate Analysis ◽

Healthcare Providers ◽

Cross Sectional Study ◽

Chronic Illnesses ◽

Sectional Study ◽

Provider Attitudes ◽

Cross Sectional ◽

Electronic Survey ◽

Consistency Results

Background: During the long wait and the global anxiety for a vaccine against COVID-19, impressively high-safety and effective vaccines were invented by multiple pharmaceutical companies. Aim: We aimed to assess the attitudes of healthcare providers and evaluate their intention to advocate for the vaccine. Methods: This was a cross-sectional study conducted in a tertiary private hospital where an electronic survey was distributed among healthcare providers (HCPs). The survey contained two sections: socio-demographic characteristics and Likert-scale perception, with 72% internal consistency. Results: The response rate to the email survey was 37% (n = 236). In addition, 169 (71.6%) of respondents were women, with more than half (134, 56.8%) aged ≤35 years. A total of 110 (46.6%) had over 10 years of experience, and most of them were nurses (146, 62%). Univariate analysis revealed that older participants significantly accepted and advocated for the new vaccine more than the younger ones. In the multivariate analysis, men were significantly more likely than women to accept and advocate for the new vaccine, as were those with chronic illnesses. Participants with allergy were significantly less likely to accept the vaccine than others. odds ratio (OR) and p-values were 2.5, 0.003; 2.3, 0.04; and 0.4, 0.01, respectively. Conclusion: The acceptance rate for the newly-developed COVID-19 vaccines was average among HCPs. Sex, age, presence of chronic illnesses, and allergy were significant predictors of accepting the vaccine.

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Translation, adaptation, and validation of the Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) for use in Japan: A multicenter cross-sectional study

10.1101/2020.05.14.20102442 ◽

2020 ◽

Author(s):

Takuya Aoki ◽

Yosuke Yamamoto ◽

Tomoaki Nakata

Keyword(s):

Patient Experience ◽

Internal Consistency ◽

Healthcare Providers ◽

Internal Consistency Reliability ◽

Cross Sectional Study ◽

Sectional Study ◽

Cross Sectional ◽

Validity Criterion ◽

Hospital Consumer Assessment ◽

Consumer Assessment

Objectives. The Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) is a well-established and internationally recognized scale for measuring patient experience with hospital inpatient care. This study aimed to develop a Japanese version of the HCAHPS and to examine its structural validity, criterion-related validity, and internal consistency reliability. Design. Multicenter cross-sectional study. Setting. A total of 48 hospitals in Japan. Participants. Patients aged ≥ 16 years who were discharged from the participating hospitals. Results. We translated the HCAHPS into Japanese according to the guidelines. Psychometric properties were examined using data from 6,522 patients. A confirmatory factor analysis showed excellent goodness of fit of the same factor structure as that of the original HCAHPS, with the following composites: communication with nurses, communication with doctors, responsiveness of hospital staff, hospital environment, communication about medicines, and discharge information. All hospital-level Pearson correlation coefficients between the Japanese HCAHPS composites and overall hospital rating exceeded the criteria. Results of inter-item correlations indicated adequate internal consistency reliability. Conclusions. We developed the Japanese HCAHPS, and evaluated its structural validity, criterion-related validity, and internal consistency reliability. This scale could be used for quality improvement based on the assessment of patient experience with hospital care and for health services research in Japan.

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Interprofessional Communication Team for Caregivers of Patients Hospitalized in the COVID-19 Wards: Results From an Italian Experience

Frontiers in Medicine ◽

10.3389/fmed.2021.621725 ◽

2021 ◽

Vol 8 ◽

Author(s):

Sara Carletto ◽

Michele Corezzi ◽

Maria Francesca Furmenti ◽

Elena Olivero ◽

Paola Rapicavoli ◽

...

Keyword(s):

Online Survey ◽

Healthcare Providers ◽

Cross Sectional Study ◽

Communication Model ◽

Sectional Study ◽

Cross Sectional ◽

Interprofessional Communication ◽

Italian Experience ◽

Distress Level ◽

Additional Support

Background: During the COVID-19 pandemic, emergency restrictions did not allow clinician family meetings and relatives' visits. In Molinette Hospital, a new communication model between healthcare providers and families of COVID-19 affected patients was developed by a team of physicians and psychologists. The study's aims were to investigate caregivers' distress and to analyse their satisfaction with the communications provided.Methods: A cross-sectional study was conducted among caregivers of patients of Molinette Hospital COVID wards. Between April and June 2020, all caregivers were contacted 2 weeks after the patient's discharge/death to assess their satisfaction with the communications received through an online survey.Results: A total of 155 caregivers completed the survey. Caregivers' distress level was found to be higher in women than men (p = 0.048) and in caregivers whose relative died compared to the caregivers whose relative was discharged (p < 0.001). More than 85% of caregivers defined communication “excellent”/“very good”; being male was associated with higher satisfaction levels than women (β = −0.165, p = 0.046). Besides daily communication, 63 caregivers (40.6%) received additional support from a psychologist of the team.Conclusions: To our knowledge, this is the first study presenting, in an emergency, a new model of communication provided by a team of physicians and psychologists, and analyzing satisfaction with it. This model was highly appreciated by caregivers and it limited the discomfort caused by the restrictions on relatives' visits. It would be interesting to further evaluate the possibility of extending a communication model that includes doctors and psychologists in routine clinical practice.

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Investigating the Burden of Mental Distress Among Nurses at A Provincial COVID-19 Referral Hospital In Indonesia: A Cross-Sectional Study

10.21203/rs.3.rs-221595/v1 ◽

2021 ◽

Author(s):

Marthoenis Marthoenis ◽

Maskur Maskur ◽

Liza Fathiariani ◽

Jacqueline Nassimbwa

Keyword(s):

Mental Distress ◽

Healthcare Providers ◽

Severe Depression ◽

Face Mask ◽

Cross Sectional Study ◽

Referral Hospital ◽

Financial Hardship ◽

Sufficient Information ◽

Sectional Study ◽

Cross Sectional

Abstract Background: The current outbreak of COVID-19 pandemic distorts not only the physical, but also mental and psychological condition of healthcare providers, especially the nurses who directly working with the COVID-19 patients. This study aims to investigate the prevalence and risk factors of depression, anxiety and stress among nurses working in a COVID-19 referral hospital in Indonesia. Methods: A cross-sectional study was conducted. A self-administered questionnaire, DASS21, along with the demographic questions was used to screen the presence of psychological problems and their associated factors. Results: the prevalence of moderate to extremely severe depression, anxiety and stress was 8.7%, 20.7% and 5.8%, respectively. The prevalence rate was significantly higher among those with financial hardship during the COVID-19 pandemic, with 10.5%, 23.5% and 8.1% for depression, anxiety and anxiety (P<.05), respectively. Regression analysis confirmed that these mental problems were associated with the experience of social rejection, either by family or neighbor, because they were working in the hospital during the pandemic. Conclusions: The financial hardship experienced by the nurses during disease pandemic increases their burden of mental illness therefore, providing the financial subsidiary might reduce their financial uncertainty. Furthermore, the motivation to have a positive attitude toward the pandemic, promotion of healthy behavior such as the use of face mask and the provision of sufficient information on the diseases, may help them properly manage their mental distress.

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Evaluation of Knowledge, Attitudes and Experience of off-label Drug Prescribing Practice among Physicians in Baghdad City Hospitals

Iraqi Journal of Pharmaceutical Sciences ( P-ISSN 1683 - 3597 E-ISSN 2521 - 3512) ◽

10.31351/vol28iss2pp115-123 ◽

2019 ◽

Vol 28 (2) ◽

pp. 115-123

Author(s):

Aysha M. Shanshal ◽

Ahmed H. Ataimish

Keyword(s):

Clinical Trials ◽

Ethical Issues ◽

Healthcare Providers ◽

Cross Sectional Study ◽

Pharmaceutical Companies ◽

Cross Sectional ◽

Off Label ◽

Healthcare Settings ◽

Prescribing Practice ◽

Self Administered Questionnaire

Abstract The present study aims to assess the knowledge, attitude, and experience of off-label prescribing practice among physicians in Baghdad city hospitals. This cross-sectional study was performed through the period from November 1st 2018 to March 2019 at 17 hospitals, a self-administered questionnaire was utilized to collect data from the physicians, and the targeted hospitals were randomly selected at different regions in Baghdad City area. Out of the 400 distributed questionnaires to the physicians, 383 of them were returned completed, 57.2% indicated that they were reasonably familiar with the term “off label drug”, 57.7% mentioned that the most common medical reasons for the prescribing off-label drugs were unavailability of alternatives, 67.6%, 65.5% had concerns regarding its safety and efficacy respectively, 62.7% agreed that the (MOH) authority should provide an incentive to stimulate pharmaceutical companies to perform clinical trials in Iraqi patients, 49.1% believed that clinical trials that recruit volunteers involve ethical issues. Extensive efforts are required to implant programs, regulations and guidelines to control the off-label prescribing practice among the Iraqi healthcare providers who are authorized to prescribe medications at different healthcare settings.

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