scholarly journals The Knowledge and Behaviours of the Healthcare Staff Regarding Vaccine Rejection

2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
A Gokce ◽  
A T Ozdemir ◽  
G Boz ◽  
M Aslan ◽  
A Ozer
Keyword(s):  
Primary Healthcare ◽  
Cost Effective ◽  
Healthcare Services ◽  
City Centre ◽  
The Internet ◽  
Healthcare Staff ◽  
Cross Sectional ◽  
Significance Level ◽  
Primary Body ◽  
Source Of Information

Abstract Background Vaccination is a cost-effective method to protect individuals from diseases and complications that might emerge due to diseases. The healthcare staff in primary healthcare services, as the primary body concerned with vaccines, are notably more likely to encounter families who reject vaccines in childhood. This study aimed to investigate the knowledge, attitudes and behaviours of the healthcare staff in primary healthcare services regarding vaccine rejection in childhood. Methods Conducted between July and August 2019, this study adopted a descriptive cross-sectional design. The population of the study comprised 392 healthcare staff working in primary healthcare services in Malatya City Centre. The sample size was calculated as 193, considering a 95% confidence interval and 80% power. The survey form used in the study included questions concerning sociodemographic characteristics of individuals, their views on vaccination and the views of parents regarding vaccine rejection according to the perspectives of the healthcare staff. Chi-square test was used in statistical analyses, and the significance level was set as p < 0.05. Results In the study group, 25.4% of the healthcare staff stated that they were hesitant about vaccines in childhood. Also, 18.2% of the individuals indicated that they were hesitant about vaccines due to the chemicals in vaccines, 14.4% were hesitant due to the pharmaceutical industry and the relationships based on self-interest and 10.5% were hesitant due to the side effects. The hesitancy level was significantly higher among those whose source of information regarding vaccines in childhood was the internet (37.0%) compared with those whose source was not the internet (21.6%) (p = 0.004). Conclusions One-fourth of the healthcare staff, who are supposed to be the most informed group about vaccines, were hesitant about them. Moreover, the inaccurate information acquired from the internet and social media could be increasing the hesitancy level. Key messages Vaccination hesitancy is high among the healthcare staff in primary healthcare services. The source of information regarding vaccination influences the hesitancy levels of individuals.

scholarly journals Investigating the Knowledge, Attitudes and Behaviours of Parents Regarding Vaccine Rejection

2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
A Gokce ◽  
E Yigit ◽  
A Gungor ◽  
M Aslan ◽  
A Ozer
Keyword(s):  
Social Media ◽  
Healthcare Services ◽  
World Health ◽  
The Internet ◽  
Healthcare Staff ◽  
Chi Square ◽  
Cross Sectional ◽  
Significance Level ◽  
Source Of Information ◽  
Internet And Social Media

Abstract Background With an escalating prevalence, vaccine rejection is one of the ten threats to global health as identified by the World Health Organization in 2019. Vaccine rejection and hesitancy can be defined as the hesitancy of individuals to get vaccinated against diseases that can be prevented by vaccination. This study aimed to investigate the knowledge, attitudes and behaviours of parents who use primary healthcare services. Methods Conducted between August and September 2019, this study adopted a descriptive cross-sectional design. The sample size of the study was calculated to be 378, considering a 95% confidence interval and 80% power. The survey form, the data collection tool of the study, included questions concerning sociodemographic characteristics of individuals and their knowledge, attitudes and behaviours regarding vaccination. The data were analysed on SPSS 22.0. Chi-square test was used in statistical analyses, and the significance level was set as p < 0.05. Results In the study group, 15.5% of the parents stated that they were hesitant about vaccines in childhood, 81.3% stated that their source of information on vaccines was healthcare staff and 28% stated that it was the internet. The hesitancy level was significantly high among those who believed that vaccines led to autism and infertility and those who did not trust pharmaceutical companies (p < 0.05). The hesitancy level regarding vaccines was significantly lower among those whose source of information was healthcare staff, whereas it was significantly higher among those whose source of information was the internet (p < 0.05). Conclusions Parents' beliefs that vaccines led to autism and infertility increased their hesitancy levels. The inaccurate information on the internet and social media increased their hesitancy levels. Hesitancy levels were lower among the parents who received information from healthcare staff. Key messages Healthcare staff should organise public trainings on vaccines to reduce the hesitancy levels of parents. Anti-vaccination statements on the internet and social media influence individuals’ vaccination behaviours.

Internet Addiction and the Pattern of Internet Use among Under Graduate Medical Students: A Cross- Sectional Study from North India

2022 ◽  
Author(s):  
Priyanka . ◽  
R K Pal
Keyword(s):  
Medical Students ◽  
Internet Addiction ◽  
Internet Use ◽  
Cross Sectional Study ◽  
North India ◽  
The Internet ◽  
Sectional Study ◽  
Undergraduate Medical Students ◽  
Cross Sectional ◽  
Significance Level

Introduction: Excessive use of the Internet affects the academic achievements of students. This study aimed to investigate the prevalence of Internet addiction and the pattern of Internet use among undergraduate medical students. Method: This analytical cross-sectional study conducted on 177 undergraduate medical students in batch 2016, 2017 and 2018, who were included in this study by convenience sampling method. The study tool was  Young’s Internet Addiction Test containing questions regarding the pattern of Internet use. Data entry and analysis was done by using Microsoft excel and SPSS version 21. Qualitative data were described in terms of frequency and percentage while quantitative data were expressed as mean and standard deviation. Chi square test and multiple linear regression were used to find out the relationship between various factors and Internet Addiction (IA).  The significance level was considered 0.05. Results: The mean age of the participants was 20.3 years (± 1.19), and 62 % of the subjects were males. The prevalence rate of Internet Addiction (IA) was found to be 56.5% and 42.9% of them were in mild and 13.6% were in moderate addiction category. Being male (β= -0.143, p=0.038), staying at a hostel (β= 0.167, p=0.018), not having a time preference for using the Internet (β= -0.174, p=0.012), spending more time on the Internet everyday (β= 0.201, p=0.000), being always online (β= 0.276, p=0.000) and more years of using the Internet (β= 0.175, p=0.015) were significantly related with IA in students. Conclusion: A large proportion of medical students were found to be addicted to the Internet. Therefore, this issue should be addressed immediately.

scholarly journals IoT-Based Applications in Healthcare Devices

2021 ◽  
Vol 2021 ◽  
pp. 1-18
Author(s):  
Bikash Pradhan ◽  
Saugat Bhattacharyya ◽  
Kunal Pal
Keyword(s):  
Medical Devices ◽  
Healthcare Costs ◽  
Healthcare Professionals ◽  
Healthcare Services ◽  
The Internet ◽  
Healthcare Industry ◽  
Healthcare Applications ◽  
Source Of Information ◽  
The Internet Of Things ◽  
Insight Into

The last decade has witnessed extensive research in the field of healthcare services and their technological upgradation. To be more specific, the Internet of Things (IoT) has shown potential application in connecting various medical devices, sensors, and healthcare professionals to provide quality medical services in a remote location. This has improved patient safety, reduced healthcare costs, enhanced the accessibility of healthcare services, and increased operational efficiency in the healthcare industry. The current study gives an up-to-date summary of the potential healthcare applications of IoT- (HIoT-) based technologies. Herein, the advancement of the application of the HIoT has been reported from the perspective of enabling technologies, healthcare services, and applications in solving various healthcare issues. Moreover, potential challenges and issues in the HIoT system are also discussed. In sum, the current study provides a comprehensive source of information regarding the different fields of application of HIoT intending to help future researchers, who have the interest to work and make advancements in the field to gain insight into the topic.

scholarly journals ‘We’re here to listen and help them as well’: a qualitative study of staff and Indigenous patient perceptions about participating in social and emotional wellbeing research at primary healthcare services

2019 ◽  
Vol 19 (1) ◽  
Author(s):  
Sara Farnbach ◽  
◽  
Graham Gee ◽  
Anne-Marie Eades ◽  
John Robert Evans ◽  
...  
Keyword(s):  
Indigenous Peoples ◽  
Primary Healthcare ◽  
Torres Strait Islander ◽  
Healthcare Services ◽  
Healthcare Staff ◽  
Emotional Wellbeing ◽  
Research Project ◽  
Social And Emotional ◽  
Torres Strait ◽  
Social And Emotional Wellbeing

Abstract Background Research can inform culturally-appropriate care to strengthen social and emotional wellbeing (SEWB) among Aboriginal and Torres Strait Islander (hereafter, the term ‘Indigenous Peoples’ is respectfully used and refers to all Aboriginal and/or Torres Strait Islander Peoples of Australia). We acknowledge the cultural diversity of Australia’s Indigenous First Peoples and they do not represent a homogenous group.) (hereafter Indigenous) Peoples. We explore the perspectives of primary healthcare staff and Indigenous patients about their willingness to and experiences participating in SEWB research. Method Process evaluation using grounded theory approaches of Getting it Right: The validation study, a national validation designed Indigenous SEWB research project (N = 500). Primary healthcare staff (n = 36) and community members (n = 4) from nine of ten primary healthcare services involved with the research project completed qualitative semi-structured interviews. Interview data were triangulated with participant feedback (responses to structured questions and free-text feedback collected during Getting it Right), study administrative data (participant screening logs, communication logs, study protocol, deviation logs and ethics correspondence) and interviewer field notes. Results Three themes about staff, patient and community perspectives concerning research participation developed: (1) considering the needs, risk, preferences and impact of participation in research for staff, patients and community; (2) building staff confidence speaking to patients about research and SEWB problems and (3) patients speaking openly about their SEWB. Some staff described pressure to ensure patients had a positive experience with the research, to respond appropriately if patients became upset or SEWB problems were identified during interviews, or due to their dual role as community member and researcher. Patients and staff reported that patients were more likely to participate if they knew the staff outside of the service, especially staff with a shared cultural background, and they perceived SEWB as a community priority. Staff reported their skills speaking to patients about the research and SEWB improved during the research, which built their confidence. Contrary to staff preconceptions, staff and patients reported that many patients appreciated the opportunity to speak about their SEWB and contributing to research that may eventually enhance SEWB in their community. Conclusion Our research project was considered acceptable by most staff and patients. The positive outcomes reported by staff and feedback from patients highlights the importance of providing opportunities for people to speak about their SEWB and for research-informed SEWB PHC care. Trial registration Getting it Right is registered on ANZCTR12614000705684.

Addressing chronic and complex conditions: what evidence is there regarding the role primary healthcare nurses can play?

2013 ◽  
Vol 37 (5) ◽  
pp. 588 ◽  
Author(s):  
Anne M. Parkinson ◽  
Rhian Parker
Keyword(s):  
Chronic Disease ◽  
Primary Healthcare ◽  
Cost Effective ◽  
Healthcare Services ◽  
Scope Of Practice ◽  
Ageing Population ◽  
International Evidence ◽  
Effective Care ◽  
Rural And Remote Areas ◽  
Healthcare Interventions

Primary healthcare services in Australia need to respond to the needs of an ageing population and the rising prevalence of chronic and complex conditions in that population. This paper reports on the results of a comprehensive Australian and international literature review on nurse-led and nurse-involved primary healthcare interventions with a particular focus on those serving people with chronic and complex conditions and hard to reach populations. The key question this review addresses is: what role can nurses play in primary healthcare to manage people with chronic and complex conditions? International evidence demonstrates that nurses working in primary care provide effective care, have high patient satisfaction and patients are more likely to comply with nurse instructions than general practitioner instructions. Nurses can provide care equivalent to doctors within their scope of practice but have longer consultations. Lifestyle interventions provided by nurses have been shown to be effective for cardiac care, diabetes care, smoking cessation and obesity. The nursing workforce can provide appropriate, cost-effective and high-quality primary healthcare within their scope of practice. What is known about the topic? The prevalence of chronic disease worldwide is increasing due to our lifestyles and ageing populations combined with our extended lifespans. People living in rural and remote areas have higher rates of disease and injury, and poorer access to healthcare. In particular, many older people suffer multiple chronic and complex conditions that require significant clinical management. Nurses are playing increasingly important roles in the delivery of primary healthcare worldwide and international evidence demonstrates that nurses can provide equivalent care to doctors within their scope of practice but have longer consultations. What does this paper add? There is clear international evidence that nurses can play a more significant role in supporting preventive activities and addressing the needs of an ageing population with chronic and complex conditions. In contrast with earlier evidence, recent evidence suggests that nurses may provide the most cost-effective care. What are the implications for practitioners? Adequately prepared nurses can provide a range of effective and cost-effective primary healthcare services in chronic disease management. Studies report that patients are satisfied with nursing care. Nurses should be utilised to their full scope of practice to provide ongoing care to these populations.

scholarly journals What the Health? Information Sources and Maternal Lifestyle Behaviors (Preprint)

2018 ◽  
Author(s):  
Emilie Mass Dalhaug ◽  
Lene Annette Hagen Haakstad
Keyword(s):  
Weight Gain ◽  
Health Behaviors ◽  
Pregnant Women ◽  
Information Sources ◽  
The Internet ◽  
Institute Of Medicine ◽  
Sources Of Information ◽  
Online Chat ◽  
Cross Sectional ◽  
Source Of Information

BACKGROUND Regular physical activity (PA), adequate gestational weight gain (GWG), and healthy eating are important for the long-term health of both mother and baby. Hence, it is important that women receive current and updated advice on these topics and are encouraged to adopt a healthy lifestyle during pregnancy. OBJECTIVE The aim of this study was to investigate the main information sources among pregnant women regarding PA, GWG, and nutrition as well as to evaluate how these information sources may affect their health behaviors. METHODS A cross-sectional study design, comprising an electronic questionnaire, was distributed to 2 antenatal clinics, as well as pregnancy-related online chat forums and social media. The inclusion criteria were ≥18 years, ≥20 weeks gestation, and able to read and write Norwegian. In total, 150 pregnant women answered the questionnaire, which was a mix of 11-point Likert scales, close-ended questions, and semi–close-ended questions with the option to elaborate. The relationship between information sources and selected variables, including health behaviors and descriptive variables, were assessed by logistic regression, linear regression, or chi-square as appropriate (P<.05). RESULTS Mean age (years), gestation week, and prepregnancy body mass index (kg/m2) were 31.1 (SD 4.3), 30.6 (SD 5.9), and 24.2 (SD 4.2), respectively. More than eight out of 10 had received or retrieved information about nutrition (88.7%, 133/150) and PA (80.7%, 121/150), whereas 54.0% (81/150) reported information on GWG. When combining all 3 lifestyle factors, 38.5% had retrieved information from blogs and online forums and 26.6%, from their midwife or family physician. Women who reported the internet and media as their primary source of information on weight gain had increased odds of gaining weight below the Institute of Medicine (IOM) guidelines compared with gaining within the guidelines (odds ratio [OR] 15.5, 95% CI 1.4-167.4; P=.02). Higher compliance with nutritional guidelines was seen among those who cited the internet and media as their main source of information on nutrition (beta=.7, 95% CI 0.07-1.3; P=.03). On the other side, receiving advice from friends and family on weight gain was significantly associated with gaining weight above the IOM guidelines compared with gaining within the guidelines (OR 12.0, 95% CI 1.3-111.7; P=.03). No other associations were found between information sources and health behaviors. CONCLUSIONS The small number of health professionals giving information and the extensive use of internet- and media-based sources emphasize the need to address the quality of internet advice and guide women toward trustworthy sources of information during pregnancy. The association between information sources and PA, GWG, and nutrition requires further research.

scholarly journals Determinants of pregnant mothers to bypass primary health facilities and directly seek postnatal care in hospitals in Dar es Salaam region – A Community health needs assessment, Cross Sectional Study

2019 ◽  
Author(s):  
Joseph Christopher Hokororo ◽  
Eliudi S. Eliakimu ◽  
Ruth Ngowi ◽  
Mohammed A. Mohammed ◽  
Hamisi M. Malebo ◽  
...  
Keyword(s):  
Primary Healthcare ◽  
Healthcare Services ◽  
Cross Sectional Study ◽  
Dar Es Salaam ◽  
Sectional Study ◽  
Cross Sectional ◽  
Healthcare Facilities ◽  
Healthcare Needs ◽  
Postnatal Women ◽  
Pregnant Mothers

Abstract Introduction Dar es Salaam is the region with a large number of Primary healthcare facilities (dispensaries and health centres) outnumber the available hospitals. Although policies on referral system are available, there is a gap in terms of compliance and adherence to the governance system. Hospitals are overwhelmed with patients as compared to primary healthcare facilities, leading to poor quality of the healthcare services. The aim was to assess the needs of community members for primary healthcare services, as well as, to identify the reasons and determinants that influence mothers to bypass primary healthcare facilities.Methodology A cross-sectional study that assessed the determinants associated with pregnant mothers to bypass primary healthcare facilities in their healthcare needs. The study was conducted in Kinondoni, Ilala, Kigamboni, Temeke and Ubungo healthcare facilities in Dar es Salaam region. It targeted all postnatal women. A consecutive sampling procedure was used and a total of 544 of respondents were involved in the study. A structured questionnaire was used to collect information on: social demographic; Clinical factors of the mother; Health services; and provider’s factors that might contribute to the observed bypass. Data were analysed in levels of univariate, bivariate and multivariate using SPSS statistical package number 20.Results A total of 544 respondents were interviewed. Mothers who bypassed the primary healthcare facilities were 94%. After adjustment it was found that, those with income more than 1USD a day were (OR=4.27, CI=1.8- 15.4, P=0.01) more likely to bypass the primary facilities and go straight to the upper levels of healthcare facilities.Conclusions This study has found postnatal women in Dar es Salaam region are at high chance of going straight to the secondary and tertiary Hospitals without passing at primary healthcare facilities. Nine in every ten postnatal women were found to have by passed the primary healthcare facilities. Findings from this study reveals a strong and urgent need to strengthen primary healthcare facilities and as well implement the referral guidelines on all clients who seek health care to reduce the bypass.

Spatial Analysis on Primary Healthcare Distance for Orang Asli in Batang Padang District

2019 ◽  
pp. 46
Author(s):  
Mohamad Fadli K ◽  
Rosliza AM ◽  
Muhamad Hanafiah J ◽  
Sharifah Norkhadijah SI
Keyword(s):  
Spatial Analysis ◽  
Primary Healthcare ◽  
Spatial Data ◽  
Healthcare Services ◽  
Cross Sectional Study ◽  
Peninsular Malaysia ◽  
Geographical Information ◽  
Cross Sectional ◽  
Orang Asli ◽  
To Come

Introduction: A huge number of Orang Asli population live in isolated area within peninsular Malaysia. Their lack of proper road and remoteness made their access to healthcare services difficult. Batang Padang has the 22800 Orang Asli reside in the district. Primary healthcare services have been provided to this population through static clinic and mobile clinic.Objective: This study was done to determine distance of primary healthcare from Orang Asli village and their correlation with primary healthcare utilization.Methods: A cross sectional study using Geographical Information System was done using spatial data from various sources for mapping and spatial analysis. Network analysis using ArcGIS software was used to determine the distance while Spearman correlation was used to determine association between distance and primary healthcare utilization.Result: Most of Orang Asli villages located not far from main road. Mean distance from Orang Asli village to nearest primary healthcare clinic is 5.87 kilometers. Mean duration taken for Orang Asli to come to the primary healthcare clinic is either 4.71 minutes by land transportation or 70.42 minutes by walking. Orang Asli villages located in the center of the district around Bandar Tapah have short distance to primary healthcare and the distance increase as the villages located away from the center. There is significant correlation between network distance with Orang Asli attendance to clinic (r 0.203) and MMR vaccination (r 0.230). There is also significant correlation between walking duration with Orang Asli attendance to primary healthcare (r 0.178) and MMR vaccination (r 0.227).Conclusion: As the distance and duration increase for Orang Asli to get to primary healthcare, there is increase need of primary healthcare services. Planning of primary healthcare for Orang Asli should consider the distance from these villages to primary healthcare services.International Journal of Human and Health Sciences Supplementary Issue: 2019 Page: 46

scholarly journals Knowledge of Adverse Events Following Immunization Reporting Tool and System Among Primary Healthcare Workers in Jigawa State

2020 ◽  
Vol 41 (S1) ◽  
pp. s308-s308
Author(s):  
Ahmad Umar ◽  
Muawiyyah Sufiyan ◽  
Dahiru Tukur ◽  
Mary Onoja-Alexander ◽  
Lawal Amadu ◽  
...  
Keyword(s):  
Adverse Events ◽  
Primary Healthcare ◽  
Statistical Tests ◽  
Statistical Significance ◽  
Sampling Technique ◽  
The State ◽  
Health Facilities ◽  
Cross Sectional ◽  
Significance Level ◽  
Immunization Services

Background: Adverse events following immunization (AEFI) surveillance largely depends on the ability of the healthcare worker (HCW) to timely detect and report cases using the correct reporting tools through an appropriate system. AEFI surveillance is carried out regularly during both routine immunization services and supplemental immunization activities in the state. Objective: We assessed knowledge of adverse events following immunization reporting tools and system among primary HCWs in Jigawa state, northwestern Nigeria. Method: A descriptive cross-sectional design was used for this study. A multistage sampling technique was used to select 290 HCWs that had spent at least 6 months in immunization units of primary healthcare centers of Jigawa state. Data were collected using pretested self-administered structured questionnaire with open and closed ended questions and were analyzed using IBM SPSS version 20 software. All statistical tests were 2-tailed with P < .05 as the statistical significance level. Results: Most of the primary HCWs (93.2%) had AEFI reporting forms in their health facilities, and 68.9% said that the AEFI reporting form could be obtained from a focal or contact person in the health facility. Up to 96.4% of the primary HCWs were aware of how to report AEFI. Also, ~76.6% of primary HCWs knew the correct AEFI reporting flow, but only 15.8% knew that only serious AEFIs are reported. Furthermore, ~78.8% and 19.4% of HCWs mentioned telephone and filling forms as some of the appropriate methods of AEFI notification, respectively. Conclusions: Most primary HCWs had reporting forms in their health facilities and were aware of how to report an AEFI. Most of the respondents knew the correct AEFI reporting flow. The state in collaboration with local government authorities should provide quality training on AEFI reporting and reporting system.Funding: NoneDisclosures: None

scholarly journals Early detection of kidney disease in Ghana - A situational survey of secondary hospitals in the Ashanti Region of Ghana

2021 ◽  
Vol 4 (2) ◽  
Author(s):  
Elliot Koranteng Tannor ◽  
Kamarudeen Korku Hussein ◽  
Martin Agyei ◽  
Vincent Boima
Keyword(s):  
Kidney Disease ◽  
Primary Healthcare ◽  
Urine Analysis ◽  
Health Staff ◽  
Healthcare Staff ◽  
Cross Sectional ◽  
Ashanti Region ◽  
District Hospitals ◽  
Patients With Diabetes ◽  
Almost All

Background Patients with kidney disease are referred late to tertiary institutions with increased morbidity and mortality. The accurate diagnoses and management of kidney disease by primary healthcare staff is dependent on the requisite knowledge and availability of adequate laboratory services. We set out to describe the practice pattern of districts Hospitals. Methods We conducted a situational cross-sectional descriptive survey of district hospitals within the Ashanti region of Ghana. A structured questionnaire was designed via google survey and the links sent to medical superintendents and/or administrators for completion. Data was exported onto an Excel sheet and analyzed with Stata 13. Summary statistics with means ± standard deviation and medians with interquartile range were used where appropriate. Percentages and proportions were used for categorical data. Results We surveyed 26 hospitals in the Ashanti region of Ghana. This included 23(88.5%) public facilities. Most 25(96.2%) of hospitals had a dedicated diabetes mellitus clinic and 24(92.3%) had dedicated hypertension clinic. Only 5(19.2%) hospitals routinely requested urinalysis for patients with diabetes and hypertension during visits. Almost all 25(96.2%) hospitals could carry out routine urine analysis in their laboratory but only 16 (61.5%) of the hospitals could run serum urea and creatinine test. Most 25(96.2%) of respondents suggested that the training of health staff for the early diagnosis and management of kidney disease as key to improve care. Conclusion Primary healthcare staff in district hospitals do not routinely screen high risk patients for kidney disease and call for training to manage patients with kidney disease appropriately.

Sign in / Sign up

Export Citation Format

Share Document