Patient and visitor violence in the general hospital, occurrence, staff interventions and consequences: a cross-sectional survey

2012 ◽  
Vol 68 (12) ◽  
pp. 2685-2699 ◽  
Author(s):  
Sabine Hahn ◽  
Virpi Hantikainen ◽  
Ian Needham ◽  
Gerjo Kok ◽  
Theo Dassen ◽  
...  
2015 ◽  
Vol 22 (11) ◽  
pp. 1423-1427
Author(s):  
Sheikh Kashif Rahim ◽  
Shaukat Ali ◽  
Zafar Latif

Objectives: To assess awareness about Hypertension among patients. Studydesign: Cross-sectional Survey. Setting: Medical OPD at Rawal General Hospital, Islamabad.Period: Three months from 1st April to 30th June. Materials and Methods: A total of 150 male,female patients attending Medical Out Patient Department at Rawal General Hospital Islamabadwere assessed regarding awareness about Hypertension using a self-constructed mixedquestionnaire (In English and Urdu). Results: Following findings were observed among patientsattending RGH, Islamabad: 82% of patients found to have family history of HTN, while 13%responded negative. 5% of the patients were unaware. 33% of patients found to have diabetesmellitus, while 29% responded negative and 38% of the patients were unaware of having or not.Hypertensive population found to be 51%. 45% found to adhering to anti-hypertensive treatment,while 55% responded negative. 80.6%, 90%, 73%, 82% and 85% considered the obesity, lackof exercise, cigarette smoking, anxiety and high cholesterol respectively as causative factor ofHTN. Excessive intake of salt was considered by 84% as causative factor of HTN. About 82%considered DM as causative factor of HTN. 79%, 73%, 93%, 55% of the patients considered thecardiac disease, renal failure, brain hemorrhage and loss vision respectively as complicationof HTN. 80%, 90%, 73%, 27% consider the regular exercise, reduced salt intake, no smoking,keeping weight under control respectively as preventive measures of HTN. About half and morethan half of the respondents considered frequent use of vegetables, excessive intake of sweets,as preventive measures of hypertension. Conclusions: The assessment of awareness aboutHypertension among population of various areas can be beneficial in effective planning fordisease prevention and control.


2020 ◽  
Vol 8 (B) ◽  
pp. 705-707
Author(s):  
Liza Salawati ◽  
Husnah Husnah ◽  
Yusuf Nawawi ◽  
Zainal A. Muchlisin

BACKGROUND: Exposure to cigarette smoke is one risk factor that can lead to the development of chronic obstructive pulmonary disease (COPD). AIM: The aim of this study was to examine the relationship between smoking and the stage of COPD. METHODS: This study used a cross-sectional survey design. A total of 60 COPD patients were involved in the study between September and November 2015 at the pulmonary ward of Zainoel Abidin General Hospital (ZAGH), Banda Aceh, Indonesia. The data were analyzed with the non-parametric bivariate test. RESULTS: The results showed that 55% of patients with COPD were aged between 40 and 60 years; 63.33% of them were heavy smokers. About 50% of moderate smokers suffered from Stage III COPD, while 34.21% of heavy smokers suffered from Stage III and Stage VI (severe) COPD, respectively, with p = 0.007. CONCLUSIONS: There is a strong relationship between smoking and COPD stage among patients at ZAGH.


2021 ◽  
Vol 15 (6) ◽  
pp. 1390-1393
Author(s):  
S. Riaz ◽  
Q. Lateef ◽  
M. T. Khan ◽  
M. Moin ◽  
K. Iqbal ◽  
...  

Aim: To study the association between weather and frequency of cataract surgeries performed over the year in four different hospitals of Lahore, Punjab. Place and duration of study: The data of 8375 patients who underwent cataract surgeries over last three years 2017, 2018 and 2019 from four different hospitals, Medicare Eye hospital, Jinnah Hospital, Akhtar Saeed Trust Hospital and Lahore General Hospital, was collected. Study design: It was a cross sectional survey. Non-probability conventional sample was used. The data was analyzed by SPSS-20 and presented in forms of bar charts and line graphs. Methods: Total 8375 patients were selected from previous records for our study from four different centers. The hospitals were Akhtar Saeed trust hospital, Jinnah hospital,Lahore general hospital and Lahore Medicare Eye center. Lahore General hospital (LGH) and Jinnah Hospital are from government sector. Akhtar Saeed Hospital is a trust hospital and Lahore Medicare is a private Hospital.All patients with unilateral or bilateral cataract with age above 40 years were included where as patients under 40 years, cataract planned under general anesthesia and patients who had cataract associated with retinal attachment were excluded. Results: Total patients included in our study were 8375.There were 4439 (53%) men and 3936 (47%) women. Out of these 3721 (44.43%) from Jinnah hospital, 2498 (29.83%) were from Lahore General Hospital, 1676 (20.01%) from Medicare and 480 (5.73%) from trust Hospital. In Jinnah hospital, the highest number of cataract surgeries were observed in months of March 500 (13.44%), October 375 (10.08%) and February 341 (9.16%) and months with a smaller number of cataract surgeries were July 201 (5.40%), June 185 (4.9%) and August 170(4.57%).In LGH three months showing maximum number of patients were October313(12.53%), November 285(11.41%) and April 281(11.25%) and minimal in July 158(6.33%), August 128 (5.12%) and June 99(3.96%). Conclusion: It was clear from results of our study that higher number of cases were seen in months of March, April and October and the lowest number of surgeries were observed in months of June, July and August on an average. A definite seasonal variation was observed in number of cataract surgeries performed over the year, in different eye hospitals of Lahore (Punjab) Pakistan. Keywords: Cataract, Surgery, Seasonal variation


BMJ Open ◽  
2021 ◽  
Vol 11 (11) ◽  
pp. e054173
Author(s):  
Inoka Koshali Wimalaratne ◽  
Jane McCarthy ◽  
Birit F P Broekman ◽  
Klaas Nauta ◽  
Samudra Kathriarachchi ◽  
...  

ObjectivePsychiatric comorbidities are common in physical illness and significantly affect health outcomes. Attitudes of general hospital doctors toward psychiatry are important as they influence referral patterns and quality of care. Little is known about these attitudes and their cultural correlates. The aim of this study was to identify attitudes toward psychiatry among general hospital specialists in relation to culture of the practice setting and other clinician factors (gender, age, seniority and specialty).MethodsA cross-sectional, descriptive study was carried out in seven countries (New Zealand, China, Sri Lanka, Russia, Israel, Brazil, the Netherlands). Data were collected from senior medical staff of various disciplines using an updated version of Mayou and Smith’s (1986) self-administered questionnaire.ResultsA total of 889 hospital doctors participated. While favourable attitudes toward both psychiatric consultation and management were endorsed by a majority, significant differences were also observed between countries. Subgroup differences were mostly confined to gender, acuity of practice setting and specialty. For example, female doctors in Russia (χ2=7.7, p=0.0056), China (χ2=9.2, p=0.0025) and the Netherlands (χ2=5.7, p=0.0174) endorsed more positive attitudes compared with their male counterparts, but this gender effect was not replicated in the total sample. Chronic care specialists were overall more inclined to manage patients’ emotional problems compared with those working in acute care (χ2=70.8, p (adjusted)<0.0001), a significant finding seen also in individual countries (China, New Zealand, the Netherlands, Russia). Physicians were more favourably disposed toward psychiatry compared with other specialists, especially surgeons, in all countries except Israel.ConclusionsThis study adds to evidence for the association of medical attitudes with individual clinician factors and demonstrates that the influence of these factors varies by country. Understanding these issues may help to overcome barriers and improve quality of care provided to general hospital patients.


2012 ◽  
Vol 12 (54) ◽  
pp. 6776-6793
Author(s):  
JO Mala ◽  
◽  
PJ Tuitoek ◽  
RA Odhiambo ◽  

The effect of maternal dietary intakes on pregnancy outcomes was assessed in a descriptive , cross -sectional survey among women attending the Prevention of Mother - to-Child Transmission (PMTCT) of HIV program at Nyanza Provincial General Hospital (NPGH) , Kenya. A Purposive sampling procedure was employed to select pregnant women (n=107) who had been tested for HIV into the study. Data on socio - demographic characteristics , health factors, dietary intakes and pregnancy outcomes were collected through an interview schedule from HIV -infected (n=48) and uninfected (n=59) pregnant women. Maternal dietary intakes were investigated using 24- Hour Diet Recalls and Food Frequency Questionnaires (FFQs) . Pregnancy outcomes were assessed in terms of infants’ birth weights, gestational age, birth complications and stillbirths. Statistical Package for the Social Sciences (SPSS ) was used to analyze data for descriptive and inferential statistics while NutriSurvey computer program analyzed dietary data for nutrient intake levels . The results showed that protein ( p = 0.025) and vitamin B 12 (p = 0.021) intakes had significant correlation with infant ’s gestational age among the HIV -infected women while calorie (p = 0.042) , vitamin B 6 ( p = 0.048 ) and vitamin B 12 ( p = 0.015) intakes significantly influenced infant ’s gestational age among uninfected women . Magnesium, iron and folate had a significant influence (p < 0.05) on infant ’s gestational age in both HIV - infected and uninfected mothers. The results further revealed that HIV -infected women gave birth to infants of low birth weight (2.70 ± 0.3799 kg) compared with those uninfected (3.16 ± 0.5307 kg), while the gestational age of infants born to HIV - infected mothers was shorter ( 34.6 ± 3.24 weeks) compared with that of infants born to uninfected mothers ( 39.4 ± 2.21 weeks ). The study concluded that both HIV and dietary intake have significant effects on pregnancy outcomes . It is imperative , therefore, that appropriate nutrition intervention be put in place to improve mater nal health during HIV infection to ensure favourable pregnancy outcomes.


2021 ◽  
Author(s):  
Gerard Charles ◽  
Sophia Lau Pei Wen

Abstract Objectives: The first aim of this study was to understand the psychosocial impacts faced by our older healthcare frontline workers during the COVID-19 pandemic in Singapore General Hospital. Secondly, we hoped to explore the issues faced by an ageing healthcare workforce and recommend improvements in daily operations for future health crises. Lastly, we wanted to analyse ageist attitudes and misconceptions of being an older adult and recommend future changes in organizational policies.Methods: This is a mixed-methods cross-sectional survey. A self-designed questionnaire was developed by the study team through FormSG. It consists of 9 open and 45 closed-ended questions. Data were collected during the months of December 2020 and January 2021. Healthcare workers aged 62 years old and above were eligible to participate in this study by scanning a QR code or via weblink.Results: Participants had expressed mixed feelings while working during the COVID-19 pandemic such as uncertainty (75%), anxiety (58%), fear (42%), stress (25%), and sadness (25%). 75% of the participants went on to acknowledge that due to their job, their loved ones would be at a higher risk of contracting COVID-19. Similarly, 75% responded that they were determined to do their duty as a frontline healthcare worker despite fears of being diagnosed with COVID-19 present amongst 33% of the participants. 25% of participants felt motivated to be frontline healthcare workers with no reports of any form of discrimination from the public. 92% of the participants were aware that due to their age, they stood a much higher chance of contracting COVID-19 and had not considered being deployed to a lower risk area in fears of their health. All participants had taken part in the annual flu vaccination program, with 58% of responses indicating they believe the annual flu vaccination can prevent them from contracting COVID-19.Conclusion: Older adults bring forth a wealth of experiences in any organisation, however, as much experience as there may be, the ageing process is also accompanied by a myriad of complex challenges. Having strong social, professional, and familial support has allowed older adults to tide through this pandemic psychosocially. It is of utmost importance to understand the strengths and unique challenges that come with working in an intergenerational workforce, despite so the intergenerational economy can flourish with proper management skills and job re-designing, re-tooling, and re-skilling resources to ensure the right fit to employability skills and staff loyalty. Moreover, even younger staff will age through time.


Author(s):  
Ehiosun O. Marvel

NHIS was launched officially on 6th of June 2005. The Scheme is designed to provide comprehensive health care at affordable costs, covering employees of the formal sector, self-employed, as well as rural communities, the poor and the vulnerable groups. However, client satisfaction of services rendered continues to be a major concern for the improvement of NHIS. This study is designed to determine the level and causes of dissatisfaction of clients accessing NHIS clinic at the Kubwa General Hospital, Kubwa, FCT, Abuja. This study employed a descriptive cross sectional survey. 279 NHIS enrollees were recruited for this study at the Kubwa General Hospital. Questionnaires were administered and the level of dissatisfaction and satisfaction of NHIS services were analyzed. The satisfaction rate was 69.2% while the dissatisfaction rate was 22.9%. The respondents were satisfied with the attitude of health workers in NHIS clinic, Kubwa. However, they were dissatisfied with waiting time, attitude of record officers and those in pharmacy department. This study found that the level of dissatisfaction with NHIS services is high despite a high satisfaction level. The Attitude of health workers may influence the dissatisfaction of enrollees. NHIS is still limited to the formal sector.


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