Exploring healthcare providers’ perceptions of mental health amid COVID-19 pandemic in obstetrics and gynaecology department of a tertiary care public sector hospital of Karachi, Pakistan: an exploratory qualitative study protocol

IntroductionIn the wake of the unprecedented public health challenge of the COVID-19 pandemic, it is highly significant to recognise the mental health impact of this mounting threat on healthcare providers (HCPs) working in the obstetrics and gynaecology department. Experience from epidemics and emerging literature around COVID-19 show that the unparalleled amount of stress that HCPs are dealing with is linked with the increased burden of mental health conditions. We aim to conduct an exploratory qualitative descriptive study to assess HCPs’ perceptions of mental health amid the COVID-19 pandemic in the obstetrics and gynaecology department of a public sector tertiary care hospital of Karachi, Pakistan.Methods and analysisThis study will use a qualitative descriptive approach where approximately 20–25 HCPs from the obstetrics and gynaecology department will be recruited using a purposive sampling approach. Data will be collected through semistructured interviews and it will be analysed thematically using NVivo V.12 Plus software.Ethics and disseminationEthical approval for this study has been obtained from the Institutional Review Board Committee of Jinnah Postgraduate Medical Center hospital. The study results will be disseminated to the scientific community and the HCPs participating in the study. The findings will help us to explore the doctor’s perceptions of mental health during the current pandemic of COVID-19 and its impact on their daily lives and mental well-being.

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COVID-19 Pandemic and Mental Health of Doctors: An Observational Analytical Study from a Dedicated COVID Hospital.

International Journal of Human and Health Sciences (IJHHS) ◽

10.31344/ijhhs.v5i3.279 ◽

2021 ◽

Vol 5 (3) ◽

pp. 297

Author(s):

F Khatoon ◽

A Singh ◽

AQ Jilani ◽

A Ahmad ◽

M Haq ◽

...

Keyword(s):

Mental Health ◽

Inverse Relationship ◽

Tertiary Care ◽

Well Being ◽

Psychological Outcomes ◽

Care Hospital ◽

Cross Sectional ◽

Susceptibility To Infection ◽

Frontline Healthcare Workers ◽

The Impact

Objective:Doctors experienced unprecedented levels of workload and pressure since the outbreak of COVID-19, making them more vulnerable to adverse psychological outcomes. While frontline healthcare workers face a substantially higher risk of susceptibility to infection due to excessive COVID-19 exposure, little is known about its impact on doctors not directly posted with COVID-19 patients. Our study was focused on studying the impact of COVID-19 pandemic on mental health of this subgroup of doctors.Materials and Methods: From April 1st to July 31st, 2020, a cross sectional web-based survey was conducted at a COVID-19 dedicated tertiary care hospital. The study was conducted using standard questionnaires measuring adverse psychological outcomes including DASS-21 and WHO-5. Univariate and multivariate logistic regression were used to examine the determinants of adverse psychological outcomes.Results and Discussion: 145 doctors completed the survey questionnaire with over 71% females and 29% males. The overall prevalence of anxiety, depression and stress among doctors was 38.6%, 41.37% and 32.42% respectively. The overall well-being score was found to be 52.77 + 24.19 with a median [IQR] of 52.Conclusion: A high incidence of adverse psychological outcomes are observed amongst doctors during COVID-19 pandemic, even when they are not directly involved in the care of COVID-19 patients. Stress, anxiety and depression have an inverse relationship with age and marital status. Anxiety has an inverse relationship with religious beliefs.International Journal of Human and Health Sciences Vol. 05 No. 03 July’21 Page: 297-306

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Knowledge regarding law and ethics among nurses at a tertiary care hospital in rural India

International Journal of Community Medicine and Public Health ◽

10.18203/2394-6040.ijcmph20183421 ◽

2018 ◽

Vol 5 (9) ◽

pp. 3882

Author(s):

Thirunavukarasu M. R. ◽

Velmurugan A.

Keyword(s):

Ethical Issues ◽

Clinical Skills ◽

Clinical Care ◽

Tertiary Care ◽

Healthcare Providers ◽

Healthcare Team ◽

Care Hospital ◽

Ethical Practices ◽

Law And Ethics ◽

Study Results

Background: Excellence in clinical skills along with a sound knowledge of standard practices related to bioethics and its application in the clinical settings is essential for healthcare providers. Nurses play a pivotal role in the healthcare team, being involved in various aspects like clinical care, research and medical education. It is essential for nurses to be aware of the ethical practices for effective patient care.Methods: It was a hospital-based descriptive study. A pre-tested questionnaire covering socio-demographic information and questions regarding law and ethics was used to collect the information. Nurses with more than one year experience and those who offered voluntary informed consent were included in the study. The study covered 50 staff nurses from both gender.Results: The study showed that majority of the participants (78%) had inadequate knowledge, nearly 7% of them are having moderate knowledge and only 4% are having adequate knowledge regarding law and ethics in Nursing.Conclusions: The study shows the need for increase in awareness regarding ethical issues associated with clinical practice and research among nurses. The study results were used to prepare a booklet on ethics and law for nurses and given to all the participants. Similar studies can be conducted among other members of the health care team (doctors, interns, researchers and trainee nurses) to generalize the results. Group discussions and workshops can be conducted for nurses and other members to promote the need for ethical practices.

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IMPACT OF SOCIO-DEMOGRAPHIC VARIABLES AND MORBID CONDITIONS ON PERCEIVED MENTAL HEALTH COMPONENTS USING SF-36 QUESTIONNAIRE

SRMS Journal of Medical Science ◽

10.21761/jms.v1i1.10935 ◽

2016 ◽

Vol 1 (1) ◽

Author(s):

S. K. Sharma ◽

V. P. Shrotriya ◽

D. Imtiaz ◽

S. B. Gupta

Keyword(s):

Mental Health ◽

Diabetes Mellitus ◽

Social Functioning ◽

Tertiary Care ◽

Perceived Health ◽

Subjective Assessment ◽

Care Hospital ◽

Sf 36 ◽

The Social ◽

The Impact

<bold>Introduction:</bold> Perceived Health is a subjective assessment of the physical as well as mental health and includes so many aspects as mentioned in SF-36 form that are difficult to capture clinically such as incipient disease, physiological, psychological reserves and social functions. To assess the impact of Diabetes Mellitus, Hypertension and other socio-demographic factors on the Social Functioning component of mental health of the patients attending a tertiary care hospital in Bareilly. <bold>Material and Methods:</bold> Perceived health status of the patients was assessed by the Social Functioning dimension of the Mental Component Summary (MCS) using the SF-36 form. <bold>Results:</bold> The presence of both Diabetes Mellitus and Hypertension was associated with lower Social Functioning scores compared to those with diabetes (p = 0.013) and hypertension alone. Age was negatively related with Social Functioning scores (p<0.001) but male gender (p>0.000) and higher income (p<0.424) were all associated with higher Social Functioning scores. Rural subjects were found to have better SF score compared to urban. <bold>Conclusion:</bold> Age, gender and morbidity was found to have profound influence on Social Functioning scoring of the subjects. However, the results should be interpreted in terms of the study’s limitations.

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Relationship between trajectories of post-stroke disability and self-rated health (NeuroAdapt): protocol for a prospective observational study

BMJ Open ◽

10.1136/bmjopen-2021-049944 ◽

2021 ◽

Vol 11 (6) ◽

pp. e049944

Author(s):

Sarah K Schäfer ◽

Robert Fleischmann ◽

Bettina von Sarnowski ◽

Dominic Bläsing ◽

Agnes Flöel ◽

...

Keyword(s):

Observational Study ◽

Prospective Observational Study ◽

Tertiary Care ◽

Functional Health ◽

Care Hospital ◽

Duration Of Symptoms ◽

Post Stroke ◽

Self Rated Health ◽

Modifying Factors ◽

Study Results

IntroductionStroke is the leading neurological cause of adult long-term disability in Europe. Even though functional consequences directly related to neurological impairment are well studied, post-stroke trajectories of functional health according to the International Classification of Functioning, Disability and Health are poorly understood. Particularly, no study investigated the relationship between post-stroke trajectories of activities of daily living (ADL) and self-rated health (SRH). However, such knowledge is of major importance to identify patients at risk of unfavourable courses. This prospective observational study aims to investigate trajectories of ADL and SRH, and their modifying factors in the course of the first year after stroke.Methods and analysisThe study will consecutively enrol 300 patients admitted to a tertiary care hospital with acute ischaemic stroke or transient ischaemic attack (TIA; Age, Blood Pressure, Clinical Features, Duration of symptoms, Diabetes score ≥3). Patient inclusion is planned from May 2021 to September 2022. All participants will complete an interview assessing ADL, SRH, mental health, views on ageing and resilience-related concepts. Participants will be interviewed face-to-face 1–5 days post-stroke/TIA in the hospital; and will be followed up after 6 weeks, 3 months, 6 months and 12 months via telephone. The 12-month follow-up will also include a neurological assessment. Primary endpoints are ADL operationalised by modified Rankin Scale scores and SRH. Secondary outcomes are further measures of ADL, functional health, physical activity, falls and fatigue. Views on ageing, social support, resilience-related concepts, affect, frailty, illness perceptions and loneliness will be examined as modifying factors. Analyses will investigate the bidirectional relationship between SRH and ADL using bivariate latent change score models.Ethics and disseminationThe study has been approved by the institutional review board of the University Medicine Greifswald (Ref. BB 237/20). The results will be disseminated through scientific publications, conferences and media. Moreover, study results and potential implications will be discussed with patient representatives.Trial registration numberNCT04704635.

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Clinical Team Distribution and Antibiotic Use Patterns at a Tertiary-Care Academic Medical Center

Infection Control and Hospital Epidemiology ◽

10.1017/ice.2020.695 ◽

2020 ◽

Vol 41 (S1) ◽

pp. s168-s169

Author(s):

Rebecca Choudhury ◽

Ronald Beaulieu ◽

Thomas Talbot ◽

George Nelson

Keyword(s):

Medical Center ◽

Academic Medical Center ◽

Tertiary Care ◽

Antibiotic Use ◽

Care Hospital ◽

Hospital Units ◽

Antibiotic Utilization ◽

Academic Medical ◽

Level Data ◽

Utilization Data

Background: As more US hospitals report antibiotic utilization to the CDC, standardized antimicrobial administration ratios (SAARs) derived from patient care unit-based antibiotic utilization data will increasingly be used to guide local antibiotic stewardship interventions. Location-based antibiotic utilization surveillance data are often utilized given the relative ease of ascertainment. However, aggregating antibiotic use data on a unit basis may have variable effects depending on the number of clinical teams providing care. In this study, we examined antibiotic utilization from units at a tertiary-care hospital to illustrate the potential challenges of using unit-based antibiotic utilization to change individual prescribing. Methods: We used inpatient pharmacy antibiotic use administration records at an adult tertiary-care academic medical center over a 6-month period from January 2019 through June 2019 to describe the geographic footprints and AU of medical, surgical, and critical care teams. All teams accounting for at least 1 patient day present on each unit during the study period were included in the analysis, as were all teams prescribing at least 1 antibiotic day of therapy (DOT). Results: The study population consisted of 24 units: 6 ICUs (25%) and 18 non-ICUs (75%). Over the study period, the average numbers of teams caring for patients in ICU and non-ICU wards were 10.2 (range, 3.2–16.9) and 13.7 (range, 10.4–18.9), respectively. Units were divided into 3 categories by the number of teams, accounting for ≥70% of total patient days present (Fig. 1): “homogenous” (≤3), “pauciteam” (4–7 teams), and “heterogeneous” (>7 teams). In total, 12 (50%) units were “pauciteam”; 7 (29%) were “homogeneous”; and 5 (21%) were “heterogeneous.” Units could also be classified as “homogenous,” “pauciteam,” or “heterogeneous” based on team-level antibiotic utilization or DOT for specific antibiotics. Different patterns emerged based on antibiotic restriction status. Classifying units based on vancomycin DOT (unrestricted) exhibited fewer “heterogeneous” units, whereas using meropenem DOT (restricted) revealed no “heterogeneous” units. Furthermore, the average number of units where individual clinical teams prescribed an antibiotic varied widely (range, 1.4–12.3 units per team). Conclusions: Unit-based antibiotic utilization data may encounter limitations in affecting prescriber behavior, particularly on units where a large number of clinical teams contribute to antibiotic utilization. Additionally, some services prescribing antibiotics across many hospital units may be minimally influenced by unit-level data. Team-based antibiotic utilization may allow for a more targeted metric to drive individual team prescribing.Funding: NoneDisclosures: None

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Gender-wise Comparative Assessment of Lifestyle Patterns and Well-being Status among Healthcare Employees at a Tertiary Care Hospital

Indian Journal of Cardiovascular Disease in Women WINCARS ◽

10.1055/s-0041-1727578 ◽

2021 ◽

Author(s):

Vanajakshamma Velam ◽

Vyshnavi Kancherla ◽

Latheef Kasala ◽

Anusha Kancherla ◽

Mounica Reddy Pillaram

Keyword(s):

Tertiary Care Hospital ◽

Tertiary Care ◽

Well Being ◽

Care Hospital ◽

Cross Sectional ◽

Significant Difference ◽

Female Employees ◽

The Mean ◽

Lifestyle Patterns ◽

Comprehensive Study

Abstract Background This study was an attempt to assess and compare the gender-wise lifestyle patterns and well-being status among the employees of a tertiary care teaching hospital. Material and Methods This is a cross-sectional, questionnaire-based study conducted at a tertiary care hospital between May and August 2019. A total of 777 employees belonging to both genders (male and female) and working at different professional levels were assessed. All the enrolled employees were subjected to a comprehensive study tool consisting of various dimensions of their health, which included physical, mental, social, spiritual and intellectual health dimensions. Results Among the participants, 327 (42.1%) were male and 450 (57.9%) were female. There was no significant difference in the mean age of male (37.91 ± 7.52) and female (36.85 ± 8.16) employees (p = 0.07). A significantly higher proportion of diabetes and hypertension were seen in male employees (9.8% and 14.4%, respectively) than in female (5.6% and 6.2% respectively). The overall well-being was better in male employees than in females and was statistically significant (p < 0.0001). We found that male employees had statistically significant better well-being in terms of physical, mental and social health whereas female employees had intellectual health. Conclusion The overall well-being in healthcare staff was good at our tertiary care hospital, and the outstanding/good well-being rate was higher in male employees than in female employees. Female employees experienced risks with regard to their physical health.

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Military spouses with deployed partners are at greater risk of poor perinatal mental health: a scoping review

Journal of the Royal Army Medical Corps ◽

10.1136/jramc-2018-001069 ◽

2019 ◽

Vol 165 (5) ◽

pp. 363-370 ◽

Cited By ~ 1

Author(s):

Lauren Rose Godier-McBard ◽

L Ibbitson ◽

C Hooks ◽

M Fossey

Keyword(s):

Mental Health ◽

Social Support ◽

Scoping Review ◽

Healthcare Providers ◽

Well Being ◽

Perinatal Period ◽

Poor Mental Health ◽

Adverse Outcomes ◽

Military Spouses ◽

Perinatal Mental Health

BackgroundPoor mental health in the perinatal period is associated with a number of adverse outcomes for the individual and the wider family. The unique circumstances in which military spouses/partners live may leave them particularly vulnerable to developing perinatal mental health (PMH) problems.MethodsA scoping review was carried out to review the literature pertaining to PMH in military spouses/partners using the methodology outlined by Arksey and O’Malley (2005). Databases searched included EBSCO, Gale Cengage Academic OneFile, ProQuest and SAGE.ResultsThirteen papers fulfilled the inclusion criteria, all from the USA, which looked a PMH or well-being in military spouses. There was a strong focus on spousal deployment as a risk factor for depressive symptoms and psychological stress during the perinatal period. Other risk factors included a lack of social/emotional support and increased family-related stressors. Interventions for pregnant military spouses included those that help them develop internal coping strategies and external social support.ConclusionsUS literature suggests that military spouses are particularly at risk of PMH problems during deployment of their serving partner and highlights the protective nature of social support during this time. Further consideration needs to be made to apply the findings to UK military spouses/partners due to differences in the structure and nature of the UK and US military and healthcare models. Further UK research is needed, which would provide military and healthcare providers with an understanding of the needs of this population allowing effective planning and strategies to be commissioned and implemented.

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Attitude and Practice of Contraception among Gynecologists at a Tertiary Care Hospital

Journal of SAFOG with DVD ◽

10.5005/jp-journals-10006-1244 ◽

2013 ◽

Vol 5 (3) ◽

pp. 129-131 ◽

Cited By ~ 1

Author(s):

Sunita Hemani ◽

Premlata Mital

Keyword(s):

Tertiary Care Hospital ◽

Tertiary Care ◽

Healthcare Providers ◽

Care Hospital ◽

Barrier Method ◽

Unintended Pregnancies ◽

Attitude And Practice ◽

Complete Knowledge ◽

The Mean ◽

Medical Healthcare

ABSTRACT Medical healthcare providers are an important link with the general public to impart knowledge regarding contraception. However, their own attitude and practice of contraception is often lacking. Objective This study was conducted to assess the attitude and practice of contraception over the last 5 years of the gynecologists themselves in a tertiary care hospital in Jaipur. Materials and methods The study was conducted on 125 female gynecologists in a tertiary care hospital in Jaipur. All were given a questionnaire which was duly filled by them and data obtained was analyzed. Results All the doctors used some form of contraception. The mean age was 29.32 years. The commonest was the barrier method (38.4%) followed by OC pills (27.2%). Twenty-one percent of the barrier users used them occasionally. Emergency contraception was used by either those using natural methods of contraception or who were occasional users of OC pills or condoms. Fifty percent of the couples relying on natural methods conceived. Conclusion Gynecologists have complete knowledge regarding contraception, yet fail to use it regularly. Proper attitude and practice is essential to prevent unintended pregnancies. How to cite this article Hemani S, Hooja N, Mital P. Attitude and Practice of Contraception among Gynecologists at a Tertiary Care Hospital. J South Asian Feder Obst Gynae 2013;5(3): 129-131.

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Abstract 147: Hypertension-related Admission and Mortality at a Referral Hospital in Tanzania - A Call to Action

Hypertension ◽

10.1161/hyp.60.suppl_1.a147 ◽

2012 ◽

Vol 60 (suppl_1) ◽

Author(s):

Naomi Shike ◽

Santosh Vardhana ◽

Judith Briant ◽

Robert Peck

Keyword(s):

Heart Failure ◽

Medical Center ◽

Tertiary Care ◽

Sub Saharan Africa ◽

Morbidity And Mortality ◽

Hospital Death ◽

Care Hospital ◽

Common Cause ◽

Related Disease ◽

Reasonable Approach

Introduction The WHO has been increasingly emphasizing and calling for research on the vast unattended burden of non-communicable diseases in the developing world. Hypertension (HTN) in particular is thought to play a growing role in morbidity and mortality in these regions, but has yet to gain significant momentum in public health initiatives. Objective To determine what role HTN and comorbid diseases play in admission and mortality in Bugando Medical Center (BMC), a tertiary care hospital in Tanzania serving 13 million people. Methods We conducted a retrospective analysis of all patients admitted to the internal medicine service at BMC over 34 months between 2008 and 2011. Data on admission diagnoses and mortality had been collected prospectively by Tanzanian doctors in hand-written logs. For patients with heart failure or stroke, the ward logs specified if this was primarily related to hypertension or other risk factors. Data were copied into an Excel database and analyzed to determine the proportion of admissions and deaths primarily related to hypertension. Results In 34 months 8,037 patients were admitted and 1,508 died. HTN-related disease led to 1,997 admissions (25%), while HIV-related illness led to 2,076 (26%). Similarly, HTN led to 377 deaths (25%) and HIV to 579 (38%). HTN-related disease was second only to HIV-related disease as a cause of admission and death. Among hypertensives, the most common cause of admission was congestive heart failure (446; 27%) and of death was stroke (147; 49%). In non-hypertensives, HIV-related disease was the most common cause of both admission (2029; 32%) and death (566; 46%). Conclusions HTN-related disease was second only to HIV as a cause of admission to our hospital and in-hospital death. Better strategies for early diagnosis and treatment of HTN are desperately need in sub Saharan Africa to prevent this morbidity and mortality. Building HTN screening and treatment on top of the extensive infrastructure for HIV disease may be a reasonable approach.

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Halitosis: Its Aetiology and Psychosocial Impact- A Hospital Based Study

Bengal Journal of Otolaryngology and Head Neck Surgery ◽

10.47210/bjohns.2021.v29i2.416 ◽

2021 ◽

Vol 29 (2) ◽

pp. 145-150

Author(s):

Gopika Kalsotra ◽

Monica Manhas ◽

Sachin Gupta ◽

Heemani Bhardwaj ◽

Parmod Kalsotra ◽

...

Keyword(s):

Social Life ◽

Laryngopharyngeal Reflux ◽

Systemic Disease ◽

Tertiary Care ◽

Neck Surgery ◽

Psychosocial Impact ◽

Care Hospital ◽

Female Ratio ◽

Study Results ◽

A Prospective Study

Introduction Halitosis means bad or unpleasant odour from oral cavity. It causes embarrassment to the patients and affects their social life and communication. This study aims to find the causes of halitosis and to assess its psychosocial impact. Materials and Methods A prospective study was conducted in the department of Otorhinolaryngology and Head Neck Surgery in a tertiary care hospital. It included 165 patients, presenting to the ENT OPD with chief complains of oral malodour for at least 3 months. The patients in the age above 15 years and below 75 years, irrespective of gender, were included in the study. Results The age of the patients ranged from 15 to 75 years with a mean age of 52.24 ± 15.67 with male: female ratio of 7:10. The most common cause of halitosis in the present study included chronic rhinosinusitis (38.7%), gingivitis/periodontitis (19.39%), tonsillitis (4.84%), laryngopharyngeal reflux (2%), deep neck space infections (1.2%). In 23.56%, the halitosis was a symptom of an underlying malignancy. Conclusion Halitosis from an extra oral origin can be the sign of an underlying systemic disease or malignancy. The consultation should be done with the periodontist, ENT specialist and a physician.

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