Characterization of nurses’ duty to care and willingness to report

2019 ◽  
Vol 27 (2) ◽  
pp. 348-359 ◽  
Author(s):  
Charleen McNeill ◽  
Danita Alfred ◽  
Tracy Nash ◽  
Jenifer Chilton ◽  
Melvin S Swanson
Keyword(s):  
Research Design ◽  
Perceived Risk ◽  
The United States ◽  
Discussion Board ◽  
Care Group ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Convenience Sample ◽  
The University ◽  
Willingness To Report

Background: Nurses must balance their perceived duty to care against their perceived risk of harm to determine their willingness to report during disaster events, potentially creating an ethical dilemma and impacting patient care. Research aim: The purpose of this study was to investigate nurses’ perceived duty to care and whether there were differences in willingness to respond during disaster events based on perceived levels of duty to care. Research design: A cross-sectional survey research design was used in this study. Participants and research context: Using a convenience sample with a snowball technique, data were collected from 289 nurses throughout the United States in 2017. Participants were recruited through host university websites, Facebook, and an American Nurses Association discussion board. Ethical considerations: Institutional review board approval was obtained from the University of Texas at Tyler and the University of Arkansas. Findings: Analysis of willingness to report to work based on levels of perceived duty to care resulted in the emergence of two groups: “lower level of perceived duty to care group” and “higher level of perceived duty to care group.” The most discriminating characteristics differentiating the groups included fear of abandonment by co-workers, reporting because it is morally the right thing to, and because of imperatives within the Nursing Code of Ethics. Discussion: The number of nurses in the lower level of perceived duty to care group causes concern. It is important for nursing management to develop strategies to advance nurses’ safety, minimize nurses’ risk, and promote nurses’ knowledge to confidently work during disaster situations. Conclusion: Level of perceived duty to care affects nurses’ willingness to report to work during disasters. Primary indicators of low perceived duty to care are amenable to actionable strategies, potentially increasing nurses’ perceived duty to provide care and willingness to report to work during disasters.

scholarly journals Exploring Predictors of Social Distancing Compliance in the United States during the COVID-19 Pandemic

2021 ◽  
pp. 1-22
Author(s):  
Alexa C. Hansen ◽  
Charlotte V. Farewell ◽  
Jennifer S. Jewell ◽  
Jenn A. Leiferman
Keyword(s):  
United States ◽  
Psychological Factors ◽  
Health Belief ◽  
The United States ◽  
Perceived Benefits ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Convenience Sample ◽  
Perceived Susceptibility ◽  
Social Distancing

Abstract Objective: Through the application of the Health Belief Model, this study sought to explore how relationships between perceived susceptibility, severity, and benefits of social distancing recommendations, as well as psychological factors, may impact compliance with COVID-19 social distancing recommendations in the United States. Methods: Between October and November 2020, a convenience sample of English-speaking adults in the United States completed an online, cross-sectional survey which included items assessing beliefs around threats (e.g., perceived susceptibility and severity), response efficacy, (e.g., perceived benefits), psychological factors (e.g., stress and COVID-specific anxiety), and compliance with social distancing measures (e.g., avoiding social gatherings). Results: Social distancing compliance was positively associated with perceived susceptibility of COVID-19 (b =.42, p < .05) and perceived benefits of social distancing recommendations (b = .81, p < .01). No significant associations were found between perceived severity of COVID-19 (p = .38), general stress (p = .28), COVID-19-related anxiety (p = .12) and compliance. Conclusions: Findings suggest that perceived susceptibility to COVID-19 and perceived benefits of social distancing measures significantly increased compliance with social distancing recommendations in this convenience sample of U.S. adults.

scholarly journals Pharmacists’ Perceptions and Drivers of Immunization Practices for COVID-19 Vaccines: Results of a Nationwide Survey Prior to COVID-19 Vaccine Emergency Use Authorization

Pharmacy ◽  
2021 ◽  
Vol 9 (3) ◽  
pp. 131
Author(s):  
Sonia Susan Jacob ◽  
Mary Barna Bridgeman ◽  
Hyoeun Kim ◽  
Michael Toscani ◽  
Racquel Kohler ◽  
...  
Keyword(s):  
Pharmacy Practice ◽  
Final Analysis ◽  
Nationwide Survey ◽  
The United States ◽  
Geographic Region ◽  
Vital Role ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Convenience Sample ◽  
To Receive

Background: Pharmacists play a vital role in recommending and providing vaccines to improve public health and are on the front line of mass immunization efforts. Aim: The objective of this study is to evaluate pharmacists’ perceptions on COVID-19 vaccines prior to emergency use authorization (EUA) amid a global pandemic. Methods: A voluntary, anonymous, cross-sectional survey was conducted between September and November 2020. Survey respondents included a convenience sample of licensed pharmacists in the United States. The primary outcomes were pharmacists’ willingness to receive and recommend hypothetical COVID-19 vaccines. Covariates assessed in the survey included COVID-19 exposure or personal experience, primary pharmacy practice setting, background in training, geographic region, and prioritization of clinical data. The data were analyzed using descriptive and inferential statistics. Results: This study surveyed 763 pharmacists and results from 632 participants were included in final analysis. Overall, 67.1% of the pharmacists were willing to receive a COVID-19 vaccine and 63.4% of the pharmacists were willing to recommend a COVID-19 vaccine at ≤1 year from the time of vaccine approval. At >1 year after vaccine approval, 78% of the pharmacists were willing to receive a COVID-19 vaccine and 81.2% of the pharmacists were willing to recommend a COVID-19 vaccine. Conclusions: Survey findings suggest that, while a majority of pharmacists surveyed indicate acceptance of hypothetical COVID-19 vaccines, there remains to be hesitancy among pharmacists to receive or recommend vaccination.

Digital information literacy skills of Pakistani librarians: exploring supply-demand mismatches, adoption strategies and acquisition barriers

2020 ◽  
Vol 36 (2) ◽  
pp. 167-189
Author(s):  
Asad Khan
Keyword(s):  
Information Literacy ◽  
Training Programs ◽  
Literacy Skills ◽  
Current Status ◽  
Digital Information ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Convenience Sample ◽  
Content Type ◽  
The University

Purpose This study aimed to examine the current and needed levels of the digital information literacy (DIL) skills of Pakistani librarians and further explored the strategies of and barriers to its acquisition and/or enhancement. Design/methodology/approach Using the quantitative approach, a cross-sectional survey was conducted. A convenience sample of Pakistani university librarians was recruited. Out of 225 distributed questionnaires, only 180 surveys were returned, a response rate of 80%. Descriptive and inferential statistics were used for data analyzes. Findings The present status of DIL skills was found low and there is a high demand for its acquisition. The results also explored that the present level of DIL skills is not matching with its required level and thus training is needed. Further, strategies adopted for its attainment were identified including training programs, seminars and social media. Additionally, barriers in the attainment of DIL skills were also established including librarians’ lack of interest, poor internet facilities, absence of users’ demand, no training programs and lack of collaboration between the faculty and librarians. Research limitations/implications This study was limited to librarians serving in three different universities of Pakistan. The findings of this study may motivate librarians toward the adoption of digital innovations. This study also informs librarians to recognize gaps in their DIL skills and should attempt to diminish it using diverse strategies. The results also inform the concerned authorities about the barriers faced by librarians in the acquisition of DIL skills and can plan for training programs. Additionally, LIS curriculum should be revised to incorporate topics related to the learning of innovative digital skills. Finally, results motivate librarians to attain DIL skills that possibly augment their performance. Originality/value This study is the first attempt in Pakistan that examined supply-demand mismatches, adoption strategies and acquisition barriers in the context of librarians’ DIL skills serving in the university libraries of Peshawar. As the current status of DIL skills of Pakistani librarians was found low, thus university authorities should organize professional development programs for librarians to acquire and/or enhance the DIL skills.

scholarly journals Perspectives of Canadian and American Cat Owners on Provision of Uncontrolled Outdoor Access for Owned Domestic Cats

2021 ◽  
Vol 8 ◽  
Author(s):  
Sarah M. L. Tan ◽  
Sarah Jajou ◽  
Anastasia C. Stellato ◽  
Lee Niel
Keyword(s):  
United States ◽  
Online Survey ◽  
Random Effect ◽  
The United States ◽  
Future Research ◽  
Cross Sectional Survey ◽  
Related Factors ◽  
Cross Sectional ◽  
Convenience Sample ◽  
Attitudes And Practices

While uncontrolled outdoor access can increase opportunities for cat physical and mental stimulation, it can also increase risks of injury and illness, and result in predation of wild birds and small animals. In Canada and the United States, it is often recommended to keep cats indoors, but many owners still provide some level of outdoor access. The objectives of this study were to use a cross-sectional survey to explore the attitudes and practices of cat owners in Canada and the United States toward outdoor access and to identify factors that influence the provision of uncontrolled outdoor access. A convenience sample of cat owners (N = 7,838) were recruited to complete an online survey, and a mixed logistic regression model was used to examine associations between cat and owner-related factors, and uncontrolled outdoor access for cats, with province/state included as a random effect. In total, 57% of owners kept their cats indoors, and 43% provided some form of outdoor access, with 21% of total owners providing uncontrolled outdoor access. Provision of uncontrolled outdoor access was associated with factors related to cat characteristics (e.g., sex, breed, presence of health, and behavioral issues), the home environment (e.g., living with other pets, types of enrichment provided), owner perspectives on outdoor access (e.g., level of agreement with potential benefits and consequence of outdoor access), and owner demographics (e.g., gender, education, area of residence). For cats with uncontrolled outdoor access, few owners reported their cats having a collar or a microchip, suggesting a need to increase education about precautionary measures to protect the welfare of outdoor cats. Results reveal how owners are caring for their cats in terms of providing outdoor access and generate hypotheses for future research to examine the influence of the owner-pet bond and educational programs on owner practices around providing outdoor access.

scholarly journals Awareness of Stammering Disorder among Related Fields University Students, Lahore Pakistan

2021 ◽  
pp. 13-18
Author(s):  
Aqsa Noor ◽  
Muhammad Azam Khan ◽  
Bareera Saeed ◽  
Hafsa Nareen ◽  
Fahad Massod
Keyword(s):  
University Students ◽  
Research Design ◽  
Sampling Technique ◽  
Female Students ◽  
Speech Language Pathology ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Language Pathology ◽  
The University ◽  
Age Range

Aims: To determine the awareness of stammering disorder among university students of related fields that are Speech Language Pathology, Psychology, and Allied Professionals. Study design: Cross sectional survey is used as research design in this study. Place and Duration of Study: University of Central Punjab, The University of Lahore. Superior University, Lahore campus between June 2020 and July 2021. Methodology: Sample (N=333) was drawn through purposive sampling technique from various universities of Lahore with age range of 17 – 35 years of 44% male and 56% female students of related fields( Speech Language Pathology, Psychology, Allied Professionals).Standardized questionnaire was used to determine the awareness. Data was analyzed through SPSS with descriptive statistic of frequency and percentages. Results: Majority of participants 59.6% had accurate awareness regarding stuttering is more common in male and stuttering is not hereditary. Conclusion: It was concluded that majority university students of related fields have accurate awareness regarding stammering disorder in Lahore, Pakistan.

Risk Minimization Measures in Off-Label Drug Use: A Survey of Community Pharmacists in Malaysia

2020 ◽  
Vol 15 (3) ◽  
pp. 181-189
Author(s):  
Omotayo Fatokun
Keyword(s):  
Informed Consent ◽  
Drug Use ◽  
Perceived Risk ◽  
Adverse Drug Events ◽  
Community Pharmacists ◽  
Risk Minimization ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Off Label ◽  
Written Informed Consent

Background: While off-label drug use is common and sometimes necessary, it also presents considerable risks. Therefore, measures intended to prevent or reduce the potential exposure to off-label risks have been recommended. However, little is known about community pharmacists’ beliefs regarding these measures in Malaysia. Objectives: This study examined community pharmacists’ beliefs towards risk minimization measures in off-label drug use in Malaysia and assessed the relationship between perceived risk of off-label drug use and beliefs towards risk minimization measures. Methods: A cross-sectional survey was conducted among 154 pharmacists practicing in randomly selected community pharmacies in Kuala Lumpur and the State of Selangor, Malaysia. Results: The majority agreed or strongly agreed that adverse drug events from the off-label drug should be reported to the regulatory authority (90.9%) and the off-label drug should only be used when the benefit outweighs potential risks (88.3%). Less than half (48.1%) agreed or strongly agreed that written informed consent should be obtained before dispensing off-label drugs and a majority (63.7%) agreed or strongly agreed that the informed consent process will be burdensome to healthcare professionals. Beliefs towards risk minimization measures were significantly associated with perceived risk of off-label drug use regarding efficacy (p = 0. 033), safety (p = 0.001), adverse drug rection (p = 0.001) and medication errors (p = 0.002). Conclusion: The community pharmacists have positive beliefs towards most of the risk minimization measures. However, beliefs towards written informed consent requirements are not encouraging. Enhancing risk perception may help influence positive beliefs towards risk minimization measures.

scholarly journals Analyzing Predictors of Control Measures and Psychosocial Problems Associated with COVID-19 Pandemic: Evidence from Eight Countries

2021 ◽  
Vol 11 (8) ◽  
pp. 106
Author(s):  
Sheikh Saifur Rahman Jony ◽  
Ubydul Haque ◽  
Nathaniel J. Webb ◽  
Emily Spence ◽  
Md. Siddikur Rahman ◽  
...  
Keyword(s):  
Psychological Health ◽  
Age Groups ◽  
Psychosocial Problems ◽  
Relevant Information ◽  
The United States ◽  
Control Measures ◽  
Cross Sectional Survey ◽  
Online Questionnaire ◽  
Cross Sectional ◽  
Primary Determinant

COVID-19 has harshly impacted communities globally. This study provides relevant information for creating equitable policy interventions to combat the spread of COVID-19. This study aims to predict the knowledge, attitude, and practice (KAP) of the COVID-19 pandemic at a global level to determine control measures and psychosocial problems. A cross-sectional survey was conducted from July to October 2020 using an online questionnaire. Questionnaires were initially distributed to academicians worldwide. These participants distributed the survey among their social, professional, and personal groups. Responses were collected and analyzed from 67 countries, with a sample size of 3031. Finally, based on the number of respondents, eight countries, including Bangladesh, China, Japan, Malaysia, Mexico, Pakistan, the United States, and Zambia were rigorously analyzed. Specifically, questionnaire responses related to COVID-19 accessibility, behavior, knowledge, opinion, psychological health, and susceptibility were collected and analyzed. As per our analysis, age groups were found to be a primary determinant of behavior, knowledge, opinion, psychological health, and susceptibility scores. Gender was the second most influential determinant for all metrics except information about COVID-19 accessibility, for which education was the second most important determinant. Respondent profession was the third most important metric for all scores. Our findings suggest that greater encouragement from government health authorities and the promotion of health education and policies are essential in the dissemination of COVID-19-awareness and increased control of the spread of COVID-19.

scholarly journals Pre-Exposure Prophylaxis Training among Medical Schools in the United States

2021 ◽  
Vol 12 ◽  
pp. 215013272110287
Author(s):  
Robert L. Cooper ◽  
Mohammad Tabatabai ◽  
Paul D. Juarez ◽  
Aramandla Ramesh ◽  
Matthew C. Morris ◽  
...  
Keyword(s):  
United States ◽  
Hiv Prevention ◽  
Injection Drug Users ◽  
Drug Users ◽  
Healthcare Providers ◽  
Medical Schools ◽  
The United States ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Exposure Prophylaxis

Pre-Exposure Prophylaxis (PrEP) has been shown to be an effective method of HIV prevention for men who have sex with-men (MSM) and -transgender women (MSTGWs), serodiscordant couples, and injection drug users; however fewer than 50 000 individuals currently take this regimen. Knowledge of PrEP is low among healthcare providers and much of this lack of knowledge stems from the lack or exposure to PrEP in medical school. We conducted a cross sectional survey of medical schools in the United States to assess the degree to which PrEP for HIV prevention is taught. The survey consisted Likert scale questions assessing how well the students were prepared to perform each skill associated with PrEP delivery, as well as how PrEP education was delivered to students. We contacted 141 medical schools and 71 responded to the survey (50.4%). PrEP education was only reported to be offered at 38% of schools, and only 15.4% reported specific training for Lesbian, Gay, Bisexual, and Transgender (LGBT) patients. The most common delivery methods of PrEP content were didactic sessions with 11 schools reporting this method followed by problem-based learning, direct patient contact, workshops, and small group discussions. Students were more prepared to provide PrEP to MSM compared to other high-risk patients. Few medical schools are preparing their students to prescribe PrEP upon graduation. Further, there is a need to increase the number of direct patient contacts or simulations for students to be better prepared.

Are Future Doctors Prepared to Address Patients’ Nutritional Needs? Cooking and Nutritional Knowledge and Habits in Medical Students

2021 ◽  
pp. 155982762110181
Author(s):  
Sam Sugimoto ◽  
Drew Recker ◽  
Elizabeth E. Halvorson ◽  
Joseph A. Skelton
Keyword(s):  
Medical Students ◽  
Prior Knowledge ◽  
The United States ◽  
First Year ◽  
Nutritional Knowledge ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Nutritional Needs ◽  
Second Year ◽  
First Year Medical Students

Background. Many diseases are linked to lifestyle in the United States, yet physicians receive little training in nutrition. Medical students’ prior knowledge of nutrition and cooking is unknown. Objective. To determine incoming medical students’ prior nutrition knowledge, culinary skills, and nutrition habits. Methods. A dual-methods study of first-year medical students. Cross-sectional survey assessing prior knowledge, self-efficacy, and previous education of cooking and nutrition. Interviews of second-year medical students explored cooking and nutrition in greater depth. Results. A total of 142 first-year medical students participated; 16% had taken a nutrition course, with majority (66%) learning outside classroom settings. Students had a mean score of 87% on the Nutritional Knowledge Questionnaire versus comparison group (64.9%). Mean cooking and food skills score were lower than comparison scores. Overall, students did not meet guidelines for fiber, fruit, vegetables, and whole grains. Interviews with second-year students revealed most learned to cook from their families; all believed it important for physicians to have this knowledge. Conclusions. Medical students were knowledgeable about nutrition, but typically self-taught. They were not as confident or skilled in cooking, and mostly learned from their family. They expressed interest in learning more about nutrition and cooking.

Strategic Planning in Emergency Management: Evaluating the Impacts on Local Program Quality

2020 ◽  
Vol 17 (3) ◽  
Author(s):  
Scott Robert Manning
Keyword(s):  
Strategic Planning ◽  
Emergency Management ◽  
Survey Design ◽  
Management Practice ◽  
The United States ◽  
Program Quality ◽  
County Level ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Local Program

AbstractThis study examined the strategic planning practices of county-level emergency management agencies (EMAs), with a specific focus on strategic planning adoption and its relationship to local program quality. The study utilized a descriptive, cross-sectional survey design to collect planning- and program-related data from more than 300 county-level EMAs across the United States. The study findings revealed that most of the county EMAs included in the final sample had previously engaged in strategic planning activities, with nearly all of them continuing to use strategic planning as part of their general management practice. The study findings further revealed that strategic planning had a direct and significant impact on the overall quality of local emergency management programs, and that the strategic planning EMAs had significantly higher mean quality scores across all program dimensions when compared to the non-strategic planning EMAs.

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