scholarly journals Safety culture implications on safe work practices and work place exposure incidents in Operation Theater

2021 ◽  
Vol 37 (2) ◽  
Author(s):  
Tahira Hameed ◽  
Eitezaz Ahmed Bashir ◽  
Abdul Qadeer Khan ◽  
Murtaza Ahmad
Keyword(s):  
Safety Culture ◽  
Direct Contact ◽  
Tertiary Care ◽  
Teaching Hospitals ◽  
Work Place ◽  
Work Practices ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Study Objective ◽  
Safe Work

Background & Objectives: The study was undertaken to estimate the prevalence of body and blood fluid exposure incidents such as needle stick injuries, direct contact, splashes, and cuts among health care personnel (HCP) in operation theaters (OTs). The study objective was to investigate perception of safety culture and potential challenges faced by HCP in Pakistani context. Methods: An analytical cross-sectional survey was conducted in four tertiary care hospitals of Rawalpindi and Islamabad that were Akbar Niazi Teaching Hospital (ANTH), Fauji Foundation Hospital (FFH), Benazir Bhutto Hospital (BBH) and Holy Family Hospital (HFH) during March, 2019 to June, 2019. The data of the current study was collected from surgical staff in OTs at four tertiary care teaching hospitals including nurses, house officers, post graduate trainees, registrars, consultants, and technicians in the twin cities i.e., Rawalpindi and Islamabad. Results: In our findings (N=367) there was a high prevalence of exposure incidents in past six months, 45% had had got a needle injury, 36% have got a splash, 28.8% had direct contact and 35.6% had a cut once respectively in past six months, the occurrence of exposure incidents twice, thrice and more is also enormous. Conclusion: The study reflected a dire need of trainings at hospitals so that very strategically the importance of safety being a priority and value of HCP is inculcated on daily basis. doi: https://doi.org/10.12669/pjms.37.2.2946 How to cite this:Hameed T, Bashir EA, Khan AQ, Ahmad M. Safety culture implications on safe work practices and work place exposure incidents in Operation Theater. Pak J Med Sci. 2021;37(2):---------. doi: https://doi.org/10.12669/pjms.37.2.2946 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/3.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Influenza Vaccination Rates and Motivators Among Healthcare Worker Groups

2007 ◽  
Vol 28 (2) ◽  
pp. 171-177 ◽  
Author(s):  
Amanda Banks Christini ◽  
Kathleen A. Shutt ◽  
Karin E. Byers
Keyword(s):  
Medical Students ◽  
Influenza Vaccine ◽  
Influenza Vaccination ◽  
Tertiary Care ◽  
Teaching Hospitals ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Influenza Like Illness ◽  
Vaccination Rates ◽  
Nursing Aides

Background.The rate of influenza vaccination among healthcare workers (HCWs) is approximately 40%. Differences in vaccination rates among HCW groups and reasons for accepting or rejecting vaccination are poorly understood.Objectives.To determine vaccination rates and motivators among different HCW groups during the 2004-2005 influenza season.Design.Cross-sectional survey conducted between July 10 and September 30, 2005.Setting.Two tertiary care teaching hospitals in an urban center.Participants.Physicians, nurses, nursing aides, and other staff. Surveys were collected from 1,042 HCWs (response rate, 42%).Results.Sixty-nine percent of physicians (n = 282) and 63% of medical students (n = 145) were vaccinated, compared with 46% of nurses (n = 336), 42% of nursing aides (n = 135), and 29% of administrative personnel (n = 144). Physicians and medical students were significantly more likely to be vaccinated than all other groups (P < .0001). Pediatricians (84%) were more likely than internists (69%) and surgeons (43%) to be vaccinated (P < .0001). Among the HCWs who were vaccinated, 33.4% received the live attenuated influenza vaccine (LAIV) and 66.6% received trivalent inactivated influenza vaccine (TIV). Vaccinated HCWs were less likely than unvaccinated HCWs to report an influenza-like illness (P = .03). Vaccination with LAIV resulted in fewer episodes of influenza-like illness than did receiving no vaccine (P = .03). The most common reason for rejecting vaccination was a concern about availability. Understanding that HCWs may transmit the virus to patients correlated with vaccine acceptance (P = .0004).Conclusions.Significant differences in vaccination exist among physician specialties and employee groups, and there are inadequate vaccination rates among those with the greatest amount of patient contact, potentially providing a basis for group-specific interventions.

scholarly journals Frequency of Depression, Anxiety and Stress among Gynae Residents during Covid Pandemic

2021 ◽  
Vol 15 (7) ◽  
pp. 1894-1897
Author(s):  
Imran Khan ◽  
Muhammad Zaman Afridi ◽  
Zahra Wasim ◽  
Nadia Khan Jawad ◽  
Zubaida Khanum Wazir ◽  
...  
Keyword(s):  
Tertiary Care ◽  
Psychological Impact ◽  
Moderate Level ◽  
Teaching Hospitals ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Post Graduate ◽  
Ethical Approval ◽  
Community Data ◽  
Tertiary Care Hospitals

Objective: To find the frequency of depression, anxiety and stress among Gynae residents during covid pandemic. Methodology: This Cross-sectional survey was carried out in different Teaching Hospitals of Khyber Pakhtunkhwa during the period of six months i.e from August 2020 to January 2021. After the ethical approval from the research community, data was collected from Post Graduate Gynae Residents of Teaching Hospitals. Sample size for the study was 405 participants. Depression, anxiety and gross scale shorten version DASS-21 containing 21 items was standard research to use in study i.e. depression, anxiety and stress was identified on the basis of their cutoff scores i.e. normal scores were ≥10, ≥8 and ≥15 for depression, anxiety and stress respectively. Result: In depression, 136 (34%) participants were normal followed by moderate level having frequency 121 (30.25%). In the anxiety category, 116 (29%) participants were normal followed by moderate level having frequency 101 (25.5). In the category of stress, 179 (44.75%) participants were normal followed by mild levels having frequency 106 (26.50%). Only COVID positive status was statistically significant with depression, anxiety and stress as their P-valve was 0.02 less than 0.05. Conclusion: Considerable number of post graduate Gynae trainees working in different tertiary care hospitals have varying degrees of depression, anxiety and stress due to COVID-19 pandemic. Keywords: COVID-19, Pandemic, Post graduate, Psychological impact, Trainee doctors, Gynae residents, Mental health, Obstetrics, Gynaecology.

scholarly journals Employee engagement and its relation to hospital performance in a tertiary care teaching hospital

2015 ◽  
Vol 4 (1) ◽  
pp. 48
Author(s):  
Srinivas Goud Bulkapuram ◽  
Laxmitej Wundavalli ◽  
Kanthi Sagar Avula ◽  
T Reddy K
Keyword(s):  
Employee Engagement ◽  
Tertiary Care ◽  
Performance Standards ◽  
Patient Safety Culture ◽  
Hospital Performance ◽  
Work Place ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Quality Healthcare ◽  
The Mean

Introduction: Employees in modern organizations are expected to be proactive, show initiative, and take responsibility for their own professional development and to be committed to high quality performance standards. Human resource in healthcare is one of the key components which is scarcely available and needs to be utilized in an efficient way. Assessment of employee engagement and identifying the key areas for work place improvement are important to be able to deliver timely and quality care.Methods: A cross-sectional survey was conducted at the Nizam’s Institute of Medical Sciences, India, in the year 2012-13, that included all the permanent employees of the institute except class IV employees. The required sample size was calculated as 286. A semi structured socio-demographic proforma was designed. Employee Experience Survey used in the current study is based on Ontario Hospital Association’s Quality Healthcare Workplace Model. Engagement scores were categorized into low, medium and high categories. Correlation analysis was done to identify the association between engagement score and both the outcomes: patient centered work environment (PCWE) and patient safety culture (PSC).Results: The mean employee engagement score in the study hospital was 20.98 (SD = 3.15) which falls in the medium level. 40.6% of employees were in low engagement group, 39.9% were in medium engagement group and 19.5% were in high engagement group. The mean PCWE score was 22.78 (SD = 3.19), and mean PSC was 21.62 (SD = 3.99) and there was a positive and significant association between employee engagement vs. PWCE and employee engagement vs. PSC.Conclusion: The study shows a significant association between employee engagement and the key hospital outcomes, PCWE and PSC. A further analysis of the engagement survey data is required to test the direction of association and to determine the change in their relationships with respect to time. National benchmarks for such outcome measures need to be developed to enable the hospitals nationwide to assess and compare the work environments.

scholarly journals Influence of hospital policy on partograph use in tertiary care facilities in India: a cross sectional survey

2017 ◽  
Vol 6 (11) ◽  
pp. 4890
Author(s):  
Shalini Singh ◽  
Vishwajeet Singh ◽  
Tushita Thakur ◽  
A. G. Radhika ◽  
Pratima Mittal ◽  
...  
Keyword(s):  
Tertiary Care ◽  
Decision Support Tool ◽  
Public Hospitals ◽  
Teaching Hospitals ◽  
Cross Sectional Survey ◽  
Chi Square ◽  
Hospital Policy ◽  
Cross Sectional ◽  
Support Tool ◽  
Exact Test

Background: Partograph is an effective, but underutilized tool for monitoring labour. This study examined the influence of hospital policy on the knowledge, attitude, practice and skills of doctors towards partograph plotting.Methods: A cross-sectional survey among doctors posted in labour rooms of tertiary care public teaching hospitals of India was carried out, using self-administered questionnaire to assess knowledge, attitude and practice; and labour case scenarios were provided to assess partograph plotting skills. Chi-square test or Fisher’s exact test were employed to test the significance of association between knowledge, attitude, practice and skills of 150 doctors working in hospitals with (n=3) and without (n=2) policy of routine partograph plotting.Results: The majority of doctors in both groups had correct knowledge about different partograph components. However, doctors working in hospitals with a policy of partograph use, demonstrated significantly better skills using case scenarios for plotting partographs (p<0.01), and a positive attitude towards plotting partograph and its use as a decision support tool (p=0.000) as compared to doctors working in hospitals without a routine partograph plotting policy.Conclusions: Hospital policy of routine partograph plotting may positively influence utilization of partograph in tertiary care public hospitals in India.

scholarly journals The Association of PPE Availability, Training and Practices with COVID-19 Sero-prevalence in Nurses and Paramedics in Tertiary Care Hospitals of Peshawar, Pakistan

2020 ◽  
pp. 1-18
Author(s):  
Junaid Ahmad ◽  
Saeed Anwar ◽  
Abdul Latif ◽  
Najib Ul Haq ◽  
Muhammad Sharif ◽  
...  
Keyword(s):  
Healthcare Professionals ◽  
Univariate Analysis ◽  
Tertiary Care ◽  
Teaching Hospitals ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Frontline Workers ◽  
Healthcare Profession ◽  
Tertiary Care Hospitals ◽  
The Impact

Abstract Background Nurses and paramedics by being the frontline workers of the healthcare profession need to be equipped with the relevant knowledge, skills and protective gears against different forms of infection, including COVID-19. Though the governments and concerned stakeholders have provided P.P.E.s, training and information to protect the healthcare professionals, however until now the scientific literature has virtually not reported the impact of P.P.Es availability, training and practices on the COVID-19 sero-prevalence among the nurses and paramedics. Objective This study aimed to assess the Impact of P.P.Es availability, training and practices on COVID-19 sero-prevalence among nurses and paramedics in teaching hospitals of Peshawar, Pakistan. Methods A cross-sectional survey was conducted with a total of 133 nurses and paramedics as subjects of the study. Results A univariate analysis was done for four variables. The findings indicate that the healthcare professionals (nurses & paramedics) who have received P.P.Es on time at the start of COVID-19 emergence has fewer chances of contracting the COVID-19 infection (O.R = 0.96); while the odds for P.P.Es supplies was 0.73, and the odds of hand hygiene training was 0.95. Conclusion The study concluded that the availability of the P.P.E.s, COVID-19 related training and compliance with W.H.O recommended practices against COVID-19 were instrumental in protection against the infection and its spread.

scholarly journals Tailor-Made Psychosocial Intervention for the Caregivers in Emergency and Trauma Care Center

2021 ◽  
Vol 12 (02) ◽  
pp. 290-294
Author(s):  
T.R. Kanmani ◽  
Birudu Raju ◽  
Subhas Konar ◽  
Dhaval Shukla ◽  
Raghavendra Kukkehalli
Keyword(s):  
Trauma Care ◽  
Psychosocial Intervention ◽  
Care Center ◽  
Psychosocial Problems ◽  
Psychosocial Interventions ◽  
Survey Method ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Study Objective ◽  
The Impact

Abstract Introduction The caregiver’s psychosocial problems are unnoticed in the emergency and trauma care center. Therefore, the study objective was to understand the impact of psychoeducation and psychosocial intervention on traumatic brain injury (TBI) caregivers during hospitalization. Methodology The study adopted a descriptive research design. Sixty-three (n = 63) consented caregivers were recruited by using a cross-sectional survey method. Two separate checklists were used to collect the psychosocial problems in emergency and trauma care as well as to know the satisfaction levels of caregivers after the intervention. R free 3.0.1 software was used to calculate the frequency and percentage. Results The caregiver’s mean age was 39 years (39.46 ± 16.22). The majority of the caregivers were males (45; 71.4%) working as daily wagers (42; 66.7%). Caregivers experienced psychosocial problems, that is, depression, anxiety, stress, unable to handle crisis, grief, lack of coping skills (57; 90.5%), emotional distress (57; 90.5%), financial constraints (45; 71.1%), and need for referral services (45; 71.1%). Tailor-made psychosocial interventions were provided to the caregivers. Conclusion To conclude, there is a greater need to provide psychosocial intervention and train the caregivers to provide care for TBI survivors during hospitalization. There is a need to develop the uniform standard operating procedure for medical and psychiatric social workers in providing psychosocial care in emergency and trauma care setting.

scholarly journals Perceptions and Attitudes towards Evidence Based Practice among Nurses and Nursing Students in Nepal

2017 ◽  
Vol 13 (4) ◽  
pp. 308-315 ◽  
Author(s):  
S. Karki ◽  
R. Acharya ◽  
H. Budhwani ◽  
P. Shrestha ◽  
P. Chalise ◽  
...  
Keyword(s):  
Nursing Students ◽  
Evidence Based Practice ◽  
Evidence Based ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Study Objective ◽  
Knowledge And Skills ◽  
Professional Students ◽  
Positive Attitudes ◽  
Perceptions And Attitudes

Background As the evidence based practice (EBP) movement expands, there is a need for health leaders and educators in each country to assess the extent to which health professional students and practitioners are prepared to locate, evaluate, and apply evidence to guide their practice.Objective The study objective was to explore nurses’ and nursing students’ perceptions and attitudes towards EBP.Method This was a descriptive cross-sectional survey administered to all 273 nurses and nursing students from Nepal who attended an EBP conference. The survey instrument that was used by Majid in Singapore was adapted for use in this study with permission from the author.Result In total, 121 nurses participated in the study. The majority (93%) of respondents reported that they had no previous training in EBP. The respondents’ perceptions of their EBP knowledge and skills were variable, but most of them demonstrated positive attitudes toward EBP. Respondents identified a number of barriers that limit the implementation of EBP in Nepal. The greatest barriers were lack of time and resources, difficulty understanding research articles and translating the findings to practice, and limited autonomy to change practice based on evidence.Conclusion Although respondents had positive attitudes towards EBP, their knowledge and skills were limited and barriers to implementation existed. Nursing faculty can use the findings to guide implementation of EBP into curricula, and nursing administrators and clinicians can use the findings to guide practice to promote EBP.

scholarly journals To study doctor’s beliefs, barriers, awareness, and actual practices regarding use of generic medicines

2017 ◽  
Vol 6 (8) ◽  
pp. 1871 ◽  
Author(s):  
Venkatesh V. Khadke ◽  
Shahbaz Yasin Khanda
Keyword(s):  
Response Rate ◽  
Tertiary Care ◽  
Generic Medicines ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Medical Practitioners ◽  
Exact Test ◽  
Item Questionnaire ◽  
Kap Survey ◽  
Quality Aspects

Background: Government of India is trying to popularize generic medicines, still most Registered Medical Practitioners (RMPs) doubt its quality and efficacy. We conducted a cross sectional survey to study the barriers that hinders the practice of writing generic prescriptions. The aim was to study doctor’s knowledge, beliefs and actual practices regarding generic medicines. This study is a KAP survey model (Knowledge, attitude, practices) to study beliefs, barriers, awareness and actual practices regarding use of generic medicines amongst private practioners and RMPs of tertiary care Government hospital in Nanded city.Methods: A cross sectional survey was conducted on a sample of 300 randomly selected RMPs practicing in Nanded, Maharashtra. A 26-item questionnaire was designed, validated, and data collected through personal visits. Fisher’s exact test was applied to see associations between variables using Graphpad Prism 7.Results: 234 RMPs responded to the questionnaire i.e. a response rate of 78% was achieved. 107 (45.7%) participants claimed to be actively prescribing generic medicines. 122 (52.1%) of the participants were unaware of any generic medical shop in their locality. 83 (35.5%) participants believed generics to be duplicate/ substandard. However, 16 (19.3%) of them still prescribed generics. One-third of them actually preferred its use for family.Conclusions: RMPs do not accept the use of generic medicines for concerns about its quality and efficacy. Also, there was unawareness regarding availability of generic medicines in the locality. RMPs need to be educated about manufacture, sale and quality aspects of generic medicines in India.

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