scholarly journals Evaluation of empathy and fatigue among physicians and surgeons in tertiary care hospitals of Rawalpindi

2021 ◽  
Vol 37 (3) ◽  
Author(s):  
Zubaida Rashid ◽  
Imtenan Sharif ◽  
Imdad Ali Khushk ◽  
Abdullah Anis Raja
Keyword(s):  
Statistical Tests ◽  
Pearson Correlation ◽  
Tertiary Care ◽  
P Value ◽  
Strong Negative Correlation ◽  
Cross Sectional ◽  
The Difference ◽  
Physician Empathy ◽  
Tertiary Care Hospitals ◽  
Score Range

Background and Objectives: Clinicians need to build an astute doctor-patient relationship. The term clinical empathy is the ability of doctor to cognitively appreciate a patient’s perspective, experiences, and deliver such an understanding back to patient. Studies associate high physician empathy with improved patient trust and clinical outcomes. In Pakistan, there is paucity of research data on this relationship. This study assessed the empathy and its relation to fatigue levels among physicians and surgeons. Methods: This was a cross-sectional analytical study involving 262 Physicians and Surgeons (1:1) chosen by convenience sampling method. Physicians and Surgeons were included from three hospitals in Rawalpindi from September 2017 to February 2018 and RAO soft sample calculator was used. The Jefferson Scale for Physician empathy (JSPE) (score range 20-140) and Multidimensional Fatigue Inventory (MFI-20) (score range 20-100) were used as data collection tools. The data was analyzed using SPSS version 23. Statistical tests including T-test and Pearson Correlation were used. Results: Overall, mean score of empathy was found to be 98.8±21.9 (range; 46-138). The empathy in Physicians (106.8±18.3) was found to be greater than Surgeons (89.4±22.1) and the difference was statistically significant (p value <0.01). Mean score of fatigue was 50.6±16.0. The fatigue level in Surgeons was greater than Physicians and the difference was found to be statistically significant (p value < 0.01). Strong negative correlation was observed between empathy and fatigue (r= -0.5, p=<0.01) using Pearson correlation. Conclusion: Overall, physicians had better empathy than surgeons, while fatigue scores were higher among surgeons. Fatigue is associated with empathy decay. This research provides an understanding of empathy deterioration and other factors responsible for it. doi: https://doi.org/10.12669/pjms.37.3.1973 How to cite this:Rashid Z, Sharif I, Khushk IA, Raja AA. Evaluation of empathy and fatigue among physicians and surgeons in tertiary care hospitals of Rawalpindi. Pak J Med Sci. 2021;37(3):---------. doi: https://doi.org/10.12669/pjms.37.3.1973 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.

scholarly journals Barriers to the early initiation of Insulin therapy among diabetic patients coming to diabetic clinics of tertiary care hospitals

2018 ◽  
Vol 35 (1) ◽  
Author(s):  
Iqra Arshad ◽  
Sara Mohsin ◽  
Sana Iftikhar ◽  
Tahseen Kazmi ◽  
Luqman F. Nagi
Keyword(s):  
Insulin Therapy ◽  
Tertiary Care ◽  
Cross Sectional Study ◽  
Early Initiation ◽  
P Value ◽  
Diabetic Patients ◽  
Cross Sectional ◽  
Creative Commons ◽  
Oral Medications ◽  
Tertiary Care Hospitals

Background and Objective: Initiation of Insulin therapy during earlier stages has proved to significantly improve health outcomes among diabetics in comparison to oral medications. Not only patients but physicians are also often resistant to early initiation of insulin therapy. The objective was to assess misconceptions and barriers to early initiation of insulin therapy among diabetic patients coming to a diabetic clinic. Methods: This cross sectional study was conducted on 300 patients selected by convenience sampling arriving in Diabetes Outdoor Clinics of Mayo and Services Hospitals, Lahore during August 2017 to May 2018. The data was entered and analyzed by using SPSS version 17. Results: Out of 300 patients included in study, 39% (n= 117) were males and 61% (n=183) were females. The mean age of the participants at presentation was 48.46±13.15 years with a range of 13 to 80 years. Study participants considered it embarrassing to inject insulin in public place (p-value 0.01). The fear associated with lifelong commitment to insulin therapy once it is started, was also found statistically significant (p-value 0.001)particularly in subjects who have long duration of DM (>5 years). Conclusion: Perceptions of diabetic patients about insulin therapy are still barriers to early initiation of therapy and tend to prevail in Pakistan and around the globe. How to cite this:Arshad I, Mohsin S, Iftikhar S, Kazmi T, Nagi LF. Barriers to the early initiation of Insulin therapy among diabetic patients coming to diabetic clinics of tertiary care hospitals. Pak J Med Sci. 2019;35(1):---------. doi: https://doi.org/10.12669/pjms.35.1.237 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.

Comparison between clinical estimated fetal weights (CEFW) Versus Ultrasonographic estimated fetal weight (UEFW) for co-relation with actual birth weight (ABW) in 3rd Trimester of Pregnancy

2020 ◽  
Vol 3 (1) ◽  
pp. e1-e4
Author(s):  
Rabia Razaq
Keyword(s):  
Birth Weight ◽  
Pearson Correlation ◽  
Tertiary Care ◽  
Fetal Weight ◽  
P Value ◽  
Cross Sectional ◽  
Positive Correlation ◽  
Study Results ◽  
The Mean ◽  
Estimated Fetal Weight

Background: Accurate prenatal estimation of birth weight is useful in the management of labour and delivery. Objective: To determine the correlation between clinical estimated fetal weight with actual birth weight in 3rd trimester of pregnancy and to determine the correlation between Ultrasonographic fetal weight assessment with actual birth weight in 3rd trimester of pregnancy. Material & Methods: This cross sectional study with non-probability purposive sampling technique was conducted in three tertiary care hospitals of Punjab, Department of Obstetrics & Gynaecology, Allied Hospital, Faisalabad, Lady Aitcheson Hospital Lahore and Lady Willington Hospital Lahore. Informed consent was obtained from each female to use their data for research purpose. Demographic details were also noted. Then females undergo CEFW was done by using Johnson’s formula. Then ultrasonography was done on every female by experienced radiologists to get UEFW. FW measurement was done by using Shepard formula. Then females were followed-up till delivery of fetus. Actual birth weight (ABW) was noted on birth. Pearson correlation was used to measure the correlation coefficient for CEFW and UEFW with ABW. P-value≤0.05 was taken as significant. Results: In our study the mean age of the patients was 29.60±6.23 years and the mean gestational age of 33.30±2.31 weeks. The mean BMI value of the patients was 23.08±1.26 Kg/m2, the mean CEFW value 2219.60±556.41 grams while the mean UEFW value of the patients was 2227.77±521.94 grams and the mean value of ABW of the patients was 2284.00±515.29 grams. In our study the positive correlation was found between the CEFW, UEFW with ABW of the baby. Conclusion: Our study results concluded that both the clinical estimation ultrasonography estimation showed the feasible and reliable results. Both showed positive correlation with actual birth weight.

scholarly journals POLIO VACCINE;

2017 ◽  
Vol 24 (06) ◽  
pp. 919-923
Author(s):  
Naila Azam ◽  
Shamaila Mohsin ◽  
Aamira Hashmi ◽  
Muhammad Imran ◽  
Farman Ali ◽  
...  
Keyword(s):  
Health Care Providers ◽  
Tertiary Care ◽  
Polio Eradication ◽  
P Value ◽  
Care Providers ◽  
Cross Sectional ◽  
Inadequate Knowledge ◽  
Knowledge And Attitude ◽  
Graduate Trainees ◽  
Tertiary Care Hospitals

Objectives: To assess knowledge and attitude of young doctors serving in Tertiarycare Hospitals regarding the IPV intervention and polio eradication campaign. Study Design:A cross sectional descriptive study. Setting: Five Tertiary Care Hospitals in Rawalpindi andIslamabad. Period: Oct 2015-Nov 2015. Methods: Proportionate random sampling techniquewas used to select a sample of 100 doctors working in pediatrics wards and out patientsdepartments (OPD). After taking informed consent the data was collected using a standardizedQuestionnaire to measure level of awareness among this cohort of Health care providers. Datawere entered and analyzed using SPSS version 21. Baseline distinctiveness (demographic)was summarized by descriptive statistics. The statistical inference was drawn using Chi squaretest, p value of ≤ 0.05 was considered as significant. Results The study sample comprised of47 males and 53 females. Mean age of participants was 29.8 ± 5.7. There were 15% HouseOfficers, 45% Post Graduate Trainees, 30% Medical Officers and 10% consultants in thesample. Majority of doctors (65%) expressed disinterest and doubt about polio immunizationwhile 40% suggested focus on sanitation and health promotion before immunization. Amongthe participants only 29% had attended polio surveillance training workshop in last 2 years andparticipated in polio National Immunization days. There was no significant association betweenknowledge about IPV and years of experience(x2 =2.68, p= 0.433). Conclusion: This studysuggests that there was inadequate knowledge of doctors in tertiary care hospitals regardingIPV and polio eradication efforts in Pakistan.

scholarly journals RELATIONSHIP BETWEEN HARDINESS PERSONALITY AND BURNOUT IN NURSES

2019 ◽  
Vol 7 (1) ◽  
pp. 434-446
Author(s):  
James Richard Maramis
Keyword(s):  
Statistical Tests ◽  
Pearson Correlation ◽  
Sampling Technique ◽  
Personality Characteristic ◽  
P Value ◽  
Big Five Personality ◽  
Cross Sectional ◽  
Work Related ◽  
Personality Hardiness ◽  
The Relationship

Introduction: Burnout is work related stress that occurs for a long time. One of the factors that can affect burnout is personality characteristics. Personality hardiness is a personality characteristic that makes individuals stronger, more resistant, stable in facing stress. This study aims to determine the relationship between personality hardiness and burnout in nurses at Manado Adventist Hospital. Methods: The research design used was descriptive correlation with a cross-sectional approach using purposive sampling sampling technique. The number of samples in this study were 51 respondents. Results: Frequency and percentage statistical tests showed that 25 respondents (49.0%) had Very High hardiness personalities, 25 respondents (49.0%) had High hardiness personality, and 1 respondent (2.0%) had Moderate hardiness personality; 26 respondents (51.0%) had Low burnout, and 25 respondents (49.0%) had Moderate burnout. The pearson correlation statistic test showed a significant relationship (p value 0.033 <0.05) with a correlation coefficient r = -0.299, which means the relationship is weak and has negative direction between personality hardiness and burnout in nurses at Manado Adventist Hospital. The hospital is expected to encourage nurses to improve hardiness personality which in turn can minimize burnout level and increase their services. Discussion: Next researcher can add factors that affect hardiness personality such as social support and the big five personality and can test using other methods to see the extent of the influence of hardiness personality on burnout.

scholarly journals HYPERTENSION;

2019 ◽  
Vol 26 (01) ◽  
Author(s):  
Hafiz Muhammad Bilal ◽  
Neelam Iqbal ◽  
Muhammad Kamran Raza
Keyword(s):  
Health Status ◽  
Tertiary Care ◽  
Cross Sectional Study ◽  
Morbidity Rate ◽  
Bivariate Analysis ◽  
P Value ◽  
Cross Sectional ◽  
Mortality And Morbidity ◽  
Outpatient Departments ◽  
Tertiary Care Hospitals

Background and Objectives:Asymptomatic nature of hypertension (HTN) has made it a silent killer. The better understanding of the underlying causes or factors can be beneficial in reducing the mortality and morbidity rate. Thus, the present study aims to determine the risk factors associated with HTN among adults and elderly patients visiting outpatient departments (OPDs) and the knowledge of patients about their health status. Study Design: Cross-sectional study. Setting: Outpatient departments (OPDs) of four tertiary care hospitals (Nishtar hospital, Khawaja Farid Social Security hospital, Railway hospital and Bakhtawar Amin Memorial hospital) of Multan, Pakistan. Period:1st May 2017 and 31st October 2017. Patients and Methods:364 patients (≥18 years−≥60 years of age) in OPDs of four tertiary care hospitals of Multan, Pakistan. Data regarding demographic details, medical history and blood pressure measurements were collected on a structured questionnaire. Data were analyzed by using Statistical Packages for Social Sciences (IBM SPSS Statistics for Windows, Version 21.0. Armonk, NY: IBM Corp.) and Microsoft Excel (MS Office 2010).Result: Overall 38.7% of the participants were suffering from HTN. Most of them were 40-59 years of age and had body mass index (BMI) >23 kg/m2. Bivariate analysis (p-value <0.005) showed a significant association of age, marital status, gender, weight, and physical activity with HTN. Conclusion: The major determinants of HTN include increase in age, obesity, sedentary lifestyle, genetics, diabetes mellitus (DM) and lack of health concerns. Although patients are knowledgeable of their poor health status but make little or no efforts in controlling and preventing HTN.

Prescribing trends of Antibiotics among Pediatrics in two tertiary care Hospitals in Lahore, Punjab, Pakistan

2018 ◽  
Vol 4 (1) ◽  
pp. 419-426
Author(s):  
Muhammad Rehan Sarwar ◽  
Shazia Ayaz ◽  
Muhammad Kamran Raza ◽  
Saba Aslam ◽  
Musfirah Javed ◽  
...  
Keyword(s):  
Statistical Tests ◽  
Tertiary Care ◽  
P Value ◽  
Antibiotic Prescribing ◽  
Upper Respiratory Tract ◽  
Prescribing Trends ◽  
Antibiotics Use ◽  
Study Population ◽  
Tract Infections ◽  
Tertiary Care Hospitals

Objective: To assess the pattern of antibiotics use among pediatrics in two tertiary care hospitals in Lahore, Punjab, Pakistan. Methods: The study was conducted from 1st December, 2016 to 30th April, 2017 in two tertiary care hospitals of Lahore, Punjab province of Pakistan. Sampling population consisted of 322 pediatric patients aged <18 years, suffering from any disease. Statistical Package for Social Sciences (IBM Corp. Released 2012. IBM SPSS Statistics for Windows, Version 21.0. Armonk, NY: IBM Corp.) and Microsoft Excel, 2013 were used to analyze the data. P-value < .05 was taken as the mark of significance for statistical tests. Results: The most frequently diagnosed infections among the study population were; gastrointestinal tract infections (n = 136, 42.2%), fever (n = 117, 36.3%) and upper respiratory tract infections (n = 79, 24.5%). Cephalosporins (n = 235, 73%), penicillins (n = 80, 24.8%), and fluoroquinolones (n = 76, 23.6%) were most frequently prescribed antibiotic classes. Most frequently prescribed antibiotics agents were; ceftriaxone (n = 235, 73%), ciprofloxacin (n = 76, 23.6%) and co-amoxiclav (n = 71, 22%). Frequently prescribed antibiotics combinations were; co-amoxiclav+ceftriaxone (n = 42, 13%), ceftriaxone+vancomycin (n = 26, 8.1%) and ceftriaxone+ciprofloxacin (n = 12, 3.7%). The parenteral route was most commonly used for the administration of antibiotics. Conclusions: Current study concluded that antibiotic prescribing in pediatrics is quite high, an unfavorable trend which paves the way towards antimicrobial resistance.

scholarly journals Medical Students’ Empathy Level Differences by Medical Year, Gender, and Specialty Interest in Akdeniz University

2020 ◽  
Vol 7 ◽  
pp. 238212052094065
Author(s):  
Özge Akgün ◽  
Melahat Akdeniz ◽  
Ethem Kavukcu ◽  
Hasan Hüseyin Avcı
Keyword(s):  
Medical Education ◽  
Medical Students ◽  
Medical Training ◽  
Clinical Care ◽  
Pearson Correlation ◽  
Cross Sectional ◽  
Clinical Empathy ◽  
The Difference ◽  
Collection Form ◽  
Physician Empathy

Background: As an important feature in patient-physician communication for both primary and clinical care, empathy is one of the basic competencies that physicians should possess. The primary aim of this study was to evaluate the level of empathy among medical students in all years of medical training using two different instruments: the Jefferson Scale of Physician Empathy (for clinical empathy level) and the Toronto Empathy Questionnaire (for general empathy level). Materials and Methods: This study is a cross-sectional descriptive study conducted in 2017-2018 academic year with students studying at Akdeniz University Faculty of Medicine. Data collection form, Toronto Empathy Questionnaire (TEQ) and Jefferson Scale of Physician Empathy (JSPE) was applied to the students by the researchers. The statistical analysis was carried out by using IBM-SPSS version 23 for Mac OS. T-test, ANOVA test, Spearman and Pearson correlation analysis were used for comparisons. Results: The mean TEQ score of the students was 52.8/65 and the JSPE-S score was 80.3/100. TEQ scores of students increased up to 4th year and then decreased, but the difference between the years was not statistically significant. The third year students’ JSPE-S scores were significantly higher than that of the sixth year students. Conclusion: While the clinical empathy levels of medical students decreased significantly after 3rd year, the general empathy levels decreased less. This result shows us that we should review our medical education curriculum and educational environment, and should initiate initiatives, and devote more time to empathy education in order to prevent the decrease in empathy level and increase empathy during medical education.

Prevalence of First Birth Order with Myopia Among KPK Population

2021 ◽  
Vol 15 (11) ◽  
pp. 3146-3147
Author(s):  
Syeda Gulrukh Saba Shah ◽  
Mutayyaba Majeed ◽  
Shams- Ul-Haq ◽  
Farhana Jabeen Shah ◽  
Waqas Ali
Keyword(s):  
Birth Order ◽  
Teaching Hospital ◽  
Refractive Error ◽  
Adult Population ◽  
Tertiary Care ◽  
P Value ◽  
Refractive Errors ◽  
Cross Sectional ◽  
Study Results ◽  
Tertiary Care Hospitals

Objective: To find out the prevalence of myopia and hyperopia among the population of KPK. Study Designed: Cross-sectional analytical study. Place and duration of Study: OPD of tertiary care hospitals of KPK, Khyber Teaching Hospital and Hayatabad Medical Complex from 1st July 2020 to 30th June 2021. Methodology: Four hundred patients visiting to OPD of tertiary care hospitals of KPK, Khyber Teaching Hospital and Hayatabad Medical Complex, Peshawar were enrolled. Both male and female were included from 17 to 24 years visiting to the hospital were included. All patients on any medication for any systemic illness like asthma, TB, cardiac issues, liver problems etc. patients suffering from eye disorders like glaucoma, cataract, diabetic retinopathy, uveitis etc. and patients who refused to give consent and uncooperative patients were excluded from the study. Results: Two hundred and seventy seven got normal eye structure, function and vision while 123 got abnormal eye vision, with the frequency of myopia 26.5% (106) while hyperopia was 4.3% (17). Among gender the refractive errors of an eye was found to be 25% in male while 35.5% in female pvalue-0.024. The frequency of refractive error was not significant in age 17, 18, 23 and 24years the refractive error was found to be less as compare to age 19-22 years the refractive errors were seen to be greater. The patients visiting to hospital for eye examination with abnormal refractive errors were 41.1% while the result was significant p value was 0.0001. Genetically 1st order birth got 40% refractive errors while other got 23.5% the results were significant (P=0.004). Conclusion: The prevalence of eye defects related to refractive errors was present among adult population of KPK. Age is not related to refractive errors and refractive errors can be genetically determine. Key words: Myopia, Hyperopia, Refractive errors, Birth order

scholarly journals ANALYSIS OF COMPLIANCE OF EAR PROTECTOR USAGE ON THE PREVENTION OF NOISE INDUCE HEARING LOSS AT STERILIZATION INSTALLATION

2021 ◽  
Vol 2 (1) ◽  
pp. 1
Author(s):  
Rosydiah Rahmawati ◽  
Nyilo Purnami ◽  
Makhmudyah Indri Cahyani
Keyword(s):  
Hearing Loss ◽  
Statistical Tests ◽  
Pearson Correlation ◽  
Average Score ◽  
P Value ◽  
Industrial Workers ◽  
Noise Induce Hearing Loss ◽  
Cross Sectional ◽  
Relationship Of ◽  
The Relationship

Noise Induce Hearing Loss (NIHL) is a work disease that is often found in industrial workers. The use of ear protectors that are in accordance with the standard along with the continuity of optimal use can reduce the risk of hearing loss due to noise in the workplace. Adherence to use ear protectors greatly affect the possibility of a person experiencing a more severe hearing loss. The purpose of this study is to prove the existence of relationship of compliance with the use of ear protectors with hearing loss due to noise in the installation of sterilization and laundry. This study used cross sectional methods. Seventeen samples were taken by consecutive sampling for audiometry examination and measurement of compliance with the use of Ear Protective Equipment. Respondents received an average score of 1.86 indicating that compliance with the use of ear protectors was sufficient. Based on the results of the measurement of the auditory threshold in 17 respondents as many as 4 respondents (23%) normal hearing and as many as 13 respondents (77%) experienced NIHL. The results of statistical tests with Pearson correlation show that the Pearson correlation coefficient number of -0.643, which means that the correlation between compliance variables with noise due to noise is 0.643. Based on the criteria above, the relationship between the two variables is significant because the number of significance is P-value / Sig 0.005 <0.05. So, there is a relation between years of work with Noise Induce Hearing Loss, education and Noise Induce Hearing Loss, and compliance with the use of ear protectors with NIHL

scholarly journals Association of medication administration errors with interruption among nurses in public sector tertiary care hospitals

2019 ◽  
Vol 35 (5) ◽  
Author(s):  
Raja - ◽  
Badil - ◽  
Sajid Ali ◽  
Shaheen Sherali
Keyword(s):  
Public Sector ◽  
Tertiary Care ◽  
Medication Administration ◽  
Cross Sectional Study ◽  
University Hospital ◽  
P Value ◽  
Cross Sectional ◽  
Phone Calls ◽  
Medication Administration Errors ◽  
Tertiary Care Hospitals

Objectives: To determine the association of medication administration errors with interruption among nurses working at public sector tertiary care hospitals in Karachi, Pakistan. Methods: An analytical cross-sectional study was accomplished at two public sector healthcare facilities Civil Hospital, and Dow University Hospital, Karachi. The study was carried out from October 2017 to July 2018 over a period of 10 months. The sample was calculated by using OpenEpi version 3.0. By taking 56.4% of medication administration errors, 5% margin of error and 95% confidence level. The calculated sample size was 204 of both genders. The subjects both male and female nurses having a valid license from Pakistan Nursing Council and one year of clinical experience were enrolled in the study. The subjects were approached by using non-probability purposive sampling method. Validated and adapted questionnaire utilized to gather the data. Data was entered and analyzed by using SPSS version 21.0. Results: In this study, total 204 nurses were included, almost half (52%) of them were male. Majority of (82.3%) study participants had age between 25-35 years old. There were total 716 medications given by 204 nurses. Out of these, 295 (41.2%) were antibiotics, other common medications were acid-suppressive, analgesic and antiemetic 14.5%, 15.9% and 11.2% respectively. Among all 716 medications, 644 (89.9%) were given intravenously whereas only 6.7% drugs given orally. A significant association has been found between medication administration errors and interruption like talking with other health care personnel, patients or attendant queries, phone calls (p-value=<0.001). Nearly 91% of the study nurses who were interrupted during medication committed medication errors. Conclusion: It is concluded that there is a significant association between medication administration errors with interruption among nurses. doi: https://doi.org/10.12669/pjms.35.5.287 How to cite this:Raja, Badil, Ali S, Sherali S. Association of medication administration errors with interruption among nurses in public sector tertiary care hospitals. Pak J Med Sci. 2019;35(5):---------. doi: https://doi.org/10.12669/pjms.35.5.287 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.

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