scholarly journals A questionnaire based study on the knowledge, attitude, practice of staff nurses about pharmacovigilance in a tertiary care hospital

2017 ◽  
Vol 6 (7) ◽  
pp. 1758
Author(s):  
Prema M. ◽  
Nalini G. K. ◽  
Sahana G. N. ◽  
Deepak P. ◽  
Jayashree V. Nagaral ◽  
...  
Keyword(s):  
Tertiary Care ◽  
Reporting Rate ◽  
Staff Nurses ◽  
Care Hospital ◽  
Medical Sciences ◽  
Cross Sectional ◽  
Correct Definition ◽  
Global Problems ◽  
Important Purpose ◽  
Related Harm

Background: Adverse drug reactions (ADR) - one of the global problems of major concern leading to morbidity and mortality. Spontaneous reporting of ADR is the cornerstone of Pharmacovigilance (PV) programme and it is important to reduce the risk of drug related harm to the patient. The active participation of healthcare professionals (Doctors, Nurses, Pharmacist) play a major role in the success of Pharmacovigilance. The objective of the study was to assess the knowledge, attitude, practice of Staff Nurses about Pharmacovigilance in a tertiary care hospital.Methods: A Cross sectional, Observational questionnaire based study was carried out using a pre designed KAP questionnaire. Study included 100 staff nurses who were working in Hassan institute of medical sciences (HIMS). The results were analyzed using descriptive statisticsResults: In our study 65% participants knows the correct definition and 48.8% knows the important purpose of Pharmacovigilance and 77.5% aware of existence of ADR reporting system in India. There was huge gap between ADR experienced (53.8%) and ADR reported (21.3%). The determinants of under reporting from our study include Lack of time / overburdened (33.7%) and lack of knowledge about ADR (31.25%).Conclusions: This study showed that majority of participants understand the need for reporting of ADR. In spite of that the reporting rate of ADRs by them is very low. Hence, there is a need to create awareness about the importance of reporting ADR by conducting many Pharmacovigilance programme.

scholarly journals Awareness and acceptance of contraceptives among the mothers of infants attending an immunization session at a field practices area of a tertiary care hospital

2018 ◽  
Vol 6 (1) ◽  
pp. 374
Author(s):  
S. B. Gupta ◽  
Meenakshi Singh ◽  
Atul Kr. Singh ◽  
Huma Khan ◽  
Alpana Saxena
Keyword(s):  
Health Workers ◽  
Tertiary Care ◽  
Care Hospital ◽  
Medical Sciences ◽  
Postpartum Contraception ◽  
Cross Sectional ◽  
Factors Affecting ◽  
Contraceptive Measure ◽  
One Year ◽  
Type Of Delivery

Background: India was the first country in the world to have launched a National Programme for Family Planning.Methods: A cross-sectional descriptive study was carried out in the in Vaccination unit of rural field practice area of Shri Ram Murti Smarak institute of Medical Sciences (SRMSIMS) Bareilly (U.P). Objective of the study was to assess knowledge and practice of postpartum contraception and factors affecting the usage of contraceptives in Rural area. All females who delivered within last one year were included in the study. A pre-structured questionnaire was used. A total of 98 females were included. The appropriate statistical analysis was done to present the results.Results: 28.57% females had adopted one or the other postpartum contraceptive measure. Condom was the most common method used. Usage of postpartum contraception was significantly associated with women’s and husband’s education, type of delivery and availing of antenatal and postnatal visits.Conclusions: Overall usage of postpartum contraception was low there is need to focus at every step to contact of these women with health facility or health workers.

scholarly journals An evaluation of knowledge, attitude and practice of pharmacovigilance among medical students and doctors at a tertiary care hospital

2018 ◽  
Vol 7 (2) ◽  
pp. 324 ◽  
Author(s):  
Ravindra S. Beedimani ◽  
Sameer Uz Zaman ◽  
Subrahmanyam Darb ◽  
Sharat Chandra Potturi
Keyword(s):  
Medical Students ◽  
Statistical Significance ◽  
Tertiary Care ◽  
Care Hospital ◽  
Medical Doctors ◽  
Cross Sectional ◽  
Attitude And Practice ◽  
Validated Questionnaire ◽  
Correct Definition ◽  
Knowledge Attitude And Practice

Background: Drugs are one of the most commonly used interventions in medical therapeutics. Spontaneous reporting of adverse drug reactions (ADRs) is the backbone of pharmacovigilance (PV) program. Under-reporting of ADRs by prescribers was possibly due to lack of knowledge, attitude and practices regarding PV. This study was done to assess the knowledge, attitude, and practice (KAP) of medical students (grouped to sixth and eighth semester) and medical doctors about PV in a tertiary care hospital.Methods: It was a questionnaire based cross-sectional study administered to 246 medical students and doctors. Study tool was a validated questionnaire containing 15 questions to evaluate KAP of PV among medical students and doctors. A descriptive analysis of data was done where necessary, statistical significance for associations between the group and their responses to questionnaire was provided using Pearson Chi square test and Fisher exact test.Results: Sixty-eight percent of the participants (90% doctors; 76% eighth-semester and 46% sixth-semester medical students) know the correct definition of PV. Sixty-one percent of the participants (67% sixth-semester, 61% doctors and 53% eighth-semester) think that reporting is a professional obligation for them. Only 15% of the participants have ever been taught or trained on how to report an ADR.Conclusions: Medical doctors and students lack adequate knowledge and practice of reporting ADRs, but they seem to have a positive attitude towards the PV program. Our study findings strongly suggest that there is a great need to create awareness amongst them to promote reporting of ADRs.

scholarly journals Self Rated Assessment of Conflict at Work among Staff Nurses of Tertiary Care Hospital in Delhi

2019 ◽  
pp. 31-38
Author(s):  
Gurmeet Kaur ◽  
Priya Arora ◽  
Jyotismita Pathak ◽  
Tanu Anand ◽  
Rajesh Vaidya ◽  
...  
Keyword(s):  
Work Experience ◽  
Tertiary Care ◽  
Cross Sectional Study ◽  
Staff Nurses ◽  
Care Hospital ◽  
Cross Sectional ◽  
Work Related ◽  
Job Information ◽  
Work Duration ◽  
Information Conflict

Introduction: Among the list of stressful professions all over the world, Nursing Profession tops the list. In most tertiary care hospitals, nurses are the ones who are most stressed out due to conflict at the workplace though working at the bottom of the hierarchy. There is a lack of data on stress among nurses due to conflicts at work and other work-related issues, which led to this study. Method: A hospital-based cross-sectional study was carried out on 102 randomly selected staff nurses working in a tertiary care teaching hospital of Delhi. Data were collected using a pre-tested and self-administered questionnaire. Socio-demographic profile, general job information, conflict at work, and work hazards were assessed. The data was fed and analyzed using SPSS 16 software. Results: Out of the total 102 nurses,80% of nurses were females, and 98% were married. The mean age of the study group was 38.52(7.107). Mean work experience in this profession was 16.40(5.880) years, and with the present employer is 4.57(1.680) years. Mean work duration per week is 49.90(7.976) hours. Out of the total nurses, 45.1% agreed that there were clashes between subgroups within their group.

scholarly journals A study about urinary tract infection among patients attending tertiary care hospital

2017 ◽  
Vol 4 (8) ◽  
pp. 2620 ◽  
Author(s):  
Arunachalam U. ◽  
Ponmudi C. ◽  
Prashant V. Solanke ◽  
Deepam Das ◽  
Vignesh N. ◽  
...  
Keyword(s):  
Tertiary Care ◽  
Cross Sectional Study ◽  
Study Group ◽  
Common Symptom ◽  
Care Hospital ◽  
Medical Sciences ◽  
Cross Sectional ◽  
Recurrent Uti ◽  
Study Population

Background: UTI is a second most common type of infection, accounting for nearly 25% of all infections. Lower UTIs are much more common in women than in men, particularly in the under 50’s. UTI are common among patients with type 2 diabetes mellitus. Recurrent UTI is a common phenomenon that is observed among women who have experienced uncomplicated UTIs. Usually 5-10 days of antibiotic therapy is done for treating UTI. Successful antimicrobial therapy will usually ameliorate symptoms promptly, with substantial clinical improvement in 48 to 72 hours. The objective is to find out the knowledge and practice about UTI among UTI sufferers.Methods: The study design is cross sectional study. The study period is from July 2016 to February 2017. The study place is Sree Mookambika Institute of Medical Sciences. The sample size is (4PQ/d²) = 31. Systematic random sampling techniques are used. Institutional ethical committee clearance was obtained.Results: In the study 90.3% are women. In the study 32.3% had a recurrent UTI. In the study population about 51.7% take adequate or plenty of water. In this study 35.5% have poor knowledge, 42% have moderate knowledge and 19.5% have a good knowledge about UTI.Conclusions: From the study, it is learnt that UTI is common among the women and recurrence is the most common thing among the asymptomatic UTI group. The common symptom experienced by the study group is dysuria and frequency and most in the study group used to take less than recommended amount of water daily. They believe drinking plenty of water and cleanliness can prevent the UTI. The knowledge about UTI among the group is fairly good.

scholarly journals ANALYSIS OF THE ADVERSE DRUG REACTIONS COLLECTED THROUGH ACTIVE SURVEILLANCE IN THE PHARMACOVIGILANCE UNIT OF A TERTIARY CARE HOSPITAL

2018 ◽  
Vol 11 (8) ◽  
pp. 383
Author(s):  
Anand M Ingale ◽  
Pratibha Nadig ◽  
Ananya Chakraborty
Keyword(s):  
Active Surveillance ◽  
Adverse Drug Reactions ◽  
Tertiary Care ◽  
Organ System ◽  
Research Centre ◽  
Care Hospital ◽  
Drug Reactions ◽  
Comorbid Conditions ◽  
Medical Sciences ◽  
Cross Sectional

Objectives: The objectives of the study were to analyze the various adverse drug reactions (ADRs) collected in the Pharmacovigilance Unit of Vydehi Institute of Medical Sciences and Research Centre with respect to their causality, severity, and preventability and also to identify the various risk factors, concomitant medications, and comorbid conditions with the occurrence of these events.Methods: A prospective, non-interventional, observational, and cross-sectional study was carried out in the various clinical departments of Vydehi Institute of Medical Sciences and Research Centre from June 2014 to May 2015. The Classes of drugs, Organ system involved, Comorbid conditions associated and Concomitant drugs involved in causing ADRs were looked into. The assessment for causality and severity was determined by Naranjo and Modified Hartwig and Siegel scales, respectively. The data were compiled and subjected to descriptive statistical analysis.Results: A total of 433 patients developing ADR reports were analyzed during our study period. Of these, 53.59% were females. 75% of them were of adult age group. Antimicrobials and chemotherapy group showed the maximum ADRs. The skin and appendages (27.6%) were the most affected organ system followed by the gastrointestinal system (22.8%). Comorbid conditions were found in 76 (20.1%) reports; of which diabetes (28.9%) and hypertension (26.3%) were maximum. 74 were serious reports. Maximum reports were probable and of mild severity.Conclusion: Through active surveillance of the ADRs helps in early detection and prevention of all the possible adverse events associated with the usage of drugs and thereby provides a better health-care treatment to the patients. 

scholarly journals Knowledge attitude and practices of pharmacogenomics and its educational needs among doctors at a tertiary care hospital VIMS, Ballari: a questionnaire based study

2020 ◽  
Vol 9 (3) ◽  
pp. 399
Author(s):  
Jyothi D. B.
Keyword(s):  
Drug Response ◽  
Clinical Care ◽  
Tertiary Care ◽  
Educational Needs ◽  
Care Hospital ◽  
Medical Sciences ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Web Based ◽  
Print Materials

Background: Genetic differences account for an outsized amount of patient variation in drug response and disposition. Pharmacogenomics is that the study of genetic factors that underlie variation in drug response. The objective of the study was to assess the knowledge, attitude, and practices of pharmacogenomics and its educational needs among doctors of a tertiary care teaching hospital in Vijayanagar Institute of Medical Sciences, Ballari.Methods: A cross-sectional survey was conducted among 110 doctors forming a structured questionnaire.Results: Nearly 82.8% of the survey participants were of the age group 25 to 34 years. When choosing appropriate drug therapy for patients, medical record and age were the factors most commonly cited by respondents as extremely or vital (98%). When asked to rank their familiarity with pharmacogenomics, 40% reported somewhat familiar with the subject. 98% of respondents found pharmacogenomic information in drug labelling extremely/very/somewhat helpful. 48.4% of participants knew that drug metabolizing enzymes were the foremost commonly recognized mechanism for pharmacogenomic differences in drug response. The foremost common reasons for not ordering weren't knowing what test to order (48%). The most common pharmacogenomic resource consulted by survey participants were internet (80%), scientific literature (50%), and medical association literature (30%). The most common preferred formats for a perfect pharmacogenomic resource were indicated as web-based (60%), mobile application (60%), and print materials (34%).Conclusions: There's a requirement for improved resource material preferably in electronic format to extend the appliance of genomics to clinical care.

scholarly journals Assessment of performance of services in a tertiary care Neuropsychiatric Institute using Pabon Lasso Model

2016 ◽  
Vol 7 (6) ◽  
pp. 69-74 ◽  
Author(s):  
Chandra Bhushan Tripathi ◽  
Rajesh Kumar ◽  
Ramesh Chandra Sharma ◽  
Rachna Agarwal
Keyword(s):  
Tertiary Care Hospital ◽  
Average Length ◽  
Tertiary Care ◽  
Cost Effective ◽  
Care Hospital ◽  
Bed Occupancy ◽  
Medical Sciences ◽  
Cross Sectional ◽  
Average Length Of Stay ◽  
Quantitative Performance

Background: The objective of the study to assess optimal utilisation of hospital facilities &  evaluate their performance in a tertiary care hospital using Pabon Lasso Model using indicators- bed turnover (BTO), bed occupancy rate (BOR) and average length of stay (ALS).Aims and Objective: To assess optimal utilisation of hospital facilities various wards catering to psychiatric, neurological and neurosurgery services in a tertiary care hospital using Pabon Lasso model and to identify strategies for more efficient use of the existing health service resources.Materials and Methods: This cross-sectional descriptive study was carried out in 2015 at the Institute of Human Behaviour and Allied Sciences, Delhi, India. This study involved various wards catering to psychiatric, neurological and neurosurgery facilities in the institute. Their performance was evaluated over 8 year period (2007- 2014) using three performance indicators (BTO, BOR & ALS) to assess optimal utilisation of hospital facilities.Results: Psychiatry department was initially located in quadrant IV in 2007 & shifted to quadrant III in 2014 which suggests department’s good quantitative performance with small proportion of unused beds. Similarly Neurosurgery department was in quadrant I at its inception in 2010, but shifted to quadrant III in 2014. However, Neurology department was located in quadrant III initially (2007), but shifted to quadrant II indicating either excess bed supply or less need for utilisation.Conclusion: Pabon Lasso model can be used by hospital management for evaluating the performance of health services in cost effective manner.Asian Journal of Medical Sciences Vol.7(5) 2016 69-74

scholarly journals Assessment of the knowledge and practices regarding standard precaution among nursing staff at a tertiary care hospital of Raipur city, Chhattisgarh

2019 ◽  
Vol 6 (4) ◽  
pp. 1516
Author(s):  
Ritu Rochwani ◽  
Mini Sharma
Keyword(s):  
Nursing Staff ◽  
Tertiary Care ◽  
Healthcare Providers ◽  
Staff Nurses ◽  
Good Knowledge ◽  
Care Hospital ◽  
Standard Precautions ◽  
Cross Sectional ◽  
Strict Adherence ◽  
Standard Precaution

Background: Nurses as healthcare providers obliged to protect herself and patients against infections. Therefore, nurses should have knowledge and strict adherence to standard precautions. Hence, this study was undertaken to assess the knowledge and practices of nursing staff regarding standard precautions. Aims and objectives of the study were to assess the knowledge of nursing staff regarding standard precaution and to observe the practices of nursing staff regarding standard precaution.Methods: This was a cross sectional study conducted among staff nurses working in Bhim Rao Ambedkar Memorial Hospital, Raipur, and Chhattisgarh, from January to March 2017 among 100 staff nurses. Pretested predesigned semi-structured questionnaires were used. Data collected were entered in Microsoft excel sheet. The statistical analysis was done by using epi info 7. Frequencies and percentage were presented for categorical variables.Results: The overall knowledge regarding standard precaution were excellent (>75% score) in 8% nurses. Good knowledge (50 to 75%) in 83% and average (25 to 50%) in 9%. The Practises regarding standard precautions among the nurses were good in 72%, excellent in 17% and average in 11%.Conclusions: Based on the findings of the present study, it can be concluded that in spite of having good knowledge regarding standard precaution among the nurses, practices were not to up to the mark. 

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