scholarly journals Efficiency of emergency services in under developed district of the Punjab, Pakistan

2018 ◽  
Vol 5 (7) ◽  
pp. 2667
Author(s):  
Mariam Sughra ◽  
Farwa Fatima ◽  
Mouzma Marrium ◽  
Khizer Abbas
Keyword(s):  
Emergency Department ◽  
Emergency Services ◽  
National Health System ◽  
Cross Sectional Study ◽  
Care Staff ◽  
Health Care Staff ◽  
Cross Sectional ◽  
Medical Treatment Facility ◽  
Health Need ◽  
First Contact

Background: An emergency department or emergency room is a medical treatment facility specializing in emergency medicine, the acute care of patients who present without any prior appointment either by their own means or by that of an ambulance. The main objective of this study was to determine the efficiency of emergency service in Shaykh Zayed Hospital Rahim Yar Khan, Pakistan.Methods: This cross sectional study was carried out in the Emergency Department of Shaykh Zayed Hospital Rahim Yar Khan, Pakistan, from 05-06-2017 to 04-11-2017. A total of 139 subjects were involved in the study. Patients attending Emergency Department of Shaykh Zayed Hospital Rahim Yar Khan, Pakistan were included. Patients were observed and followed silently through their stay in the Emergency Department. All the data taken was entered in predesigned perform.Results: In the Emergency Department, among all the patients, 25.9% came with GIT complaints and only 3.6% had eye, ENT and Dental issues. About 48.2% of the patients had the first contact within 4 minutes. This study shows that the treatment of 49.7% patients started within 10 minutes after entering the emergency however for only 3.5% of the patients it took more than 25 minutes to start the treatment. About 42.4% of all the patients left the emergency after treatment within 20 minutes.Conclusions: Emergency medical services are a critical component of national health system in developing countries. Governments and ministries of health need to pay specific attention to develop emergency services and also to increase the health care staff.

SARS-CoV-2 Seroprevalence among the Health Care Staff of an Ophthalmological Reference Centre, a Cross Sectional Study

2021 ◽  
pp. 1-8
Author(s):  
Fátima Sofía Magaña-Guerrero ◽  
Diana Hinojosa Trujillo ◽  
Beatriz Buentello-Volante ◽  
José Eduardo Aguayo-Flores ◽  
Edgar Alonso Melgoza-González ◽  
...  
Keyword(s):  
Health Care ◽  
Cross Sectional Study ◽  
Care Staff ◽  
Health Care Staff ◽  
Sectional Study ◽  
Cross Sectional ◽  
Reference Centre

scholarly journals Status of Management of Cardiac Emergency Services at Ibrahim Cardiac Hospital & Research Institute: Service Providers' Perspective

1970 ◽  
Vol 1 (1) ◽  
pp. 22-26
Author(s):  
Mohammad Abdur Rashid ◽  
Md Nurul Amin
Keyword(s):  
Emergency Department ◽  
Emergency Services ◽  
Service Providers ◽  
Work Load ◽  
Cross Sectional Study ◽  
Check List ◽  
Cross Sectional ◽  
Cardiac Emergencies ◽  
Cardiac Emergency ◽  
Research Institute

This cross-sectional study was conducted on doctors, nurses and support staffs serving at the Emergency Department of Ibrahim Cardiac Hospital and Research Institute (ICHRI) to seek their opinion about the status of management services available at the Emergency Department (ED) of the Institute. Of the total respondents 20 were on duty physicians, 21 were on duty nurses and 18 were support staffs. Apart from the respondents, 34 check-lists were used by 3 (three) independent observers to monitor the daily ongoing activities of the Emergency Department during the period of data collection. This study analyzed the service providers' perspective about management of Emergency Department. As doctors' opinion was sought, 45% of them expressed their satisfaction at the services delivered at ED and 40% were more or less satisfied. Very few were either highly satisfied (5%) or grossly dissatisfied (10%). As regard to work-load, thirty percent opined that ED was overloaded. However, majority believed that ED was adequately equipped (75%) to deal with cardiac emergencies which bear consistency with the views expressed by patients/clients. Forty percent held the view that support staffs were not adequate to run the Emergency Department smoothly. The views expressed by the nurses shows that majority (62%) of them was satisfied working at ED and informed that they did not feel any problem in carrying out their assigned duties. They also were of the opinion that ED was adequately equipped but there was inadequacy of support staff (57.1%) keeping consistency with doctors' opinion. They, however, mentioned some other problems like inadequacy of nurses, porter and cleaners in every shift, security problem, lack of dress locker, dress changing room and dining space. Over 22% of the support staffs viewed ED as overloaded which correlates well with doctors' opinion. All other opinions were almost the same as those of doctors and nurses. One important issue they raised was the lack of rest room for them (22.2%). The findings of cardiac emergency services obtained through check-list were fairly comparable with the opinions expressed by the patients and service providers. However, the views expressed by the patients and service providers about wardboys/ayas did correlate with the data obtained through check-list and were inappreciably low (29.4%). According to service providers the Emergency Department is well-studded to manage all the cardiac emergencies. However, specific problems identified by different stakeholders need to be critically appraised by the authority to improve the services further. Ibrahim Card Med J 2011; 1(1):22-26

scholarly journals Analysis of the practice and the reasons for under documentation of body mass index and unintentional weight loss in adult hospitalized patients in Indian set up

2017 ◽  
Vol 4 (9) ◽  
pp. 3094
Author(s):  
Prashant K. Bajpai ◽  
R. R. Singh ◽  
C. N. Mehrotra ◽  
Sanjiv Bhatia
Keyword(s):  
Weight Loss ◽  
Nutritional Assessment ◽  
Cross Sectional Study ◽  
Hospitalized Patients ◽  
Care Staff ◽  
Health Care Staff ◽  
Health Staff ◽  
Unintentional Weight Loss ◽  
Cross Sectional ◽  
History Of

Background: The present study analyzed the practice of documentation of BMI and history of unintentional weight loss in adult hospitalized patients on admission by the health care staff and the causes for their under documentation. Methods: A cross-sectional study was conducted among 600 healthcare workers, 150 duty medical officers and 450 nurses attending to adult hospitalized patients in both public and private hospitals of Lucknow, U.P., India and nearby districts. Information was collected on the basis of a self-administered questionnaire, on the practice of recording of weight, height, BMI and history of unintentional weight loss in past three months in patient records and also for the reasons for the under-documentation. Results: Only 54.16% of the staff admitted documenting BMI of the patients regularly in their case notes. Similarly, only 60% of the staff documented history of unintentional weight loss in past three months in patient case notes. Documentation was omitted more by nurses as compared to medical officers. The main reasons for under-documentation were work overload and time constraints, lack of training, confusion regarding responsibility and mistaken opinion for malnutrition screening. Conclusions: BMI and weight loss are often not recorded by health staff, more so by nurses. They need to be provided sufficient time to perform nutritional assessment of patient; moreover we should make them competent and delineate roles to them as well as develop a nutrition culture in our health facilities. 

scholarly journals SAFETY OF HYDROXYCHLOROQUINE FOR COVID-19 PROPHYLAXIS AMONG HEALTHCARE WORKERS: AN OBSERVATIONAL STUDY

2020 ◽  
pp. 55-57
Author(s):  
SANGEETA KHANNA ◽  
NITUL M BEWAL ◽  
AMIT ARORA ◽  
KRISHNA PRASAD G V
Keyword(s):  
Health Care ◽  
Adverse Effects ◽  
Healthcare Workers ◽  
Cross Sectional Study ◽  
Care Staff ◽  
Health Care Staff ◽  
Online Questionnaire ◽  
Cross Sectional ◽  
Systemic Examination ◽  
Harmful Effects

Objective: Indian Council of Medical Research recommended hydroxychloroquine (HCQ) for prophylaxis of COVID‐19 for healthcare workers and the Food and Drug Administration approved its use in the treatment and prophylaxis of COVID‐19 disease. Even though HCQ is adequately tolerated in usual circumstances, still questions about the harmful effects of the drug remain a cause for concern in adults treated with HCQ. The objective of this study was to evaluate the major and minor adverse effects of prophylactic HCQ for COVID-19 among healthcare workers. Methods: Our analysis was intended to analyze HCQ’s adverse drug reaction profile for COVID‐19 prophylaxis in prophylactic doses in health-care staff. This was a cross-sectional study carried out among healthcare workers taking HCQ prophylaxis for COVID‑19. The study was carried out over 08 weeks period from April to May 2020. The data were obtained regarding age, sex, comorbidities, and possible adverse effects. A pretested and validated online questionnaire was provided to the participants to assess the harmful effects that they experienced when taking HCQ. Furthermore, pre and post 8 weeks prophylaxis, individuals underwent general and systemic examination, along with ECG and blood sugar level monitoring. Results: The research group comprised 70 previously healthy and health-care staff. In 70 patients, 27 minor adverse effects were reported (18.9%). Headache was the most frequently reported symptoms followed by nausea and vomiting, itching, and skin rashes. There was no statistically relevant variation in harmful effects due to age or number of doses administered. However, none of the adverse effects was serious or debilitating. Conclusion: With adequate pre-prophylaxis evaluation, health education, and regular monitoring, HCQ prophylaxis is safe and devoid of any serious adverse effects in previously healthy individuals.

Risk factors for work‐related stress and subjective hardship in health‐care staff in nursing homes for the elderly: A cross‐sectional study

2015 ◽  
Vol 57 (3) ◽  
pp. 285-296 ◽  
Author(s):  
Carole Pélissier ◽  
Michel Vohito ◽  
Emmanuel Fort ◽  
Brigitte Sellier ◽  
Jean Pierre Agard ◽  
...  
Keyword(s):  
Risk Factors ◽  
The Elderly ◽  
Cross Sectional Study ◽  
Care Staff ◽  
Health Care Staff ◽  
Sectional Study ◽  
Cross Sectional ◽  
Work Related ◽  
Homes For The Elderly ◽  
Related Stress

scholarly journals Knowledge, attitudes, and practices towards COVID-19 among hospital staff of West Bengal during COVID-19 outbreak: A hospital based cross sectional study

2020 ◽  
Vol 11 (6) ◽  
pp. 1-8
Author(s):  
Amitava Acharyya ◽  
Susmita Ghosh ◽  
Manas Ghosh ◽  
Kalyan Sarkar ◽  
Sonali Ghosh ◽  
...  
Keyword(s):  
Health Care ◽  
West Bengal ◽  
Knowledge Score ◽  
Cross Sectional Study ◽  
Care Staff ◽  
Health Care Staff ◽  
Healthcare Staff ◽  
Cross Sectional ◽  
Attitudes And Practices ◽  
Knowledge Attitudes And Practices

Background: COVID-19 disease is a highly contagious and totally unknown disease which is caused by SARS-CoV-2. This disease spread throughout the world irrespective of social, economical and political variation. Health care staff are the frontline COVID-19 worrier and their understanding of this disease is very important. Aims and Objective: The aim of this study was to assess the knowledge, attitudes and practices (KAP) towards COVID-19 disease among the healthcare staff of a tertiary care hospital of West Bengal. Materials and Methods: An analytic cross-sectional study was conducted at Murshidabad Medical College, Murshidabad from 25th April, 2020 to 2nd May, 2020. A total of 214 health care staff (83 nurses, 75 doctors, 20 para-medical staff, 24 administrative staff, and 12 sweepers) participated in this questionnaire based KAP study. The questionnaire was prepared according to the World Health Organization’ on Corona virus disease (COVID-19) “advice for the public”. The Systematic random sampling procedure was employed for data collection. The data was analysed using T-test, ANOVA, chi-square test and regression model. The informed consent was taken from each participant. Result: Female (62%) participants were more than male (38%) participants. Mean age of the participants was 27.03±7.63 years. About the half participants were unmarried (55%) and studied up to bachelor’s degree (49%). The overall knowledge score found to be “medium level” with 77% reporting correct answers. The knowledge score was statistically different among age group, education level, marital status and occupational group of health care staff in this hospital by univariate analysis. The good attitudes and good practices were not related with knowledge score. The majority of the respondents (78%) had confidence on their attitude that “India can win the battle against COVID-19”. Only 86% participants wore masks while going out in the lock-down period and 79% participants had not visited any crowded place. Only 18% participants used traditional home remedies for flu like symptoms. In multivariate analysis, doctors were found with better knowledge score and attitude towards COVID-19 than other healthcare staff in this hospital. Conclusion: The two preventive practice (social isolation and mask use) and optimistic attitude towards COVID-19 of health care staff were not totally depended on COVID-19 related knowledge score. However, knowledge score was depended on marital status, educational background, age, occupation and place of residence. Government should emphasize more on COVID-19 related health education and health promotion programme at community level.

scholarly journals Prevalence of Burnout among Primary Health Care Staff and Its Predictors: A Study in Iran

2019 ◽  
Vol 16 (12) ◽  
pp. 2249 ◽  
Author(s):  
Zarei ◽  
Ahmadi ◽  
Sial ◽  
Hwang ◽  
Thu ◽  
...  
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Maslach Burnout Inventory ◽  
Cross Sectional Study ◽  
Care Staff ◽  
Health Care Staff ◽  
Cross Sectional ◽  
Primary Health ◽  
Data Collection Instrument ◽  
Communication Competencies

: Burnout, which is an emerging challenge in health systems, is very common among primary health care (PHC) workers. The aim of this study was to investigate the level of burnout among PHC workers, and its predictive factors, in a region in the west of Iran.In this cross-sectional study, all the health network staff (n = 539) were enrolled. The data collection instrument was the Maslach Burnout Inventory (MBI), which consists of 22 items and the three subscales of emotional exhaustion (EE), depersonalization (DP), and personal achievement (PA). High scores in EE and DP and low scores in PA are indicative of high burnout. Logistic regression was used to determine the predictors of high burnout. The data were analyzed using SPSS version 16. The findings showed that 90.5% of the staff had high DP, 55.3% had high EE, and 98.9% had low PA scores. Also, 52.9% (277 people) of the staff suffered from high burnout. Single people (OR = 3.33), less experienced employees (OR = 9.09), people aged over 35 years (OR = 2.35), physicians (OR = 1.72), and staff with permanent employment (OR = 5.0) were more likely to suffer high levels of burnout. We conclude that burnout is a common problem in PHC workers. Less experienced, younger, single employees and physicians were more at risk of suffering from high burnout. Preventive measures, such as strengthening social skills, communication competencies, and coping strategies, and reduction of risk factors such as job stress, are suggested for reducing employees’ risk of burnout.

scholarly journals Awareness, attitude and practises of biomedical waste management amongst public health-care staff in Karnataka, India

2020 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Javeed Ahamed Golandaj ◽  
Karabasappa Gadigeppa Kallihal
Keyword(s):  
Public Health ◽  
Health Care ◽  
Cross Sectional Study ◽  
Public Health Care ◽  
Care Staff ◽  
Health Care Staff ◽  
Special Focus ◽  
Public Health Importance ◽  
Cross Sectional ◽  
Content Type

Purpose Enormous amount of biomedical wastes (BMW) produced everyday across the world. Management of BMW depends on adherence to protocol. BMW management at generation point, definitely, depends upon the awareness, attitudes and practises of health-care staff, the purpose of this study will assess the awareness, attitude and practise regarding different aspects of BMW. Design/methodology/approach An observational with appropriate checklists, and a cross-sectional study, involving questionnaires, was conducted during 7-24 January 2016. The existing system of BMW management, funds, resources, etc., knowledge, attitude and practises about BMW were assessed amongst 273 health-care workers in selected public health-care institutes of Karnataka. Findings Of 273 study participants, majority (54%) of them have not received any training pertaining to BMW. The results showed a poor level of knowledge and awareness of BMW management amongst health-care personnel. Merely, 43% of the participants correctly knew the categorization of BMW and its disposal in proper colour-coded bins/bags. Awareness is very poor amongst the lower age group, male participants, lab-technicians/pharmacists and supporting staff. Doctors were good at theoretical knowledge such as rules, legislation and public-health importance of BMW management than the practical aspects such as categorization and colour-coding. Further, the attitude of health-care staff is favourable about BMW. Immunization for hepatitis-B was very poor amongst waste handlers (43%). Originality/value As the awareness and practise regarding BMW management were poor across different health-care staff there is a need to conduct periodic training and regular monitoring with special focus on the proper use of personal protective equipment. Further, precautionary immunization should be provided, especially waste handlers and sanitary workers.

scholarly journals Investigation of Queries Related to Antimicrobial Agents Use in a Tertiary Hospital from 2015 to 2018

2020 ◽  
pp. 64-70
Author(s):  
Abdullah U. Althemery ◽  
Amal H. AL- Najjar ◽  
Mesfer S. Almalki ◽  
Abdullah A. Alfaifi ◽  
Ahmed K. Aljassem ◽  
...  
Keyword(s):  
Antimicrobial Agents ◽  
Active Role ◽  
Tertiary Hospital ◽  
Cross Sectional Study ◽  
Care Staff ◽  
Health Care Staff ◽  
Cross Sectional ◽  
Chi Squared ◽  
Pregnancy And Lactation ◽  
The Relationship

Aim: This study compares factors associated with requests for antimicrobial agents versus those for other types of treatment, contrasting the requests of pharmacists versus those of other health-care staff related to antimicrobial agents. Methods: A retrospective cross-sectional study was conducted for all requests received from January 1, 2015, to December 31, 2018. A series of chi-squared tests was used to analyze the relationship between different categories. All data analyses were conducted using the R statistical computing language. Results: In total, 2,423 requests were received from 2015 to 2018, of which antimicrobial agents accounted for 21.67%. The highest percentages of antimicrobial requests by pharmacists were related to administration and dosage forms, pregnancy and lactation, and stability. A majority of the requests were answered using tertiary resources. The most-requested information regarding antimicrobial agents was related to clindamycin. Conclusion: Because many requests pertaining to antimicrobial agents were made, as a proportion of total drug and poison information centre requests, from 2015 to 2018, pharmacists should maintain and indeed expand their active role to combat antibiotic resistance.

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