Kajian Praktik Kefarmasian Apoteker pada Tatanan Rumah Sakit

Undang-undang Republik Indonesia No. 36 tahun 2009 tentang kesehatan dan peraturan pemerintah No. 51 tahun 2009 menyatakan bahwa tenaga kesehatan harus mempunyai kualifikasi minimum yang ditetapkan oleh pemerintah. Studi kualitatif secara potong lintang pada tahun 2010 untuk mengidentifikasi kualifikasi apoteker rumah sakit dalam memenuhi persyaratan tersebut di Bandung, Yogyakarta dan Surabaya. Data dikumpulkan dengan wawancara mendalam terhadap 10 orang apoteker dari enam rumah sakit dan empat orang direktur/wakil direktur rumah sakit, masing-masing satu orang apoteker dari enam perguruan tinggi farmasi, tiga pengurus Ikatan Apoteker Indonesia, tiga dinas kesehatan provinsi dan kabupaten/kota. Observasi praktek kefarmasian dengan menggunakan daftar tilik dilakukan pada tiap rumah sakit dan data sekunder terkait dokumentasi pemantauan dan evaluasi obat, kepuasan pasien, standar operasional prosedur dan kurikulum perguruan tinggi farmasi juga dikumpulkan. Analisis dilakukan dengan metode triangulasi dan hasil menunjukkan bahwa pengelolaan obat dalam hal pengadaan, distribusi dan penyimpanan dilaksanakan dengan baik oleh apoteker rumah sakit. Praktek farmasi klinik dan keselamatan pasien masih sangat terbatas karena alasan sumber daya manusia dan dokumentasi yang memadai. Informasi obat dan konseling kadang dilakukan tanpa fasilitas yang cukup dan apoteker juga terlibat dalam berbagai tim di rumah sakit seperti penanggulangan infeksi nosokomial dan komite farmasi dan terapi.The Indonesian Health Law No. 36 in 2009 and the Government Regulation No. 51 in 2009 state that health-care providers, including pharmacist, shall have minimum qualification set by the government. A qualitative cross sectional was conducted to to identify hospital pharmacist qualification as health care professionals in meeting the requirements was done in 2010 in Bandung, Yogyakarta and Surabaya. Data were collected through indepth interviews with pharmacists involving ten hospital pharmacists and four hos- pital directors/vice directors, six pharmacy colleges, three regional pharmacist associations, three provincial health offices and district health offices and observation of pharmacy practices using check list in each hospital was also conducted. Secondary data concerning documentation of drug monitoring and evaluation, patient satisfaction, standard operating procedure and pharmacy college curricula were collected too. Qualitative analysis was done descriptively using triangulation method. The study shows that drug procurement, distribution and storage, was well-managed by pharmacist. Practice in clinical pharmacy and patient safety was still limited for the reason of human resources and appropriate documentation. Drug information and counseling was sometimes conducted without adequate facilities and pharmacist was involved in various hospital teams like nosocomial infection control and pharmacy and therapy committee.

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Risk Perception and Worries among Health Care Workers in the COVID-19 Pandemic: Findings from an Italian Survey

Healthcare ◽

10.3390/healthcare8040535 ◽

2020 ◽

Vol 8 (4) ◽

pp. 535

Author(s):

Mariangela Valentina Puci ◽

Guido Nosari ◽

Federica Loi ◽

Giulia Virginia Puci ◽

Cristina Montomoli ◽

...

Keyword(s):

Health Care ◽

Risk Perception ◽

Health Care Providers ◽

Health Care Workers ◽

Health Care Professionals ◽

Sleep Disturbances ◽

Well Being ◽

Care Providers ◽

Cross Sectional ◽

Care Workers

The ongoing pandemic scenario, due to the coronavirus disease 2019 (COVID-19), has had a considerable impact on public health all over the world. Italy was one of the most affected countries, as the first European full-blown outbreak occurred there. The exposure of the Italian health care workers to COVID-19 may be an important risk factor for psychological distress. The aim of this cross-sectional study was to describe worries and risk perception of being infected among Italian Health Care Workers (HCWs) during the first wave of the pandemic. In total, 2078 HCWs participated in a web survey (78.8% were females). The highest percentage of respondents were physicians (40.75%) and nurses (32.15%), followed by medical (18.00%), health care support (4.50%) and administrative (4.60%) staff. In a score range between 0 (not worried) and 4 (very worried), our results showed that participants declared that they were worried about the Coronavirus infection with a median score of 3 (IQR 2-3) and for 59.19% the risk perception of being infected was very high. In addition, HCWs reported they suffered from sleep disturbances (63.43%). From the analysis of the psychological aspect, a possible divergence emerged between the perceived need for psychological support (83.85%) and the relative lack of this service among health care providers emerged (9.38%). Our findings highlight the importance of psychological and psychiatric support services not only during the COVID-19 pandemic, but also in other emerging infectious diseases (EIDs) scenarios. These services may be useful for health authorities and policymakers to ensure the psychological well-being of health care professionals and to promote precautionary behaviors among them.

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Buprenorphine/naloxone addiction in a pharmacist as a result of migraine self-treatment

Mental Health Clinician ◽

10.9740/mhc.2016.05.127 ◽

2016 ◽

Vol 6 (3) ◽

pp. 127-130

Author(s):

Merrill Norton ◽

Ah Young Cho ◽

Courtney Giebler ◽

Taylor Smith ◽

Kathryn Walton

Keyword(s):

Health Care ◽

Health Care Providers ◽

Prescription Drugs ◽

Health Care Professionals ◽

Hospital Pharmacist ◽

Self Report ◽

Drug Misuse ◽

Treatment Center ◽

Care Providers ◽

Migraine Headaches

Abstract Objective: A unique case report is presented to demonstrate addiction in a pharmacist through the use of buprenorphine/naloxone film for the self-prescribed treatment of migraine headaches. Case Summary: A 35-year-old female hospital pharmacist was admitted to treatment for opioid use disorder for using buprenorphine/naloxone film to self-medicate her migraine headaches. After daily use of sublingual buprenorphine/naloxone, and several failed attempts to discontinue use, the pharmacist was admitted to a partial hospitalization treatment program. She was prescribed sumatriptan subcutaneous injection for her migraines, while maintaining buprenorphine/naloxone abstinence. Upon completion, the pharmacist transitioned to the aftercare program, where she maintains sobriety and uses her story to help aid in other patients' recoveries at the treatment center. Discussion: Addiction and substance abuse affect a substantial number of health care professionals. Pharmacists are particularly vulnerable to prescription drug misuse and addiction as a result of their direct access and vast pharmacologic knowledge. In a 2004 self-report survey of a random sample of health care providers, 58.7% of pharmacists reported using nonprescribed prescription drugs at least once in their lifetime. This case is a story of rehabilitation and recovery of a pharmacist who has a desire to return to the practice of pharmacy through the use of effective pharmacologic and behavioral interventions.

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Lifestyle modification advice provided by health care professionals in the treatment and management of hypertension in Kenya

International Journal of Community Medicine and Public Health ◽

10.18203/2394-6040.ijcmph20202447 ◽

2020 ◽

Vol 7 (6) ◽

pp. 2018

Author(s):

Teresia Mbogori

Keyword(s):

Physical Activity ◽

Health Care ◽

Health Care Providers ◽

Health Care Professionals ◽

Fruits And Vegetables ◽

Salt Intake ◽

Lifestyle Modification ◽

Care Providers ◽

Cross Sectional ◽

Sugary Beverages

Background: Hypertension is one of the main modifiable risk factors for cardiovascular disease morbidity and mortality. Pharmacological and lifestyle modification approaches are used in the treatment and management of hypertension. The purpose of this study was to identify lifestyle modification advice provided to the general population and to those diagnosed with hypertension by health care providers (HCP) in Kenya.Methods: A secondary data analysis of cross-sectional data collected among 4500 Kenyans participating in the 2015 Kenya stepwise approach to surveillance study was conducted. Questions related to the consumption of salt, sugar, fat, fruits and vegetables as well as physical activity and weight management were evaluated.Results: Among all the participants, only 12.5%, 20.7%, 12.2%, 10.7%, 10.3% and 11.6% were advised to either reduce salt intake, eat 5 or more servings of fruits and vegetables, reduce fat intake, reduce intake of sugary beverages, lose or maintain weight and start or do more physical activity respectively. Of those diagnosed with HTN, 37% were advised to increase intake fruits and vegetables, 37%, 27% and 25% were advised to reduce, salt, fat and sugary beverages intake respectively, 21% and 22% were advised to start or do more physical activity and maintain a healthy body weight or lose weight respectively.Conclusions: Majority of Kenyans had not received dietary modification advice from HCP despite this being a policy recommendation in Kenya. Policy makers need to work closely with HCP to develop appropriate policy implementation strategies.

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Commitment Levels of Health Care Providers in Using the District Health Information System and the Associated Factors for Decision Making in Resource-Limited Settings: Cross-sectional Survey Study

JMIR Medical Informatics ◽

10.2196/23951 ◽

2021 ◽

Vol 9 (3) ◽

pp. e23951

Author(s):

Shuma G Kanfe ◽

Berhanu F Endehabtu ◽

Mohammedjud H Ahmed ◽

Nebyu D Mengestie ◽

Binyam Tilahun

Keyword(s):

Health Care ◽

Decision Making ◽

Health Care Providers ◽

Data Use ◽

Health Information System ◽

Evidence Based ◽

Care Providers ◽

District Health ◽

Cross Sectional ◽

Evidence Based Decision Making

Background Changing the culture of information use, which is one of the transformation agendas of the Ministry of Health of Ethiopia, cannot become real unless health care providers are committed to using locally collected data for evidence-based decision making. The commitment of health care providers has paramount influence on district health information system 2 (DHIS2) data utilization for decision making. Evidence is limited on health care providers’ level of commitment to using DHIS2 data in Ethiopia. Therefore, this study aims to fill this evidence gap. Objective This study aimed to assess the levels of commitment of health care providers and the factors influencing their commitment levels in using DHIS2 data for decision making at public health care facilities in the Ilu Aba Bora zone of the Oromia national regional state, Ethiopia in 2020. Methods The cross-sectional quantitative study supplemented by qualitative methods was conducted from February 26, 2020 to April 17, 2020. A total of 264 participants were approached. SPSS version 20 software was used for data entry and analysis. Descriptive and analytical statistics, including bivariable and multivariable analyses, were performed. Thematic analysis was conducted for the qualitative data. Results Of the 264 respondents, 121 (45.8%, 95% CI 40.0%-52.8%) respondents showed high commitment levels to use DHIS2 data. The variables associated with the level of commitment to use DHIS2 data were found to be provision of feedback for DHIS2 data use (adjusted odds ratio [AOR] 1.85, 95% CI 1.02-3.33), regular supervision and managerial support (AOR 2.84, 95% CI 1.50-5.37), information use culture (AOR 1.92, 95% CI 1.03-3.59), motivation to use DHIS2 data (AOR 1.80, 95% CI 1.00-3.25), health needs (AOR 3.96, 95% CI 2.11-7.41), and competency in DHIS2 tasks (AOR 2.41, 95% CI 1.27-4.55). Conclusions In general, less than half of the study participants showed high commitment levels to use DHIS2 data for decision making in health care. Providing regular supportive supervision and feedback and increasing the motivation and competency of the health care providers in performing DHIS2 data tasks will help in promoting their levels of commitment that can result in the cultural transformation of data use for evidence-based decision making in health care.

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Knowledge and Acceptance Towards Mammography as Breast Cancer Screening Tool Among Yogyakarta Women and Health Care Providers (Mammography Screening in Indonesia)

Journal of Cancer Education ◽

10.1007/s13187-019-01659-3 ◽

2019 ◽

Author(s):

Lina Choridah ◽

Ajeng Viska Icanervilia ◽

Marloes Josephia Maria de Wit ◽

Antoinette D.I. van Asselt ◽

Wahyu Tri Kurniawan ◽

...

Keyword(s):

Breast Cancer ◽

Health Care ◽

Cancer Screening ◽

Breast Cancer Screening ◽

Health Care Providers ◽

Health Care Professionals ◽

Screening Tool ◽

Care Providers ◽

The Government ◽

Knowledge And Acceptance

AbstractAnnual mammography remains the gold standard of asymptomatic breast cancer screening for women starting at the age of 40. However, Indonesia has not designated mammography as its national screening program. To help policymakers decide whether mammography should be introduced into a national program, it is important to comprehensively understand the knowledge and acceptance of both consumers and providers. A total of 25 subjects including a range of women and health care professionals (HCPs) in Yogyakarta Province were recruited using purposive, maximum variation sampling and then interviewed in-depth. The interviews were recorded and all data were taken and transcribed from the audio recording, which were subsequently translated to English and analyzed thematically. Almost all of Yogyakarta women had heard about the term of mammography. However, only few of them have let themselves be screened, mainly because of their perceived lack of urgency to screen for asymptomatic breast cancer. Another important reason was the high cost of mammography. Meanwhile, several HCPs believed that breast cancer has not been a priority for the government and hence the government limited mammography screening’s access and excluded it from the national insurance coverage. Most women in Yogyakarta have a good understanding about breast cancer screening, but their acceptance of mammography as a breast cancer screening tool is significantly influenced by high cost, limited access, and lack of urgency.

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Level of willingness to report to work during a pandemic among the emergency department health care professionals

Asian Journal of Medical Sciences ◽

10.3126/ajms.v5i3.9343 ◽

2014 ◽

Vol 5 (3) ◽

pp. 58-62 ◽

Cited By ~ 1

Author(s):

Anas Khan ◽

Mohammad Al Johani

Keyword(s):

Health Care ◽

Health Care Providers ◽

Health Care Professionals ◽

Influenza Pandemic ◽

Medical Science ◽

Care Providers ◽

Cross Sectional ◽

Knowledge And Attitudes ◽

Positive Attitudes ◽

Hypothetical Scenario

Objectives: To quantify the knowledge and attitudes of Health care providers (HCP) towards their willingness to work during an influenza pandemic. Methods: A Questionnaire based cross sectional study among the 350 emergency departments’ staff in seven different tertiary hospitals in Riyadh, Saudi Arabia was conducted in Jan 2010. A structured questionnaire with items to quantify the knowledge and attitudes of health care providers based on hypothetical scenario about the occurrence of H1N1 pandemic was developed. The questionnaire was validated before it was distributed among the study subjects. Data was analyzed using SPSS Pc+ 21.0 statistical software. Results: Out of the 254 responders, 190 (74.8%) stated that they will report to work during a pandemic, 29 (11.4%) won’t, and 35 (13.7%) don’t know. From those who won’t report or don’t know; 29 (45.31%) won’t change their minds for salary increase, and 40 (62.5%) won’t change their mind even if it meant they were to be dismissed. About 93 (36.4%) of study subjects were of the opinion that, HCP without children should primarily look after the patients. Among the HCPs, higher number of consultants and nurses were more willing to work than other HCPs. The consultants were having positive attitudes towards working during pandemics. Conclusion: Our results suggested that most participants were having positive attitudes towards willingness to work during an influenza pandemic. Their concerns should be considered, so that during a real situation faced, plans could be translated to reality smoothly. Asian Journal of Medical Science, Volume-5(3) 2014: 58-62 http://dx.doi.org/10.3126/ajms.v5i3.9343

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FAKTOR-FAKTOR YANG BERHUBUNGAN DENGAN TINDAKAN MEMBUANG SAMPAH DI LINGKUNGAN IV KELURAHAN HELVETIA KECAMATAN MEDAN HELVETIA TAHUN 2017

Jurnal Riset Hesti Medan Akper Kesdam I/BB Medan ◽

10.34008/jurhesti.v3i1.17 ◽

2018 ◽

Vol 3 (1) ◽

pp. 10

Author(s):

Napis Alfikri ◽

Wisnu Hidayat ◽

Vierto Irennius Girsang

Keyword(s):

Health Care ◽

Health Care Providers ◽

Bivariate Analysis ◽

P Value ◽

Analytic Method ◽

Care Providers ◽

Cross Sectional ◽

Public Figures ◽

The Government ◽

Cross Sectional Design

Garbage is the consequence human activity in the form of disposal or waste. There are 2000 tons of garbage per day in Medan, and most of the garbage which comes from people’s homes and is produced by housewives reaches to 1,500 to 1,600 tons per day. which is caused by several factors that are predisposition, enabler and amplifier. The objective of the research was to find out some factors which were correlated with the behavior of action throwing garbage at Lingkungan IV, Kelurahan Helvetia, Medan Helvetia, in 2017. The population was178 people, and 123 of them were used as the samples. The research used observational analytic method with cross sectional design. The data were analyzed by using univariate anaslysis, bivariate analysis, and multivariate analysis. The result of the research showed that there was the correlation of knowledge (p-value = <0.001), attitude (p-value = 0.004), education (p-value = <0.001), availability of facility (p-value = <0.001), socialization of health care providers (p-value = <0.001), and knowledge about perda no 6 year 2015 (p-value = <0.004) of throwing garbage. The variable which had the most dominant correlation with of throwing garbage was knowledge which 8.6 times of the possibility to be a good behavior in throwing garbage compared with those who had bad knowledge. It is recommended that the Government do regular evaluation and promote environmental health by making public figures participate in good behavior of throwing garbage.Keywords: Predisposition, Enabling, Enforcing, Action Throwing Garbage

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Perceived Barriers to Pediatric Clinical Trials Implementation: A Survey of Health Care Staff

10.21203/rs.3.rs-42309/v1 ◽

2021 ◽

Author(s):

Timothy Ryan Smith ◽

Russell McCulloh ◽

Minh-Thuy Bui ◽

Natalie Sollo ◽

Carolyn R. Ahlers-Schmidt ◽

...

Keyword(s):

Health Care ◽

Clinical Trials ◽

Health Care Providers ◽

Health Care Professionals ◽

Care Staff ◽

Health Care Staff ◽

Care Providers ◽

Cross Sectional ◽

Convenience Sample ◽

Clinic Staff

Abstract BackgroundClinical trials are the gold standard for assessing the effectiveness and safety of treatments. The objective of the current study was to assess provider opinions regarding implementing pediatric clinical trials in various practice settings across Kansas. MethodsThe study was completed within the Sunflower Pediatric Clinical Trials Research Extension (SPeCTRE), an affiliate of the IDeA States Pediatric Clinical Trials Network (ISPCTN). A cross-sectional, 36-item survey was administered to a state-wide convenience sample targeting health care providers and clinic staff. ResultsA total of 119 health care providers and clinic staff completed surveys; 31% were physicians. Physicians were more likely than other clinic staff to have experience with clinical trials (correlation coefficient [CC]=0.270, p=0.004). When compared to urban respondents, rural providers were less supportive of recruitment for clinical trials in their practices (CC=-0.251, p=0.008) and more likely to feel comfortable referring patients for clinical trials involving treatments that their insurance did not cover (CC=0.302, p=0.001).ConclusionA range of rural and urban health care professionals support the performance of pediatric clinical trials but identify several barriers as well. These results will support future pediatric clinical trials across the country including Kansas.TRIAL REGISTRATION: NA

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Development of an Outcome Measure of Observable Signs of Health and Well-Being in Infants With Orofacial Clefts

The Cleft Palate-Craniofacial Journal ◽

10.1177/1055665620922105 ◽

2020 ◽

Vol 57 (11) ◽

pp. 1266-1279

Author(s):

Carrie L. Heike ◽

Meredith Albert ◽

Cassandra L. Aspinall ◽

Suzel Bautista ◽

Claudia Crilly Bellucci ◽

...

Keyword(s):

Health Care ◽

Health Care Providers ◽

Health Care Professionals ◽

Cleft Lip ◽

Outcome Measure ◽

Psychometric Testing ◽

Well Being ◽

Care Providers ◽

Cross Sectional ◽

Health And Well Being

Objective: To develop an outcomes instrument that assesses observations that can be reliably reported by caregivers and can be used to assess health of infants with a cleft lip or cleft lip and cleft palate (CL±P) and impacts of treatments. Design: Cross-sectional, mixed methods study. Setting: Caregivers and health-care providers were recruited from 3 academic craniofacial centers and national advertisements. Most interviews were conducted by telephone, and surveys were completed online. Participants: Caregivers had a child less than 3 years of age with CL±P and spoke either English or Spanish. Health-care providers were members of a cleft team. Caregivers (n = 492) and health-care professionals (n = 75) participated in at least one component of this study. Main Outcome Measure(s): Caregivers and health-care providers participated in tasks related to instrument development: concept elicitation for items within relevant health domains, prioritization of items, and item review. Results: We identified 295 observations of infant well-being across 9 health areas. Research staff and specialists evaluated items for clarity, specificity to CL±P, and responsiveness to treatment. Caregivers and health-care providers rated the resulting list of 104 observations and developed the final instrument of 65 items. Conclusions: In this phase of development of the Infant with Clefts Observation Outcomes (iCOO) instrument, items were developed to collect caregiver observations about indicators of children’s health and well-being across multiple domains allowing for psychometric testing, sensitivity to changes associated with treatment, and documentation of the effects of treatment.

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Assessment of Argentine Health Care Providers' Knowledge on Sports-Related Concussion: A Cross-sectional Study

Neurology ◽

10.1212/01.wnl.0000801876.46061.a2 ◽

2021 ◽

Vol 98 (1 Supplement 1) ◽

pp. S15.2-S15

Author(s):

Maria Julieta Russo ◽

Fernando Salvat ◽

Gustavo Sevlever ◽

Ricardo F. Allegri

Keyword(s):

Health Care ◽

Health Care Providers ◽

Health Care Professionals ◽

Cross Sectional Study ◽

Care Providers ◽

Cross Sectional Survey ◽

Questionnaire Response ◽

Cross Sectional ◽

Wide Range ◽

Significant Difference

ObjectiveTo assess the current experience, beliefs and knowledge of survey respondents in the diagnosis and management of sports-related concussion and their relationship to formal concussion training.BackgroundAthletes who have had a concussion may be at risk of a wide range of short- or long-term complications. The experience with and knowledge about concussion may be the most important factors for an effective concussion management.Design/MethodsA cross-sectional survey was conducted in July and August 2020 all over Buenos Aires, Argentina among health care professionals involved in the training and care of the competitive or recreational athletes. The survey covered: (i) the socio-demographic characteristics; (ii) experience; (iii) beliefs; and (iv) assessment of knowledge on sports concussion.ResultsA total of 626 participants completed and returned the questionnaire (response rate 86%). The majority of the health care professionals were physicians (n = 429; 68.5%). Nearly two-thirds (72%) of the respondents were related to rugby. Soccer was the second sport (6.2%). Seventy 4 percent of the respondents (n = 463) reported having concussion training. Respondents correctly answered on average 6.23 ± 2.16 (out of 10) concussion knowledge questions. The largest gaps were related to the topics of clinical interpretation of severity symptoms scales and neuroimaging. The smallest gaps were identified for young athletes (<18 years of age) management after a concussion. There was a significant difference in mean survey respondents' knowledge scores about concussion (F [1,622] = 109.479, p < 0.001) between who had received the formal concussion training and those who had not, whilst adjusting for age and years the participant reported having had experience in sport.ConclusionsKnowledge gaps exist in the clinical practice when dealing with professionals who are involved in the care of athletes. Our findings confirm the need for training and education on sport-related concussion.

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