scholarly journals HIV Pre-Exposure Prophylaxis (PrEP) Knowledge, Familiarity, and Attitudes among Healthcare Professional Students

2019 ◽  
Author(s):  
Sarahmona Przybyla ◽  
Jennifer Fillo ◽  
Kimberly Kamper-DeMarco ◽  
Kathleen Parks ◽  
Jacob Bleasdale ◽  
...  
Keyword(s):  
Healthcare Professional ◽  
Healthcare Professionals ◽  
Healthcare Providers ◽  
Hiv Infections ◽  
Educational Interventions ◽  
Pharmacy Students ◽  
Academic Training ◽  
Cross Sectional ◽  
Professional Students ◽  
Exposure Prophylaxis

Abstract Background The federal government’s plan to End the HIV Epidemic by 2030 includes a primary goal to reduce new HIV infections by 90 percent. One key contributor to this plan is pre-exposure prophylaxis (PrEP), a medication taken by HIV-uninfected individuals to prevent infection. While knowledge and acceptance of PrEP among clinicians is growing, few studies have assessed knowledge and awareness among future healthcare professionals in academic training programs. Given the limited research on PrEP among healthcare professional students, a better understanding of knowledge and familiarity with PrEP prescription may inform the development of educational interventions targeting this population in an effort to increase implementation. The present study aimed to assess and compare healthcare trainees’ PrEP awareness, knowledge, and familiarity with prescription guidelines with a broad goal to better understand and prevent gaps in academic training regarding PrEP. Methods A cross-sectional web-based survey of medical, nurse practitioner, and pharmacy students enrolled at two universities was conducted between October 2017-January 2018. The study assessed participants’ awareness, knowledge, and familiarity with PrEP prescribing guidelines and willingness to prescribe PrEP and refer to another healthcare provider. Results The survey was completed by 744 participants (overall response rate = 36.2%). There were significant differences among student groups in all domains. Pharmacy students had the greatest PrEP knowledge, awareness, and familiarity with prescribing guidelines. However, medical students reported the greatest comfort with performing PrEP-related clinical activities and willingness to refer a candidate to another provider. Greater familiarity with PrEP prescription guidelines was associated with willingness to prescribe the medication. Conclusions Healthcare professional students’ responses enhance our understanding of the relevant experiences and perspectives of future healthcare providers that influence their knowledge towards the promotion of PrEP through prescription and referral intentions. The gaps in students’ knowledge offer opportunities for the development of educational strategies to support HIV prevention among future healthcare professionals.

scholarly journals 980. Drexel Medicine Resident Knowledge, Practices and Attitudes Regarding Pre-exposure prophylaxis (PrEP)

2020 ◽  
Vol 7 (Supplement_1) ◽  
pp. S518-S518
Author(s):  
Jen E Mainville ◽  
Ed Gracely ◽  
Zsofia Szep
Keyword(s):  
Internal Medicine ◽  
Male Partner ◽  
Healthcare Providers ◽  
Cross Sectional Study ◽  
Cross Sectional ◽  
Major Barrier ◽  
Medicine Resident ◽  
Highly Effective ◽  
Prevention Method ◽  
Exposure Prophylaxis

Abstract Background Pre-exposure prophylaxis (PrEP) is a highly effective daily oral antiretroviral medication that was approved by the FDA in 2012 and has been shown to reduce the risk of HIV by 95% in real-world studies. Despite this, many healthcare providers are not offering PrEP to their patients who are at risk for HIV. Methods We performed a cross-sectional study among Drexel Internal Medicine, Family Medicine, and Obstetrics and Gynecology residents. The survey included questions about experience, knowledge, attitudes toward and barriers to using PrEP. The survey was adapted from previous studies regarding medical providers’ attitudes and knowledge about PrEP (Petroll, 2016; Seifman, 2016; Blumenthal, 2105). A Likert 5-point scale was used for attitude and barriers questions. Results Among 143 participants, 80% specialized in Internal Medicine. 43% of participants were in their first year of training and the mean age (+ SD) was 28.8 + 2. 76% reported never initiating a conversation about PrEP with a patient and only 18% reported ever prescribing PrEP to their patients. 92% reported being very or extremely willing to prescribe PrEP to a male with a current male partner known to be HIV positive. Only 43% of residents reported being moderately likely to prescribe PrEP to a patient coming in for a STI exposure. 68% of residents reported their knowledge about PrEP was a major barrier to prescribing PrEP. Conclusion We found that most residents have minimal experience with prescribing PrEP, and knowledge was identified as the largest barrier. Additional education and a better understanding of PrEP indications is necessary to ensure eligible PrEP patients have access to this highly effective HIV prevention method. Disclosures All Authors: No reported disclosures

scholarly journals Pre-Exposure Prophylaxis Training among Medical Schools in the United States

2021 ◽  
Vol 12 ◽  
pp. 215013272110287
Author(s):  
Robert L. Cooper ◽  
Mohammad Tabatabai ◽  
Paul D. Juarez ◽  
Aramandla Ramesh ◽  
Matthew C. Morris ◽  
...  
Keyword(s):  
United States ◽  
Hiv Prevention ◽  
Injection Drug Users ◽  
Drug Users ◽  
Healthcare Providers ◽  
Medical Schools ◽  
The United States ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Exposure Prophylaxis

Pre-Exposure Prophylaxis (PrEP) has been shown to be an effective method of HIV prevention for men who have sex with-men (MSM) and -transgender women (MSTGWs), serodiscordant couples, and injection drug users; however fewer than 50 000 individuals currently take this regimen. Knowledge of PrEP is low among healthcare providers and much of this lack of knowledge stems from the lack or exposure to PrEP in medical school. We conducted a cross sectional survey of medical schools in the United States to assess the degree to which PrEP for HIV prevention is taught. The survey consisted Likert scale questions assessing how well the students were prepared to perform each skill associated with PrEP delivery, as well as how PrEP education was delivered to students. We contacted 141 medical schools and 71 responded to the survey (50.4%). PrEP education was only reported to be offered at 38% of schools, and only 15.4% reported specific training for Lesbian, Gay, Bisexual, and Transgender (LGBT) patients. The most common delivery methods of PrEP content were didactic sessions with 11 schools reporting this method followed by problem-based learning, direct patient contact, workshops, and small group discussions. Students were more prepared to provide PrEP to MSM compared to other high-risk patients. Few medical schools are preparing their students to prescribe PrEP upon graduation. Further, there is a need to increase the number of direct patient contacts or simulations for students to be better prepared.

scholarly journals Opinion of Healthcare Professionals in the Usage of Social Media for Patient Care in Majmaah, Saudi Arabia

2017 ◽  
Vol 6 (1) ◽  
pp. 13
Author(s):  
Syed Meraj Ahmed ◽  
Faisal Alhumaidi Alruways ◽  
Thamer Fahad Alsallum ◽  
Meshal Munahi Almutairi ◽  
Abdullah Saif Al-Subhi ◽  
...  
Keyword(s):  
Social Media ◽  
Saudi Arabia ◽  
Patient Care ◽  
Healthcare Professionals ◽  
Healthcare Providers ◽  
Improve Patient Care ◽  
Cross Sectional Study ◽  
Cross Sectional ◽  
Validated Questionnaire ◽  
Use Of Social Media

<span lang="EN-US">Use of social media for patient care is the new frontier in the healthcare indus-try. Sharing of information between the clinicians and their patients is now so much easier. In slowly gaining a foothold worldwide it needs a healthy push to make it universally accepta-ble. Study the knowledge, attitude, and practices of healthcare providers on the usage of social media in their clinical practice.</span><span lang="EN-US">A baseline cross – sectional study was conducted among 200 healthcare professionals from March 2015 to September 2015 on their knowledge, attitude, and practices in the use of social media for patient care in Majmaah, Saudi Arabia. A close ended self – administered validated questionnaire was used to gather data which was analyzed by using the SPSS ver. 21.0 software. 55.3% participants used social media for both professional and personal reasons. Some (25.3%) specified using it for patient care while a significant majority (52.9%) opined that it can be successfully used for patient interaction. Nearly 55% agreed that social media should not be banned due to its benefits as an efficient tool for patient communication. </span><span>S</span><span lang="EN-US">ocial media use for pa-tient doctor interaction should be encouraged to improve patient care through effective com-munication.</span>

Sharps and needle-stick injuries among medical residents and healthcare professional students: pattern and reporting in Italy—a cross-sectional analytical study

2019 ◽  
Vol 76 (10) ◽  
pp. 739-745 ◽  
Author(s):  
Rosa Papadopoli ◽  
Aida Bianco ◽  
Davide Pepe ◽  
Claudia Pileggi ◽  
Maria Pavia
Keyword(s):  
Healthcare Professional ◽  
Occupational Health ◽  
Medical Residents ◽  
Professional Activity ◽  
Post Exposure Prophylaxis ◽  
Cross Sectional ◽  
Postgraduate Students ◽  
Needle Stick ◽  
Professional Students ◽  
Post Exposure

ObjectivesHealthcare workers, in the course of their professional activity, are potentially exposed to chemical, physical and above all biological risks. The aims of our study were to investigate the extent and distribution of needle-stick and sharp injuries (NSIs) in healthcare students, the behaviours and circumstances most frequently associated with NSIs, the frequency of NSI reporting and the adherence to the post-exposure protocols.MethodsThis study involved, through an interviewer-administered structured questionnaire, undergraduate and postgraduate students attending postgraduate medical schools and healthcare professional schools who underwent occupational health visits between January 2015 and July 2018.ResultsOf the 642 students that participated in the study, 95 (14.8%) sustained an NSI during the traineeship and, of these, 59 (62.1%) reported the NSI to the occupational health service. NSIs were significantly more frequent in older subjects (χ²=9.853, p=0.020) and, among medical residents, in surgical residents (χ²=31.260, p<0.0001); moreover, occurrence of NSIs increased with increasing duration of traineeship (t=−2.051, p=0.041). Reporting of NSIs significantly increased with increasing age (χ²=12.543, p=0.006), with medical residents significantly under-reporting NSIs compared with undergraduate healthcare professional students (χ²=10.718, p=0.001) and among medical residents, those attending critical care units had the highest under-reporting (χ²=7.323, p=0.026).ConclusionsThe study showed remarkable under-reporting, as well as a lack of preparedness of students for NSI preventive and post-exposure effective measures. Our findings underline that healthcare student education should be reinforced to ensure that safe practices are carried out when needles and sharps are involved, as well as stressing the importance of NSI reporting and adherence to post-exposure prophylaxis protocols.

scholarly journals When is it acceptable to allow a terminal patient to die? Pharmacy students’ views from a London University

2020 ◽  
pp. 107815522092154
Author(s):  
Beth V Clayton ◽  
Shereen Nabhani-Gebara
Keyword(s):  
Online Survey ◽  
Healthcare Professionals ◽  
Response Rate ◽  
Pharmacy Students ◽  
Patient Factors ◽  
Cross Sectional ◽  
Factors Affecting ◽  
Patient Request ◽  
Medical Organisation ◽  
Controversial Topic

Accompanied suicide is a controversial topic with varying practice across Europe; therefore, there is very little guidance on how healthcare professionals should be educated on accompanied suicide. This study implemented an anonymous, cross-sectional online survey to discover the perceptions of final-year MPharm students on accompanied suicide and the factors affecting one’s views, with the aim of investigating the knowledge, awareness and opinions of pharmacy students regarding accompanied suicide, as well as education to pharmacy students. Surveys were disseminated to final-year pharmacy students at Kingston University between January and March 2019. The survey comprised of three sections: Section A consisting of definitions – to determine knowledge of pharmacy students. Section B including case studies – to understand the opinions of pharmacy students and identify influential patient factors. Section C involving demographics – to discover the influential participant factors. An ethics application was submitted and approved prior to conducting this study. The data yielded a total of 111 responses out of a possible 139 (80% response rate); 77.5% participants were unable to correctly define each term given, with many also agreeing their lack of knowledge affected their views. Overall, most pharmacy students disagreed with accompanied suicide, regardless of the patient factors. Additionally, religious participants were more likely to disagree with the patient request ( p < 0.03). Three recommendations were concluded to improve the education of pharmacy students: (1) an approved medical organisation to specifically define terminology, (2) include accompanied suicide in the pharmacy syllabus and (3) include lesser known terminal illnesses on the pharmacy syllabus.

scholarly journals Citra Profesi Perawat Menurut Persepsi Mahasiswa Kesehatan (Farmasi) di Yogyakarta

2018 ◽  
Vol 3 (1) ◽  
pp. 33
Author(s):  
Aulia Hanif Fathudin ◽  
Elsi Dwi Hapsari
Keyword(s):  
Univariate Analysis ◽  
Pharmacy Students ◽  
Nursing Profession ◽  
Image Perception ◽  
Cross Sectional ◽  
Purposive Sampling ◽  
Professional Students ◽  
Nursing Services ◽  
Quantitative Descriptive

ABSTRAKLatar Belakang: Citra profesi perawat terbentuk dari adanya kontak antara perawat dengan pasien dan tenaga kesehatan lain. Informasi tentang citra profesi perawat dari mahasiswa calon tenaga kesehatan masih kurang. Citra yang dipersepsikan baik nantinya mendukung kolaborasi dalam pelayanan kesehatan. Tujuan Penelitian: Mengetahui citra profesi perawat yang dipersepsikan oleh mahasiswa farmasi di Yogyakarta. Metode: Penelitian deskriptif kuantitatif dengan pendekatan cross sectional, dilaksanakan di UMY dan UGM pada bulan Februari-Mei 2016. Sampel penelitian adalah mahasiswa farmasi angkatan aktif diambil dengan purposive sampling (n=329). Penelitian menggunakan instrumen berupa kuesioner modifikasi dari penelitian lain, meliputi citra sikap, perilaku, kinerja, profesi dan pelayanan keperawatan, otonomi dan peran perawat. Analisis data secara univariat yang menggambarkan frekuensi dan persentase respon. Hasil: Citra profesi perawat dipersepsikan positif oleh mahasiswa farmasi (57,4%). Responden mempersepsikan positif sikap perawat (84,2%), perilaku perawat (50,5%), kinerja perawat (52,6%), profesi dan pelayanan keperawatan (58,1%). Bagian otonomi dan peran perawat dipersepsikan negatif oleh 51,4% responden. Diskusi: Citra profesi perawat yang dipersepsikan positif ini dapat dipengaruhi oleh pengetahuan dan pengalaman responden yang baik saat berinteraksi dengan perawat. Sementara persepsi citra yang negatif dapat muncul karena adanya mitos dan miskonsepsi. Kesimpulan: Citra profesi perawat menurut persepsi mahasiswa farmasi tergolong dalam kategori positif. Namun, otonomi/kemandirian perawat masih dinilai rendah dan peran kolaborasi dengan tenaga kesehatan lain belum maksimal. Perawat dalam pelayanannya perlu meningkatkan peran mandiri dan kolaborasi serta semakin menunjukkan profesionalitas sehingga dapat membangun citra baik di masyarakat.Kata Kunci: citra, perawat, mahasiswa, farmasi, persepsiImage of Nurse Profession Perceived by Health Students (Pharmacy) in YogyakartaABSTRACTBackground: The image of nurse profession is created from contact between nurses with patients and other health professionals. There is only very little information about the image of nurse profession from prospective health professional students. A well-perceived image will later support collaboration in health services. Objective: To identify the image of nurse profession perceived by pharmacy students in Yogyakarta. Methods: This research is quantitative descriptive using cross sectional approach, conducted at UMY and UGM in February 2016-May 2016. The research samples were active pharmacy students taken by using purposive sampling (n=329). The research instrument was modified questionnaires from other research, including attitude, behavior, performance, nursing profession and service, nurse’s autonomy and role. Data were analyzed using univariate analysis that described frequency and percentage of responses. Results: The image of nurse profession was perceived positively by pharmacy students (57.4%). Respondents positively perceived nurse’s attitude (84.2%), nurse’s behavior (50.5%), nurse’s performance (52.6%), nursing profession and service (58,1%). The autonomy and role of nurse were negatively perceived by 51.4% of respondents. Discussion: The positive image of nursing profession can be influenced by the good knowledge and experience of respondents when interacting with nurses. The negative image perception can arise due to myths and misconceptions. Conclusion: The image of the nurse profession perceived by the pharmacy students can categorized into positive perception. However, the autonomy and role of nurse are still regarded low. Nurses need to improve independent and collaborative nursing services in order to create a more professional image.Keywords: image, nurse, students, pharmacy, perception

scholarly journals Interventions to optimize prescribed medicines and reduce their misuse in chronic non-malignant pain: a systematic review

2020 ◽  
Author(s):  
Aziza Alenezi ◽  
Asma Yahyouche ◽  
Vibhu Paudyal
Keyword(s):  
Systematic Review ◽  
Drug Testing ◽  
Healthcare Professionals ◽  
Data Extraction ◽  
Healthcare Providers ◽  
Educational Interventions ◽  
Functional Improvement ◽  
Behavioural Treatment ◽  
Prescribed Medicines ◽  
Medication Optimization

Abstract Purpose Sub-optimal opioid prescribing and use is viewed as a major contributor to the growing opioid crisis. This study aims to systematically review the nature, process and outcomes of interventions to optimize prescribed medicines and reduce their misuse in chronic non-malignant pain (CNMP) with a particular focus on minimizing misuse of opiates. Methods A systematic review of literature was undertaken. Search of literature using Medline, EMBASE and CINAHL databases from 2000 onwards was conducted. Screening and selection, data extraction and risk of bias assessments were undertaken by two independent reviewers. Narrative synthesis of the data was conducted. Results A total of 21 studies were included in the review, of which three were RCTs. Interventions included clinical (e.g. urine drug testing, opioid treatment contract, pill count), behavioural (e.g. electrical diaries about craving), cognitive behavioural treatment and/or educational interventions for patients and healthcare providers delivered as a single or as a multi-component intervention. Medication optimization outcomes included aspects of misuse, abuse, aberrant drug behaviour, adherence and non-adherence. Although all evaluations showed improvement in medication optimization outcomes, multi-component interventions were more likely to consider and to have shown improvement in clinical outcomes such as pain intensity, quality of life, psychological states and functional improvement compared to single-component interventions. Conclusions A well-structured CNMP management programme to promote medicines optimization should include multi-component interventions delivered by a multidisciplinary team of healthcare professionals and target both healthcare professionals and patients. There was heterogeneity in definitions applied and interventions evaluated. There is a need for the development of clear and consistent terminology and measurement criteria to facilitate better comparisons of research evidence.

scholarly journals Healthcare providers’ knowledge, readiness, prescribing behaviors, and perceived barriers regarding routine HIV testing and pre-exposure prophylaxis in DeLand, Florida

2019 ◽  
Vol 7 ◽  
pp. 205031211983603 ◽  
Author(s):  
Laura H Gunn ◽  
Brittani Janson ◽  
Ismode Lorjuste ◽  
Lindsay Summers ◽  
Paula Burns ◽  
...  
Keyword(s):  
Pregnant Women ◽  
Hiv Testing ◽  
Healthcare Providers ◽  
Hiv Infections ◽  
The United States ◽  
Perceived Barriers ◽  
Department Of Health ◽  
Florida Department ◽  
Routine Hiv Testing ◽  
Exposure Prophylaxis

Objectives: Florida ranks highest in the United States among newly diagnosed HIV infections. This ranking reflects the need for investigation of healthcare providers’ knowledge, readiness, prescribing behaviors, and perceived barriers to routine HIV testing and pre-exposure prophylaxis. Methods: We adapted national questionnaires with questions co-developed with Florida Department of Health to form a 25-item instrument. Questionnaires were distributed to the population of eligible healthcare providers in DeLand, Florida. Results: Results from an approximate 20% response rate that encompasses 12 providers demonstrate baseline findings to inform future studies. For example, 75% of respondents were aware of FL Administrative Code 64D-3.042 that pregnant women should receive HIV testing during first and third trimesters. However, 50% of respondents rarely or never offer tests to pregnant women according to practice guidelines. About 75% of respondents strongly agree or agree with willingness to prescribe pre-exposure prophylaxis to high-risk patients, yet 8.3% always or very often prescribe pre-exposure prophylaxis. Conclusions: Results convey the importance of and need for greater collaboration between providers and the Florida Department of Health to enhance providers’ knowledge, readiness, and, ultimately, behaviors regarding routine HIV testing and pre-exposure prophylaxis prescription.

scholarly journals Post-partum Hospital Stay and Mothers' Choices on Breastfeeding and Vaccines: A Chance We Should Not Miss

2021 ◽  
Vol 9 ◽  
Author(s):  
Daniela Morniroli ◽  
Alessandra Consales ◽  
Luana Riverso ◽  
Lorenzo Colombo ◽  
Elena Nicoletta Bezze ◽  
...  
Keyword(s):  
Hospital Stay ◽  
Healthcare Professionals ◽  
Post Partum ◽  
Healthcare Providers ◽  
Vaccine Hesitancy ◽  
Sufficient Information ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
The Right ◽  
First Year Of Life

Parents' education and knowledge regarding major topics of children's health, such as nutrition and vaccines, have a paramount role. However, breastfeeding rates in first year of life are lower than recommended, and vaccine hesitancy is progressively spreading. To reverse this harmful trend, healthcare professionals are challenged to promote correct health information. This study aimed to assess newly mothers' knowledge of breastfeeding and vaccinations, and education received on both topics during hospital stay. We performed a cross-sectional survey in the Postnatal Unit of our Center. Mothers of full-term babies with a birthweight &gt;2,500 g were enrolled. Two different questionnaires, one about breastfeeding and one about vaccines, were proposed to the 140 enrolled mothers. Ninety-nine percent of mothers enrolled were aware of breastfeeding benefits, and 92% felt adequately supported by maternity staff. Less than 25% stated to have received sufficient information regarding breastfeeding. Only 20% of mothers received information about vaccines during hospital stay. Healthcare providers were identified as primary, secondary, and tertiary source of information on vaccines by 55, 15, and 30% of mothers, respectively. Healthcare professionals are crucial in informing and educating mothers on breastfeeding and vaccinations. Post-partum hospital stay could be the right time for this critical responsibility.

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