scholarly journals Acute pain assessment and management in the prehospital setting, in the Western Cape, South Africa: A Knowledge, Attitudes and Practices Survey

2020 ◽  
Author(s):  
Andrit Lourens ◽  
Peter Hodkinson ◽  
Romy Parker
Keyword(s):  
South Africa ◽  
Emergency Care ◽  
Pain Assessment ◽  
Prehospital Setting ◽  
Western Cape ◽  
Care Providers ◽  
Attitudes And Practices ◽  
The Mean ◽  
Pain Care ◽  
Knowledge Attitudes And Practices

Abstract Background: Acute pain is frequently encountered in the prehospital setting, and therefore, a fundamental aspect of quality emergency care. Research has shown a positive association between health care providers’ knowledge of, and attitudes towards pain and pain management practices. This study aimed to describe the knowledge, attitudes, and practices of emergency care providers regarding acute pain assessment and management in the prehospital setting, in the Western Cape, South Africa. The specific objectives were to, identify gaps in pain knowledge; assess attitudes regarding pain assessment and management; describe pain assessment and management behaviours and practices; and identify barriers to and enablers of pain care. Methods: A web-based descriptive cross-sectional survey was conducted among emergency care providers of all qualifications, using a face-validated Knowledge, Attitudes and Practices of Pain survey. Results: Responses of 100 participants was included in the analysis. The survey response rate could not be calculated. The mean age of respondents was 34.74 (SD8.13) years and the mean years’ experience 10.02 (SD6.47). Most respondents were male (69%), employed in the public/government sector (93%) as operational practitioners (85%) with 54% of respondents having attended medical education on pain care in the last two years. The mean percentage for knowledge and attitudes regarding pain among emergency care providers was 58.01% (SD15.66) with gaps identified in various aspects of pain and pain care. Practitioners with higher qualifications, more years’ experience and those who did not attend medical education on pain, achieved higher scores. Alcohol and drug use by patients were the most selected barrier to pain care while the availability of higher qualified practitioners was the most selected enabler. When asked to record pain scores, practitioners were less inclined to assign scores which were self-reported by the patients in the case scenarios. The participant dropout rate was 35%. Conclusion: Our results suggest that there is suboptimal knowledge and attitudes regarding pain among emergency care providers in the Western Cape, South Africa. Further, gaps in pain knowledge, attitudes and practices were identified. Some barriers and enablers of pain care in the South African prehospital setting were identified but further research is indicated.

scholarly journals Acute pain assessment and management in the prehospital setting, in the Western Cape, South Africa: A Knowledge, Attitudes and Practices Survey

2020 ◽  
Author(s):  
Andrit Lourens ◽  
Peter Hodkinson ◽  
Romy Parker
Keyword(s):  
South Africa ◽  
Emergency Care ◽  
Pain Assessment ◽  
Prehospital Setting ◽  
Western Cape ◽  
Care Providers ◽  
Attitudes And Practices ◽  
The Mean ◽  
Pain Care ◽  
Knowledge Attitudes And Practices

Abstract Background: Acute pain is frequently encountered in the prehospital setting, and therefore, a fundamental aspect of quality emergency care. Research has shown a positive association between health care providers’ knowledge of, and attitudes towards pain and pain management practices. This study aimed to describe the knowledge, attitudes, and practices of emergency care providers regarding acute pain assessment and management in the prehospital setting, in the Western Cape, South Africa. The specific objectives were to, identify gaps in pain knowledge; assess attitudes regarding pain assessment and management; describe pain assessment and management behaviours and practices; and identify barriers to and enablers of pain care. Methods: A web-based descriptive cross-sectional survey was conducted among emergency care providers of all qualifications, using a face-validated Knowledge, Attitudes and Practices of Pain survey. Results: Responses of 100 participants was included in the analysis. The survey response rate could not be calculated. The mean age of respondents was 34.74 (SD8.13) years and the mean years’ experience 10.02 (SD6.47). Most respondents were male (69%), employed in the public/government sector (93%) as operational practitioners (85%) with 54% of respondents having attended medical education on pain care in the last two years. The mean percentage for knowledge and attitudes regarding pain among emergency care providers was 58.01% (SD15.66) with gaps identified in various aspects of pain and pain care. Practitioners with higher qualifications, more years’ experience and those who did not attend medical education on pain, achieved higher scores. Alcohol and drug use by patients were the most selected barrier to pain care while the availability of higher qualified practitioners was the most selected enabler. When asked to record pain scores, practitioners were less inclined to assign scores which were self-reported by the patients in the case scenarios. The participant dropout rate was 35%. Conclusion: Our results suggest that there is suboptimal knowledge and attitudes regarding pain among emergency care providers in the Western Cape, South Africa. Further, gaps in pain knowledge, attitudes and practices were identified. Some barriers and enablers of pain care in the South African prehospital setting were identified but further research is indicated.

scholarly journals Acute pain assessment and management in the prehospital setting, in the Western Cape, South Africa: A Knowledge, Attitudes and Practices Survey

2019 ◽  
Author(s):  
Andrit Lourens ◽  
Peter Hodkinson ◽  
Romy Parker
Keyword(s):  
Acute Pain ◽  
Emergency Care ◽  
Pain Assessment ◽  
Prehospital Setting ◽  
Western Cape ◽  
Care Providers ◽  
Attitudes And Practices ◽  
Pain Knowledge ◽  
Pain Care ◽  
Knowledge Attitudes And Practices

Abstract Background: Acute pain is frequently encountered in the prehospital setting, and therefore, is known to be a fundamental aspect of quality emergency care. Research has shown a positive association between pain management practices and health care providers’ knowledge of, and attitudes towards pain. This study aimed to describe the knowledge, attitudes, and practices of emergency care providers in relation to acute pain assessment and management in the prehospital setting, in the Western Cape, South Africa. The specific objectives were to, identify gaps in pain knowledge; assess attitudes regarding pain assessment and management, describe pain assessment and management behaviours and practices and identify barriers to and enablers of pain care. Methods: A web-based descriptive cross-sectional survey was conducted among emergency care providers of all qualifications, using a face-validated Knowledge, Attitudes and Practices of Pain survey. Results: The mean age of respondents (n=100), was 34.74 (SD 8.13) years and the mean years’ experience 10.02 (SD 6.47). Most respondents were male (69%), employed in the public/government sector (93%) as operational emergency care providers (85%) with 54% of respondents having attended medical education on pain assessment and management in the last two years. The overall mean percentage for knowledge and attitudes regarding pain among emergency care providers was 58.01% (SD 15.66) with gaps identified in various aspects of pain and pain care. Practitioners with a higher qualification, more years’ experience and those who did not attend medical education on pain, achieved higher overall scores. Alcohol and drug use by patients were the most commonly selected barrier to pain care while the availability of higher qualified practitioners was the most frequently selected enabler. Practitioners did not assign pain scores as self-reported by patients while overall, limited pain relief was provided. Conclusion: Our results suggest that there is suboptimal knowledge and attitudes regarding pain among most emergency care providers. Further, gaps in pain knowledge, attitudes and practices were identified and can be addressed in undergraduate curricula and through tailored educational initiatives for qualified practitioners Some barriers and enablers of pain care in the South African prehospital setting were identified but further research is indicated to explore.

scholarly journals Acute pain assessment and management in the prehospital setting, in the Western Cape, South Africa: A Knowledge, Attitudes and Practices Survey

2019 ◽  
Author(s):  
Andrit Lourens ◽  
Peter Hodkinson ◽  
Romy Parker
Keyword(s):  
Pain Management ◽  
Acute Pain ◽  
Emergency Care ◽  
Pain Assessment ◽  
Prehospital Setting ◽  
Western Cape ◽  
Care Providers ◽  
Attitudes And Practices ◽  
Knowledge And Attitudes ◽  
Knowledge Attitudes And Practices

Abstract Background: Acute pain is frequently encountered in the prehospital setting, and therefore, is known to be a fundamental aspect of quality emergency care. Research has shown a positive association between pain management practices and health care providers’ knowledge of, and attitudes towards pain. This study aimed to describe the knowledge, attitudes, and practices of emergency care providers in relation to acute pain assessment and management in the prehospital setting, in the Western Cape, South Africa. Methods: A web-based descriptive cross-sectional survey was conducted among emergency care providers of all qualifications, using a face-validated Knowledge, Attitudes and Practices of Pain survey. Results: A hundred (n=100) respondents, with a mean age of 34.74 (SD 8.13) years and mean of 10.02 (SD 6.47) years of experience participated. Most respondents were male (69%), employed in the public/government sector (93%) as operational emergency care providers (85%) with 54% (n=54) of respondents having attended medical education on pain assessment and management in the last two years. The overall mean percentage of correct answers for knowledge and attitudes regarding pain among emergency care providers was 58.01% (SD 15.66) with gaps identified in various aspects of pain and pain management including: basic knowledge of pain physiology; pain assessment; indicators of severe pain; pharmacological and non-pharmacological pain management; culture and spiritual influences; and pain expression. Practitioners with a higher qualification, more years’ experience and those who did not attend medical education on pain, achieved higher overall scores. Pain scores were not assigned to patients’ as self-reported while overall, limited pain relief was provided. Conclusion: Our results suggest that there is suboptimal knowledge and attitudes regarding pain among most levels of emergency care qualifications. Pain education is essential, it should occur regularly, and specific educational initiatives aimed at addressing pain knowledge and attitudes have been indicated. Future work should focus on the additional description of the gaps in pain knowledge and attitudes among emergency care providers and exploring the decline over time. Description of barriers to and enablers of pain care in the South African prehospital setting is imperative. Organisational culture should endorse and monitor prehospital pain care.

Antibiotic use in pregnancy: knowledge, attitudes and practices among pregnant women in Cape Town, South Africa

2019 ◽  
Author(s):  
Andre N H Bulabula ◽  
Angela Dramowski ◽  
Shaheen Mehtar
Keyword(s):  
South Africa ◽  
Pregnant Women ◽  
Household Income ◽  
Cape Town ◽  
Antibiotic Use ◽  
Self Medication ◽  
Monthly Household Income ◽  
Attitudes And Practices ◽  
The Mean ◽  
Knowledge Attitudes And Practices

Abstract Objectives To establish the knowledge, attitudes and practices (KAP) regarding antibiotic use and self-medication among pregnant women. Methods We conducted a KAP survey of 301 pregnant women hospitalized at a tertiary hospital obstetric service in Cape Town, South Africa in November and December 2017, using an interviewer-administered 12 item questionnaire. We stratified analysis of attitudes and practices by participants’ mean knowledge score (K-score) group (<6 versus ≥6 out of 7 questions). Multivariate models were built to identify independent predictors of antibiotic self-medication and K-score. Results The mean age of pregnant women was 29 (SD 6.1) years, 44/247 (17.8%) were nulliparous, 69/247 (27.9%) were HIV-infected, 228/247 (92.3%) had completed secondary school and 78/247 (31.6%) reported a monthly household income in the lowest category of ≤50–100 US dollars (USD). The mean K-score was 6.1 (SD 1.02) out of 7 questions. Sixteen percent of the cohort reported antibiotic self-medication, with higher rates among pregnant women with K-score <6 [18/48 (37.5%) versus 32/253 (12.6%); P < 0.001]. The monthly household income category of >500 USD (the highest category) was the only predictor of antibiotic self-medication behaviour [adjusted OR = 6.4 (95% CI 1.2–35.2), P = 0.03]. Conclusions Higher antibiotic knowledge scores are associated with lower rates of antibiotic self-medication, whereas higher household income is correlated with increasing self-medication behaviours. Education of pregnant women regarding the potential dangers of antibiotic self-medication and stricter enforcement of existing South African antibiotic prescribing and dispensing regulations are needed.

scholarly journals Nurses’ knowledge and practices related to pain assessment in critically ill patients in a selected private hospital in Bangladesh

2018 ◽  
Vol 5 (10) ◽  
pp. 4219 ◽  
Author(s):  
Sipra Mondol ◽  
Faisal Muhammad ◽  
A. B. M. Alauddin Chowdhury
Keyword(s):  
Critically Ill ◽  
Health Care Providers ◽  
Pain Assessment ◽  
Subjective Experience ◽  
Sampling Technique ◽  
Care Providers ◽  
Cross Sectional ◽  
Management Interventions ◽  
The Mean ◽  
Nurses Knowledge

Background: Most of the time pain is difficult to assess and manage because of being inherently a subjective experience influenced by multiple factors. The perception and tolerance of pain may vary because of different psychological and social influences of the patient. Therefore it is important for health care providers to assess the pain so that individualized management interventions can be provided. This study was aimed to assess the nurses’ knowledge and practices related to pain assessment in critically ill patients.Methods: A descriptive cross-sectional study was carried out among 200 registered nurses working at different ICU in Square Hospital. The study was conducted within April to August 2017. A non-probability purposive sampling technique was used. The data was collected using pre-tested self-administered semi-structured questionnaire and it was analysed using SPSS 22.0 version.Results: About 81% of the respondents were in the age group 22-32 years and the mean age of the respondents was 27.74±12.06 years. About 79.0% of the respondents were female and 59.5% of the respondents had diploma in nursing. The mean monthly income of the respondents’ was 19450.5 taka. The majority (59.5%) of the respondents had less than 2 years’ service experience. About 85.5% of the respondents said it is important to assess the pain and need for analgesia before, during, and after wound care.Conclusions: Our findings reported that the nurses were reasonably knowledgeable about the principles of pain assessment. More than four-fifths of the respondents had adequate knowledge about pain assessment.

scholarly journals Knowledge, Attitudes and Practices of Male Transgenders in Transmission of Human Immunodeficiency Virus in Lahore, Pakistan

2021 ◽  
Vol 4 (1) ◽  
Author(s):  
Akash John ◽  
Muhammad Saleem Rana ◽  
Asif Hanif ◽  
Tallat Anwar Faridi ◽  
Sofia Noor ◽  
...  
Keyword(s):  
Human Immunodeficiency Virus ◽  
Progressive Failure ◽  
Knowledge Score ◽  
Control Programme ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Attitudes And Practices ◽  
Immunodeficiency Virus ◽  
The Mean ◽  
Knowledge Attitudes And Practices

Human immunodeficiency virus (HIV) is a subgroup of retrovirus causing HIV infection which if prolongs turns into a progressive failure of the immune system called as acquired immunodeficiency syndrome. It is commonly prevalent in Male Transgenders who are born male and disobeys the cultural defined social norms and identify themselves as a female. The objective was to assess knowledge, Attitudes and Practices of Transgender Community regarding Transmission of Human Immunodeficiency Virus in Lahore, Pakistan. A Descriptive Cross-sectional Survey was conducted in Nine Towns of Lahore. A sample size of 79 was calculated and data was collected in duration of 9 months. A self-administered survey-based questionnaire was developed using WHO and National AIDS control Programme guidelines followed and pilot tested. Data was collected after Informed consent.The mean age of Respondents was 29.56 ± 8.27 years with minimum and maximum age as 19 and 50. In this study the mean knowledge score of the transgender about HIV Transmission was 2.804±0.32, the mean score of attitudes of transgender were 3.25±0.19 and the mean practice score was 2.931±0.28.Majority of the transgender have insufficient knowledge, and bad attitude towards their health. They have unsafe sexual practice and Drug Interventions playing a significant role in HIV epidemic. Majority of them are uneducated, unemployed and found sex selling and dancing an easiest way of earning. Their knowledge about HIV screening, transmission, and antiretroviral therapy is low.

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