scholarly journals Knowledge and practices regarding tuberculosis infection control among nurses in Ibadan, South-West Nigeria: a cross-sectional study

2020 ◽  
Author(s):  
Patrick Aboh Akande

Abstract Background: Nurses are particularly vulnerable to nosocomial tuberculosis (TB) infection because, being in the frontline of healthcare provision, they are frequently exposed to patients with infectious TB disease. Although cost-effective measures are available for TB infection control (TBIC), they are often poorly implemented. Knowledge of TBIC is known to positively influence the practice of the measures. There is, however, paucity of data on the knowledge and practices regarding TBIC among nurses in Nigeria. This study was aimed at determining the levels of TBIC-related knowledge and practices of nurses in Ibadan, and their associated socio-demographic factors. Methods: This cross-sectional study utilized a self-administered questionnaire to collect data from 200 nurses in two secondary health facilities, in May 2014. The mean knowledge and practice scores of the nurses were determined and logistic regression was utilized to explore the association between the scores and socio-demographic characteristics. Results: The respondents had mean knowledge and practice scores of 68.2% and 79.9% respectively. Using cut-off points of 80% and 100% for good knowledge and practice scores respectively, small proportions of the nurses had good scores – knowledge (10.5%) and practice (6%). Knowledge was not significantly associated with the socio-demographic characteristics of the nurses. Work experience was the only factor that was significantly associated with practices, with the more experienced nurses (>18 years of work experience) having lower odds of obtaining good practice scores (OR 0.25, 95% CI 0.06-0.94). There was also no significant association between knowledge and practice scores (the nurses were yet to be trained on the newly-introduced TBIC package at the time of the study). Conclusions: The study revealed that small proportions of the nurses had good knowledge and practice scores. Its findings will be useful for the designing of interventions to improve TBIC among nurses and other healthcare workers, and to benchmark evaluation of the interventions. It is recommended that nurses should be trained on TBIC to equip them with necessary knowledge and skills. This, together with appropriate policy directives, and adequate monitoring and supervision will contribute to optimal implementation of TB preventive measures.

2020 ◽  
Author(s):  
Patrick Aboh Akande

Abstract Background: Nurses are particularly vulnerable to nosocomial tuberculosis (TB) infection because, being in the frontline of healthcare provision, they are frequently exposed to patients with infectious TB disease. Although cost-effective measures are available for TB infection control (TBIC), they are often poorly implemented. Knowledge of TBIC is known to positively influence the practice of the measures. There is, however, paucity of data on the knowledge and practices regarding TBIC among nurses in Nigeria. This study was aimed at determining the levels of TBIC-related knowledge and practices of nurses in Ibadan, and their associated socio-demographic factors. Methods: This cross-sectional study utilized a self-administered questionnaire to collect data from 200 nurses in two secondary health facilities, in May 2014. The mean knowledge and practice scores of the nurses were determined and logistic regression was utilized to explore the association between the scores and socio-demographic characteristics. Results: The respondents had mean knowledge and practice scores of 68.2% and 79.9% respectively. Using cut-off points of 80% and 100% for good knowledge and practice scores respectively, small proportions of the nurses had good scores – knowledge (10.5%) and practice (6%). Knowledge was not significantly associated with the socio-demographic characteristics of the nurses. Work experience was the only factor that was significantly associated with practices, with the more experienced nurses (>18 years of work experience) having lower odds of obtaining good practice scores (OR 0.25, 95% CI 0.06-0.94). There was also no significant association between knowledge and practice scores (the nurses were yet to be trained on the newly-introduced TBIC package at the time of the study). Conclusions: The study revealed that small proportions of the nurses had good knowledge and practice scores. Its findings will be useful for the designing of interventions to improve TBIC among nurses and other healthcare workers, and to benchmark evaluation of the interventions. It is recommended that nurses should be trained on TBIC to equip them with necessary knowledge and skills. This, together with appropriate policy directives, and adequate monitoring and supervision will contribute to optimal implementation of TB preventive measures.


2019 ◽  
Author(s):  
Patrick Aboh Akande

Abstract Background: Nurses are particularly vulnerable to nosocomial tuberculosis (TB) infection because, being in the frontline of patient care, they are frequently exposed to patients with infectious TB disease. Although cost-effective measures are available for TB infection control (TBIC), they are often poorly implemented. Knowledge of TBIC is known to positively influence the practice of the measures. There is however limited data on the knowledge and practice of TBIC among nurses in Nigeria. This study was aimed at determining the levels of TBIC-related knowledge and practices of nurses in Ibadan, and associated socio-demographic factors. Methods: This cross-sectional study utilized a self-administered questionnaire to collect data from 200 nurses in two secondary health facilities, in May 2014. STATA version 13 was used to analyze data: mean knowledge and practice scores of the nurses and logistic regression to explore their association with socio-demographic factors. Results: The respondents had mean knowledge and practice scores of 68.2% and 79.9% respectively. Using cut-off points of 80% and 100% for good knowledge and practice scores respectively, small proportions of the nurses had good scores- knowledge (10.5%) and practice (6%). Knowledge was found not to be significantly associated with the socio-demographic factors. Work experience was the only factor that was significantly associated with practice, with the more experienced nurses (>18 years of experience) having lesser odds of obtaining good practice scores (OR 0.25, 95%CI 0.06-0.94). Also, there was no significant association between knowledge and practice scores. No structured TBIC training had been conducted at this time. Conclusions: The study revealed that small proportions of the nurses had good knowledge and practice scores. The findings from this study will be useful for the planning of interventions to improve TBIC among nurses and other healthcare workers, and to benchmark monitoring and evaluation of the interventions. It is recommended that the nurses should be trained on TBIC to equip them with necessary knowledge and skills. This, together with appropriate TBIC policy directives, availability of TBIC equipment/supplies and facility architectural remodeling will contribute to optimal implementation of TB preventive measures.


2017 ◽  
Vol 14 (1) ◽  
pp. 25-28
Author(s):  
Asmita Adhikari ◽  
Buna Bhandari

Background and Aims: Hypertension is one of the emerging public health problems in developing country like Nepal. Among complications of hypertension, Myocardial Infarction is most distressing. Although, myocardial infarction is life threatening disease, it is yet preventable. Good knowledge and practice is required for prevention and control of myocardial infarction. Therefore, this study intended to assess knowledge and practice of hypertensive patients regarding prevention of myocardial infarction.Methods: Hospital based cross- sectional study was conducted among ninety-six hypertensive patients in outpatient department of Sahid Gangalal National Heart Centre, Nepal. Purposive sampling method was used to select calculated number of study participants. Data was collected by interview method using structured questionnaire and descriptive and inferential statistics was used to analyze the data.Results: More than half of the participants (60.4%) had high level of knowledge of prevention of myocardial infarction whereas 39.6% had low level of knowledge. Similarly, 57.3% had good practice; however, 42.7% had poor practice. This study found significant association of knowledge with gender, education and socio-economic status. In the same manner, there was significant association of practice with ethnicity and awareness of disease.Conclusion: Only around half of the hypertensive patients had good knowledge and practice of the prevention of myocardial infraction. Therefore, awareness level should be increased and identified factors needs to be addressed.Nepalese Heart Journal 2017; 14(1): 25-28


2019 ◽  
Author(s):  
Patrick Akande

Abstract Background: Nurses are particularly vulnerable to nosocomial tuberculosis (TB) infection because, being in the frontline of patient care, they are frequently exposed to patients with infectious TB disease. Although cost-effective measures are available for TB infection control (TBIC), they are often poorly implemented. Knowledge of TBIC is known to positively influence the practice of the measures. There is however limited data on the knowledge and practice of TBIC among nurses in Nigeria. This study was aimed at determining the levels of TBIC-related knowledge and practices of nurses in Ibadan, and associated socio-demographic factors. Methods: This cross-sectional study utilized a self-administered questionnaire to collect data from 200 nurses in two secondary health facilities, in May 2014. STATA version 13 was used to analyze data: mean knowledge and practice scores of the nurses and logistic regression to explore their association with socio-demographic factors. Results: The respondents had mean knowledge and practice scores of 68.2% and 79.9% respectively. Using cut-off points of 80% and 100% for good knowledge and practice scores respectively, small proportions of the nurses had good scores- knowledge (10.5%) and practice (6%). Knowledge was found not to be significantly associated with the socio-demographic factors. Work experience was the only factor that was significantly associated with practice, with the less experienced nurses (=<18 years of experience) having greater odds of obtaining good practice scores than the more experienced ones (OR 4.0, 95%CI 0.06-0.94). Also, there was no significant association between knowledge and practice scores. No structured TBIC training had been conducted at this time. Conclusions: The study revealed that small proportions of the nurses had good knowledge and practice scores. The findings from this study will be useful for the planning of interventions to improve TBIC among nurses and other healthcare workers, and to benchmark monitoring and evaluation of the interventions. It is recommended that the nurses should be trained on TBIC to equip them with necessary knowledge and skills. This, together with appropriate TBIC policy directives, availability of TBIC equipment/supplies and facility architectural remodeling will contribute to optimal implementation of TB preventive measures. Keywords: tuberculosis, infection, control, knowledge, practice, nurses


2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Linda Abou-Abbas ◽  
Zeina Nasser ◽  
Youssef Fares ◽  
Mohammad Chahrour ◽  
Rana El Haidari ◽  
...  

Abstract Background As the Coronavirus disease 2019 (COVID-19) pandemic continues to evolve, physicians must be equipped with adequate knowledge, skills on the prevention measures, and confidence in diagnosing and treating COVID-19 patients. Therefore, it is of great interest to assess the knowledge and practices of Physicians to identify existing gaps and improve occupational safety and viral surveillance. Methods A cross-sectional study was conducted in Lebanon between 28th March and 11th April 2020. Data was collected through an online survey that included information on socio-demographic characteristics, knowledge, practice, physicians fear towards COVID-19 as well as their perceptions regarding actions/policies implemented by the Ministry of Public Health (MOPH) and their health care facilities. Multivariable logistic regression analyses were carried out to identify the factors associated with good knowledge of COVID-19 and good practice toward its prevention. Adjusted odds ratio and their 95% confidence intervals were reported. Results Our survey revealed that the majority of Lebanese physicians had good knowledge about the disease (89.5%) while approximately half of the respondents adopted good preventive practices (49.7%). The odds of having good knowledge was 2.16 times higher among physicians aged 40 and above (adjusted OR = 2.16 with a 95% confidence interval (CI) of 1.08 to 4.34) compared to their counterparts aged less than 40 years old. Our results also showed that the odds of good practice was 2 times higher among frontline compared to the second line workers (adjusted OR = 2.01 with 95% CI of 1.21 to 3.34). Physicians with an experience of 10 years and above were 3.35 times more likely to have good practice compared to their counterparts (adjusted OR = 3.35 with 95% CI of 1.60 to 7.02). Finally, participants with good knowledge of COVID-19 were 2.04 times more likely to have a good practice (OR = 2.04 with 95% CI of 1.01 to 4.12). Conclusion Lebanese physicians revealed a good level of knowledge; however, they had limited comprehension of the precautionary measures that protect them from this virus. Our findings have important implications for the development of strategies suitable for improving the level of practice among physicians and enhance prevention programs.


2021 ◽  
Vol 15 (5) ◽  
pp. 1441-1444
Author(s):  
M. Ahmad ◽  
U. Hussain ◽  
A. Elahi ◽  
A. Nazir ◽  
Jawad tareen ◽  
...  

Background: Corona Virus Disease 2019 (COVID-19) is a global pandemic still at large whose vaccination is in a trial phase. Dental practitioners are at high risk of exposure to this deadly epidemic. Therefore, the purpose of this study is to assess the knowledge and practice of dentists in the city of Multan, Pakistan. Method: This cross-sectional study was carried out in Multan, Pakistan from January to March 2021. A 30 items valid and reliable self-administrative questionnaire was used to assess the knowledge, practice, and source of information regarding the COVID-19 pandemic from dentists. Result: The results showed that the majority of dentists practicing in Multan had good knowledge (97.8%) and more than half of the respondents had good practice (65.6%). The most common source of their knowledge was WHO and Television. Almost half of the respondents showed fear of this virus in their practices. Conclusion: Dental practitioners of Multan revealed good knowledge regarding COVID-19. However, some key points were lacking in their knowledge and practice. Our findings have important implications for developing strategies that will improve the knowledge and practices of dentists in this region and also in whole country. Keywords: COVID-19, Coronavirus, Knowledge, Awareness, Dentists, Multan.


2021 ◽  
Author(s):  
Kore Menjie Benwu ◽  
Hagos Gebregziabher Gebremedhin ◽  
Naod Bulti Etanaa ◽  
Haftom Berhane Desta

Abstract Background: - Quality cardiopulmonary resuscitation is a procedure needs to be done to save life of cardiac arrest victim. It is significant for health professionals to successfully perform such lifesaving skills that they rarely perform. The aim of this study was to assess the knowledge and skill towards cardiopulmonary resuscitation among health professionals working at Ayder comprehensive specialized hospital. Method: - Institution-based cross sectional-study design was applied among different level of health care provider at Ayder comprehensive specialized hospital. SPSS version 20 used for data analysis and Chi-Square test applied to determine the association between different variables. Result: - Two hundred forty-five participants were originally engaged in this study over a month with a response rate of 100%. One hundred sixty-nine (68.98%) were nurses by profession and 169 (68.9%) of the participants had work experience of fewer than five years. When the service year of the participants increases, the practice adherence to the current guideline is very apart from the participant who had less years of experience which is statically significant (chi-square = 20.888, P = 0.0004). Conclusions: - Our result demonstrates that health professionals who works at Ayder comprehensive specialized hospital had inadequate knowledge and practice for cardiopulmonary resuscitation.


2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Shadrack Muma ◽  
Stephen Obonyo

Abstract Background The quality of life can be impacted negatively by blindness arising from cataract. The total prevalence of blindness in Kenya is estimated at 0.7%, however cataract contributes almost half (43%) of the total blindness in Kenya. Optometrists are well placed to assess and refer cataract patients. However, little is known on optometrists’ skills, practice and knowledge. Therefore, this study was designed to assess optometrists’ knowledge, skill and practice on cataract in Kisumu, Kenya. Methods A cross-sectional study design was used. The study was conducted from June 2019 to August 219 using self-administered questionnaire. Basic socio-demographic characteristics were collected and participants’ knowledge, skills and practice on cataract were investigated. The primary outcome measure was the proportions of participants who identified the questions related to knowledge, skills and practice on cataract. Chi-square analysis was performed to assess the association between demographic characteristics of participants with practice, knowledge and skills. Results A total of 49 optometrists with a mean age of 30.4 years and mean duration of practice of 1–10 years were interviewed. Most optometrists had good knowledge on various aspects of cataract. For example (98%) had a good knowledge on the types of cataract. Almost three quarter (75.5%) of the optometrists reported that they could diagnose cataract correctly based on skills. However, half (57.1%) of the optometrists could not identify nuclear cataract. Being a self reported practice and not an observed practice, most optometrists (61.2%) reported that they did not screen patients aged 40 years and above for cataract. Almost half (52.6%) of the optometrists reported that they did a routine eye examination however, they could not justify the significance of examining the crystalline lens for patient above 40 years. Conclusion The study established that despite the good level of knowledge among optometrist on cataract, there exist a gap on skills and practice. The results of this study calls for more clinical based activities among optometrists. This will eases diagnosis of cataract and its management with an aim to reduce the burden in Kenya.


2020 ◽  
Author(s):  
Dr Zahir Ansari ◽  
Dr Babu Dhanendra Chaurasiya ◽  
Dr Sirjana Adhikari ◽  
Dr Uday Chandra Prakash ◽  
Bikram Adhikari ◽  
...  

Background: Being an added high-risk group, ophthalmic HCP are actively providing emergency eye care services, also enthusiastically participating in prevention and control of the COVID-19 pandemic. Hence, this study aimed to assess the level of knowledge, attitude, and practice (KAP) among ophthalmic HCP towards COVID-19 pandemic. Methods: A web-based cross-sectional study was conducted during the period of lockdown among ophthalmic HCP including consultant ophthalmologist, resident, optometrist, ophthalmic assistant, nursing staff, and other paramedics of eye care centers in Nepal. The KAP questionnaire was designed and distributed online. Data were analyzed using the Chi-square test, Pearson correlation, and binary logistic regression. All tests were performed at 95% Confidence Interval (CI) and p-value <0.05 was considered statistically significant. Results: Of 694 participants, the majority were male (59.1%) from the age group 31-40 years (41.5%) and tertiary eye center (68.9%). Among ophthalmic HCP, there were 29.8% consultants ophthalmologist, 22.6% residents, 23.3% optometrist, 15% ophthalmic assistant, and 9.2% other ophthalmic paramedics, 11.7% working as front-liners in COVID-19 centers. Findings showed, 98.1% had good knowledge, 59.4% had a positive attitude and only 13.3% had good practice regarding COVID-19. Binary logistic regression analysis demonstrated the age of HCP to be a significant determinant of good knowledge (Crude Odds Ratio (COR)=0.72, 95%CI=0.62-0.82), positive attitude (COR=0.92, 95%CI=0.90-0.94) and good practice (COR=1.16, 95%CI=1.10-1.21). Lower odds of poor practice was seen among junior resident (COR=0.26, 95% CI=0.14-0.47) and higher odds of poor practice was seen among HCP with job experience of 5-10 years (COR=2.38, 95% CI=1.23-4.60) towards COVID-19 pandemic. Conclusion: The majority of ophthalmic HCP have good knowledge, insufficient positive attitude, and inadequate evidence-based practice towards the COVID-19 pandemic in Nepal. Hence, this study conclusively recommends to modify existing guidelines and formulate new policies to improve KAP among ophthalmic HCP to effectively control the spread of COVID-19.


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