scholarly journals Assessment of occupational stress and its associated factors among health care professionals working in Gurage Zone Public Hospitals in Southern Ethiopia 

Author(s):  
Demamu Haligamo ◽  
Tanimo Haligamo

Abstract Background: Job-related stress is harmful physical and emotional responses that occur when the requirements of the job don’t match the capabilities and needs of the worker. Therefore, if work isn’t properly managed, job stress can happen that leads to illness, absenteeism, high turnover, and decreased productivity that compromise provision of quality service to clients. Workers are backbones of countries development that are at risk of different occupational stresses. And, there’s no information about job-related stress among healthcare professionals and predicting factors around the study area. So, this study is aimed to assess occupational related stress and predicting factors among health care professional working in Gurage Zone public hospitals, Southern Ethiopia by August 2021. Method: Institutional based cross-sectional study was conducted to assess occupational related stress and predicting factors among health care professionals. A structured self-administered questionnaire was used to collect data from 345 study participants. The data was collected and analyzed by using Statistical Package for Social Science (SPSS) version.23. The association between dependent and independent variables were checked by using bivariate and multivariable logistic regression. Finally, descriptive writings, tables and graphs were used to describe study variables. Result: The result showed that the prevalence of occupation (work-related) stress among healthcare professionals was 78.3%. Wards in which healthcare professionals are working, position of healthcare professionals, working hour and work shift have significant association with stress status of respondents. When compared to Medical ward, professionals working in other wards were 1.62 times more likely to have stress [AOR 1.62 (1.23, 2.13)]. Also, when compared to respondents who are working for 8 hour per day, those working more than 8 hour per day were 70 times more likely to have stress [AOR 70 (85, 582)]. Discussion and Conclusion: According to this study three out of four respondents were found to have stress among healthcare professionals. Regular trainings for healthcare professional should be needed in public hospitals to reduce stresses.

Author(s):  
Rabia Hussain ◽  
Mohamed Azmi Hassali ◽  
Furqan Hashmi ◽  
Tayyaba Akram

Abstract Background Spontaneous reporting of adverse drug reactions (ADRs) is a method of monitoring the safety of drugs and is the basic strategy for the post-marketing surveillance of the suspected drugs. Despite its importance, there is very little reporting of ADRs by healthcare professionals. The present study has evaluated the knowledge, attitude and practices of health care professionals (HCPs) regarding pharmacovigilance activities in Lahore, Pakistan. Methods A cross-sectional questionnaire-based survey was employed, and a convenience sampling was opted to collect the data among physicians, pharmacists and nurses working in tertiary care public hospitals of Lahore, Pakistan from September 2018 to January 2019. Results Of the 384 questionnaires distributed, 346 health care professionals responded to the questionnaire (90.10% response rate). Most participants had good knowledge about ADR reporting, but pharmacist had comparatively better knowledge than other HCPs regarding ADR (89.18%) pharmacovigilance system (81.08%), its centres (72.97%) and function (91.89%). Most of the participants exhibited positive attitude regarding ADR reporting, such as 49.1% of physicians (P < 0.05), 70.2% pharmacists and 76.1% nurses showed a positive attitude that they are the most important HCPs to report an ADR. About 64.3% of physicians (P < 0.05) emphasized that consulting other colleagues is important before reporting an ADR. Of all, 77.7% physicians, 75.7% pharmacists and 68% of nurses had positive attitude that ADR reporting is a professional obligation and 67.6% of the pharmacists stated that they have reported ADRs in their workplace and 77.2% nurses have verbally reported ADRs to the concerned personnel or department. Conclusion Among all HCPs, pharmacists had better knowledge about ADR reporting and pharmacovigilance. All HCPs had positive attitude and inclination towards ADR reporting. The discrepancies were observed in the practices related to ADR reporting, whereas most of the participants including physicians and nurses did not report any ADR. Based on the above, strategies are needed to educate, train, and empower the HCPs in the domain of pharmacovigilance.


2020 ◽  
pp. 1-3
Author(s):  
Syed Waseem Tahir ◽  
Sahila Nabi ◽  
Shazia Javaid

Background: Hand hygiene is one of the most effective ways to control health care related infection. Every year millions of patients around the world are affected by infections that are transmitted by the health-care professionals(HCPs).(2)(3). Rationale: Nurses and physicians are the main health care workers contacting with patients, representing the vector in the chain of infection. Thus, assessing their knowledge, attitude and practice regarding hand hygiene is very important to decrease the incidence of health care related infection and to improve quality of care. Objective: The objective of our study was to assess the knowledge, attitude and practices of handwashing among healthcare professionals of Kashmir Division. Methods: This study was an institutional based cross sectional study, conducted in various healthcare institutions of Kashmir Division which were selected randomly. A predesigned questionnaire was used to collect the data from the participants. The questionnaires contained questions about four different parts which included sociodemographic characteristics, knowledge of hand washing, attitude and practice of hand washing among healthcare professionals. The questionnaires were distributed to various healthcare professionals working in wards, emergency department, laboratories, outpatient departments, injection and dressing rooms, EPI unit and others. The distributed questionnaires were then collected back. Results: A total of 110 participants were included. Out of total 110 participants,53% were male ,36% were nurses 36% of health professionals were working in IPD (In Patient Department). 89% of the participants agreed that, direct or indirect contacts are the most important routes for transmission of hospital-acquired infections,97% agreed that
 proper and consistent hand washing prevents infections in health facilities,100% agreed that health professionals should always wash their hands immediately when they arrive at health institutions,98% said that they knew steps of handwashing(WHO)/rules of hand hygiene,91% agreed that hand washing is the single most effective mechanism to prevent spread of infection and 95% agreed that wearing jewellery, artificial fingernails, damaged skin and regular use of hand cream are associated with increased likelihood of colonisation of hands with harmful germs. 83% of the participants said that they are committed to the proper rules of hand hygiene all the time,78% said they comply with rules of hand hygiene even in emergencies,80% said that they think when they are wearing gloves it is not necessary to wash hands,92% feel irritated when others don’t follow hand hygiene rules,95% advice others to follow the rules of hand hygiene and 97% said it is easy for you to follow rules of hand hygiene. 40%(each) of the participants said that they always and usually wash hands before touching a patient,100% of the participants said that they always wash hands before performing aseptic and clean procedures, 100% of the participants said that they always wash hands after being at risk of exposure to body fluids and 95% of patients said that they wash hands after coming to and before leaving the hospital. DISCUSSION In this study we had a total of 110 participants. Health professionals had a satisfactory knowledge of hand hygiene but some lacunae are still there as is evident in the result part. Thus from this study we conclude adherence to handwashing is lacking among health professionals, so we need to have regular handwashing sessions for health professionals which will regularly sensitize them, also we need to address the reasons of this poor adherence both at the administrative and personal level. We also recommend to conduct more studies in this field so as to highlight the shortcomings in hand hygiene and then to improve upon them.


2019 ◽  
Vol 2019 ◽  
pp. 1-11 ◽  
Author(s):  
Belete Kassa Alemu ◽  
Tessema Tsehay Biru

Background. The role of health care professionals among other stakeholders in early detection, assessment, documentation, and reporting as well as preventing suspected adverse reactions is very crucial to mitigate drug-related problems in health facilities. Previous reports from literatures have indicated that adverse drug reaction reporting is highly linked to the knowledge and attitude of the health care professionals. Objective. To assess knowledge, attitude, and practice of health care professionals about adverse drug reactions and the associated factors at selected public hospitals in Northeast Ethiopia. Methods. A hospital-based quantitative cross-sectional study design was employed. A structured self-administered questionnaire was used to collect data on KAP of selected health care providers by the convenience sampling method. Data were entered into Epi info version 3.5.3 and analyzed using SPSS Version 20. Association between dependent and independent variables was found by using bivariate and multivariate logistic regression analysis where p<0.05 was considered to be statistically significant. Results. Out of 120 questionnaires distributed, 114 respondents filled and returned, giving a 95% response rate. From total, 49 (43%) were nurses, 26 (22.8%) physicians, 17 (14.9%) pharmacy professionals, 12 (10.5%) health officers, and 10 (8.8%) midwives. About 86 (75.44%) study participants had an inadequate knowledge towards ADR reporting, and half of participants failed to report the adverse drug reactions they encountered. But the majority of participants (84, 73.68%) had a favorable attitude towards ADR reporting. Nurses [AOR = 0.069, 95% CI (0.018–0.275)], health officers [AOR = 0.10, 95% CI (0.015–0.647)], and physicians [AOR = 0.14, 95% CI (0.03–0.64)] were found to be less likely to have adequate knowledge on ADR reporting compared to pharmacy professionals. Conclusion. Even though the majority of health care professionals had a positive attitude, they had inadequate knowledge and poor practice towards ADR reporting.


Author(s):  
Zainab Ghazala ◽  
Prakash Kalshetty ◽  
Shrenik Vardhamane

Background: Pharmacovigilance is the science and activities relating to detection, monitoring, assessment, understanding and prevention of adverse effects or any other drug related problem from any pharmaceutical products. The core purpose of pharmacovigilance is to enhance patient care and generate the evidence based information on safety of medicines. The objective of present study was to evaluate the knowledge, attitude and practices of the healthcare professionals about pharmacovigilance and to assess the reasons for underreporting of ADRs.Methods: A cross-sectional study was conducted by administering KAP questionnaire to the healthcare professionals. There were 22 multiple choice questions. Ten related to knowledge, 5 related to attitude, and 6 related to practice. One question was asked to determine the reasons for underreporting of ADRs. The performance in each category was graded as good, average and poor if the number of participants giving correct/positive responses were >70%, 50-69%, <50% respectively. Question no 22 was assessed independently to find out reasons for underreporting of ADRs. Data was compiled and analyzed by descriptive statistics, Chi-square and ANOVA test.Results: The response rate in this study was 62.5%. The study included professors (11%), associate professors (6%), assistant professors (20%), postgraduates (26%) and interns (37%). That there was statistically very highly significant difference of mean score of knowledge, attitude and practice among health care professionals (P<0.001). The performance score with respect to attitude of health care professionals towards pharmacovigilance was good as compared to knowledge which was average followed by practice which showed poor performance (72.5% >51.6% >36.8%) (p <0.001).Conclusions: Awareness campaigns, CMEs, workshops on pharmacovigilance should be conducted regularly such that good knowledge about pharmacovigilance can be imparted which can be moulded into good practice.


2020 ◽  
Vol 17 (3) ◽  
Author(s):  
Furqan Hashmi ◽  
Sara Mustafa Khan ◽  
Sulman Qureshi ◽  
Usman Rashid Malik ◽  
Naveel Atif ◽  
...  

Background: Adverse drug reactions (ADRs) are one of the leading causes of mortality and morbidity. Avoiding adverse reactions requires comprehensive knowledge about how they can be monitored, controlled, and reported. Objectives: The current study aimed to evaluate the knowledge, attitude, practices, and perceptions of the health care professionals concerning the adverse drug reactions monitoring and reporting in Lahore, Pakistan. Methods: A prospective cross-sectional study was conducted in Lahore, Pakistan, from October 2018 to December 2018. Descriptive statistics were obtained and the Pearson chi-square test was used to analyze the association between categorical variables. Results: In total, 150 pharmacists, physicians, and nurses were approached, that 40, 39, and 46 of them responded, respectively. Almost 95% pharmacists, 17.3% of nurses, and 58.9% of physicians correctly defined the “pharmacovigilance”, while 70, 10, and 30.5%, respectively, defined ADRs correctly. The current study revealed that 87% of pharmacists, 82.5% of physicians, and 82.6% of nurses had a history of identifying ADR in patients. Out of which only 52, 41, and 19% of pharmacists, physicians, and nurses had a history of reporting adverse drug reactions, respectively. Conclusions: This study revealed inadequate knowledge of health care professionals. Most healthcare professionals were motivated to report identified ADRs. However, the responsibility lies with the governing authorities to provide them with a suitably efficient platform to practice proper ADR reporting and monitoring. Educational campaigns and training, financial incentives, and simplification of the reporting process might change the levels of knowledge and attitude.


2020 ◽  
Vol 2 (3) ◽  
pp. 01-03
Author(s):  
Gosaye Zewde

Background: Adverse drug reaction is any noxious, unintended and undesired effect of a drug which resulted from inadequate monitoring of therapy or inappropriate dosing. It may be unexpected, unknown and/or rare. Adverse drug reactions (ADRs) are an important cause of mortality and morbidity worldwide. In some case it is life- threatening, and can be major determinants of treatment outcomes. All healthcare professionals are encouraged to report ADR But under-reporting remains a major draw-back of spontaneous reporting. Therefore this study aims to investigate the knowledge, attitudes and practices of healthcare professionals towards ADR reporting and try to fill the information gap in the study area. Objective: To assess knowledge, attitude and practice of ADR reporting among health care professionals working at Public Hospitals in Harar Town Eastern Ethiopia 2020. Methodology: Health facility based cross sectional study was conducted on 238 Health professional who are working in Public Hospitals of Harar Town Eastern Ethiopia. Sample allocates proportionately and study participant was selected by systematic random sampling method. Collected and checked data were entered in to Epi Data software version 3.1 and analysis was done by SPSS version 21. Mean value were used to classify as good or poor knowledge, altitude and practice on ADR reporting. Finding was summarized and presented in forms of tables and statement. Result: The overall prevalence of good knowledge, altitude and practice of ADR reporting was 42.9 %, 34.5 % and 39.9 % respectively. Majority 158 (66.4%) of study participant does not feel that there are adequately trained on ADR reporting. While 206 (86.6 %) and 208 (87.4%) of health professional agree that reporting drug safety is important for the public and health care system. One third of health professionals 74 (31.4%, P = 0.002) significantly reported that there had encountered ADR. Conclusion and Recommendation: On this study majority respondent had poor knowledge, altitude and ADR Reporting practices. Therefore Training provision, awareness creation, Strong and collaborative ADR reporting mechanisms, continuous monitoring and evaluation need to be established on each health institution.


2018 ◽  
Vol 2018 ◽  
pp. 1-11 ◽  
Author(s):  
Ayenew Ashenef ◽  
Elham Reshid ◽  
Zewdu Yilma ◽  
Tadesse Melaku ◽  
Tesfahun Chane

Introduction. Drug information center (DIC), in most cases, is part and parcel of pharmacy service established as a unit that deals with offering recent, balanced, truthful facts about drugs to the public, patients, and health care professionals. Objective. To assess the query receiving and response trends by the drug information centers (DICs) found in main university affiliated teaching health care institutes in Ethiopia. Settings. The drug information centers located in Mekelle, Gondar, Jimma, Tikur Anbessa Specialized University Hospitals, and St. Peter Public Hospital, Ethiopia. Methods. It employed analytical, descriptive (cross-sectional), and retrospective methods. The study was performed from June to August, 2015. All the available documented data were gathered with the help of checklist and questionnaire (self-administered). Results. A total of 439 queries submitted to the DICs during their active service period were included in this study of which 407 were found to be suitable for this assessment. The highest inquiries had come from public hospitals (60 %) from health care workers (95.1 %), out of which pharmacists were the highest (63.57 %) submitters, followed by health care students (12.7 %). The major purposes of query submission were to improve treatment outcome of patients (33.9 %) and then to update the knowledge (25.1 %) although 39.3 % of the queries did not document it. The most common requests concern drug interaction (19.7 %) followed by therapeutic use (17.8 %) and the major pharmacological group is about antimicrobials (23.3 %) followed by antihypertensives (11.4 %). Web sites (31.4 %) were the most highly used references followed by Micromedex (19.0 %). Conclusion. The assessment of the DICs had shown that it is feasible to establish and develop DIC services in a developing country setting, Ethiopia. The study found that most of the common queries deal with drug interaction, therapeutic use, and general product information (most commonly about antimicrobials).


2020 ◽  
Vol V (I) ◽  
pp. 9-16
Author(s):  
Anam Arshad ◽  
Malik Irfan Zulfiqar ◽  
Zahra Hassan Kiani ◽  
Maria Hassan Kiani ◽  
Muhammad Rauf ul Hassan

A cross sectional study was performed among 250 health care professionals from Children Hospital, Jinnah hospital and Services Institute of Medical science Lahore, through a self-designed questionnaire to assess the knowledge of therapeutic drug monitoring (TDM). A total 300 questionnaires were distributed and 250 were returned, giving a response 83%. Out of 300 health care professionals 50 participants do not even know the term TDM. Only 40% participants strongly agreed that TDM is done for all patients. Only 26.8% participants agreed that TDM is carried out for all drugs. Only 63.2% participants agreed that the TDM is very costly process. Only 38.4% strongly agreed that TDM requires extra time of health care professionals and only 36% participants remain neutral to the perception that TDM is requested by patient rather than health care professionals. Limited resources and lack of technical skills are barriers in performing TDM in under-developed country like Pakistan.


2020 ◽  
Vol 4 (3) ◽  
pp. 01-06
Author(s):  
Gosaye Tekelehaymanot Zewde

Background: Adverse drug reaction is any noxious, unintended and undesired effect of a drug which resulted from inadequate monitoring of therapy or inappropriate dosing. It may be unexpected, unknown and/or rare. Adverse drug reactions (ADRs) are an important cause of mortality and morbidity worldwide. In some case it is life- threatening, and can be major determinants of treatment outcomes. All healthcare professionals are encouraged to report ADR But under-reporting remains a major draw-back of spontaneous reporting. Therefore this study aims to investigate the knowledge, attitudes and practices of healthcare professionals towards ADR reporting and try to fill the information gap in the study area. Objective: To assess knowledge, attitude and practice of ADR reporting among health care professionals working at Public Hospitals in Harar Town Eastern Ethiopia 2020. Methodology: Health facility based cross sectional study was conducted on 238 Health professional who are working in Public Hospitals of Harar Town Eastern Ethiopia. Sample allocates proportionately and study participant was selected by systematic random sampling method. Collected and checked data were entered in to Epi Data software version 3.1 and analysis was done by SPSS version 21. Mean value were used to classify as good or poor knowledge, altitude and practice on ADR reporting. Finding was summarized and presented in forms of tables and statement. Result: The overall prevalence of good knowledge, altitude and practice of ADR reporting was 42.9 %, 34.5 % and 39.9 % respectively. Majority 158 (66.4%) of study participant does not feel that there are adequately trained on ADR reporting. While 206 (86.6 %) and 208 (87.4%) of health professional agree that reporting drug safety is important for the public and health care system. One third of health professionals 74 (31.4%, P = 0.002) significantly reported that there had encountered ADR. Conclusion and Recommendation: On this study majority respondent had poor knowledge, altitude and ADR Reporting practices. Therefore Training provision, awareness creation, Strong and collaborative ADR reporting mechanisms, continuous monitoring and evaluation need to be established on each health institution.


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