The effect of practice toward do-not-resuscitate among Taiwanese nursing staff using path modeling

Abstract Background: Do-Not-Resuscitate (DNR) is signed to prevent patients from receiving invalid treatment at the end of life or near death. Nurses play an important role to discuss the DNR with patients or the patients’ family members. However, research focusing on the relationship between the knowledge, attitude and practice of a DNR using path modeling in nursing staff is limited. Therefore, this study aimed to elucidate the effect of path modeling on the knowledge, attitude, and practice toward DNR among the Taiwanese nursing staff.Methods: This was a cross-sectional, descriptive design using a simple random sampling. Data on demographics, knowledge, attitude, and practice as measured by the DNR inventory (KAP-DNR), Mindful Attention Awareness Scale, General Self-Efficacy Scale, and Dispositional Resilience Scale was collected. Participants were 194 nursing staff from a medical center in northern Taiwan in 2019. We performed descriptive statistics, regression analysis, and path modeling using SPSS 22.0 and set p <0.05 as the statistical significance threshold. Results: The results showed that participation in DNR signature and education related to palliative care were positive significant predictors of knowledge towards DNR. The DNR predictors toward attitude included DNR knowledge, mindfulness, self-efficacy, dispositional resilience, and religious belief of nurses. Generally, the key predictors of DNR practice were DNR attitude, dispositional resilience, and male nurses. In path modeling, we identified that self-efficacy, dispositional resilience, master’s degree, and religious belief directly influenced practices constituting DNR. Conclusion: Based on the findings of this study, it is proposed that nurses should improve their self-efficacy and dispositional resilience. Encouraging staff to undertake further education and have religious beliefs can improve the practice of DNR and provide better end of life care.

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The Effect of Practice toward Do-Not-Resuscitate among Taiwanese Nursing Staff Using Path Modeling

International Journal of Environmental Research and Public Health ◽

10.3390/ijerph17176350 ◽

2020 ◽

Vol 17 (17) ◽

pp. 6350

Author(s):

Li-Fen Wu ◽

Li-Fang Chang ◽

Yu-Chun Hung ◽

Chin Lin ◽

Shiow-Jyu Tzou ◽

...

Keyword(s):

Nursing Staff ◽

Religious Belief ◽

Self Efficacy ◽

Medical Center ◽

Further Education ◽

Cluster Sampling ◽

Path Modeling ◽

Do Not Resuscitate ◽

Attitude And Practice ◽

Knowledge Attitude And Practice

This study aimed to elucidate the predictors and the effects of path modeling on the knowledge, attitude, and practice toward do-not-resuscitate (DNR) among the Taiwanese nursing staff. This study was a cross-sectional, descriptive design using stratified cluster sampling. We collected data on demographics, knowledge, attitude, and practice as measured by the DNR inventory (KAP-DNR), Mindful Attention Awareness Scale, General Self-Efficacy Scale, and Dispositional Resilience Scale. Participants were 194 nursing staff from a medical center in northern Taiwan in 2019. The results showed that participation in DNR signature and education related to palliative care were significant positive predictors of knowledge toward DNR. The DNR predictors toward attitude included DNR knowledge, mindfulness, self-efficacy, dispositional resilience, and religious belief of nurses. Generally, the critical predictors of DNR practice were DNR attitude, dispositional resilience, and male nurses. In path modeling, we identified that self-efficacy, dispositional resilience, master’s degree, and religious belief directly influenced practice constituting DNR. Based on the findings of this study, we propose that nurses should improve their self-efficacy and dispositional resilience through training programs. Encouraging staff to undertake further education and have religious beliefs can enhance the practice of DNR and provide better end-of-life care.

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An evaluation of knowledge, attitude and practice of pharmacovigilance among medical students and doctors at a tertiary care hospital

International Journal of Basic & Clinical Pharmacology ◽

10.18203/2319-2003.ijbcp20180107 ◽

2018 ◽

Vol 7 (2) ◽

pp. 324 ◽

Cited By ~ 1

Author(s):

Ravindra S. Beedimani ◽

Sameer Uz Zaman ◽

Subrahmanyam Darb ◽

Sharat Chandra Potturi

Keyword(s):

Medical Students ◽

Statistical Significance ◽

Tertiary Care ◽

Care Hospital ◽

Medical Doctors ◽

Cross Sectional ◽

Attitude And Practice ◽

Validated Questionnaire ◽

Correct Definition ◽

Knowledge Attitude And Practice

Background: Drugs are one of the most commonly used interventions in medical therapeutics. Spontaneous reporting of adverse drug reactions (ADRs) is the backbone of pharmacovigilance (PV) program. Under-reporting of ADRs by prescribers was possibly due to lack of knowledge, attitude and practices regarding PV. This study was done to assess the knowledge, attitude, and practice (KAP) of medical students (grouped to sixth and eighth semester) and medical doctors about PV in a tertiary care hospital.Methods: It was a questionnaire based cross-sectional study administered to 246 medical students and doctors. Study tool was a validated questionnaire containing 15 questions to evaluate KAP of PV among medical students and doctors. A descriptive analysis of data was done where necessary, statistical significance for associations between the group and their responses to questionnaire was provided using Pearson Chi square test and Fisher exact test.Results: Sixty-eight percent of the participants (90% doctors; 76% eighth-semester and 46% sixth-semester medical students) know the correct definition of PV. Sixty-one percent of the participants (67% sixth-semester, 61% doctors and 53% eighth-semester) think that reporting is a professional obligation for them. Only 15% of the participants have ever been taught or trained on how to report an ADR.Conclusions: Medical doctors and students lack adequate knowledge and practice of reporting ADRs, but they seem to have a positive attitude towards the PV program. Our study findings strongly suggest that there is a great need to create awareness amongst them to promote reporting of ADRs.

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Knowledge, attitude, practice of hand hygiene among nursing staff in medicine ICU in a tertiary health care centre in Western India

International Journal of Biomedical Research ◽

10.7439/ijbr.v9i5.4772 ◽

2018 ◽

Vol 9 (5) ◽

pp. 184

Author(s):

Satyajeet K. Pawar ◽

Rajvardhan R. Patil ◽

R. V. Shinde ◽

G. S. Karande

Keyword(s):

Health Care ◽

Hand Hygiene ◽

Nursing Staff ◽

Western India ◽

Health Care Centre ◽

Attitude And Practice ◽

Health Related ◽

Cross Transmission ◽

Knowledge And Attitude ◽

Knowledge Attitude And Practice

Background: Hospital infection is one of the leading cause of public health related issue throughout the world. Hand hygiene is one of the leading measure used to prevent cross-transmission and thus to reduce health care associated infections.Aims & Objectives: To assess knowledge, attitude and practice about hand hygiene in nursing staff in medicine ICU in a tertiary health care centre.Methodology: Total 48 medicine ICU nursing staff were given open ended questionnaire on knowledge, attitude and practice of hand hygiene. Score were given for correct option and data was filled and analyzed in MS Excel softwareResults: Compliance in knowledge (62 %) and attitude (81 %) for hand hygiene was good. Performance in practice of hand hygiene was 54 % which was comparatively lower.Conclusion: Compliance of hand hygiene practice was lower compared to knowledge and attitude and needs to be addressed in the form of continued medical education.

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A survey of knowledge, attitude and practice of biomedical waste management among 150 nursing staff working in All Indian Institute of Medical Sciences, Jodhpur

International Journal of Community Medicine and Public Health ◽

10.18203/2394-6040.ijcmph20192843 ◽

2019 ◽

Vol 6 (7) ◽

pp. 3008

Author(s):

Vivek Chhabra ◽

Durga Shankar Meena ◽

Gopal Krishana Bohra ◽

Naresh Midha ◽

Bharat Maheshwari ◽

...

Keyword(s):

Health Care ◽

Waste Management ◽

Nursing Staff ◽

Missing Values ◽

Health Care Facilities ◽

Biomedical Waste ◽

Adequate Knowledge ◽

Attitude And Practice ◽

Care Problems ◽

Knowledge Attitude And Practice

Background: India as a developing country is facing a lot of health care problems, with the increase in health care facilities, there is a growing concern of hazards of biomedical waste. Since the nursing staff is at the centre of biomedical waste handling, their knowledge of adequate disposal of biomedical waste is of utmost importance. So, we conducted a study regarding knowledge, attitude and practice of nursing staff working in a premier institute of western Rajasthan with respect to biomedical waste and its management.Methods: This was a hospital-based descriptive, observational study conducted in our institute in the month of October and November of 2018. Written consent was taken and pre-defined questionnaire was prepared based on a review of literature on the subject. Scrutiny was done for the data for any logical inconsistencies, skip patterns and missing values. Coding of the data was done and entered into a Microsoft Excel. Descriptive and inferential statistics were applied for data analysis.Results: 150 participants took part in the questionnaire based study. The study showed that majority of participants have adequate knowledge, attitude and practice toward biomedical waste management but still, there were gaps in the knowledge and practice in essentially quite a lot of participants which should not be there.Conclusions: There is a need for strict implementation of biomedical rules at all the tiers of healthcare. There should be regular orientation programs for nursing staff and other health personnel working in the institutes.

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Awareness study of Pharmacovigilance among the health care professionals (nursing staff) at tertiary care hospital, Solapur, Maharashtra, India

International Journal of Research in Medical Sciences ◽

10.18203/2320-6012.ijrms20173569 ◽

2017 ◽

Vol 5 (8) ◽

pp. 3596

Author(s):

Amruta Pasgonda Patil ◽

Prashant A. Shirure ◽

Rasika S. Khobragade

Keyword(s):

Adverse Drug Reaction ◽

Nursing Staff ◽

Health Care Professionals ◽

Spontaneous Reporting ◽

Tertiary Care Hospital ◽

Tertiary Care ◽

Care Hospital ◽

Attitude And Practice ◽

Knowledge And Practice ◽

Knowledge Attitude And Practice

Background: Early detection of adverse drug reaction is one step towards the prevention of ADRs. Foundation of Pharmacovigilance is spontaneous reporting which is minimal in India. Among the all health care professionals, nurses are caregivers at bedside. Improvement in knowledge and practice of adverse drug reaction reporting among nurses will definitely increases spontaneous reporting. In this study, knowledge, attitude and practice of nursing staff about pharmacovigilance was evaluated.Methods: It was prospective, cross-sectional, observational, questionnaire-based study among the nurses of the tertiary care hospital Solapur. A questionnaire evaluating knowledge, attitude and practice was distributed among nursing staff and filled questionnaire were collected back and analyzed by microsoft excel 2013.Results: Response rate of our study was 44.88%. 38.61% doctors were knowing meaning of pharmacovigilance while 61.38% participants knew that all drugs available in market are not safe. Taking proper medication history before prescribing drugs was considered important by 92.57% participants. 79.70% participants were aware about Pharmacovigilance program of India. 64.35% doctors answered correctly to elements which are mandatory to record. Only 24.75% participants were knowing the basis that pharmcovigilance provides for.Conclusions: Nursing staff of tertiary care hospital, Solapur had very appreciable and positive attitude towards pharmacovigilance but there is a need for improvement in knowledge and practice of ADR reporting.

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Relationship Between Sociodemographic Backgrounds And Mothers' Oral Health Knowledge, Attitude And Practice Of Their Preschool Children

IIUM Medical Journal Malaysia ◽

10.31436/imjm.v16i2.1097 ◽

2017 ◽

Vol 16 (2) ◽

Author(s):

Syarifah Haizan Sayed Kamar ◽

Noor Inani Jelani ◽

Noraini Mohamad Nor

Keyword(s):

Preschool Children ◽

Oral Health ◽

Health Knowledge ◽

Further Education ◽

Cluster Sampling ◽

Cross Sectional ◽

Oral Health Knowledge ◽

Attitude And Practice ◽

Knowledge Attitude And Practice ◽

Children’S Oral Health

Introduction: Mothers play important roles in their children's oral health. The aim of this study is to determine the relationship between mothers’ sociodemographic backgrounds and their oral health knowledge, attitude and practice of their preschool children. Materials and Methods: A cross sectional study was conducted among 149 mothers of 4 to 6-year-old preschool children from selected kindergartens. Stratified cluster sampling was done to select kindergartens from urban and suburban areas in Kuantan, Pahang. Knowledge and attitude of mothers were assessed using selfadministered questionnaires and children's oral health practice was recorded using three days tooth brushing diary. Data were analyzed using SPSS version 16.0. Results: Mothers had high oral health knowledge (Mean score 73.6%, SD 1.3%) and attitude (Mean score 73.2%, SD 2.4%) scores. Significant relationships were reported between mothers' oral health knowledge and age (p=0.037), educational status (p0.05). Conclusion(s): Lack of further education, low household income and living further away from the city contributed to low oral health knowledge and poor oral health attitude among mothers, towards their preschool children. Younger mothers had lower oral health knowledge, whereas older mothers had poorer oral health attitude.

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Study on the Knowledge, Attitude, and Practice (KAP) of Nursing Staff and Influencing Factors on COVID-19

Frontiers in Public Health ◽

10.3389/fpubh.2020.560606 ◽

2021 ◽

Vol 8 ◽

Author(s):

Xin Wen ◽

Fan Wang ◽

Xiuyang Li ◽

Hua Gu

Keyword(s):

Influencing Factors ◽

Nursing Staff ◽

Nursing Knowledge ◽

Attitude And Practice ◽

Medical Institutions ◽

General Wards ◽

Knowledge Attitude And Practice

The aim of this study is to investigate the knowledge, attitude, and practice (KAP) on Coronavirus Disease 2019 (COVID-19) care among nursing staff and analyze its influencing factors. The survey was conducted on February 18, 2020, among 7,716 voluntary participants from 143 medical institutions in Zhejiang, China. The findings indicated that KAP of nursing staff scored well. However, the accuracy of psychological nursing knowledge was much lower, 14.3% only. Nursing staff working in isolation wards have higher knowledge (OR = 1.776, 95% CI: 1.491–2.116), attitude (OR = 1.542, 95% CI: 1.298–1.832), and practice (OR = 1.902, 95% CI: 1.590–2.274) scores than those in general wards. In terms of KAP, nursing staff with working experience ≤ 10 years scored lower than those with working experience ≥ 20 years, with OR values of 0.490 (95% CI: 0.412–0.583), 0.654 (95% CI: 0.551–0.775), and 0.747 (95% CI: 0.629–0.886), respectively. It is necessary to take measures to enhance the training on COVID-19, especially for KAP of junior nurses in general wards.

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Effectiveness of an educational intervention on knowledge-attitude-practice of older adults’ caregivers

Revista Brasileira de Enfermagem ◽

10.1590/0034-7167-2017-0100 ◽

2018 ◽

Vol 71 (3) ◽

pp. 1055-1062 ◽

Cited By ~ 2

Author(s):

Andréa Carvalho Araújo Moreira ◽

Maria Josefina da Silva ◽

Juan José Tirado Darder ◽

Janaína Fonseca Victor Coutinho ◽

Maristela Inês Osawa Vasconcelos ◽

...

Keyword(s):

Older Adults ◽

Older Adult ◽

Educational Intervention ◽

Statistical Significance ◽

Practice Research ◽

Attitude And Practice ◽

Adult Feeding ◽

Before And After ◽

Quasi Experimental ◽

Knowledge Attitude And Practice

ABSTRACT Objective: To compare the knowledge, attitude and practice of older adults’ caregivers before and after an educational intervention in the domains of the care between caregiver and older adult, feeding, bathing, hygiene and mobility and transportation. Method: Quasi-experimental study carried out with 82 caregivers, of which 34 participated in the intervention. Interviews were conducted through a knowledge, attitude and practice research on the older adults` care Results: The educational intervention led to improvements in knowledge, attitude and practice, with statistical significance of attitude (p <0.020) and practice (p <0.001), in the domain of the care between caregiver and older adult; knowledge (p <0.001) and practice (p <0.003) in feeding; Knowledge (p <0.001) and practice (p <0.001) in bathing and hygiene; and knowledge (p <0.001), attitude (p <0.001) and practice (p <0.001) in mobility and transportation. The analysis of the 34 caregivers who started and completed the study showed an improvement in attitude in most of the domains. Conclusion: the educational intervention is an effective and viable strategy for older adults’ caregivers.

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