scholarly journals Exercise prescription for non-communicable diseases: Knowledge and practice among healthcare providers

2021 ◽  
Author(s):  
Dessalew Endalew ◽  
Getu Teferi
Keyword(s):  
Role Model ◽  
Exercise Prescription ◽  
National Level ◽  
Healthcare Providers ◽  
Hospital Setting ◽  
Bench Mark ◽  
Medical Doctors ◽  
Continuous Training ◽  
Cross Sectional ◽  
Prescription Practice

Abstract Background: Exercise prescription (EP) use as medicine is an effective. It is the cornerstone to prevent and manage NCDs. The main aim of the study was to investigate the knowledge and confidence, practice of HCPs towards NCDs pertaining to EP in West Gojjam Zone hospitals, Amhara region, Ethiopia.Methods: The target population was 487 HCPs (medical doctors, nurses and midwiferies).Cross sectional research design was carried out in hospital setting from HCPs to collect data, Self-administered questionnaires were used from 7 governmental hospitals and 353 HCPs (Medical doctors=107, 30.3%, Nurses=157, 44.5% and Midwiferies=89, 25.2%) was selected through whole, strata and random sampling methods. The data was collected and analyzed from March, 2021- June, 2012. It was analyzed through descriptive (mean, frequency, percentage, cross tabulation and standard deviation) and inferential statics(chi-square, Kruskal-Wallis test of analysis, Mann-Whitney U test to examine difference and spearman’s rank to examine correlation). All assumptions for conducting non-parametric tests were used before decided to use the type of statistical data.Results: The HCPs reported that; majority of 80.6% respondents had poor EPP regarding to written prescription for their patients. 62.5% of HCPs were agreed they had not knowledge on WHO and ACSM recommendations to prescribe exercise for NCD patents. Male HCPs were had better exercise prescription practice ( x2 = 228.756, df = 15, p =0.000 ). HCPs knowledge and confidence was had a significance difference regarding to profession (Medical doctors: Mean rank =198.71, Nurses: Mean rank =171.96 and Midwifery: Mean rank =159.78, x2 = 7.773, df = 2, p =0.021). Exercise prescription practice (EPP) was significantly and positively correlated with Knowledge and Confidence (rho=0.292, p= 0.000). EPP was had a positive and significant correlation with all main variables of the study.Conclusion: Exercise prescriptions practice, knowledge and confidence of majority of HCPs regarding to prescribe exercise for NCDs were poor. The HCPs educational curriculums should include sufficiently about physical exercise as a strategy how to prevent and manage NCDs. Exercise is medicine Ethiopia (EIME) initiative should established and Exercise Prescription (EP) also established in organizational structure as a unit in healthcare setting. There should be a standardized recommendation guidelines, prepared at a national level to prescribe exercise used as a bench mark for healthcare providers for every healthcare settings. There will be also design a continuous training program for HCPs to be a role model or how to prescribe physical activity or exercise to prevent and manage NCD from their patients.

scholarly journals Behavior, Awareness and Sensitivity of Healthcare Providers in a Multicultural Environment

2019 ◽  
Vol 8 (2) ◽  
pp. 58
Author(s):  
Russel Salvador Abalos-Fabia ◽  
Shadia Mohamed Khadrawi ◽  
Rosanta Oligan Ellasus
Keyword(s):  
Saudi Arabia ◽  
Cultural Competence ◽  
Cultural Diversity ◽  
Cultural Awareness ◽  
Diversity Training ◽  
Healthcare Providers ◽  
Hospital Setting ◽  
Demographic Variables ◽  
Cross Sectional ◽  
Laboratory Technology

Background:  The healthcare workforce of Saudi Arabia is characterized by diverse cultural backgrounds as a consequence of employment of expatriate workers from various countries. The heterogeneity of both providers of health services and clients resulted to cultural barriers that affected the delivery care.  It is paramount to evaluate the cultural competence of the healthcare providers (HCPs) to maintain quality holistic care. Objective: The primary objective of this study was to assess the cultural diversity experience, cultural competence behavior (CCB) and cultural awareness and sensitivity (CAS) of HCPs in a hospital setting of Saudi Arabia. Methods: This was a cross-sectional study involving survey of HCPs from medical, nursing and laboratory technology disciplines using the Cultural Competence Assessment (CCA) tool.  Results: There were a total of 104 HCPs who completed the survey. The characteristics of the respondents resulted to a mean age of 38.7 ±10.4 who were predominantly Asians and nurses. The majority had working experience of 10 years and below, with more than half who had prior diversity trainings. Reported cultural diversity experience included all HCPs caring for Arab Middle Easterners and Asians and encountering at least one or more special population groups. There was an overall high cultural competence (5.28 ±0.46), high CCB (5.84 ±0.56) but only moderately high CAS (4.72 ±0.35). Significant differences were only identified between CCB scores and three demographic variables (racial/ethnic identification, area of discipline and years of experience). No significant result was found between CAS scores and demographic variables as well as between CCB and CAS scores.     Conclusions: In spite of high CCB, the HCPs responded with lower CAS scores. Interventions should be initiated to increase CAS such as cultural diversity training and availability of cultural care resources.

scholarly journals A Cross-Sectional Study on the Flood Emergency Preparedness among Healthcare Providers in Saudi Arabia

2021 ◽  
Vol 18 (3) ◽  
pp. 1329
Author(s):  
Ahmed M. Al-Wathinani ◽  
Abdulaziz Alakeel ◽  
Ahmad Hecham Alani ◽  
Mohammad Alharbi ◽  
Abdullah Almutairi ◽  
...  
Keyword(s):  
Saudi Arabia ◽  
Emergency Preparedness ◽  
Disaster Preparedness ◽  
Healthcare Providers ◽  
Hospital Setting ◽  
Sampling Technique ◽  
Cross Sectional Study ◽  
Cross Sectional ◽  
Effective Response ◽  
And Training

This study used a descriptive cross-sectional methodology to measure healthcare workers’ knowledge, attitudes, perceptions, and willingness to respond to a flood scenario in Saudi Arabia. A validated survey was distributed to collect data using a convenience sampling technique through multiple social media platforms. A total of 227 participants were included in this study: 52% of them were aged between 26 to 34 years, 74% were residents from Riyadh, and 52.4% worked in nursing divisions. A significant number of respondents (73.2%) had positive perceptions towards their hospitals’ ability to provide an effective response to a flood, 89% were willing to report to work following a flood, and 90% of participants reported the need to develop both guidelines and training for flood disaster preparedness. Preparation and successful flood mitigation in the hospital setting requires staff that have both knowledge and training in emergency management. One way to obtain such readiness is through competency-based training, including both table-top and full-scale live exercises. Although the willingness to respond to such a flooding emergency was high among staff, the development of guidelines and educational programs is needed in order to develop the competencies and skills sets to improve disaster preparedness response and preparedness efforts.

scholarly journals Prescription Audit of Out-Patient Attendees in Gynecology Department in India

2021 ◽  
pp. 32-36
Author(s):  
Aastha Sahni ◽  
Akshay Dahiwele
Keyword(s):  
Quality Of Care ◽  
Tertiary Care ◽  
Hospital Setting ◽  
Cross Sectional Study ◽  
Audit Process ◽  
Continuous Training ◽  
Cross Sectional ◽  
Drug List ◽  
Do So

Background: Prescription auditing is a comprehensive clinical audit process that improves the quality of care by systematically reviewing treatment against defined criteria and making changes as a consequence. A prescription is a written order from a doctor to the person who will supply the drug. Every country has its own set of prescription information requirements and rules and regulations defining which pharmaceuticals require a prescription and who is eligible to write it. Objective: The study aims to determine the quality of out-patient department (OPD) prescription forms in Indian tertiary care, highlighting the elements that should be written in a prescription to improve the institution's overall quality of care. Methodology: This will be a cyclical activity that will assess prescriber's practice of generating  prescription orders, refining it to solve problems detected, and comparing the outcomes to audit criteria that have been agreed upon. This will be a cross sectional study conducted in AVBRH hospital setting and data will be collected from OBGY OPD and will be analyzed using SPSS Version 25. Expected Results:  According to the findings of the various prescription audits, the percentage of drugs administered by generic name is lower than required. The average number of antibiotic prescriptions is higher than the prescribed amount. NLEM's suggested drug list should be expanded. Conclusion:  Prescribers must be aware of the need to write prescriptions in legible handwriting with capital letters for pharmaceuticals with generic names, as well as receive continuous training and be encouraged to do so. The most important condition for a prescription is that it be clear, understandable, and specific.

Does Accreditation Symbolise Quality in Public Healthcare Delivery? An Investigation of Hospitals in Kerala

2021 ◽  
pp. 097206342110504
Author(s):  
Sindhu Joseph
Keyword(s):  
Patient Satisfaction ◽  
National Level ◽  
Healthcare Delivery ◽  
Healthcare Providers ◽  
State Level ◽  
Public Healthcare ◽  
Cross Sectional ◽  
Quality Healthcare ◽  
The Impact

Accreditation has become an important benchmark for healthcare organisations, and accordingly, many government hospitals in Kerala got accredited with national level (National Accreditation Board for Hospitals & Healthcare Providers [NABH]) and state level (Kerala Accreditation Standards for Hospitals [KASH]) accreditation programmes. This study examined the quality of public healthcare delivery in these accredited hospitals while having a comparison with the non-accredited hospitals. It also compared the impact of national and state-level accreditation programmes in Kerala public healthcare settings. This cross-sectional study conducted between July 2017 and July 2018, employing a positivist approach using stratified random sampling. In total, 621 samples were collected from inpatients of both accredited (NABH and KASH) (312) and non-accredited (309) public healthcare institutions in Kerala. Nine constructs overarching the quality of healthcare delivery and patient satisfaction construct are used in the study. The study found that patient satisfaction is identical in both accredited and non-accredited hospitals ( M = 4.28). Patient satisfaction in NABH accredited hospital ( M = 4.27 ± 0.67874) is lower than that of KASH accredited hospital ( M = 4.30 ± 1.25417). The mean score of six constructs of quality healthcare delivery of KASH accredited hospitals is higher than NABH accredited. The study revealed that accreditation brings improvement in certain dimensions of healthcare delivery but does not bring a holistic change. The study concluded that if accreditation has to symbolize quality healthcare delivery, infrastructural and interpersonnel components of healthcare delivery must be improved.

scholarly journals Cornerstone of healthcare: awareness and compliance of patient safety measures in a large tertiary care hospital

2019 ◽  
Vol 7 (10) ◽  
pp. 3795
Author(s):  
Sonali Shamdasani ◽  
Gurpreet Kaur ◽  
R. K. Ganjoo
Keyword(s):  
Patient Safety ◽  
Tertiary Care Hospital ◽  
Tertiary Care ◽  
Healthcare Providers ◽  
The Other ◽  
Care Hospital ◽  
Continuous Training ◽  
Cross Sectional ◽  
Safety Measures ◽  
Other Hand

Background: The study was done to assess the awareness and compliance of patient safety measures among healthcare providers and patients in a tertiary care hospital in India, ascertain the gap in both the aspects, if any and recommend the measures to improve the same.Methods: Cross sectional study in which patient safety survey was administered to random sample of 400 healthcare providers and 200 inpatients. The awareness was assessed through predefined questionnaires and compliance was assessed by observation, demonstration of processes, audit of patient files and interview of patients. Descriptive statistics analyzed with SPSS. Data was analyzed using frequencies, percentages and using Chi-square test.Results: The level of awareness was acceptable among healthcare providers, but the compliance was not satisfactory. Thus, gap was significant for certain parameters. The range of awareness among the patients was wide as study included patients of varying demographic and educational level. The range of compliance was also wide but was low. Thus, the gap was significant.Conclusions: As a result of continuous training of the healthcare providers, the awareness was satisfactory but on the other hand, they were not complying which may be due to workload, forgetfulness, lack of resources etc. On the other hand, the level of awareness was found to be low among patients and compliance was further lower down the ladder which may be due to difference in education, socioeconomic status, hesitation to enquire etc.

Knowledge and Communication of the National Core Standards Tool

2018 ◽  
Vol 20 (2) ◽  
Author(s):  
Winnie Thembisile Maphumulo ◽  
Busisiwe Bhengu
Keyword(s):  
Pearson Correlation ◽  
Healthcare Delivery ◽  
Healthcare Providers ◽  
Sampling Technique ◽  
Quality Of Healthcare ◽  
Survey Study ◽  
Public Healthcare ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Professional Nurses

The National Department of Health in South Africa has introduced the National Core Standards (NCS) tool to improve the quality of healthcare delivery in all public healthcare institutions. Knowledge of the NCS tool is essential among healthcare providers. This study investigated the level of knowledge on NCS and how the NCS tool was communicated among professional nurses. This was a cross-sectional survey study. Purposive sampling technique was used to select hospitals that only offered tertiary services in KwaZulu-Natal. Six strata of departments were selected using simple stratified sampling. The population of professional nurses in the selected hospitals was 3 050. Systematic random sampling was used to recruit 543 participants. The collected data were analysed using SPSS version 25. The study showed that only 16 (3.7%) respondents had knowledge about NCS, using McDonald’s standard of learning outcome measured criteria regarding the NCS tool. The Pearson correlation coefficient between the communication and knowledge was r = 0.055. The results revealed that although the communication scores for the respondents were high their knowledge scores remained low. This study concluded that there is a lack of knowledge regarding the NCS tool and therefore healthcare institutions need to commit themselves to the training of professional nurses regarding the NCS tool. The findings suggest that healthcare institutions implement the allocation of incentives for nurses that attend the workshops for NCS.

A cross sectional study on assessment of risk of diabetes mellitus using Indian diabetic risk score in a medical college teaching hospital

2020 ◽  
Vol 5 (2) ◽  
pp. 32-40
Author(s):  
Singam Sivasankar Reddy ◽  
Syeda Rahath ◽  
Rakshitha H N ◽  
Godson K Lal ◽  
Swathy S ◽  
...  
Keyword(s):  
Diabetes Mellitus ◽  
High Risk ◽  
Risk Score ◽  
Hospital Setting ◽  
College Teaching ◽  
Cross Sectional Study ◽  
Diabetic Patients ◽  
Cross Sectional ◽  
Patient Counselling ◽  
Related Quality

The objective of the study was to evaluate the risk of diabetes mellitus in elderlywith age above 20 years in a hospital setting using Indian Diabetes risk score and to provide patient counselling regarding their life style modifications and health related quality of life among participants with high risk of developing diabetes.A total of 125 non diabetic patients were interviewed with a pre designed selfstructured questionnaire (IDRS). Participants were chosen voluntarily and a written consent was obtained before the administration of the questionnaire from individual patients. In our study we observed that out of 125 patients,males 26[59%]and 18[41%] females were at high risk, males 39[58.2%] and 28[41.8%] females were at moderate risk, males 5[35.7%] and 9[64.3%] females were at low risk of developing diabetes mellitus.

Significados de Morte: o Discurso do Sujeito Coletivo da Enfermagem / Meaning of Death: the collective subject speech of the nursing staff

1970 ◽  
Vol 6 (1) ◽  
pp. 52-58
Author(s):  
Fellipe Afonso de Azevedo ◽  
Noé D’jalma Araújo ◽  
Néliton Célio de Novais ◽  
José Vítor da Silva ◽  
Renato Augusto Passos
Keyword(s):  
Nursing Staff ◽  
Hospital Setting ◽  
Field Research ◽  
Structured Interview ◽  
Minas Gerais ◽  
Structured Interviews ◽  
Cross Sectional ◽  
Emergency Units ◽  
Methodological Guidelines

RESUMOObjetivo: o presente trabalho teve como objetivo identificar os significados de morte emergentes das equipes de enfermagem que atuam nas unidades de Pronto Socorro e Unidade de Terapia Intensiva (UTI) em uma entidade de médio porte situada no Sul de Minas Gerais. Materiais e métodos: estudo de abordagem qualitativa, do tipo descritivo, de campo e transversal. A amostra estudada foi composta de oito enfermeiros, 22 técnicos e quatro auxiliares de enfermagem, totalizando 34 profissionais, sendo utilizado o instrumento de caracterização pessoal e profissional da equipe de enfermagem e o roteiro de entrevista semiestruturada. A amostragem foi proposital. A coleta de dados foi realizada através de entrevista semiestruturada, gravada e transcrita. As diretrizes metodológicas do Discurso do Sujeito Coletivo foram utilizadas para a seleção das ideias centrais e expressões-chave correspondentes, a partir das quais foram extraídos os discursos dos sujeitos, no cenário da instituição hospitalar. Resultados e Discussão: ao analisar o tema “significados de morte”, obtiveram-se as seguintes ideias centrais: “passagem”, “diversos significados”, “fim da vida” e “fim e começo de outra vida”. Conclusão: As concepções acerca do tema morte para os profissionais participantes deste trabalho reforça a necessidade de estudos sobre o tema durante a formação acadêmica. Certos de que irão vivenciar este tipo de situação no dia-a-dia profissional, é preciso prepará-los psicologicamente para isso.Palavras-chave: Morte, Equipe de enfermagem, Assistência ao paciente.ABSTRACTObjective: This study aimed to identify the meanings of emerging death of the nursing staff working in the Emergency Units and Intensive Care Unit (ICU) in a medium-sized entity located in southern Minas Gerais. Materials and methods: A cross-sectional qualitative field research. The sample was composed of 8 nurses, 22 technicians and 4 nursing assistants, totaling 34 professionals. It was used a tool of personal and professional characterization of the nursing team and a semi-structured interview. Sampling was intentional. Data collection was conducted through semi-structured interviews, that were recorded and transcribed. The methodological guidelines of the Collective Subject Speech were used for the selection of the central ideas and corresponding key expressions, from which the speeches of the subjects were taken, in the hospital setting. Results and discussion: to examine the topic "death meanings" yielded the following core ideas: "pass", "different meanings", "end of life" and "end and beginning of another life." Conclusion: The conceptions about the death theme for the professional participants of this study reinforces the need for studies on the subject during their academic training. It is certain that they will experience this type of situation on their daily professional routine, therefore there is a need to prepare them psychologically for this.Keywords: Death, Nursing staff, Patient care.

COVID-19: knowledge, awareness and perceived stress among Jordanian healthcare providers (Preprint)

2020 ◽  
Author(s):  
Emad Aborajooh ◽  
Mohammed Qussay Al-Sabbagh ◽  
Baraa Mafrachi ◽  
Muhammad Yassin ◽  
Rami Dwairi ◽  
...  
Keyword(s):  
Social Media ◽  
Psychological Stress ◽  
Health Care Providers ◽  
Best Practice ◽  
Healthcare Providers ◽  
Cross Sectional Study ◽  
Care Providers ◽  
Cross Sectional ◽  
Ordinal Logistic Regression Analysis ◽  
Source Of Information

UNSTRUCTURED We aimed to measure levels of knowledge, awareness, and stress about COVID-19 among health care providers (HCP) in Jordan. This was a cross-sectional study on 397 HCPs that utilized an internet-based questionnaire to evaluate knowledge about COVID-19, availability of personal protective equipment (PEE), future perception, and psychological distress. Ordinal logistic regression analysis was used to evaluate factors associated with knowledge and psychological stress. Overall, 24.4% and 21.2% of the participants showed excellent knowledge and poor knowledge, respectively. Social media (61.7%) was the most commonly used source of information. Being female (β= 0.521, 95% CI 0.049 to 0.992), physician (β=1.421, 95% CI 0.849 to 1.992), or using literature to gain knowledge (β= 1.161, 95% CI 0.657 to 1.664) were positive predictors of higher knowledge. While having higher stress (β= -0.854, 95% CI -1.488 to -0.221) and using social media (β= -0.434, 95% CI -0.865 to -0.003) or conventional media (β= -0.884, 95% CI -1.358 to -0.409) for information were negative predictors of knowledge levels. HCPs are advised to use the literature as a source of information about the virus, its transmission, and the best practice. PPEs should be secured for HCPs to the psychological stress associated with treating COVID-19 patients.

scholarly journals The Effects of the Civility, Respect, and Engagement in the Workplace (CREW) Program on Social Climate and Work Engagement in a Psychiatric Ward in Japan: A Pilot Study

2021 ◽  
Vol 11 (2) ◽  
pp. 320-330
Author(s):  
Utako Sawada ◽  
Akihito Shimazu ◽  
Norito Kawakami ◽  
Yuki Miyamoto ◽  
Lisa Speigel ◽  
...  
Keyword(s):  
Work Engagement ◽  
Cross Sectional Study ◽  
Social Climate ◽  
Psychiatric Ward ◽  
Medical Doctors ◽  
Cross Sectional ◽  
Factors Affecting ◽  
Staff Members ◽  
Utrecht Work Engagement Scale ◽  
Healthcare Settings

Background: Good social climate and high work engagement are important factors affecting outcomes in healthcare settings. This study observed the effects of a program called Civility, Respect, and Engagement in the Workplace (CREW) on social climate and staff work engagement in a psychiatric ward of a Japanese hospital. Methods: The program comprised 18 sessions installed over six months, with each session lasting 30-min. Participation in the program was recommended to all staff members at the ward, including nurses, medical doctors, and others, but it was not mandatory. A serial cross-sectional study collected data at four time-points. Nurses (n = 17 to 22), medical doctors (n = 9 to 13), and others (n = 6 to 10) participated in each survey. The analysis of variance was used to evaluate the changes in the following dependent variables, the Essen climate evaluation schema (EssenCES), the CREW civility scale, and the Utrecht work engagement scale (UWES) over time. Result: We found no significant effects. The effect size (Cohen’s d) for EssenCES was 0.35 from baseline to post-installation for all staff members. Effect sizes for EssenCES for medical doctors and UWES for nurses were 0.79 and 0.56, respectively, from baseline to post-program. Conclusions: Differences in social climate and work engagement among Japanese healthcare workers between the baseline and post-installation of the CREW program were non-significant.

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