scholarly journals A Cross-Sectional Survey on Occupational Blood and Body Fluid Exposure Risk in a Tertiary Hospital in East Malaysia

2021 ◽  
Vol Volume 14 ◽  
pp. 803-808
Author(s):  
Che Wan Ilmiyah C.W. Ahmad ◽  
Khamisah Awang Lukman ◽  
Raja Muhammad Raja Omar ◽  
Mohammad Saffree Jeffree
Keyword(s):  
Body Fluid ◽  
Tertiary Hospital ◽  
Exposure Risk ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
East Malaysia

scholarly journals Assessment of Antiretroviral Treatment Adherence among Children Attending Care at a Tertiary Hospital in Southeastern Nigeria

2017 ◽  
Vol 2017 ◽  
pp. 1-4
Author(s):  
Cletus Akahara ◽  
Emeka Nwolisa ◽  
Kelechi Odinaka ◽  
Seline Okolo
Keyword(s):  
Tertiary Hospital ◽  
Antiretroviral Drugs ◽  
Self Report ◽  
Duration Of Treatment ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Southeastern Nigeria ◽  
Successful Treatment Outcome ◽  
Antiretroviral Treatment Adherence ◽  
Motivating Factor

Background. Adherence is the strongest predictor of successful treatment outcome among children infected with HIV. Our aim was to assess the antiretroviral drugs adherence status of HIV-infected children attending care at a tertiary hospital in Southeastern Nigeria.Method. The study involved a cross-sectional survey of 210 HIV-infected children attending care at a tertiary hospital in Southeastern Nigeria using self-report method of assessment. Optimal ART adherence is defined as patient taking not missing more than 1 dose of combined antiretroviral therapy medication in the preceding 2 weeks prior to the study.Result. A majority of the subjects 191 (91%) had good adherence. There was a significant relationship between adherence and patient educational level (p=0.004), duration of treatment (p=0.001), drug administrator (p=0.005), and orphan status (p=0.001). The motivating factor for adherence was “not falling sick as before” while stigma was the most discouraging factor.Conclusion. The adherence level in this study was good. Stigma was an important reason given by patient/caregivers for nonadherence. There is need for concerted effort in addressing this barrier to improve adherence and prevent the emergence of drug resistance and treatment failure.

scholarly journals Frequency, comprehension and attitudes of physicians towards abbreviations in the medical record

2018 ◽  
Vol 94 (1111) ◽  
pp. 254-258
Author(s):  
Uri Hamiel ◽  
Idan Hecht ◽  
Achia Nemet ◽  
Liron Pe’er ◽  
Vitaly Man ◽  
...  
Keyword(s):  
Medical Record ◽  
Medical Records ◽  
Online Teaching ◽  
Tertiary Hospital ◽  
Physician Education ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Inappropriate Use ◽  
Online Lecture ◽  
Impact Patient Care

AimsAbbreviations are common in the medical record. Their inappropriate use may ultimately lead to patient harm, yet little is known regarding the extent of their use and their comprehension. Our aim was to assess the extent of their use, their comprehension and physicians’ attitudes towards them, using ophthalmology consults in a tertiary hospital as a model.MethodsWe first mapped the frequency with which English abbreviations were used in the departments’ computerised databases. We then used the most frequently used abbreviations as part of a cross-sectional survey designed to assess the attitudes of non-ophthalmologist physicians towards the abbreviations and their comprehension of them. Finally, we tested whether an online lecture would improve comprehension.Results4375 records were screened, and 235 physicians responded to the survey. Only 42.5% knew at least 10% of the abbreviations, and no one knew them all. Ninety-two per cent of respondents admitted to searching online for the meanings of abbreviations, and 59.1% believe abbreviations should be prohibited in medical records. A short online lecture improved the number of respondents answering correctly at least 50% of the time from 1.2% to 42% (P<0.001).ConclusionsAbbreviations are common in medical records and are frequently misinterpreted. Online teaching is a valuable tool for physician education. The majority of respondents believed that misinterpreting abbreviations could negatively impact patient care, and that the use of abbreviations should be prohibited in medical records. Due to low rates of comprehension and negative attitudes towards abbreviations in medical communications, we believe their use should be discouraged.

scholarly journals Patient Satisfaction with Healthcare at a Tertiary Hospital in Northern Malawi: Results from a Triangulated Cross-sectional Survey

2021 ◽  
Author(s):  
Frank Watson Sinyiza ◽  
Paul Uchizi Kaseka ◽  
Master Rodgers Chisale ◽  
Chikondi Sharon Chimbatata ◽  
Balwani Chingatichifwe Mbakaya ◽  
...  
Keyword(s):  
Patient Satisfaction ◽  
Health Workers ◽  
Health Sector ◽  
Likert Scale ◽  
Tertiary Hospital ◽  
Health Coverage ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Satisfaction With Services

Abstract BackgroundIn 2016 the Malawi government embarked on several interrelated health sector reforms aimed at improving the quality of health services at all levels of care and attain Universal Health Coverage by 2030. Patient satisfaction with services is an important proxy measure of quality. We assessed patient satisfaction at a tertiary hospital in Northern Malawi to understand the current state in the country. MethodsWe conducted exit interviews with patients aged18 years and above using a 28 statement interviewer administered questionnaire. Patients were asked to express their level of agreement to the statements on a five-point Likert scale – strongly disagree to strongly agree, corresponding to scores of 1 to 5. Overall patient satisfaction was calculated by summing up the scores and diving the sum by the number of statements. Scores >3 constituted satisfaction while scores ≤3 constituted dissatisfaction. Patient self-rated satisfaction was determined from a single statement that asked patients to rate their satisfaction with services on a five-point Likert scale. We also solicited inputs from patients on aspects of hospital care that needed improvement. Responses were reviewed and grouped into themes. Recurring themes are presented according to frequencies.ResultsOverall patient satisfaction was 8.4% (95% CI: 5.2% - 12.9%). Patient self-rated satisfaction was 8.9% (95% CI: 5.5% - 13.4%). Patients raised six major issues that dampened their healthcare seeking experience including health workers reporting late to work, doctors not listening to patients concerns and neither examining them properly nor explaining the diagnosis, shortage of medicines, diagnostics and medical equipment, unprofessional conduct of health workers, poor sanitation and cleanliness, and health workers behaviour of favouring or priotising their relatives and friends over other patients.ConclusionWe found very low levels of patient satisfaction, suggesting that quality of services in the public health sector is still low. It is therefore critical to accelerate and innovate the Ministry of Health’s quality improvement initiatives to attain Malawi’s health goals.

An evaluation model of surgery capability of tertiary hospital in disasters: a cross-sectional survey in China

Public Health ◽  
2015 ◽  
Vol 129 (9) ◽  
pp. 1301-1303
Author(s):  
B. Liu ◽  
H. Hu ◽  
Y.R. He ◽  
W.B. Lau ◽  
Y. Cao ◽  
...  
Keyword(s):  
Evaluation Model ◽  
Tertiary Hospital ◽  
Cross Sectional Survey ◽  
Cross Sectional

scholarly journals Determinants of research ability among nurses in a tertiary hospital in China: A cross-sectional survey

2019 ◽  
Vol 7 (10) ◽  
pp. 206-212
Author(s):  
Ming-zhu Wang ◽  
◽  
Ri-hua Xie ◽  
Qiao-cong Lu ◽  
Jie-fen Ou ◽  
...  
Keyword(s):  
Tertiary Hospital ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Research Ability

UTILIZATION AND EFFECTIVENESS OF MALARIA PREVENTION METHODS AMONG PREGNANT WOMEN IN TERTIARY HOSPITAL SITUATED IN RURAL COMMUNITY OF EKITI STATE, NIGERIA

2021 ◽  
pp. 6-9
Author(s):  
Azeez Oyemomi Ibrahim ◽  
Tosin Anthony Agbesanwa ◽  
Olabode Muftau Shabi ◽  
Kayode Ebenezer Ariyibi ◽  
Ayodele Kamal Alabi ◽  
...  
Keyword(s):  
Pregnant Women ◽  
Indoor Residual Spray ◽  
Venous Blood ◽  
Malaria Prevention ◽  
Tertiary Hospital ◽  
Malaria Parasitaemia ◽  
Insecticide Treated Nets ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Prevention Methods

Background: National surveys indicate that among countries in Africa where malaria is endemic, Nigeria alone accounts for 21% of pregnancies that are unprotected from malaria. This study aimed to ascertain the extent of utilization and effectiveness of malaria prevention methods, found out the existing relationship between maternal parasitaemia and the effectiveness of these methods at (p<0.05) level of signicance.Methods: The study was a cross sectional survey involving 264 consenting pregnant women who were recruited at booking clinic at Federal Teaching Hospital, Ido -Ekiti, Ekiti State, Nigeria. Interviewer administered questionnaire was used to elicit information on their socio-demographic characteristics, mode and extent of utilization of malaria prevention methods and their effectiveness. Venous blood samples were collected and analyzed for malaria parasitaemia using the microscopy. Data was analyzed using SPSS version 20.0 Results:The malaria prevention methods most commonly reported as being effective were the Insecticide Treated Nets (ITNs), Indoor Residual Spray (IRS) or both, which were utilized by 97(36.5%), 79 (30.0%) and 88 (33.4%) participants respectively. Eight (8.3%), 9 (10.8%), and 7 (7.9%) of the participants that used ITNs, IRS or both combination respectively tested positive for malaria parasitaemia. There was a statistically signicant association between maternal parasitaemia and malaria prevention methods using ITNs (p=0.001), IRS (p = 0.001) or both (p = 0.001).Conclusion: The most commonly adopted malaria prevention methods were ITNs, Indoor Residual Spray or both. Despite their protective effectiveness, their utilizations are still poor. Information and communication strategies by the stakeholders are suggested to improve the utilization of these methods as adopted by other countries.

Factors Influencing Transcultural Self-Efficacy Among Nurses With Foreign Patient Care Experience

2021 ◽  
pp. 104365962110165
Author(s):  
HyunJung Ham ◽  
Sunghee H. Tak
Keyword(s):  
Patient Care ◽  
Self Efficacy ◽  
Clinical Performance ◽  
Tertiary Hospital ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Intergroup Anxiety ◽  
Care Experience ◽  
Factors Influencing ◽  
Foreign Patient

Introduction As the cultural diversity among patients increases, it becomes important for nurses to be prepared and efficient in providing culturally congruent care. The purpose of this study is to examine the factors influencing transcultural self-efficacy (TSE) among Korean nurses. Methodology A descriptive cross-sectional survey was used, and 131 nurses with foreign patient–care experience were recruited from a university tertiary hospital Results The mean TSE score of participants was 5.27 out of 10 ( SD = 1.50). The practical subscale of TSE was the lowest, while the affective subscale was the highest. A regression analysis revealed that education level, cultural competence, and intergroup anxiety are predictors explaining 58.8% of its variance ( F = 27.5, p < .001). Discussion A low level of TSE causes avoidant behavior and ineffective communication in foreign patient care, resulting in unsatisfactory clinical performance. Effective education programs and administration guidelines may be critical for nurses to improve their TSE.

scholarly journals Nurses’ Experiences and Factors Related to Their Attitudes Regarding Discussions with Patients and Family Members about Do-Not-Resuscitate Decisions and Life-Sustaining Treatment Withdrawal: A Hospital-Based Cross-Sectional Study

2020 ◽  
Vol 17 (2) ◽  
pp. 557
Author(s):  
Hsiao-Ting Chang ◽  
Ming-Hwai Lin ◽  
Chun-Ku Chen ◽  
Tzeng-Ji Chen ◽  
Shinn-Jang Hwang
Keyword(s):  
Tertiary Hospital ◽  
Cross Sectional Study ◽  
Treatment Withdrawal ◽  
Do Not Resuscitate ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
The Future ◽  
Future Care ◽  
Life Sustaining Treatment ◽  
Past Experiences

This study aimed to evaluate nurses’ experiences and factors related to their attitudes regarding discussions of do-not-resuscitate (DNR) and withdrawal of life-sustaining treatment (LST) with patients and their families. A cross-sectional survey was conducted in a tertiary hospital in Taiwan. Nurses aged ≥ 20 years who were in charge of acute inpatient care were randomly recruited. A semi-structured questionnaire was used to evaluate participants’ experiences and attitudes regarding discussions of DNR and LST withdrawal for terminal patients. Logistic regression with adjustment for covariates was used to analyze factors related to participants’ attitudes toward discussions about DNR and LST withdrawal with patients and families in the future care of terminal patients. The participants were 132 nurses. They had significantly more discussions about DNR and LST withdrawal with patients’ families than with patients. Regression analysis showed that participants who had past experiences in actively initiating DNR discussions with patients or patients’ families were significantly more likely to discuss DNR with patients in the future care of terminal patients, but participants aged 40.0 to 60.0 years were significantly less likely to have DNR discussions than those aged 20.0 to 29.9 years. Experiences of actively initiated DNR or LST discussions with patients’ families were significantly more likely to discuss DNR with patients’ families, but those aged 40.0 to 60.0 years were also significantly less likely to have DNR discussions than those aged 20.0 to 29.9 years. Experience in actively initiating discussions about LST withdrawal with patients’ families, being male, and possessing an education level higher than university were significantly related to LST withdrawal discussions with terminal patients or their families in the future. In conclusion, there need to be more discussions about DNR and LST withdrawal with patients. To protect patients’ autonomy and their rights to make decisions about their DNR and LST, measures are needed to facilitate DNR and LST discussions with patients to ensure better end-of-life care.

scholarly journals Ocular Findings among Filipino Patients with Leprosy in a Tertiary Hospital: A Cross-sectional Survey

2021 ◽  
Vol 55 (5) ◽  
Author(s):  
Mae N. Ramirez ◽  
Mark Anthony D. San Juan ◽  
Jay-V James G. Barit ◽  
Jacinto U. Dy-Liacco ◽  
Belen L. Dofitas
Keyword(s):  
Visual Acuity ◽  
Corticosteroid Treatment ◽  
Tertiary Hospital ◽  
The Philippines ◽  
Cross Sectional Survey ◽  
Tertiary Institution ◽  
Cross Sectional ◽  
Ocular Findings ◽  
Age Related ◽  
Ocular Morbidity

Background. Leprosy, a chronic granulomatous disease affecting mainly the skin and peripheral nerves, has widely recognized ocular complications. It is a significant cause of visual impairment in countries where it is still prevalent, including the Philippines. Methods. This was a cross-sectional study that determined the clinical profile and distribution of ocular pathology among Filipino patients with leprosy seen at a tertiary institution in the Philippines. Results. A total of 67 patients consented to be included in the study and were evaluated by an ophthalmologist. Thirty-seven out of the 67 patients diagnosed with leprosy had reported ocular findings. The average age was 41.2 ± 13.1 years and the majority of patients were men (78%). Thirty-six patients were multibacillary cases, 10 (27%) had a lepra reaction, and 24 (65%) were undergoing multi-drug therapy. Three patients had varying degrees of visual acuity impairment (one was visually impaired with visual acuity [VA] 6/24-6/60, one with VA 3/60-5/60, and one with VA <3/60). Steroid-induced cataracts occurred in four patients (6%) with concurrent or previous systemic corticosteroid treatment for lepra reactions. Univariate logistic regression and Fisher’s exact test of patient-, disease-, and treatment-related variables on ocular morbidity revealed non-significant values for all variables except for age with an odds ratio of 1.1 (95% CI, 1.04, 1.16) (p = 0.001). Conclusions. No ocular morbidities directly caused by leprosy were seen, and treatment-related ocular findings (steroid-induced cataracts) were the only morbidities documented. There is an age-related risk for developing ocular morbidity in patients with leprosy.

scholarly journals Digital contact-tracing in France: uptake by COVID-19 risk factor and by exposure risk

2021 ◽  
Author(s):  
M Guillon
Keyword(s):  
Risk Factor ◽  
Contact Tracing ◽  
Exposure Risk ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Conspiracy Theories ◽  
Full Sample ◽  
Factors Associated ◽  
The Government ◽  
Governmental Communication

Abstract Background Few studies have investigated the influence of COVID-19 conspiracy theories on digital contact-tracing adoption and the differentiated uptake of digital contact-tracing by COVID-19 risk factor and by exposure risk. Methods Using a cross-sectional survey conducted in France in November 2020 (N = 1042), we investigate the factors associated with the use of the French ‘TousAntiCovid’ contact-tracing application. Our independent variables of interest include COVID-19 and ‘TousAntiCovid’ perceptions, trust in the government, time and risk preferences and the level of adherence to COVID-19 conspiracy theories. We conduct regression analyses by COVID-19 risk factor and exposure groups. Results Among the full sample, a negative association is found between the propensity to believe in COVID-19 conspiracy theories and the use of ‘TousAntiCovid’. French respondents at risk of severe COVID-19 form are more likely to use ‘TousAntiCovid’. No difference in uptake is found by exposure group. Group analyses indicate that the factors associated with the uptake of digital contact-tracing differ by COVID-19 risk factor and exposure risk. Conclusion Governmental communication to fight COVID-19 misinformation and to stress out the utility and data safety of ‘TousAntiCovid’ should be reinforced. Targeted communication campaigns should be conducted among low adoption groups and key groups in COVID-19 transmission.

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