scholarly journals QUESTIONNAIRE-BASED STUDY ON THE ASSESSMENT OF DOCTOR OF PHARMACY INTERNS’ KNOWLEDGE, ATTITUDE, AND PRACTICES REGARDING THE PHARMACOVIGILANCE

Author(s):  
MEDA VENKATASUBBAIAH ◽  
DWARAKANADHA REDDY P ◽  
SUGGALA V SATYANARAYANA

Objectives: The present study was contemplated and done to assess the knowledge, attitude, and practices (KAP) toward adverse drug reactions (ADR) reporting and Pharmacovigilance (PV) of the Doctor of Pharmacy Pharm.D interns for the first time in South India, to get an insight into their awareness and reporting culture. Methods: A cross-sectional descriptive KAP questionnaire-based study was conducted for 6 months on Pharm.D interns. Results: A total of 603 Pharm.D interns were participated, among them 578 (95.85%) were considered for the analysis. On an average of 78.25% of the participants had a good knowledge, around 82% were aware that patients’ will be benefited from the ADR reporting. The majority of the participants had a positive attitude. Moreover, 59% had reported the ADRs through different ADR reporting procedures 52% were advised the awareness programs for improving the reporting culture, and 34% had the difficulty in deciding or diagnosing the ADR. Conclusion: The KAP of the Pharm.D interns toward the ADR reporting and PV is appreciable and may reduce the burden on the other healthcare workers and improve patient care.

2021 ◽  
pp. 186-193
Author(s):  
Meda Venkatasubbaiah ◽  
P Dwarakanadha Reddy ◽  
Suggala V Satyanarayana

Introduction: Lack of awareness about pharmacovigilance (PV) is one of the most important causes of under-reporting, which is widespread and poses a daunting challenge in India. The aim of this study is to assess and to document the knowledge, attitude, and practices (KAP) of Doctor of Pharmacy (Pharm.D) interns who practicing in hospitals with regards to PV and adverse drug reaction (ADR) reporting and to identify the causes of under reporting. Methods: This cross-sectional descriptive study was conducted for a period of six months across ten hospitals in Andhra Pradesh, India. Results: Overall, 578 responses were analysed, 78% of the participants had good knowledge on reporting ADR, 82% were aware that patient will be benefited from the ADR reporting, and the majority of the participants had a positive attitude towards reporting ADR. Fifty-nine percentage of the participants had reported the ADRs through different ADR reporting procedures, 52% were advised the awareness programmes for improving the reporting culture, and 34% had the difficulty in deciding or diagnosing the ADR. Conclusion: The KAP of the Pharm.D interns is appreciable and may reduce the burden on the other healthcare providers and improve patient care.


2017 ◽  
Vol 23 (1) ◽  
pp. 104-122 ◽  
Author(s):  
Guillermina Noël ◽  
Janet Joy ◽  
Carmen Dyck

Improving the quality of patient care, generally referred to as Quality Improvement (QI), is a constant mission of healthcare. Although QI initiatives take many forms, these typically involve collecting data to measure whether changes to procedures have been made as planned, and whether those changes have achieved the expected outcomes. In principle, such data are used to measure the success of a QI initiative and make further changes if needed. In practice, however, many QI data reports provide only limited insight into changes that could improve patient care. Redesigning standard approaches to QI data can help close the gap between current norms and the potential of QI data to improve patient care. This paper describes our study of QI data needs among healthcare providers and managers at Vancouver Coastal Health, a regional health system in Canada. We present an overview of challenges faced by healthcare providers around QI data collection and visualization, and illustrate the advantages and disadvantages of different visualizations. At present, user– centred and evidence–based design is practically unknown in healthcare QI, and thus offers an important new contribution.


2015 ◽  
Vol 39 (1-3) ◽  
pp. 74-83 ◽  
Author(s):  
Melissa Mendoza ◽  
Maggie Han ◽  
Anna Meyring-Wösten ◽  
Kenneth Wilund ◽  
Peter Kotanko

Hemodialysis (HD) patients are less active than their healthy counterparts; this is associated with higher mortality. Healthcare workers observe their patients only during HD, which accounts for about 7% of the week. Knowing more about what occurs in between sessions, particularly with respect to physical activity, may improve patient care and prognosis. Yet without a standard method to measure interdialytic activity, it is difficult to compare the effect of interventions. However, it is unclear how interdialytic activity can be accurately measured. Since activity associated with quality of life is multi-dimensional, objective and subjective tools should be used in conjunction. While commercially available tracking devices can be seamlessly incorporated into everyday life and can increase awareness of user's activity, their validation is needed in the HD population. Fertile topics for research should include the relationship between objective and subjective measures in HD patients, and the investigation of physical activity in non-ambulatory HD patients.


2012 ◽  
Vol 2012 ◽  
pp. 1-11 ◽  
Author(s):  
Ke Guan ◽  
Zhangdui Zhong ◽  
Bo Ai ◽  
Ruisi He ◽  
Yuanxuan Li ◽  
...  

Along with the increase of the use of working frequencies in advanced radio communication systems, the near-region inside tunnels lengthens considerably and even occupies the whole propagation cell or the entire length of some short tunnels. This paper analytically models the propagation mechanisms and their dividing point in the near-region of arbitrary cross-sectional tunnels for the first time. To begin with, the propagation losses owing to the free space mechanism and the multimode waveguide mechanism are modeled, respectively. Then, by conjunctively employing the propagation theory and the three-dimensional solid geometry, the paper presents a general model for the dividing point between two propagation mechanisms. It is worthy to mention that this model can be applied in arbitrary cross-sectional tunnels. Furthermore, the general dividing point model is specified in rectangular, circular, and arched tunnels, respectively. Five groups of measurements are used to justify the model in different tunnels at different frequencies. Finally, in order to facilitate the use of the model, simplified analytical solutions for the dividing point in five specific application situations are derived. The results in this paper could help deepen the insight into the propagation mechanisms in tunnels.


2019 ◽  
Vol 74 (8) ◽  
pp. 2451-2458 ◽  
Author(s):  
A Perozziello ◽  
F X Lescure ◽  
A Truel ◽  
C Routelous ◽  
L Vaillant ◽  
...  

Abstract Objectives To assess prescribers’ experiences and opinions regarding antimicrobial stewardship programme (ASP) activities. Methods A cross-sectional paper-based survey was conducted among prescribers in 27 out of 35 randomly selected large hospitals in France. Results All 27 investigated hospitals (20 non-university public, 4 university-affiliated and 3 private hospitals) had an ASP and an appointed antibiotic advisor (AA), with a median of 0.9 full-time equivalents per 1000 acute-care beds (IQR 0–1.4). Of the 1963 distributed questionnaires, 920 were completed (46.9%). Respondents were mainly attending physicians (658/918, 71.7%) and medical specialists (532/868, 61.3%). Prescribers identified two main ASP objectives: to limit the spread of resistance (710/913, 77.8%) and to improve patient care and prognosis (695/913, 76.1%). The presence of an AA constituted a core element of ASP (96.2% agreement between answers of ASP leader and respondents). Respondents acknowledged an AA’s usefulness especially on therapeutic issues, i.e. choosing appropriate antibiotic (agreement 84.7%) or adapting treatment (89.6%), but less so on diagnostic issues (31.4%). Very few respondents reported unsolicited counselling and post-prescription controls. Three-quarters of prescribers identified local guidelines (692/918, 75.4%). Prescribers did not approve of measures counteracting their autonomy, i.e. automatic stop orders (agreement 23.4%) or pre-approval by AAs (28.8%). They agreed more with educational interventions (73.0%) and clinical staff meetings (70.0%). Conclusions Prescribers perceived ASP mainly through its ‘on-demand’ counselling activities. They preferred measures that did not challenge their clinical autonomy. High levels of antibiotic consumption in French hospitals bring into question the effectiveness of such an approach. However, limited ASP staffing and resources may preclude extended activities.


2020 ◽  
Vol 2 (2) ◽  
pp. 153-157
Author(s):  
Prodalima Sinulingga ◽  
Delfriana Ayu A

The family is the primary and first educator before the child obtains education in school and in the community. From the family was the first time to learn. So the family is the personality of the child is not limited to the successor. There are parents who want their children to behave according to their wishes, others who desire their children more freedom in thinking and action, some are too protective of their children, and some also invite their child to discuss in doing things. Sexual behavior is a behavior aimed at attracting the opposite sex and associated with sexual intercourse activity. Sexual activity is an activity undertaken in an effort to meet sexual urges. This research is done in order to know the overview of parenting patterns and adolescents ' sexual behavior. This type of research is descriptive by using a survey approach and a cross sectional approach. The total population in this study was 36 teenagers in Sub-district of Mangga Medan Tuntungan with sampling techniques using Simple Random Sampling. The study was conducted from February to April 2020. The conclusion that can be withdrawn from this study is; Based on 36 teenage boys and girls participating in the study were the result that the parenting patterns of their children were in the democratic category of 18 people, authoritarian as much as 13 people and permissive as many as 3 people. Later for sexual behavior in adolescents the majority of respondents said that it behaved not at risk as much as 28 people and at the risk of 8 people. It is hoped that this research further adds to the wider community's insight into how to create parents ' foster patterns towards their children and is expected to social institutions that have child and adolescent awareness programs to conduct health education not only about reproductive health but rather cover the overall aspects related to adolescents and their development.


BMJ Open ◽  
2020 ◽  
Vol 10 (12) ◽  
pp. e046620
Author(s):  
Timothy D Dye ◽  
Lisette Alcantara ◽  
Shazia Siddiqi ◽  
Monica Barbosu ◽  
Saloni Sharma ◽  
...  

ObjectivesEssential healthcare workers (HCW) uniquely serve as both COVID-19 healers and, potentially, as carriers of SARS-CoV-2. We assessed COVID-19-related stigma and bullying against HCW controlling for social, psychological, medical and community variables.DesignWe nested an analytical cross-sectional study of COVID-19-related stigma and bullying among HCW within a larger mixed-methods effort assessing COVID-19-related lived experience and impact. Adjusted OR (aOR) and 95% CIs evaluated the association between working in healthcare settings and experience of COVID-19-related bullying and stigma, controlling for confounders. Thematic qualitative analysis provided insight into lived experience of COVID-19-related bullying.SettingWe recruited potential participants in four languages (English, Spanish, French, Italian) through Amazon Mechanical Turk’s online workforce and Facebook.ParticipantsOur sample included 7411 people from 173 countries who were aged 18 years or over.FindingsHCW significantly experienced more COVID-19-related bullying after controlling for the confounding effects of job-related, personal, geographic and sociocultural variables (aOR: 1.5; 95% CI 1.2 to 2.0). HCW more frequently believed that people gossip about others with COVID-19 (OR: 2.2; 95% CI 1.9 to 2.6) and that people with COVID-19 lose respect in the community (OR: 2.3; 95% CI 2.0 to 2.7), both which elevate bullying risk (OR: 2.7; 95% CI 2.3 to 3.2, and OR: 3.5; 95% CI 2.9 to 4.2, respectively). The lived experience of COVID-19-related bullying relates frequently to public identities as HCW traverse through the community, intersecting with other domains (eg, police, racism, violence).InterpretationAfter controlling for a range of confounding factors, HCW are significantly more likely to experience COVID-19-related stigma and bullying, often in the intersectional context of racism, violence and police involvement in community settings.


2021 ◽  
Author(s):  
Antony Tebitendwa

The study aimed at finding out whether there is a relationship between intergroup conflicts and organizational Performance, using the case of Kiboga hospital. The study contributes to the body of existing literature by laying down strategies for managing and reducing intergroup conflicts. The study employed a cross-sectional research design along with a quantitative approach. The study population was 95 of which a sample size of 76 respondents was selected using Krejcie and Morgan table. Data was collected by the use of a questionnaire which was self-administered. Data were analyzed by the use of Statistical Package for Social Science (SPSS) through descriptive statistics and correlation analysis. Results revealed that respondents consented that intergroup conflicts affect performance with an average mean of 4.154 and a standard deviation of 1.092. A correlation coefficient of 0.903 which is significant at 0.01, revealed that there is a significant relationship between intergroup conflicts and performance which lead to the rejection of a null hypothesis. The study concluded that moderate levels of conflicts improve performance since they stimulate thinking and creativity in decision making towards goal achievement. However, extreme levels of conflict reduce performance in terms of patient care for our case of investigation. The study recommended strategies management can employ to manage extreme levels of conflicts to improve patient care.


Crisis ◽  
2016 ◽  
Vol 37 (2) ◽  
pp. 130-139 ◽  
Author(s):  
Danica W. Y. Liu ◽  
A. Kate Fairweather-Schmidt ◽  
Richard Burns ◽  
Rachel M. Roberts ◽  
Kaarin J. Anstey

Abstract. Background: Little is known about the role of resilience in the likelihood of suicidal ideation (SI) over time. Aims: We examined the association between resilience and SI in a young-adult cohort over 4 years. Our objectives were to determine whether resilience was associated with SI at follow-up or, conversely, whether SI was associated with lowered resilience at follow-up. Method: Participants were selected from the Personality and Total Health (PATH) Through Life Project from Canberra and Queanbeyan, Australia, aged 28–32 years at the first time point and 32–36 at the second. Multinomial, linear, and binary regression analyses explored the association between resilience and SI over two time points. Models were adjusted for suicidality risk factors. Results: While unadjusted analyses identified associations between resilience and SI, these effects were fully explained by the inclusion of other suicidality risk factors. Conclusion: Despite strong cross-sectional associations, resilience and SI appear to be unrelated in a longitudinal context, once risk/resilience factors are controlled for. As independent indicators of psychological well-being, suicidality and resilience are essential if current status is to be captured. However, the addition of other factors (e.g., support, mastery) makes this association tenuous. Consequently, resilience per se may not be protective of SI.


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