scholarly journals “COVID-19: The final nail in coffin for physical examination” Evaluation of the effects of COVID-19 pandemic on physical examination habits of residents in a university hospital: a cross-sectional survey

2021 ◽  
Author(s):  
Mehmet Erdevir ◽  
Oğuz Uyaroğlu ◽  
Murat Özdede ◽  
Mine Durusu Tanriover
Keyword(s):  
Physical Examination ◽  
Online Survey ◽  
University Hospital ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Internal Medicine Residents ◽  
Significant Difference ◽  
Independent Risk Factors ◽  
Self Protection ◽  
And Training

Aims: It is evident that COVID-19 pandemic have affected the medical practice and training of residents. In this study, we evaluated the Physical Examination (PE) habits of residents working in a university hospital and how their PE practices did change during the pandemic. Methods: This single-center, non-interventional, cross-sectional descriptive study was conducted in a university hospital using an online survey questionnaire from 5 to 20 October 2020. Results: 308 residents participated in the study of whom 172 of them (55.8%) were female and the median age was 27 (IQR:3). Among all, 263 participants (85.4%) declared that they have worked in the areas where suspected/confirmed COVID-19 patients were being served. A total of 262 (85%) residents stated that PE habits have changed generally during the pandemic. There was a significant difference between those residents who have worked in the COVID-19 areas (n=230,87.5%) and those who have not (n=32, 71.1%) (p=0.004). PE habits of Internal Medicine Residents were more changed than others (p<0.001). The main reason for the change in PE habits in general (77.9%) and during the examination of suspected/confirmed COVID-19 patients (89.7%) were ‘’self-protection”. Reliance on laboratory and radiologic investigations during practice and not having a thought that less PE will disrupt the diagnosis and course of COVID-19 were also independent risk factors for performing less PE in suspected/confirmed COVID-19 patients. Discussion: This study clearly demonstrated that the COVID-19 pandemic has had a serious impact on the PE habits of the residents while examing patients in general and with COVID-19.

scholarly journals Expectations Regarding Dental Practice: A Cross-Sectional Survey of European Dental Students

2020 ◽  
Vol 17 (19) ◽  
pp. 7296
Author(s):  
Thomas Gerhard Wolf ◽  
Ralf Friedrich Wagner ◽  
Oliver Zeyer ◽  
Duygu Ilhan ◽  
Tin Crnić ◽  
...  
Keyword(s):  
Private Equity ◽  
Online Survey ◽  
Career Planning ◽  
Positive Influence ◽  
Dental Students ◽  
Insurance Companies ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Future Career ◽  
Significant Difference

Obtaining information on expectations among dental students regarding their career planning was the main purpose of this observational online survey. The questionnaire was designed with 18 items in five different languages: English, French, German, Italian and Spanish. Data were collected on nationality, age, sex, country of residence, university attended, semester, expected year of graduation and expectations about future career. More than 3000 participants (n = 3851, 2863 females 74.34% and 988 males 25.66% with a sex ratio of 0.35) participated in the survey. Almost one-third (31.29%) of the participants plan to start their own practice at least three years after vocational training, a quarter (25.76%) after three, and only 12.59% after one year. A positive influence of the family in the decision to start a practice was observed in 50.07% of the sample with a statistically significant difference regarding sex (p < 0.01). Almost one-third of the participants did not wish to work in an institution run by private equity or insurance companies, while 21.79% would work in that environment (p < 0.01). European dental students desire mainly to become self-employed and start their own practice. New professional practices also offer them options for their future career that they have not yet decided on or thought about.

scholarly journals EVIDENCE-BASED MEDICINE IN THE TIMES OF COVID-19: A CROSS-SECTIONAL SURVEY TO UNDERSTAND THE INDIAN PERSPECTIVE

2021 ◽  
Vol 5 (5) ◽  
Author(s):  
Karan B. Bhanushali ◽  
Nikita Gupta ◽  
Vinayak Mishra ◽  
Heena Asnani
Keyword(s):  
Decision Making ◽  
Clinical Experience ◽  
Evidence Based Medicine ◽  
Online Survey ◽  
Medical Literature ◽  
Evidence Based ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Significant Difference ◽  
Based Medicine

Introduction: During the COVID-19 pandemic, there is a tremendous amount of literature published regularly. In a country like India, historically, where there is a paternalistic approach to practicing medicine, there is a lot of hindrance to evidence-based medicine (EBM). Doctors have always weighed one's clinical experience superior over any other form of decision-making. This system of practice has made decision-making difficult for the physicians during this pandemic as COVID-19 is a reasonably new disease entity and the physicians lack enough 'prior experience' dealing with such a situation. Our survey tries to address the common barriers to evidence-based medical practices especially during the COVID-19 pandemic in India. We also try to explore the various source of information used by the doctors. Methods: It is a descriptive cross-sectional survey. The questions were provided in multiple-choice question format. An online survey comprising of 10 questions entitled “Hurdles faced by physicians to assimilate evidence-based guidelines on COVID-19” was made using Google Forms (Google Inc, California, US) and circulated through email to medical practitioners in the Ghatkopar (Mumbai, India) Medical Association's register from 17th June 2020 to 1st September 2020. Results: Our survey collected 213 responses, out of which 80.3% (n=171) of doctors were involved in care, counseling, or management of COVID-19 patients. The most opted primary sources for evidence-based information during this pandemic were teachings of/discussions with medical colleagues (71.4%, n=152), followed by online webinars (59.6%, n= 127) and social media (41.8%, n=89). When questioned about the main obstacles faced by them to obtain evidence-based information, the responses were as follows: Overload of medical literature (53.5%, n=114), limited access to quality resources (40.8%, n=87), unfamiliarity with the bio-statistics analysis (39%, n= 83), difficulty in locating relevant medical literature (38%, n=81), unfamiliarity with the research methodology (37.1%, n=79), lack of time (30%, n=64).  Our respondents' perspective concerning EBM attributes: 57.3% (n=122) think evidence-based practice takes their clinical experience into account. 93.4% (n=199) of them have shown an interest in broadening their skills. There was no significant difference between doctors' attitudes with less than 10 years and more than 10 years of experience (chi-square value = 0.857, p = 0.65). Conclusion: Our survey results highlight the balance maintained between evidence-based medicine and experience-based medicine by Indian physicians. They identify the importance of EBM while acknowledging its shortcomings. They realize the significance of developing their repertoire to understand, appraise, and practice EBM. Keywords: EBM, COVID-19

scholarly journals An Analysis of Italian Nurses’ Approach to Patients’ Pain: A Nationwide Online Survey

2018 ◽  
Vol 2018 ◽  
pp. 1-8 ◽  
Author(s):  
Chiara Angeletti ◽  
Cristiana Guetti ◽  
Martina Paesani ◽  
Silvia Colavincenzo ◽  
Alessandra Ciccozzi ◽  
...  
Keyword(s):  
Pain Assessment ◽  
Online Survey ◽  
Pain Treatment ◽  
Central Italy ◽  
Healthcare Providers ◽  
Clinical Approach ◽  
The South ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Significant Difference

Healthcare providers play a fundamental role in evaluating pain. Several issues about how nurses are educated remain unsolved. The aim of our study was to address how Italian nurses manage patients suffering from pain in daily practice. A cross-sectional survey was administered among Italian registered nurses. Data were collected using a 34-item questionnaire that had been previously validated during a pilot study. The lowest level of participation/education/information events was observed in the South (p=0.0001). A significant difference among the four areas was found in the department affiliation of responders (p=0.0001). Pain assessment at patients’ admission was most frequent in the Northeast (32.9%), whereas the lowest frequency was found in the South (15.1%) (p=0.0001). The prevalence of nurses’ knowledge of pain scales and their distribution in usual applications was similar in the Northwest and -east, and Central Italy, but lower in the South (p=0.0001). This study underlines the need for change in the clinical approach to pain treatment in healthcare. Pain assessment is a fundamental step for preparing individualized therapeutic plans, and nurses play a crucial role in improving the quality of life of suffering patients.

scholarly journals Challenges in PhD education due to COVID-19 - disrupted supervision or business as usual: a cross-sectional survey of Swedish biomedical sciences graduate students

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Emma Börgeson ◽  
Matus Sotak ◽  
Jamie Kraft ◽  
Grace Bagunu ◽  
Christina Biörserud ◽  
...  
Keyword(s):  
Online Survey ◽  
Medical Science ◽  
Sufficient Evidence ◽  
Biomedical Sciences ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Significant Difference ◽  
The Impact ◽  
Phd Programs ◽  
Group 1

Abstract Background It remains unclear to what extent the SARS-CoV-2/COVID-19 pandemic disrupted the normal progression of biomedical and medical science graduate programs and if there was a lasting impact on the quality and quantity of supervision of PhD-students. To date, multiple editorials and commentaries indicate the severity of the disruption without providing sufficient evidence with quantifiable data. Methods An online survey was submitted to the administrative offices of biomedical and medical PhD-programs at eight major universities in Sweden to gauge the impact of the pandemic on the students. It consisted of multiple-choice and open-ended questions where students could provide examples of positive and/or negative supervision strategies. Open answered questions were coded as either examples of positive or negative support. Results PhD students were divided into two groups: those with improved or unchanged supervision during the pandemic (group 1, n = 185), versus those whose supervision worsened (group 2, n = 69). Group 1 received more help from supervisors and more frequent supervision via both online and alternative platforms (email/messages and telephone). There was no significant difference in educational-stage, gender or caretaking responsibilities between the groups. Conclusions It is important for the scientific community to learn how to provide the best possible supervision for PhD students during the pandemic. Our data suggests that more frequent supervision, and using a diverse array of meeting platforms is helpful. In addition, it is important for the students to feel that they have their supervisor’s emotional support. Several students also expressed that they would benefit from an extension of their PhD programs due to delays caused by the pandemic.

Preference to Patient-Centeredness in Undergraduate Audiology Students in Portugal

2016 ◽  
Vol 27 (10) ◽  
pp. 816-823 ◽  
Author(s):  
Vinaya Manchaiah ◽  
David Tomé ◽  
Ashley L. Dockens ◽  
Monica Harn ◽  
Purushothaman Ganesan
Keyword(s):  
Survey Design ◽  
Education And Training ◽  
Full Scale ◽  
Patient Centeredness ◽  
Cross Sectional Survey ◽  
Patient Centered ◽  
Cross Sectional ◽  
Significant Difference ◽  
The Difference ◽  
And Training

Background: In health care, the model of patient-centered care is growing; and improved outcomes have been linked to patient-centeredness. Practicing audiologists have been found to strongly prefer a patient-centered approach as years in practice increase. It is unknown whether patient-centeredness begins during education and training. Purpose: The current study was aimed at understanding the preference to patient-centeredness in undergraduate audiology students in Portugal. Research Design: The study used a cross-sectional survey design. Study Sample: One hundred and thirty-seven undergraduate audiology students completed patient–practitioner orientation scale (PPOS) and provided some demographic details. Data Collection and Analysis: The data were analyzed using one-way analysis of variance and one-sample t tests. Results: A significant difference was found for sharing subscale (p ≤ 0.001), caring subscale (p = 0.033), and the PPOS full scale (p ≤ 0.001) among different undergraduate groups. Further, post hoc tests showed that the difference between year 1 and with years 2, 3, and 4 were significant for sharing subscale and PPOS full scale, but not for caring subscale. No significant differences were observed among the years 2, 3, and 4 for sharing subscale, caring subscale, and for PPOS full scale. When compared audiologists’ preferences from a previous study on audiologists with students’ preferences in the current study, significant difference for both subscales and full scale was found between year 1 students and audiologists (p ≤ 0.001), with higher preference to patient-centeredness was reported by qualified audiologists. Also, significant difference was found between audiologists and overall undergraduate group for caring subscale (p = 0.001). Conclusions: The current study suggests that audiology education influences preference to patient-centeredness. Within a year of undergraduate coursework, students tend to develop high preference to patient-centeredness, which stays stable during four years of undergraduate studies. These results provide useful insights to audiology education and training, particularly in the context of audiological rehabilitation.

scholarly journals Patient Opinion of Visiting Therapy Dogs in a Hospital Emergency Department

2020 ◽  
Vol 17 (8) ◽  
pp. 2968
Author(s):  
Joanne Reddekopp ◽  
Colleen Anne Dell ◽  
Betty Rohr ◽  
Barbara Fornssler ◽  
Maryellen Gibson ◽  
...  
Keyword(s):  
Emergency Department ◽  
University Hospital ◽  
Therapy Dogs ◽  
Hospital Emergency ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Convenience Sample ◽  
Therapy Dog ◽  
Significant Difference ◽  
Patient Opinion

To date there have been no studies examining whether patients want emergency department (ED) therapy dog programs. This patient-oriented study examined the opinions of patients about whether they would want to be visited by a therapy dog in the Royal University Hospital ED. Cross-sectional survey data were collected over a six week period from a convenience sample of 100 adult patients who had not been visited by a therapy dog in the ED. Most (80%) indicated they would want a visit by a therapy dog as an ED patient. A higher proportion of individuals who currently have a pet dog (95%) or identify as having lots of experience with dogs (71%) were more likely to indicate this want compared to those without a dog (90%) or little to no experience with dogs (62%). The majority were also of the opinion that patients may want to visit a therapy dog in the ED to reduce anxiety (92%) and frustration (87%) as well as to increase comfort (90%) and satisfaction (90%) and to a lesser extent to reduce pain (59%). There was no significant difference in findings by gender or age, other than a higher proportion of older adults and females identifying cultural background and tradition as a possible reason that patients may not want to be visited by a therapy dog. The findings of this study can help guide considerations for future ED therapy dog programs.

scholarly journals KNOWLEDGE ATTITUDE AND PRACTICE TOWARD COVID-19 DISEASE AMONG VARIOUS PROFESSIONALS: A CROSS-SECTIONAL ONLINE SURVEY

2021 ◽  
pp. 60-63
Author(s):  
ABEETHA S ◽  
RAMYA K ◽  
BHAGYASHREE N ◽  
SUMA S ◽  
SUREKA V
Keyword(s):  
Marital Status ◽  
Online Survey ◽  
Statistical Significance ◽  
Local Health Authority ◽  
Local Health ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Attitude And Practice ◽  
Significant Difference ◽  
Knowledge Attitude And Practice

Objectives: This study aims to assess the knowledge, attitude, and practice associated with COVID-19 disease by undertaking a web-based online survey. Methods: A cross-sectional survey was conducted all over India during the initial phase of COVID-19 hit between March 19, 2020, and March 29, 2020. Anyone aged 18 years and above using social media were included in the study. The questionnaire had a section on sociodemography which had questions regarding age, gender, marital status, and occupation. This was followed by questions on knowledge, attitude, and practice regarding the COVID-19 pandemic. The knowledge scores were summarized as median with interquartile range as the data followed a non-normal distribution. Attitude and practice questions were summarized individually as proportions and its association with socio-demographic variables was established using Chi-square test. The statistical significance was set at p<0.05. Results: Occupational groups, marital status, and age group had significant difference between the groups with at least one of the practices with p<0.05. Conclusion: Since the study provides enhancing effect of knowledge toward protective behaviors, the awareness raising activities and health education through mass media and campaigns, this should urgently be conducted focusing on effectiveness of hand washing, cough etiquette, social distancing, and responsibility to inform suspected cases to local health authority to prevent COVID-19.

scholarly journals Assessment on knowledge, attitude, practices and risk of infection towards COVID-19 in Ethiopia: An online cross-sectional survey

2020 ◽  
Author(s):  
Solomon Benor ◽  
Solomon Abera ◽  
Ayele Mandefro ◽  
Rocktotpal Konwarh ◽  
Arumuganainar Suresh
Keyword(s):  
Online Survey ◽  
Moderate Level ◽  
Control Measures ◽  
Average Score ◽  
Risk Of Infection ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Attitudes And Practices ◽  
Significant Difference ◽  
Similar Vein

Abstract COVID-19 has ushered in a catastrophe of an unprecedented scale across all parts of the world. Confirmed cases and death toll are constantly on an upward trend. Various measures to control the disease have been adopted globally including in Ethiopia. However, people’s adherence to such control measures is affected by their knowledge, attitudes and practices (KAP) during the pandemic. This cross-sectional online survey was therefore, conducted to appraise the KAP vis-a-vis COVID-19 containment strategy during May 13-25, 2020. The online survey questionnaire consisted of demographic characteristics and interrogations, pertaining to knowledge (15 items), attitude (10 items) and practices (7 items), framed in accordance to previous studies. A total of 1,484 respondents completed the survey. The overall correct response rating and average score of the knowledge were 74.7 % and 11.2 ± 2.2 respectively. Maximum respondents (63 %) could be bracketed together with a moderate level on knowledge, attitudes while only 43 % had moderate level of practice, with significant difference across demographic variables. Despite the moderate level, the practices were not creditable as the registered values evinced that 1 out of 5 never wore nose mask, washed hands or maintained social distance. In a similar vein, 17.6 %, and 43.2 % of the respondents were in high and in medium risk of infection, respectively. Results of our study recommended the importance and need of health education programs aimed at improving KAP, especially the practices in the milieu of COVID-19.

scholarly journals Challenges in PhD education due to COVID-19 - disrupted supervision or business as usual: a cross-sectional survey of Swedish biomedical sciences graduate students

2021 ◽  
Author(s):  
Emma Börgeson ◽  
Matus Sotak ◽  
Jamie Kraft ◽  
Grace Bagunu ◽  
Christina Biörserud ◽  
...  
Keyword(s):  
Online Survey ◽  
Medical Science ◽  
Sufficient Evidence ◽  
Biomedical Sciences ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Significant Difference ◽  
The Impact ◽  
Phd Programs ◽  
Group 1

Abstract Background: It remains unclear to what extent the SARS-CoV-2/COVID-19 pandemic disrupted the normal progression of biomedical and medical science graduate programs and if there was a lasting impact on the quality and quantity of supervision of PhD-students. To date, multiple editorials and commentaries indicate the severity of the disruption without providing sufficient evidence with quantifiable data. Methods: An online survey was submitted to the administrative offices of biomedical and medical PhD-programs at eight major universities in Sweden to gauge the impact of the pandemic on the students. It consisted of multiple-choice and open-ended questions where students could provide examples of positive and/or negative supervision strategies. Open answered questions were coded as either examples of positive or negative support.Results: PhD students were divided into two groups: those with improved or unchanged supervision during the pandemic (group 1, n=167), versus those whose supervision worsened (group 2, n=69). Group 1 received more help from supervisors and more frequent supervision via both online and alternative platforms (email/messages and telephone). There was no significant difference in educational-stage, gender or caretaking responsibilities between the groups.Conclusions: It is important for the scientific community to learn how to provide the best possible supervision for PhD students during the pandemic. Our data suggests that more frequent supervision, and using a diverse array of meeting platforms is helpful. In addition, it is important for the students to feel that they have their supervisor’s emotional support. Several students also expressed that they would benefit from an extension of their PhD programs due to delays caused by the pandemic.

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