Current Status of Obstetric Anaesthesia Services (Oasis): A Cross- Sectional Survey of Public Hospitals in Khartoum State, Sudan

Background: Medical services in general, and anaesthetic services in particular, in Sudan have been vulnerable to changes secondary to the socio-economic factors over the last few decades. Objective: This cross-state survey aims to identify the current set up of obstetric anaesthesia services in 19 hospitals - representing all public hospitals in Khartoum State with maternity units- and audit them against internationally set standards. Methodology: This is a cross-sectional descriptive non-interventional study. Questionnaires- based on the World Federation of Societies of Anaesthesiologists (WFSA) Safe Anaesthesia Standards- were distributed to Anaesthetic departments’ heads at the time of the study (first to fourteenth of May 2016) of 19 public hospitals. This is the total number of public hospitals delivering obstetric services in Khartoum State. All filled out questionnaires were returned (response rate 100%). Collected information/data provided were subsequently entered into an Excel sheet and analysed. Results were tabulated. Results: There was a considerable variation in the capacity of the surveyed hospitals in terms of human resources, caseload and set up. Improper utilisation of already deficient anaesthesiologist in covering high load obstetrics services was also noticed. All the hospitals fell short of recommendations for minimum standards set by the World Federation of Societies of Anaesthesiologists (WFSA). Conclusion: There is a vast gap between international set standards and the current set up of obstetric anaesthesia in Khartoum State public hospitals. Necessary concerted efforts from governmental, non-governmental and professional bodies are warranted to improve obstetric anaesthetic services in Khartoum State.

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Anaesthesiology in China: A cross-sectional survey of the current status of anaesthesiology departments

The Lancet Regional Health - Western Pacific ◽

10.1016/j.lanwpc.2021.100166 ◽

2021 ◽

Vol 12 ◽

pp. 100166

Author(s):

Changsheng Zhang ◽

Shengshu Wang ◽

Hange Li ◽

Fan Su ◽

Yuguang Huang ◽

...

Keyword(s):

Current Status ◽

Cross Sectional Survey ◽

Cross Sectional

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Healthcare workers’ compliance and its potential determinants to prevent COVID-19 in public hospitals in Western Ethiopia

BMC Infectious Diseases ◽

10.1186/s12879-021-06149-w ◽

2021 ◽

Vol 21 (1) ◽

Author(s):

Werku Etafa ◽

Gosa Gadisa ◽

Shibiru Jabessa ◽

Tagay Takele

Keyword(s):

Healthcare Workers ◽

Preventive Measures ◽

Binary Logistic Regression ◽

Multivariate Regression Analysis ◽

Public Hospitals ◽

Cross Sectional Survey ◽

Cross Sectional ◽

Healthcare Associated ◽

Staff Commitment ◽

Western Ethiopia

Abstract Background Globally, Coronavirus disease-19 has created unprecedented challenges to public health. Healthcare workers (HCWs) are at risk of COVID-19 because of their profession. There are limited studies conducted in Ethiopia among HCWs regarding their compliance with COVID-19 preventive measures. Therefore, this study intended to assess HCWs’ compliance with measures to prevent COVID-19, and its potential determinants in public hospitals in Western Ethiopia. Methods A self-administered, multicenter hospital-based cross-sectional survey was proposed to 422 randomly selected HCWs working in seven public hospitals in Western Ethiopia identified as COVID-19 referral centers. Data were entered into Epi Data version 3.1 and analyzed using SPSS version 24. Binary logistic regression was used to identify potential determinants of outcome variables at p-value < 0.05. Results Out of 422 completed questionnaires, the overall HCWs’ compliance with COVID-19 prevention is 22% (n = 404). In multivariate regression analysis, factors such as spending most of caring time at bedside (AOR = 1.94, 95%CI, 1.06–3.55), receiving training on infection prevention/COVID-19 (AOR = 1.86, 95%CI, 1.04–3.33), reading materials on COVID-19 (AOR = 2.04, 95%CI, 1.14–3.63) and having support from hospital management (AOR = 2.09, 95%CI, 1.20–3.64) were found to be significantly associated with COVID-19 preventive measures. Furthermore, inadequate supplies of appropriate personal protective equipment (83.2%), insufficient supportive medications (78.5%), and lack of provision of adequate ventilation (77.7%) were the barriers to COVID-19 prevention most frequently mentioned by participants. Conclusion Our findings highlight HCWs’ poor compliance with COVID-19 preventive measures. Providing information and refreshing training to improve the level of healthcare workers’ adherence with COVID-19 prevention is as imperative as increasing staff commitment to supply resources necessary to protect HCWs and to reduce healthcare-associated infections transmission of SARS-COV-2.

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Current Physical Therapy Practice in the Intensive Care Unit in Saudi Arabia: A Multicentre Cross-Sectional Survey

Critical Care Research and Practice ◽

10.1155/2020/6610027 ◽

2020 ◽

Vol 2020 ◽

pp. 1-7

Author(s):

Mazen Alqahtani ◽

Faizan Kashoo ◽

Msaad Alzhrani ◽

Fuzail Ahmad ◽

Mohammed K. Seyam ◽

...

Keyword(s):

Intensive Care Unit ◽

Saudi Arabia ◽

Intensive Care ◽

Physical Therapy ◽

Research Literature ◽

Current Status ◽

Current Standard ◽

Positive Health ◽

Cross Sectional Survey ◽

Cross Sectional

Background. Early mobilisation of patients in the intensive care unit (ICU) is associated with positive health benefits. Research literature lacks insight into the current status of ICU physical therapy (PT) practice in the Kingdom of Saudi Arabia. Aim. To determine the current standard of ICU PT practice, attitude, and barriers. Methods. A questionnaire was e-mailed to physiotherapists (PTs) working in the hospital. The questions pertained to experience, qualification, barriers, and most frequently encountered case scenarios in the ICU. Results. The response rate was 28.1% (124/442). Frequent cases referred to the PTs were traumatic paraplegia (n = 111, 89%) and stroke (n = 102, 82.3%) as compared to congestive heart failure (n = 20, 16.1%) and pulmonary infections (n = 7, 5.6%). The preferred treatment of choice among PTs was chest physiotherapy (n = 102, 82.2%) and positioning (n = 73, 58.8%), whereas functional electrical stimulation (n = 12, 9.6%) was least preferred irrespective of the condition. Perceived barriers in the ICU PT management were of low confidence in managing cases (n = 89, 71.7%) followed by inadequate training (n = 53, 42.7%), and the least quoted barrier was a communication gap between the critical care team members (n = 8, 6.4%). Conclusion. PTs reported significant variation in the choice of treatment for different clinical cases inside ICU. The main barriers in the ICU setting were low confidence and inadequate training.

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Matching Ethical Climate to Nurses’ Service Behaviors in Public and Private Hospitals: A Cross-Sectional Study

10.21203/rs.3.rs-124044/v1 ◽

2020 ◽

Author(s):

Na Zhang ◽

Jingjing Li ◽

Xing Bu ◽

Zhenxing Gong

Keyword(s):

Ethical Climate ◽

Cross Sectional Study ◽

Public Hospitals ◽

Cross Sectional Survey ◽

Cross Sectional ◽

Private Hospitals ◽

Public And Private ◽

Service Behavior ◽

Public And Private Hospitals ◽

The Relationship

Abstract Background: Workplace climate is great significant element that has impact on nurses’ behavior and practice; moreover, nurses’ service behavior contributes to the patients’ satisfaction and subsequently to the long-term success of hospitals. Few studies explore how different types of organizational ethical climate encourage nurses to engage in both in-role and extra-role service behaviors, especially in comparing the influencing process between public and private hospitals. This study aimed to compare the relationship between the five types of ethical climate and nurses’ in-role and extra-role service behaviors in public and private hospitals.Methods: This study conducted a cross-sectional survey on 559 nurses from China. All participants were investigated using the Ethical Climate Scale and Service Behavior Questionnaire. SPSS 22.0 was used for correlation analysis, t-test and analysis of variance test, and Mplus 7.4 was used for group comparison.Results: The law and code climate has a much greater influence on nurses’ in-role service behavior in private hospitals than on that in public hospitals (β = -.277; CI 95% = [-.452, -.075]; p < .01), and the instrumental climate has a stronger influence on nurses’ extra-role service behavior private hospitals than on that in public hospitals (β = -.352; CI 95% = [-.651, -.056]; p < .05). Meanwhile, the rules climate has a greater effect on nurses’ extra-role service behavior in public hospitals than it does in private hospitals (β = .397; CI 95% = [.120, .651]; p < .01). Conclusions: As the relationship between the five types of ethical climate and nurses’ in-role and extra-role service behaviors in public and private hospitals were different, the strategies used to foster and enhance the types of ethical climate are various from public to private hospitals. The caring and instrumental climate are the key to promote extra-role service behavior for nurses in private hospitals. And independent climate has great effect on extra-role service behaviors for nurses in public hospitals.

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Doctor-outpatient communications in Chinese public hospitals: a cross-sectional survey

The Lancet ◽

10.1016/s0140-6736(16)31965-1 ◽

2016 ◽

Vol 388 ◽

pp. S38 ◽

Cited By ~ 3

Author(s):

Guanping Wang ◽

Jinzhu Xie ◽

Yinhuan Hu

Keyword(s):

Public Hospitals ◽

Cross Sectional Survey ◽

Cross Sectional ◽

Chinese Public

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Performance evaluation of medical services in nine urban public hospitals based on patient reported experience: a cross-sectional survey

The Lancet ◽

10.1016/s0140-6736(18)32701-6 ◽

2018 ◽

Vol 392 ◽

pp. S72

Author(s):

Dan Hu ◽

Xuanxuan Wang ◽

Rongqin Jiang ◽

Jiaying Chen

Keyword(s):

Performance Evaluation ◽

Public Hospitals ◽

Medical Services ◽

Cross Sectional Survey ◽

Cross Sectional ◽

Patient Reported

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Level of Disaster Preparedness in Patients Visiting the Emergency Department: Results of the Civilian Assessment of Readiness for Disaster (CARD) Survey

Prehospital and Disaster Medicine ◽

10.1017/s1049023x12001811 ◽

2013 ◽

Vol 28 (2) ◽

pp. 127-131 ◽

Cited By ~ 7

Author(s):

Nicholas A. True ◽

Juliana D. Adedoyin ◽

Frances S. Shofer ◽

Eddie K. Hasty ◽

Jane H. Brice

Keyword(s):

Emergency Department ◽

Vulnerable Populations ◽

Disaster Preparedness ◽

Single Parents ◽

Public Hospitals ◽

University Hospital ◽

Future Research ◽

Cross Sectional Survey ◽

Publication Type ◽

Cross Sectional

AbstractBackgroundPatients seeking care in public hospitals are often resource-limited populations who have in past disasters become the most vulnerable. The objective of this study was to determine the personal disaster preparedness of emergency department (ED) patients and to identify predictors of low levels of preparedness. It was hypothesized that vulnerable populations would be better prepared for disasters.MethodsA prospective cross-sectional survey was conducted over a one-year period of patients seeking care in a public university hospital ED (census 65,000). Exclusion criteria were mentally impaired, institutionalized, or non-English speaking subjects. Subjects completed an anonymous survey detailing the 15 personal preparedness items from the Federal Emergency Management Agency's disaster preparedness checklist as well as demographic characteristics. Summary statistics were used to describe general preparedness. Chi-square tests were used to compare preparedness by demographics.ResultsDuring the study period, 857/1000 subjects completed the survey. Participants were predominantly male (57%), Caucasian (65%), middle-aged (mean 45 years), and high school graduates (83%). Seventeen percent (n = 146) reported having special needs and 8% were single parents. Most participants were not prepared: 451 (53%) had >75% of checklist items, 393 (46%) had food and water for 3 days, and 318 (37%) had food, water, and >75% of items. Level of preparedness was associated with age and parenting. Those aged 44 and older were more likely to be prepared for a disaster compared to younger respondents. (43.3% vs 31.1%, P = .0002). Similarly, single parents were more likely to be prepared than dual parenting households (47.1 vs 32.9%, P = .03).ConclusionsThis study and others have found that only the minority of any group is actually prepared for disaster. Future research should focus on ways to implement disaster preparedness education, specifically targeting vulnerable populations, then measuring the effects of educational programs to demonstrate that preparedness has increased as a result.TrueNA, AdedoyinJD, ShoferFS, HastyEK, BriceJH. Level of disaster preparedness in patients visiting the emergency department: results of the Civilian Assessment of Readiness for Disaster (CARD) survey. Prehosp Disaster Med.2013;28(2):1-5.

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