scholarly journals POLIO VACCINE;

2017 ◽  
Vol 24 (06) ◽  
pp. 919-923
Author(s):  
Naila Azam ◽  
Shamaila Mohsin ◽  
Aamira Hashmi ◽  
Muhammad Imran ◽  
Farman Ali ◽  
...  
Keyword(s):  
Health Care Providers ◽  
Tertiary Care ◽  
Polio Eradication ◽  
P Value ◽  
Care Providers ◽  
Cross Sectional ◽  
Inadequate Knowledge ◽  
Knowledge And Attitude ◽  
Graduate Trainees ◽  
Tertiary Care Hospitals

Objectives: To assess knowledge and attitude of young doctors serving in Tertiarycare Hospitals regarding the IPV intervention and polio eradication campaign. Study Design:A cross sectional descriptive study. Setting: Five Tertiary Care Hospitals in Rawalpindi andIslamabad. Period: Oct 2015-Nov 2015. Methods: Proportionate random sampling techniquewas used to select a sample of 100 doctors working in pediatrics wards and out patientsdepartments (OPD). After taking informed consent the data was collected using a standardizedQuestionnaire to measure level of awareness among this cohort of Health care providers. Datawere entered and analyzed using SPSS version 21. Baseline distinctiveness (demographic)was summarized by descriptive statistics. The statistical inference was drawn using Chi squaretest, p value of ≤ 0.05 was considered as significant. Results The study sample comprised of47 males and 53 females. Mean age of participants was 29.8 ± 5.7. There were 15% HouseOfficers, 45% Post Graduate Trainees, 30% Medical Officers and 10% consultants in thesample. Majority of doctors (65%) expressed disinterest and doubt about polio immunizationwhile 40% suggested focus on sanitation and health promotion before immunization. Amongthe participants only 29% had attended polio surveillance training workshop in last 2 years andparticipated in polio National Immunization days. There was no significant association betweenknowledge about IPV and years of experience(x2 =2.68, p= 0.433). Conclusion: This studysuggests that there was inadequate knowledge of doctors in tertiary care hospitals regardingIPV and polio eradication efforts in Pakistan.

scholarly journals Level of Utilization and Provider-Related Barriers to Hydroxyurea Use in the Treatment of Sickle Cell Disease in Jos, Nigeria

Blood ◽  
2019 ◽  
Vol 134 (Supplement_1) ◽  
pp. 1029-1029 ◽  
Author(s):  
Akinyemi Olugbenga David Ofakunrin ◽  
Kehinde Adekola ◽  
Edache Sylvanus Okpe ◽  
Stephen Oguche ◽  
Tolulope Afolaranmi ◽  
...  
Keyword(s):  
Sickle Cell Disease ◽  
Sickle Cell ◽  
Health Care Providers ◽  
Conflicts Of Interest ◽  
Sampling Technique ◽  
P Value ◽  
Care Providers ◽  
Cell Disease ◽  
Cross Sectional ◽  
Inadequate Knowledge

Background: Hydroxyurea is one of the currently approved medications capable of modifying the pathogenesis of sickle cell disease (SCD), and its use has transformed the management of this disease worldwide.However, available evidences suggest that hydroxyurea is underutilized by sickle cell health-care providers in Nigeria despite the huge burden of the disease. Objectives: This study assessed the level of utilization and provider-related barriers to the use of hydroxyurea in the treatment of SCD patients in Jos, Nigeria. Methods: A cross-sectional study conducted among 132 medical doctors providing care for SCD patients in four tertiary hospitals in Jos using a multistage sampling technique. In this setting, SCD patients are cared for by the Hematologists, Pediatricians, Family Physicians and General Practitioners. Data on socio-demographics of the respondents, knowledge, utilization and barriers to the utilization of hydroxyurea were obtained using an interviewer-administered questionnaire. The data were processed and analysed using SPSS version 23. Hydroxyurea was adjudged utilized if a provider has prescribed hydroxyurea to any SCD patient within the last 12 months. Chi square test was used to test the association between the demographic, provider-related barrier variables and the level of utilization of hydroxyurea. The barriers were fed cumulatively into logistic regression model as predictors of utilization of hydroxyurea. Adjusted odds ratio and 95% confidence interval were used as point and interval estimates respectively. A P-value of <0.05 was considered statistically significant. Results: Of the 132 respondents, 88 (67%) had been in medical practice for upward of six years while 80 (60.6%) of them affirmed that they have attended to more than 10 SCD patients in the last 6 months. Sixty-seven (50.8%) of the participants had inadequate knowledge of hydroxyurea use in SCD management while the level of utilization of hydroxyurea in SCD treatment was 24.2%. The odds of non-utilization of hydroxyurea was 5.1 times higher in providers with no expertise in its use (OR =5.1; 95% CI =2.65-9.05; P<0.0001). Other barriers that predicted its non-utilization included inadequate knowledge (OR =0.17; 95% CI =0.29-0.71; P=0.017), fear of side-effects (OR =0.50; 95% CI =0.22-0.68; P=0.019) and doubt about the effectiveness of the medication (OR =0.30; 95% CI =0.20-0.90; P=0.002). Conclusion: The level of utilization of hydroxyurea in the treatment of SCD among the sickle cell care-providers is sub-optimal with the lack of expertise in its use identified as the most prominent barrier. Therefore, training of Nigeria sickle cell care-providers to attain and maintain competence in the use of hydroxyurea for the treatment of SCD is required. Keywords: Sickle cell disease, hydroxyurea, utilization, barriers, Jos, Nigeria Disclosures No relevant conflicts of interest to declare.

AWARENESS AND ATTITUDE TOWARDS HPV VACCINATION AMONG MEDICAL AND NURSING STUDENTS IN A TERTIARY CARE TEACHING HOSPITAL IN INDIA

2021 ◽  
pp. 44-46
Author(s):  
Nemani Srividya ◽  
P. Ramkumar ◽  
Yandra Ganga Sree Harika
Keyword(s):  
Nursing Students ◽  
Health Care Providers ◽  
Hpv Vaccine ◽  
Hpv Vaccination ◽  
Tertiary Care ◽  
Cross Sectional Study ◽  
P Value ◽  
Care Providers ◽  
Future Health ◽  
Cross Sectional

Background: The objective of the study was to determine the awareness and attitude towards HPV vaccination among medical and nursing students. Methods: A descriptive cross sectional study was done among nal MBBS part 2 and nal year BSC nursing students with a pretested questionnaire about HPV vaccine. Results: About 79.3% students were aware of the availability of HPV vaccine.69.8% knew the correct age of vaccination.25.8% of the students have been vaccinated with HPV vaccine. About 72.4% students were willing to advice or receive vaccine which was more among medical students compared to nursing students(p value<0.05). High cost and inadequate information were stated as the main obstacle preventing vaccination. Conclusion: Lack of awareness among medical and paramedical students can be detrimental to the health of society. So, there is need to increase awareness and improve vaccination status among future health care providers against Human papilloma virus

scholarly journals Knowledge and attitude of nursing staff towards nebulization therapy in a tertiary care hospital

2017 ◽  
Vol 5 (9) ◽  
pp. 3976
Author(s):  
Suhas Aithal ◽  
Jagmohan S. V. ◽  
Niveditha S.
Keyword(s):  
Health Care Providers ◽  
Breathing Pattern ◽  
Tertiary Care ◽  
Hospital Setting ◽  
Cross Sectional Study ◽  
Staff Nurses ◽  
Care Hospital ◽  
Care Providers ◽  
Cross Sectional ◽  
Knowledge And Attitude

Background: Nebulization is an important tool in the treatment of respiratory conditions. Nurses are primary health care providers for using the nebulizers in a hospital setting. The examination of nurse's knowledge and performance regarding the nebulizer therapy is of utmost importance for proper nebulization. Aim of the study was to access the knowledge and attitude of staff nurses towards nebulization therapy.Methods: A cross sectional study was conducted at the RL Jalappa hospital, Kolar, Karnataka, India. 50 nurses working the intensive care units and wards were given a questionnaire regarding the key aspects of nebulization therapy. A workshop was then conducted for the same participants on correct nebulization techniques and the questionnaire was given and the results post workshop was analyzed.Results: In pre-study, most nurses had unsatisfactory knowledge with respect to breathing pattern during nebulization (72.2%), types of masks used (83.3%), changing of filter (62.5%). On comparing satisfactory knowledge level of nurses pre-and post, it was found statistically significant increase in knowledge for breathing pattern during nebulization, knowledge of types of nebulization, nebulization time, nebulization end point, types of drugs used, type of dilution, proportion of dilution, ideal volume of drugs in medication, replacement of tubing, changing of filter, types of disinfections used, types of nebulization and types of mask (p <0.05).Conclusions: The knowledge of the staff nurses regarding the nebulization therapy was unsatisfactory which was reflected by improvement in the knowledge post workshop training. The staff nurses should be provided periodic training on nebulization therapy to give effective and safe care to patients.

scholarly journals Evaluation of Errors in Prescription Writing: A Cross-Sectional Study at Community Pharmacies and Tertiary Care Hospitals of Lahore, Pakistan

2019 ◽  
Vol 18 (2) ◽  
pp. 260-266
Author(s):  
Muhammad Farhan Ali Khan ◽  
Muhammad Salman ◽  
Nazeer Hussain Khan ◽  
Talha Masood ◽  
Muhammad Safdar ◽  
...  
Keyword(s):  
Health Care Providers ◽  
Tertiary Care ◽  
Medical Science ◽  
Healthcare Facility ◽  
Cross Sectional Study ◽  
Community Pharmacies ◽  
Care Providers ◽  
Cross Sectional ◽  
Tertiary Care Hospitals ◽  
Prescription Writing

Background: Prescription errors often lead to mishaps around healthcare facility that often end up with adverse drug reactions and even some cases death Being in a healthcare facility the patient should have full confidence in the health care providers and not have to worry about minor mistakes leading to a possible lethal one. Aim and objective: The aims and objectives of our study is to evaluate the prescription writing errors in different community pharmacies and tertiary care hospitals also to assess the knowledge of patients regarding their disease and treatment. Bangladesh Journal of Medical Science Vol.18(2) 2019 p.260-266

scholarly journals The Relationship Between Language Barrier in Non-Arabic Nurses and Anxiety in Cardiovascular Patients: A Cross-Sectional Descriptive Study

2021 ◽  
Vol 8 ◽  
pp. 237437352198924
Author(s):  
Jassem Almualem ◽  
Amal Darwish ◽  
Ahmed AlFaraj
Keyword(s):  
Health Care Providers ◽  
Care Delivery ◽  
Descriptive Study ◽  
Language Barrier ◽  
P Value ◽  
Care Providers ◽  
Cross Sectional ◽  
Related Information ◽  
Arabic Speakers ◽  
Arabic Speaking

Patients with cardiac conditions may suffer from anxiety related to prognosis and further rehabilitation. Anxiety could be exacerbated by different factors including miscommunication, which could be attributed to the linguistic barrier, that exists among health care providers. At Saud Al-Babtain Cardiac Center (SBCC), nurses who are non-native Arabic speakers could have difficulty communicating disease-related information at different stages of nursing care. Is it possible to identify the language barrier as a source of anxiety for admitted patients with cardiac diseases? In this cross-sectional, descriptive study, 50 patients were included following the diagnosis of cardiac disease and post-cardiac surgery. A questionnaire that measures anxiety level showed that patients who were handled by Arabic-speaking nurses reported less collective mean for the anxiety domain statements of (20.08) versus those who were handled by Non-Arabic-speaking nurses (28.55, P value = .041). Our finding indicates that anxiety levels increased when there was a language barrier between nurses and patients, which could affect the quality of care delivery at SBCC.

Addressing Mistreatment of Providers by Patients and Family Members as a Patient Safety Event

2021 ◽  
Author(s):  
Marianne Hatfield ◽  
Rebecca Ciaburri ◽  
Henna Shaikh ◽  
Kirsten M. Wilkins ◽  
Kurt Bjorkman ◽  
...  
Keyword(s):  
Patient Safety ◽  
Health Care Providers ◽  
Self Efficacy ◽  
Tertiary Care ◽  
Family Members ◽  
Incident Reporting ◽  
Care Providers ◽  
Cross Sectional ◽  
Offensive Behavior ◽  
Safety Incident

OBJECTIVE: Mistreatment of health care providers (HCPs) is associated with burnout and lower-quality patient care, but mistreatment by patients and family members is underreported. We hypothesized that an organizational strategy that includes training, safety incident reporting, and a response protocol would increase HCP knowledge, self-efficacy, and reporting of mistreatment. METHODS: In this single-center, serial, cross-sectional study, we sent an anonymous survey to HCPs before and after the intervention at a 213-bed tertiary care university children’s hospital between 2018 and 2019. We used multivariable logistic regression to examine the effect of training on the outcomes of interest and whether this association was moderated by staff role. RESULTS: We received 309 baseline surveys from 72 faculty, 191 nurses, and 46 residents, representing 39.1%, 27.1%, and 59.7%, respectively, of eligible HCPs. Verbal threats from patients or family members were reported by 214 (69.5%) HCPs. Offensive behavior was most commonly based on provider age (85, 28.5%), gender (85, 28.5%), ethnicity or race (55, 18.5%), and appearance (43, 14.6%) but varied by role. HCPs who received training had a higher odds of reporting knowledge, self-efficacy, and experiencing offensive behavior. Incident reporting of mistreatment increased threefold after the intervention. CONCLUSIONS: We report an effective organizational approach to address mistreatment of HCPs by patients and family members. Our approach capitalizes on existing patient safety culture and systems that can be adopted by other institutions to address all forms of mistreatment, including those committed by other HCPs.

Digital Health Engagement in the US Population: Insights From the 2018 Health Information National Trends Survey

2021 ◽  
pp. e1-e4
Author(s):  
Chelsea L. Ratcliff ◽  
Melinda Krakow ◽  
Alexandra Greenberg-Worisek ◽  
Bradford W. Hesse
Keyword(s):  
Public Health ◽  
Health Information ◽  
Health Care Providers ◽  
Digital Health ◽  
Smart Device ◽  
P Value ◽  
Care Providers ◽  
Cross Sectional ◽  
The Us ◽  
National Trends

Objectives. To examine prevalence and predictors of digital health engagement among the US population. Methods. We analyzed nationally representative cross-sectional data on 7 digital health engagement behaviors, as well as demographic and socioeconomic predictors, from the Health Information National Trends Survey (HINTS 5, cycle 2, collected in 2018; n = 2698–3504). We fitted multivariable logistic regression models using weighted survey responses to generate population estimates. Results. Digitally seeking health information (70.14%) was relatively common, whereas using health apps (39.53%) and using a digital device to track health metrics (35.37%) or health goal progress (38.99%) were less common. Digitally communicating with one’s health care providers (35.58%) was moderate, whereas sharing health data with providers (17.20%) and sharing health information on social media (14.02%) were uncommon. Being female, younger than 65 years, a college graduate, and a smart device owner positively predicted several digital health engagement behaviors (odds ratio range = 0.09–4.21; P value range < .001–.03). Conclusions. Many public health goals depend on a digitally engaged populace. These data highlight potential barriers to 7 key digital engagement behaviors that could be targeted for intervention. (Am J Public Health. Published online ahead of print May 20, 2021: e1–e4. https://doi.org/10.2105/AJPH.2021.306282 )

scholarly journals Assessment of knowledge and attitude about emergency contraception: a cross sectional study among medical students in North India

2017 ◽  
Vol 6 (9) ◽  
pp. 4042
Author(s):  
Rajiv Kumar Gupta ◽  
Parveen Singh ◽  
Rashmi Kumari ◽  
Bhavna Langer ◽  
Pawan Sharma ◽  
...  
Keyword(s):  
Medical Students ◽  
Sexual Intercourse ◽  
Health Care Providers ◽  
Emergency Contraception ◽  
Early Years ◽  
North India ◽  
Care Providers ◽  
Cross Sectional ◽  
Unprotected Sexual Intercourse ◽  
Knowledge And Attitude

Background: Emergency contraception (EC) which is the only method indicated after the unprotected sexual intercourse prevents unintended pregnancies and its harmful consequences like unsafe abortion or unintended child delivery. Since medical students are the future medical professional and would be the main channel to provide preventive, promotive and curative services to the population at large, their knowledge and attitude towards EC is an important context in the overall health scenario of India. The study aimed to assess the knowledge and attitudes of medical students towards use of EC.Methods: This cross sectional questionnaire based study was conducted among 2nd professional MBBS students in a Government Medical College in North India. The self administered questionnaire intended to seek information on knowledge and attitude of the students. The data so collected was expressed in percentages and Chi square test was used as test of significance.Results: All the respondents had heard of EC with mass media as the main source of information. More than 90% of the respondents knew about the indications for use of EC as well as the timing of the use of EC. Female respondents had better knowledge about composition of EC as well mechanism of action (p<0.05). More than 90% would recommend EC in case of unprotected sexual intercourse and 83.5% had positive attitude towards EC.Conclusions: Although knowledge about EC was good on certain parameters, yet lack of in depth knowledge among future health care providers is a cause of concern. So, attention be given to special issues relating to EC from early years of medical education till internship. 

scholarly journals Barriers to the early initiation of Insulin therapy among diabetic patients coming to diabetic clinics of tertiary care hospitals

2018 ◽  
Vol 35 (1) ◽  
Author(s):  
Iqra Arshad ◽  
Sara Mohsin ◽  
Sana Iftikhar ◽  
Tahseen Kazmi ◽  
Luqman F. Nagi
Keyword(s):  
Insulin Therapy ◽  
Tertiary Care ◽  
Cross Sectional Study ◽  
Early Initiation ◽  
P Value ◽  
Diabetic Patients ◽  
Cross Sectional ◽  
Creative Commons ◽  
Oral Medications ◽  
Tertiary Care Hospitals

Background and Objective: Initiation of Insulin therapy during earlier stages has proved to significantly improve health outcomes among diabetics in comparison to oral medications. Not only patients but physicians are also often resistant to early initiation of insulin therapy. The objective was to assess misconceptions and barriers to early initiation of insulin therapy among diabetic patients coming to a diabetic clinic. Methods: This cross sectional study was conducted on 300 patients selected by convenience sampling arriving in Diabetes Outdoor Clinics of Mayo and Services Hospitals, Lahore during August 2017 to May 2018. The data was entered and analyzed by using SPSS version 17. Results: Out of 300 patients included in study, 39% (n= 117) were males and 61% (n=183) were females. The mean age of the participants at presentation was 48.46±13.15 years with a range of 13 to 80 years. Study participants considered it embarrassing to inject insulin in public place (p-value 0.01). The fear associated with lifelong commitment to insulin therapy once it is started, was also found statistically significant (p-value 0.001)particularly in subjects who have long duration of DM (>5 years). Conclusion: Perceptions of diabetic patients about insulin therapy are still barriers to early initiation of therapy and tend to prevail in Pakistan and around the globe. How to cite this:Arshad I, Mohsin S, Iftikhar S, Kazmi T, Nagi LF. Barriers to the early initiation of Insulin therapy among diabetic patients coming to diabetic clinics of tertiary care hospitals. Pak J Med Sci. 2019;35(1):---------. doi: https://doi.org/10.12669/pjms.35.1.237 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/3.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Factors associated with choice of delivery with or without epidural analgesia among laboring women: a cross-sectional survey at a tertiary care hospital of a developing country

2016 ◽  
Vol 44 (7) ◽  
Author(s):  
Samina Ismail ◽  
Shemila Abbasi ◽  
Sobia Khan ◽  
Abdul Monem ◽  
Gauhar Afshan
Keyword(s):  
Epidural Analgesia ◽  
Health Care Providers ◽  
Tertiary Care ◽  
Care Hospital ◽  
Care Providers ◽  
Sources Of Information ◽  
Hospital Data ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Natural Birth

AbstractAims:The aim of this study was to evaluate the factors responsible for epidural analgesia (EA) refusal among parturient patients.Methods:In this prospective cross-sectional study of six months, we included all consenting postpartum patients having a non-operative delivery in the obstetric unit of our hospital. Data were collected on a predesigned questionnaire and included information such as parity, education, reasons for delivering with or without EA, source of information and patient satisfaction. Knowledge regarding EA was assessed from patients delivering without EA.Results:From 933 patients enrolled, 730 (78.2%) delivered without EA, and 203 (21.7%) with EA. Only 11 (1.5%) patients refused EA for the reason of having natural birth process. Otherwise common reasons were misconceptions (65.9%) and lack of awareness about EA (20.5%); 70.5% had no knowledge of common side effects of EA. Among patients delivering with EA, 92.6% were offered EA by health care providers and had obstetricians and anesthesiologists as their sources of information.Conclusions:Patients in developing countries are laboring without EA, even in centers where there is a provision for it. The main reasons for not availing themselves of EA are lack of awareness and knowledge and misconceptions, rather than the desire to have un-medicated natural birth.

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