scholarly journals Knowledge and attitude toward evidence based practice among nurses of a tertiary care teaching hospital, Nepal

2019 ◽  
Vol 6 (1) ◽  
pp. 55-60
Author(s):  
Sailaza Dahal

Introductions: Evidence Based Practice (EBP) raises the standard of nursing practice. The objective of this study was to assess knowledge and attitude toward EBP among nurses of Patan Hospital, Patan Academy of health Sciences (PAHS), Nepal. Methods: This was a cross-sectional study conducted from 12th August to 7th September 2018. Convenience sampling was used to select nurses with bachelor degree in nursing, working at Patan Hospital, PAHS, Nepal. Data were collected using self-administered semi-structured questionnaire to find out knowledge and attitude of nurses towards EBP. Results: Out of 125 nurses participated, 61 (48.8%) had average level of knowledge, 19 (15.2%) had good knowledge and 45 (36.0%) poor level of knowledge of EBP. Positive attitude toward EBP was found in 123 (98.4%). There was weak positive (r = 0.263) relationship between knowledge and attitude of EBP. Conclusions: Nearly half of the nurses had an average level of knowledge regarding EBP, and nearly all had positive attitude toward it.

Background: The healthcare workers are leading the fight against the coronavirus pandemic and are at great risk of acquiring the infection. The information on the knowledge and attitude of healthcare workers towards SARS‐CoV-2 is useful to plan awareness and educational programs. Aim: To assess the knowledge and attitude of healthcare workers toward SARS‐CoV-2 in Mirpur, AJK, Pakistan. Material and Methods: A cross-sectional study was performed during March and April 2020, on 468 healthcare workers in a tertiary care divisional headquarters teaching hospital of Mirpur, Azad Jammu and Kashmir, Pakistan. A self-administered questionnaire was used to collect the data through a face to face approach. The data were organized and statistically analyzed through SPSS version 21.0. Results: A total of 520 healthcare workers were approached and 468 of them filled and returned the questionnaire, giving a response rate of 90.0%. The age range of the participants was 18 to 59 years with a mean of 31.5 ± 4.9 years. The majority of respondents were males (62.4%) and more than half of the participants (62.1%) had knowledge of the SARS‐CoV-2 outbreak and their main source of information was television (51.2%). Overall, 60.6% had sufficient knowledge of the disease and 79.7% had a positive attitude towards SARS‐CoV-2. Conclusion: The outcomes of our study revealed that overall healthcare workers had an acceptable level of knowledge and a positive attitude towards the SARS‐CoV-2 outbreak.


2019 ◽  
Vol 6 (2) ◽  
pp. 438 ◽  
Author(s):  
Sultan Alzuhairy ◽  
Elaf Saleh Alabdulrazaq ◽  
Ibtehaj Mohammed Alharbi ◽  
Dora Hammad Alharkan

Background: For early detection and timely management of strabismus in children, parent’s cooperation is essential. It depends upon their level of awareness. The objective was to describe the determinants and the level of knowledge and attitude towards strabismus among parents of children with strabismus in Saudi Arabia.Methods: This cross-sectional study was conducted in 2018 at a hospital in Qaseem, Saudi Arabia. Consented parents of children with strabismus presenting to Qaseem University eye clinic were interviewed. Data were anonymously collected on participant demographics and the child’s strabismus. The survey interview consisted of 8 questions related to signs, symptoms, and management of strabismus. Three questions related to the attitude towards strabismus among parents/caregivers. Two separate questions queried the source of knowledge and possible barriers, respectively.Results: Each parent of 81 children was interviewed. An excellent level of knowledge of strabismus was noted for 41 participants (50.6% at 95%CI 39.7-61.5). A positive attitude towards strabismus was noted in 57 participants (70.4% at 95% CI 60.4-80.3). No history of surgery was statistically associated to an excellent level of knowledge (P<0.001). Gender (P=0.7), age (P=0.7), father’s education (P=0.3), mother’s education (P=0.5), type of strabismus (P=0.8) were not associated with the level of knowledge. High cost (43.2%) and false beliefs (53.1%) were the main barriers to medical consultations.Conclusions: Parents of children with strabismus presenting to a tertiary care eye hospital had good knowledge about the signs, symptoms and management of strabismus. Addressing barriers perceived by parents may improve early presentation rates of children with strabismus allowing timely management.


BMC Nursing ◽  
2020 ◽  
Vol 19 (1) ◽  
Author(s):  
Arafa A. Muhsin ◽  
Mariam J. Munyogwa ◽  
Stephen M. Kibusi ◽  
Saada A. Seif

Abstract Background It is estimated by the year 2050, 80% of the global elderly population will be from the low-and middle income countries. Elderly care requires health workers with skills associated with an understanding of the biological, psychological, social and cultural theories related to aging. Nurses with better knowledge, skills and positive attitudes towards elderly care are highly needed and critically important for better healthcare and wellbeing of the elderly population. Therefore the objective of this study was to assess the level of knowledge and attitude of nursing students towards elderly care in Zanzibar Island. Methods A cross-sectional study was conducted in Zanzibar involving three out of five nursing training institutions. Participants were selected by systematic random sampling. Facts on Aging Quiz 2 and Kogan’s Attitudes Toward Old People scale were used to assess the level of knowledge and attitude towards elderly care among the students respectively. Simple and multivariable logistic regressions were applied to determine the predictors of knowledge and attitude among the participants. Results A total of 393 students participated in this study. Only 17% (69) of the participants had good level of knowledge and about 67.9% (267) had positive attitude towards elderly care. Living in an extended family and with an elderly person at home were both associated with good level of knowledge and positive attitude towards elderly care. Furthermore, living in a rural area (adjusted odds ratio = 2.23; 95% confidence interval: 1.22, 4.10) and studying at public institution (adjusted odds ratio = 2.59; 95% confidence interval: 1.41, 4.63) were associated with positive attitude towards elderly care. Conclusion This study has shown that the majority of nursing students in Zanzibar have positive attitude but poor level of knowledge towards elderly care. The current findings have demonstrated that past experience with an elderly person can help in influencing good knowledge and shaping positive attitudes towards elderly care. Low level of knowledge shown in the study suggests for further research on adequacy of nursing curriculum and/or its implementation.


Author(s):  
VARGHESE SNEHA SUJA ◽  
SNEHA DUTTA ◽  
ANN MARY SWAROOP

Objective: This study was conducted with the aim to assess the knowledge and attitude of self-medication practices among the residents of an urban community. Methods: A cross-sectional, observational study was conducted among 270 participants for the duration of 6 months using a semi-structured questionnaire which consisted of the domains of knowledge and attitude. Logistic regression was used for drawing statistical inferences. Results: The prevalence of self-medication was found to be 37.04%. It was found that 73.33% of the respondents were aware of the term “self-medication” and their major source for information was obtained through acquaintances (44.44%). About 68.55% of the participants agreed that self-medication is a part of taking care of oneself and it needs to be encouraged. Overall, the participants had a good knowledge and positive attitude toward the practice of self-medication. Conclusion: This study mainly focuses on improving the subjects’ knowledge, thereby bringing changes in the attitude and practice toward disease management. Understanding the subjects’ level of knowledge and attitude will enable a more efficient process for creating an awareness among the public to ensure its safe and responsible use.


Author(s):  
Rajib Mondal ◽  
Rani Baroi Ritu ◽  
Md. Shamsur Rahman ◽  
Rajib Chandra Sarker ◽  
Palash Chandra Banik

INTRODUCTION: Having proper knowledge, attitude, and practices (KAP) towards chronic kidney disease (CKD) among type-2 diabetes mellitus (T2DM) patients is very important to reduce the disease burden. However, the information about KAP towards CKD among Bangladeshi T2DM patients is unknown, based on the available literatures till the date. OBJECTIVES: We aimed to assess the KAP towards CKD among T2DM patients attended a selected hospital in Dhaka city. METHODS AND MATERIALS: In this cross-sectional study, we conveniently selected Aalok hospital and also its 224 T2DM patients who attended the outdoor. We excluded the already developed CKD patients and aged over 70 years. We adopted a questionnaire from a validated instrument consisted of a 10 itemed knowledge, 8 itemed attitude, and 7 itemed practice domains towards CKD (total 25 items). Data were collected by face-to-face interviews. Both descriptive and comparative (Independent Sample t-tests and One-way ANOVA tests) statistics were used for data analysis where appropriates. RESULTS: Women respondents were higher (69.6%). The mean age of the respondents was 49.8±11.3 years. Most of them had average level of knowledge (69.6%) and attitude (60.7%). Majority also reported a good hypothetical practices in general if they would find out to have CKD. Knowledge was significantly associated (p<0.05) with sex, level of education, occupation, and income, whereas attitude was with sex, occupation, and income. CONCLUSION: T2DM patients of our study reported mostly average level of knowledge and attitude, and a good hypothetical practices in general towards CKD. Proper health awareness programs are needed to increase the KAP towards CKD among T2DM patients in Bangladesh.


2019 ◽  
Vol 17 (2) ◽  
pp. 215-221
Author(s):  
Shristi Bajracharya ◽  
Niraj Singh Tharu ◽  
Doly Bokalial

Background: Evidence-based practice is considered as one of the most accepted practice all over the world. Physiotherapists in Nepal have started evidence-based practice, but there has been no study regarding evidence-based practice in physiotherapy in Nepal.Methods: A cross-sectional study was carried out among 164 physiotherapists working in different clinics and physiotherapy centers of selected districts of Nepal. A self-reported questionnaire was distributed and collected later.Results: It was found that the physiotherapists had a positive attitude towards evidence-based practice with 95.2% agreeing or strongly agreeing that evidence-based practice is necessary forthe practice of physical therapy and an overall total mean score of 34.73(72.35%) out of 48 and an overall mean 2.8 out of 4. It was also found that physiotherapists had moderate knowledge towards evidence-based practice with an overall total mean score of 19.18(68.5%) out of 28 and an overall mean of 2.74 out of 4. It was found that those having a specialization degree had two times greater knowledge than without specialization. The major barriers to evidence-based practice were obtained insufficient time and traditional methods of treatment.Conclusions: Physical therapists of Nepal stated they had a positive attitude towards evidence-based practice with the majority of the physiotherapists interested in learning more about the topic. They believed that they needed to increase the use of evidence in practice. They thought major barrier as insufficient time hence continuous professional development training that incorporate evidence-based practice were of greater importance.Keywords: Attitude; barrier; evidence-based practice; knowledge.


2019 ◽  
Vol 1 (1) ◽  
pp. 28-34
Author(s):  
Binu Limbu ◽  
Saraswati Basnet ◽  
Suvekshya Silwal

Introduction: Organ transplantation is an effective therapy for end-stage organ failure. However, there is a large gap between the need for and the supply of donor organs. Nurses have a major role to play in tackling organ and tissue shortages. The main objective of the study was to assess the level of knowledge and attitude on organ donation among nursing students at Biratnagar. Methodology: Descriptive cross-sectional study design among Post Basic Bachelor in Nursing (PBBN) students was carried out in Birat Health College, Biratnagar. A census method using a self-administered semi-structured questionnaire was used for the data collection in 113 respondents. Descriptive statistics i.e., mean, median and standard deviation was used to assess the level of knowledge. Inferential statistics i.e., Chi-square test was used to find out the association between level of knowledge and attitude on organ donation with selected demographic variables. The findings of the study showed that out of 113 respondents, the mean age of respondents was 24.41 years. Similarly, 32.7% of the respondents were from 1st year, 33.6% from 2nd year and 33.6% from 3rd year. More than half, (60%) of the respondents were Brahmin/Chhetri. Similarly, (68.1%) had heard about organ donation from colleagues. Among the studied respondents, (69.9%) had average knowledge of organ donation and almost all (99.1%) of respondents possessed a positive attitude on organ donation. Conclusion: The majority of the respondents had an average level of knowledge and a positive attitude regarding organ donation. The level of knowledge was associated with ethnicity rather than other socio-demographic variables. Keywords: Attitude, Knowledge, Nursing students, Organ Transplantation, Organ Donation.


2020 ◽  
Vol 27 (02) ◽  
pp. 359-364
Author(s):  
Muhammad Imran Hassan Khan ◽  
Kashif Aziz Ahmad ◽  
Salman Shakeel ◽  
Muhammad Qasim

Background: Pakistan has one of the highest number of Hajj pilgrims among all Islamic countries. Health of pilgrims play an important role in performing rituals of Hajj. It depends on their knowledge and attitude about health. Aims: In this study, we aimed to determine the Knowledge and Attitude about health in Pakistani Hajj pilgrims. Study Design: Questionnaire based prospective cross-sectional study. Setting: Lahore General Hospital, Pakistan. Period: June to August 2018. Material & Methods: 150 Pakistani Hajj pilgrims were randomly selected. Data was collected using a questionnaire. The questionnaire consisted of demographic information (sex, age, previous chronic ailment), health knowledge (4 questions) and health attitude (12 questions). Results: There were more males (71.3%) than females (28.7%). Most participants were between 31 to 50 years (48.7%), above 50 (30 %), 20% below 30 years and only 1.3% above 70 years. Majority (62.7%) had no previous illness, 8.7 % had diabetes, 11.3% Hypertension, 1.3% cirrhotic, and 16% had more than one co-morbidity. Level of knowledge was best in hand hygiene (100%) and vaccination (86.7%), but least in heat stroke 32.7% and chronic ailment 30.7%. Regarding attitude, 64% had positive attitude for wearing mask, 20.7% knew 5 movements, 77.3% food handling, 84% using one time razor for shaving, 25.3% features of heat stroke, 19.3% knew management of heat stroke, 97.3% knew about wearing light colored clothes, 30.7% for maintaining medicine of previous illness, 78% followed same diet precaution, 9.3% aware on carrying medicine, 4% on wearing medic alert bracelet. 86.7% had positive attitude for polio vaccine, 83.3% for influenza vaccine, 84.7% for meningitis vaccine and 82.7% for pneumonia vaccine. Conclusions: Educational strategy is required to improve knowledge and attitude on heat stroke and chronic ailment management.


2020 ◽  
Author(s):  
wasim khasawneh ◽  
Khalid Kheirallah ◽  
Mai Mazin ◽  
Sanaa Abdulnabi

Abstract Background In Jordan, the rate of exclusive breastfeeding is declining. The trend variation in breastfeeding practice is determined by different factors including antenatal women’s attitude and planning which are affected by their awareness and the support they receive. This study aims to assess knowledge, attitude, support, and planning of breastfeeding among Jordanian women.Methods A face-to-face cross sectional semi-structured questionnaire survey was conducted among healthy women in the antenatal clinic and postpartum ward at three hospitals in Northern Jordan during the period August 2019 to December 2019. Data were collected about demographic characteristics, women’s knowledge and attitude towards breastfeeding, antenatal and postnatal support and counseling, and feeding planning. Customized scales were utilized to assess knowledge and attitude. Factors associated with planning to breastfeed were reported.Results 660 women completed the survey questionnaire. The majority were 20 to 35 years of age, 10% were primiparous, and 30% were employed. 78% were knowledgeable about breastfeeding benefits and aware of WHO recommendations. 72% had a positive attitude towards breastfeeding. More than half received support from their husbands to breastfeed their infants, while less than 20% received any counseling from their obstetric providers. 97% reported their intention to breastfeed, and more than half indicated their willingness to breastfeed exclusively. With multilogistic regression modelling, predictors of EBF planning include: primiparity (AOR 1.79 95% C.I 1.1, 3.25), positive attitude (AOR 1.80 95% C.I 1.05, 3.1) and positive husband’s support (AOR 1.92 95% C.I. 1.18, 3.15). Barriers include women’s employment (AOR 0.43 95% C.I. 0.26, 0.70) and low birth weight (AOR 0.46 95% C.I. 0.25, 0.84)Conclusion Jordanian women are highly knowledgeable about breastfeeding benefits, and they exhibit a positive attitude towards breastfeeding resulting in a very high percentage intending to breastfeed their infants. Limited counseling about breastfeeding is a major gap in antenatal care. As intentions might not reflect the actual practice after delivery, gaps and barriers affecting the determinants of successful breastfeeding should be identified, and corrective tools should be implemented accordingly. Allocating a specific time for antenatal or postnatal counseling and support is expected to promote breastfeeding practice in our population.


2021 ◽  
Vol 18 (1) ◽  
Author(s):  
Asrat Hailu Dagne ◽  
Mekonnen Haile Beshah ◽  
Bekalu Getnet Kassa ◽  
Eyaya Habtie Dagnaw

Abstract Background Implementation of evidence-based practice is crucial to enhance quality health care, professional development, and cost-effective health service. However, many factors influence the implementation of evidence-based practice. Therefore, this study aimed to assess the implementation of evidence-based practice and associated factors among nurses and midwives. Methods Institutional-based cross-sectional study design was conducted to assess the implementation of evidence-based practice and associated factors from February 15 to March 15, 2019, among 790 nurses and midwives. Data were entered into EpiData version 3.1 then exported to SPSS version 20 for statistical analysis. Categorical variables were presented as frequency tables. Continuous variables were presented as descriptive measures, expressed as mean and standard deviation. Cronbach’s alpha was used to measure reliability, mean, standard deviation, and inter-items correlation of the factors. Independent variables with a probability value (P-value) of less than 0.2 in the Chi-square analysis were entered in the multivariable logistic regression model. Statistically significant associated factors were identified at probability value (P-value) less than 0.05 and adjusted odds ratio with a 95% confidence interval. Results The mean age of participants was 28.35 (SD ± 4.5) years. This study revealed that 34.7% (95% CI 31.5–38%) of participants implemented evidence-based practice moderately or desirably. Age of participants (AOR = 5.98, CI 1.34–26.7), barriers of implementation of evidence-based practice (AOR = 4.8, CI 2.2–10.6), the attitude of participants (AOR = 5.02, CI 1.2–21.5), nursing/midwifery work index (AOR = 3.9, CI 1.4–10.87), self-efficacy of implementation of evidence-based practice skills (AOR = 12.5, CI 5.7–27.5) and knowledge of participants (AOR = 3.06, CI 1.6–5.77) were statistically significant associated factors of implementation of evidence-based practice Concussion Implementation of evidence-based practice of nurses and midwives was poor. Age of participants, barriers of implementation of evidence-based practice, the attitude of participants, self-efficacy of implementation of evidence-based practice skills, nursing/midwifery work index, and knowledge of participants were found to be predictors of implementation of evidence-based practice. Insufficient time and difficulty in judging the quality of research papers and reports were the most common barriers to the implementation of evidence-based practice.


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