scholarly journals Knowledge and attitude regarding legal and ethical aspects in nursing among nurses in a tertiary care teaching hospital, Nepal

2020 ◽  
Vol 7 (3) ◽  
pp. 104-112
Author(s):  
Himala Rimal

Introduction: Health care laws and ethics serve as a hallmark in maintaining the equilibrium in the delivery of health care services. The study aimed to find out the knowledge and attitude regarding the legal and ethical aspects of nursing. Method: A cross-sectional study was conducted in Patan Hospital, Patan Academy of Health Sciences, Nepal, from July to August 2017. A self-administered structured questionnaire was used to find out knowledge and attitude regarding legal and ethical aspects in nursing and relation to the demographics- age, an academic qualification in nursing, year of experiences, designation, and place of work in different departments of the hospital. Ethical approval was obtained. Data were analyzed using SPSS, Chi-square test, and the Pearson correlation coefficient was used to determine the association. Result: Findings revealed that among 200 nurses, 26.0% had good knowledge (score >75%), 62.0% average knowledge (score 50%-75%) and 12.0% poor knowledge (score <50%) regarding legal and ethical aspects in nursing. Similarly, 64.5% of nurses had a favourable attitude (score >50%) while 35.5% had an unfavourable attitude on legal and ethical aspects. Knowledge and attitude had no statistically significant association with demographic variables. Conclusion: Most of the nurses had an average level of knowledge and more than half of them had a favourable attitude regarding legal and ethical aspects of nursing.

Author(s):  
Indresh Gupta ◽  
Anindita Mandal

Background: Antenatal care is an umbrella term used to describe the medical procedures and care that are carried out during pregnancy. Every day, approximately 830 women die from preventable causes related to pregnancy and childbirth. Worldwide, the annual number of maternal deaths per 100,000 live births fell by 44% between 1990 and 2015, from approximately 385 to 216. The sub-Saharan African region accounted for an estimated 66% (201,000) of global maternal deaths, followed by southern Asia at 22% (66,000 deaths).Basically, only 5% of the world’s countries accounted for over half of maternal deaths.Methods: A cross-sectional hospital based study was conducted on 384 spouses attending antenatal OPD. Interview Schedule was conducted to assess their knowledge and attitude using a self-structured questionnaire. Knowledge score of spouses has been computed on the basis of correct response to 18 knowledge questions and by converting it to percentage score.Results: The mean knowledge score was 61.10% taken as the arithmetic average of all the scores.  Mean attitude score was very high 94.29% with small SD 3.87. The attitude of spouse towards antenatal care is found to be extremely high. The educational status (p<0.000), age (p<0.002), type of family (p<0.018) and average income earned per month (p<0.000) were statistically significant to the level of knowledge.Conclusions: The study shows that the knowledge and attitude among spouses of pregnant women about antenatal care is good.


Author(s):  
Rupa Arun Korde ◽  
Radhika M. S.

Background: Pharmacovigilance is the science and activities relating to the detection, assessment, understanding and prevention of adverse effects or any other possible drug-related problems. An “adverse drug reaction” is any noxious, unintended and undesired effect of a drug, which occurs at a dose used in humans for prophylaxis, diagnosis, therapy or modification of physiological functions. Reporting of adverse events and adverse drug reactions is the commonest method utilized for generating safety data. Lack of awareness about Pharmacovigilance is one of the most important causes of such under-reporting. Spontaneous reporting system is considered the main mechanism of pharmacovigilance study for gathering information about ADRs. Hence this study was undertaken to assess the knowledge, attitude and practice regarding Pharmacovigilance among junior residents and interns in a tertiary care hospital.Methods: A cross-sectional study was carried out in 134 doctors using pre-validated 20 item questionnaire with details of participant’s information followed by questions regarding knowledge, attitude and prescribing practice of pharmacovigilance was used as a tool, administrated to all the resident doctors and the collected data was analysed.Results: Our study revealed that knowledge about pharmacovigilance was not adequate to JRs and INTs. Survey results revealed that the knowledge of pharmacovigilance among doctors 63 (88.73%) JR and 49 (77.78%) INTs had a knowledge score of less than 50%. This shows that only few doctors are aware about the pharmacovigilance programme. The assessment of questionnaire based on attitude regarding pharmacovigilance shows that 21 (29.58%) JR and 17 (26.98%) of INTs had attitude score of 70% and above. The attitude score was less compared to the knowledge score of JRs and INTs. 52 JR and 58 INTs stated that they have not been trained on how to report ADRs and basic orientation about pharmacovigilance which hinders the process of practicing pharmacovigilance. Conclusions: For the success of Pharmacovigilance programmes only knowledge and attitude regarding Pharmacovigilance is not enough as is evident from our study. Success of Pharmacovigilance programmes depend also upon the effective practice of Pharmacovigilance by healthcare professionals.


Author(s):  
M.K. Sreelakshmi ◽  
Suneesh Kuruvilla ◽  
Ramanarayanan Subramaniam ◽  
Pooja Latti ◽  
Ramanarayanan Venkitachalam

Abstract Background: Chengannur, a town in the south Indian state of Kerala, was 1 of the worst affected towns during the floods of 2018. Post-flood, Kerala state was under the threat of many infectious diseases including leptospirosis, but did not report any leptospirosis infections. Objectives: This study was conducted with the following objectives: (1) Assess the knowledge, attitude and practices regarding the prevention of leptospirosis among the flood affected population and Accredited Social Health Activists (ASHAs) of Chengannur; and (2) Analyze the factors responsible for and contributing to leptospirosis control in the area post flood. Methodology: A cross-sectional questionnaire based observational study was conducted among 2 groups: the flood affected population, and ASHA. The questionnaire was divided into 3 parts. Part A contained the socio-demographic information. Part B contained questions on assessment of knowledge, attitude, and practices regarding the prevention, and control of leptospirosis. Part C was only for the ASHA involved. Results: The final sample size was 331 (244 from the general population and 87 ASHAs). With respect to knowledge, attitude, and practice, the responses were dichotomized into correct and wrong responses. The mean knowledge score was 9.01 ± 1.08 (maximum score of 10), mean attitude score was of 3.61 ± 0.55 (maximum score of 4) and the mean practice score was 4.12 ± 1.05 (maximum score of 5). Conclusion: Knowledge and attitude scores did not significantly differ between the general population and ASHA, but the practice score showed a higher score among the ASHA, all of which could have probably contributed to the prevention of a leptospirosis outbreak in the region.


Author(s):  
Krishna Singh ◽  
Kauser Sayedda ◽  
Richa Bhardwaj ◽  
Neha Yadav ◽  
Quazi Shahir Ahmed

Background: Awareness towards Pharmacovigilance among health professionals in any hospital is an important part of health care system. So, the present study was conducted to know the extent of awareness of Pharmacovigilance among health care professionals.Methods: A cross-sectional questionnaire based study about knowledge, attitude and practices towards adverse drugs reaction (ADRs) and Pharmacovigilance was carried out at Shri Ram Murti Smarak Institue of Medical Sciences, Bareilly (U.P). 153 questionnaires were distributed among the Post graduate students, faculties, interns, nurses and pharmacists. 2-3 days time was given to fill the questionnaire.Results: Out of 153 questionnaires distributed, 99 filled forms were turned up for evaluation. Hence, response rate was 64.70%. 73.33% PGs, 100% faculty members, 53.33% interns, 36% nurses and 18.75% pharmacists were aware of adverse drugs reactions (ADRs) and Pharmacovigilance. Regarding reporting of ADRs, 86.66% PGs, 91.66% faculties, 73.33% interns, 88% nurses and 81.25% pharmacists were agreed to report ADR as it is mandatory and related to increased patients’ safety. Regarding discouraging factors for practice of reporting ADRs, 20% PGs, 16.66% faculties, 80% interns, 40% nurses and 68.75% pharmacists found ADR forms difficult to be filled. According to 66% faculties, 80% PGs, 66.66% interns managing patients are more important than reporting ADRs while 93.75% nurses and 76% pharmacists did not know how to report and where to report.Conclusions: The results of our study indicate that the acceptable number of health-care professionals had a good knowledge and attitude towards pharmacovigilance. There was a huge gap between the ADR experienced, and ADR reported by the health-care professionals. So, there is need of conductance of CMEs, workshops and seminars related to pharmacovigilance for all heaith care professionals especially nurses and pharmacists so, that whole community can be benefitted.


2021 ◽  
Vol 9 (E) ◽  
pp. 179-186
Author(s):  
Eman Moawad Elhabashi ◽  
Reham Farouk Tawfik ◽  
Fatma Maamoun Abou-Hashima ◽  
Arwa Mohamed El Shafei ◽  
Fayrouz El-Aguizy

BACKGROUND: Since first confirmed case of coronavirus disease (COVID)-19 in December 2019 by Chinese health authorities and subsequent World Health Organization (WHO) declaration that COVID-19 is a global public health crisis, radical changes have occurred all over the world associating massive lockdown with increased numbers of infected cases and related mortalities. As health care workers (HCWs) are at a great risk to get COVID-19 infection and hence can be a dangerous source of spreading it to the community, it was important to assess HCWs knowledge, attitude, and practice toward COVID-19 infection prevention and control (IPC) to help limit the outcomes of COVID-19. AIM: The objectives of the study were to assess the knowledge, attitudes, and practices of physicians regarding COVID-19 IPC. METHODS: Research setting is “Kasr Al-Ainy” Faculty of Medicine, Cairo University Hospital. Design: A cross-sectional analytical observational hospital-based research in June 2020. Population: A convenient sample of 50 physicians working at Cairo University Hospital was included. Data collection: Self-administered questionnaires derived from the WHO IPC guide during health care when COVID-19 is suspected were used. RESULTS: Mean age of studied group was 30.5 ± 3.97, while their mean years of practice were 4.7 ± 3.55. Mean knowledge score among physicians was 5.6 (± 0.56), two-thirds of them had sufficient knowledge regarding COVID-19 IPC as their mean attitude score among 24.9 (± 2.8). While mean practice scores 5.6 (± 1.05), yet only 68% of the participating physicians use a new set of personal protective equipment when care is given to a different patient. CONCLUSION: Physician’s moderate knowledge, poor attitude, and modest practice toward COVID-19 IPC were found to be not sufficient, not favorable nor safe enough to expected standards.


Author(s):  
Lakshmi K

Objectives: This study was aimed to assess the knowledge and attitude of primipara mothers regarding breast feeding. Methodology: quantitative non experimental - descriptive research design was adopted. The study was conducted in MES medical college hospital with the sample size of 50 primipara mothers by using non probability- purposive sampling technique. Results: The knowledge score of primipara mothers regarding breast feeding were 4 (8.0%) had inadequate knowledge, 35 (70%) had average knowledge, 11 (22%) had adequate knowledge. The attitude score of the primipara mothers regarding breast feeding reveals that 2 (4.0%) had neutral attitude, 48 (96%) had positive attitude towards breast feeding. Correlation of knowledge and attitude of primipara mothers regarding breast feeding represents that mean knowledge and attitude score of primipara mothers regarding breast feeding was 14.3 and 48.74 respectively. Correlation coefficient(r) value is 0.041, which indicates statistically non significant. find the association between the knowledge and attitude with selected demographic data illutrates that there is a significant association of knowledge score with their type of family (p <0.05) and there is no significant association of knowledge score with the age, education, occupation, religion, residence, age at marriage, sex of the baby, previous knowledge on breast feeding ( p > 0.05). there is no significant association of attitude score with the with demographic data ( p >0.10). conclusion: This study was identified that 70% of the primipara mothers had average knowledge and 96% had positive attitude towards breast feeding. It implies that majority of the primipara mothers was received previous information regarding breast feeding in this study had a major role to enhance the knowledge and attitude of primipara mothers regarding breast feeeding.


2016 ◽  
Vol 2016 ◽  
pp. 1-15 ◽  
Author(s):  
Eman Al-Hashemi ◽  
Abdullatif Ashkanani ◽  
Haneen Al-Qattan ◽  
Asmaa Mahmoud ◽  
Majd Al-Kabbani ◽  
...  

Background and Objectives. Attitudes toward students with epilepsy and epilepsy-related knowledge of teachers are crucial for child’s safety in the school. The aim of this study was to evaluate teachers’ knowledge and attitudes toward epilepsy.Methods. This cross-sectional study included 824 teachers from 24 randomly selected middle and high schools. Scale of Attitudes Toward Persons with Epilepsy (ATPE) was modified to assess teachers’ knowledge about epilepsy and attitudes toward students with epilepsy.Results. Median knowledge score about epilepsy was 5 (out of 13), while median attitude score was 10 (out of 15). Both knowledge and attitude median scores were significantly higher in senior teachers with longer teaching experience and in respondents who dealt with a person with epilepsy. There was significant association between knowledge score and attitude score (p<0.01). Logistic regression showed that significant variables, independently associated with poor knowledge after adjusting for possible confounders, were not having a family member with epilepsy (p=0.009), unawareness of life circumstances of persons with epilepsy (p=0.048), and a poor attitude score (p<0.001).Conclusion. School teachers in Kuwait have relatively poor knowledge about epilepsy but have positive attitudes toward students with epilepsy. A number of historical and stigmatizing ideas about epilepsy still exist. It is recommended to provide teachers with information about handling seizures in the educational setting through development and implementation of epilepsy education programs.


Author(s):  
Pratibha Srivastava

Today's Children will be tomorrow's responsible citizen of the country. Entertainment is an essential part of life, by this we feel tension free, relaxed, energetic and having a positive attitude towards life. Games plays an important role for the all round development of the children's personality especially outdoor games but Now a days children are adopting habits of playing indoor games and also entertaining themselves by using various electronic devices as we know one of them is television. There are various programmes such as various kids’ channels, cartoon shows, video games etc. being watched by the children. Directly or indirectly these programs affect behaviour of the children in positive and negative ways. That’s why it is needed that parents should have a look for types of programmes seen by children, how long a child is watching a program, how it is affecting child habits/ behaviour etc. Later on, these negative impacts will create health issues/behaviour problems such as obesity, aggressive behaviour, lack of concentration etc. Child who watch television for 10 hours or more per week are less skilled at reading and are less successful in school as compared to children who watch television for less than 10 hours per week. The American academy of paediatrics makes the following recommendations regarding television viewing should not exceed one to two hours of quality programming daily and children younger than two years old should not watch television.1 That is why researchers took this topic to highlight the attitude and knowledge of parents about the impact of television on their Children's behaviour. A co-relational study conducted to assess parental knowledge and attitude regarding the impact of television on children in selected area at Kanpur (U.P). A descriptive cross-sectional survey approach was used, sample size was 100 parents selected by convenient sampling for this study. Self-structured knowledge questionnaire was used to assess the knowledge of parents, and attitude of parents was assessed by Likert scale. The study shows that among 100 parents 8% of them had poor knowledge, 36% average knowledge, 50% good knowledge, 6% very good knowledge about impact of television on children. The study shown the positive attitude 84%, negative attitude 16% on impact of television on children. The correlation value shows that positive correlation between knowledge and attitude score of parents. There was no significant association between knowledge score with their demographic variables and significant association seen between attitude score with types of family, educational status of parents, income of parents and number of children. There was no significant association between attitude score with age of parents and religion. KEYWORDS: Impact, Television, Attitude, Parental Knowledge,


2020 ◽  
Vol 8 (2) ◽  
pp. 18-24
Author(s):  
Dilli Bahadur Pun ◽  
Bobby Thapa ◽  
Prashanna Shrestha ◽  
Sonam Chaudhary ◽  
Nashib Pandey ◽  
...  

Background and Objectives: Survival after cardiopulmonary arrest depends on early and effective cardiopulmonary resuscitation (CPR). Demand for courses of basic life support (BLS)/CPR is increasing worldwide. Till date, there have been little reports regarding CPR knowledge and attitude among the Nepalese dental health personnel. This study aimed to assess the knowledge and attitude towards CPR among undergraduate dental students, interns and postgraduate residents studying at Kantipur Dental College and Teaching Hospital (KDCH), Kathmandu, Nepal. Material and Methods: A descriptive cross-sectional study was conducted among 243 dental students studying at KDCH. Data was collected through a self -administered semi-structured questionnaire. Collected data was organized, recorded, coded and then analyzed using Statistical Package of Social Science (SPSS) version 16. Descriptive statistics was used to compute mean, percentile, standard deviation and one way ANOVA test was done to compare the mean knowledge score between different academic levels of the students at 95% level of significance. Results: The mean knowledge and attitude score towards CPR among the dental students was 8.05±2.85 and 4.63±0.51 respectively. Out of total students, only few (5.8%) had adequate knowledge whereas all (100%) had a positive attitude towards CPR. The mean score for the pre-clinical students (7.26 ±2.38) was significantly (p=0.001) lower than clinical students (8.44 ±3.23), interns and residents (8.85 ±2.54). Conclusion: The present study showed inadequate knowledge regarding CPR among dental students of different academic levels but they have a positive attitude towards it. The integration of CPR in the early year of the curriculum along with regular training of CPR in succeeding years will enhance their knowledge.


2021 ◽  
Vol 28 (03) ◽  
pp. 399-406
Author(s):  
Nazish Waheed ◽  
Brekhna Jamil ◽  
Robina Usman ◽  
Humera Waqar

Objective: This study was conducted to evaluate the knowledge and attitude of undergraduate medical students toward research. Study Design: Cross sectional study. Setting: Private Medical Colleges of Khyber Pakhtunkhwa. Period: November 2018 to July 2019. Material & Methods: A total of 938 final year medical students participated in the study. A validated self administered questionnaire was used for the collection of data. The student’s perception was assessed through questionnaire based on 5-point Likert scale. For the assessment of knowledge MCQs were marked as 1 in case of correct answer and 0 in case of incorrect answer. Results: Out of 1300 students, 938 returned the questionnaire resulting in a 74% response rate. 481(51%) participants were male and 457(49%) were females. The participants had a mean knowledge score of 6.103 out of a total of 15 questions and mean attitude score of 76.29. Conclusion: This study concludes a low knowledge score coupled with a positive attitude of doing research. More attention must be placed on these parameters in the curriculum to improve student knowledge in health research.


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