scholarly journals Occupational Stress among Medical and Paramedical Staff in Tertiary Care Hospitals Based on Observational Study

2021 ◽  
Vol 10 (4) ◽  
pp. 231-241
Author(s):  
Muhammad-Maaz Arif ◽  
Abdul Qadir ◽  
Sajid Rashid Ahmad ◽  
Mujtaba Baqir ◽  
Muhammad Irfan
Keyword(s):  
Decision Making ◽  
Occupational Stress ◽  
Tertiary Care ◽  
Public Hospitals ◽  
Primary Data ◽  
Care Hospital ◽  
Duty Hours ◽  
Hospital Employees ◽  
Paramedical Staff ◽  
Tertiary Care Hospitals

Background: Occupational stress is a common concern among employees, particularly those working in tertiary care hospitals. In Pakistan, both medical and paramedical staffs face many stressors because of their high job demand, dealing with multiple patients, excessive duty hours, and strict rules and regulations. The objective of the study was to measure occupational stress among the tertiary care hospital employees of the Lahore District using different demographic and workplace determinants. Methods: It was a cross-sectional study. A total of 138 hospital employees recorded their responses, which included 71 medical staff/doctors and 67 paramedical staff members. Primary data was obtained through a detailed structured questionnaire based on the Likert scale with the stress level index ranging from 1-5. Results: In terms of the six staff designations, stress index from top to bottom was observed in house officers/ internees (3.47), medical officers/ postgraduate trainees (3.04), technicians (2.74), consultants/ specialists (2.73), emergency/ ward assistants (2.61) and nurses (2.46). Among all the employees, the most significant factors leading to stress bottom-down were justice/ fairness (3.30), tasks and roles (3.14), management (3.03), environment/ working conditions (3.01), decision-making autonomy (2.84), work schedule (2.62) and profession/ job entitlement (1.63). Analysis of demographic characteristics showed that males (2.99) faced greater stress than females (2.64) and people of young age group (? 30 years) showed the highest stress value (3.01) than other age groups. It was observed that moderately experienced (5-10 years) employees were more prone to occupational stress (3.03) than other groups. Furthermore, the employees of public hospitals (3.13) bear more stress than those of private hospitals (2.67). On the basis of locality, the locals showed slightly higher stress values (2.89) as compared to non-locals (2.77). Conclusion: The current study showed that occupational stress is a prevalent problem in hospitals, particularly among house officers and postgraduate residents. Several useful steps can be undertaken to improve the health and safety of hospital employees like alleviating duty hours, working in shifts, focusing on a single task, and motivating the employees in decision-making.

End-of-life decision making in critical illness: Perspectives of Asian parents

2021 ◽  
pp. 1-10
Author(s):  
Kristy Xinghan Fu ◽  
Yee Keow Chiong ◽  
Nicola Ngiam
Keyword(s):  
Decision Making ◽  
End Of Life ◽  
Tertiary Care ◽  
Asian Population ◽  
Emergency Department Visits ◽  
Case Vignette ◽  
Healthcare Team ◽  
Care Hospital ◽  
Case Vignettes ◽  
End Of Life Decision

Abstract Objective To explore parents’ perspectives regarding end-of-life (EOL) decisions, factors and possible barriers that influence the EOL decision making process, and to understand parental preferences for communication about EOL care in an Asian population. Method A prospective questionnaire cohort study conducted in a university-based tertiary care hospital. 30 parents of children who had been admitted to general pediatric wards for acute ailments and/or were being followed up in general pediatric outpatient clinics after inpatient admissions or emergency department visits completed 30 interviewer-administered questionnaires. With the first 10 completed questionnaires, we sought feedback on the design of the four case vignettes and related questions. Responses to specific questions related to each case vignette were rated on a Likert scale. Results The majority of parents were able to comprehend and identify with the issues in the case vignettes, which allowed them to respond appropriately. Parents tended to avoid active withdrawal or withholding of life-sustaining treatment. The top three priorities for parents making EOL decisions for their children were: the chance of improvement, the presence of pain or discomfort, and information provided by healthcare staff. Parents reported that they would prefer to know immediately if their child is at risk of dying; they also preferred to get as much information as possible from the healthcare team and thought that meeting with the healthcare team before making EOL decisions was pivotal. Significance of results Parents place highest priorities on their child's likelihood of improvement, perception of their child's pain, and information provided by healthcare professionals in making EOL decisions.

Pediatric Drug-Related Problems in an Indian Tertiary Care Hospital

2021 ◽  
Vol 08 ◽  
Author(s):  
Qaiser Jahan ◽  
K. Pallavi ◽  
R. Hamshika ◽  
Varun Talla ◽  
Jupally Venkateshwar Rao ◽  
...  
Keyword(s):  
Pediatric Patients ◽  
Tertiary Care Hospital ◽  
Tertiary Care ◽  
Care Hospital ◽  
Drug Related Problems ◽  
Cross Sectional ◽  
Pediatric Department ◽  
Root Cause ◽  
Patient Morbidity ◽  
Tertiary Care Hospitals

Background: Improper drug usages expose patients to drug-related problems (DRPs) and can be the cause of patient morbidity and even mortality, especially frequent in hospitalized patients and pediatric groups. Objective: The objective of the present study was to identify and assess the drug-related problems in the pediatric department of tertiary care hospitals. Methods: The cross-sectional, observational study was carried out for six months included pediatric in-patients of age ≤15 years of either gender in pediatric units of tertiary care hospitals of India. The enrolled pediatric patients were observed for any drug-related problem that were further recorded and classified using the DRP registration format taken from Cipolle et al. The assessment of therapy was done by using positional statements from standard organizations and guidelines. Main outcome measure: Incidences of drug-related problems and their assessment and root cause analysis. Results: A total of 970 DRPs were identified in 296 patients, with an overall incidence of 49.3%. The incidence of DRPs was maximum in the age group of 2-12 years of children (51.2%). Patients who took six or more drugs were around eight (OR:8.41 , 95% CI: 5.22 to 13.55) times more likely to have DRPs compared to those patients who took less than six drugs. The incidences of DRPs were more in patients who were hospitalized for ≥ 7 days. Conclusion: The present study revealed significantly higher incidences of DRPs in hospitalized pediatric patients necessitating the involvement of clinical pharmacists in the pediatric department of tertiary care hospitals.

scholarly journals Clinical pattern and patch test profile of hand eczema in hospital employees in a tertiary care hospital of North India

2021 ◽  
Vol 12 (1) ◽  
pp. 72
Author(s):  
IffatHassan Shah ◽  
Sumaya Zeerak ◽  
Saniya Akhtar ◽  
Yaqzata Bashir ◽  
ManzoorA Bhat ◽  
...  
Keyword(s):  
Patch Test ◽  
Tertiary Care Hospital ◽  
Tertiary Care ◽  
Hand Eczema ◽  
North India ◽  
Care Hospital ◽  
Clinical Pattern ◽  
Hospital Employees

Barriers to efficient provision of healthcare facilities: an experience from a developing country.

2021 ◽  
Author(s):  
Fatima Fakir Musharraf ◽  
Anooja Rani
Keyword(s):  
Tertiary Care ◽  
Care Hospital ◽  
Low Literacy ◽  
Healthcare Facilities ◽  
Large Tertiary Care ◽  
Care Facilities ◽  
Tertiary Healthcare ◽  
System 2 ◽  
Tertiary Care Hospitals

Pakistan has nearly 200 million people, of which almost 20 million people live in Karachi, which has 17 tertiary care hospitals, and it is no secret that they are overburdened (1). Despite the healthcare workers’ competency, several issues hinder administering proper care in a tertiary healthcare setup. Firstly, spatial distancing-spatial access to facilities within a hospital also proves a challenge for patients. Patients have little idea regarding specific departments in a large tertiary care hospital due to low literacy rates compounded with a lack of health literacy. At times many patients have reportedly circled the hospital twice and can still not find their desired specialist. A study conducted in Delhi that closely matches Karachi in demographics suggested that patients with one-time visits to secondary care facilities had lower follow-up rates than those who were more familiar with the system (2). Patients may take time to acclimatize to healthcare setup when visiting as first-timers, and if found too challenging to adapt, they may not make an effort again. Unsurprisingly, this renders many facilities- the administration spends, sometimes a fortune, procuring- useless. Continuous...

scholarly journals GUILLIAN BARRE SYNDROME;

2019 ◽  
Vol 26 (02) ◽  
Author(s):  
Shahid Iqbal ◽  
Naeemullah Bullo ◽  
Dileep Kumar ◽  
Suneel Kumar ◽  
Munir Afzal ◽  
...  
Keyword(s):  
Clinical Features ◽  
Sinus Tachycardia ◽  
Sinus Bradycardia ◽  
Tertiary Care ◽  
Care Hospital ◽  
Inclusion Criteria ◽  
Control Effect ◽  
Study Results ◽  
Data Analysis Procedure ◽  
Tertiary Care Hospitals

Objectives: To determine the frequency of various clinical features of Guillian Barre Syndrome in patients presenting to a tertiary care hospital in Karachi. Study Design: Descriptive study. Period: July 2015 to December 2015. Setting: Tertiary care hospitals of Karachi. Material & Methods: Seventy five diagnosed case of GBS who fulfill the inclusion criteria irrespective of gender included in the study after informed consent. Data was collected on preformed proforma. Detailed history, physical examination was done on each patient, diagnosis was confirmed on NCV & EMGs.  Data analysis procedure was done with the help of SPSS version 16. Mean±SD was calculated for age of the patient and duration of clinical features. Frequency and percentages were calculated for different clinical features. Stratification was done with respect to age, gender and duration of clinical features to control effect modifiers in the study. Results: Mean age was 43.96±14.22 (ranging from 15 to 70) years, among 75 patients 51(68%) were male & 24(32%) were female, majority of patients (34) were >50 years of age, 45.3% of patients had pain in extremities; pain in back was reported by 49.3%. Dysphagia in 80%, Ophthalmoplegia in 20% and Dysarthria in 16% of patients Respiratory failure was prevalent in 34.7% patients. Sinus tachycardia occurred in 49.3%, Sinus bradycardia 14.7% patients and 20% patients had urinary dysfunction. Constipation was also a predominant feature affecting 80% of patients. Conclusion: We found that GBS occurred at all ages and was more common in males. There are various clinical features of GBS along with flaccid limbs weakness clinical features observed & these should be address promptly for better outcome.

scholarly journals A study to assess prevalence of treatment default among lung cancer patients registered at a tertiary care hospital

2018 ◽  
Vol 6 (7) ◽  
pp. 2499
Author(s):  
Lokendra Dave ◽  
Vikas Mishra ◽  
Rakesh C. Gupta ◽  
Neeraj Gour ◽  
Nishant Shrivastava ◽  
...  
Keyword(s):  
Lung Cancer ◽  
Cancer Patients ◽  
Tertiary Care ◽  
Primary Lung Cancer ◽  
Drop Out ◽  
Primary Data ◽  
Care Hospital ◽  
Cross Sectional ◽  
Lung Cancer Patients ◽  
Treatment Default

Background: Lung cancer is among the five main types of cancer leading to overall cancer mortality contributing about 1.3 million deaths/year globally. Completion of treatment among lung cancer patients is one of key factor for the survival and longevity of patients. So, we have tried to find out prevalence of treatment default through this study.Methods: This is a cross-sectional descriptive study (including retrospective secondary and prospective primary data) using data base of patients of primary lung cancer diagnosed between 1st January 2006 to 31st December 2012 in indoor and outdoor of department of Respiratory Medicine, J.L.N. Medical College, Ajmer, a tertiary level hospital and teaching center.Results: Incidence of lung cancer is significantly higher among young female (10.23%) as compared to young male (8.74 %). Whereas in older group number of male suffering from lung cancer than female. Total 269 (20.7%) patients defaulted from planned treatment and most of them ultimately drop-out from chemotherapy cycles. Intercycle delay of 2 weeks-1m commonly seen.Conclusions: It provides future implication to researchers to explore reasons of these defaults and drop outs so that more evidences can be generated in this direction for the ultimate betterment of lung cancer patients.

scholarly journals Hand Hygiene Policy for a Tertiary Care Hospital

2015 ◽  
Vol 3 (2) ◽  
pp. 103-109
Author(s):  
Shakti Kumar Gupta ◽  
Sanjay Arya ◽  
Sheetal Singh ◽  
Vijay Aggarwal ◽  
T Thuilephy
Keyword(s):  
Hand Hygiene ◽  
Disease Transmission ◽  
Tertiary Care Hospital ◽  
Tertiary Care ◽  
Cross Sectional Study ◽  
Public Hospitals ◽  
Care Hospital ◽  
Cross Sectional ◽  
Study Population ◽  
Personnel Paramédical

ABSTRACT Hand hygiene diminishes the carriage of potential pathogens on the hands. It results in reduction in patient morbidity and mortality from nosocomial infection. Eighty percent of nosocomial disease transmission is thought to be via hands. The purpose of this study is to provide policy with regard to hand hygiene which can be followed in tertiary care hospitals. It was a descriptive cross-sectional study carried out between April and August 2013. The study population included doctors, nursing personnel, paramedical staff and quality managers of tertiary care hospital from public and private hospitals. Checklist was made after an exhaustive review of literature which was then improvised. Validation of the checklist was done by experts in infection control in various private and public hospitals. Subsequently, interaction was done with study population against the back drop of the checklist and hand hygiene policy was formulated. How to cite this article Singh S, Gupta SK, Arya S, Aggarwal V, Thuilephy T. Hand Hygiene Policy for a Tertiary Care Hospital. Int J Res Foundation Hosp Healthc Adm 2015;3(2):103-109.

scholarly journals Emotional Touch Points as a Predictor of Service Quality in a Tertiary Care Hospital, Chennai

2019 ◽  
Vol 8 (4S3) ◽  
pp. 134-138
Keyword(s):  
Quality Of Service ◽  
Service Quality ◽  
Tertiary Care Hospital ◽  
Tertiary Care ◽  
Healthcare Organization ◽  
Primary Data ◽  
Emotional Engagement ◽  
Care Hospital ◽  
The Impact

The Purpose of this study is to analyze the Impact of relationship between the Five Emotional Touch points experienced at a Tertiary Care Hospital and the dimensions of Service Quality delivered by a Healthcare Organization. The Emotional Touch Points experienced by In-Patients during their stay at a Tertiary Care Hospital is under the purview of this study. This study identifies and analyses the bottlenecks experienced by the In-patients emotionally which is considered as a major impact on the Quality of Service delivered by the Healthcare Organizations. The study design is a purely descriptive design about the quality of service delivered in the process of providing In-Patient health care services. The primary data were collected through closed ended questionnaire for assessing the emotional touch points and the dimensions of Service Quality rendered by the Hospital. The statistical tools used in this study are weighted mean, correlation and regression. The results revealed that the human element -empathy expressed by the Healthcare providers towards their patients is a highly significant dimension of Service Quality reflecting on the Emotional Engagement of patients with the Healthcare Organization..

scholarly journals Assessment of Physicians' Perspective of Shared Decision Making in a Tertiary Care Hospital in Riyadh, Saudi Arabia

2020 ◽  
Vol 3 (4) ◽  
pp. 119-124
Author(s):  
Hind Almudaimegh ◽  
Sarah Alkanhal ◽  
Futun Alanazi ◽  
Norah Alquraishi
Keyword(s):  
Decision Making ◽  
Saudi Arabia ◽  
Shared Decision Making ◽  
Tertiary Care Hospital ◽  
Tertiary Care ◽  
Cross Sectional Study ◽  
Hard Copy ◽  
Care Hospital ◽  
Shared Decision ◽  
Cross Sectional

ABSTRACT Introduction Shared decision making is an essential component of a patient-centered healthcare system. Several studies have evaluated patients' perception of shared decision making; however, studies reporting physicians' perception of the shared decision-making process are lacking. The objective of this study was to assess physicians' perspectives on shared decision making with their patients in a tertiary care hospital in Riyadh, Saudi Arabia. Methods This is a cross-sectional study, in which we adopted the nine-item physician version of the shared decision-making questionnaire (SDM-Q-Doc) to assess physicians' perception of shared decision making. The questionnaire was distributed online and in hard copy form randomly to our institution's physicians. Results We collected a total of 125 responses from various specialties. Means and percentage of agreement were tested, with the highest percentage of agreement ranging from 88% to 96.8%. There were significant differences between the groups regarding age and medical degree. There were no significant differences noted for sex or department. Conclusion Our findings suggest that most physicians at our institution have a positive attitude toward the process of sharing medical decisions with their patients.

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