Opinion of the junior doctors on the existing morale, support and autonomy at their workplace and the factors positively influencing them

Background: Junior doctors form the majority of the workforce in patient care. Their job is perilous, highly critical, tedious and exhausting and it is imperative that they stay motivated while at work. Improving the morale of physicians has the potential to increase efficiency, ensure patient safety and improve patient outcomes. We aimed to identify the existing status and explore the factors affecting junior doctors’ morale, their sense of feeling supported and their levels of autonomy in 2 large teaching hospitals in Bangladesh. Methods: This cross-sectional observational study was done across 2 large tertiary hospitals- Bangladesh Institute of Research and Rehabilitation in Diabetes, Endocrine and Metabolic Disorders(BIRDEM) General Hospital and Dhaka Shishu Hospital, over 4 months period from September- December 2020. The study was carried out on 120 junior doctors by an online questionnaire, distributed through emails and Facebook messenger, asking junior doctors to rate their morale, sense of feeling supported and autonomy and rank the top factors that positively affected them. Results: Data were finally collected from 117 junior doctors after 3 incomplete data were discarded. Most of the junior doctors felt ‘neither good nor bad’ in the domains of existing ‘morale’ (44.4%), ‘feeling supported’ (46.5%) and ‘autonomy’ (48.7%). Additionally, ‘good’ morale was seen in 39.3%, while around 34% rated their support system as ‘good’ and around 24% reported a ‘good’ autonomy. The most important factor positively affecting morale was recognition and reward for good performance (70.1%), factor influencing support was an easy access to senior clinicians (70.4%) and that defining autonomy was constant senior supervision of the everyday work (61.1%). Conclusion: The study aims to identify the existing level of morale, support and autonomy of the junior doctors at their workplace and explore the factors positively affecting them. It is concluded from this study that the junior doctors rated their existing morale, support and autonomy as ‘average’. According to the opinions of the doctors, this study also concludes that, to improve their morale, there is a need to recognize and reward their good work and provide positive feedback. Doctors identified an easy access to senior clinicians with a problem was the primary factor influencing support. Finally, junior doctors wanted constant senior supervision of their everyday work in the wards to improve output. BIRDEM Med J 2022; 12(1): 30-35

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Physicians’ Knowledge, Attitude and Practice of Generic Substitution in China: A Cross-Sectional Online Survey

International Journal of Environmental Research and Public Health ◽

10.3390/ijerph18157749 ◽

2021 ◽

Vol 18 (15) ◽

pp. 7749

Author(s):

Mingyue Zhao ◽

Lingyi Zhang ◽

Zhitong Feng ◽

Yu Fang

Keyword(s):

Online Survey ◽

Generic Substitution ◽

Generic Drugs ◽

Final Analysis ◽

Generic Medicine ◽

Generic Medicines ◽

Online Questionnaire ◽

Cross Sectional ◽

Ordered Logistic Regression ◽

Tertiary Hospitals

The purpose of this study is to investigate physicians’ knowledge, attitudes and practice of generic medicine substitutions in China. We conducted a cross-sectional online questionnaire survey on physicians from secondary or tertiary hospitals in China from 2020 December to 2021 April. Descriptive statistical and ordered logistic regression were used for analysis. A total of 1225 physicians were included in the final analysis, and only 330 (26.94%) of them scored 4 or above in the knowledge part, which means that the physicians have a good knowledge of generic substitutions. Of the total, 586 (47.83%) agreed or strongly agreed that generic drugs could be substituted for originator drugs and 585 (47.75%) always or often prescribed generic medicines. The percentage of physicians with a positive attitude toward or that practice prescribing generic medicine is below 50%, which needs to be improved in China. Physicians’ knowledge, their attitude toward generic substitution, if familiar with the policy of generic substitution, and incentives for prescribing generic medicines are influencing factors for the practice of generic substitution. Our studies show that the practice of generic substitution by physicians could be improved by several measures in China. We suggested that the physicians should be taught more about the bulk-buy policy and the generic-originator equivalence evaluation policy. Moreover, government incentives to promote generic substitution should be established. Our study also suggested that physicians with less working experience and female physicians should learn more about generic substitution.

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Influenza vaccination campaigns targeted at healthcare workers:results of four hospitals in Rome

European Journal of Public Health ◽

10.1093/eurpub/ckz186.516 ◽

2019 ◽

Vol 29 (Supplement_4) ◽

Author(s):

A Tognetto ◽

A Abbondanzieri ◽

G Cerone ◽

M Di Pumpo ◽

A Nardi ◽

...

Keyword(s):

Public Health ◽

Influenza Vaccination ◽

Vaccination Coverage ◽

Seasonal Influenza ◽

Teaching Hospitals ◽

Easy Access ◽

Cross Sectional ◽

Seasonal Influenza Vaccination ◽

Coverage Rates ◽

Vaccination Campaigns

Abstract Background Seasonal influenza vaccination (SIV) of health care workers (HCWs) is well recognized as a public health measure that can protect both HCWs from infection and patients from the risk of influenza complications. Nevertheless, vaccination coverage rates among this specific population result generally lower than the recommended target. With our study, we aimed to describe the activities and the outcomes of four different SIV campaigns targeted at HCWs and organized during the season 2018/2019 in four hospitals in Rome. Methods A cross-sectional study involving four teaching hospitals was performed. The collected data were synthetized into a set of descriptors and indicators, validated through a previous study that had involved the same Centers. Results The Medical Directorates, in collaboration with the University Hygiene and Public Health Units of the four hospitals organized different strategies: Hospital 1, 3 and 4 realized educational courses for HCWs and actively promoted the campaigns through e-mail invitations to all HCWs. As for the access to vaccination, all the hospitals provided a dedicated unit for SIV; Hospital 1 and Hospital 4 organized also on-site vaccination sessions in the hospital wards, that required a large number of staff. The vaccination coverage rates resulted: 22.37% in Hospital 1, 18.10% in Hospital 4, 9.28% in Hospital 2 and 8,51% in Hospital 3. Conclusions Our results demonstrate that multi-activity campaigns, involving education, promotion and easy access to vaccination constitute an effective approach to reinforce the value of SIV. Our findings suggest that on-site vaccination may play a key role in determining a higher vaccination coverage. Key messages Multi-activity vaccination campaigns, involving education, promotion and easy access to vaccination constitute an effective approach to reinforce the value of seasonal influenza vaccination for HCWs. On-site vaccination may play a key role in determining a higher vaccination coverage.

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Acceptability of a COVID-19 Vaccine Among Healthcare Workers in the Kingdom of Saudi Arabia

Frontiers in Medicine ◽

10.3389/fmed.2021.644300 ◽

2021 ◽

Vol 8 ◽

Author(s):

Ameerah M. N. Qattan ◽

Noor Alshareef ◽

Omar Alsharqi ◽

Naseem Al Rahahleh ◽

Gowokani Chijere Chirwa ◽

...

Keyword(s):

Saudi Arabia ◽

Healthcare Workers ◽

Cross Sectional Survey ◽

Online Questionnaire ◽

Cross Sectional ◽

Factors Affecting ◽

Logistic Regression Models ◽

Factors Associated ◽

Chi Squared ◽

Health Related

Objective: This study aims to determine the acceptability of a COVID-19 vaccine among healthcare workers in Saudi Arabia and the factors affecting their intention to accept the vaccine.Methods: The study used data from an online cross-sectional survey that was conducted in Saudi Arabia between 8 December 2020 and 14 December 2020. This study employed bivariate and multivariable regression analyses. The bivariate was used to describe and tabulate the frequency of all the variables, including the sociodemographic characteristics, the risk perception and the acceptance of the COVID-19 vaccination and a chi-squared test of independence was calculated. Multivariable logistic regression models were employed to examine and identify the factors associated with an intention to have the COVID-19 vaccination and the factors associated with its immediate acceptance.Results: Of the total of 736 healthcare workers who began the online questionnaire, 673 completed it (a 91.44% completion rate). Among the study participants, 50.52% were willing to have the COVID-19 vaccine, of which 49.71% intended to have the vaccine as soon as it becomes available in the country, while 50.29% would delay until the vaccine's safety is confirmed. Being a male healthcare worker, perceiving a high risk of infection, and believing that the COVID-19 vaccine should be compulsory for all citizens and residents in the country increased the probability of intention to vaccinate against COVID-19 and the probability of accepting the COVID-19 vaccination as soon as possible.Conclusion: This study calls for more health-related education among healthcare workers to alleviate any fears that might be associated with the COVID-19 vaccine.

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Post-discharge surveillance of surgical site infections in teaching hospitals in Brazil

Revista da Escola de Enfermagem da USP ◽

10.1590/s1980-220x2018038203542 ◽

2020 ◽

Vol 54 ◽

Author(s):

Amandha Fernandes Pagamisse ◽

Judith Tanner ◽

Vanessa De Brito Poveda

Keyword(s):

Surgical Site Infection ◽

Surgical Site Infections ◽

National Registry ◽

Teaching Hospitals ◽

Site Infection ◽

Online Questionnaire ◽

Post Discharge ◽

Cross Sectional ◽

Active Search ◽

Hospital Infection Control

Abstract Objective: Understanding the reality of surgical site infections post-discharge surveillance in Brazilian teaching hospitals. Method: A cross-sectional study conducted by sending an online questionnaire to nurses from the Hospital Infection Control Committee of Brazilian teaching hospitals registered in the National Registry of Health Establishments. Results: Of the 193 teaching hospitals in Brazil, eight declined to take part as they did not conduct post-discharge surveillance and 36 did not respond. Twenty five of the remaining 149 hospitals provided detailed responses and 96% of responding institutions performed surgical site infection surveillance during hospitalization; active search (29.3%) was the main method, while 84% reported performing post-discharge surveillance mainly by telephone (42.8%). Both surveillance actions have nurses as the main responsible professionals. Conclusion: Nurses play a prominent role in surgical site infection identification/screening actions, and active search during hospitalization allied with post-discharge surveillance by telephone were the preferred methods.

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THE RELATIONSHIP BETWEEN AGE GROUPS AND KNOWLEDGE AND UNDERSTANDING OF COVID-19 VACCINE

International Journal of Advanced Research ◽

10.21474/ijar01/13293 ◽

2021 ◽

Vol 9 (08) ◽

pp. 482-48/6

Author(s):

Laphatrada Sakunee ◽

◽

Nakamon Khorprasert ◽

Nitit Noumtong ◽

Tanyaporn Tangguay ◽

...

Keyword(s):

Consumption Rate ◽

Age Groups ◽

Cross Sectional Survey ◽

Online Questionnaire ◽

Cross Sectional ◽

Factors Affecting ◽

Vaccine Candidates ◽

The Third ◽

Preventative Measures ◽

The Relationship

Coronavirus disease 2019 (COVID-19) is still an ongoing issue in the New Normal world. As COVID-19 is a human-to-human transmission disease, the viruses spread widely, and many people got infected. There are several preventative measures used to protect an individual from this situation, including vaccination. Thus, more vaccine candidates have been provided to generate a specific immune response against the disease-causing agent, and are prepared. Additionally, not all vaccine candidates are suitable for each individual. The main purposes of this study were to evaluate and determine the knowledge and understanding of the COVID-19 vaccines and the relationship between age groups and Thai citizens. To test whether the two aforementioned variables correlate, we conducted a cross-sectional survey through an online platform, Google form. Four hundred and Ten participants completed the survey. To determine the correlation, we used Statistical Product and Service Solution version 22.0 (SPSS) for data analysis. Pearsons correlation test revealed that there is no significant correlation between age groups and knowledge and understanding of COVID-19 vaccines. Although we did not find any correlation, we think that there may be other factors affecting peoples knowledge about the COVID-19 vaccines such as the sudden awareness due to the new pandemic outbreak and the straightforwardness of our online questionnaire. Since most people are now facing the third ripple of COVID-19 crisis, there might be a higher consumption rate of COVID-19 vaccine news and the majority of seniors (aged above 60) tend to reject answering the online questionnaire which significantly reduced our sample size.

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Evaluation of dyspnea severity and sleep quality in patients with novel coronavirus

10.22541/au.160908611.15209775/v1 ◽

2020 ◽

Author(s):

SERAP Güngör ◽

Betul Tosun ◽

Nursemin Unal ◽

Ismail Dusak

Keyword(s):

Sleep Quality ◽

Negative Relationship ◽

Holistic Approach ◽

Mobile Phone Data ◽

Common Symptom ◽

Online Questionnaire ◽

Cross Sectional ◽

Factors Affecting ◽

Sleep Questionnaire ◽

Novel Coronavirus

Aim: Dyspnea, a common symptom of novel coronavirus, can negatively affect sleep quality. The aim of this study was to evaluate the relationship between dyspnea severity and sleep quality in patients with COVID-19. Study Design: A cross-sectional design was used. Methods: Using the researcher’s mobile phone, data were collected via an online questionnaire from patients (n=100) who agreed to participate in the study. The data-collection form comprised three parts: a patient descriptive information form, the Dyspnea–12 Questionnaire, and the Richards–Campbell Sleep Questionnaire. Results: The mean age of patients was 46.39±12.61 years and 66.0% were male. Patients who were treated in the intensive care unit, had bachelor’s degree or more and patients with comorbid diseases had low mean scores from the RCSQ and high mean scores from the Dyspnea–12 Questionnaire (p<0.001, p<0.001; p=0.047, p<0.001;p<0.001, p<0.00,1,respectively).Patients who not receiving oxygen therapy had higher RCSQ mean scores and lower Dyspnea–12 Questionnaire scores (p<0.001, p<0.001; p<0.001, p<0.001, respectively). There was a strong negative relationship between the total scores obtained from the Richards–Campbell Sleep Questionnaire and the Dyspnea–12 Questionnaire(r= -701, p<.001). Conclusions: Sleep quality is affected by dyspnea severity in patients with COVID-19. Sleep quality and dyspnea severity are also influenced by quite different factors, and these should be addressed and eliminated by nurses as part of a holistic approach. The results of this study will help nurses, especially those providing treatment and care for patients with COVID-19, to identify the factors affecting dyspnea and sleep quality and to plan, implement, and evaluate nursing interventions that will reduce their workload.

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Impact of COronaVirus Disease -2019 (COVID-19) pandemic on Haemodialysis care delivery pattern in Karnataka, India- a cross-sectional, questionnaire based survey.

10.1101/2020.07.25.20151225 ◽

2020 ◽

Author(s):

Anupama Y J ◽

Arvind Conjeevaram ◽

Ravindra Prabhu A ◽

Manjunath Doshetty ◽

Sanjay Srinivasa ◽

...

Keyword(s):

Care Delivery ◽

National Policy ◽

Well Being ◽

Care Providers ◽

Movement Restriction ◽

Online Questionnaire ◽

Cross Sectional ◽

Factors Affecting ◽

Dialysis Facilities ◽

The Impact

The COVID-19 pandemic has disrupted health care delivery globally. Patients on in-centre haemodialysis(HD) are particularly affected due to their multiple hospital visits and the need for uninterrupted care for their well-being and survival. We studied the impact of the pandemic and the national policy for pandemic control on the HD care delivery in Karnataka state in India in April 2020, when the first and second national lockdown were in place. An online, questionnaire based survey of dialysis facilities was conducted and the responses analysed. The questions were pertaining to the key areas such as changes in number of dialysis treatments, frequency, duration, expenses, transportation to and from dialysis units, impact on availability of consumables, effect on dialysis personnel and on machine maintenance. 62 centres participated. Median of dialysis treatments for the months of March and April 2020 were 695.5 and 650 respectively. Reduction in dialysis treatments was noted in 29(46.8%) facilities , decreased frequency reported by 60 centres. In at least 35(56.5%) centres, dialysis patients had to bear increased expenses. Cost and availability of dialysis consumables were affected in 40(64.5%) and 55(88.7%) centres respectively. Problems with transportation and movement restriction were the two key factors affecting both patients and dialysis facilities.This survey documents the collateral impact of COVID -19 on the vulnerable group of patients on HD, even when not affected by COVID. It identifies the key areas of challenges faced by the patients and the facilities and implores the care-providers for finding newer avenues for mitigation of the problems. Key words: COVID-19, India, Haemodialysis , dialysis care delivery, questionnaire-based survey

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Antimicrobial Stewardship Programmes in Saudi Hospitals: Evidence from a National Survey

Antibiotics ◽

10.3390/antibiotics10020193 ◽

2021 ◽

Vol 10 (2) ◽

pp. 193 ◽

Cited By ~ 1

Author(s):

Saleh Alghamdi ◽

Ilhem Berrou ◽

Zoe Aslanpour ◽

Alaa Mutlaq ◽

Abdul Haseeb ◽

...

Keyword(s):

Antimicrobial Resistance ◽

Antimicrobial Stewardship ◽

Treatment Success ◽

National Level ◽

Success Rates ◽

Cross Sectional Survey ◽

Online Questionnaire ◽

Cross Sectional ◽

Factors Affecting ◽

Healthcare Facilities

Saudi hospitals and healthcare facilities are facing increasing rates of antimicrobial resistance and the emergence of new multi-drug resistant strains. This is placing an unprecedented threat to successful treatments and outcomes of patients accessing those facilities. The inappropriate use of antimicrobials is fueling this crisis, warranting urgent implementation of interventions to preserve antimicrobials and reduce resistance rates. Antimicrobial stewardship programmes (ASPs) can improve antimicrobial use, treatment success rates and reduce the levels of antimicrobial resistance. The Saudi Ministry of Health (MOH) devised a national antimicrobial stewardship plan to implement ASPs in hospitals, but little is known about the progress of implementation and the factors affecting it. This study aims to assess the level and the factors affecting the adoption and implementation of ASPs in Saudi hospitals at a national level. A nationwide cross-sectional survey was conducted in 2017 using an online questionnaire sent to all MOH hospitals. Overall, 147 out 247 MOH hospitals responded to the survey (54%). Only 26% of the hospitals reported the implementation of ASPs. Hospitals lack the knowledge, technological and staff resources to adopt and implement ASPs. Alternative models of ASP adoption could be explored to improve the rates of implementation of ASPs.

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P–308 Fertility preservation in endometriosis: Appraising the factors affecting the ovarian response

Human Reproduction ◽

10.1093/humrep/deab130.307 ◽

2021 ◽

Vol 36 (Supplement_1) ◽

Author(s):

S Goaz ◽

Y Fouks ◽

F Azem

Keyword(s):

Fertility Preservation ◽

Medical Center ◽

Oocyte Retrieval ◽

Ovarian Response ◽

Deep Infiltrating Endometriosis ◽

Online Questionnaire ◽

Cross Sectional ◽

Surgical Interventions ◽

Factors Affecting ◽

The Impact

Abstract Study question To estimate the factors affecting the ovarian response in women with endometriosis who seek fertility preservation. Summary answer AMH was the most important predictor of ovarian response. What is known already Endometriosis is a chronic disease characterised by the presence of endometrial tissue outside the uterine mucosa. This condition affects up to 10% of reproductive-aged women and up to 50% of women with infertility. Infertility in patients affected with endometriosis has been thought to stem mainly from the inherent effect of implants on the ovarian reserve or by the distortion of the female upper reproductive tract organs in the late stages of the disease. Women diagnosed with endometriosis should be counselled about family planning however, the data available to guide these patients regarding fertility preservation or oocyte freezing is scarce. Study design, size, duration A Retrospective cross-sectional study was conducted from July 2017 to May 2020 at a university-affiliated medical center. Patients who had been treated in the endometriosis clinic and underwent controlled ovarian stimulation and oocyte retrieval for fertility preservation, filled an online questionnaire crossed reference with electronic chart analysis related to patient data and fertility preservation cycles. Participants/materials, setting, methods Eighty-one patients were included and categorized into two groups according to the number of oocytes retrieved: 0–5 (Group A, n = 26) low ovarian response and 6 or more oocytes (Group B, n = 55). Main results and the role of chance The severity and duration of the disease so as the symptoms indicative of deep infiltrating endometriosis, were not associated with reduced numbers of vitrified oocytes. The presence of deep infiltrating implants was not associated with numbers of vitrified oocytes (44.4% vs 70.6%, p = 0.08). More Patients who underwent surgical interventions, had significantly lower ovarian responses compared to women who had no intervention (95.2% vs 61.5%, respectively, p = 0.005). A multivariate logistic regression adjusted for the number of oocyte vitrified revealed that anti-Müllerian hormone (AMH) level below 0.8 ng/ml was the only factor significantly associated with low ovarian response, with an adjusted odds ratio of 13.40 (2.02–157.27, p = 0.015). Limitations, reasons for caution: The size of our cohort is relatively small for the number of covariates, reducing the impact of our results when put on an international scope and the lack of information regarding the return rate of patients who had their oocytes vitrified in the attempt of achieving a pregnancy. Wider implications of the findings: We believe that since the practice of FP for endometriosis is relatively new and there is a substantial lack of data, this cohort represents an important contribution to existing literature by extracting data from medical files and cross-referencing them with existing data for fertility specialists, patient encounters, and hospital registries. Trial registration number Not applicable

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Multilevel Factors Affecting Healthcare Workers’ Perceived Stress and Risk of Infection During COVID-19 Pandemic

International Journal of Public Health ◽

10.3389/ijph.2021.599408 ◽

2021 ◽

Vol 66 ◽

Author(s):

Gilbert T. Chua ◽

Keith T. S. Tung ◽

Mike Yat Wah Kwan ◽

Rosa S. Wong ◽

Celine S. L. Chui ◽

...

Keyword(s):

Perceived Stress ◽

Perceived Risk ◽

Healthcare Workers ◽

Family Relationship ◽

Family Members ◽

Public Hospitals ◽

Online Questionnaire ◽

Cross Sectional ◽

Factors Affecting ◽

Hospital Policies

Objectives: This study aimed to identify key factors affecting Healthcare workers (HCWs) perceived stress and risk of contracting COVID-19 among themselves and their family members during the pandemic.Methods: A cross-sectional online questionnaire study was conducted between 19 March and April 5, 2020 in Hong Kong. HCWs from public hospitals and private dentists, and their family members participated.Results: A total of 747 HCWs and 245 family members participated. Higher perceived stress in HCWs was associated with more negative changes in family relationship (p = 0.025). The HCWs’ perceived stress, however, was positively associated with family cohesion (p = 0.033) and stress levels of family members (p < 0.001). The level of HCWs’ satisfaction toward the hospital policies in response to the COVID-19 outbreak was associated with lower levels of perceived stress and risk of themselves or their family members contracting COVID-19. HCWs’ previous frontline experience of SARS was significantly associated with less perceived risk of themselves or their family members contracting COVID-19.Conclusion: Hospital policies addressing HCWs’ needs, frontline experience of SARS, and family relationship influenced psychological wellbeing of HCWs during the COVID-19 outbreak.

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