scholarly journals Assessment of Saudi Mothers’ Attitudes towards Their Children’s Pain and Its Management

2021 ◽  
Vol 18 (1) ◽  
pp. 348
Author(s):  
Sultan M. Alghadeer ◽  
Syed Wajid ◽  
Salmeen D. Babelghaith ◽  
Mohamed N. Al-Arifi
Keyword(s):  
Social Sciences ◽  
Pain Management ◽  
Healthcare Providers ◽  
Pediatric Pain ◽  
Cross Sectional ◽  
Web Based ◽  
Awareness Programs ◽  
Children's Pain ◽  
Arabic Speaking

Background and objective: Pain is a bothersome issue that is common among newborns and children of all ages. Pain can be managed using various pharmacological and/or non-pharmacological strategies, which can be delivered by healthcare providers or parents. The aim of this study is to assess the attitude of mothers toward their children’s pain and its management. Methods and materials: A descriptive cross-sectional web-based study was conducted using a developed self-reported questionnaire, from March 2018 to April 2018. Participants involved were Arabic-speaking mothers of children aged between 0 and 12. The data collected included pharmacological and non-pharmacological treatment methodologies utilized to treat pain and the mothers’ attitude towards pain management. Statistical Package for Social Sciences, version 25 was applied to analyze the data, and descriptive statistics were performed. Results: As per the results of this study, the most common site of children’s pain as reported by the mothers was mouth/throat (211; 52.9%), abdomen (199; 49.9%), followed by head (58; 14.5%), and finally, ears (69; 17.3%). The frequency of children’s pain, as stated by the mothers, was less than once a month (196; 49.1%), once in a month (137; 34.3%), and once in a week (48; 12%). The non-pharmacological methods used by mothers at home for the management of their children’s pain were as follows: letting them take rest or sleep (250; 62.6%), feeding them with fluids (228; 57.1%), applying cold packs (161; 40.4%), providing massage therapy (147; 36.8%), using warm packs (141; 35.3%), and taking them to play (119; 29.8%). Conclusion: The misconceptions about pediatric pain management among Saudi mothers that can affect the children’s quality of life are quite noticeable. Implementing educational and awareness programs about the management of child pain could play a major role in making the parents understand the impacts of their misconceptions.

scholarly journals Canadian Emergency Medicine Residents’ Perspectives on Pediatric Pain Management

CJEM ◽  
2015 ◽  
Vol 17 (5) ◽  
pp. 507-515 ◽  
Author(s):  
Huma Ali ◽  
Janeva Kircher ◽  
Christine Meyers ◽  
Joseph MacLellan ◽  
Samina Ali
Keyword(s):  
Emergency Medicine ◽  
Pain Management ◽  
Online Survey ◽  
Oral Morphine ◽  
Management Approach ◽  
Developmentally Delayed ◽  
Pediatric Pain ◽  
Graduate Curricula ◽  
Facilitators And Barriers ◽  
Children's Pain

AbstractBackgroundUnder-treatment of children’s pain in the emergency department (ED) can have many detrimental effects. Emergency medicine (EM) residents often manage pediatric pain, but their educational needs and perspectives have not been studied.MethodsA novel online survey was administered from May to June 2013 to 122 EM residents at three Canadian universities using a modified Dillman methodology. The survey instrument captured information on training received in pediatric acute pain management, approach to common painful presentations, level of comfort, perceived facilitators, and barriers and attitudes towards pediatric pain.Results56 residents participated (46%), 25 of whom (45%) indicated they had not received any training in pediatric pain assessment. All levels of residents reported they were uncomfortable with pain assessment in 0-2 year olds (p=0.07); level of comfort with assessment increased with years of training for patients aged 2-12 years (p=0.02). When assessing children with disabilities, 83% of respondents (45/54) indicated they were ‘extremely’ or ‘somewhat’ uncomfortable. Sixty-nine percent (38/55) had received training on how to treat pediatric pain. All residents reported they were more comfortable using pain medication for a 9 year old, as compared to a 1 year old (oral oxycodone p<0.001, oral morphine p<0.001, IV morphine p=0.004). The preferred methods to learn about children’s pain management were role-modeling (61%) and lectures (57%). The top challenges in pain management were with non-verbal, younger, or developmentally delayed patients.ConclusionCanadian EM residents report receiving inadequate training in pediatric pain management, and are particularly uneasy with younger or developmentally disabled children. Post-graduate curricula should be adjusted to correct these self-identified weaknesses in children’s pain management.

scholarly journals Is quality maternal healthcare all about successful childbirth? Views of mothers in the Wa Municipality, Ghana

PLoS ONE ◽  
2021 ◽  
Vol 16 (9) ◽  
pp. e0257401
Author(s):  
Linus Baatiema ◽  
Augustine Tanle ◽  
Eugene Kofuor Maafo Darteh ◽  
Edward Kwabena Ameyaw
Keyword(s):  
Service Delivery ◽  
Maternity Care ◽  
Healthcare Providers ◽  
Care Providers ◽  
Maternal Healthcare ◽  
Cross Sectional ◽  
West Region ◽  
Adverse Pregnancy ◽  
Wa Municipality

Introduction In spite of the countless initiatives of the Ghana government to improve the quality of maternal healthcare, Upper West Region still records poor childbirth outcomes. This study, therefore, explored women’s perception of the quality of maternal healthcare they receive in the Wa Municipality of the Upper West Region of Ghana. Materials and methods This is a qualitative cross-sectional study of 62 women who accessed maternal healthcare in the Wa Municipality of Ghana. We analysed the transcripts using the analytic inductive technique. An inter-coding technique (testing for inter-coding agreement) was employed. The iterative coding process resulted in a coding scheme with four main themes. We used peer-debriefing technique in ensuring credibility and trustworthiness. Results Logistics and equipment; referral service; empathic service delivery; inadequacy of care providers; affordability of service; satisfaction with services received; as well as experience and service delivery were the parameters used by the women in assessing quality maternity care. A number of gaps were reported in the healthcare system including limited healthcare providers, limited beds and inefficient referral system. Conversely, some of them reported that some healthcare providers offered empathetic healthcare. Contrary views were expressed with respect to satisfaction with maternity care. Conclusion Government and all stakeholders seeking to enhance quality of maternal health and accelerate the attainment of the third Sustainable Development Goal need to reconsider the financing of service delivery at health institutions. Indeed, our findings have illustrated that routine workshops on empathetic healthcare are required in efforts to increase the rate of facility-based childbirth, and thereby subside maternal mortality and all adverse pregnancy outcomes.

Haste or Waste? Peer Pressure and Productivity in the Emergency Department

2020 ◽  
Author(s):  
David Silver
Keyword(s):  
Quality Of Care ◽  
Peer Group ◽  
Healthcare Providers ◽  
Peer Groups ◽  
Peer Pressure ◽  
Cross Sectional ◽  
Discharge Data ◽  
Intensity Of Care ◽  
Group Environments

Abstract Motivated by wide cross-sectional variations in intensity of care that are unrelated to quality of care, researchers and policymakers commonly claim that healthcare providers waste considerable resources, engaging in so-called “flat-of-the-curve” medicine. A key yet elusive prediction of this hypothesis is that providers ought to be able to cut back on care without sacrificing quality. This article examines the effects of a particular form of provider cutbacks—those generated by physicians working in high-pressure peer group environments. Using expansive, time-stamped discharge data from 137 hospital-based emergency departments, I document that physicians systematically alter their pace and intensity of care across frequently shuffled peer groups. Peer groups that induce a physician to work faster also induce her to order fewer tests and spend less money. Contrary to the flat-of-the-curve hypothesis, these cutbacks lead to large reductions in quality of care. This evidence, paired with the fact that slower physicians do not produce better average outcomes, suggests that cross-physician differences in resource utilization reflect substantial differences in physician productivity within a hospital.

Characterizing the symptom of misplacing objects in people with dementia: findings from an online tracking tool

2019 ◽  
Vol 31 (11) ◽  
pp. 1635-1641 ◽  
Author(s):  
Lisa McGarrigle ◽  
Susan E. Howlett ◽  
Helen Wong ◽  
Justin Stanley ◽  
Kenneth Rockwood
Keyword(s):  
Caregiver Burden ◽  
Severe Dementia ◽  
Cross Sectional ◽  
Web Based ◽  
Dementia Severity ◽  
People With Dementia ◽  
Important Symptom ◽  
Online Tracking ◽  
Important Therapeutic Target

ABSTRACTObjectives:Misplacing objects is often reported as a clinically important symptom in dementia. Here we explored misplacing objects in relation to dementia type and stage in an online sample of individuals with dementia and their caregivers.Methods:Participants were recruited from www.dementiaguide.com, a web-based tracker for common dementia symptoms. Users provided information about symptoms that they selected as important for monitoring. We analysed cross-sectional data from respondents who tracked at least three symptoms, which allowed for staging dementia severity.Results:Of 2,775 users with three-plus symptoms, 787 (28%) identified misplacing objects for symptom tracking. Misplacing objects was monitored by users across all stages of dementia, but was more prevalent in mild and severe dementia. Three common clinical subtypes of misplacing were investigated: lost & found (forgetting the location of items), hidden away (hiding items so others would not find them), and odd places (putting items in usual spots). Of the 787, 96% targeted lost & found, the most frequent type. Odd places (targeted in 56%) significantly increased with dementia severity (p < 0.001). Misplacing objects was most strongly associated with the symptoms of interaction with strangers (OR 4.60, 95% CI: 3.20-6.62), reading (3.68: 2.86-4.73), shopping (3.55: 2.73-4.61) and travel/vacationing (3.31: 2.54-4.31).Conclusions:Misplacing objects was most often selected for tracking in mild and severe stages of dementia. As disease advances, misplacing more often reflects odd placement of objects rather than their simple loss. Misplacing objects may be a clinically important therapeutic target for improving patients’ quality of life and lessening caregiver burden.

scholarly journals Assessing Turnover Time, Communication and Report Quality among Histopathologists and Their Clients.

2021 ◽  
Vol 4 (02) ◽  
Author(s):  
Dr. Waleed A. AlRajban ◽  
Dr. Khaldoon A. AlJerian ◽  
Dr. Zainab Z. AlZaher ◽  
Dr. Wijdan M. AlEithan ◽  
Dr. Lujain H. AlAmoudi
Keyword(s):  
Saudi Arabia ◽  
Healthcare Providers ◽  
Cross Sectional Study ◽  
Turnover Time ◽  
Quality Of Reporting ◽  
Satisfaction Scale ◽  
Cross Sectional ◽  
Report Quality ◽  
Quality Of Reports

Numerous studies have been published assessing physicians’ satisfaction regarding the quality of pathology departments, which have led to further enhancement. Our objective is to estimate the satisfaction level between histopathologists and healthcare providers in Saudi Arabia in terms of turnover time in histopathology laboratories and communication, that is, quality of reporting between the two groups. In this cross-sectional study, we developed a questionnaire covering the areas identified in the literature regarding evaluating the satisfaction between histopathologists and their clients. The questionnaire was conducted in 5 hospitals in Saudi Arabia, each of which has its histopathology unit accredited by the College of American Pathologists. In our study, we report the results of 129 clients and 30 histopathologists. On the satisfaction scale (1 out 5, where is 1= very unsatisfied and 5= very satisfied), the clients reported medians of 3.40, 3.83, and 4.00 for turnover time, communication with histopathologists, and quality of reports. Histopathologists reported medians of 4.00, 4.41, and 4.16 for turnover time, communication with their clients, and request style and its sufficiency. Our conclusion is there is an inclination toward satisfactory results in the examined categories between the histopathologists and their clients.

scholarly journals Improving Gestational Diabetes Management through Patient Education

2021 ◽  
Author(s):  
Radiana Staynova ◽  
Vesselina Yanachkova
Keyword(s):  
Patient Education ◽  
Gestational Diabetes ◽  
New Technologies ◽  
Diabetes Management ◽  
Birth Outcome ◽  
Healthcare Providers ◽  
Educational Process ◽  
Web Based ◽  
Healthy Pregnancy

The challenge of achieving a healthy pregnancy and a successful birth outcome in women with gestational diabetes mellitus (GDM) requires a multidisciplinary approach with close collaboration between healthcare providers. One of the key elements for the successful management of GDM is the education of pregnant women. Patient education has been shown to improve quality of life, contribute to better compliance, and reduce complications and healthcare costs. In this chapter, we will present and discuss the main barriers in the educational process of women with GDM and innovative approaches for improving diabetes self-management education during pregnancy. The focus will be on the different educational methods, such as printed leaflets and booklets, Web-based educational programs, and new technologies including telemedicine and smartphone applications.

scholarly journals Pain in Nursing Homes Residents With and Without Cognitive Impairment. Results From Five Consecutive Multicenter Cross-sectional Surveys Carried Out Between 2014 and 2018 in Germany

2020 ◽  
Author(s):  
Rainer Centmayer ◽  
Manfred Leiske ◽  
Nils Axel Lahmann
Keyword(s):  
Cognitive Impairment ◽  
Pain Management ◽  
Nursing Homes ◽  
Nursing Home Residents ◽  
Self Report ◽  
Cross Sectional ◽  
Intensive Training ◽  
Prevalence Of Pain ◽  
Significant Deficit

Abstract Background: There is evidence that knowledge about the prevalence of pain and quality of pain management particularly in nursing home residents (NHR) with severe cognitive impairment (CI) is poor.Methods: The multicenter cross-sectional surveys explored the prevalence of pain of NHR with or without CI from nursing homes in Germany. Actual pain intensity in rest and stress were documented. NHR were asked about their daily restrictions due to pain. Data about the pain management were collected and analyzed.Results: A total of 3437 residents were interviewed with respect to feeling pain, including one third each with mild and severe CI. The prevalence of actual pain was 31,8%. Women reported pain more often. Prevalence of NHR without CI or with self-report on pain was significantly higher than NHR with severe CI or with external report on pain. About 20% of all NHR were dependent on external pain-recording. Nearly 10% of all NHR with pain confirmed pain in stress above 5 on a scale of 0 - 10. 85% of all NHR with pain reported that they had pain for longer than 3 months. Residents with severe CI are 0.55 times less likely to take painkillers than NHR without CI.Conclusion: The study points out a significant deficit in pain management in German NHR with severe CI. Intensive training in pain management for employees in nursing homes is recommended.

scholarly journals Perceived Consequences of Healthcare Service Decentralization on Access, Affordability and Quality of Care in Khartoum Locality, Sudan

2020 ◽  
Author(s):  
Bandar Noory ◽  
Sara Hassanein ◽  
Jeffrey Edwards ◽  
Benedikte Victoria Lindskog
Keyword(s):  
Quality Of Care ◽  
Healthcare Providers ◽  
Quality Of Healthcare ◽  
Healthcare Services ◽  
System Capacity ◽  
Cross Sectional ◽  
Study Results ◽  
Catchment Areas ◽  
The Impact

Abstract Background: Decentralization of healthcare services have been widely utilized, especially in developing countries, to improve the performance of healthcare systems by increasing the access and efficiency of service delivery. Experiences have been variable secondary to disparities in financial and human resources, system capacity and community engagement. Sudan is no exception and understanding the perceived effect of decentralization on access, affordability, and quality of care among stakeholders is crucial.Methods: This was a mixed method, cross-sectional, explorative study that involved 418 household members among catchment areas and 40 healthcare providers of Ibrahim Malik Hospital (IBMH) and Khartoum Teaching Hospital (KTH). Data were collected through a structured survey and in-depth interviews from July-December 2015.Results: Access, affordability and quality of healthcare services were all perceived as worse, compared to before decentralization was implemented. Reported affordability was found to be 53% and 55% before decentralization compared to 24% to 16% after decentralization, within KTH and IBMH catchment areas respectively, (p= 0.01). The quality of healthcare services were reported to have declined from 47% and 38% before decentralization to 38% and 28% after, in KTH and IBMH respectively (p=0.02). Accessibility was found to be more limited, with services being accessible before decentralization approximately 59% and 52% of the time, compared to 41% and 30% after, in KTH and IBMH catchment areas respectively, (p=0.01).Accessibility to healthcare was reported to have decreased secondary to facility closures, reverse transference of services, and low capacity of devolved facilities. Lastly, privatized services were reported as strengthened in response to this decentralization of healthcare. Conclusions: The deterioration of access, affordability and quality of health services was experienced as the predominant perception among stakeholders after decentralization implementation. Our study results suggest there is an urgent need for a review of the current healthcare policies, structure and management within Sudan in order to provide evidence and insights regarding the impact of decentralization.

scholarly journals Sleep quality during home distancing in the COVID-19 pandemic in the Western Amazon

2021 ◽  
Vol 31 (3) ◽  
pp. 458-464
Author(s):  
Carlos Roberto Teixeira Ferreira ◽  
Francisco Naildo Cardoso Leitão ◽  
Maura Bianca Barbary de Deus ◽  
Italla Maria Pinheiro Bezerra ◽  
Rejane Rosas Barbary de Deus ◽  
...  
Keyword(s):  
Sleep Quality ◽  
Poor Sleep ◽  
Quality Of Sleep ◽  
Subjective Sleep Quality ◽  
Cross Sectional ◽  
Web Based ◽  
Demographic Questionnaire ◽  
Significant Difference ◽  
Quality Sleep

Introduction: the COVID-19 pandemic incited unprecedented global restrictions on society’s behavior. Home detachment and isolation measures applied during the COVID-19 pandemic can result in problems with sleep quality. It is an important measure to reduce the risk of infection from the COVID-19 outbreak. Objective: to investigate the existence of a difference between the quality of sleep before and during the home distance imposed by the Covid-19 pandemic. Methods: cross-sectional web-based survey was sent using different conventional social media to collect data from the study population. The evaluated group was composed of 124 subjects, 57 of whom were male and 67 were female from the city of Rio Branco / AC. For this study, the Pittsburgh Sleep Quality Index questionnaire (PSQI-BR) and a socio-demographic questionnaire were used. The volunteers received a link along with the description and purpose of the study. Finally, data analysis was performed using SPSS 22.0 software. Results: sleep quality worsened significantly during home distance in four sleep components (subjective sleep quality, sleep latency, sleep drowsiness and overall PSQI score). During social distance, poor sleep was greater among respondents (OR = 5.68; 95% CI = 1.80–17.82; p = 0.70). Conclusion: the results indicated that there was a significant difference between the quality of sleep before and during home detachment and sleep disturbance and the subjective quality of sleep before and during the period of the outbreak of COVID-19 were the components that most worsened in the state of sleep

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