scholarly journals Determinants of Obtaining COVID-19 Vaccination among Health Care Workers with Access to Free COVID-19 Vaccination: A Cross-Sectional Study

Vaccines ◽  
2021 ◽  
Vol 10 (1) ◽  
pp. 39
Author(s):  
Mariam R. Elkhayat ◽  
Maiada K. Hashem ◽  
Ahmed T. Helal ◽  
Omar M. Shaaban ◽  
Ahmed K. Ibrahim ◽  
...  
Keyword(s):  
Vaccine Development ◽  
Hospital Staff ◽  
Cross Sectional Study ◽  
University Hospital ◽  
Vulnerable Groups ◽  
Sources Of Information ◽  
University Hospitals ◽  
Cross Sectional ◽  
Job Category ◽  
To Receive

Introduction: Despite global efforts to contain the illness, COVID-19 continues to have severe health, life, and economic repercussions; thus, maintaining vaccine development is mandatory. Different directions concerning COVID-19 vaccines have emerged as a result of the vaccine’s unpredictability. Aims: To study the determinants of the attitudes of healthcare workers (HCWs) to receiving or refusing to receive the vaccine. Methods: The current study adopted an interviewed questionnaire between June and August 2021. A total of 341 HCWs currently working at Assiut University hospitals offered to receive the vaccine were included. Results: Only half of the HCWs (42%) accepted the COVID-19 vaccine. The most common reason that motivated the HCWs was being more susceptible than others to infection (71.8%). On other hand, the common reasons for refusing included: previously contracted the virus (64.8%); did not have time (58.8%); warned by a doctor not to take it (53.8%). Nearly one-third of nonaccepting HCWs depended on television, the Internet, and friends who refused the vaccine for information (p < 0.05). In the final multivariate regression model, there were six significant predictors: sex, job category, chronic disease, being vaccinated for influenza, and using Assiut University hospital staff and the Ministry of Health as sources of information (p < 0.05). Conclusion: Misinformation and negative conceptions are still barriers against achieving the desired rate of vaccination, especially for vulnerable groups such as HCWs.

scholarly journals Pharmacists’ Perception of the Coronavirus Pandemic (COVID-19) in Jordan: A Cross-Sectional Study

2021 ◽  
Vol 18 (21) ◽  
pp. 11541
Author(s):  
Tamara Al-Daghastani ◽  
Odate Tadros ◽  
Shereen Arabiyat ◽  
Deema Jaber ◽  
Husam AlSalamat
Keyword(s):  
Online Survey ◽  
Vaccine Development ◽  
Primary Source ◽  
Cross Sectional Study ◽  
Survey Study ◽  
Sources Of Information ◽  
Cross Sectional ◽  
Protection Measures ◽  
Second Wave

Objectives: To analyze the role of pharmacists during the COVID-19 pandemic, to measure pharmacists’ attitude toward COVID-19 safety measures (wearing masks, wearing gloves, isolation shield, good hygiene, etc.), and explore their perspectives regarding a second wave of the virus. Methods: This cross-sectional online survey study was conducted in Jordan during the COVID-19 outbreak in July 2020 to discuss Jordanian pharmacists’ awareness of safety at their workplace during the COVID-19 outbreak, their sources of information, and their predictions for COVID-19 vaccination. Results: The participants (n = 311) were all pharmacists mostly aged between 23–30 years old (45%) and female (83%). The primary source of information about COVID-19 was social networking (38.9%). Pharmacists were committed to social distancing (86.5%) and wearing masks (76.2%). They expressed levels of agreement to their role in decreasing COVID-19 spread (94.2%) and correcting false information (94.5%); they expressed levels of expectation toward concern about a second COVID-19 wave (83%) that would be more severe than the previous one (43.4%). Pharmacists expected that an influenza vaccine might be helpful in decreasing severity and spread of the COVID-19 pandemic (56.9%). Pharmacists expected COVID-19 vaccine development within 6 months of administering our study survey (84.9%) and that vaccination might be effective in preventing COVID-19 (93%) infection. Conclusion: Pharmacists expressed positive roles on COVID-19 spread through exemplary actions, self-commitment to protection measures, and public health awareness. Social media as a source of health information should be cautiously investigated, and pharmacists should always refer to evidence-based sources. The role of pharmacists is particularly important for the upcoming era of COVID-19 vaccination administration and awareness.

scholarly journals Knowledge and Risk Perception of Vulnerable Women on Zika Virus Infection at Primary Health Care Level in Brazil

2020 ◽  
Author(s):  
Claudia Garcia Serpa Osorio-de-Castro ◽  
Cláudia Du Bocage Santos-Pinto ◽  
Clarice Antunes de Lima ◽  
Elaine Silva Miranda
Keyword(s):  
Public Health ◽  
Risk Perception ◽  
Low Income ◽  
Cross Sectional Study ◽  
Vulnerable Groups ◽  
Sources Of Information ◽  
Zikv Infection ◽  
Cross Sectional ◽  
Knowledge And Beliefs ◽  
Data Collection Instrument

Abstract BackgroundThe ZIKV infection outbreak in Brazil surged from late 2014, peaking in 2015. Vulnerable low-income groups, with inadequate housing conditions or sanitation were most affected by ZIKV-related neurologic syndrome. We aim to detect basal knowledge and beliefs, as well as knowledge gaps among vulnerable women.MethodsA cross-sectional study was carried out in two low-income urban community settings: a small municipality in the Center West with few ZIKV infection cases and a large municipality in the Southeast hard-hit by the epidemic. We developed an open-ended data collection instrument centered on awareness of ZIKV infection, sources of information, possible causes, symptoms, risk perception and consequences for pregnant women, and applied it to vulnerable women after informed consent. Interviews were recorded, transcribed and content coded for thematic analysis.ResultsSeventy-nine women responded. The majority had some knowledge of the disease, its causes and consequences but distanced themselves from ZIKV infection. Health services in both communities did not respond adequately and did not contribute to communicate risk for women and children. ConclusionsIn an uncertain future scenario as to reemergence of disease, we propose that awareness will be diminished and acquired knowledge lost. This is a great public health challenge that must be overcome to prepare both vulnerable groups and the health system for public health emergencies.

scholarly journals The role of PhD-prepared, hospital-based nurses: an inter-Nordic study

2019 ◽  
Vol 24 (7) ◽  
pp. 470-485
Author(s):  
Erik Elgaard Sørensen ◽  
Kathrine Hoffmann Kusk ◽  
Asa Muntlin Athlin ◽  
Kirsten Lode ◽  
Tone Rustøen ◽  
...  
Keyword(s):  
Clinical Practice ◽  
Close Contact ◽  
Cross Sectional Study ◽  
Nordic Countries ◽  
University Hospital ◽  
University Hospitals ◽  
Cross Sectional ◽  
Research Activities ◽  
Evidence Based Care

Background Little is known about PhD-prepared nurses employed at Nordic university hospitals, how they are organised, what their practices look like or what career pathway they have chosen. Aims The purpose was to investigate and compare the prevalence of PhD-prepared nurses employed at university hospitals in the Nordic countries, to investigate what functions they fulfil and what research activities they undertake and to document how they describe their ideal work life. Methods A descriptive cross-sectional study. An electronic questionnaire was sent to 245 PhD-prepared nurses working at a university hospital in one of six Nordic countries and 166 responses were achieved (response rate 67%). Descriptive analyses were performed using SPSS Statistics. Results The study found notable differences among PhD-prepared nurses employed at university hospitals with respect to work function; organisational structure; satisfaction about time split between research and practice; and the mean scores of time spend on research, clinical practice and teaching, supervision and administration. Conclusions In order to succeed with capacity building among the nursing workforce, collaboration and networking with other researchers and close contact to clinical practice is important. The role of the hospital-based, PhD-prepared nurse needs to be better described and defined to ensure that evidence-based care is provided.

scholarly journals The COVID-19 pandemic: impact on surgical departments of non-university hospitals

BMC Surgery ◽  
2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Christian Stöß ◽  
Marcella Steffani ◽  
Kay Kohlhaw ◽  
Claudia Rudroff ◽  
Ludger Staib ◽  
...  
Keyword(s):  
Operating Room ◽  
Online Survey ◽  
Surgical Care ◽  
Hospital Staff ◽  
Cross Sectional Study ◽  
University Hospitals ◽  
Cross Sectional ◽  
Short Supply ◽  
Surgical Interventions ◽  
Oncological Patients

Abstract Background During the first wave of the COVID-19 pandemic, German health care centres were restructured for the treatment of COVID-19 patients. This was accompanied by the suspension of the surgical programme. The aim of the survey was to determine the effects of COVID-19 on surgical care in non-university hospitals in Germany. Methods This cross-sectional study was based on an anonymous online survey, which was accessible from April 24th to May 10th, 2020 for surgeons of the Konvent der leitenden Krankenhauschirurgen (Convention of leading Hospital Surgeons) in Germany. The analysis comprised of 22.8% (n = 148/649) completed surveys. Results Communication and cooperation with authorities, hospital administration and other departments were largely considered sufficient. In the early phase of the COVID-19 pandemic, 28.4% (n = 42/148) of the respondents complained about a short supply of protective equipment available for the hospital staff. 7.4% (n = 11/148) of the participants stated that emergency operations had to be postponed or rescheduled. A decreased quantity of emergency surgical procedures and a decreased number of surgical emergency patients treated in the emergency room was reported in 43.9% (n = 65/148) and 63.5% (n = 94/148), respectively. Consultation and treatment of oncological patients in the outpatient clinic was decreased in 54.1% (n = 80/148) of the surveyed hospitals. To increase the capacity for COVID-19 patients, a reduction of bed and operating room occupancy of 50.8 ± 19.3% and 54.2 ± 19.1% were reported, respectively. Therefore, 90.5% (n = 134/148) of all participants expected a loss of revenue of 28.2 ± 12.9% in 2020. Conclusion The first wave of the COVID-19 pandemic had a significant impact on surgical care in Germany. The reduction in the bed and the operating room capacity may have lead to considerable delays in urgent and semi-elective surgical interventions. In addition to the risk of worsening patient care, we anticipate severe financial damage to the clinics in 2020 and beyond. National and supranational planning is urgently needed to ensure the surgical care of patients during the ongoing COVID-19 pandemic.

scholarly journals Evaluation of prognostic value of Fernandez scoring system on the management of ectopic pregnancy in the emergency room at Suez Canal University Hospitals, Egypt

2017 ◽  
Vol 4 (4) ◽  
pp. 1292
Author(s):  
Ahmed A. Essa ◽  
Elham H. Madny ◽  
Osama M. Zayed ◽  
Islam M. Elshaboury ◽  
Bassma M. Mahmoud
Keyword(s):  
Emergency Room ◽  
Ectopic Pregnancy ◽  
First Trimester ◽  
Cross Sectional Study ◽  
Suez Canal ◽  
University Hospital ◽  
Management Decision ◽  
University Hospitals ◽  
Cross Sectional ◽  
Nonsurgical Management

Background: Ectopic pregnancy is a major cause of morbidity and mortality in reproductive-aged women, accounting for 9% of pregnancy-related deaths in the first trimester. Clinical prediction tools have been developed to aid management decision making. Fernandez et al “1991” developed a score based on gestational age, β-hCG level, progesterone level, abdominal pain, hemo-peritoneum volume, and hematosalpinx diameter. A score of less than 12 predicts more than 80% success with expectant or nonsurgical management. Aim of the study was to improve the outcome of patients with ectopic pregnancy attending the emergency room at Suez Canal University hospitals, Egypt.Methods: This is a descriptive (cross-sectional) study conducted on 62 patients diagnosed to have ectopic pregnancy in the emergency department in Suez Canal University Hospital. The patients were subjected to full assessment including full history, examination, investigation and Fernandez score. These data were collected in a questionnaire, interpretted using SPSS program and the score was calculated.Results: The study revealed that 48.8% of the patients were in the age group between 31-40 years. It was found that in 61 patients (98%) the decision matched using Fernandez score and experts’s opinion while only one patient was given a different decision. Using Fernandez score, 40 patients had results less than 12 which guided to conservative management and 22 patients had a score more than 12 which guided to operative management.Conclusions: It was found that Fernandez score has 100% sensitivity and 95.2% specificity.

Prevalence of Food Allergy in Egyptian Patients complaining of food adverse events attending allergy clinic at Ain Shams University Hospitals

QJM ◽  
2021 ◽  
Vol 114 (Supplement_1) ◽  
Author(s):  
Zeinab A Yousif ◽  
Manar F Mohammed ◽  
Dahab N Zakaraya
Keyword(s):  
Food Allergy ◽  
Adverse Events ◽  
Immune Reaction ◽  
Cross Sectional Study ◽  
University Hospital ◽  
Allergy Clinic ◽  
University Hospitals ◽  
Cross Sectional ◽  
Egyptian Patients ◽  
Ige Mediated

Abstract Background Food allergy is defined as an immune reaction to proteins in the food and can be immunoglobulin (Ig)E-mediated or non–IgE-mediated. IgE-mediated food allergy is a worldwide health problem that affects millions of persons and numerous aspects of a person’s life. Allergic reactions secondary to food ingestion are responsible for a variety of symptoms involving the skin, gastrointestinal tract, and respiratory tract. While all other non-allergic food reactions are categorized as “food intolerance”. Aims to assess prevalence of Food allergy among Egyptian patients complaining of food adverse events attending Allergy clinic at Ain Shams University Hospital. Methods This was a randomized cross sectional study involving 200 patients complaining of food adverse events attending Allergy clinic at Ain Shams University Hospitals between the first of February 2019 till the end of January 2020, 90 patents had confirmed food allergy Results The Total patients who were presented to the Allergy outpatient clinic at Ain Shams University hospital between the first of February 2019 and the end of January 2020 were 200 patients presented complaining of food adverse events with the percentage (9.5%). Among the 200 patients presented complaining of food adverse events, there were 90 patients who were confirmed food allergy. Conclusion food allergy may be over estimated along patient with food adverse events.

scholarly journals Awareness of combined oral contraceptives use among Jordanian women: A cross-sectional study

2020 ◽  
Vol 19 (10) ◽  
pp. 2187-2195
Author(s):  
Deema Jaber ◽  
Linda Tahaineh ◽  
Amal Akour ◽  
Abla Albsoul-Younes
Keyword(s):  
Oral Contraceptives ◽  
Cross Sectional Study ◽  
University Hospital ◽  
Healthcare Team ◽  
Sources Of Information ◽  
Sectional Study ◽  
Structured Interviews ◽  
Cross Sectional ◽  
Combined Oral Contraceptives ◽  
Healthcare Professions

Purpose: To investigate Jordanian women’s knowledge, attitude, awareness and practice regarding combined oral contraceptives (COCs) benefits and risks.Methods: A cross-sectional study was conducted on 300 Jordanian women attending the Obstetrics and Gynecology clinics at Jordan University Hospital, Amman, Jordan. A closed- and open-ended questionnaire was used to explore Jordanian participants' knowledge, attitude and practice regarding COCs use, effect and side effects. Structured interviews were conducted by a trained research team. Thus, it was a pharmacist-assisted survey, and lay language was used to explain difficult medical terminologyResults: Most of participants were prescribed COCs by their physicians (77.1 %), half of them depend on others' experiences and media as sources of information rather than consulting their healthcare team. Half of participants have an idea of non-contraception uses of COCs (50.3 %). One fourth of women (26.0 %) believed that using COCs decreases fertility or even causes infertility, especially if used before their first pregnancy (43.3 %). Women in their middle age were more uncertain about the relation between COCs use and anemia (p = 0.014) or dysmenorrhea pain (p = 0.005). While women who used COCs believed more that the pills regulate menstruation (p < 0.001) and decrease dysmenorrhea pain (p < 0.001) compare with women who had never used COCs pills. Women in general are uncertain if COCs use has negative or positive relation with some types of cancer such as ovarian, cervical and breast. Women who are not affiliated to the healthcare professions were more uncertain about the relation between COCs use and atherosclerosis risk (p = 0.002), MI (p = 0.025) and stroke risk (p = 0.035).Conclusion: There is insufficient awareness and knowledge of the beneficial and non-contraceptive uses of COCs. Educational programs are needed to improve women’s awareness of the benefits and risks of COCs. Keywords: Combined oral contraceptives, COCs, Knowledge, Attitude, Practice, Beliefs, Benefits, Risks

scholarly journals Knowledge, Misconceptions and Attitudes towards Labor Regional Analgesia in a University Hospital: A Cross-Sectional Study

2019 ◽  
Vol 4 (3) ◽  
pp. p167
Author(s):  
Walid Samarah ◽  
Isam Bsisu ◽  
Qusai Al-Masad ◽  
Bushra Maaqbeh ◽  
Leen Younis ◽  
...  
Keyword(s):  
Cross Sectional Study ◽  
University Hospital ◽  
P Value ◽  
Sources Of Information ◽  
Cross Sectional Survey ◽  
Regional Analgesia ◽  
Cross Sectional ◽  
Educational Levels ◽  
Multiparous Women ◽  
Higher Educational

Background: Pain relief in labor is considered an important concern in the management of pregnant females in childbirth. The aim of this study is to assess the knowledge and attitudes of Jordanian females towards various regional analgesic techniques. Methods: We conducted a cross-sectional survey on 652 Jordanian women with a mean age of 32.9 (±8.17). Data collection took place at the gynecological and obstetrics clinics between December, 2017 and September, 2018. Results: Subjects with higher educational levels tend to have better knowledge about regional analgesia (p-value = 0.003), are less likely to ask for general anesthesia (GA) (p < 0.001), and have more previous regional analgesia 47.9% (p < 0.001). Moreover, multiparous women had better knowledge about regional analgesia and higher tendency to ask for it as an efficacious analgesic method during delivery (p < 0.05). Conclusions: In conclusion, even though higher educational levels and multiparty were significantly associated with better knowledge and acceptance rate of regional analgesia, sources of information about regional analgesia plays an important role, emphasizing on the significant role of anesthesiologists and obstetricians in increasing the awareness levels in our society.

scholarly journals Changing attitudes towards annual influenza vaccination amongst staff in a Tertiary Care Irish University Hospital

2021 ◽  
Author(s):  
Emma C. Kearns ◽  
Ian Callanan ◽  
Ann O’Reilly ◽  
Aisling Purcell ◽  
Niamh Tuohy ◽  
...  
Keyword(s):  
Healthcare Workers ◽  
Online Survey ◽  
Tertiary Care ◽  
Hospital Staff ◽  
Cross Sectional Study ◽  
University Hospital ◽  
Cross Sectional ◽  
Flu Vaccination ◽  
Data Collection And Analysis ◽  
Changing Attitudes

Abstract Background Healthcare workers are encouraged annually to get vaccinated against influenza. This year in view of COVID-19 pandemic, attitudes of HCWs towards vaccination are particularly important. A cross-sectional study was completed to understand how to best encourage and facilitate the vaccination of HCWs based on the previous years’ findings. Methods An online survey was disseminated to all hospital staff via electronic channels. The clinical audit sphinx software was used for data collection and analysis. Results The total number of responses was n = 728, almost double the rate from 2018 (N = 393). A total of 78% (N = 551) of participants were vaccinated last year. A total of 94% (N = 677) of participants reported their intention to be vaccinated this year. The main barriers listed were being unable to find time (32%, N = 36), side effects (30%, N = 33) and thinking that it does not work (21%, N = 23). The most popular suggestions for how to increase uptake were more mobile immunisation clinics (72%, N = 517) and more information on the vaccine (50%, N = 360). A total of 82% of participants (N = 590) agreed that healthcare workers should be vaccinated, with 56% (N = 405) agreeing that it should be mandatory. Of the participants who were not vaccinated last year (N = 159), 40% (N = 63) agreed that COVID-19 had changed their opinion on influenza immunisation with a further 11% (N = 18) strongly agreeing. Discussion In light of the increasing number of survey participants, more staff were interested in flu vaccination this year than ever before. The COVID-19 pandemic has had some influence on staff’s likelihood to be vaccinated. Feasibility of immunisation and education posed the largest barriers to HCW vaccination.

scholarly journals Exploring Satisfaction and Migration Intentions of Physicians in Three University Hospitals in Poland

2019 ◽  
Vol 17 (1) ◽  
pp. 43
Author(s):  
Katarzyna Dubas-Jakóbczyk ◽  
Alicja Domagała ◽  
Dorota Kiedik ◽  
Juan Nicolás Peña-Sánchez
Keyword(s):  
Cross Sectional Study ◽  
Working Environment ◽  
University Hospital ◽  
Hospital Level ◽  
University Hospitals ◽  
Online Questionnaire ◽  
Cross Sectional ◽  
Hospital Managers ◽  
Conducting Research ◽  
And Migration

Introduction: University hospitals constitute a unique group of health care organizations which traditionally link three functions: (1) providing highly specialized services, (2) teaching activities, and (3) conducting research. Objectives: To assess the level of carrier satisfaction among physicians working in three university hospitals in Poland (1); to assess whether the physicians have the intention to migrate and what the main reasons for migration are (2); and to identify the actions that might be taken at the hospital level to mitigate physicians’ intentions to migrate (3). Methods: Cross-sectional study with both quantitative and qualitative components. In the quantitative part, an online questionnaire was distributed among physicians working in three university hospitals. A total number of 396 questionnaires were analyzed. In the qualitative part, in-depth interviews with six hospital managers were conducted and analyzed using thematic analysis. Results: On a scale from one “very dissatisfied” to six “very satisfied”, the mean career satisfaction of physicians was 4.0 (SD = 0.74). The item with the lowest mean concerned salary level (2.8, SD = 1.41). In the sample, 34% of physicians declared intentions to migrate from Poland. The main reasons for the intention to migrate were: Better working conditions abroad, higher earnings, the ability to maintain better work-life balance, better training opportunities abroad, and problems due to a stressful current workplace. Hospital managers considered the actions that can be taken at the hospital level to mitigate physicians’ migration to be specific to those focused on the working environment. Conclusions: Career development opportunities and features related to the working environment are the main factors influencing physicians’ satisfaction and migration intentions that can be modified at the university hospital level.

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