Factors promoting Proficiency in Cardiorespiratory Physiotherapy Practice in Nigeria.

2017 ◽  
Vol 19 (1) ◽  
Author(s):  
Kayode Israel Oke ◽  
Bridget Nwanne Birabi ◽  
Henrietta Olufunmilola Fawole
Keyword(s):  
Care Practice ◽  
Specialty Area ◽  
Physiotherapy Practice ◽  
Validated Questionnaire ◽  
Alpha Level ◽  
Gradual Development ◽  
Specialty Practice ◽  
Health Institutions ◽  
And Gender ◽  
Training Programmes

Background: Cardiorespiratory physiotherapy specialty practice is one of the specialty areas in physiotherapy experiencing gradual development in Nigeria with more practitioners undergoing specialisation training programmes in it.Objective: This paper therefore attempts to describe the factors that influence proficiency of physiotherapy specialists in cardiorespiratory care practice in Nigeria as there is currently no such document in Nigeria and possibly Africa.Methods: The study adopted a descriptive qualitative design using a self-structured and validated questionnaire. The participants were physiotherapists from various health institutions in Nigeria who gathered for continuous professional development (CPD) training programmes in cardiorespiratory practice. 82 properly filled of the 87 questionnaire forms administered were retrieved from participants who included 49 males and 33 females of varying age and practice years of experience (YoE). Descriptive and inferential statistics were used to explore the data obtained using SPSS. Alpha level was set at 0.05.Results: The results of the study showed that age(r=0.862, p<0.05) and gender (r=0.146, p<0.005) of cardiorespiratory physiotherapy practitioners do not significantly influence their proficiency in practice while YoE (r=0.000, p<0.05), institutions of practice (r=0.001, p<0.05) and attendance of CPD programmes have significant association with practitioners’ proficiency in terms of familiarity with cardiorespiratory devices (r=0.032, p<0.05) and assessment of patients with cardiorespiratory problems(r=0.000, p<0.05).Conclusion: It is concluded that proficiency in cardiorespiratory physiotherapy is majorly influenced by factors such as institution of practice and participation in CPD training programmes in the specialty area. YoE in cardiorespiratory care also has promotive influence on familiarity of practitioners with intensive care devices.

Nigerian physiotherapists’ perception of direct access and patients’ self-referral

2015 ◽  
Author(s):  
Chidozie Emmanuel Mbada ◽  
Kayode D. Ojetola ◽  
Rufus Adesoji Adedoyin ◽  
Udoka A. C. Okafor ◽  
Olubusola E. Johnson ◽  
...  
Keyword(s):  
Public Support ◽  
Cross Sectional Study ◽  
Study Data ◽  
Professional Autonomy ◽  
Direct Access ◽  
Cross Sectional ◽  
Major Barrier ◽  
Physiotherapy Practice ◽  
South West ◽  
Validated Questionnaire

Background: The global advocacy for Direct Access (DA) and Patients’ Self-Referral (PSR) to physiotherapy is consistent with the quest for promoting professional autonomy and recognition. It was hypothesized in this study that the attainment of this clarion call in Nigeria may be hamstrung by challenges similar or different from those reported in other climes. Objective: This study assessed the perception of DA and PSR among Physiotherapists (PTs) in South-West, Nigeria. Methods: One hundred PTs from ten purposely selected public-funded out-patient facilities from South-West, Nigeria responded in this cross-sectional study, yielding a response rate of 75% (100/150).  A previously validated questionnaire for World Confederation of Physical Therapists (WCPT) on the global view of DA and PSR for physical therapy was used in this study. Data was analyzed using descriptive statistics. Results: There was a high awareness on legislation regulating practice (91%) and scope (84%) of the profession. Respondents assert that the extant legislation allows for DA (49%) and PSR (97%). However, 40% of the respondents opined that the baccalaureate qualification of PTs was inadequate for competence in DA and PSR; and a post-professional residency programme was mostly recommended (52%). Public support for DA and PSR to physiotherapy was rated more than the advocacy role of the Nigeria Society of Physiotherapy (60% vs. 40%). Physicians’ (71%) and politicians’ (65%) views were rated the major barrier to achieving DA and PSR status in physiotherapy. Similarly, physicians’ (90%) and politicians’ (88%) support was perceived as the major facilitator.  Conclusion: Physiotherapy practice in Nigeria has the semblance of autonomy in DA and PSR but is devoid of legislative support. Most Nigerian physiotherapists assume professional autonomy but were not aware of the lack of legal support for DA and PSR. The current entry-level academic curricula were considered to be deficient and inadequate for autonomous practice in Nigeria.  Physicians and politicians were the most important barrier or facilitator to achieving legal support for DA and PSR in physiotherapy in Nigeria.

scholarly journals KNOWLEDGE AND ATTITUDE OF INTERNS IN REPORTING AND EVALUATING SEXUAL ABUSE

2021 ◽  
pp. 17-19
Author(s):  
Unmesh. A.K ◽  
Bindhu Vasudevan. ◽  
Biju Bahuleyan
Keyword(s):  
Sexual Abuse ◽  
Knowledge Score ◽  
Legal Aspects ◽  
Good Knowledge ◽  
Chi Square ◽  
Medical Graduates ◽  
Validated Questionnaire ◽  
Chi Square Test ◽  
Knowledge And Attitude ◽  
And Gender

INTRODUCTION: Every year the crime rate reported against women has been on the rise but the conviction rate of offenders was found to be below 30%.This could be due to the lack of evidences against the perpetrators.Young medical graduates or interns are the first point of contact in any sexual abuse cases and the onus of collecting evidence depends on their knowledge and attitude.The present study was designed based on this back drop. METHODOLOGY: after obtaining ethics committee clearance 91 interns were recruited for the study. The data was collected using a validated questionnaire comprising of 20 questions related to knowledge and 10 questions about attitude. Based on the scores obtained they were categorised into three groups of poor, average and good knowledge. Analysis between knowledge level and gender of interns was done using chi-square test and difference in knowledge score of males and females was tested using independent sample t test. RESULTS: Of the 91 male interns 75% of males and 62.7% of females had good knowledge but this was not statistically significant.Significant difference in the attitude of male and female interns was noted. CONCLUSION: Lack of knowledge in cases of sexual abuse can result in escape of the perpetrators of this heinous crime.The training of interns regarding medicolegal aspects should be made mandatory.Further the medical students also need to be exposed to these legal aspects as a part of their training program.

scholarly journals SUN-036 Evaluation of Gender Experience Among Individuals with Isolated GnRH Deficiency Compared to Controls

2020 ◽  
Vol 4 (Supplement_1) ◽  
Author(s):  
Rebecca Persky ◽  
Joan C Han ◽  
Anna Neyman ◽  
Reuben D Rohn ◽  
Ravikumar Balasubramanian ◽  
...  
Keyword(s):  
Identity Development ◽  
Gender Identity ◽  
Female Gender ◽  
Sex Hormone ◽  
Hormone Production ◽  
Validated Questionnaire ◽  
Significant Difference ◽  
Hormone Exposure ◽  
And Gender ◽  
The Individual

Abstract Background: Sex hormones play a role in gender identity development. For example, 46,XY individuals with complete androgen insensitivity typically have a female gender identity. Isolated GnRH deficiency (IGD) leads to hypogonadism due to decreased GnRH-induced gonadotropin production. It is unknown if decreased sex hormone exposure leads to differences in gender identity among individuals with IGD compared with the general population. Our objective was to determine if the gender identity in subjects with IGD differs from controls. Methods: We distributed a validated questionnaire; the Gender Identity/Gender Dysphoria Questionnaire for Adults and Adolescents (GIDYQ-AA) (1), to IGD participants who previously enrolled in a phenotyping study. Subjects also provided their age, sex assigned at birth (SAAB), gender and information about their condition and treatment. Group survey scores are expressed as mean ± SD. IGD subject scores were compared with control data (Student’s t-test) obtained from a validation study for the GIDYQ-AA (2). Results: Out of 79 subjects who were contacted, 8 males (M) assigned at birth and 7 females (F) assigned at birth chose to participate and one person actively declined. Average age was 30 y for F and 28 y for M. At the time of the study, all subjects were on hormone supplementation except for one F. A score of 5 indicates a gender identity congruent with SAAB. Among F, mean scaled IGD score was 4.73 ± 0.29 vs. controls (4.8 ± 0.28, n=57; not significant (ns)), and for M it was 4.62 ± 0.52 vs. controls (4.82 ± 0.24, n=37; ns). One female identified as “non-gendered”, one male identified as “intersex/DSD” (14% of respondents), one female did not respond and gender was congruent with SAAB in the remainder. The lowest mean score for an individual question for the IGD F group was in response to whether they felt satisfied being a woman and for the IGD M group, it was in response to whether they felt they were a real man. Conclusions: Men and women with IGD did not show a significant difference in their gender identity compared with controls, and gender was found to be congruent with SAAB for the majority. However, the individual question responses and the self-described gender in this small cohort may suggest that there are differences in how some individuals with IGD experience their gender development. We speculate that this may be related to how they perceive the differences in physical development that they experienced related to their condition. Larger studies in participants with IGD and other disorders that alter sex hormone production/effect are necessary to further understand the relationship between decreased sex hormone exposure during critical developmental periods and gender identity development. References: (1) Deogracias, J.J, et al. J. Sex Res., 2007, 44:4, 370–379 (2) Singh, D. et al. J. Sex Res. 2010, 47:1, 49–58

scholarly journals A quantitative assessment of the parameters of the role of receptionists in modern primary care using the work design framework

2020 ◽  
Author(s):  
Michael Burrows ◽  
Nicola Gale ◽  
Sheila Greenfield ◽  
Ian Litchfield
Keyword(s):  
Primary Care ◽  
Cognitive Load ◽  
Postal Questionnaire ◽  
Work Design ◽  
Social Characteristics ◽  
Valuable Insight ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Validated Questionnaire ◽  
Training Programmes

Abstract Background Amidst increased pressures on General Practice across England, the receptionist continues to fulfil key administrative and clinically related tasks. The need for more robust support for these key personnel to ensure they stay focussed and motivated is apparent, however to be effective a more systematic understanding of the parameters of their work is required. Here we present a valuable insight into the tasks they fulfil their relationship with colleagues and their organisation, and their attitudes and behaviour at work collectively defined as their ‘work design’. Methods Our aim was to quantitatively assess the various characteristics of receptionists in primary care in England using the validated Work Design Questionnaire (a 21 point validated questionnaire, divided into four categories: task, knowledge and social characteristics and work context with a series of sub-categories within each). This was available online and in addition 500 postal questionnaire were sent to a random sample of 100 general practices across England. An online cross-sectional survey was employed with receptionists (N=54). Additionally (N=16; RR=3.1%). Results Seventy participants completed the WDQ; 54 completed the survey online 16 completed the postal version (response rate of 3.1%). Receptionists reported high task variety, task significance and, high level of information processing and knowledge demands, confirming the high cognitive load placed on them by performing numerous yet significant tasks. This complex role required an array of skills, to accommodate their various administrative, communicative, problem solving and decision-making duties they have, and there was a reliance on colleagues for support and feedback. Conclusion Research with modern GP receptionists is sparse and little is known formally regarding the parameters of the role. This research explores the work design of GP receptionists and offers clinicians in practice a practical overview of this important and essential role and its implications for the modern GP practice. We suggest a number of ways in to better support the modern receptionist, including separating complex tasks to avoid the errors involved with high cognitive load, providing informal feedback and developing training programmes.

Social entrepreneurship competency: an approach by discipline and gender

2020 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
José Carlos Vázquez-Parra ◽  
Abel García-González ◽  
María Soledad Ramírez-Montoya
Keyword(s):  
Gender Gap ◽  
Social Entrepreneurship ◽  
Men And Women ◽  
Content Type ◽  
Validated Questionnaire ◽  
The Social ◽  
And Gender ◽  
Architecture And Design ◽  
University Training

PurposeThe purpose of this study is to analyze how university men and women in different disciplines of study in Mexico perceive social entrepreneurship competencies, using a multifactorial analysis to find possible areas of opportunity to reduce the gender gap in social-entrepreneurship-project proposals.Design/methodology/approachThis is a quantitative study with a validated questionnaire that records the perception levels of five social entrepreneurship subcompetencies. The survey, which includes 28 indicators, was applied to 140 university students from different disciplines. Hypothesis testing was applied to identify significant differences between men and women in each subcompetency by disciplinary area.FindingsIn the global sample, significant differences by gender were observed only in the social value subcompetency. In the disciplinary analysis, significant differences were found in architecture and design, business, and engineering and science.Research limitations/implicationsThe questionnaire only gathered data about the students' perceptions. To the extent that perception is triangulated with other instruments, it is possible to increase knowledge regarding how to train in social entrepreneurship.Practical implicationsThe results can be useful for university training and increasing the envisioning and formulating of government projects by young people who create new businesses.Originality/valueThis research contributes to the literature on the role of gender-specific perceptions of social entrepreneurship in Mexico.

Sexual and reproductive health survey in the time of COVID-19 – Latvia, 2020

2021 ◽  
Author(s):  
Gunta Lazdane ◽  
◽  
Dace Rezeberga ◽  
Ieva Briedite ◽  
Inara Kantane ◽  
...  
Keyword(s):  
Reproductive Health ◽  
Family Relationships ◽  
Online Survey ◽  
Gender Based Violence ◽  
Reproductive Health Services ◽  
Health And Nutrition ◽  
Validated Questionnaire ◽  
Variables Selection ◽  
Gender Based ◽  
And Gender

The results of the anonymous online survey of people living in Latvia age 18 and over, using internationally (I-SHARE) and nationally validated questionnaire. Data include following variables: Selection, socio-demographics, social distancing measures, couple and family relationships, sexual behavior, access to condoms and contraceptives, access to reproductive health services, antenatal care, pregnancy and maternal and child health, abortion, sexual and gender-based violence, HIV/STI, mental health, and nutrition. (2021-02-08)

scholarly journals Prevalence and Determinants of Malnutrition in under Five Children in Selected Health Facilities in Egume, Kogi State, Nigeria

2019 ◽  
pp. 182-191
Author(s):  
Achadu Abraham Eleojo ◽  
Umeh Chisom Charles ◽  
Onoja Inikpi
Keyword(s):  
General Hospital ◽  
Health Facilities ◽  
Anthropometric Measurement ◽  
Cross Sectional ◽  
Under Five ◽  
Under Five Children ◽  
Validated Questionnaire ◽  
Standard Procedures ◽  
Historic Data ◽  
And Gender

Aims: This study was conducted to determine the prevalence and determinants of malnutrition in under five children in selected health facilities in Egume, Dekina LGA, Kogi State. Study Design: This was a cross-sectional descriptive study with historic data that assessed the Prevalence and determinants of malnutrition of under-five children in selected health facilities in Egume Dekina Local Government Area, Kogi State. Study Area: The study was conducted at General Hospital and St. Luke clinic in Egume, Dekina LGA, Kogi State. Methodology: The study focused on Mothers and their under five children who were treated as in- or out- patients at the General Hospital and St. luke clinic Egume within the past five years, Interview was conducted with the aid of a validated, questionnaire, after obtaining informed consent from mothers and ethical clearance from the Health Research Ethics Committee, Kogi State Ministry of Health. Data was obtained through reviews of available health records. Anthropometric measurement was carried out following standard procedures. Results: The study showed that 21.3%, 25.6%, 47.4% and 5.7% of the sampled children were mildly undernourished, moderately undernourished, severely undernourished and healthy respectively. Conclusion: The present study further revealed that a child’s age and gender, mother’s education and nutrition and other health variables such as clean water and toilet are determinants of child malnutrition.

scholarly journals A Community Based Study on Care Practice and Attitudes on male Circumcision in Muslim Community of Arghakanchi District, Nepal

2014 ◽  
Vol 1 (1) ◽  
pp. 30-35
Author(s):  
Mohan Paudel ◽  
Suresh Mehata
Keyword(s):  
Secondary School ◽  
Male Circumcision ◽  
Primary Schools ◽  
Intervention Program ◽  
Health Workers ◽  
Care Practice ◽  
Health Seeking ◽  
Community Based ◽  
Muslim Population ◽  
Health Institutions

Male circumcision is an obligatory religious or puberty rite among Muslims, Jews, Africans, and some other peoples. When, where, how, and by whom the operation is performed vary from group to group. The study was conducted in Pali VDC of Arghakhanchi district. Pali VDC is situated about 22 kilometers in the east from Sandhikharka, the headquarter of the district. It covers about 125 hectors land and is divided into 9 wards. It has 5500 populations in an average. There is one secondary school, one lower secondary school and two primary schools. The Muslim population resides entirely in ward no-1, 2, 3 & 4 of the VDC.The practices regarding circumcision and health seeking behaviour seems not very satisfactory as the practice so far has not been conducive to health of the children. This has been carried out nearly 100% by Hazam who is not health worker and hospitalization of circumcision is almost absent. Only small proportion of cases of circumcision (22%) during post circumcision period have sought for health institutions. However, looking at the use of modern medicines (injections/ tablets/capsules) during circumcision by about 23% shows the hope for improvement. People?s attitudes regarding circumcision seems far better than the practices that are currently prevalent in the community. The higher share of people in favor of hospitalization (91%) and the opinions of majority (62%) as health workers the appropriate decision maker makes the sign of possible intervention program to be successful.DOI: http://dx.doi.org/10.3126/jmmihs.v1i1.9898 Journal of Manmohan Memorial Institute of Health Sciences Vol.1(1) 2011; 30-35

scholarly journals Grado de satisfacción del usuario de ciclismo indoor en los centros deportivos de Granada (Indoor cycling client’s satisfaction level in sports clubs in Granada)

Retos ◽  
2015 ◽  
pp. 131-135
Author(s):  
Jaime Morente Sánchez ◽  
Pedro Yaques Arioni ◽  
Mikel Zabala Díaz
Keyword(s):  
Total Sample ◽  
Satisfaction Level ◽  
Cross Sectional ◽  
Fitness Centers ◽  
Sports Clubs ◽  
Large Size ◽  
Validated Questionnaire ◽  
Level Of Satisfaction ◽  
And Gender ◽  
Sport Centers

El objetivo del presente estudio fue conocer y comparar el grado de fidelidad y de satisfacción del practicante de ciclismo indoor en Granada a nivel general y atendiendo al género y al tamaño su centro deportivo (grande vs pequeño). Un total de 148 sujetos (31.8±9.9 años; 62 hombres) procedentes de 12 centros deportivos (75 de centros grandes; 73 de centros pequeños) conformaron la muestra. Este estudio piloto se presenta bajo un diseño descriptivo de tipo transversal a través de un cuestionario validado. Se observó que el usuario, en mayor medida de género femenino, de esta actividad es fiel y no esporádico. Ellos están más satisfechos que ellas, mientras que el trato ofrecido por el monitor se presenta como una de las acciones más valoradas de cara a la satisfacción del cliente. El grado de satisfacción y de fidelización del cliente de ciclismo indoor del área metropolitana de Granada es notable. En líneas generales, no se encontraron diferencias importantes entre centros grandes y pequeños, ni entre hombres y mujeres.Palabras clave. spininng, cliente, eficacia, actividad, fitness.Abstract. The aim of this study was to know and compare indoor cycling client’ satisfaction and commitment levels in sports clubs and fitness centers in Granada, in general, and taking into account the sport center size (large vs small) and gender. Total sample was composed of 148 subjects (31.8 ± 9.9 years; 62 men) from 12 sports centers (75 from large size sport center, 73 from small sport centers). This descriptive cross-sectional pilot study was carried out by means of a validated questionnaire. Indoor cycling users s are mostly female and non-sporadic. Males were more satisfied than females, while elderly participation is very low. The way participants were treated by the monitor was considered as one of the most valued and most important factors in relation with customers satisfaction level. Significant differences were not found betwen the so-called large and small fitness centers. The indoor cycling users’ level of satisfaction and commitment in the metropolitan area of Granada was remarkable. Overall, no significant differences between so-called large centers and small centers were found. Women, despite being less satisfied than men, attend more regularly.Keywords: spinning, customer, efficacy, activity, fitness.

scholarly journals Functional Gastrointestinal Disorders in a Primary Care Pediatric Clinic

2015 ◽  
Vol 2 ◽  
pp. 2333794X1456845 ◽  
Author(s):  
Ronen Stein ◽  
Thomas Chelimsky ◽  
Hong Li ◽  
Gisela Chelimsky
Keyword(s):  
Primary Care ◽  
Socioeconomic Status ◽  
Functional Gastrointestinal Disorders ◽  
Population Based ◽  
Care Practice ◽  
Gastrointestinal Disorders ◽  
Pediatric Clinic ◽  
Validated Questionnaire ◽  
Rome Iii

Functional gastrointestinal disorders (FGIDs) are a common problem in pediatric patients and can affect quality of life. However, the extent of these disorders may vary in different subpopulations of children. This study investigated the prevalence of FGIDs in an inner-city primary care practice. Healthy patients between the ages of 9 and 17 were administered a validated questionnaire that assessed for FGIDs and other somatic complaints. Eleven of 145 patients (7.5%) met criteria for FGIDs based on Rome III Diagnostic Criteria. Raynaud-like symptoms tended to occur more often in patients meeting criteria for FGIDs, although this association was not statistically significant ( P = .07). The lower prevalence of FGIDs in this population compared with earlier studies may suggest a link between socioeconomic status and the prevalence of FGIDs. Larger population-based studies consisting of a heterogeneous cohort from a variety of socioeconomic backgrounds are necessary to further elucidate the true connection between FGIDs and socioeconomic status.

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