scholarly journals Implementation of Standard Operating Procedure in Ophthalmic Practice during Covid 19 Era across Pakistan

2021 ◽  
Vol 38 (1) ◽  
Author(s):  
Uzma Taqi ◽  
Erum Shahid ◽  
Uzma Fasih

Purpose:  To analyze the implementation of standard operating procedures (SOP) in different ophthalmic settings of Pakistan during Covid 19. Study Design:  Cross sectional online survey. Place and Duration of Study:  Baqai Medical University & Karachi Medical and Dental College, from 11th to 25th January 2021. Methods:  This online survey included doctors working as consultants, medical officers and trainees in ophthalmology setups. A self-designed questionnaire on Google forms was sent online to see the implementation of standard operating procedures during COVID 19. Results:  A total of 400 participants were selected by snowball sampling technique. A response rate was 105 (26.5%). Females were 66 (62.86%). Among all participants, 36.19% responded that they always screened patients for COVID 19 at reception. Doctors who always wore masks were 96.19%. Out of those who responded, 16.19% and 11.43% always wore protective goggles and disposable gowns respectively. Only 55.24% practiced hand sanitization, 18.10% washed hands with soap and 30.48% cleaned slit lamps after seeing each patient. Doctors who always asked for PCR before ocular surgery under general anesthesia were 65 (61.90%) and for local anesthesia were 36 (34.29%).  Direct Ophthalmoscopy, tonometry, and gonioscopy were performed when necessary by 56.19%, 80.00%, 80.00% of doctors respectively. Only 69.5% were satisfied with precautionary measures. Conclusion:  Clinic management needs improvement in implementing SOPs among patients in an eye OPD. Fifty percent of the ophthalmologists received PPE by their administration. Only 69.5% doctors were satisfied with precautionary measures. Key Words:  COVID 19, standard operating procedures, Pakistan, Ophthalmology

2020 ◽  
Vol 2 (2) ◽  
Author(s):  
Grace Jeny Wakanno

ABSTRACT The act of catheterization in patients with urinary elimination disorders must be based on science and carried out in accordance with the installation sequence or fixed procedure. The purpose of this study was to determine the factors related to nurses' compliance in the implementation of standard operating procedures for urethral catheter placement in Ambon Living Resources Hospital. The analytical descriptive design with cross sectional study was used. The population is all nurses who provide nursing services in the Emergency Room and inpatient rooms of Ambon Life Sources Hospital, which number a population of 40 nurses. Sampling using total sampling technique. The sample in this study amounted to 40 people. There is a correlation between knowledge with nurses 'compliance in the implementation of fixed catheter installation procedures with values (p = 0.013), there is a relationship between attitudes and nurses' compliance in the implementation of fixed catheter installation procedures with a value (p = 0.000), there is a long working relationship with compliance nurses in the implementation of fixed catheter installation procedures with a value (p = 0,000). It is expected that nurses can apply and run in nursing practice regarding compliance with running a Standard Operating Procedure (SOP) for catheter insertion. Keywords: Knowledge, Attitude, Length of Work, SOP Catheter


2018 ◽  
Vol 4 (2) ◽  
Author(s):  
Ahsan Ahsan ◽  
Niko Dima ◽  
Ni Luh Putu Ayu Prasiska

Falling is a serious problem and makes high costs for patients and all health facilities. One of the factors that influenced the compliance of the Nurses in the implementation of the SPO (Operational Procedure Standard) is the motivation and perception of the Nurse toward their profession. The aim of the research is to find out the relationship between Nurses motivation and compliance with the implementation of the prevention risk proedure. This study was used a cross-sectional design. The population used is all nursing staff in the inpatient ward of Kanjuruhan Hospital with purposivei sampling technique with a sample of 109. The study was conducted in February - March 2018. Data collection used questionnaires about the characteristics of respondents, nurses' motivation and compliance with risk prevention procedure of fall down. Statistical analysis uses Ranki Spearman test. Presentation of data in the form of frequency tables distribution and narration. The results of the study were found that is significant relationship between motivation and compliance with the implementation of preventive SPO at risk of falling. The correlation (r) value is 0.424 which means that the relationship between the two variables are in the same direction, the higher the motivation, the compliance with the implementation of the preventive SPO become higher too. From the results of this study, a continuous socialization of SPO prevention is needed, and make motivated nurses to comply with the implementation of the SPO.Keywords: Risk of falling, Standard Operating Procedure, Compliance, Motivation


Author(s):  
Salman Mohammed Al-Zalfawi ◽  
Syed Imam Rabbani ◽  
Syed Mohammed Basheeruddin Asdaq ◽  
Abdulhakeem S. Alamri ◽  
Walaa F. Alsanie ◽  
...  

Coronavirus disease-19 (COVID-19) is a highly contagious infection that mainly affects the respiratory system of patients. To date, more than 10 million people have been affected by this virus, and Saudi Arabia has also reported over 210 million cases. At present, there is no established treatment for COVID-19. Vaccination is one of the ways to defeat the pandemic. Recent reports have indicated rare but serious adverse events after vaccination, causing an anxious response from the general public worldwide. Therefore, this study was aimed at evaluating the knowledge, attitude, and perception of the COVID-19 vaccine among the Saudi population. This study is a cross-sectional, web-based online survey conducted using a snowball sampling technique. A self-administered questionnaire prepared in Arabic and English was used to collect feedback from the general population on their knowledge, attitudes, and perceptions about the COVID-19 vaccine. Participants (n = 2022) from different regions of the country replied to the questions. The responses to the questions were recorded on a spreadsheet and analyzed using the SPSS software. Statistical analysis was performed using one-way ANOVA and non-parametric tests to draw conclusions about the results. Multivariate stepwise regression analysis was performed to determine the association between the knowledge, attitude, and perception scores and the demographic variables. p < 0.05 was used to indicate the significance of the data. The data from the study indicated that most of the participants were males (81%), between 18 and 59 years of age (85.9%), Saudi nationals (98.3%), and possessed graduation or above as a qualification (62.9%). The results suggest that a major portion of respondents have satisfactory knowledge (76%), a positive attitude (72.4%), and perception (71.3%) towards the use of COVID-19 vaccines. Their responses can be categorized as between ‘good’ and ‘fair’. However, 30–40% of respondents lacked information about COVID-19 vaccination availability for under 18-year-olds as well as for pregnant women, in addition to the lack of knowledge about the serious unreported adverse reactions and long-term protection offered by the vaccine against coronavirus. The correlation analysis between the variables (p > 0.05) indicated that the response to the KAP domains has no direct relationship. The survey results suggest that most of the Saudi population has sound knowledge and a positive attitude and perception. Since the COVID-19 vaccines have been approved for use in pregnancy and above 12-year-old children by health authorities, the lack of information shown by a significant percentage of participants requires strategies to update this information. Awareness programs targeting all sections of the population must be continued to provide all the updates, including vaccinations for pregnant women and children.


2020 ◽  
Vol 7 (1) ◽  
pp. 44-53
Author(s):  
Olalekan Seun Olagunju ◽  
Obasanjo Afolabi Bolarinwa ◽  
Tesleem Kayode Babalola

Background: Pandemics are challenging for clinical and public health agencies and policymakers because of the scientific and medical uncertainty that accompanies novel viruses like COVID-19 makes an increase of morbidity and mortality prominent. Consequently, there is a need to evaluate the public perception of social distancing, lockdown obligatory, and response satisfactory during the pandemic. Methods: This cross-sectional survey used an anonymous online google based questionnaire to collect data from respondents via social media platforms. The online survey was conducted among social media users from 1st to 30th April 2020. A snowball sampling technique was employed to recruit respondents for the survey. A total of 1,131 respondents responded across the country. Results: Nine out of every ten respondents believed that social distancing is an effective measure to reduce the spread of COVID-19. Also, 8 out of every ten respondents agreed with the lockdown measures. However, just 36.8% think their government is doing enough to stop the outbreak, and only 25% of the respondents were satisfied with the country’s response to the worldwide epidemic. The age of respondents was found to be significantly associated with satisfaction with emergency response during pandemics. Conclusion: It could be concluded that Nigerian public accepted social distancing as an effective way of curbing the spread of COVID-19 and general acceptance on lockdown obligatory; however, more than half of respondents expressed non-satisfactory with government and other agencies responses during the pandemics.


2021 ◽  
Vol 8 (14) ◽  
pp. 844-848
Author(s):  
Darshan Yallapp Jotibannad ◽  
Ayushi Devendra Singh

BACKGROUND Covid-19 has detrimental effects on physical and mental health globally. A large number of people have developed psychological disorders due to the pandemic. This study was an attempt to explore the occurrence of depression and its severity level amongst the population who are working from home online during the pandemic period. METHODS A cross sectional online survey was conducted by sharing Zung self-administered depression questionnaire using Google form. Informed consent was obtained from 106 participants and snowball sampling technique was used in the study. Chisquare test and P-value were also calculated to determine the level of significance and association between different variables.c RESULTS Out of 106 participants, 5 (4.71 %) were found to have depression. Females were more affected than men; higher numbers came from those living in a joint family and those who were not married. CONCLUSIONS Our study highlighted the incidence of depression amongst the group working from home during the pandemic. It is the need of the hour to recognise the psychological impact of the pandemic on an peoples’ minds and help them seek immediate help from their nearest health centre to overcome the sufferings they go through. KEYWORDS Covid-19 Pandemic, Depression, Mental Health


2021 ◽  
Vol 9 ◽  
Author(s):  
Lovely Jain ◽  
Jatina Vij ◽  
Prakasini Satapathy ◽  
Venkatesan Chakrapani ◽  
Binod Patro ◽  
...  

Background: Students act as messengers in delivering effective messages for better uptake of health-promoting behavior. Understanding their knowledge about coronavirus disease 2019 (COVID-19), intentions to use the COVID-19 vaccine, and its associated factors will help develop promising strategies in vaccine promotion concerning the current COVID-19 pandemic.Methods: A cross-sectional online survey was carried out among students in the healthcare and non-healthcare sectors to assess their intentions to get vaccinated against the COVID-19. A non-probability snowball sampling technique was used to recruit study participants (N = 655) through social media platforms and emails. Study participants were recruited across the country, including six major geographical regions (Eastern, Western, Northern, Southern, North-east, and Central) in India between November 2020 and January 2021 before the introduction of the COVID-19 vaccine. Descriptive statistics were used to present the sociodemographic, and vaccine-related behaviors of the study participants. Key determinants that likely predict vaccine acceptance among students were modeled using logistic regression analysis. For each analysis, p &lt; 0.05 was considered significant.Results: A total of 655 students were recruited, 323 from healthcare and 332 from non-healthcare sectors, to assess their intentions to receive the COVID-19 vaccine. Of the 655 students, 63.8% expressed intentions to receive the COVID-19 vaccine. The acceptance was higher among non-healthcare students (54.07 vs. 45.93%). At the time of the study, 27.8% of the students indicated that they had been exposed to a confirmed COVID-19 patient. A vast majority (93.4%) of the students knew about the COVID-19 virus, and most (89.3%) of them were aware of the development of a COVID-19 vaccine. The history of vaccine hesitancy was found to be low (17.1%). Only one-third (33.4%) of the students showed concern about contracting COVID-19. Trust in the healthcare system [adjusted odds ratio (aOR): 4.13; (95% CI: 2.83–6.04), p &lt; 0.00] and trust in domestic vaccines [aOR: 1.46; (95% CI: 1.02–2.08), p &lt; 0.05] emerged as the significant predictors of student's intention to get vaccinated. Higher acceptance for vaccine was observed among students in the non-healthcare [aOR: 1.982; 95% CI: 1.334–2.946, p &lt; 0.00].Conclusion: This study shows that the Indian college students had relatively high levels of positive intentions to receive COVID-19 vaccines, although about one-third were not sure or unwilling to receive the vaccine, highlighting possible vaccine hesitancy. Informational campaigns and other strategies to address vaccine hesitancy are needed to promote uptake of COVID-19 vaccines.


2020 ◽  
Vol 11 (3) ◽  
pp. 59-87
Author(s):  
Amy Chu May Yeo ◽  
Marcus Ee Ken Lai

AbstractThe primary objective of the research is to determine the influences of B2B relationship quality and opportunism on firm performance. This study takes a general perspective of business organisations by examining the hypothesised relationships in the context of B2B’s in the industrial business environment. The research employs a cross-sectional design whereby quantitative data is collected by means of an online survey. Using non-probability, judgmental and snowball sampling technique, a sample size of 98 employees from the industrial business environment within Malaysia was collected. The gathered data was analysed using statistical software Smart -PLS. The research yields several interesting findings on the association between B2B relationship quality and firm performance in the industrial business environment within Malaysia. Findings also unfolded that the quality of a relationship between businesses is able to influence firm performance and opportunism. Opportunism on the other hand was not found to have any influence on Firm Performance. The results of the study implied that the quality of the relationship between businesses that is built upon trust, commitment, satisfaction and information sharing are important in business relationships. A high-quality relationship that is shared among suppliers and customers is able to predict better firm performance and inhibit the negative effect of opportunism.


2021 ◽  
Author(s):  
Chadia Haddad ◽  
Hala Sacre ◽  
Sandrella Bou Malhab ◽  
Diana Malaeb ◽  
Danielle Saadeh ◽  
...  

Abstract Background: The COVID-19 pandemic has led to prolonged exposure to stress and anxiety, raising concerns about a large spectrum of psychological side effects. The primary objective of the study was to validate the COVID-19 Bullying Scale (CBS-11). The second objective was to explore factors associated with COVID-19-related bullying and evaluate the mediating effect of fear and anxiety between knowledge and COVID-19-related bullying.Methods: A cross-sectional online survey conducted between December 20, 2020, and January 5, 2021, involved 405 Lebanese adults recruited using the snowball sampling technique. The CBS-11, an 11-item tool specially created for this study, was used to measure bullying behaviors towards COVID-19 patients.Results: All items of CBS-11 converged over a 1-factor solution with an eigenvalue over 1, accounting for a variance of 75.16%. The scale has a high Cronbach’s alpha (0.974), indicating excellent reliability. A positive correlation was found between the COVID-19 bullying scale and fear, anxiety, and stigma discrimination. The logistic regression showed that higher fear of COVID-19 (ORa=1.04), a positive attitude toward COVID-19 preventive measures and hygiene recommendations (ORa=1.18), higher stigma discrimination scores (ORa=1.09), and having a health professional family member (ORa=2.42) were significantly associated with bullying. Conclusion: Our main findings show that CBS-11 could be an efficient tool to measure bullying behaviors toward COVID-19 patients. Stigma discrimination and fear from COVID-19 were associated with higher bullying attitudes. Future prospective studies are needed to understand better the factors related to bullying among adults during a pandemic, such as COVID-19.


2021 ◽  
Vol 9 (1) ◽  
Author(s):  
Chadia Haddad ◽  
Hala Sacre ◽  
Sandrella Bou Malhab ◽  
Diana Malaeb ◽  
Danielle Saadeh ◽  
...  

Abstract Background The COVID-19 pandemic has led to prolonged exposure to stress and anxiety, raising concerns about a large spectrum of psychological side effects. The primary objective of the study was to validate the COVID-19 Bullying Scale (CBS-11). The second objective was to explore factors associated with COVID-19-related bullying and evaluate the mediating effect of fear and anxiety between knowledge and COVID-19-related bullying. Methods A cross-sectional online survey conducted between December 20, 2020, and January 5, 2021, recruited 405 Lebanese adults using a snowball sampling technique. The CBS-11, an 11-item tool specifically created for this study, was used to measure bullying behaviors towards COVID-19 patients. Results All items of the CBS-11 converged over a 1-factor solution with an eigenvalue over 1, accounting for a variance of 75.16%. The scale has a high Cronbach’s alpha (.974), indicating excellent reliability. A positive correlation was found between the COVID-19 bullying scale and fear, anxiety, and stigma discrimination. The logistic regression showed that higher fear of COVID-19 (ORa = 1.04), a positive attitude toward COVID-19 preventive measures and hygiene recommendations (ORa = 1.18), higher stigma discrimination scores (ORa = 1.09), and having a health professional family member (ORa = 2.42) were significantly associated with bullying. Conclusion Our main findings showed that the CBS-11 could be an efficient tool to measure bullying behaviors toward COVID-19 patients. Stigma discrimination and fear from COVID-19 were associated with higher bullying attitudes. Future prospective studies are needed to understand better the factors related to bullying among adults during a pandemic, such as COVID-19.


2021 ◽  
Vol 47 (1) ◽  
Author(s):  
Serafina Perrone ◽  
◽  
Maurizio Giordano ◽  
Giuseppe De Bernardo ◽  
Paola Lugani ◽  
...  

Abstract Background Although many studies emphasize the importance of using oxygen saturation (SpO2) targets in the NICUs, there is a wide variability in used saturation ranges among centers. Primary aim was to draw a representative picture on how the management of oxygen monitoring is performed in the Italian NICUs. Second aim was to identify healthcare-professionals related factors associated with oxygen targeting in the preterm population. Methods Cross-sectional study with data collection via an electronic survey form. A questionnaire containing pre-piloted and open questions on monitoring and management of the SpO2 was administered to neonatologists across the network of the Italian Society of Neonatology. The questions focused on: the infrastructure, specific training, healthcare professionals and patients-related factors. The results of the survey were anonymously collected, summarized and analyzed. Results Out of 378 questionnaires, 93 were correctly filled. Thirty-six different SpO2 ranges were observed. Centers using written standard operating procedures on oxygen management and SpO2 monitoring maintained a correct average range of SpO2 90–95%, avoided hyperoxia and reconsidered saturation targets in relation to comorbidities. 39.8% of responders disabled alarms during neonatal care. One center used biomarkers for complete monitoring of neonatal oxygenation status. Conclusions There is considerable variation in SpO2 targets for preterm infants in the Italian NICUs. Standard operating procedures and specific training for health care personnel are the main factors playing a role for the correct maintenance of the recommended oxygen targets in preterms.


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