Human privacy respect from viewpoint of hospitalized patients

Patient-oriented care is for nurses a holistic science, of which the patient's privacy respect is an essential part. The aim of this study was to determine the hospitalized patients' viewpoints concerning their privacy respect. This descriptive, analytic and cross-sectional research administered to 370 patients that were selected through a random-stratified sampling in an educational hospital in the Khorramabad in Iran in 2013-2014. Data were collected by a questionnaire about respect of the patient's privacy by hospital staff, including physical-corporeal, psycho-mental, and informational domains. Data were gathered through constructed interviews and analyzed with Independent t-test, One-way ANOVA and Pearson correlation statistical tests. The privacy of patients and its physical-corporeal and informational domains were sometimes observed, while the psycho-mental domain was often respected. The privacy respect was significantly lower for male patients (p=0.000) in the emergency department, and with patients who spoke with a local accent (p= 0.016). It seems necessary to train the health care providers to have more respect in terms of patient physical-corporeal and informational privacy, to observe male patient privacy and to use all interpersonal communication skills when dealing with non-Persian language patients. Furthermore, it seems necessary to revise the structure and design of emergency departments in order to protect the privacy of the patients.

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Exploring Polypharmacy Burden Among elderly patients with chronic diseases in Chinese community: a cross-sectional study

10.21203/rs.3.rs-198514/v1 ◽

2021 ◽

Author(s):

Yongli Wang ◽

Xiaodan Li ◽

Dongmei Jia ◽

Beilei Lin ◽

Bo Fu ◽

...

Keyword(s):

Elderly Patients ◽

Chronic Diseases ◽

Health Care Providers ◽

Statistical Tests ◽

Medication Management ◽

Patient Characteristics ◽

Cross Sectional Study ◽

Care Providers ◽

Chinese Community ◽

Cross Sectional

Abstract Background: In the long-term use of multiple medications for elderly patients with chronic diseases, medication problems are prominent, which seriously affects their quality of life. The burden of medications of patients plays a central role in affecting their medication beliefs, behaviors and disease outcomes. Paying attention to the burden of medications of patients may be a solution Its medication issues provide a new perspective. The objective was to use the Chinese version of Living with Medicines Questionnaire-3(C-LMQ-3) to quantify the medicines burden of elderly patients with chronic diseases in the Chinese community, and assess the relevant demographic characteristics of sub-populations with high medicines burden. Methods: The survey was distributed to elderly ≥60 years with chronic disease using ≥ 5 medicines, C-LMQ-3 scores and domain scores were compared by elderly patient characteristics using descriptive statistics and statistical tests. Results: A total of 430 responses were analyzed, the participants ranged in age between 60 to 91 years old, and the average age was 73.57 years (SD: 7.87). Most were female (61.7%), had a middle school education (38.5%). Moreover, 54.1% of the participants lived with spouse only, 16.2% with both spouse and children, and 10.0% lived alone. Regression analysis indicated that higher C-LMQ-3 scores were associated with those who were with low education level, 60–69 years-old, using ≥11 medicines, using medicines ≥3 times a day, Income per month(RMB)≤3000，and who having higher monthly self-paid medication(RMB)≥300 (p<0.01). Burden was mainly driven by cost-related burden, concerns about medicines, and the lack of autonomy over medicine regimens. Conclusion: Elderly patients with chronic diseases in mainland China have a heavy burden of multiple medications. Chinese health care providers should focus on evaluating and paying attention to such patients, and formulate relevant intervention strategies to ensure medication adherence and daily medication management of elderly patients with polypharmacy.

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Exploring polypharmacy burden among elderly patients with chronic diseases in Chinese community: a cross-sectional study

BMC Geriatrics ◽

10.1186/s12877-021-02247-1 ◽

2021 ◽

Vol 21 (1) ◽

Author(s):

Yongli Wang ◽

Xiaodan Li ◽

Dongmei Jia ◽

Beilei Lin ◽

Bo Fu ◽

...

Keyword(s):

Elderly Patients ◽

Chronic Diseases ◽

Health Care Providers ◽

Statistical Tests ◽

Medication Management ◽

Mainland China ◽

Preliminary Evidence ◽

Cross Sectional Study ◽

Care Providers ◽

Cross Sectional

Abstract Background In the long-term use of multiple medications for elderly patients diagnosed with chronic diseases, medication problems are prominent, which seriously reduces their quality of life. The burden of medications of patients critically affects their medication beliefs, behaviors and disease outcomes. It may be a solution to stress the burden of medications of patients. Its medication issues develops a novel perspective. The present study aimed to exploit the Chinese version of Living with Medicines Questionnaire-3(C-LMQ-3) to quantify the medicines burden of elderly patients diagnosed with chronic diseases in China, and evaluate the relevant demographic characteristics of sub-populations with high medicines burden. Methods The survey was distributed to elderly patients aged ≥ 60 years with chronic disease by using ≥ 5 medicines, C-LMQ-3 scores and domain scores were compared by the characteristics of elderly patients by employing descriptive statistics and performing statistical tests. Results On the whole, 430 responses were analyzed, and the participants were aged between 60 and 91 years, with the average age of 73.57 years (SD: 7.87). Most of the responses were female (61.7 %) with middle school education (38.5 %). Moreover, 54.1 % of the participants lived with spouse only, 16.2 % had both spouse and children, and 10.0 % lived alone. As indicated from regression analysis, higher C-LMQ-3 scores were associated with those who were with low education level, 60–69 years-old, using ≥ 11 medicines, using medicines ≥ 3 times a day, income per month (RMB) ≤ 3000, and who having higher monthly self-paid medication (RMB) ≥ 300 (p < 0.01). Burden was mainly driven by cost-related burden, concerns about medicines, and the lack of autonomy over medicine regimens. Conclusions This study presents the preliminary evidence to elderly patients diagnosed with chronic diseases in mainland China that pay attention to multiple medications burden may help reduce the Drug Related Problems, whereas some elderly patients have a higher burden of medication. Chinese health care providers are required to primarily evaluate and highlight such patients, and formulate relevant intervention strategies to ensure medication adherence and daily medication management of elderly patients with polypharmacy.

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Knowledge and practice of emergency contraceptives among married women: A community based cross sectional study

Healthline ◽

10.51957/healthline_139_2020 ◽

2020 ◽

Vol 11 (2) ◽

pp. 108-116

Author(s):

Hetal T Koringa ◽

Jitesh P. Mehta ◽

Roma S. Dadwani

Keyword(s):

Health Care Providers ◽

Emergency Contraception ◽

Statistical Tests ◽

Cross Sectional Study ◽

Married Women ◽

Reproductive Age ◽

Care Providers ◽

Sectional Study ◽

Cross Sectional ◽

Knowledge And Practice

Introduction: Emergency contraception (EC) serves as a backup in case regular contraception fails, can remarkablybring down the risk of a consequent unintended pregnancy and further complications. Objectives: To assess the knowledge and practice regarding EC among married women. To determine the association between knowledge regarding EC and socio demographic variables of married women. Methods: A cross-sectional study was conducted among urban slum areas of Jamnagar City with use of 30 cluster sampling techniquein the year 2012-13. From each cluster 15 women of reproductive age group(15-49years) were taken as study participants and total 450 married women were enrolled in the study. Statistical analysis was done by using appropriate statistical tests. Result: Out of total 450 study population,30.22% women ever heard of emergency contraception (EC) among them all were aware about E-pills, Majority considered EC safe(80.88%).very few women got knowledge from doctor (1.47%) and health workers (10.29%).only 31.23% women had ever used it. Women who were<30 years age old, well-educated and from upper socioeconomic status were more aware regarding EC. Nearly 50% women took E-pills because of timing was miscalculated (25.81%) or they were not using any contraceptives (22.58%).All the women who had practiced EC, revealed that it is 100% effective method for prevention of unwanted pregnancy in case of emergency. Conclusion: In this study, knowledge and usage rate of EC was found limited. Strategies to promote EC use should be focused on spreading accurate knowledge about it through information education and communication by health care providers and other audio-visual media.

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Evaluation of the Observance of the Charter of Rights of Patients with Mental Disorders from the Perspective of Nurses and Patients in Panj Azar Hospital in Gorgan in 2020

Journal of Archives in Military Medicine ◽

10.5812/jamm.116971 ◽

2021 ◽

Vol In Press (In Press) ◽

Author(s):

Lida Starnezhad ◽

Fateme Rostampor ◽

Sahar Paryab ◽

Hamid Reza Mehryar ◽

Omid Garkaz

Keyword(s):

Mental Disorders ◽

Health Care Providers ◽

Simple Random Sampling ◽

Point Of View ◽

Psychiatric Ward ◽

Care Providers ◽

Patient Privacy ◽

Cross Sectional ◽

Patients Rights ◽

The Mean

Background: One of the most essential indicators of quality evaluation of health services is to assess the status of patients' rights, especially in those with mental illness due to their physical and mental conditions, and how health care providers and recipients interact. Objectives: This study aimed to investigate the observance of the Charter of Rights of Patients with Mental Disorders from the perspective of nurses and patients in Panj Azar Hospital in Gorgan in 2020. Methods: This descriptive cross-sectional study was performed in 2020 among 100 patients admitted to the Psychiatric Ward and 200 nurses working in the psychiatric ward selected by simple random sampling. Data were collected using a demographic questionnaire and a self-made questionnaire. Data were entered into SPSS version 18 and analyzed using descriptive statistics, chi-square test, and independent t-test. Results: In this study, the results showed that the mean age of the subjects was 52.7 ± 22.4 years, and the highest age group of the study participants was 21 - 30 years. Overall, 196 (65.3%) participants were married, and 191 (63.7%) recommended others to return to this hospital. The mean scores of observance of the patient's charter from the nurses' and patients' points of view were 59.26 ± 6.26 and 57.98 ± 8.13, respectively. The subgroup with highest score was respect for the right to free choice and decision making in both groups. The level of compliance with the Charter of Patients' Rights was good and average from both nurses patients’ point of view. Furthermore, there was only a significant relationship between the views of nurses and patients in the subgroups of respect for patient privacy, compliance with the principle of confidentiality (P = 0.001), and access to an efficient grievance redressal system (P = 0.001). Conclusions: Overall, it is inferred that in most cases, nurses are aware of the extent of their compliance with their charter of rights, and from the patients' point of view, the level of compliance with the charter of patients was often moderate.

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COVID-19: knowledge, awareness and perceived stress among Jordanian healthcare providers (Preprint)

10.2196/preprints.22978 ◽

2020 ◽

Author(s):

Emad Aborajooh ◽

Mohammed Qussay Al-Sabbagh ◽

Baraa Mafrachi ◽

Muhammad Yassin ◽

Rami Dwairi ◽

...

Keyword(s):

Social Media ◽

Psychological Stress ◽

Health Care Providers ◽

Best Practice ◽

Healthcare Providers ◽

Cross Sectional Study ◽

Care Providers ◽

Cross Sectional ◽

Ordinal Logistic Regression Analysis ◽

Source Of Information

UNSTRUCTURED We aimed to measure levels of knowledge, awareness, and stress about COVID-19 among health care providers (HCP) in Jordan. This was a cross-sectional study on 397 HCPs that utilized an internet-based questionnaire to evaluate knowledge about COVID-19, availability of personal protective equipment (PEE), future perception, and psychological distress. Ordinal logistic regression analysis was used to evaluate factors associated with knowledge and psychological stress. Overall, 24.4% and 21.2% of the participants showed excellent knowledge and poor knowledge, respectively. Social media (61.7%) was the most commonly used source of information. Being female (β= 0.521, 95% CI 0.049 to 0.992), physician (β=1.421, 95% CI 0.849 to 1.992), or using literature to gain knowledge (β= 1.161, 95% CI 0.657 to 1.664) were positive predictors of higher knowledge. While having higher stress (β= -0.854, 95% CI -1.488 to -0.221) and using social media (β= -0.434, 95% CI -0.865 to -0.003) or conventional media (β= -0.884, 95% CI -1.358 to -0.409) for information were negative predictors of knowledge levels. HCPs are advised to use the literature as a source of information about the virus, its transmission, and the best practice. PPEs should be secured for HCPs to the psychological stress associated with treating COVID-19 patients.

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Portuguese Patient Dignity Question: A cross-sectional study of palliative patients cared for in primary care

Palliative & Supportive Care ◽

10.1017/s1478951520000164 ◽

2020 ◽

Vol 18 (6) ◽

pp. 658-661

Author(s):

Mafalda Lemos Caldas ◽

Miguel Julião ◽

Ana João Santos ◽

Harvey Max Chochinov

Keyword(s):

Primary Care ◽

Health Care Providers ◽

Cross Sectional Study ◽

Care Providers ◽

Sectional Study ◽

Clinical Tool ◽

Cross Sectional ◽

Old Patients ◽

Promising Tool ◽

Palliative Patients

AbstractIntroductionThe Patient Dignity Question (PDQ) is a clinical tool developed with the aim of reinforcing the sense of personhood and dignity, enabling health care providers (HCPs) to see patients as people and not solely based on their illness.ObjectiveTo study the acceptability and feasibility of the Portuguese version of the PDQ (PDQ-PT) in a sample of palliative care patients cared for in primary care (PC).MethodA cross-sectional study using 20 palliative patients cared for in a PC unit. A post-PDQ satisfaction questionnaire was developed.ResultsTwenty participants were included, 75% were male; average age was 70 years old. Patients found the summary accurate, precise, and complete; all said that they would recommend the PDQ to others and want a copy of the summary placed on their family physician's medical chart. They felt the summary heightened their sense of dignity, considered it important that HCPs have access to the summary and indicated that this information could affect the way HCPs see and care for them. The PDQ-PT's took 7 min on average to answer, and 10 min to complete the summary.Significance of resultsThe PDQ-PT is well accepted and feasible to use with palliative patients in the context of PC and seems to be a promising tool to be implemented. Future trials are now warranted.

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Prevalence, risk factors and sources of anxiety among Emergency Department healthcare workers in Pakistan during COVID-19 pandemic: A single center survey

Experimental Results ◽

10.1017/exp.2020.68 ◽

2021 ◽

Vol 2 ◽

Author(s):

N. Haroon ◽

S. S. Owais ◽

A. S. Khan ◽

J. Amin

Keyword(s):

Risk Factors ◽

Emergency Department ◽

Health Care Providers ◽

Healthcare Workers ◽

Work Performance ◽

Nonparametric Tests ◽

Care Providers ◽

Cross Sectional Survey ◽

Cross Sectional ◽

Frontline Workers

Summary COVID-19 has challenged the mental health of healthcare workers confronting it world-wide. Our study identifies the prevalence and risk of anxiety among emergency healthcare workers confronting COVID-19 in Pakistan. We conducted a cross-sectional survey in an Emergency Department using the Generalized Anxiety Scale (GAD-7), and questions about sources of anxiety. Of 107 participants, 61.7% were frontline workers. The prevalence of anxiety was 50.5%. Nonparametric tests determined that nurses, younger and inexperienced staff, developed significant anxiety. Multivariate ordinal regression determined independent risk factors for developing anxiety were younger age (OR 2.11, 95% CI 0.89–4.99) and frontline placement (OR 1.34, 95% CI 0.33–1.66). Significant sources of stress were fear of infecting family (P = 0.003), lack of social support when the health care providers were themselves unwell (P = 0.02) and feelings of inadequate work performance (P = 0.05). Our study finds that HCWs’ anxiety is considerable. Appropriate measures for its alleviation and prevention are required.

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Breastfeeding Experiences of Baccalaureate Nursing Students: A Qualitative Study

Journal of Human Lactation ◽

10.1177/0890334420979981 ◽

2020 ◽

pp. 089033442097998

Author(s):

Cheryl Langford ◽

Marcella Gowan ◽

Monica Haj

Keyword(s):

Nursing Students ◽

Health Care Providers ◽

Baccalaureate Nursing ◽

Community Support ◽

Baccalaureate Nursing Students ◽

Care Providers ◽

Structured Interviews ◽

Breastfeeding Support ◽

Cross Sectional

Background Students returning to school who are breastfeeding face unique challenges. There is limited literature on breastfeeding university students. Several researchers have studied breastfeeding employees in the workplace. Institutions of higher education closely mimic the employment environment. Breastfeeding college students who express their milk while at school share similar challenges to employed mothers. A baccalaureate nursing program is rigorous and little is known about the challenges facing breastfeeding student nurses returning to classes. Research aim To explore the breastfeeding experience of baccalaureate nursing students. Methods Our study was a cross-sectional descriptive qualitative design. Purposive sampling was used to enroll participants ( N = 12). In depth, semi-structured interviews were conducted. Qualitative thematic analysis was used to analyze the data both manually and using Dedoose QDA software. Results An overarching theme of pervasive conflict between the role of the breastfeeding mother and the role of the student nurse surfaced. Three interrelated organizing themes also emerged; challenging, vulnerability, and resilience. Time constraints, self-care versus role demands, and structural accommodations contributed to the challenges. Only one participant indicated a knowledge of her breastfeeding rights. All of the participants expressed gratitude for faculty and community support, regardless of conflicts. Conclusion Breastfeeding participants were both vulnerable and resilient. Faculty may improve experiences through providing specific areas of support. A breastfeeding support policy outlining student rights and faculty responsibilities is needed to educate, guide, and enforce protections. Health care providers may enhance breastfeeding students’ experiences through anticipatory guidance, education, and continued support.

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Health anxiety and related factors among pregnant women during the COVID-19 pandemic: a cross-sectional study from Iran

BMC Psychiatry ◽

10.1186/s12888-021-03092-7 ◽

2021 ◽

Vol 21 (1) ◽

Author(s):

Najmieh Saadati ◽

Poorandokht Afshari ◽

Hatam Boostani ◽

Maryam Beheshtinasab ◽

Parvin Abedi ◽

...

Keyword(s):

Pregnant Women ◽

Health Care Providers ◽

Health Anxiety ◽

Cross Sectional Study ◽

Care Providers ◽

Sectional Study ◽

Third Trimester ◽

Related Factors ◽

Cross Sectional ◽

The Third

Abstract Background The COVID-19 pandemic has affected many countries around the world and Iran was no exception. The aim of this study was to evaluate health anxiety of Iranian pregnant women during the COVID-19 pandemic. Methods In this cross-sectional study, 300 pregnant women in different trimesters (n = 100 in each trimester) were recruited. A demographic questionnaire and the Health Anxiety Questionnaire were used to collect data. Scores of < 27, 27–34 and more than 35 were defined as low, moderate and high health anxiety, respectively. Due to nationwide restrictions, data were collected through social media groups. Chi-square tests, ANOVA and multiple linear regression were used to analyze the data. Results Mean (SD) total anxiety scores were 22.3 ± 9.5, 24.6 ± 9.3 and 25.4 ± 10.6 in the first, second and third trimesters of pregnancy, respectively. 9, 13 and 21% of women had severe anxiety in the first, second and third trimesters of pregnancy, respectively. Women in the third trimester had significantly higher health anxiety scores than those in the first trimester (p = 0.045). Conclusion At the time of the COVID-19 pandemic, women in the second and third trimesters of pregnancy were more worried about consequences of disease, but total health anxiety scores were significantly higher among women in the third trimester of pregnancy. Health care providers should pay more attention to the mental health of pregnant women in times of crises such as the COVID-19 pandemic.

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