Factors Affecting Medication Dispensing and Counselling Practices in Hospital Pharmacy Settings in Northwest Nigeria

2021 ◽  
Vol 17 (1) ◽  
pp. 99-107
Author(s):  
S.N. Abdu-Aguye ◽  
K.S. Labaran ◽  
N.M. Danjuma ◽  
S. Mohammed
Keyword(s):  
Qualitative Data ◽  
Public Hospitals ◽  
Factors Affecting ◽  
Staffing Levels ◽  
Healthcare Settings ◽  
Key Informant ◽  
Standard Operating ◽  
Pharmacy Technicians ◽  
Medication Dispensing

Background: Medication dispensing and counselling are routine but very important activities carried out by pharmacists in a wide variety of healthcare settings. While these processes are often overlooked when issues around the rational use of medication are being considered, any mistake(s) in one or both processes can seriously undermine patient care.Objective: To assess selected factors, and identify problems affecting medication dispensing and counselling in outpatient hospital pharmacies in northwest Nigeria.Methods: Mixed methods were used to collect data from 19 outpatient pharmacies in eight public hospitals located in Kaduna and Kano states from November 2019 to March 2020. Quantitative data was generated from a survey, while qualitative data was collected from key-informant interviews with heads of the pharmacies. Data collected from the survey were analyzed to generate descriptive statistics (frequencies and percentages), while interview data were transcribed and analyzed using thematic/content analysis.Results: Only two pharmacies (10.5%) had dispensing standard operating procedures, and only one (5.2%) had a completely private counselling area. Pharmacy technicians were present in most of the pharmacies (84.2%), and students were widely involved in medication dispensing and counselling activities (73.7%). Identified problems from the interviews included issues with prescribers and medication availability, inadequate staffing levels and absence of materials and/equipment required for dispensing and counselling.Conclusion: There is an urgent need for multi-faceted interventions to improve on several of these findings and enhance the quality of care provided to patients.

Hospital Management: Solution Implemented from Tangible Factor – Resarch at the Outpatient Department of some Public Hospital in Hanoi

2020 ◽  
Vol 36 (1) ◽  
Author(s):  
Nguyen Tien Thanh ◽  
Nguyen Dang Minh
Keyword(s):  
Medical Service ◽  
Research Result ◽  
Family Members ◽  
Quality Of Healthcare ◽  
Mean Value ◽  
Public Hospitals ◽  
Outpatient Department ◽  
Factors Affecting ◽  
Result Show

This paper present empirical research result on factors affecting the quality of medical service at the Outpatient Department of some public hospitals in Hanoi. This reserch based on the SERVQUAL model and conduct with 140 patients and 140 patient’s family members who came to these hospitals. The result show that Assurance and Tangible have the most impact to the quality of medical service. We analyze the mean value of the result and see that the Tangible factor has the lowest value and it is the patients and their family members most perceptive factor. Therefore, we focus on analyzing, interpreting and proposing a number of micro and macro solutions to manage the Tangible factor to help improving the quality of healthcare service throughly but sequentially through each step, each zone.

Predictors of Poor Quality of Life among People Living with HIV/AIDS on Antiretroviral therapy in Jimma zone Public Hospitals, South West Ethiopia: A Mixed-method Study.

2021 ◽  
Author(s):  
Abreha Addis Gesese
Keyword(s):  
Quality Of Life ◽  
Poor Quality ◽  
Public Hospitals ◽  
Stage Iii ◽  
People Living With Hiv ◽  
Khat Chewing ◽  
Jimma Zone ◽  
Key Informant ◽  
Living With Hiv

Abstract Background: Given the benefits of ART (Antiretroviral Therapy) for people living with HIV/AIDS, their quality of life continues to impair. Moreover, several studies have been investigated the magnitude of quality of life among developed countries with a paucity of behavioral and psychosocial factors. Thus, the objective of this study was to identify predictors of poor quality of life among people living with HIV on ART in Jimma Zone Public Hospitals, Southwest Ethiopia. Methods: Institution-based case-control study triangulated with a qualitative method was employed. The sample size was determined using Epi-info 7.1.1 using the ratio of 1:3 cases to controls. A simple random sampling technique was conducted to select cases and controls. Data were entered into Epi-Data and analyzed using SPSS version 20. Qualitative data were collected from purposely selected key informants and analyzed manually. The study was conducted from March 10 to April 30, 2018.Results: a total of 81(25.1%) cases and 242(75.9%) controls were included in the study. Those PLWHA who chew Khat occasionally (AOR: 4.3; 95% CI: 1.01,17.8) and at weakly intervals (AOR: 6.3, 95% CI:2.0, 20.7), Stigmatism(AOR: 9.2; 95% CI:3.5, 24.3), severe depression(AOR: 16.1; 95% CI:5.2, 49.6), fair baseline ART adherence (AOR: 10.4; 95% CI:2.4, 44.8), poor baseline ART adherence (AOR: 6.4;95% CI:2.0,20.7), baseline WHO stage III, IV(AOR4.9,95%CI:2.0,11.5), current WHO stage III,IV (AOR: 3.9; 95% CI: 1.1, 13.5), current BMI <18.5 kg/m2 (AOR 2.37 95% CI (1.00, 5.62) and recent low hemoglobin level <12.8 mg/dl (AOR: 4.1; 95% CI:1.7, 9.7) were independently associated with poor quality of life. Key informant interviews identified that financial and food insecurity, stigma and discrimination, poor adherence, and side effect were the predictors that affect the quality of life.Conclusion: Multiple predictors of poor quality of life have been identified from the quantitative and key informant interviews. Khat chewing frequency (occasionally and weekly), stigma, depression, baseline drug adherence, duration on ART(less than 36 months), baseline WHO stage III/IV, Current WHO III, IV, being underweight in the current BMI, most recent hemoglobin level below 12.8mg/dl, including financial and food insecurity, stigma and discrimination, poor adherence and side effect from key informant interview. Therefore, effective interventions should be targeted by incorporating responsible bodies towards boosting the quality of life of PLWHIV by emphasizing avoiding behavioral factors like khat chewing, alcohol, shisha. Counseling and guidance on treatment adherence and follow-up should be done. Continuous awareness creation, dietary diversity, and modifications and guide on income-generating activities.

scholarly journals Barriers and Facilitators Related to Participation in Aquafitness Programs for People with Multiple Sclerosis

2012 ◽  
Vol 14 (3) ◽  
pp. 132-141 ◽  
Author(s):  
Cara Brown ◽  
Kaitlyn Kitchen ◽  
Kaley Nicoll
Keyword(s):  
Multiple Sclerosis ◽  
Thematic Analysis ◽  
Qualitative Data ◽  
Phenomenological Study ◽  
Leisure Activities ◽  
Factors Affecting ◽  
Depth Interview ◽  
Psychosocial Benefits ◽  
Program Information

Exercise and leisure activities provide physical and psychosocial benefits to people with multiple sclerosis (MS) and can enhance their quality of life. In Winnipeg, Manitoba, Canada, people with MS have reported barriers to their participation in local MS-specific aquafitness (AF) programs. Therefore, a formal exploration of the accessibility of local AF programs for people with MS was undertaken. The purpose of this phenomenological study was to identify factors that facilitate or impede participation in AF programs by individuals with MS living in Winnipeg. Qualitative data were collected from a total of eight participants through one focus group (n = 7) and one in-depth interview (n = 1). The sample consisted of individuals with MS who were currently participating in AF programming as well as those who were not. Data were audio-recorded and transcribed verbatim, and thematic analysis was completed. Seven themes emerged regarding factors affecting participation in local AF programs. Barriers to participation included inadequate transportation, lack of one-on-one support, environmental inaccessibility, and fears associated with participation in the programs. Facilitators of participation included a knowledgeable instructor and experiencing physical and psychosocial benefits from the program. Information from this study was used locally to advocate for people with MS in order to increase participation in local AF programming.

scholarly journals Czy badacze jakościowi wiedzą co widzą, a osoby badane wiedzą co mówią? O jakości danych jakościowych

2020 ◽  
pp. 199-219
Author(s):  
Sławomir Trusz
Keyword(s):  
Qualitative Methods ◽  
Social Factors ◽  
Qualitative Data ◽  
Change Blindness ◽  
False Memories ◽  
Social Phenomena ◽  
Factors Affecting ◽  
Adam Mickiewicz

Trusz Sławomir, Czy badacze jakościowi wiedzą co widzą, a osoby badane wiedzą co mówią? O jakości danych jakościowych [Do Qualitative Researchers Know what They See and do the Subjects Know what They Say? On the Quality of Qualitative Data]. Studia Edukacyjne nr 56, 2020, Poznań 2020, pp. 199-219. Adam Mickiewicz University Press. ISSN 1233-6688. DOI: 10.14746/se.2020.56.11Empirical data collected through qualitative methods may be more or less reliable and valid. The paper describes cognitive and social factors affecting credibility of information obtained by means of non-standardized observation and interview. The aforementioned issue was illustrated by the results of investigation on the change blindness and false memories phenomena. Finally, the procedures for improving the quality of qualitative data and, consequently, the reasonableness of conclusions regarding the analyzed social phenomena were discussed.

scholarly journals Ambivalence among women who gave birth after receiving a negative result on non-invasive prenatal testing: a qualitative study

2019 ◽  
Author(s):  
Junko Yotsumoto ◽  
Akihiko Sekizawa ◽  
Satomi Inoue ◽  
Nobuhiro Suzumori ◽  
Osamu Samura ◽  
...  
Keyword(s):  
Genetic Counseling ◽  
Pregnant Women ◽  
Qualitative Data ◽  
Prenatal Testing ◽  
Anticipatory Anxiety ◽  
Related Factors ◽  
Factors Affecting ◽  
Non Invasive ◽  
Negative Results

Abstract Background This study aimed to investigate the factors affecting ambivalent feelings among women who gave birth after having received negative results on non-invasive prenatal genetic testing (NIPT). Methods A questionnaire was sent to women who received a negative NIPT result, and a contents analysis was conducted for those 1562 women who responded to the open-ended question. The contents of these qualitative data were analyzed using the N-Vivo software package. Results Environmental factors, genetic counseling-related factors, and increased anticipatory anxiety affected the feeling of ambivalence among pregnant women. Furthermore, pregnant women desired more information regarding the detailed prognosis for individuals with Down syndrome and living with them and/or abortion, assuming the possibility that they were positive. Conclusions Three major interrelated factors affected the feeling of ambivalence in women.　Highlighting and discussing such factors during the genetic counseling may resolve some of these ambivalences, thereby enhancing the quality of decisions made by pregnant women.

Customer’s satisfaction on service quality at Vietnam Technological and Commercial Joint Stock Bank – An Giang Branch

2020 ◽  
Vol 4 (3) ◽  
pp. First
Author(s):  
Tran Minh Hieu ◽  
Nguyen Duong Ngoc Mai Chi
Keyword(s):  
Customer Satisfaction ◽  
Service Quality ◽  
Test Method ◽  
Quality Of Services ◽  
Factors Affecting ◽  
Factors Influencing ◽  
Alpha Reliability ◽  
Survey Results ◽  
Development Orientation

This study applied SERVQUAL scale of Parasuraman et al to measure factors affecting customer satisfaction on service quality at Vietnam Technological and Commercial Joint Stock Bank - An Giang Branch (Techcombank An Giang). The study was conducted to survey 207 customers who have been using the service at Techcombank An Giang. The survey results were analyzed by the Cronbach's Alpha reliability test method, then used Exploratory factor analysis (EFA) to verify and evaluate the scale of service quality. The results of the regression analysis show that customer's satisfaction about service quality at Techcombank An Giang includes four factors: The factor with the highest level is the Empathy with Beta = 0.253, the second of factor is the Responsibility with Beta = 0.248, ranked third in the influence level is the Tangible with Beta = 0.235, and the lowest impact level is the Reliability with Beta = 0.144. The research also uses statistical methods to describe and test the differences of demographic factors with customer's satisfactionon service quality.The analysis results show that there is no difference between customer's satisfaction on service quality and factors such as gender, age, income, number of transaction banks, regular transaction banks, and time to use the service at Techcombank An Giang. Through the research results, the author would like to propose some ideas to improve the quality of services, thereby attracting new customers and importantly, keeping traditional customers because the development orientation of Techcombank is to take care of old customers to cross sell other products of the bank. The Stud results offer a basis for the branch to identify the factors influencing customer satisfaction on their service quality, thereby having an appropriate strategy to improve customer satisfaction.

Factors Affecting the Use and Consequences of Management Accounting Practices in A Transitional Economy: The Case of Vietnam

2016 ◽  
pp. 54-73 ◽  
Author(s):  
Anh Doan Ngoc Phi
Keyword(s):  
Significant Influence ◽  
Quantitative Data ◽  
Structural Equation ◽  
Qualitative Data ◽  
Management Accounting ◽  
Transitional Economy ◽  
Equation Modeling ◽  
Enterprise Performance ◽  
Factors Affecting

This study seeks to help fill an important gap in the literature by investigating factors that have facilitated the use of management accounting practices (MAPs) in Vietnam - a transitional economy. Data were collected from 220 medium-to-large enterprises. Follow-up interviews were conducted with 20 accounting heads/vice heads to obtain further information and clarification. The quantitative data collected was analyzed using both descriptive and inferential statistics (including t-tests and structural equation modeling), while the qualitative data was used to shed further light on the various relationships described by the quantitative analysis. This paper reveals that both decentralization and competition have a positive, significant influence on the use of new MAPs except for the old ones. Consequently, the use of MAPs has a positive, significant influence on enterprise performance.

THE STUDY ON TA VAT WINE PRODUCTION FROM SUGAR PALM (ARENGA PINNATA) SAP

2014 ◽  
Vol 83 (5) ◽  
Author(s):  
Nguyễn Thị Hồng Thu ◽  
Đặng Minh Nhật ◽  
Nguyễn Hoàng Dung
Keyword(s):  
Room Temperature ◽  
Fermentation Process ◽  
Inoculum Size ◽  
Wine Fermentation ◽  
Wine Production ◽  
Factors Affecting ◽  
Natural Fermentation ◽  
Tropical Asia ◽  
Best Parameters

Sugar palm (Arenga pinnata) is a feather palm native to tropical Asia. In Vietnam, it is named Búng Báng or Đoác and grown only on the highlands in the central or northern part of Vietnam. It is utilized for many purposes, especially for Ta Vat wine production - a characteristic and unique product of Co Tu ethnic minority. However, because of the natural fermentation used in the production, the product quality is inconsistent. The purpose of this study was to examine a new procedure of using palm sap for making Ta Vat wine. Some characteristics of the sap, which was collected at Nam Giang district, Quang Nam province are determined, proving the potential of the sap for making wine product. The quality of sap changes quickly at room temperature. At low temperature (4 - 60C), the changes in sap quality are apparently slower. Examining some factors affecting its quality during the wine fermentation process, we determined the best parameters for the fermentation process as follows: inoculum size of 3% with cell density of about 1x108 cells/ml, the addition of the extract from the bark of Ceylon ironwood (Mesua ferrea L.) 4%. Keywords: Arenga pinnata, sap, Ceylon ironwood bark, Mesua ferrea L., wine fermentation.

EXPLORING HEALTHCARE ARCHITECTURE THROUGH THE MEDIUM OF FILM: Motives and Techniques

2014 ◽  
Vol 8 (1) ◽  
pp. 29
Author(s):  
Stephen Verderber
Keyword(s):  
Real World ◽  
The Real ◽  
Healthcare Settings ◽  
Interdisciplinary Field ◽  
Body Of Knowledge ◽  
Behavior Setting ◽  
Physical Environments ◽  
Scant Attention ◽  
History Of

The interdisciplinary field of person-environment relations has, from its origins, addressed the transactional relationship between human behavior and the built environment. This body of knowledge has been based upon qualitative and quantitative assessment of phenomena in the “real world.” This knowledge base has been instrumental in advancing the quality of real, physical environments globally at various scales of inquiry and with myriad user/client constituencies. By contrast, scant attention has been devoted to using simulation as a means to examine and represent person-environment transactions and how what is learned can be applied. The present discussion posits that press-competency theory, with related aspects drawn from functionalist-evolutionary theory, can together function to help us learn of how the medium of film can yield further insights to person-environment (P-E) transactions in the real world. Sampling, combined with extemporary behavior setting analysis, provide the basis for this analysis of healthcare settings as expressed throughout the history of cinema. This method can be of significant aid in examining P-E transactions across diverse historical periods, building types and places, healthcare and otherwise, otherwise logistically, geographically, or temporally unattainable in real time and space.

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