scholarly journals Pharmacy students' perceived professionalism and application of bioethical principles: Implications for teaching pharmacy ethics for patient-centred pharmacy practice

2020 ◽  
pp. 158-167
Author(s):  
Roland Okoro ◽  
Aminu Biamb

Context: Pharmacists providing pharmaceutical care are often confronted with a variety of professional issues, ethical dilemmas and moral problems that require professionalism to appropriately address. Aims: To investigate undergraduate fifth- year (final-year) Bachelor of Pharmacy (B. Pharm.) students’ views on professionalism, ethical dilemmas, and their application of bioethical principles, and to compare responses of various groups (pharmacy schools, age, gender, and religion). Methods: This was a cross-sectional survey of the final-year B.Pharm. students in two pharmacy schools in northern Nigeria. The descriptive and inferential statistics (Chi-square or Fisher’s exact tests and Independent-sample t-test) were utilised to analyse the study data. Statistical significance was considered at p<0.05. Results: Ninety-five students, corresponding to 49.5% response rate, participated in the study. More than 79% of the students strongly agreed that their actions as future pharmacists could affect how the profession is viewed by patients and other healthcare providers. Patients’ right to autonomy and non-maleficence were the most utilised bioethical principles by the participants. Conclusions: The study shows that the participants had good overall perceived professionalism and fair bioethical reasoning. Different bioethical principles were used by various groups considered to support how they would deal with each ethical dilemma. New strategies in teaching pharmacy practice courses by pharmacy educators in these schools are necessary to improve students’ bioethical reasoning which will maximise the quality of their future practice.

Author(s):  
Cokorda Istri Ariwidyastuti ◽  
P.P. Januraga ◽  
Dyah Pradnyaparamita Duarsa

Background and purpose: Patient satisfaction, including on radiography services, is an important component of health care provision. Surveys on patient satisfaction have been carried out particularly in government hospitals, but a more detailed study to determine the relationship between patient satisfaction with the responsiveness of service providers has yet to be carried out. This study aims to determine the relationship between the six domains of responsiveness of service providers and outpatient satisfaction at three conventional radiography facilities in Denpasar.Methods: Study was conducted by cross-sectional survey of 158 respondents selected consecutively in three conventional radiography services, namely a government hospital, a private hospital and a private radiology clinic. Data were collected through interviews using modified questionnaires on responsiveness from WHO. Data were analyzed by univariate, bivariate (chi-square test) and multivariate logistic regression method.Results: Univariate analysis indicated that patient satisfaction was 69% but still below the minimum service standards (>80,0%). Multivariate analysis showed that factors associated with satisfaction were the domain of attention (AOR= 3.77; 95%CI: 1.62-8.76), the quality of infrastructure (AOR=4.57; 95%CI: 1.61-12.93) and communication (AOR=6.30; 95%CI: 1.75-22.64).Conclusion: Patient satisfaction was generally still below the standard. Domains of responsiveness associated with patient satisfaction were the quality of infrastructure, level of attention and communication skills of service providers.


2021 ◽  
Author(s):  
Emma Sartin ◽  
Rachel K. Myers ◽  
Christina G. Labows ◽  
Kristina B. Metzger ◽  
Meghan E. Carey ◽  
...  

Abstract Objective: To characterize healthcare and behavioral service providers’ transportation-related discussions with their autistic and non-autistic patients.Method: Seventy-eight providers completed a cross-sectional survey assessing their transportation discussions with patients. We used Mann-Whitney U tests and chi-square tests to compare differences in provider reports by patient diagnosis.Results: Compared with one in two providers who reported they discuss transportation with non-autistic patients, only one in five have these conversations with their autistic patients. Few (8%) providers felt prepared to assess driving readiness in autistic patients, yet only a quarter refer patients elsewhere.Conclusion: There is a critical need to develop resources for use in medical settings to effectively support autistic adolescents’ independence and mobility as they transition into adulthood.


2019 ◽  
Vol 29 (Supplement_4) ◽  
Author(s):  
A Chiarenza ◽  
D Domenig ◽  
S Cattacin

Abstract Background Several sets of standards aiming at improving access and quality of care for service users have been published in recent years. Certain standards focused on improving healthcare providers’ responsiveness to specific target groups. The general goal of this research was to improve organisations’ awareness of equity standards that are not focused on specific groups, but on all contributing factors that put vulnerable groups at risk of exclusion. The specific objective was to evaluate the degree of compliance with a set of equity standards in 52 health care organisations from 16 countries. Methods A self-assessment tool (SAT) was developed to allow healthcare organisations to measure their capacity to provide equitable care for service users. The SAT indicates the main areas that should be addressed: equity in policy; equitable access and utilisation; equitable quality of care; equity in participation; promoting equity. A cross-sectional survey addressing participants from pilot-organisations was used for data collection, concerning both the self-reported compliance score with the standards, as well as the additional information provided to support the score assigned. Data were analysed quantitatively as well as qualitatively. Results The findings confirm that healthcare providers do invest in improving equity in the access and delivery of services to vulnerable groups. However, many health organisations have inadequate strategies to address inequities and are insufficiently engaged in improving equity in participation and promoting equity outside the organisation. Conclusions The participating organisations reported a significant impact from use of the self-assessment tool: some received the support from regional/national authorities to continue working on improving equity in healthcare; others linked the equity standards to existing performance-measurement strategies; others invested in new frameworks to improve service users engagement. Key messages The implementation of the SAT contributes to a self-reflective process, involving health professionals and managers, in which gaps and potential improvements are identified. Pilot organisations utilised the SAT as part of a process of increasing their awareness of equity issues and changing their organisational culture.


2021 ◽  
Vol 11 (3) ◽  
pp. 21-30
Author(s):  
Azash S.M.D. ◽  
Sudheer Kumar M

Background: This study was aimed to investigate the various dimensions of quality of work life of higher educational teachers working in engineering colleges affiliated to JNTUA, Anantapur. And the relationship among six-dimensional Quality of work life with job satisfaction, organizational commitments and turnover intention.Methods: A cross-sectional survey was used in this study. Data were collected using Brooks’ Quality of Work Life, the Anticipated Turnover Scale and demographic data questions. A total of 500 faculty working in private engineering colleges affiliated to JNTUA Anantapur in Rayalaseema region and Nellore district of Andhra Pradesh is selected base on stratified random sampling method is adopted. Descriptive statistics, t-test, ANOVA, correlation and multiple regression were applied for analysis using SPSS v 21 for Windows.Results: The findings suggest the importance of overall Quality of work life of engineering teachers in enhancing their commitment and retention. The present study concludes that employees’ perceptions on the relationship among Quality of work life, organizational commitment and turnover intention will improve, if organization approaches its employees’ management activities from the perspective of cultivating Quality of work life that should be reflected in the formal organizational policy and procedures.


2012 ◽  
Vol 19 (03) ◽  
pp. 404-410
Author(s):  
SEEMA DAUD ◽  
ROOTABA KASHIF ◽  
HAJRA SHUJA

Background: Workplace or occupational stress are harmful physical and emotional responses that occur when there is anapparent mismatch between what doctors are trained for and what they are required to do. Data on workplace stress experienced by medicaleducators is scarce. Objective: To asses stress in medical educators and its job related predictors. Setting:Lahore Medical & Dental College(LMDC), Lahore and its affiliated Ghurki Trust Teaching Hospital (GTTH). Period: Three months, between January and March2009.Methods:A cross sectional survey was conducted. A structured questionnaire for background information and Workplace Stress Scale(WSS) were the data collection tools to survey 110 medical educators. Data was recorded and analyzed in SPSS 16. Chi Square test with p ≤0.05 as the cut- off point was applied for statistical significance. Results: Stress was present in 94% of respondents, with 21% having severestress. Age had statistically significant bearing on stress status (p=0.02), severity of stress (p=0.04), designation (p= <0.001) and monthlyearnings (p= <0.001). Main workplace stressors included inadequate control (96%), difficulty in expressing opinions (70%), unsafe workingconditions (66%), work overload and un-realistic deadlines (62%) and job pressures interfering with life (59%). Workplace motivators includedfull utilization of skills and ability for 97% (p=<0.001) and recognition or reward for good performance for 84% (p=0.06). Conclusions: Medicaleducators at LMDC, especially at junior level, reported high levels of both frequency and intensity of stress which need to be controlled.Autonomy and reward for good performance were motivational for our respondents.


2020 ◽  
Vol 24 (Supp-1) ◽  
pp. 50-55
Author(s):  
Furqan Ali Taj ◽  
Muhammad Raheel Raza ◽  
Saima Naz ◽  
Muhammad Umar ◽  
Aqsa Hameed

Objectives: To quantify the non-complaint portion of the general public – not wanting to be screened for COVID-19 and find the reason for this non-compliance, in the general public of Rawalpindi Pakistan. Study Design: Cross-sectional survey. Place and Duration of Study: General public of Rawalpindi, Pakistan. From June 19, 2020, to June 21, 2020. Methodology: A questionnaire was constructed based on a local study, it was injected to the accessible online population through Google Forms. Surveyors collected data from the illiterate population on printed proforma. A sample of 1108 was collected. IBM® SPSS® was used for data analysis. For categorical data, frequencies and percentages were calculated. A Chi-square test was applied for statistical significance. Results: 45.3% of participants were females, 54.7% were males. 37.9% of participants were married and 62.1% were unmarried. 3.8% were illiterate, 40.4% were matriculated and 47.1% had education higher than intermediate. 38.3% was non-compliant population – didn’t want to get screened for COVID-19. 30.7% were non-compliant because of ‘fear of isolation/ quarantine with other COVID-19 patients, leading to worsening of disease’ followed by 26.9% who ‘don’t trust the reliability of the test’. Gender and Education level variables were statistically significant in determining non-compliance. Marital status was found non-significant. Conclusion: A significant portion of the population i.e. 38.3% showed non-compliance with COVID-19 screening, which was statistically associated with gender and education level.


2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Emine Sen Tunc ◽  
Emre Aksoy ◽  
Hatice Nilden Arslan ◽  
Zeynep Kaya

Abstract Background Self-medication refers to taking medicine without consultation with a doctor or dentist, and it is an important health issue, especially during the COVID-19 pandemic. There are no data about parents’ SM practices for their children’s dental problems during the COVID-19 pandemic. The present study aims to evaluate parents’ knowledge, attitudes, and practices regarding self-medication for their children’s dental problems during the COVID-19 pandemic in Northern Turkey. Methods A cross-sectional survey was carried out in the pediatric dental clinic at Ondokuz Mayis University, Faculty of Dentistry, Department of Pediatric Dentistry, immediately after the COVID-19 lockdown ended. A total of 389 parents who agreed to participate in the study completed the questionnaire from July 1 to October 1. A questionnaire with 18 items was designed to collect information on the parents’ knowledge and attitudes regarding when, why, and how to use drugs and on their practices on medicating their children. The collected data were analyzed using descriptive and analytical statistics (chi-square test). Results The majority of parents (n = 273; 70.2%) practiced self-medication for their children's dental problems. Self-medication with a previously prescribed medications was usually preferred by parents (n = 179; 62.2%). Analgesics (98%) were the most commonly used medicines by parents in their self-medication for their children's dental problems. Conclusion Prevalence of self-medication practices for children's dental problems is high in Turkey during the COVID-19 pandemic. Therefore, new healthcare services, such as teledentistry, may be useful to overcome problems related to the self-medication of children during times when the ability to reach healthcare providers is limited, such as during pandemics.


2012 ◽  
Vol 2 (2) ◽  
pp. 22-27 ◽  
Author(s):  
Vishwas Madaan ◽  
Amit Chaudhari

ABSTRACT Background The aim of this study was to determine the prevalence and associated risk factors for development of musculoskeletal pain among the dental students of 3rd, 4th year and interns, at MGM Dental College, Navi Mumbai. Materials and Methods A valid and reliable close ended questionnaire was administered to 230 students of 3rd year, 4th year and interns who met the inclusion criteria. A response rate of 77% was achieved. The variables included in the questionnaire were (1) presence of pain, (2) awareness regarding correct posture, (3) areas of the body affected by pain, (4) clinical setting, (5) practices to reduce pain. Statistical analysis was applied using Chi-square test. Results In this study, we found a total of 81% prevalence of musculoskeletal pain among the dental students. Eighty-one percent were unaware of the correct posture for dental clinical procedures. Statistical significance was observed between different clinical activities and musculoskeletal pain when Chi-square test was applied. Maximum pain was observed in the hand (92%) followed by wrist (85%) and lower back (72%). Sixty-three percent of the students having pain performed cervical flexions and torsions to improve vision of the oral cavity. Seventy-five percent of the students reported that they were uncomfortable with their current working stool. Five percent of the participants performed exercises after clinical practice of which none reported musculoskeletal pain. Conclusion Dental students are prone to development of musculoskeletal pain due to lack of awareness regarding correct posture, prolonged static postures, inadequate operating stools and lack of exercises. How to cite this article Madaan V, Chaudhari A. Prevalence and Risk Factor associated with Musculoskeletal Pain among Students of MGM Dental College: A Cross-Sectional Survey. J Contemp Dent 2012;2(2):22-27.


2021 ◽  
Vol 8 (18) ◽  
pp. 70-78
Author(s):  
Hani Mawardi ◽  
Waad Alharbi ◽  
Waleed Alamoudi ◽  
Osama Felemban ◽  
Soulafa Almazrooa ◽  
...  

Purpose: The necessity to attend classroom lectures is a disputable topic among dental schools globally. Since there is an ongoing debate on different aspects of this problem in literature, the purpose of this study was to compare students’ attitudes toward classroom attendance and investigate if stricter attendance tracking methods could lead to better classroom attendance at two dental schools utilising different modes of tracking students’ attendance. Method: This was an observational, cross-sectional survey distributed among dental students enrolled at King Abdul-Aziz University (KAU) and King Saud University (KSU) in Saudi Arabia. The survey included questions on demographics, average travel time, student's attitudes toward classroom lectures and common reasons for absenteeism. Collected data were analysed and summarised as frequencies and percentages and then compared using the Chi-square test for statistical significance.  Findings: The study involved 678 participants from KAU and 475 participants from KSU. In general, there was a significant difference in students’ attendance between both schools in which 26.8% of KAU dental students skipped 5 or more lectures/month compared to 11.5% of students at KSU. Among the factors affecting classroom lecture attendance, commuting time was a major one reported by students (44.8% of students at KSU and 51.4% at KAU needed 30-60 min to reach their schools). The availability of lectures through online resources and the necessity to study for exams were additional factors reported by students of both schools. Implications for research and practices: Based on the current data, the school’s method to track students’ attendance may have a role in the pattern of classroom absenteeism.


2022 ◽  
Vol 80 (1) ◽  
Author(s):  
Negin Niksadat ◽  
Sakineh Rakhshanderou ◽  
Reza Negarandeh ◽  
Ali Ramezankhani ◽  
Ali Vasheghani Farahani ◽  
...  

Abstract Background Patient education is a critical aspect of patient care and is considered a vital part of self-care (especially in patients with cardiovascular disease (CVD)) and health promotion. The literature supports incorporating the principles of the andragogy model (adult learning) into patient education. This study aimed to determine the concordance of the CVD patient education with the principles of the andragogy model. Methods This cross-sectional survey was conducted on 384 adult CVD patients from 2 selected hospitals of Tehran. The sampling method was convenient, and the data collection tool was a researcher-made questionnaire based on the principles of the andragogy model. Data were analyzed using SPSS16 statistical software. Results The mean age of the patients was 55.69 ± 13.01 years old. Frequency of distribution of the patients who, in total, selected the items of 4 or 5 for respecting the principles of andragogy model was as follows: 68.16% for the motivation, 66.29% for the need, 66.03% for the orientation, 54.16% for the experiences, 51.55% for the self-concept, and 44.65% for the readiness principle. Also, three principles of motivation (77.37) need (74.97), and orientation (74.78) had the highest mean, respectively, in terms of adhering to this model. But the most common problems in patient education were related to the principles of readiness (64.35), self-concept (68.19), and experiences (77.71) with the lowest mean. Conclusions The findings of this study provided valuable information on the flaws in patient education, including ignoring and disrespecting the principles of adult education. Correcting these detected defects and providing feedback to health professionals can improve the quality of patient education programs and patient satisfaction. Also, it empowers healthcare providers, patients, and families through effective education strategies.


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