scholarly journals How have the obstetricians and gynecologists struggled in the clinics during the COVID-19 pandemic?

2021 ◽  
Vol 38 (4) ◽  
pp. 496-503
Author(s):  
Deha Denizhan KESKİN ◽  
Seda KESKİN ◽  
Sedat BOSTAN

As all branches of the medicine, the obstetrical and gynecological clinical approach has been greatly affected by the pandemic. In our study, we aimed to reveal the effect of the pandemic on current obstetrics and gynecologic clinical approach and urgency/semi-urgency evaluations of physicians related with both obstetrical and gynecological cases. The obstetricians in Turkey from different hospitals and clinics have completed our online questionnaire-based survey using ‘docs.google.com’. The survey questionnaire was created in three sections: Demographic, occupational analysis and thoughts about outbreak, clinical approach scale and clinical urgency scale. SPSS 22 program was used to analyze the validity and reliability of the scales. The outbreak has affected the clinical approach according to our study. The effect degree was 3.79, 3.15, 3.72 respectively at clinical effect, clinical functioning and struggle and prevention. The specialists regardless of the year in the occupation were more affected than research assistants in terms of clinical effect (p=0.017) and also postponed obstetrical (p=0.000) and gynecological (p=0.000) conditions more frequently. As the effect of the pandemic on clinical functioning increases, the delay of gynecological cases increases. With the postponement of obstetrics cases, the probability of delaying gynecological cases increases. In the current study, it was concluded that the pandemic has affected the clinical approach in obstetrics and gynecology clinics. We think that the study will help in determining our approach to obstetrical and gynecological cases in the future. Scenarios should be made patient-centered without neglecting the burden and possible damages on healthcare professionals.

2005 ◽  
Vol 13 (3-4) ◽  
pp. 136-139
Author(s):  
Branislava Jovanovic

BACKGROUND: The patients? satisfaction survey provides data on patients? experiences of healthcare professionals at the Institute of Oncology Sremska Kamenica. This feedback provides us with valuable information where to focus improvement efforts. The main objective in this study was to explore level of satisfaction of patients with physicians and nurses and to provide information of patients? expectation of healthcare professionals. METHODS: The data were collected from the patients of four different hospital departments using a Survey Questionnaire designed by the Institute of Public Health of Serbia and Ministry of Health of the Republic of Serbia. Eight items regarding physicians and nurses were selected from this questionnaire. Sample was every eligible patient discharged from the Institute of Oncology Sremska Kamenica, from 1 to 5 November 2004 (n = 65). RESULTS: The findings confirm positive feedback of the most surveyed patients with healthcare professionals. However, the results showed different level of satisfaction of patients with physicians and nurses. CONCLUSION: The survey results showed that patients had mostly positive level of satisfaction with physicians and nurses; these results can be used to prioritize patient-centered improvements in healthcare in our Institute.


2012 ◽  
Vol 177 (1) ◽  
pp. 27-32 ◽  
Author(s):  
Nabil Issa ◽  
Lawrence Salud ◽  
Calvin Kwan ◽  
Kyra Woods ◽  
Carla Pugh

2013 ◽  
Vol 2013 ◽  
pp. 1-10 ◽  
Author(s):  
Abdul Rouf Pallivalappila ◽  
Derek Stewart ◽  
Ashalatha Shetty ◽  
Binita Pande ◽  
James S. McLay

Aims. To undertake a systematic review of the recent (2008–2013) primary literature, describing views and experiences of CAM use during pregnancy by women and healthcare professionals.Method. Medline, Cumulative Index to Nursing and Allied Health Literature, Cochrane Database of Systematic Review Library and Allied, and Complementary Medicine Database were searched. Studies reporting systemic CAM products (homeopathic preparations, herbal medicines, Vitamins and minerals, homeopathy, and special diets) alone or in combination with other nonsystemic CAM modalities (e.g., acupuncture) were included.Results. Database searches retrieved 2,549 citations. Removal of duplicates followed by review of titles and abstracts yielded 32 relevant studies. Twenty-two reported the perspectives of women and their CAM use during pregnancy, while 10 focused on healthcare professionals. The majority of studies had significant flaws in study design and reporting, including a lack of appropriate definitions of CAM and associated modalities, absence of detailed checklists provided to participants, the use of convenience sampling, and a general lack of scientific robustness in terms of data validity and reliability.Conclusion. To permit generalisability of study findings, there is an urgent need to expand the evidence base assessing CAMs use during pregnancy using appropriately designed studies.


2021 ◽  
Vol 4 (2) ◽  
pp. 1-8
Author(s):  
T Husni TR ◽  
Yulia Agustina ◽  
Taufik Suryadi

Clinical clerkship students are one of the communities who are always in the hospital environment and have been provided with fire disaster management materials through training and simulations. The hospital has provided complete fire disaster management facilities and infrastructure. However, the problem is that there is no information about clinical clerkship student preparedness for fire disasters in hospitals. The purpose of this study is to determine the relationship between perceptions of the availability of hospital facilities and infrastructure to the level of fire disaster preparedness among clinical clerkship students in the Zainoel Abidin Hospital. This study used an analytical method with a cross-sectional design. The sample of this study was the clinical clerkship students of the Faculty of Medicine, Syiah Kuala University, who were taken by proportional stratified random sampling, totaling 117 people. The data was collected using an online questionnaire that has been tested for its validity and reliability. Data analysis was performed univariate and bivariate using the chi-square test. The results showed that the clinical clerkship student had a good perception regarding facilities and infrastructure in the hospital (68.4%), while the attitude of preparedness to face fire disasters in the hospital showed a high level (80.3%). The Chi-square test results showed that there was a significant relationship between the clinical clerkship student perception regarding facilities and infrastructure in hospitals and fire disaster preparedness (p = 0,000). The conclusion of this study showed that the good perceptions of clinical clerkship students about the availability of fire disaster management facilities and infrastructure increase fire disaster preparedness in the hospital. This study recommends the importance of training and fire disaster management simulation to be continuously carried out on clinical clerkship students to improve the quality of disaster preparedness communities.


PLoS ONE ◽  
2021 ◽  
Vol 16 (4) ◽  
pp. e0249660
Author(s):  
Mohd Noor Norhayati ◽  
Zanaridah Mat Nawi

Background Evidence-based medicine (EBM) is a widely accepted scientific advancement in clinical settings that helps achieve better, safer, and more cost-effective healthcare. However, presently, validated instruments to evaluate healthcare professionals’ attitude and practices toward implementing EBM are not widely available. Therefore, the present study aimed to determine the validity and reliability of a newly developed knowledge, attitude, and practice (KAP) questionnaire on EBM for use among healthcare professionals. Methods The Noor Evidence-Based Medicine Questionnaire was tested among physicians in a government hospital between July and August 2018. Exploratory factor analysis and internal consistency reliability-based Cronbach’s alpha statistic were conducted. Results The questionnaire was distributed among 94 physicians, and 90 responded (response rate of 95.7%). The initial number of items in the KAP domains of the Noor Evidence-Based Medicine Questionnaire were 15, 17, and 13, respectively; however, two items in the practice domain with communalities <0.25 and factor loadings <0.4 were removed. The factor structure accounted for 52.33%, 66.29%, and 55.39% of data variance in the KAP domains, respectively. Cronbach’s alpha values were 0.81, 0.81, and 0.84 for KAP domains, respectively, indicating high reliability. Conclusions This questionnaire can be used to evaluate the knowledge, attitudes, and behaviour of healthcare professionals toward EBM. Future testing of this questionnaire among other medical personnel groups will help expand the scope of this tool.


2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Guoyi Yang ◽  
Ling Wang ◽  
Jia Wang ◽  
Zixian Geng ◽  
Huixin Liu ◽  
...  

Abstract Background The COVID-19 epidemic affected the career choice of healthcare professionals and students. Career choice regret of healthcare professionals and students during COVID-19 outbreak and its affected factors are largely unexplored. Methods Convenience sample of nurses, doctors, and medical students were recruited from hospitals and universities nationwide. The data collected including demographic information, professional value before and after the COVID-19 outbreak, the Connor-Davidson Resilience Scale, and career choice regret level by an online questionnaire. Multinominal logistic regression was employed to explore the factors associated with career choice regret. Results In total, 9322 participants of convenience sampling were enrolled in, including 5786 nurses, 1664 doctors, and 1872 medical students. 6.7% participants had career choice regret. Multinominal logistic regression analysis showed, compared to participants with no regret, that as levels of psychological resilience increased, the odds of experiencing career choice regret decreased (OR = 0.95, 95% CI 0.94–0.96), while participants with lower professional value evaluation after the COVID-19 outbreak had higher probability to experience career choice regret (OR = 1.55,95% CI 1.50–1.61). Medical students were more likely to regret than nurses (OR = 1.65,95% CI 1.20–2.28), participants whose career/major choice was not their personal ideal had higher risk of experience career choice regret (OR = 1.59,95% CI 1.29–1.96), while participants who were very afraid of the coronavirus had higher risk to experience career choice regret then participants with no fear at all (OR = 2.00,95% CI 1.24–3.21). As for the medical students, results indicated that medical students major in nursing and undergraduates had higher risk to experience career choice regret compared to medical students major in clinical medicine and postgraduate (Master or PhD), with an odds ratios of 2.65(95% CI 1.56–4.49) and 6.85 (95% CI 2.48–18.91)respectively. Conclusions A minority of healthcare professionals and medical students regretted their career choices during the COVID-19 outbreak. Enhance personal psychological resilience and professional value would helpful to reduce career choice regret among healthcare professionals and students during pandemic.


2021 ◽  
Vol 31 (1) ◽  
Author(s):  
Ahmed Hassan Albelbeisi ◽  
Ali Albelbeisi ◽  
Abdel Hamid El Bilbeisi ◽  
Mahmoud Taleb ◽  
Amirhossein Takian ◽  
...  

BACKGROUND፡ Despite the huge numbers of the universally produced and employed protocols, the adherence with them is still low to moderate in the healthcare settings. This study was employed to assess the attitudes of Palestinian healthcare professionals in Gaza Strip to health education and counseling on healthy behaviours protocol (WHO-PEN Protocol 2), for patients with non-communicable diseases in the Ministry of Health primary healthcare centers.METHODS: This cross-sectional study was conducted with a census sample of all governmental family physicians and nurses (n=175). The study questionnaire was developed based on Cabana theoretical framework. The Arabic version questionnaire was developed based on the cross-cultural adaptation framework. The psychometric properties of the Arabic version questionnaire was finally evaluated.RESULTS: The psychometric properties of the Arabic version questionnaire showed good construct validity and internal consistency reliability. The overall adherence level to WHO-PEN Protocol 2 was 70.0, SD=6.9. The main perceived barriers were lack of incentive, patients’ factors, and lack of time. In general, most of healthcare professional respondents had a positive attitude toward the protocol, but this attitude was not predictor to protocol adherence.CONCLUSION: The good validity and reliability of the questionnaire can provide support for the accuracy of the study results. Varied implementation strategies targeting the major barriers derived from the study are extremely required for addressing the lack of incentives, patients’ factors and time constraints.


2021 ◽  
Author(s):  
Gabrielle Hubert ◽  
Cameron Pow ◽  
Sandra Tullio-Pow

Over 515,000 students attended Ontario Universities in 2015/16, including 60,000 international students from abroad (https://ontario universityes.ca/resources/data/numbers). First-year students who are away from home find themselves needing a new primary care physician. While a few researchers have examined student health care within the university setting in regard to mental health (Evans, 1999), sexual health (Habel et al., 2018)., and health promotion (Griebler et al., 2017), there has been little research focused on the first-year student experience in finding primary care. Our study examined communication pathways, wayfinding and misconceptions students have related to the university medical centre. Patient centered care involves a partnership between a healthcare provider and their patient. In this partnership healthcare professionals must consider the patient experience and be more informative, mindful, empathic and collaborative to provide the best possible care (Epstein & Street, 2011).


2020 ◽  
Vol 10 (2) ◽  
pp. 249
Author(s):  
Risa Septiani ◽  
Nurhadi Nurhadi

This study aim was to determine the effect of e-service quality, price perception, and sales promotion on customer loyalty through customer satisfaction on Gojek customers in Yogyakarta. This research is a quantitative study with survey method. The population in this study were Gojek customers in Yogyakarta. The sampling technique used was purposive sampling, with a total sample of 235 respondents. The technique of collecting data used an online questionnaire that has been tested for validity and reliability. The data analysis technique used to test the hypothesis was bootstrapping method using macro PROCESS by Andrew F. Hayes. The results of this study show that there is a positive effect of e-service quality on the satisfaction of Gojek Yogyakarta customers, there is a positive effect of price perception on the satisfaction of Gojek Yogyakarta customers, there is a positive effect of sales promotion on the satisfaction of Gojek Yogyakarta customers, there is a positive effect of customer satisfaction on the loyalty of Gojek Yogyakarta customers, there is a positive effect of e-service quality on the loyalty of Gojek Yogyakarta customers, there is a positive effect of price perception on the loyalty of Gojek Yogyakarta customers, there is a positive effect of sales promotion on the loyalty of Gojek Yogyakarta customers, and there is the effect of e service quality, price perception, and sales promotion on customer loyalty through Gojek Yogyakarta customer satisfaction, as evidenced by the e-service quality variable mediation coefficient of 0,0442; the mediation coefficient of price perception variable is 0,0404; and the mediation coefficient of sales promotion variable is 0.0676.


2021 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Niki Glaveli ◽  
Fotios Vouzas ◽  
Myrsine Roumeliotou

PurposeThe current study provides insights on the application of critical soft TQM practices in primary and secondary education and their impact on teachers' job satisfaction (TJS).Design/methodology/approachBased on a review of the literature related to TQM application in primary and secondary education, six soft TQM elements were traced as critical to the success of TQM implementation in the school environment: participation/involvement in continuous improvement, teamwork, empowerment, appraisal systems/recognition and reward for quality, training and development (T&D) and leadership (vision/commitment to quality culture). Moreover, their relationship to JS was theoretically founded and empirically tested. An online questionnaire was used as the research instrument. The participants were 200 primary and secondary public school teachers working in urban, semi urban and rural regions of Greece. After assessing the validity and reliability of the measurement scales, multiple regression analysis was applied to test the hypothesized relationships.FindingsThe research findings revealed that leadership and empowerment are the most highly implemented TQM practices in primary and secondary education. Moreover, participation/involvement, appraisal systems/recognition and rewards and leadership were the TQM elements that had a positive association with TJS.Practical implicationsThe outcomes of the study are of help to school principals and policy-makers in order to design and implement TQM policies that advance the quality of teaching and the effectiveness of processes in the primary and secondary education system, as well as to satisfy and motivate teachers for continuous improvement.Originality/valueThis was, to the best of our knowledge, the first study that has explored the impact of soft TQM elements on TJS.


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