scholarly journals The influence of Occupation and Teamwork on the Successful Use of the WHO Surgical Checklist: Experiences of Swedish Healthcare Professionals

2021 ◽  
Vol 11 (12) ◽  
pp. 31-41
Author(s):  
Krupic F
Keyword(s):  
Healthcare Professionals ◽  
University Hospital ◽  
Categorical Variables ◽  
Cross Sectional ◽  
Good Communication ◽  
Emergency Situations ◽  
Who Checklist ◽  
Questionnaire Research ◽  
Surgical Checklist ◽  
Self Administered Questionnaire

Background: Every year, some 300 million operations are performed around the world, with approximately 700,000 in Sweden. This represents about one surgical procedure per 25 people. All these operations are not free of risk. The safety of patients can be enhanced by teamwork, good communication and checklists ensuring adherence to safety routines. The aim of the present study was to describe the experience of Swedish healthcare professionals of using the WHO surgical checklist, with special emphasis on different occupations and teamwork. Methods:A descriptive cross-sectional statistical study, including healthcare professionals from two departments at a university hospital in the western part of Sweden, was conducted. Data were collected from one hundred and ninety-six healthcare professionals, using a self-administered questionnaire that contained 12 questions. The Mantel-Haenszel and Pearson χ2 tests were used for ordered and unordered categorical variables. Results: One hundred and ninety-six healthcare professionals, aged 21-73, and 6 different categories with 5-25 years experiences participated. Regarding the usage of the checklist at different departments, the biggest different was about responsibility to implementation of the checklist (p=0,001), using the checklist in the emergency situations (p=0.04), if the checklist improve patient’s safety (p=0.04), and if the list has been completed correctly (p=0,006). Regarding the training for using the checklist, anaesthetist nurses were most negative with 75,5%, and the operating nurses were most positive with 39.2 %. 66,0 % of nurse anaesthetists, the checklist was adapted to the department. Majority of all the occupations thought that the checklist improved patients safety, and that the checklist had been correctly completed. Conclusion: Different departments and different occupations experience difficulties using the checklist in the Swedish healthcare system. More research is needed to investigate the experiences of healthcare professionals, whether different occupations report differently about using the checklist and whether teamwork is influenced by using the checklist. A further understanding of the checklist and its importance, as well as its content, could increase the safety of patients due to improved compliance. Key words: WHO checklist, surgery, occupation, teamwork questionnaire, research .

Oscillation between identities and Subjective psychological health objectives among an informed audience in therapeutic patient education

2018 ◽  
Vol 10 (1) ◽  
pp. 10202
Author(s):  
Sandrine Roussel ◽  
Alain Deccache ◽  
Mariane Frenay
Keyword(s):  
Patient Education ◽  
Psychological Health ◽  
Healthcare Professionals ◽  
Cross Sectional Survey ◽  
Chi Square ◽  
Cross Sectional ◽  
Therapeutic Patient Education ◽  
French Speaking ◽  
Health Objectives ◽  
Self Administered Questionnaire

Introduction: The implementation of Therapeutic Patient Education (TPE) remains a challenge. An exploratory study highlighted two tendencies among practitioners of TPE, which could hamper this implementation: an oscillation between identities (as caregivers versus as educators) and an inclination towards subjective psychological health objectives. Objectives: To verify whether these tendencies can be observed among an informed audience in TPE. Next, to explore the variables associated with one or other of these tendencies. Method: A quantitative cross-sectional survey by a self-administered questionnaire was carried out among 90 French-speaking healthcare professionals. Statistical analyses (chi-square, logistic regression) were then conducted. Results: Sixty percent of respondents displayed identity oscillation, which was found to be linked to task oscillation, patient curability, scepticism towards medicine and practising in France. Fifty-six percent pursued subjective psychological health objectives, which was found to be associated with health behaviour objectives and a locus of power in the healthcare relationship distinct from those seen in the pre-existing health models (biomedical, global). This tendency seems to constitute an alternative model of TPE. Discussion & conclusion: Identity oscillation and subjective psychological health objectives can be both observed. This study stresses the need to deliberate on the form(s) of TPE that is/are desired.

scholarly journals Patients perspectives on drug shortages in six European hospital settings – a cross sectional study

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Darija Kuruc Poje ◽  
Domagoj Kifer ◽  
Isabelle Huys ◽  
Joao Miranda ◽  
Helena Jenzer ◽  
...  
Keyword(s):  
Management Practices ◽  
Healthcare Professionals ◽  
Demographic Data ◽  
General Information ◽  
Basic Knowledge ◽  
Drug Shortage ◽  
Cross Sectional ◽  
Drug Shortages ◽  
Good Communication ◽  
Information Preferences

Abstract Background It is known that drug shortages represent a major challenge for all stakeholders involved in the process, but there is little evidence regarding insights into patients′ awareness and perspectives. This study aimed to investigate the patients-perceived drug shortages experience and their view on outcomes in different European hospital settings. Furthermore, we wanted to explore information preferences on drug shortages. Methods A retrospective, cross sectional, a mixed method study was conducted in six European hospital settings. One hospital (H) from each of this country agreed to participate: Bosnia and Herzegovina (H-BiH), Croatia (H-CR), Germany (H-GE), Greece (H-GR), Serbia (H-SE) and Poland (H-PO). Recruitment and data collection was conducted over 27 months from November 2017 until January 2020. Overall, we surveyed 607 patients which completed paper-based questionnaire. Questions related to: general information (demographic data), basic knowledge on drug shortages, drug shortages experienced during hospitalization and information preferences on drug shortage. Differences between hospital settings were analyzed using Chi-squared test or Fisher’s exact test. For more complex contingency tables, Monte Carlo simulations (N = 2000) were applied for Fisher’s test. Post-hoc hospital-wise analyses were performed using Fisher’s exact tests. False discovery rate was controlled using the Bonferroni method. Analyses were performed using R: a language and environment for statistical computing (v 3.6.3). Results 6 % of patients reported experiences with drug shortages while hospitalized which led to a deterioration of their health. The majority of affected patients were hospitalized at hematology and/or oncology wards in H-BiH, H-PO and H-GE. H-BiH had the highest number of affected patients (18.1 %, N = 19/105, p < 0.001) while the fewest patients were in H-SE (1 %, N = 1/100, p = 0.001). In addition, 82.5 %, (N = 501/607) of respondents wanted to be informed of alternative treatment options if there was a drug shortage without a generic substitute available. Majority of these patients (66.4 %, N = 386/501) prefer to be informed by a healthcare professional. Conclusions Although drug shortages led to serious medical consequences, our findings show that most of the patients did not perceive shortages as a problem. One possible interpretation is that good hospital management practices by healthcare professionals helped to mitigate the perceived impact of shortages. Our study highlights the importance of a good communication especially between patients and healthcare professionals in whom our patients have the greatest trust.

scholarly journals Burnout of Healthcare Workers amid the COVID-19 Pandemic: A Japanese Cross-Sectional Survey

2021 ◽  
Vol 18 (5) ◽  
pp. 2434
Author(s):  
Yoshito Nishimura ◽  
Tomoko Miyoshi ◽  
Hideharu Hagiya ◽  
Yoshinori Kosaki ◽  
Fumio Otsuka
Keyword(s):  
Healthcare Workers ◽  
Healthcare Professionals ◽  
Healthcare Delivery ◽  
General Medicine ◽  
Maslach Burnout Inventory ◽  
University Hospital ◽  
Survey Study ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
The Past

The coronavirus disease 2019 (COVID-19) global pandemic has drastically changed how we live and work. Amid the prolonged pandemic, burnout of the frontline healthcare professionals has become a significant concern. We conducted a cross-sectional survey study to provide data about the relationship between the COVID-19 pandemic and the prevalence of burnout in healthcare professionals in Japan. Healthcare workers in a single Japanese national university hospital participated in the survey, including basic demographics, whether a participant engaged in care of COVID-19 patients in the past 2 weeks and the Maslach Burnout Inventory. Of those, 25.4% fully answered the survey; 33.3% were doctors and 63.6% were nurses, and 36.3% engaged in care of COVID-19 patients in the past 2 weeks. Compared to those belonging to General Medicine, those in Emergency Intensive Care Unit were at higher risk of burnout (odds ratio (OR), 6.7; 95% CI, 1.1–42.1; p = 0.031). Of those who engaged in care of COVID-19 patients, 50% reported burnout while 6.1% did not (OR 8.5, 95% CI; 1.3–54.1; p = 0.014). The burnout of healthcare workers is a significant concern amid the pandemic, which needs to be addressed for sustainable healthcare delivery.

Patients’ beliefs toward generic medication in Yemen

2021 ◽  
pp. 174113432110392
Author(s):  
Ammar Ali Saleh Jaber ◽  
Yaser Mohammed Al-Worafi ◽  
Abdullah Ahmed Dhabali
Keyword(s):  
Healthcare Professionals ◽  
Cross Sectional Study ◽  
Generic Medicines ◽  
Cross Sectional ◽  
Factors Affecting ◽  
Generic Medication ◽  
Knowledge And Beliefs ◽  
Negative Beliefs ◽  
The Social ◽  
Self Administered Questionnaire

Purpose This study aims to explore patients’ knowledge and beliefs toward generic medicines and identify the factors affecting their beliefs toward them in Yemen. Patients and methods A cross-sectional study was conducted from April 1 to July 1, 2016. A self-administered questionnaire was distributed to 590 adult patients in Sana’a. The data were analyzed using Statistical Package for the Social Sciences® (IBM SPSS) version 26 for Windows. Results Overall, 370 patients participated in this study. The study identified that a majority of the respondents did not know the similarities and differences between generic and branded medication and had negative beliefs toward generic medication. The study identified the factors contributing to the patients’ beliefs toward generic medication. Conclusion Yemeni patients had poor knowledge and negative beliefs toward generic medication. Educational programs provided to patients and healthcare professionals regarding generic medication can improve patients’ knowledge and correct their beliefs in this regard.

Evaluation of awareness and understanding of cancer immunotherapy among healthcare professionals in eastern Saudi Arabia

2019 ◽  
Vol 26 (6) ◽  
pp. 1343-1352
Author(s):  
Rabab S Hamad
Keyword(s):  
Saudi Arabia ◽  
Cancer Immunotherapy ◽  
Healthcare Professionals ◽  
Medical Laboratory ◽  
Categorical Variables ◽  
Cross Sectional ◽  
Exact Test ◽  
Self Evaluation ◽  
High Knowledge ◽  
Knowledge Of Cancer

Introduction Cancer immunotherapy is a complicated field that develops rapidly; in the past decades, immunotherapy has become the standard treatment for several cancer types. The aim of the current study was to estimate the awareness and understanding of cancer immunotherapy and associated immunological concepts among healthcare professionals (HCPs) in eastern Saudi Arabia in order to assess educational needs. Methods A cross-sectional questionnaire was conducted among multidisciplinary HCPs in healthcare institutions in eastern Saudi Arabia from April 2019 to June 2019. The survey was designed to assess the awareness and understanding of HCPs’ basic scientific knowledge of cancer immunotherapy. The data were analyzed using the Statistical Package for the Social Sciences (SPSS). Reliability was tested through Cronbach’s alpha, and a χ2 or Fisher’s exact test was used to determine the distribution of categorical variables between groups. Results The study included 360 HCPs: 43.6% physicians, 21.9% nurses, 20.8% medical laboratory scientists, and 13.6% pharmacists. Only 20.6% of the HCPs considered immunotherapy the best-known cancer therapy. The overall level of awareness of cancer immunotherapy was low (55.8%), and only 6.4% of the participants had a high knowledge rate. The majority of the respondents indicated the importance of studying the science of immunotherapy. Cronbach's alphas for the HCPs’ perceptions, self-evaluation rate, and reflection scales were 0.74, 0.90, and 0.66, respectively. Simple linear regression showed a significant relationship between reflection and self-evaluation. Conclusions A reliable and consistent study revealed a low level of awareness and understanding of immunotherapy among multidisciplinary HCPs.

Characteristics and Associated Factors of Burn-out among Moroccan Dentists

2021 ◽  
Vol 8 ◽  
Author(s):  
Anissa Regragui ◽  
Sohayb El Harfaoui ◽  
Loubna Bahijie ◽  
Najib Al Idrissi ◽  
Faiza Benfdil ◽  
...  
Keyword(s):  
Healthcare Professionals ◽  
Three Dimensions ◽  
Contributing Factors ◽  
Cross Sectional ◽  
Female Predominance ◽  
Protective Element ◽  
Burn Out ◽  
Self Administered Questionnaire ◽  
Personal Fulfillment ◽  
Working Alone

Objective:  Burnout is a real threat for healthcare professionals and is growing exponentially in our modern societies. Our study aims to determine the prevalence of burnout among dentists in Rabat, Sale, and Kenitra region and look for the associated factors.Method: This is a descriptive and analytical cross-sectional epidemiological study carried out in 2019 with a group of 120 dentists using a self-administered questionnaire; burnout was assessed by the French version of the Maslash Burnout Inventory (MBI).Results: A total of 100 dentists participated in the study (response rate of 83.33%) with a female predominance at 56% and an average age of 38 years. Severe burnout affected 25% of participants, and only 3% presented low burnout for all three dimensions (According to Maslach's Burnout Inventory). The percentages of the MBI sub-dimensions were as follows: 47% had high emotional exhaustion, 51% had high depersonalization, and 42% had low personal fulfillment. High depersonalization was associated with unmarried status (p = 0.019) and working alone (p = 0.002).Conclusion: 25% of the dentists in our study were affected by severe burnout, which presents a worrying result proving that burnout is a reality in our country. The contributing factors were working alone in the office and being unmarried, and the essential protective element seemed to work in association.

scholarly journals Knowledge, Attitudes, and Practices of Health Care Professionals Toward Adverse Drug Reaction Reporting in Hiwot Fana Specialized University Hospital, Harar, Eastern Ethiopia: A Cross-sectional Study

2017 ◽  
Vol 53 (3) ◽  
pp. 177-187 ◽  
Author(s):  
Hussen Shanko ◽  
Jemal Abdela
Keyword(s):  
Adverse Drug Reaction ◽  
Drug Reaction ◽  
Healthcare Professionals ◽  
Adverse Drug Reaction Reporting ◽  
Cross Sectional Study ◽  
University Hospital ◽  
Sectional Study ◽  
Cross Sectional ◽  
Reaction Reporting ◽  
Adr Reporting

Aims: This study was designed to assess knowledge, attitude and practices of adverse drug reaction reporting among healthcare professionals in Hiwot Fana Specialized University Hospital (HFSUH). Method: Hospital based descriptive cross sectional study was conducted on healthcare professionals of HFSUH. Based on purposive sampling technique, all eligible healthcare professionals (nurses, physicians and pharmacists) were involved in the study. A pretested self-administered questionnaire was used to collect data. Data were coded, entered and analyzed using SPSS version 16. The test of association of selected categorical variables were done using cross tabulation and Pearson Chi-square test. Result: Our study indicated that about 297 participants provided their response to the distributed questionnaires which makes the response rate 91.4%. Of the total healthcare professionals involved in the study, 99 (33.6%) of them were able to understand the difference between adverse drug reaction (ADR) and side effects, of which pharmacists were significantly reported (95.24%, P<0.05). About 175(59.3%) of the respondents engaged in the study were reportedly knew the national ADR reporting system in Ethiopia. On the other hand, 181(61.36%) of the participants were recognized the presence of ADR reporting form while 114 (38.64%) of the respondents had no any information about its presence in the country. Conclusion: The study revealed that a gap in knowledge, awareness and practice of healthcare professionals on ADR reporting. Therefore, specific strategies should be designed in order to improve awareness, knowledge and practice of healthcare professionals to tackle issue related to under-reporting of ADR.

scholarly journals Willingness and concerns of transfusion-dependent hematological patients toward the option of home transfusion therapy

2021 ◽  
pp. 026921632110006
Author(s):  
Liza Barki-Harrington ◽  
Orna Baron-Epel ◽  
Adir Shaulov ◽  
Luiza Akria ◽  
Yossef Barshay ◽  
...  
Keyword(s):  
Adverse Effects ◽  
Healthcare Professionals ◽  
Successful Implementation ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Transfusion Therapy ◽  
Home Based ◽  
Negative Effect ◽  
Self Administered Questionnaire

Background: One of the main obstacles of providing home-based palliative care to transfusion-dependent hematology patients is the lack of home transfusions services. While healthcare professionals are concerned with safety and cost of home transfusions, the attitude of the patients toward home transfusions are mostly unknown. Aim: To obtain quantitative data regarding the willingness and concerns of transfusion-dependent patients with hematological diseases toward the option of home transfusions. Design: A cross sectional survey including a self-administered questionnaire in one of the three main spoken languages in Israel was administered to patients in 17 hospital hematology outpatient clinics between May 2019 and March 2020. Results: About 52% of 385 patients that participated in the survey preferred home transfusions to hospital transfusions. Gender, age, education, or type of disease were not associated with preference for home transfusions, nor were hospital location or its size. The likelihood to prefer home transfusions was significantly higher among the Hebrew-speakers and those who had not experienced adverse effects previously. The most significant factor associated with preference of home transfusions was a perceived negative effect of hospital-based transfusion on quality of life. The main reason to reject home transfusions was fear of possible adverse effects and concerns over losing contact with the medical staff at the treating hospital. Conclusion: These data suggest that a significant portion of transfusion-dependent patients in Israel view home transfusions as a preferred treatment option and that its successful implementation requires maintaining ongoing contact with the treating hospital.

scholarly journals Assessment of Knowledge, Attitude and Practices of Healthcare Professionals Towards Adverse Drug Reactions Monitoring and Reporting: A Cross-Sectional Study in Lahore, Pakistan

2020 ◽  
Vol 17 (3) ◽  
Author(s):  
Furqan Hashmi ◽  
Sara Mustafa Khan ◽  
Sulman Qureshi ◽  
Usman Rashid Malik ◽  
Naveel Atif ◽  
...  
Keyword(s):  
Health Care ◽  
Adverse Drug Reactions ◽  
Health Care Professionals ◽  
Healthcare Professionals ◽  
Cross Sectional Study ◽  
Categorical Variables ◽  
Sectional Study ◽  
Drug Reactions ◽  
Cross Sectional ◽  
History Of

Background: Adverse drug reactions (ADRs) are one of the leading causes of mortality and morbidity. Avoiding adverse reactions requires comprehensive knowledge about how they can be monitored, controlled, and reported. Objectives: The current study aimed to evaluate the knowledge, attitude, practices, and perceptions of the health care professionals concerning the adverse drug reactions monitoring and reporting in Lahore, Pakistan. Methods: A prospective cross-sectional study was conducted in Lahore, Pakistan, from October 2018 to December 2018. Descriptive statistics were obtained and the Pearson chi-square test was used to analyze the association between categorical variables. Results: In total, 150 pharmacists, physicians, and nurses were approached, that 40, 39, and 46 of them responded, respectively. Almost 95% pharmacists, 17.3% of nurses, and 58.9% of physicians correctly defined the “pharmacovigilance”, while 70, 10, and 30.5%, respectively, defined ADRs correctly. The current study revealed that 87% of pharmacists, 82.5% of physicians, and 82.6% of nurses had a history of identifying ADR in patients. Out of which only 52, 41, and 19% of pharmacists, physicians, and nurses had a history of reporting adverse drug reactions, respectively. Conclusions: This study revealed inadequate knowledge of health care professionals. Most healthcare professionals were motivated to report identified ADRs. However, the responsibility lies with the governing authorities to provide them with a suitably efficient platform to practice proper ADR reporting and monitoring. Educational campaigns and training, financial incentives, and simplification of the reporting process might change the levels of knowledge and attitude.

scholarly journals Patient Attitudes and Their Awareness Towards Skin Cancer–Related Apps: Cross-Sectional Survey (Preprint)

2019 ◽  
Author(s):  
Theresa Steeb ◽  
Anja Wessely ◽  
Sebastian Mastnik ◽  
Titus Josef Brinker ◽  
Lars Einar French ◽  
...  
Keyword(s):  
Skin Cancer ◽  
Information Source ◽  
Previous History ◽  
University Hospital ◽  
Categorical Variables ◽  
General Interest ◽  
Continuous Variables ◽  
Patient Attitudes ◽  
Cross Sectional Survey ◽  
Cross Sectional

BACKGROUND In the emerging era of digitalization and electronic health, skin cancer–related apps represent useful tools to support dermatologic consultation and examination. Yet, little is known about how patients perceive the value of such apps. OBJECTIVE The aim of this study was to investigate patient attitudes and their awareness toward skin cancer–related apps. METHODS A cross-sectional study including 200 patients from the oncological outpatient unit was conducted at the University Hospital (LMU Munich, Germany) between September and December 2018. Patients were asked to complete a self-administered questionnaire on the popularity and usefulness of health-related and skin cancer–related apps. A descriptive analysis was performed with the expression of categorical variables as frequencies and percentages. For continuous variables, the median and range were indicated. Contingency tables and chi-square tests were performed to investigate associations between sociodemographic data and selected items of the questionnaire. RESULTS A total of 98.9% (195/197) of patients had never used skin cancer–related apps or could not remember. In 49.7% (93/187) of cases, patients were unsure about the usefulness of skin cancer apps, whereas 42.6% (78/183) thought that skin cancer apps could supplement or support the professional skin examination performed by a physician. However, 47.9% (90/188) were interested in acquiring more information by their dermatologists about skin cancer apps. Young age (P=.002), male gender (P=.02), a previous history of melanoma (P=.004), and higher educational level (P=.002) were significantly associated with a positive attitude. Nevertheless, 55.9% (105/188) preferred a printed patient brochure on skin cancer to downloading and using an app. CONCLUSIONS The experience and knowledge of skin cancer–related apps was surprisingly low in this population, although there was a high general interest in more information about such apps. Printed patient brochures were the preferred information source.

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