scholarly journals 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

2021 ◽  
Vol In Press (In Press) ◽  
Author(s):  
Lida Starnezhad ◽  
Fateme Rostampor ◽  
Sahar Paryab ◽  
Hamid Reza Mehryar ◽  
Omid Garkaz

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.

Author(s):  
Sipra Mondol ◽  
Faisal Muhammad ◽  
A. B. M. Alauddin Chowdhury

Background: Most of the time pain is difficult to assess and manage because of being inherently a subjective experience influenced by multiple factors. The perception and tolerance of pain may vary because of different psychological and social influences of the patient. Therefore it is important for health care providers to assess the pain so that individualized management interventions can be provided. This study was aimed to assess the nurses’ knowledge and practices related to pain assessment in critically ill patients.Methods: A descriptive cross-sectional study was carried out among 200 registered nurses working at different ICU in Square Hospital. The study was conducted within April to August 2017. A non-probability purposive sampling technique was used. The data was collected using pre-tested self-administered semi-structured questionnaire and it was analysed using SPSS 22.0 version.Results: About 81% of the respondents were in the age group 22-32 years and the mean age of the respondents was 27.74±12.06 years. About 79.0% of the respondents were female and 59.5% of the respondents had diploma in nursing. The mean monthly income of the respondents’ was 19450.5 taka. The majority (59.5%) of the respondents had less than 2 years’ service experience. About 85.5% of the respondents said it is important to assess the pain and need for analgesia before, during, and after wound care.Conclusions: Our findings reported that the nurses were reasonably knowledgeable about the principles of pain assessment. More than four-fifths of the respondents had adequate knowledge about pain assessment.


2017 ◽  
Vol 5 (1) ◽  
pp. 91-96 ◽  
Author(s):  
Hassan Mahmoodi ◽  
Farzaneh Golboni ◽  
Haidar Nadrian ◽  
Moradali Zareipour ◽  
Shayesteh Shirzadi ◽  
...  

AIM: The aim of this study was to investigate the mother-father differences in Postnatal Psychological Distress (PPD) and its determinants among the parents with 8-weeks old children.MATERIALS AND METHODS: In this cross-sectional study, applying simple random sampling, 306 postnatal parents with an 8-weeks old infant in Saqqez County, Iran, were invited to answer the General Health Questionnaire-28 (GHQ-28) items through the telephone interview. Fifty-eight subjects declined to participate in the study (Response Rate = 81.04%). The data were analysed using the SPSS Statistics v. 21.RESULTS: About 16.9% of all the parents had PPD. The difference in the prevalence of PPD in three dimensions between the two groups were statistically significant (p < 0.01): social dysfunction (25.8% for fathers vs. 5.6% for mothers), somatic disorders (21% for fathers vs. 7.3% for mothers), and anxiety (21% for fathers vs. 6.5% for mothers). The mode of delivery of the mothers and the level of education, the number of children, monthly income, and being consent with pregnancy among the fathers were significant predictors for PPD.CONCLUSION: The level of PPD was more prevalent among the new fathers compared to the new mothers. Among the fathers, but not the mothers, socioeconomic characteristics were contributed to PPD. Considering the differences in risk factors for maternal and paternal PPD, our findings may help family health care providers and policymakers in designing gender-specific intervention programs and diagnosis tools aimed at PPD prevention among new parents.


2017 ◽  
Vol 27 (3) ◽  
pp. 209 ◽  
Author(s):  
LáShauntá M. Glover ◽  
Mario Sims ◽  
Karen Winters

<p class="Pa5"><strong>Objectives: </strong>1) To examine the association of multiple dimensions of discrimination with reported trust and satisfaction with providers; 2) to report within-group differences among African Americans (AAs). </p><p class="Pa5"><strong>Methods: </strong>Descriptive cross sectional study. The study population included AAs aged 35 to 84 years from the Jackson Heart Study (JHS) (N=5,301). Poisson regression (PR) was used to quantify the association between perceived discrimination and reported trust and satisfaction with providers before and after controlling for selected characteristics. </p><p class="Pa5"><strong>Main Measures: </strong>Measures of perceived discrimination included everyday, lifetime, burden from lifetime discrimination, and stress from discrimination. Outcomes included trust and satisfaction with providers. </p><p class="Pa5"><strong>Results: </strong>The mean everyday discrimination score was 2.11 (SD±1.02), and the mean lifetime discrimination score was 2.92 (SD±2.12). High (vs low) levels of everyday discrimination were associated with a 3% reduction in the prevalence of trust in providers (PR .97, 95% CI .96, .99) in all models. In fully-adjusted models, high (vs low) lifetime discrimination was associated with a 4% reduction in the prevalence of trust and satisfaction (PR .96, 95% CI .95, .98). Burden of discrimination was not associated with trust or satisfaction, but stress from discrimination was inversely associated with satisfaction. </p><p class="Pa5"><strong>Conclusions: </strong>The significant association between discrimination and mistrust and dissatisfaction suggests that health care providers should be made aware of AA perceptions of discrimination, which likely affects their levels of trust and satisfaction.</p><p class="Pa5"><em>Ethn Dis. </em>2017;27(3):209-216; doi:10.18865/ed.27.3.209 </p>


2021 ◽  
Author(s):  
◽  
Ronald Magezi

ABSTRACT Background: Syphilis is an infection caused by a spirochete Treponema pallidum transmitted by direct contact with a syphilitic sore on the skin and in mucous membrane. The study was under taken to determine the prevalence of venereal syphilis among youth aged between 18- 35years, it also assessed the predisposing factors, prevention and control measures of venereal syphilis Methodology: This was a cross sectional study conducted among 96 respondents in Kisenyi Health Centre IV between the month of January and February 2020. Simple random sampling method was used to select the 96 respondents where by the respondents were selected by the first come first serve basis. Questionnaire interview schedule was used for data collection, Venous blood was collected and the Treponema pallidum hem-agglutination assay test kits were used in the diagnosis. Results: Out of the 96 respondents who were enrolled in the study 20(20.8%) were males and 76(76.2%) were females. Majority of the respondents who were affected were females 04(4.2%) in the age (18-35). The most predisposing factors to venereal syphilis was Ignorance, the use of drugs, poverty, co-infection, little knowledge about the use of a condom, as well as urban residence were also revealed to be some of the predisposing factors to acquire the disease. Conclusion: the prevalence of venereal syphilis in kisenyi health centre IV was found to be higher among the youth especially between the age of 18-25 years. Recommendations: The health care providers should do thorough assessment to address common disease especially cases of venereal syphilis among the youth between 18-35 years.


2020 ◽  
Vol 30 (1) ◽  
pp. 194-201
Author(s):  
Fatemeh Valizadeh ◽  
Seyyedeh Fatemeh Ghasemi

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.


2021 ◽  
Vol 20 (1) ◽  
pp. 24-29
Author(s):  
Rojeena Silwal ◽  
Sarita Panta

Introduction: Professional Developmental Activities (PDA) are the means to update the health care providers with new knowledge and help them to provide quality care and better patient outcomes. This study aims to determine the factors that influence participation in professional development activities among nursing personnel. Methods: A cross sectional study was conducted among nurses in Tribhuvan University Teaching Hospital, Maharajgung, Kathmandu, Nepal. Simple random sampling technique was used to collect data. Data was collected through self-administered semi-structured questionnaire. The collected data were analysed for descriptive and inferential statistics using SPSS version 20. Results: Total 124 nurses participated in the study. Most (88.7%) were working as a staff nurse. Majority (60.5%) of nurses had participated in PDA within last 12 months. The most common factors which motivated nurses to participate in PDA were family / spouse support and improve knowledge (98.7%). The major hindering factors were shortage of staff (97.9%), and lack of cost (91.8%). Chi-square and Fisher exact tests were used to test the association of selected variables and PDA participation and significant association was seen between participants designation categorised as staff nurse, senior staff nurse and nursing in charge (p < 0.008) and those who were involved in professional developmental activities. Conclusions: Based on findings, the study concluded that there are several factors either hindering or motivating related to work, family, financial, personal and career that contributes to nurses participation in PDA.


Author(s):  
Mansi Mathur ◽  
Ranjan Das ◽  
. Vibha

Background: A women is always celebrated for child birth but gynaecological issues a stigma is attached. The fear of being ostracised by the society for gynaecological problems is deep set. Gynaecological morbidity is defined as “structural and functional disorder of genital tract not related to pregnancy, delivery or perpuerium”. This paper aims to study the pattern of gynaecological morbidity among married women residing in a resettlement colony of East Delhi.Methods: A community based cross-sectional study was conducted during 2014-2015 in the field practise area of Lady Hardinge Medical College, New Delhi. A self-designed, pre-tested questionnaire was used to collect data. All married women of reproductive age (15-49 years) who were willing to participate were included in the study.Results: The mean age of study subjects was 34.6±8.5 years with a range of 18-49 years. All women in study had menarche within normal range (mean age =13.1±1.01 years, range: 11-16 years). Mean age at marriage was 20.6±2.4 years, range: 15-25 years. Nearly 40% of women had 3 children and most women above 40 years of age had three or more children. The mean parity was 2.04±0.5. Mean age at first delivery for study subjects was 22.1±3.9 years. In the present study 722 (59.5%) of the 1214 study subjects had one or more symptom related to common gynaecological morbidities. Among symptomatic 594 out of 277 (82%) had one symptom. The commonest symptom was ‘lower abdominal pain during menstrual period’ 419 (34.5%) followed by symptoms of premenstrual syndrome [(such as ‘bloating’ 328 (27%) and ‘irritability’ 269 (22.2%) and ‘breast tenderness’ 218 (18%)]. Other symptoms observed were ‘scanty blood loss’166 (13.7%), ‘shortened duration of blood flow’ 149 (12.2%) and ‘something coming out of vagina’140 (11.5%).Conclusions: Gynaecological morbidities in spite of their preponderance and adverse health outcomes, have not attracted the attention due to it for two reasons: i) women in most patriarchal dominated societies do not speak out of their health problems and needs, more so if that is not connected to the birth process, ii) Health care providers and institutions had been so overwhelmed with the birthing process, and now the expanded reproductive health issues that attending to gynaecological morbidities was considered to be “luxury” in as far as public health was considered. 


Pharmacy ◽  
2019 ◽  
Vol 7 (2) ◽  
pp. 57 ◽  
Author(s):  
Khansaa A. Ibrahim Albaroodi

Background: Consumers and caregivers should remove expired, or unwanted, medications to minimize the chance for misuse or accidentally using those medicines. This study investigated pharmacists’ knowledge regarding drug disposal in Karbala, Iraq. Methods: This study was a cross-sectional survey among pharmacists in Karbala. It was performed from December 2018 until January 2019. A standardized, 12-item, self-administered questionnaire was designed, developed and validated to assess pharmacists’ knowledge when generating pharmaceutical waste in pharmacies. Results: One hundred twenty-nine participants enrolled in the study. The mean age of participants was 33 ± 9.3 years—more than two-thirds (65.9%)—agreed that the return of medications to the source would be appropriate drug disposal. A good proportion of participants agreed with disposing of drugs in the trash. Further, 63.6% believe that education is the main barrier opposing the implementation of a medicine–take–back program in Iraq. Conclusion: Pharmacists had relatively poor knowledge regarding drug disposal methods. Health care providers (not only pharmacists) need educational courses and workshops to improve their knowledge regarding medication disposal in Iraq.


Author(s):  
Siti Fairus Asahar ◽  
Khasnur Abd Malek ◽  
Mohamad Rodi Isa

Caring for children with autism spectrum disorder (ASD) negatively impacts quality of life (QoL). This cross-sectional study aimed to determine the factors associated with perceived QoL and how problematic a child’s autism-specific difficulties are among the main caregivers of children with ASD who attend specialized preschool programs at the National Autism Society of Malaysia and IDEAS Autism Centre located in Selangor and Kuala Lumpur. Utilizing the questions from Parts A and B of the Quality of Life in Autism Questionnaire (QoLA), the data from 116 responders were analyzed using univariate and multivariate linear regression. The mean scores of Part A and Part B were 88.55 ± 17.25 and 56.55 ± 12.35, respectively. The QoL was significantly associated with staying in an apartment/flat −11.37 (95%CI: −19.52, −1.17, p = 0.008), main caregivers attending two training sessions 10.35 (95%CI: 1.17, 19.52, p = 0.028), and more than three training sessions 13.36 (95%CI: 2.01, 24.70, p = 0.022). Main caregiver perceptions of their child’s autistic-specific difficulties were significantly associated with not receiving additional help for childcare: no maid −13.54 (95%CI: −24.17, −12.91, p = 0.013); no grandparent −8.65 (95%: −14.33, −2.96, p = 0.003); and main caregivers not having asthma 8.44 (95%CI: 0.02, 16.86, p = 0.049). These identified factors can be considered to inform main caregivers and health care providers on targeted ways to improve the QoL of main caregivers.


Author(s):  
Aparajita Dasgupta ◽  
Manika Pal ◽  
Bobby Paul ◽  
Lina Bandyopadhyay

Background: Tobacco consumption is one of the major preventable causes of death in India. Use of smokeless tobacco (SLT) is associated with oral and other cancers, adverse reproductive outcome and cardiovascular diseases. Prevalence of SLT consumption varies widely in different countries including India affecting people of different sex and age groups with varied socioeconomic, cultural and educational background.Methods: A community based, observational, cross-sectional study was conducted in a slum of Kolkata with the aim of determining the prevalence of SLT use and its predictors among women aged 15 years and above, by simple random sampling 159 study participants were selected. Interviews of the participants were conducted using structured questionnaire. Data were summarised and adjusted with descriptive statistics and binary logistic regression analysis in SPSS (version 16).Results: The prevalence of current SLT use was found to be 36.5%. On multivariable logistic regression, it was observed that there was significant association between SLT use and increasing age AOR (CI) 2.578 (1.131-5.876), lower SE status AOR (CI) 2.332 (1.076-5.054), lower educational level AOR (CI) 2.76 (1.163-6.295) and poor knowledge about SLT. AOR (CI) 2.191 (1.066-4.503). Quit attempt in last one year was 18.9% while missed opportunity for counselling by health care providers was 79%.Conclusions: Emphasis on IEC activities and stringent legislation in addition to the existing strategies of the national program are recommended. All efforts should be made to bring the women from behind the curtain and educate them about hazards of SLT consumption.


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