Presence of Chaperone during Pelvic Examination: Women’s Opinions and Preferences in a Tertiary Hospital in Abakaliki, Ebonyi State, Nigeria

Introduction: Pelvic examination in the evaluation of patients can be a source of dissatisfaction and litigation from patients. A chaperone is beneficial in militating against unforeseen circumstances surrounding this clinical examination. Aim: To access the opinions and preferences of patients in pelvic examinations and factors associated with the use of chaperones in Federal Teaching Hospital Abakaliki, Ebonyi State, Nigeria. Materials and Methods: The present study was a cross-sectional study. Women were recruited between October 2017 to April 2018 among patients attending the Gynaecological Clinic at the Federal Teaching Hospital, Abakaliki, Nigeria. A structured questionnaire was used to collect data such as the socio-demographic characteristics, feelings towards pelvic examinations, and preferences about the gender of the examining doctor as well as the presence of a chaperone. Data analysis was done using International Business Machines Statistical Package for the Social Sciences (IBM SPSS) Statistics version 20.0 (IBM Corp., Armonk, NY, USA). Results: Out of 423 questionnaires distributed, 395 respondents completed the survey giving a response rate of 93.4%. The mean age of the respondents were 29.2±6.2 years. Majority of the respondents would prefer to be seen by a female gynaecologist 342 (86.6%). About 50 (12.7%) respondents would decline pelvic examination. The commonest reason given for refusing gynaecologic examination was uncomfortable environment 25 (50%). More than two-third 264 (76.5%) would prefer to have a chaperone present at any pelvic examination. Avoidance of sexual molestation was the commonest reason given for wanting a chaperone to be present 207 (78.4%). Nulliparous women (OR=2.25 95% CI 1.13-4.50) and those with at least a secondary education (OR=7.91 95% CI 4.54-13.78) were also more likely to request a chaperone. Conclusion: Majority of the women in present study wanted the presence of a chaperone during a pelvic examination. It is therefore recommended that chaperones should routinely be offered during pelvic examination in Abakaliki, Ebonyi, Nigeria.

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Patients’ perceptions about medical students’ involvement in their health care at a teaching hospital in Jordan: A cross sectional study (Preprint)

10.2196/preprints.27870 ◽

2021 ◽

Author(s):

Hana Taha ◽

Jawaher Khaled Al Saqer ◽

Noora Rashed Al Harbi ◽

Rand Nidal Younis ◽

Fatma Dawoud Al Dawoud ◽

...

Keyword(s):

Medical Students ◽

Teaching Hospital ◽

Disease Status ◽

Cross Sectional Study ◽

University Hospital ◽

Sectional Study ◽

Patient Centered ◽

Cross Sectional ◽

Perceptions And Attitudes ◽

Structured Questionnaire

BACKGROUND Medical students’ involvement in patients’ care varies due to patient’s willingness, as some consider it as an invasion of their privacy and exposure of their disease status. Thus, exploring patients' perceptions and attitudes towards this interaction should be thoroughly investigated. OBJECTIVE To better understand the attitude of Jordanian patients towards the presence of medical students’ during their consultations and provide evidence-based data to improve the training of future doctors. METHODS A cross-sectional study was conducted at the Jordan University Hospital using a structured questionnaire to interview 420 patients from the out-patients’ clinics of the departments; Internal Medicine, Obstetrics and Gynecology, Pediatrics, and Surgery. Descriptive and multivariate data analysis was conducted using SPSS (version 25.0). RESULTS Of the patients interviewed, 94% were aware that they were in a teaching hospital, 92% approved the existence of medical students’ during their consultation and 80% accepted to be observed and examined by medical student in the presence of a senior doctor. Almost 83% of the patients believed that their consent should be obtained first and 58% of them indicated that the students asked for consent prior to interacting with them. Around 64% of the participants indicated that the maximum acceptable number of students during the consultation should not exceed 2-3, 64% had no preferred gender to interact with and 59% had no preferred training year. CONCLUSIONS Patients showed an overall positive stance towards the involvement of medical students’ in their healthcare. The majority were delighted to see medical students’ while some expressed concerns over their privacy due to the large number of students and because some do not ask for their consent. It is essential to apply medical ethics practices together with patient centered approach.

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Patients’ Perception towards General and Pelvic Examination by Male Medical Students: A Cross-sectional Study in a Multi-ethnic Population

IIUM Medical Journal Malaysia ◽

10.31436/imjm.v20i4.1680 ◽

2021 ◽

Vol 20 (4) ◽

Author(s):

Valliammai Jayanthi Thirunavuk Arasoo ◽

Nisha Angela Dominic ◽

Vanassa Ratnasingam ◽

Md Inzamum Ul Islam ◽

Erin Ziyi Lee ◽

...

Keyword(s):

Medical Students ◽

Tertiary Hospital ◽

Cross Sectional Study ◽

Public Health Care ◽

Male Students ◽

Pelvic Examination ◽

Sectional Study ◽

Health Care Centre ◽

Cross Sectional ◽

History Of

Introduction Male medical students globally have difficulty in obtaining consent to perform pelvic examination. We sought to identify independent factors influencing women consenting to male medical students performing general and pelvic examination under supervision. Methods This cross-sectional study conducted at a tertiary hospital and a public health care centre in Johor Bahru, Malaysia recruited 369 women above 18 years old who have had sexual intercourse before and no prior hysterectomy. A validated self-administered bilingual questionnaire was used to collect data on factors that influence them consenting to male medical students examining them and performing pelvic examination when indicated. Results The respondents were largely below 30 years old (52.9%), Malays (73.4%) and Muslims (75.3%). The consent rates for general and pelvic examination were 27.4% and 18.9%, respectively. Being a Muslim, having an occupation and being introduced by a male medical specialist increased the likelihood of women consenting to general examination. However, a history of being examined by male students decreased the likelihood by 64%. Believing that male doctors should have the skills to treat patients in women's health was the only independent factor that increased the likelihood for women to consent for pelvic examination to be conducted by male medical students. Conclusion Believing that male doctors should be skilled in treating women positively influences decision to consent. Explaining earnestly to women on how they aid in developing the skills of future doctors should be prioritised. Keywords: patients’ perception; male medical students; pelvic examination

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Patients’ attitude and factors influencing the acceptance of medical students’ participation in pelvic examination

The Asia Pacific Scholar ◽

10.29060/taps.2022-7-1/oa2519 ◽

2022 ◽

Vol 7 (1) ◽

pp. 87-97

Author(s):

Nisakorn Deesaen ◽

Kongpop Sutantikorn ◽

Punyanuch Phonngoenchai ◽

Sakchai Chaiyamahapruk ◽

Patcharada Amatyakul

Keyword(s):

Medical Student ◽

Medical Students ◽

Clinical Skills ◽

Cross Sectional Study ◽

University Hospital ◽

P Value ◽

Pelvic Examination ◽

Cross Sectional ◽

Pelvic Examinations ◽

Matters Of Concern

Introduction: Pelvic examination of patients in the department of obstetrics and gynaecology (Ob-Gyn) is an important skill for medical students. Because it involves a physical assessment of the patients' genitalia, patients may refuse medical students to participate in the examination, affecting the medical students' clinical skills. Methods: This cross-sectional study was conducted at Naresuan University Hospital to determine the factors that influence the acceptance of medical student participation in the pelvic examinations. A total of 198 out-patients from the Ob-Gyn department were included. A Likert scale questionnaire was designed which featured topics on patients’ attitudes and circumstances related to medical student involvement in gynaecological procedures. Results: The majority of outpatients (71.7%) accepted the participation of medical students in pelvic examinations. Patients with prior experiences in physical and pelvic examination by medical students had a significant impact on the patients' acceptance (P-value<0.001). The patients’ impressions had an influence on the decision to accept students in pelvic exam participation. Approximately 40% of patients were concerned about the breach of confidentiality. However, most patients strongly agreed that allowing medical students to perform pelvic examination would benefit their medical education. Conclusion: Most of the participants permitted medical students to participate in pelvic examinations and preferred that the medical instructor be the one to request permission. The patients’ impressions of medical students were crucial factors that significantly influence their decision whether to allow or deny them to participate in the procedure. Disclosure of confidentiality was found to be matters of concern to most patients.

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Prevalence and risk factors for psychiatric morbidity among tertiary hospital consultants in Nigeria

South African Journal of Psychiatry ◽

10.4102/sajpsychiatry.v12i2.62 ◽

2006 ◽

Vol 12 (2) ◽

pp. 11

Author(s):

A D Yussuf ◽

O R Balogun ◽

S A Kuranga

Keyword(s):

Teaching Hospital ◽

General Health Questionnaire ◽

Psychiatric Morbidity ◽

Tertiary Hospital ◽

Cross Sectional Study ◽

Poor Mental Health ◽

Related Factors ◽

Cross Sectional ◽

Work Related ◽

Chi Square Analysis

Objective. To determine the prevalence of psychiatric morbidity among consultants in a tertiary health care institution in Ilorin, Nigeria, and the sociodemographic and work characteristics that may be associated with poor mental health.Method. This was a cross-sectional study involving use of the 30-item general health questionnaire (GHQ-30) and a questionnaire on sociodemographic/work-related factors. Data Source. Consultants in the employ of the University of Ilorin Teaching Hospital. Data analysis. Data were analysed using the Statistical Package for Social Sciences version 11.0 (SPSS 11.0). Frequency distribution, cross tabulation, and chi-square analysis were obtained, with level of significance set at 5%.Result. Fifty-four consultants responded satisfactorily to the questionnaires (response rate 69.2%); 10 (18.5%) scored 4 and above on the GHQ-30 (i.e GHQ-positive) and were therefore considered to have psychiatric morbidity. No socio demographic or work-related factors had any significant association with morbidity. Conclusion. Teaching hospital consultants are as likely as any other occupational group to develop psychological morbidity, possibly owing to the role of inherently dominant factors. Regular organisation of stress management workshops/seminars and hospital management-consultant interactive forums is advocated.

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Social And Cultural Predictors Of Tattooing Among Athletes Of Federal Universities In Nigeria

Advances in Social Sciences Research Journal ◽

10.14738/assrj.74.8169 ◽

2020 ◽

Vol 7 (4) ◽

pp. 423-430

Author(s):

Golda Ekenedo

Keyword(s):

Peer Influence ◽

Cross Sectional Study ◽

Family Influence ◽

Cross Sectional ◽

Social Predictors ◽

Cultural Predictors ◽

The Social ◽

Nigerian University ◽

University Athletes ◽

Structured Questionnaire

The cross-sectional study investigated the social and cultural predictors of tattooing among athletes of Federal Universities in Nigeria. Data was collected from a sample of 594 athletes using a validated structured questionnaire with a reliability index of 0.77. . Data collected were analysed using the Statistical Package for Social Sciences (SPSS) version 21. Multiple regression and logistic regression were used to establish the joint and independent predictors of tattooing among the athletes. The findings of the study revealed that peer influence (P=0.003), family influence (P=0.000), personal achievement (P=0.006) and academic background (P=0.000) were significant social predictors of tattooing among the athletes. Traditional (P=0.000) and religious beliefs (P=0.000) were also found to be significant cultural predictors of tattooing among the athletes. It was concluded based on the findings that the practice of tattooing among Nigerian University athletes followed similar social influence pattern as in other parts of the world. Social marketing was recommended as a veritable tool for health education and communication to enhance informed decisions regarding tattooing among the athletes.

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Concepções sobre o envelhecimento na ótica de discentes e docentes universitários/ Conceptions on aging from the views of university students and teachers

Revista Interinstitucional Brasileira de Terapia Ocupacional - REVISBRATO ◽

10.47222/2526-3544.rbto34484 ◽

2020 ◽

Vol 4 (6) ◽

pp. 950-967

Author(s):

Janayna De Almeida Andrade ◽

Julia Guimaraes Reis da Costa ◽

Andrezza Marques Duque

Keyword(s):

Healthy Aging ◽

Social Role ◽

The Elderly ◽

Cross Sectional Study ◽

Self Perception ◽

Cross Sectional ◽

University Professors ◽

The Social ◽

Las Mujeres ◽

Structured Questionnaire

Introdução: O aumento constante da população brasileira traz desafios para toda a sociedade, considerando o papel social que antes o idoso não tinha. Sendo essa discussão imprescindível principalmente pela demanda, que tende a crescer cada vez mais, em relação aos idosos no ambiente da saúde. Objetivo: Analisar a concepção de discentes e docentes universitários sobre aspectos do envelhecimento. Metodologia: Estudo descritivo, quantitativo, de corte transversal. A coleta foi realizada através de um questionário estruturado e um instrumento padronizado, de natureza multidimensional que verifica a autopercepção do envelhecimento a partir de dimensões que envolvem características do envelhecimento. Resultados: Dos entrevistados, 79,67% eram discentes e 20,33% docentes. Dos docentes, predominou mulheres, média de idade 36,02 anos, católicos e casados. Quanto aos discentes, mulheres, idade média 24,20 anos, católicos, solteiros e renda de 1-2 salários mínimos. Foi possível perceber que os participantes tiveram uma autopercepção positiva acerca do processo de envelhecimento. Todas as mudanças foram experimentadas pelos participantes, tendo evidência ansiedade, problemas com o peso e o sono, no entanto, a maioria não foi associada especificamente ao fato de estar envelhecendo. Conclusões: Os participantes apresentaram uma boa autopercepção sobre aspectos do envelhecimento, o que é relevante por ser um bom preditor do envelhecimento saudável. Esse estudo ratifica a necessidade de pesquisas sobre o envelhecimento nos cursos de graduação em saúde, tal como previsto nas principais diretrizes e políticas brasileiras.Palavras-chave: Envelhecimento, Percepção, Docentes, Estudantes, Estudos Transversais.Abstract: Introduction: The constant increase of the Brazilian population brings challenges for the whole society, considering the social role that the elderly did not have before. This discussion being essential mainly due to the demand, which tends to grow more and more, in relation to the elderly in the health environment. Objective: To analyze the conception of students and university professors about aspects of aging. Methodology: Descriptive, quantitative, cross-sectional study. The collection was carried out through a structured questionnaire and a standardized instrument, of a multidimensional nature that verifies the self perception of aging from dimensions that involve characteristics of aging. Results: Of the interviewees, 79.67% were students and 20.33% were teachers. Among the teachers, women predominated, with an average age of 36.02 years, Catholics and married people. As for students, women, average age 24.20 years, Catholics, singles and income of 1-2 minimum wages. It was possible to notice that the participants had a positive self perception about the aging process. All changes were experienced by the participants, with evidence of anxiety, problems with weight and sleep, however, most were not specifically associated with the fact of aging. Conclusions: The participants had a good perception of aspects of aging, which is relevant for being a good predictor of healthy aging. This study confirms the need for research on aging in undergraduate health courses, as provided for in the main Brazilian guidelines and policies.Keywords: Aging, Perception, Teachers, Students, Cross-Sectional Studies.Resumen: Ntroducción: El aumento constante de la población brasileña presenta desafíos para toda la sociedad, considerando el papel social que los ancianos no tenían antes. Esta discusión es esencial principalmente debido a la demanda, que tiende a crecer cada vez más, en relación con las personas mayores en el entorno de la salud. Objetivo: Analizar la concepción de estudiantes y profesores universitarios sobre aspectos del envejecimiento. Metodología: Estudio descriptivo, cuantitativo, transversal. La recolección se realizó a través de un cuestionario estructurado y un instrumento estandarizado, de naturaleza multidimensional que verifica la autopercepción del envejecimiento a partir de dimensiones que involucran características del envejecimiento. Resultados: De los entrevistados, el 79.67% eran estudiantes y el 20.33% eran maestros. Entre los maestros, predominaban las mujeres, con una edad promedio de 36.02 años, católicos y casados. En cuanto a estudiantes, mujeres, edad promedio 24.20 años, católicos, solteros e ingresos de 1-2 salarios mínimos. Fue posible notar que los participantes tenían una autopercepción positiva sobre el proceso de envejecimiento. Todos los cambios fueron experimentados por los participantes, con evidencia de ansiedad, problemas con el peso y el sueño, sin embargo, la mayoría no se asociaron específicamente con el hecho del envejecimiento. Conclusiones: Los participantes tenían una buena autopercepción de los aspectos del envejecimiento, lo cual es relevante para ser un buen predictor del envejecimiento saludable. Este estudio confirma la necesidad de investigación sobre el envejecimiento en los cursos de pregrado en salud, como se prevé en las principales directrices y políticas brasileñas.Palabras clave: Envejecimiento, Percepción, Maestros, Estudiantes, Estudios transversales.

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Self-Medication Practice among Medical Students of a Tertiary Teaching Hospital in Dhaka City

Journal of Current and Advance Medical Research ◽

10.3329/jcamr.v6i1.40780 ◽

2019 ◽

Vol 6 (1) ◽

pp. 28-31

Author(s):

Asma Khan ◽

Afroza Sultana ◽

Benzir Ahammad ◽

Shamsun Nahar ◽

Shafeya Khanam

Keyword(s):

Medical Students ◽

Teaching Hospital ◽

Cross Sectional Study ◽

Self Medication ◽

Cross Sectional ◽

Medical College ◽

Tertiary Teaching ◽

Tertiary Teaching Hospital ◽

Experience Of Illness ◽

Structured Questionnaire

Background: Self-medication is a common practice worldwide and the irrational use of drugs is a cause of concern. Objective: This present study was designed to assess the rate of self-medication among the medical students in a tertiary teaching hospital in Dhaka. Methodology: This descriptive cross-sectional study was conducted in the Department of Pharmacology at Shaheed Suhrawardy Medical College, Dhaka, Bangladesh from October to December 2017 for a period of three (03) months. The participants were briefed about the nature of the study; the consent was taken and a pre‐tested semi‐structured questionnaire was administered to them. The information pertaining to the pattern of self‐medication, indications for self‐medication and drugs used for self‐medication was included in the questionnaire. Result: A total of 303 students were included in this study. The rate of self-medication was 100.0%. A larger number of females were self-medicating (81.2%) than males (75.3%). The majority of the students self-medicated because of the illness being too trivial for consultation (43.2%) and previous experience of illness (43.2%). Fever (73.3%) and headache (65%) are the most common cause of self-medication. Antipyretics were most commonly self–medicated by the participants (98%). 45.5% 0f students told that self-medication is not an acceptable practice. 40% of the participants opined that self-medication was a part of self-care. Conclusion: In conclusion self-medication is widely practiced among students of the institute Journal of Current and Advance Medical Research 2019;6(1):28-31

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Difficulties doctors experience during life-sustaining treatment discussion after enactment of the Life-Sustaining Treatment Decisions Act: A cross-sectional study

10.21203/rs.3.rs-28873/v1 ◽

2020 ◽

Author(s):

Shin Hye Yoo ◽

Wonho Choi ◽

Yejin Kim ◽

Min Sun Kim ◽

Hye Yoon Park ◽

...

Keyword(s):

Tertiary Hospital ◽

Cross Sectional Study ◽

Cross Sectional Survey ◽

Cross Sectional ◽

Life Sustaining Treatment ◽

The Republic ◽

Seriously Ill Patients ◽

Attending Physicians ◽

Seriously Ill ◽

Structured Questionnaire

Abstract Background In the Republic of Korea, life-sustaining treatment (LST) for patients at the end of life should be legally discussed by a doctor according to the LST Decisions Act, which was enacted in February 2018. However, little is known about challenges doctors experience during LST discussion. This study aims to investigate the perceived difficulties of doctors during LST discussions after enactment of the new Act. Methods A cross-sectional survey was conducted in a tertiary hospital in August 2019 and included 686 doctors (432 attending physicians, 141 clinical fellows, and 295 residents) who care for seriously ill patients. The doctors were given a structured questionnaire, and difficulties during the discussion process were examined. Results A total of 132 doctors answered the questionnaire. Most (86.4%) experienced considerable difficulties during LST discussions (mean score, 7.4 ± 1.6/10). The two most common difficulties were communication with patients and family and determining when to discuss LST. Two-thirds of doctors found direct discussions with the patient difficult and said they would initiate LST discussions only with family. LST discussions were actually initiated later than considered appropriate. When medically assessing whether the patient is imminently dying, 56% of doctors experienced disagreements with other doctors, which could affect their decisions. Conclusion In the present study, most doctors experienced serious difficulties during LST discussions. To alleviate these difficulties, further institutional support is needed.

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Screening, diagnosing and treating deafness: the knowledge and conduct of doctors serving in neonatology and/or pediatrics in a tertiary teaching hospital

Sao Paulo Medical Journal ◽

10.1590/s1516-31802009000200002 ◽

2009 ◽

Vol 127 (2) ◽

pp. 61-65 ◽

Cited By ~ 5

Author(s):

Patrícia Colozza ◽

Adriana Ribeiro Tavares Anastasio

Keyword(s):

Hearing Loss ◽

High Risk ◽

Teaching Hospital ◽

Tertiary Hospital ◽

Cross Sectional Study ◽

Cross Sectional ◽

Pediatric Residents ◽

Tertiary Teaching ◽

Tertiary Teaching Hospital ◽

Human Disorder

CONTEXT AND OBJECTIVE: Infant hearing deficiency is a human disorder with devastating effects and serious implications for the development of speech and language. Early diagnosis of hearing loss should be the objective of a multidisciplinary team, and early-intervention programs should immediately follow this. The aim of this study was to investigate the knowledge and conduct of pediatricians and pediatric residents in a tertiary teaching hospital regarding deafness. DESIGN AND SETTING: Cross-sectional study in a tertiary hospital in the state of São Paulo, Brazil. METHODS: Eighty-eight questionnaires were randomly distributed to pediatricians and pediatric residents. RESULTS: Thirty-six questionnaires were analyzed. Most respondents (61.1%) were residents in pediatrics and/or neonatology. Eighty-three percent of them performed special procedures on babies presenting a high risk of deafness, and 55% reported that they had no knowledge of techniques for screening hearing. Most of them were unaware of the classifications of level and type of hearing loss. According to 47.2% of them, infants could begin to use a hearing aid at six months of age. Most of them reported that infants could undergo hearing rehabilitation during the first six months of life, and all respondents stated 's responsibilities. CONCLUSIONS: Even though most of the participants followed special procedures with babies presenting a high risk of deafness, they did not routinely investigate hearing. All respondents believed that it is a doctor's responsibility to be concerned about child communication.

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Paramedics’ perceptions, knowledge and skills regarding emergency psychiatric patients in Riyadh, Saudi Arabia

Australasian Journal of Paramedicine ◽

10.33151/ajp.18.844 ◽

2021 ◽

Vol 18 ◽

Author(s):

Abdullah AlAbdali ◽

Nawfal Aljerian ◽

Tamara Alrumayyan ◽

Joud Alwasel ◽

Noura Alsayari ◽

...

Keyword(s):

Mental Illness ◽

Mentally Ill ◽

Psychiatric Patients ◽

Mental Healthcare ◽

Cross Sectional Study ◽

Cross Sectional ◽

Knowledge And Skills ◽

The Social ◽

Structured Questionnaire

Introduction Mental healthcare experts worldwide have been calling for increased contributions from medical professionals and organisations to improve the skills of healthcare practitioners and their coordination with mentally ill patients. However, the contributions and roles of paramedics in treating the mentally ill are still considered limited, and few studies have been conducted on paramedics’ judgement and decision-making when caring for patients with mental illness. This study aimed to assess paramedics’ perceptions, knowledge and skills in dealing with psychiatric emergencies. Methods A cross-sectional study was conducted among participants from the Saudi Red Crescent Authority; different hospitals in Riyadh were invited from September to October 2019 to complete a validated structured questionnaire. The Statistical Package for the Social Sciences version 22 (SPSS 22) software was used for data analysis. Results A total of 124 participants were included in this study; their mean age was 29.93 years, 95.2% were male, 78.9% had a bachelor degree and 12.1% had higher education. The majority of participants agreed that it is important for paramedics to know about mental illness (91.1%) and stated that they were comfortable managing a person with mental illness (63.7%). Almost half (49.6%) disagreed with the statement that psychiatric disorders are caused by religious or supernatural factors, whereas 24% were unsure, and 26.4% agreed. On assessing paramedics’ knowledge and skills, 31.4% scored above average, 42% scored average (average defined as answering six to seven out of 10 questions correctly), and 26.6% scored below average. However, when asked if they carry out the mental status examination on mentally ill patients, 66.1% stated ‘no’. Conclusion This study indicated that the majority of paramedics have positive perceptions regarding mental illness; moreover, it was shown that paramedics are knowledgeable and trained in dealing with emergency psychiatric patients. Further investigation regarding the practice and role of paramedics is necessary.

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