Readiness of hospital-based internists to embrace and discuss high-value care with patients and family members: a single-centre cross-sectional survey study

BACKGROUND The COVID-19 and its related threat of death have led to significant fears among health care workers (HCWs) and their families around the world. The latest figures show thousands of HCWs have so for been infected with Covid-19 while interacting the patients, with a large percentage of them dying. OBJECTIVE In this survey study, we aimed to explore the predictive factors associated with fear faced by HCWs during covid-19 pandemic and to identify the areas which need to be addressed. METHODS On 14th May 2020, we conducted a descriptive cross-sectional survey using a self-administered questionnaire, which consisted of two parts: (1) focussed on factors associated with HCWs fear of getting infection and being a source of carrying infection to whom they care, and (2) focused on factors associated with HCWs fear of uncertainty and lack of support from concerned health authorities. Finally a total of 329 responses were collected and analyzed RESULTS The mean age of the participants was 40.04 years (SD ± 12.92), and around four-fifths of the participants were males 79.3%, and nearly more than half of the participants were consultants 51.1%. The first important factors associated with fear included, getting infected 84.8%, quarantined 69.6%, not get medical treatment 62%, losing life 56.8%, and infecting family members 94.2%. Another major factor associated with HCWs fear was lack of support from concerned health authorities, 80.2% thought of solatium and 71.7% of Job to deceased family members. More than 82.2% thought of health expenses and almost 97.6% thought of additional health risk allowance. CONCLUSIONS Our survey findings show the main predictive factors associated fear faced by majority of HCWs in Pakistan was getting infected to themselves and their families. Once diseased, majority of them feared that they may not get medical treatment and end up on ventilator. Another important factors associated with fear were uncertainty and lack of support from concerned health authorities. We hope Government of Pakistan should take note of this and make appropriate policies and measures to make sure, that HCWs and their families are cared for if they get infected.

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Cross-sectional survey study to understand behaviours, thoughts and perceptions of Mealtime Insulin (MTI) usage in patients with Type 1 and Type 2 Diabetes (T1D, T2D)

Diabetologie und Stoffwechsel ◽

10.1055/s-0036-1580968 ◽

2016 ◽

Vol 11 (S 01) ◽

Author(s):

K van Brunt ◽

SM Corrigan ◽

R Pedersini ◽

J Rooney

Keyword(s):

Type 2 Diabetes ◽

Survey Study ◽

Cross Sectional Survey ◽

Cross Sectional ◽

Mealtime Insulin

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Knowledge and Communication of the National Core Standards Tool

Africa Journal of Nursing and Midwifery ◽

10.25159/2520-5293/3659 ◽

2018 ◽

Vol 20 (2) ◽

Author(s):

Winnie Thembisile Maphumulo ◽

Busisiwe Bhengu

Keyword(s):

Pearson Correlation ◽

Healthcare Delivery ◽

Healthcare Providers ◽

Sampling Technique ◽

Quality Of Healthcare ◽

Survey Study ◽

Public Healthcare ◽

Cross Sectional Survey ◽

Cross Sectional ◽

Professional Nurses

The National Department of Health in South Africa has introduced the National Core Standards (NCS) tool to improve the quality of healthcare delivery in all public healthcare institutions. Knowledge of the NCS tool is essential among healthcare providers. This study investigated the level of knowledge on NCS and how the NCS tool was communicated among professional nurses. This was a cross-sectional survey study. Purposive sampling technique was used to select hospitals that only offered tertiary services in KwaZulu-Natal. Six strata of departments were selected using simple stratified sampling. The population of professional nurses in the selected hospitals was 3 050. Systematic random sampling was used to recruit 543 participants. The collected data were analysed using SPSS version 25. The study showed that only 16 (3.7%) respondents had knowledge about NCS, using McDonald’s standard of learning outcome measured criteria regarding the NCS tool. The Pearson correlation coefficient between the communication and knowledge was r = 0.055. The results revealed that although the communication scores for the respondents were high their knowledge scores remained low. This study concluded that there is a lack of knowledge regarding the NCS tool and therefore healthcare institutions need to commit themselves to the training of professional nurses regarding the NCS tool. The findings suggest that healthcare institutions implement the allocation of incentives for nurses that attend the workshops for NCS.

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Faculty Opinions recommendation of A cross-sectional survey study to evaluate phototherapy training in dermatology residency.

Faculty Opinions – Post-Publication Peer Review of the Biomedical Literature ◽

10.3410/f.726467369.793520284 ◽

2016 ◽

Author(s):

Tina Bhutani

Keyword(s):

Survey Study ◽

Cross Sectional Survey ◽

Cross Sectional

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Psychological Impacts of COVID-19 During the First Nationwide Lockdown in Vietnam: Web-Based, Cross-Sectional Survey Study (Preprint)

10.2196/preprints.24776 ◽

2020 ◽

Author(s):

Khanh Ngoc Cong Duong ◽

Tien Nguyen Le Bao ◽

Phuong Thi Lan Nguyen ◽

Thanh Vo Van ◽

Toi Phung Lam ◽

...

Keyword(s):

Psychological Distress ◽

General Population ◽

Psychological Health ◽

Online Survey ◽

Survey Study ◽

Limited Information ◽

Cross Sectional Survey ◽

Cross Sectional ◽

Event Scale ◽

The Impact

BACKGROUND The first nationwide lockdown due to the COVID-19 pandemic was implemented in Vietnam from April 1 to 15, 2020. Nevertheless, there has been limited information on the impact of COVID-19 on the psychological health of the public. OBJECTIVE This study aimed to estimate the prevalence of psychological issues and identify the factors associated with the psychological impact of COVID-19 during the first nationwide lockdown among the general population in Vietnam. METHODS We employed a cross-sectional study design with convenience sampling. A self-administered, online survey was used to collect data and assess psychological distress, depression, anxiety, and stress of participants from April 10 to 15, 2020. The Impact of Event Scale-Revised (IES-R) and the Depression, Anxiety, and Stress Scale-21 (DASS-21) were utilized to assess psychological distress, depression, anxiety, and stress of participants during social distancing due to COVID-19. Associations across factors were explored using regression analysis. RESULTS A total of 1385 respondents completed the survey. Of this, 35.9% (n=497) experienced psychological distress, as well as depression (n=325, 23.5%), anxiety (n=195, 14.1%), and stress (n=309, 22.3%). Respondents who evaluated their physical health as average had a higher IES-R score (beta coefficient [B]=9.16, 95% CI 6.43 to 11.89), as well as higher depression (B=5.85, 95% CI 4.49 to 7.21), anxiety (B=3.64, 95% CI 2.64 to 4.63), and stress (B=5.19, 95% CI 3.83 to 6.56) scores for DASS-21 than those who rated their health as good or very good. Those who self-reported their health as bad or very bad experienced more severe depression (B=9.57, 95% CI 4.54 to 14.59), anxiety (B=7.24, 95% CI 3.55 to 10.9), and stress (B=10.60, 95% CI 5.56 to 15.65). Unemployment was more likely to be associated with depression (B=3.34, 95% CI 1.68 to 5.01) and stress (B=2.34, 95% CI 0.84 to 3.85). Regarding worries about COVID-19, more than half (n=755, 54.5%) expressed concern for their children aged <18 years, which increased their IES-R score (B=7.81, 95% CI 4.98 to 10.64) and DASS-21 stress score (B=1.75, 95% CI 0.27 to 3.24). The majority of respondents (n=1335, 96.4%) were confident about their doctor’s expertise in terms of COVID-19 diagnosis and treatment, which was positively associated with less distress caused by the outbreak (B=–7.84, 95% CI –14.58 to –1.11). CONCLUSIONS The findings highlight the effect of COVID-19 on mental health during the nationwide lockdown among the general population in Vietnam. The study provides useful evidence for policy decision makers to develop and implement interventions to mitigate these impacts. CLINICALTRIAL

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