Analysis of knowledge and attitude surveys to identify barriers and enablers of appropriate antimicrobial prescribing in three Australian tertiary hospitals

2014 ◽  
Vol 44 (6) ◽  
pp. 568-574 ◽  
Author(s):  
N. J. Chaves ◽  
A. C. Cheng ◽  
N. Runnegar ◽  
J. Kirschner ◽  
T. Lee ◽  
...  
2017 ◽  
Vol 8 (1) ◽  
pp. 42 ◽  
Author(s):  
OO Oduyebo ◽  
AT Olayinka ◽  
KC Iregbu ◽  
A Versporten ◽  
H Goossens ◽  
...  

BMJ Open ◽  
2019 ◽  
Vol 9 (9) ◽  
pp. e026328 ◽  
Author(s):  
Yinghui Jin ◽  
Zimeng Li ◽  
Fei Han ◽  
Di Huang ◽  
Qiao Huang ◽  
...  

ObjectivesThe aim of this study was to explore perspectives and reasoning of medical staff from Class A tertiary hospitals about the factors hindering and facilitating the uptake and use of clinical practice guidelines (CPGs) during medical procedures.DesignMixed-method research study to collect and analyse both quantitative and qualitative data.SettingClass A tertiary hospitals in China.ParticipantsThe inclusion criteria for the questionnaire survey and qualitative research were (1) medical practitioners and (2) years of practice: above 5 years in a tertiary hospital.MethodsQuestionnaires were distributed to medical staff in 11 cities to collect quantitative data. Frequency and ranking of barriers and enablers were analysed. Spearman correlations were computed to explore the correlation between years of practice, professional title ranking and educational background with self-reported guideline adherence. Using a constructivist grounded theory method, qualitative data were generated via in-depth face-to-face interviews with Chinese medical practitioners.ResultsA total of 359 medical practitioners were surveyed and 32 medical practitioners interviewed in 11 cities. Higher frequency and higher ranking of barriers all converged on ‘lack of access’, ‘less convenient’, ‘lack of applicability’ and ‘lack of evidence from Chinese sample’. Higher frequency and higher ranking of enablers converged on ‘Short formats presentation’, ‘Utilisation of various media’, ‘Information visualisation’ and ‘Linking to patient electronic medical records’. There were no relationships between characteristics of respondents with self-reported adherence. This research produced a theoretical understanding of the experience of medical practitioners when using guidelines. Themes identified were as follows: existing intrinsic flaws in guidelines, deficient or incomplete system mechanism and being ambiguous.ConclusionOur findings provide a comprehensive and culturally sensitive perspective in understanding guideline implementation in China. Strategies addressing those barriers should be further discussed and researched in the future.


2018 ◽  
Vol 7 (1) ◽  
pp. 67
Author(s):  
Ilafi Rumaisya Nursyi

Women feel anxious when facing menopause, so many simple problems become so big and can even make a woman desperate. The menopausal phase is usually preceded by a premenopausal phase occurring at an age between 48–55 years. The attitude of women in the face of changes in the menopause is influenced by their knowledge. The purpose of this study was to know the description of knowledge and attitude of women aged 48–55 years about menopause in the Village Weru RT 02 RW 05, Sukoharjo. Descriptive research design with cross sectional approach. Research population of all women aged 48–55 years amounted to 44 people in Weru Village in April 2015. Using Sampling Purposive Sampling technique, 36 respondents can be sampled from the entire population. Data collection tools are questionnaires. Data analysis using univariate analysis of knowledge using percentage and attitude using scale range. The results of knowledge of women are on the category enough with the number of respondents 22 (61.2%). This can be seen that the knowledge of respondents about the majority of menopause already in the category enough even between the respondents are knowledgeable and less comparable. The desired expectations of the majority are experienced well but the results have not been as expected. While most women have enough attitude of 21 (58.3) categories less 8 respondents (22.3%) and minority in good category of 7 respondents (19.4). There are several factors that affect the knowledge and attitude of women 48–55 years in the face of changes in menopause.


Author(s):  
Ginny Kaushal ◽  
Prakash Doke ◽  
Aejaz Shah ◽  
Vivek Verma

ABSTRACT Context World Health Organization (WHO) defines healthcareassociated infection (HCAI) as infection acquired in hospital or a healthcare setting by a patient who was admitted for a reason other than that infection. The healthcare associated infections are one of the leading causes of mortality, morbidity and increase cost. Adherence to standard precautions for infection control and simple techniques like effective hand hygiene is essential for reducing healthcare associated infections. However, compliance of healthcare workers to hand hygiene (HH) guidelines are reportedly poor. It is important, therefore, to instill adequate knowledge and good attitudes and practices at the time of primary training of the healthcare workers. This study is an attempt to identify gaps in knowledge, attitudes and practices (KAP) to improve existing training programs and give recommendation to enhance good practices in the future. Aims The aim of the study is to analyze KAP of nursing professionals of intensive care units (ICUs) in a tertiary care hospital and to find the impact of knowledge and attitude of the ICU nurses on self-reported practices. Settings and design The study design is a survey research which has used a self-administered questionnaire to compare the KAP of nursing professionals of an ICU in a tertiary care hospital. Materials and methods The WHO standard precautions for infection control were used as a guideline for preparing the self-administered questionnaire. The scoring system was based on a study done by Uba et al (2015). Statistical analysis Correlation and analysis of variance (ANOVA) were used to establish associations between the independent and dependent variables. Results Participants had an average level of knowledge (79%), good attitude (89%) toward infection control guidelines and very good self-reported practices (91%). The collective KAP score of all the participants is good (85%) which indicates that average levels of knowledge are balanced by good attitude and very good practices. However, good knowledge is crucial for ensuring expected levels of infection control practices, and hence ensures patient safety. Conclusion To achieve an environment of patient safety, it is essential that the healthcare staff should have sound knowledge and positive attitude. The study shows the need for further improvement of the existing infection control training programs to address the gaps in KAP. Key message Good knowledge and positive attitude are essential for attaining expected levels of infection control practices among critical care nurses. How to cite this article Kaushal G, Doke P, Shah A, Verma V. An Analysis of Knowledge, Attitude and Practices regarding Standard Precautions of Infection Control and Impact of Knowledge and Attitude of ICU Nurses on Self-reported Practices of Infection Control. Int J Res Foundation Hosp Healthc Adm 2015;3(2):79-85.


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