scholarly journals Knowledge, Perception and Management of Pre-eclampsia among Health Care Providers in a Maternity Hospital

2019 ◽  
Vol 8 (2) ◽  
pp. 80-88 ◽  
Author(s):  
Titilayo Olaoye ◽  
Oyewole O. Oyerinde ◽  
Oluwatoyin J. Elebuji ◽  
Oluwapelumi Ologun

Background: Morbidity and mortality of women and children associated with pre-eclampsia present major global health problems in low and middle income countries. The prevalence of pre-eclampsia in Nigeria ranges from 2% to 16.7%, with approximately 37,000 women dying from preeclampsia annually. This study examines knowledge, perception and management of preeclampsia among healthcare providers in a major maternity hospital in Lagos, southwest Nigeria. Methods: In this descriptive cross-sectional study, 110 health care providers comprising of 75 Nurses, 9 Consultant Physicians, and 26 General Medical Practitioners with varying years of service were selected using purposive sampling technique. Data were collected using a self-administered 36-item semi-structured questionnaire. Data were analysed using the Statistical Package for Social Sciences to generate descriptive and inferential statistics with level of significance set at 0.05. Results: Health care providers in the study had an average knowledge of pre-eclampsia with a mean score of 16.69±3.53. There was generally a good perception of pre-eclampsia with a mean sore of 28.31±3.71. The most-prevalent clinical management practices were emergency cesarean section (16%), magnesium sulphate infusion (29%), and fluid/electrolyte management (9%). Knowledge of pre-eclampsia and years of practice were significantly associated (F=3.31; p= 0.023). Conclusion and Global Health Implications: Gaps in the knowledge of causes, diagnoses, and treatment of pre-eclampsia may be attributable to lack of refresher trainings and absence of written practice guidelines on pre-eclampsia management. Health care providers at this hospital may benefit from training courses that include current nationally and internationally-approved management of preeclampsia. Key words: • Pre-eclampsia • Eclampsia • Knowledge • Perception • Management • Health care providers • Nigeria Copyright © 2019 Olaoye et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

2021 ◽  
Author(s):  
Ismat Babiker ◽  
Mohamed K. Elnaeim ◽  
Awab K.Elnaeim

Abstract Objective: the objective of this study was to assess the awareness of the community in Sudan of which seizure type(s) should present to health care providers.Methods: This is a cross-sectional descriptive internet-based survey that was conducted in Sudan during the period from January to April 2018, using google forms. The survey consisted of demographic data (age, gender, educational level), a statement evaluating participants’ sources of obtaining information regarding epilepsy, a statement assessing awareness about the primary care provider for people with epilepsy (PWE), and a statement describing the symptomatology of different seizure types in simple Arabic, asking what description(s) participants thought should present to health care providers. We included participants residing in Sudan, and those with a college degree or higher education. Four hundred sixty-seven participants completed the survey.Results: 467 participants were included, of whom, 279 (60%) were females. The mean age of participants was 28 years. Two-thirds of participants obtained their information from non-scientific sources. 84% of the participants were aware that doctors are the primary health care providers for people with epilepsy.The majority (92.%) of participants were aware that patients with symptoms corresponding to the generalized tonic-clonic seizure description should present to doctors, compared with two-thirds of participants for focal seizure symptom description, and only 30.6 % of participants for absence seizure symptom description.Conclusion: This study demonstrated poor awareness about the necessity of presentation for focal and absence seizures. We hypothesize that this lack of awareness may contribute to the epilepsy treatment gap, and we recommend further studies to examine this hypothesis.


2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Mansoor Ahmed ◽  
Hyea Bin Im ◽  
Jung Hye Hwang ◽  
Dongwoon Han

Abstract Background Pregnant women’s disclosure of herbal medicine (HM) use to their health care providers during pregnancy is crucial, as misuse of HM can have a detrimental effect on both pregnant woman and the fetus. However, the lack of disclosure of HM use to physicians remains a public health concern in developing countries such as Nepal. Methods A cross-sectional study was conducted among 400 postpartum women admitted at Maternity and Women’s Hospital located in Kathmandu, Nepal. The survey instrument included 30 questions on the use of HM during pregnancy, sociodemographic and health characteristics, and pregnancy outcomes. Chi-square test and logistic regression were conducted for data analysis using SPSS ver. 21.0., and a p-value of less than 0.05 was considered statistically significant for all analyses. Results 60.3% of respondents used at least one herbal remedy during their previous pregnancy, and the overall disclosure rate of HM use to healthcare providers was 54.6%. Women with secondary education level and four or more antenatal care visits were more likely to disclose their HM use to healthcare providers. Conclusions This study highlights that despite the popular use of HM among pregnant women in Nepal, most women obtained HM-related information from informal sources and did not disclose their HM use to physicians. To ensure the safe use of HM, physicians should integrate questions regarding patients’ HM use into their routine patient assessments to facilitate active communication and improve the quality of care.


2021 ◽  
Vol 10 (1) ◽  
pp. 71-77
Author(s):  
Aadil Ameer Ali ◽  
Noman Haq ◽  
Muhammad Rafiq ◽  
Amjad Hussain ◽  
Muhammad Ismail ◽  
...  

This observational study was conducted to assess the attitude, knowledge and practices of health-care providers in context of novel corona virus or COvid-19 in Pakistan. A cross sectional survey has been conducted among the physicians, dentists, physiotherapists, pharmacists and nurses in a number of medical and health related facilities of Pakistan from April to June 2020. A self-constructed questionnaire was used among the 277 health care providers and SPSS version 23 was used to analyze the data. Male participants constituted 55.6% (n=154) of the total sample size. However, 91% of total participants aged between 23 to 33 years (n=252). In addition to this 71% participants were unmarried. In academic perspective 74.4% of the candidates were graduates and most of them were MBBS. Around 46.6 % people were permanent residents of Sindh while others belong to different regions of the country. Assessment revealed of knowledge, attitude and practice results showed that the great majority i.e. 96% (n=266) of the healthcare providers had adequate knowledge with respect to Covid-19. Moreover, 59.2% people (n=164) demonstrated positive attitude towards covid-19. Contrastingly, practices of a large number of healthcare providers were not found appropriate that makes up to 57.4% (n=159). The study concluded that the health care providers working in Pakistan have good knowledge and positive attitude towards covid-19, whereas the practice of Pakistani health care providers needs serious attention, because the results reveled the practice is below the mark.


Author(s):  
Teny Attokaran ◽  
Merlyn Joseph ◽  
Ramya B. ◽  
Caroline Pretista D’souza ◽  
Soumya . ◽  
...  

Background: Caesarean section is life-saving, but rising rates are a cause for concern. Perceptions surrounding caesarean delivery may play a significant role in the shared-decision making process. Objective of this study was to explore the perceptions of caesarean section among antenatal, postnatal women and healthcare providers in a rural maternity hospital in Ramanagara district, Karnataka.Methods: Qualitative research methodology was adopted to explore perceptions regarding preferred birthing mode, caesarean and its perceived complications. Focus group discussions and in-depth interviews were conducted with antenatal and postnatal women, their caregivers and health care providers. Inductive coding approach and thematic framework analysis was done.Results: Five major themes emerged regarding perceptions of caesarean section among women in a rural area of Karnataka: understanding, fears, decision making, after-care and prevention. Women had a strong preference for normal vaginal birth, but willing to accept doctor’s decision for caesarean as they believed that it would protect the life of unborn child. Women perceived that caesarean was profitable to the hospital. Common mentioned side effects following caesarean were backache and pain at the surgical site.Conclusions: The understanding regarding caesarean section was adequate. Women had fears linked to caesarean such as pain, inability to work, weight gain, prolonged recovery and caesarean deliveries in subsequent pregnancies. Husbands and other family members as well as the doctors were the important decision makers, while the women themselves had little say in the matter. Obstetricians need to focus on alleviating concerns among pregnant women and their family members regarding caesarean section.


2021 ◽  
Vol 1 (3) ◽  
pp. 062-067
Author(s):  
Obidile Valentine Chidi ◽  
Ekwebene Onyeka Chukwudalu ◽  
Azubuike Precious Chidozie ◽  
Nnamani Chioma Phyllis ◽  
Nehemiah Emono Dankano ◽  
...  

Vaccines found to be highly effective will enable uptake than those with low effectiveness. Health care providers in Nigeria aged 18 years and above participated in this study. The study was conducted to assess the enablers and perceived risks of Covid-19 vaccination among healthcare providers in Nigeria. A snowball sampling technique was relied upon in the distribution of the online questionnaires sent in the form of a link through social media outlets such as Whatsapp, Face book and emails within four weeks interval. The analysis was performed using the Statistical Software Package SPSS version 22.0.Four Hundred and forty-five respondents filled the questionnaire from the six geopolitical zones of the country. It was observed that safety of the vaccine, proven efficacy and good knowledge of the vaccine were enablers to the Covid-19 vaccine uptake. This finding shows that a higher proportion of health care providers was in support of the covid-19 vaccine under the presumption that the vaccine was proven effective. 243(54.6%) perceived that a clinical sequalae may result later after they take the Covid-19 vaccine, 207(46.5%) perceived that the clinical trial of the Covid-19 vaccine was inadequate and 187(42.0%) perceived that a new virus strain may emerge and therefore, bring about another vaccine. In addition, 180(40.4%) respondents perceived that the Covid-19 vaccine might worsen their co-morbidities and 61(13.7%) showed concerns as they think the Covid-19 vaccine may affect their immune systems and make them more susceptible to new viral strains. Proven vaccine safety, proven efficacy and good knowledge were identified as enablers of the covid-19 vaccine while clinical sequalae and inadequate trials were noted as the perceived risks of covid-19 vaccine uptake among health care providers.


2020 ◽  
Author(s):  
Budi Wiweko ◽  
Aida Riyanti ◽  
Shanty Olivia ◽  
Muhammad Priangga ◽  
Vita Silvana ◽  
...  

Abstract Objective : Our study aimed to evaluate the perspectives of health care providers of JAKPROS ( Jakarta Reproduksi Sehat ) application that is used to improve the maternal health service. This descriptive qualitative study engaged 16 healthcare providers from two sub-district hospitals. The participants were selected using purposive sampling and cross-sectional design. Participant were asked to fill the written informed consent.Data were collected by in-depth discussion of a list of selected questions in a focus group discussion. Results: Most health care providers used paper-based systems in their hospitals.They said that it was very helpful in helping them communicate with their patients and provide information. The application has many benefits that help doctors provide the best service for patients during pregnancy.The use and adoption of app is needed to make a further improvements in the healthcare system. This study will help improve the application for more widespread use in a greater number of hospitals. JAKPROS made healthcare provider easier to communicate and track patient’s health. This app also assist patients related to the doctor’s schedule, health information, and nearest hospital.


Author(s):  
Karavadi Sri Sai Vidusha ◽  
Margaret Menzil

Background: Healthcare providers (HCPs) have been identified as the most common vehicle for transmission of hospital acquired infections (HAIs) from patient to patient and within the healthcare environment. Hand hygiene has been identified as the single most important, simplest and least expensive means of preventing HAIs. This study was conducted to assess the knowledge of hand hygiene among healthcare providers in a tertiary care hospital in Bengaluru.Methods: A cross sectional descriptive study was conducted among all the health care providers who have been working in the hospital for more than one year. Total 122 health care providers were included in the study. A semi-structured, self-administered questionnaire was developed and used to obtain information on respondent’s socio-demographic characteristics, and knowledge of hand hygiene. For collecting data in this study, the World Health Organization (WHO) "Hand Hygiene Knowledge Questionnaire "revised 2009 edition was used. Descriptive statistics was used as necessary.Results: A total of 122 health care providers participated in the study. Among them 78 (63.9%) have received formal training in hand washing. The mean age of the study participants was 29.11±8.6 years. Majority opined that hand rubbing is required before palpation of the abdomen (86.9%) knowledge about hand hygiene was found to be moderate in majority of the study subjects (144 out of 200, 74%).Conclusions: In the present study the knowledge on hand hygiene among health care providers is moderate it highlights the importance of improving the current training programs targeting hand hygiene practices among health care providers.


2020 ◽  
Vol 07 (04) ◽  
pp. 24-27
Author(s):  
Saliqua Sehar ◽  

Introduction: Lack of knowledge regarding the community among health care providers is an important factor in the discrimination experienced by LGBTQ+ in health care facilities which affects their health and wellbeing. Healthcare providers knowledge and awareness regarding LGBTQ+ community can reduce or eliminate prejudices and discrimination against them. Objective: The objective of the study was assessment of the knowledge of students regarding Lesbian, Gay, Bisexual, Transgender, Queer (LGBTQ+) community in a selected college of Nursing of Delhi. Method: The present study has adopted quantitative approach and descriptive research design. A structured knowledge questionnaire was developed and validated by seven experts. Purposive sampling technique was used and formal permissions were obtained from the authorities. A total number of 68 students of DGNM 1st year and 2nd year has participated in the study after giving informed consent. Pilot study and final study was conducted. Data was analyzed using descriptive studies. Result: The study found that majority of Nursing Students (67.64%) had average knowledge and 32% had poor knowledge and none of the subject had good knowledge regarding LGBTQ+ community. Conclusion: The study concluded that majority of the students have average knowledge and rest have poor knowledge and none of the students have good knowledge regarding LGBTQ+ community.


2020 ◽  
Author(s):  
Yigrem Ali Chekole ◽  
Solomon Yimer ◽  
Birhanie Mekuriaw ◽  
Semagn Mekonnen

Abstract Background: The Coronavirus belongs to large groups of viruses that cause serious health problems including the mental health of the society particularly the health care providers. Understanding the mental health response after a public health emergency might help health care providers and communities to prepare for a population's response to a disaster.Objective: This study aimed to assess the magnitude of perceived stress and risk factors of coronaviruses disease 2019 among healthcare providers in Dilla, Southern Ethiopia 2020.Methods: This cross-sectional study was conducted among 244 samples selected with systematic random sampling technique. Data collection was carried out with validated perceived stress scale adapted from the World health organization. Data were coded and entered into Epi-info Version 7 and was exported and analyzed with SPSS version 20. Crude and adjusted OR were analyzed using logistic regression and the level of significance of association was determined at P-value <0.05.Result: The magnitude of perceived stress of coronavirus disease 2019 among participants was 126 (51.6%). Being at the age range of 25-31 years (AOR=2.5, 95%CI, 1.07, 5.90), nurse professionals (AOR= 7.8, 95%CI 2.15, 27.98) and pharmacist professionals (AOR=4.15, 95%CI, 1.01, 17.06) were variables found to have a strongly statistically significant association with perceived stress of Coronaviruses disease.Conclusion: this indicates that early prevention, early identification and intervention of perceived stress of coronaviruses disease among healthcare providers. Particularly, more stress for the frontline healthcare worker nurses, pharmacists and age ranges of 25-31 years.


Author(s):  
Chithra Boovaragasamy ◽  
Seetharaman Narayanan

Background: Patient satisfaction is a crucial component of the health care system in today’s competitive modern era. There is a limited literature describing the patient satisfaction on AYUSH care and therefore this study was undertaken to assess the satisfaction about facilities, healthcare providers and treatment among the patients attending selected AYUSH-attached PHCs in rural Puducherry.Methods: A facility based cross-sectional study was conducted among the patients who attended AYUSH clinics at 4 selected PHCs of Puducherry over a period of one year. Personal Interviews using semi-structured pretested proforma was conducted for capturing information on socio-demographic variables, satisfaction regarding the facilities and health care providers. Telephonic interviews were conducted two weeks after the centre-based personal interviews, to assess the patients’ treatment satisfaction levels.Results: Out of the 584 patients interviewed, 71.23% rated as very good/excellent their interaction with the healthcare providers, with regards to satisfaction about the infrastructure facilities, the proportion rating very good/excellent ranged from 64.47% to 93.93% across the different AYUSH PHCs.Conclusions: Overall satisfaction about the quality of services and treatment was good among the patients.


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