scholarly journals The current state of Nursing Informatics – An international cross-sectional survey

2019 ◽  
Vol 11 (3) ◽  
pp. 220-231 ◽  
Author(s):  
Laura-Maria Peltonen ◽  
Lisiane Pruinelli ◽  
Charlene Ronquillo ◽  
Raji Nibber ◽  
Erika Lozarda Peresmitre ◽  
...  
Keyword(s):  
Perceived Support ◽  
Full Potential ◽  
Nursing Informatics ◽  
Snowball Sampling ◽  
Cross Sectional Survey ◽  
Allied Health Professionals ◽  
Cross Sectional ◽  
Undergraduate Level ◽  
Current State ◽  
Health Institutions

An international survey to explore current and future trends in Nursing Informatics (NI) was done in 2015. This article explores responses to questions about: what should be done to further develop NI as an independent discipline; existing policies and standards influencing NI; perceived support towards NI as a discipline; and advice from NI specialists to students and emerging professionals. Nurse and allied health professionals in academia and practice were reached with snowball sampling. Open-ended questions were analysed with thematic content analysis and the mean and standard deviation is reported for the perceived support towards NI (scale ranging from 1 (not at all supportive) to 10 (very supportive)). A total of 507 respondents from 46 countries responded to the survey. Respondents reported mediocre support towards NI from the environment (M 5.79, SD 2.60). Results showed that NI education needs development to better meet practice demands, that current NI resources seem insufficient, that NI expertise is not used to its full potential in health institutions and the community, and that NI needs to show its value through research and increase visibility to be recognised among stakeholders worldwide. In conclusion, there is a need to clarify NI as a discipline and a need for strong leadership to impact policy making. An increase in NI teaching at undergraduate level in nursing as well as an increase in postgraduate NI programmes worldwide would better support practice demands. National policies and international white papers in NI are needed to guide resource distribution to better support practice.

scholarly journals Assessment of U.S. health care personnel (HCP) attitudes towards COVID-19 vaccination in a large university health care system

2021 ◽  
Author(s):  
Jana Shaw ◽  
Telisa Stewart ◽  
Kathryn B Anderson ◽  
Samantha Hanley ◽  
Stephen J Thomas ◽  
...  
Keyword(s):  
Health Care ◽  
Vaccine Development ◽  
Direct Care ◽  
Healthcare Personnel ◽  
Care Providers ◽  
Cross Sectional Survey ◽  
Allied Health Professionals ◽  
Cross Sectional ◽  
Vaccination Programs ◽  
To Receive

Abstract Background As a priority group, healthcare personnel (HCP) will be key to success of COVID-19 vaccination programs. The purpose of this study was to assess HCP willingness to get vaccinated and identify specific concerns that would undermine vaccination efforts. Methods We conducted a cross-sectional survey of HCP, including clinical and non-clinical staff, researchers, and trainees between November 23 rd ,2020 and December 5 th ,2020. The survey evaluated attitudes, beliefs and willingness to get vaccinated. Results A total of 5287 respondents had a mean age of 42.5 years (SD=13.56), and were 72.8% female (n=3842). Overall 57.5 % of individuals expressed intent to receive COVID-19 vaccine. 80.4% were physicians and scientists representing the largest group. 33.6% of registered nurses, 31.6% of allied health professionals, and 32% of master’s level clinicians were unsure they would take the vaccine (p<.001). Respondents who were older, males, White, or Asian were more likely to get vaccinated compared to other groups. Vaccine safety, potential adverse events, efficacy and speed of vaccine development dominated concerns listed by participants. Fewer (54.0%) providers of direct care vs. non-care providers (62.4%), and 52.0% of those who had provided care for COVID-19 patients (vs. 60.6% of those who had not) indicated they would take the vaccine if offered (p<.001). Conclusions We observed that self-reported willingness to receive vaccination against COVID-19 differs by hospital roles, with physicians and research scientists showing the highest acceptance. These findings highlight important heterogeneity in personal attitudes among HCPs around COVID-19 vaccines and highlight a need for tailored communication strategies.

scholarly journals Health Care for Mitochondrial Disorders in Canada: A Survey of Physicians

2019 ◽  
Vol 46 (6) ◽  
pp. 717-726 ◽  
Author(s):  
Karen Paik ◽  
Matthew A. Lines ◽  
Pranesh Chakraborty ◽  
Sara D. Khangura ◽  
Maureen Latocki ◽  
...  
Keyword(s):  
Brain Magnetic Resonance Imaging ◽  
Research Priorities ◽  
Mitochondrial Diseases ◽  
Mitochondrial Disorders ◽  
Snowball Sampling ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Treatment Practices ◽  
Important Variation ◽  
Physician Care

ABSTRACT:Background:An improved understanding of diagnostic and treatment practices for patients with rare primary mitochondrial disorders can support benchmarking against guidelines and establish priorities for evaluative research. We aimed to describe physician care for patients with mitochondrial diseases in Canada, including variation in care.Methods:We conducted a cross-sectional survey of Canadian physicians involved in the diagnosis and/or ongoing care of patients with mitochondrial diseases. We used snowball sampling to identify potentially eligible participants, who were contacted by mail up to five times and invited to complete a questionnaire by mail or internet. The questionnaire addressed: personal experience in providing care for mitochondrial disorders; diagnostic and treatment practices; challenges in accessing tests or treatments; and views regarding research priorities.Results:We received 58 survey responses (52% response rate). Most respondents (83%) reported spending 20% or less of their clinical practice time caring for patients with mitochondrial disorders. We identified important variation in diagnostic care, although assessments frequently reported as diagnostically helpful (e.g., brain magnetic resonance imaging, MRI/MR spectroscopy) were also recommended in published guidelines. Approximately half (49%) of participants would recommend “mitochondrial cocktails” for all or most patients, but we identified variation in responses regarding specific vitamins and cofactors. A majority of physicians recommended studies on the development of effective therapies as the top research priority.Conclusions:While Canadian physicians’ views about diagnostic care and disease management are aligned with published recommendations, important variations in care reflect persistent areas of uncertainty and a need for empirical evidence to support and update standard protocols.

scholarly journals Doctors’ perception of support and the processes involved in complaints investigations and how these relate to welfare and defensive practice: a cross-sectional survey of the UK physicians

BMJ Open ◽  
2017 ◽  
Vol 7 (11) ◽  
pp. e017856 ◽  
Author(s):  
Tom Bourne ◽  
Bavo De Cock ◽  
Laure Wynants ◽  
Mike Peters ◽  
Chantal Van Audenhove ◽  
...  
Keyword(s):  
Online Survey ◽  
Well Being ◽  
Adverse Outcomes ◽  
Perceived Support ◽  
Survey Study ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Final Sample ◽  
Perception Of Support ◽  
The Uk

ObjectiveHow adverse outcomes and complaints are managed may significantly impact on physician well-being and practice. We aimed to investigate how depression, anxiety and defensive medical practice are associated with doctors actual and perceived support, behaviour of colleagues and process issues regarding how complaints investigations are carried out.DesignA survey study. Respondents were classified into three groups: no complaint, recent/current complaint (within 6 months) or past complaint. Each group completed specific surveys.SettingBritish Medical Association (BMA) members were invited to complete an online survey.Participants95 636 members of the BMA were asked to participate. 7926 (8.3%) completed the survey, of whom 1780 (22.5%) had no complaint, 3889 (49.1%) had a past complaint and 2257 (28.5%) had a recent/current complaint. We excluded those with no complaints leaving 6144 in the final sample.Primary outcomes measuresWe measured anxiety and depression using the Generalised Anxiety Disorder Scale 7 and Physical Health Questionnaire 9. Defensive practice was assessed using a new measure for avoidance and hedging.ResultsMost felt supported by colleagues (61%), only 31% felt supported by management. Not following process (56%), protracted timescales (78%), vexatious complaints (49%), feeling bullied (39%) or victimised for whistleblowing (20%), and using complaints to undermine (31%) were reported. Perceived support by management (relative risk (RR) depression: 0.77, 95% CI 0.71 to 0.83; RR anxiety: 0.80, 95% CI 0.74 to 0.87), speaking to colleagues (RR depression: 0.64, 95% CI 0.48 to 0.84 and RR anxiety: 0.69, 95% CI 0.51 to 0.94, respectively), fair/accurate documentation (RR depression: 0.80, 95% CI 0.75 to 0.86; RR anxiety: 0.81, 95% CI 0.75 to 0.87), and being informed about rights (RR depression 0.96 (0.89 to 1.03) and anxiety 0.94 (0.87 to 1.02), correlated positively with well-being and reduced defensive practice. Doctors worried most about professional humiliation following a complaint investigation (80%).ConclusionPoor process, prolonged timescales and vexatious use of complaints systems are associated with decreased psychological welfare and increased defensive practice. In contrast, perceived support from colleagues and management is associated with a reduction in these effects.

scholarly journals IMPACT AND SATISFACTION WITH E-CONSULTATION: A PERCEPTION OF ALLIED HEALTH PROFESSIONALS

2021 ◽  
Vol 10 (2) ◽  
pp. 19-24
Author(s):  
Mubashir Siddiqui
Keyword(s):  
Health Professionals ◽  
Allied Health ◽  
Healthcare Delivery ◽  
Healthcare Providers ◽  
Cross Sectional Survey ◽  
Allied Health Professionals ◽  
Cross Sectional ◽  
Google Docs ◽  
Consultation Services ◽  
Good Substitute

BACKGROUND AND AIMS The havoc caused by COVID-19 leads to have an adverse impact on medical priorities for consultation however e-consultation has been used widely by practitioners to aid the patient and healthcare providers. METHODOLOGY A cross-sectional survey was conducted on allied health professionals, considering physical and occupational therapists. A self-administered questionnaire regarding impact assessment and level of attained satisfaction was distributed to participants in Google Docs via email or Whatsapp groups. RESULTS A total number of 109 responses obtained from the participants showed (34.9%) were agreed to understand the completed condition of the patient, (38.5%) but (41.3%) disagreed to treat the patient same as physical appointment and (35.58%) disagreed to work more productively. Only (32.1%) were agreed to be satisfied during their consultation, (49.5%) agreed that e-consultation can never be adopted as a good substitute of physical appointments. CONCLUSION It was concluded that limited number of therapists were satisfied with their e-consultation services while majority were agreed that the service cannot be a good substitute for a physical appointment. Therefore, further trials needs to be conducted to evaluate the factors causing hindrance in healthcare delivery.

scholarly journals Determinants of COVID-19 Vaccine Acceptance in Ghana

2022 ◽  
Vol 12 (1) ◽  
pp. 175-187
Author(s):  
Sumani Abdul-Manan ◽  
Alhassan Iddrisu Abdullai ◽  
Buhari Gunu Yussif
Keyword(s):  
Rural Areas ◽  
Sampling Technique ◽  
P Value ◽  
Snowball Sampling ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Vaccine Acceptance ◽  
Vaccine Preventable Diseases ◽  
Negative Effect ◽  
Social Media Platforms

Background: A proven strategy for saving lives from vaccine-preventable diseases is the timely vaccination of the people. In Ghana, there is considerable hesitation about the Covid-19 vaccines due to anxieties and uncertainties about their safety. With varying perceptions and believes being developed about Covid-19 vaccines, there is a likely negative effect on vaccine acceptance or otherwise. This study aims to ascertain the levels of acceptance of potential Covid-19 vaccine among Ghanaian adults, to identify predictors of vaccine acceptance or hesitance. Methodology: A web based cross-sectional survey conducted among Ghanaians above 18 years, conducted between the month of February and March, 2021. Data were collected by administering online google forms (Questionnaire). The questionnaire was shared through social media platforms. A snowball sampling technique was used where researchers shared google forms to close friends and family. Analyses were conducted at p-value <0.05 using descriptive statistics, cross-tabula­tions and logistic regression. Results: A total of 350 responses were achieved by end of data collection. Out of these, only 348 were considered for analysis based on the inclusion and exclusion criteria. Majority of the respondents (65.2%) were male, a third (30%) of them live in rural areas and about 57.5% were married. Factors such as age, educational level, prior vaccine acceptance history, personal vulnerability and self-feeling of health were significantly associated with covid-19 vaccine acceptance. Conclusion: The results depict low acceptance rate for potential covid-19 vaccine among Ghanaians. Government and MoH should engage the media on its role in combating misinformation with regards the Covid-19 vaccine. Key words: coronavirus disease 2019 (Covid-19), vaccine, hesitance, acceptance.

Youth Empowerment as a Pathway towards Attaining the Demographic Dividend in Sub-Saharan Africa: Evidence from Ghana

2021 ◽  
Vol 18 (1) ◽  
Author(s):  
Claudious Chikozho ◽  
Emmanuel Sekyere ◽  
Akanganngang Joseph Asitik
Keyword(s):  
Quantitative Research ◽  
Sub Saharan Africa ◽  
Full Potential ◽  
Youth Empowerment ◽  
Demographic Dividend ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Quantitative Research Methods ◽  
Targeted Interventions ◽  
Sub Saharan

While empowerment of the youth in Ghana could enable them to make a more meaningful contribution to the economy, a myriad of challenges faces the youth during their transition from school into the employment sector and limits the realisation of their full potential. As a result, the recent and significant increase in the size of the youth population in Ghana cannot justifiably be romanticised as an obvious stepping stone towards the realisation of a demographic dividend. In this study, qualitative and quantitative research methods were deployed to carry out a cross-sectional survey that enabled a detailed exploration of the main challenges and opportunities facing the youth in Ghana. Some of the options for enabling greater youth empowerment in the country were also identified. The study established that unemployment, skills limitations, lack of access to finance, and poorly coordinated institutional structures for implementing youth empowerment policies and programmes are major barriers to youth empowerment in Ghana. We conclude that there is a need for more targeted interventions that address these challenges and leverage any evident opportunities available for increased youth empowerment before Ghana can confidently expect to reap a demographic dividend.

scholarly journals Irish occupational therapists use of evidenced-based falls prevention programmes

2019 ◽  
Vol 48 (1) ◽  
pp. 17-30 ◽  
Author(s):  
Kim Lombard ◽  
Laura Desmond ◽  
Ciara Phelan ◽  
Joan Brangan
Keyword(s):  
Older Adults ◽  
Occupational Therapists ◽  
Exercise Programme ◽  
Falls Prevention ◽  
Evidence Based ◽  
Snowball Sampling ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Content Type ◽  
Prevention Programmes

Purpose As one ages, the risk of experiencing a fall increases and poses a number of serious consequences; 30 per cent of individuals over 65 years of age fall each year. Evidence-based falls prevention programmes demonstrate efficacy in reducing the rate and risk of falls among older adults, but their use in Irish occupational therapy practice is unknown. This study aims to investigate the implementation of falls prevention programmes by occupational therapists working with older adults in Ireland. Design/methodology/approach A cross-sectional survey was used to gather data on the use of falls prevention programmes among occupational therapists working with older adults in any clinical setting across Ireland. Purposeful, convenience and snowball sampling methods were used. The Association of Occupational Therapists of Ireland acted as a gatekeeper. Descriptive statistics and summative content analysis were used to analyse quantitative and qualitative data, respectively. Findings In all, 85 survey responses were analysed. Over 85 per cent of respondents reported “Never” using any of the evidence-based falls prevention programmes. The “OTAGO” Exercise Programme was the most “Frequently” used programme (9.5 per cent, n = 7); 29 respondents reported using “in-department” developed falls prevention programmes and 14 provided additional comments regarding current falls prevention practices in Ireland. Originality/value In the absence of Irish data on the subject, this study provides a benchmark to describe the use of evidence-based falls programmes by Irish occupational therapists with older adults.

scholarly journals Encouraging Subspecialty Practice by Constructively Influencing Trainees Early in their Careers Will Improve Advocacy for Neuro-Ophthalmology among Nigerian Ophthalmologists

2016 ◽  
Vol 3 ◽  
pp. JMECD.S40794 ◽  
Author(s):  
Olufunmilola A. Ogun
Keyword(s):  
Medical Training ◽  
Current Knowledge ◽  
Subspecialty Training ◽  
Contributing Factors ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Public Health Institutions ◽  
Health Institutions ◽  
Training Opportunities ◽  
Self Administered Questionnaire

This study was conducted to assess the current knowledge, attitude, and perception of Nigerian ophthalmologists toward neuro-ophthalmology; identify barriers to the uptake of neuro-ophthalmology as a desired subspecialty; and make recommendations to improve interest in neuro-ophthalmology training. This was a cross-sectional survey of ophthalmology consultants and trainees from the six geopolitical zones of Nigeria, who were attending a national ophthalmology conference. All consenting respondents voluntarily completed a validated self-administered questionnaire. There were 107 respondents comprising 56 males and 51 females. Majority (54.2%) of respondents were aged 40 years and younger. Almost half (47.8%) worked at tertiary level, public health institutions. Only 10.3% worked in private practice. Neuro-ophthalmology exposure was short and occurred mainly during residency (65.7%), while 15% had no exposure at all. Most (80.4%) indicated only nominal interest in neuro-ophthalmology, while only 4.6% indicated a desire to specialize in the field. Financial constraint was the main obstacle to the pursuit of subspecialty training. A total of 86% of respondents admitted that full (34%) or partial (52%) Funding would motivate them to pursue the training. Among respondents desiring part sponsorship, more than half were willing to augment such sponsorship with personal funds. In conclusion, career interest in neuro-ophthalmology is very low among Nigerian ophthalmologists. Late and limited exposure to neuro-ophthalmology during medical training may be contributing factors. Early exposure to neuro-ophthalmology during medical school rotations, coupled with the provision of sponsored subspecialty training opportunities, will serve to increase enrollment in the field.

scholarly journals Impact of Increased Screen Time on Physical and Psychological Health of Indian Students During COVID-19

2021 ◽  
Vol 14 (4) ◽  
pp. 1493-1500
Author(s):  
Shailly Gupta
Keyword(s):  
Psychological Health ◽  
Screen Time ◽  
Snowball Sampling ◽  
Indian Government ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Significant Difference ◽  
Physical And Psychological Health ◽  
The Impact ◽  
Indian Students

Now in the 21st century, both physical and psychological health are associated with technology. By the late March 2020, the Indian government announced multiple lockdowns to fight with COVID-19 pandemic which included the shutdown of all educational institutes due to which all schools, college, and universities had shifted all their classes online by using video conferencing apps which also accounted for a large proportion of tasks that resulted in increased screen time after lockdown compared to pre-lockdown during COVID-19. So, the present study was conducted to determine the impact of increased usage of the screen on Psychological and physical health during the COVID-19 among Indian Students. A cross sectional survey was conducted on Indian students by using self- made Questionnaire with snowball sampling method. A total of 210 responses were received online from various schools and colleges students between 15th August to 30th August 2020. The results showed a statistically significant difference between the screen time spent before and during COVID (t= 19.96; p<0.01). Similarly, a statistically significant positive correlation at 0.01 level was found between screen usage time during COVID-19 pandemic with backache (0.62), neck pain (0.71), headache (0.50), and weight gain (0.52) and with mental health (0.40). Hence the study concluded positive association between screen time with physical and psychological health during COVID-19 among Indian students. It further implies that adequate preventive health measures need to be incorporated among students. There is a scope of further study to identify the impact of over usage of screen on health of individuals of specific population i.e., either adolescents or adults’ group and also on the larger sample size to get more reliable and accurate results.

scholarly journals An assessment of risk factors for contracting rabies among dog bite cases recorded in Ward 30, Murewa district, Zimbabwe

2021 ◽  
Vol 15 (3) ◽  
pp. e0009305
Author(s):  
Enica Chikanya ◽  
Margaret Macherera ◽  
Auther Maviza
Keyword(s):  
Risk Factors ◽  
Low Cost ◽  
High Density ◽  
Snowball Sampling ◽  
Dog Bite ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Dog Ownership ◽  
Cluster Area ◽  
Dog Owners

Background Zoonoses are a major threat to human health. Worldwide, rabies is responsible for approximately 59 000 deaths annually. In Zimbabwe, rabies is one of the top 5 priority diseases and it is notifiable. It is estimated that rabies causes 410 human deaths per year in the country. Murewa district recorded 938 dog bite cases and 4suspected rabies deaths between January 2017 and July 2018, overshooting the threshold of zero rabies cases. Of the 938dog bite cases reported in the district, 263 were reported in Ward 30 and these included all the 4suspected rabies deaths reported in the district. This necessitated a study to assess risk factors for contracting rabies in Ward 30, Murewa. Methodology/ Principal findings A descriptive cross sectional survey was used for a retrospective analysis of a group of dog bite cases reported at Murewa Hospital, in Ward 30. Purposive sampling was used to select dog bite cases and snowball sampling was used to locate unvaccinated dogs and areas with jackal presence. The dog bite cases and relatives of rabies cases were interviewed using a piloted interviewer-administered questionnaire. Geographical Positioning System (GPS) coordinates of dog bite cases, vaccinated and unvaccinated dogs and jackal presence were collected using handheld GPS device. QGIS software was used to spatially analyse and map them. Dog owners were 10 times more likely to contract rabies compared to non-dog owners (RR = 10, 95% CI 1.06–93.7). Owners of unvaccinated dogs were 5 times more likely to contract rabies compared to owners of vaccinated dogs (RR = 5.01, 95% CI 0.53–47.31). Residents of the high density cluster (area with low cost houses and stand size of 300 square meters and below) were 64 times more likely to contract rabies compared to non-high density cluster residents (RR = 64.87, 95% CI 3.6039–1167.82). Participants who were not knowledgeable were 0.07 times more likely to contract rabies, compared to those who had knowledge about rabies. (RR = 0.07, 95% CI 0.004–1.25). Our study shows that the risk factors for contacting rabies included; low knowledge levels regarding rabies, dog ownership residing in the high density cluster, owning unvaccinated dogs and spatial overlap of jackal presence with unvaccinated dogs.

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