scholarly journals Physical therapists’ knowledge and implementation of best practices in the outpatient physiotherapy department during the COVID-19 pandemic: A cross-sectional study

Work ◽  
2021 ◽  
pp. 1-11
Author(s):  
Muhammad Kashif ◽  
Akasha Ahmad ◽  
Ayesha Ashraf ◽  
Zara Imtiaz ◽  
Abdulaziz Albalwi ◽  
...  
Keyword(s):  
Best Practices ◽  
Physical Therapists ◽  
Well Being ◽  
Cross Sectional Study ◽  
The State ◽  
Online Questionnaire ◽  
Cross Sectional ◽  
Survey Tool ◽  
Recommended Practices

BACKGROUND: Physiotherapists (PTs) play an important role in the well-being and physical rehabilitation of patients with long term health problems. It is important that PTs follow recommended practices that minimize the transmission of SARS-CoV-2 infection in providing Outpatient Physiotherapy services. OBJECTIVE: The aim of this study was to assess the knowledge of COVID-19 among the PTs and evaluate the state of implementation of best practices in Outpatient Physiotherapy to prevent SARS-CoV-2 infections during the ongoing pandemic. METHODS: A self-administered online questionnaire consisting of three sections, including section one on demographic information, section two on evaluating knowledge about SARS-CoV-2 and section three on implementing best practices as a survey tool for collecting data from physiotherapist working in Lahore and Faisalabad in Punjab, Pakistan. RESULTS: A total of 216 completed surveys were received. Correct responses to different questions devised to test the participants’ knowledge of SARS-CoV-2 varied from 58.3% to 99% . The implementation of best practices to prevent the infection transmission in the Outpatient Physiotherapy ranged from 22.7% to 92.1% for different domains. The age of the PTs and OPD setting were associated significantly with the PTs’ knowledge of COVID-19 and also with the state of implementation of recommended practices to prevent SARS-CoV-2 infections in the Outpatient Physiotherapy (p <  .05). CONCLUSION: The majority of the PTs, particularly those working in the clinic setting, possessed a good knowledge of COVID-19 and implemented best practices in their Outpatient Physiotherapy at a good level. However, efforts should be directed towards further improving the knowledge of PTs and ensuring implementation of best practices in Outpatient Physiotherapy, particularly in government and private hospitals.

scholarly journals Intimacy for older adults in long-term care: a need, a right, a privilege—or a kind of care?

2021 ◽  
pp. medethics-2020-107171
Author(s):  
Vanessa Schouten ◽  
Mark Henrickson ◽  
Catherine M Cook ◽  
Sandra McDonald ◽  
Nilo Atefi
Keyword(s):  
Older Adults ◽  
Long Term Care ◽  
Family Members ◽  
Well Being ◽  
Cross Sectional Study ◽  
Cross Sectional ◽  
Term Care ◽  
Survey Tool ◽  
Whole Person

BackgroundTo investigate attitudes of staff, residents and family members in long-term care towards sex and intimacy among older adults, specifically the extent to which they conceptualise sex and intimacy as a need, a right, a privilege or as a component of overall well-being.MethodsThe present study was a part of a two-arm mixed-methods cross-sectional study using a concurrent triangulation design. A validated survey tool was developed; 433 staff surveys were collected from 35 facilities across the country. Interviews were conducted with 75 staff, residents and family members.ResultsIt was common for staff, residents and family members to talk about intimacy and sexuality in terms of rights and needs. As well as using the language of needs and rights, it was common for participants to use terms related to well-being, such as fun, happiness or being miserable. One participant in particular (a staff member) described receiving intimate touch as a ‘kind of care’—a particularly useful way of framing the conversation.ConclusionWhile staff, residents and family frequently used the familiar language of needs and rights to discuss access to intimate touch, they also used the language of well-being and care. Reframing the conversation in this way serves a useful purpose: it shifts the focus from simply meeting minimum obligations to a salutogenic approach—one that focuses on caring for the whole person in order to improve overall well-being and quality of life.

scholarly journals Long term complications of hypospadias repair: A ten-year experience from Northern Zone of Tanzania.

2020 ◽  
Author(s):  
mbarouk said mohd ◽  
Frank bright Bright ◽  
Alfred kien Mteta ◽  
Jasper said Mbwambo ◽  
Bartholomew nicolaus Ngowi ◽  
...  
Keyword(s):  
Surgical Technique ◽  
Structural Data ◽  
Well Being ◽  
Cross Sectional Study ◽  
Hypospadias Repair ◽  
Cross Sectional ◽  
Surgeon Experience ◽  
Huge Impact ◽  
Associated Risk Factors

Abstract Background Hypospadias is one of the commonest congenital penile abnormalities in new born males. The external urethral opening can be located anywhere from the glans penis along the ventral aspect of the shaft of the penis up to the scrotum or the perineum in extreme cases. The condition has a huge impact on the patient’s psychological, emotional and sexual well-being. Aim To determine the proportion of patient who develop long term complications after hypospadias repair and its associated risk factors. Materials and Methods This was a hospital based analytical cross-sectional study, conducted at KCMC Urology Institute from January 2009 to December 2018.The structural data sheet was used to collect information from patient file. Study parameters include age, location of hypospadias, surgical technique, surgeon experience, chordee, suture size, materials to assess the association with long-term complications. Results: A total of 254 patients were included in the study, majority were aged more than two years (71.83%) with mean age at operation (SD) of 4.74 ± 2.99 years) . Distal types were the most common type of hypospadias 125(50%), where by 51(20%) of patients had severe chordee. TIP repair was most common technique in 130(51.59%). The proportion of long-term complications among patients who underwent hypospadias repair was 156(61.60%) and UCF accounted for 40.5%, the surgeon experience, location of hypospadias, surgical technique and associate chordee were significant predictors of long-term complications of hypospadias repair. Conclusion TIP urethroplasty is a safe and reliable method of hypospadias repair. Proximal hypospadias with severe chordee still remain a challenge.

scholarly journals Quality of Life, Needs and Fears of Mothers of Children with Disabilities in Saudi Arabia during the COVID-19 Lockdown

2021 ◽  
Vol 18 (21) ◽  
pp. 11442
Author(s):  
Nisreen Al Awaji ◽  
Monira Aldhahi ◽  
Shahnaz Akil ◽  
Salwa Awad ◽  
Eman Mortada
Keyword(s):  
Quality Of Life ◽  
Saudi Arabia ◽  
Children With Disabilities ◽  
Well Being ◽  
Cross Sectional Study ◽  
Online Questionnaire ◽  
Cross Sectional ◽  
Raising Children ◽  
The Social

Substantial changes in life dynamics resulting from the outbreak of the coronavirus disease 2019 (COVID-19) could have an impact on the quality of life (QoL) of mothers of children with and without disabilities. This study compared the quality of life (QoL) of mothers of children with disabilities (MCD) to the QoL of mothers of children without disabilities (CON) in Saudi Arabia during COVID-19 lockdown. It explored mothers’ concerns and the type of support they need during the quarantine. A comparative cross-sectional study was conducted during the lockdown. An online questionnaire was distributed to mothers raising children with and without disabilities in Saudi Arabia. A total of 340 mothers participated in the study by completing the survey: 93 MCD and 247 CON. The QoL of MCD and CON was assessed using the WHOQOL-BREF questionnaire. Furthermore, detailed information was provided by the mothers regarding their needs and concerns during the lockdown. The results of the study revealed that the overall QoL was significantly higher in the CON group, compared to the MCD group, during the COVID-19 lockdown. The social well-being and environmental well-being reported by MCD were significantly lower on the total scale of the WHOQOL-BREF than those reported by the CON group. The comparison between the two groups revealed significant differences in the support required by mothers during the COVID-19 pandemic: a higher percentage of MCD needed emotional and psychological support, especially from family members. The major concerns reported by MCD were the deterioration of their children’s medical conditions and the lack of medical supplies during the lockdown.

scholarly journals Evaluating burnout among health workers routinely screened for SARS-CoV-2.

2020 ◽  
Author(s):  
Silvia Figueiredo Costa ◽  
Igor Carmo Borges ◽  
Pedro Giavina-Bianchi ◽  
Lewis Buss ◽  
Carlos Henrique Mesquita Peres ◽  
...  
Keyword(s):  
Health Workers ◽  
Demographic Data ◽  
Antibody Test ◽  
Maslach Burnout Inventory ◽  
Well Being ◽  
Cross Sectional Study ◽  
Emotional Reactions ◽  
Negative Feeling ◽  
Online Questionnaire ◽  
Cross Sectional

Abstract Background: Healthcare workers (HW) are a vulnerable group to develop burnout during the COVID-19 pandemic. The aims of this study were to evaluate the perception of HW about the antibody test, and, secondarily, the prevalence of burnout and factors associated with burnout among HW who took the test.Methods: In this cross-sectional study, we evaluated burnout among HW in a 600-bed building entirely dedicated to COVID-19 inpatients care at Hospital das Clinicas (HC), located in São Paulo, Brazil. The HW answered an online questionnaire that included questions on burnout, a single-item scale based on the Maslach Burnout Inventory; demographic data, professional category, type of Protective Personal Equipment (PPE) used, distancing from social support; and emotional reactions to their serology result. Bivariate and multivariate analyses were done to evaluate the risk of burnout.Outcomes: Among 4,417 HW tested, 528 (12.0%) were positive for SARS-CoV-2 and 1,945 answered the questionnaire. Burnout was reported by 308 (15.8%); anxiety, tenseness, and depression associated with COVID-19 were reported by 344 (17.7%); 292 (15.1%); and 181(9.3%) of the participants, respectively. The risk factors for burnout were: being a physician [adjOR:1.604;(95%CI 1.604-1.080;p=0.019)]; a physiotherapist [adjOR:2.047;(95%CI:1.285–3.261;p=0.003)]; perceiving a decrease in public safety[adjOR:1.983;(95%CI:1.229–3.199;p=0.005)]; anxiety [adjOR:2.721;(95%CI:1.812–4.085;p=<0.001)], and depression associated with COVID-19[adjOR:2.071;(95%CI:1.308–3.279;p=0.002)]; and having negative feeling towards had a previously negative SARS-CoV-2 serology[adjOR:1,989;(95%CI:1.484-2.664; p<0.001)].Interpretation: Routine serological testing was one of the strategies used in our hospital to promote the well-being of HW. We observed that those who had negative feeling regarding testing negative to COVID-19 in previous serologies were at higher risk of burnout, suggesting that the risk of contracting the disease is a major stressor for HW.

scholarly journals Teachers' well-being in times of Covid-19 pandemic: factors that explain professional well-being

2020 ◽  
pp. 203-217 ◽  
Author(s):  
Regina Alves ◽  
Teresa Lopes ◽  
José Precioso
Keyword(s):  
Education System ◽  
Well Being ◽  
Cross Sectional Study ◽  
Future Perspectives ◽  
Online Questionnaire ◽  
Length Of Service ◽  
Cross Sectional ◽  
Predicting Factors ◽  
The Face ◽  
Probabilistic Sample

This cross-sectional study was aimed to describe and analyse factors related to the professional well-being of Portuguese teachers during the COVID-19 pandemic. A previously validated, anonymous and online questionnaire was applied to a non-probabilistic sample of Portuguese teachers. In addition to the socio-demographic and professional variables, the questionnaire measured subjective and professional well-being, satisfaction with the education system and future perspectives regarding the professional circumstances. The psychometric characteristics of the questionnaire were analysed, the t-test and ANOVA were used to analyse the differences between the main variables and the socio-demographic and professional characteristics, along with the generalized linear model in order to more precisely determine the predicting factors of teachers' professional well-being. The results showed that the majority of respondents have a moderately positive perception of well-being. Teachers were satisfied with the education system before the pandemic. The pandemic has reduced the perception of well-being in the face of the profession, creating some concern among teachers about their professional future. Sex, length of service, well-being, perceptions of teaching difficulties and future perspectives proved to be predictors of professional well-being in times of pandemic. This study provided scientific bases for the development of interventions that improve the professional well-being of teachers, which focus on emotional management and the development of digital skills in teachers with long careers. This piece of research concluded with thorough evidence that there is a need for further and stronger investment in public policies for the reform and, consequently, for the renewal of the teaching class.

scholarly journals Impact on Mental Health Due to COVID-19 Pandemic: Cross-Sectional Study in Portugal and Brazil

2020 ◽  
Vol 17 (18) ◽  
pp. 6794 ◽  
Author(s):  
Lígia Passos ◽  
Filipe Prazeres ◽  
Andreia Teixeira ◽  
Carlos Martins
Keyword(s):  
Mental Health ◽  
Satisfaction With Life ◽  
Demographic Data ◽  
Adult Population ◽  
Well Being ◽  
Cross Sectional Study ◽  
Poor Mental Health ◽  
Satisfaction With Life Scale ◽  
Online Questionnaire ◽  
Cross Sectional

Mental health effects secondary to the COVID-19 pandemic were till recently considered less important or were neglected. Portugal and Brazil are facing the pandemic in quite different ways. This study aimed to describe the mental health status of the general adult population in Portugal and Brazil during the COVID-19 pandemic and analyze the differences between the two countries. A cross-sectional quantitative study was based on an online questionnaire. Socio-demographic data were collected in addition to four validated scales: CAGE (acronym cut-annoyed-guilty-eye) Questionnaire, Satisfaction with Life Scale, Generalized Anxiety Disorder-7 and Patient Health Questionnaire-2. For each outcome, a multiple linear regression was performed. Five hundred and fifty people answered the questionnaire (435 women). The median age was 38 (Q1, Q3: 30, 47) years, 52.5% resided in Brazil and 47.5% in Portugal. The prevalence of anxiety was 71.3% (mild anxiety was present in 43.1%), the prevalence of depression was 24.7% and 23.8% of the sample had both depression and anxiety. Isolation was a significant factor for depression but not for anxiety. Well-being was below average. Mental illness was considerably higher than pre-COVID-19 levels. Portugal and Brazil will have to be prepared for future consequences of poor mental health and contribute immediate psychological support to their adult populations.

scholarly journals Large diversity in Danish health literacy profiles: perspectives for care of long-term illness and multimorbidity

2019 ◽  
Author(s):  
Anna Aaby ◽  
Alison Beauchamp ◽  
Jonathan O’Hara ◽  
Helle T Maindal
Keyword(s):  
Cluster Analysis ◽  
Health Status ◽  
Health Literacy ◽  
Hierarchical Cluster ◽  
Well Being ◽  
Cross Sectional Study ◽  
Social Determinant ◽  
Cross Sectional ◽  
Starting Point

Abstract Background Health literacy is an important, modifiable, social determinant of health. This study aims to explore health literacy challenges of people with long-term illness or multimorbidity and provide detailed profiles revealing health literacy strengths and weaknesses within a Danish population. Methods In this cross-sectional study among Danish individuals (n = 490), health literacy was assessed using the nine-scale Health Literacy Questionnaire (HLQ). Using multiple logistic regression and hierarchical cluster analysis, we estimated the association between HLQ scale scores and the likelihood of long-term illness and multimorbidity, and identified socio-demographic and health characteristics related to profiles of health literacy strengths and weaknesses. Results An increase in ‘actively managing my health’ and ‘social support for health’ decreased the odds of having a long-term illness [odds ratio, OR 0.53 (0.31–0.9); OR 0.43 (0.24–0.74)] and multimorbidity [OR 0.51 (0.26–0.98); OR 0.33 (0.17–0.62)], respectively. Conversely, an increase in ‘healthcare provider support’ increased the odds of having long-term illness [OR 2.97 (1.78–5.08)] and multimorbidity [OR 2.94 (1.53–5.87)], respectively. Five profiles were identified based on the cluster analysis. Each cluster was characterized by specific health characteristics, e.g. Cluster A by better health status (χ2 = 39.976 (4), P < 0.001) and well-being (χ2 = 28.832 (4), P < 0.001) and Cluster D by poor health status (χ2 = 39.976 (4), P < 0.001) and increased likelihood of long-term illness (χ2 = 18.641 (4), P < 0.001). Conclusions The association of health literacy with long-term illness and multimorbidity in combination with the health literacy profiling based on cluster analysis provides a comprehensive needs assessment and a promising starting point for the development of health literacy responsive interventions.

scholarly journals Compress the curve: a cross-sectional study of variations in COVID-19 infections across California nursing homes

BMJ Open ◽  
2021 ◽  
Vol 11 (1) ◽  
pp. e042804
Author(s):  
Ram Gopal ◽  
Xu Han ◽  
Niam Yaraghi
Keyword(s):  
Nursing Homes ◽  
Cross Sectional Study ◽  
The State ◽  
Cross Sectional ◽  
Term Care ◽  
Policy Makers ◽  
Non Profit ◽  
For Profit ◽  
The Us

ObjectiveNursing homes’ residents and staff constitute the largest proportion of the fatalities associated with COVID-19 epidemic. Although there is a significant variation in COVID-19 outbreaks among the US nursing homes, we still do not know why such outbreaks are larger and more likely in some nursing homes than others. This research aims to understand why some nursing homes are more susceptible to larger COVID-19 outbreaks.DesignObservational study of all nursing homes in the state of California until 1 May 2020.SettingThe state of California.Participants713 long-term care facilities in the state of California that participate in public reporting of COVID-19 infections as of 1 May 2020 and their infections data could be matched with data on ratings and governance features of nursing homes provided by Centers for Medicare & Medicaid Services (CMS).Main outcome measureThe number of reported COVID-19 infections among staff and residents.ResultsStudy sample included 713 nursing homes. The size of outbreaks among residents in for-profit nursing homes is 12.7 times larger than their non-profit counterparts (log count=2.54; 95% CI, 1.97 to 3.11; p<0.001). Higher ratings in CMS-reported health inspections are associated with lower number of infections among both staff (log count=−0.19; 95% CI, −0.37 to −0.01; p=0.05) and residents (log count=−0.20; 95% CI, −0.27 to −0.14; p<0.001). Nursing homes with higher discrepancy between their CMS-reported and self-reported ratings have higher number of infections among their staff (log count=0.41; 95% CI, 0.31 to 0.51; p<0.001) and residents (log count=0.13; 95% CI, 0.08 to 0.18; p<0.001).ConclusionsThe size of COVID-19 outbreaks in nursing homes is associated with their ratings and governance features. To prepare for the possible next waves of COVID-19 epidemic, policy makers should use these insights to identify the nursing homes who are more likely to experience large outbreaks.

scholarly journals Knowledge, Attitude, and Practices Associated With COVID-19 Among Healthcare Workers in Hospitals: A Cross-Sectional Study in Saudi Arabia

2021 ◽  
Vol 9 ◽  
Author(s):  
Omar A. Almohammed ◽  
Leen A. Aldwihi ◽  
Adel M. Alragas ◽  
Ali I. Almoteer ◽  
Shivkumar Gopalakrishnan ◽  
...  
Keyword(s):  
Saudi Arabia ◽  
Infection Control ◽  
Healthcare Workers ◽  
Delayed Diagnosis ◽  
Well Being ◽  
Cross Sectional Study ◽  
Education Level ◽  
Online Questionnaire ◽  
Cross Sectional ◽  
Low Education

Lack of knowledge among healthcare workers (HCWs) about infectious diseases leads to delayed diagnosis of new cases, spread of infection, and poor infection control practices. Therefore, HCWs based in hospitals must be equipped with good knowledge about the pathogen and disease to put up a robust fight against the virus. The aim of this study was to assess knowledge, attitude, and practices (KAP) of HCWs about coronavirus disease 2019 (COVID-19) at multiple public and private hospitals in Riyadh, Saudi Arabia. A cross-sectional, online questionnaire-based study was conducted between July and August of 2020. Logistic regression was used to investigate differences in the level of KAP among different participants. A total of 510 HCWs in hospitals completed the questionnaire. Only two-thirds of the participants (67.8%) had adequate knowledge about COVID-19, 72.2% of the participants had a positive attitude toward COVID-19, and 80.2% of the participants were practicing appropriately most of the time. Poor KAP was associated with a low education level. The females had better knowledge and attitude, whereas the males were more likely to practice appropriately most of the time. Notably, the participants from the nursing profession demonstrated a less favorable attitude compared with medical staff from other professions, but that did not prevent them from being the best when it comes to applying appropriate practices. The inadequate level of KAP among HCWs with the continuation of the pandemic and the possibility of a second wave demonstrates the need for continuous COVID-19-specific infection control training and emotional well-being supporting programs, especially for HCWs with a low education level.

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