scholarly journals Vaccination Rates and Adherence to Guidelines in Splenectomy Patients: An Observational Cross-sectional Study

2020 ◽  
Vol 25 (4) ◽  
pp. 589-594
Author(s):  
Nursel Çalık Başaran ◽  
Lale Özışık ◽  
Oğuz Abdullah Uyaroğlu ◽  
Mine Durusu Tanrıöver ◽  
Derya Karakoç ◽  
...  

Introduction: Splenectomy, whatever the reason, is an absolute indication for vaccination against encapsulated bacteria in order to prevent overwhelming post-splenectomy infections. This study aimed to determine compliance to immunization guidelines for splenectomy in General Surgery Clinics. Materials and Methods: In this observational cross-sectional study, we included patients who underwent splenectomy between April 2016 and April 2018, and recorded the patient data and vaccination status. Results: Splenectomy was performed in 65 patients, 40 (61.5%) were male and median age was 56 (19-90) years. Six of the operations were emergent, 21 were planned and 38 were urgent mostly due to solid organ malignancy. Only 14 (21.5%) patients were vaccinated with Haemophilus influenzae, meningococcal and pneumococcal vaccines according to the guidelines (≥2 weeks before the operation). 14 of the 21 patients (66.6%) who underwent planned splenectomy were vaccinated appropriately. Conclusion: Compliance with vaccination guidelines was low before splenectomy operations. There is a room for improvement particularly for patients undergoing elective splenectomy. A patient-centered team strategy is required to vaccinate patients at the stage of splenectomy planning.

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Rana Abu Farha ◽  
Eman Elayeh ◽  
Needa Zalloum ◽  
Tareq Mukattash ◽  
Eman Alefishat ◽  
...  

Abstract Background The fact that pharmacists are in the front line of patients’ care gives a great responsibility to focus on education and training of pharmacy students to build a ‘patient-centered’ clinicians. Unfortunately, pharmacy education in the developing countries, have been lagging behind actual practice delivered by pharmacists. This highlighted the need to evaluate the perceptions of undergraduate pharmacy students regarding their current pharmacy training practices and experiences. Methods This is a cross-sectional study that was conducted in Jordan during the period from August 2018 to October 2018. During the study period, a questionnaire was distributed to pharmacy students to collect information regarding 1) pharmaceutical care services provided by them during their experiential training, 2) their perceptions towards training sites, 3) their perceptions of the outcomes of their training experience, 4) information about their training site and 5) their demographics characteristics. Results A total of 202 pharmacy students responded to the questionnaire. The majority of them reported having the opportunity to dispense refill or new prescriptions (73.8%, n = 149), and conduct patient interviews (69.8%, n = 141, but they were not provided good opportunities to create electronic patient profiles using the information obtained (53.0%, n = 107), perform required dose calculations based on patient information (37.6%, n = 76), and interact with other healthcare professionals (34.6%, n = 70). In addition, students showed positive attitudes toward training sites, positive feedback about the outcomes of their training experience (median scores range between 4 and 5 for all statements (IQR = 1 for all)). Conclusion Students showed positive feedback about the outcomes of their training experience, but they felt that the selected training sites do not have adequate resources to meet their training competencies. Memorandums of understanding development is needed to specify the purpose of training and define the responsibility for both parties of the training process.


2021 ◽  
Vol 7 (2) ◽  
pp. 64-70
Author(s):  
Emre YEKEDÜZ ◽  
Elif Berna KÖKSOY ◽  
Satı Coşkun YAZGAN ◽  
Ilgın AKBIYIK ◽  
Sevinç BALLI ◽  
...  

2021 ◽  
Author(s):  
Hana Taha ◽  
Jawaher Khaled Al Saqer ◽  
Noora Rashed Al Harbi ◽  
Rand Nidal Younis ◽  
Fatma Dawoud Al Dawoud ◽  
...  

BACKGROUND Medical students’ involvement in patients’ care varies due to patient’s willingness, as some consider it as an invasion of their privacy and exposure of their disease status. Thus, exploring patients' perceptions and attitudes towards this interaction should be thoroughly investigated. OBJECTIVE To better understand the attitude of Jordanian patients towards the presence of medical students’ during their consultations and provide evidence-based data to improve the training of future doctors. METHODS A cross-sectional study was conducted at the Jordan University Hospital using a structured questionnaire to interview 420 patients from the out-patients’ clinics of the departments; Internal Medicine, Obstetrics and Gynecology, Pediatrics, and Surgery. Descriptive and multivariate data analysis was conducted using SPSS (version 25.0). RESULTS Of the patients interviewed, 94% were aware that they were in a teaching hospital, 92% approved the existence of medical students’ during their consultation and 80% accepted to be observed and examined by medical student in the presence of a senior doctor. Almost 83% of the patients believed that their consent should be obtained first and 58% of them indicated that the students asked for consent prior to interacting with them. Around 64% of the participants indicated that the maximum acceptable number of students during the consultation should not exceed 2-3, 64% had no preferred gender to interact with and 59% had no preferred training year. CONCLUSIONS Patients showed an overall positive stance towards the involvement of medical students’ in their healthcare. The majority were delighted to see medical students’ while some expressed concerns over their privacy due to the large number of students and because some do not ask for their consent. It is essential to apply medical ethics practices together with patient centered approach.


2021 ◽  
Vol 3 (12) ◽  
pp. e844-e854 ◽  
Author(s):  
Yvonne C Lee ◽  
Rina S Fox ◽  
Linda Kwakkenbos ◽  
Brooke Levis ◽  
Marie-Eve Carrier ◽  
...  

Author(s):  
Breanne Hobden ◽  
Heidi Turon ◽  
Amy Waller ◽  
Mariko Carey ◽  
Anthony Proietto ◽  
...  

2019 ◽  
Vol 19 (1) ◽  
Author(s):  
Mabel Aoun ◽  
Ghassan Sleilaty ◽  
Simon Abou Jaoude ◽  
Dania Chelala ◽  
Ronald Moussa

Abstract Background During their training, Lebanese medical students develop a high medical expertise but are not focusing on other competencies such as communication, collaboration, erudition, professionalism, leadership and health promotion. There is also insufficient data about patients’ preference for these skills. This study describes the different weights patients attribute to these physician’s competencies. Methods This is a cross-sectional study based on a questionnaire distributed to 133 Lebanese patients. It included 15 questions assessing how patients prioritize the physician’s competencies, with open-ended questions asking them to define “the good doctor”. Krippendorff’s alpha coefficient was used to analyze the reliability of the competencies’ classification. Results One hundred twenty five patients completed the questionnaire in this cross-sectional study. Their mean age was 48 ± 16.76 years. When classifying competencies, 73.6% opted for medical expertise as first choice and 48% put communication as second. Based on the Krippendorff’s coefficient, we identified a moderate agreement for the seven choices (alpha = 0.44). In open-ended questions, patients defined the good doctor in 325 answers: 64.3% mentioned medical expertise, 34.1% high ethics and 26.2% communication. Conclusions This patient-centered study concurs well with the worldwide practice that puts medical expertise at the center of medical education. However Lebanese patients don’t perceive equally other competencies and favor professionalism and communication that should be integrated in priority in students’ curricula.


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