Perceptions Of Doctors Research Articles

Placenta Disposal Practices among Doctors and Nurses in Obstetric Units of Secondary and Tertiary Health Facilities in Enugu State, Nigeria

Background: Anecdotal evidence suggests that placentas may be improperly disposed of due to the lack of knowledge of the best approaches. The reason women request for their placenta in Nigeria remains unclear. Aim: The aim is to determine the knowledge and perceptions of doctors and nurses about the use of WHO guidelines for the safe disposal of hospital wastes in placenta disposal and to explore their placenta disposal practices at tertiary and secondary health facilities in Enugu state. Materials and Methods: This was a mixed-method study design in which 163 doctors and nurses drawn from 3 secondary and 3 tertiary hospitals in Enugu Metropolis were studied. Quantitative component involved the use of interviewer-administered questionnaires. Knowledge and perceptions of respondents on the use of WHO guidelines to dispose of the placenta were documented. Knowledge of WHO guidelines was assessed and graded: good knowledge (score ≥12) and poor knowledge (score <12). Perception was assessed using 4 Likert-type questions whose responses were scored. Mean score ≥0.5 (positive perception), mean score <0.5 (negative perception). The qualitative component involved purposive sampling of 6 nurses who were the labour ward unit heads. In-depth interviews using semi-structured questionnaires were conducted to ascertain their placenta disposal practices and why women request placentas in their hospitals. Analysis was done for quantitative components using IBM SPSS version 20.0. Analyses were both descriptive and inferential. Analysis of the qualitative component established three thematic areas following the transcribing and coding of the contents of the interview. Results: Thirty-three (20.2%) and 158 (96.9%) had good knowledge (mean score = 12.7 ± 0.48) and positive perceptions (mean score = 2.96 ± 0.65), respectively, toward the use of WHO guidelines for placenta disposal. Placenta pits were the most common method for disposing of placenta. Those who request their placenta do so for cultural reasons (bury at home), avert being used for money rituals by health workers, and for the baby to be complete. Conclusion: A high proportion of doctors and nurses in Enugu state have poor knowledge but a positive perception toward WHO guidelines for disposing of placenta. The most common means of disposal was the placenta pit.

Gynaecology, general surgery and urology residents' perspective and exposure to endoscopy training and practice: a cross-sectional study of resident doctors in four residency training centres in Abuja, Nigeria from June to August, 2020.

the use of endoscopy in the surgical management of a wide range of ailments has revolutionised the practice of surgery. Endoscopy however has been underutilised in developing nations. Optimal training exposure during the residency training program is considered as very crucial to the improvement of endoscopy practice in this region. The objective of this study was to evaluate the perception and endoscopy training exposure of resident doctors in gynaecology, general surgery and urology in four residency training centres in Abuja. this was an analytical cross-sectional study of endoscopy exposure of gynaecology, general surgery and urology resident doctors in four residency training centres in Abuja from June through August 2020. Using a structured questionnaire, information was obtained on demography, perception of endoscopy, exposure to and expectations for endoscopy training and practice. Data were analysed with SPSS version 25 (IBM Corp., Armonk, NY, USA). a total of 125 questionnaires were distributed with a 92% response rate. The mean age of the respondents was 36.17±4.62 years with a mean duration of training of 53.91±28.02 months. Eighteen (15.8%) were satisfied with endoscopy practice in their centre and only five respondents (4.4%) had attained competence in operative endoscopy. Twelve trainees (10.5%) reported that they had received formal training in endoscopy outside their workplace and 109 (95.6%) desired to have post-fellowship training. Competence was statistically significantly higher among the senior registrars compared to registrars (Fisher 51.81, P=< 0.001). Lack of funding was the most reported limiting factor to endoscopy training (66.7%) while most (85.1%) desired the incorporation of structured endoscopy training into the residency training curriculum. this study showed poor endoscopy training exposure, a high level of dissatisfaction with the state of endoscopy practice and high expectations of the trainees for improved training facilities and human capacity.

True Soviet medicine in the Kremlin. Report 3: Anthropology of elite healthcare

The authors present a triptych of articles revealing various aspects of Kremlin medicine - the system of Soviet health care designed exclusively for the political elite of the USSR and its associated countries and communist parties, as well as for the scientific and cultural elite. The third presentation deals with the relationship between doctors and patients in the space of elite health care, the behavior of partycrats in hospitals and Soviet intellectuals in privileged sanatoriums and rest homes, the perception and memory of doctors about their eminent patients, and the relationship of patients to one another. This aspect of Kremlin medicine helps to understand Soviet social life, where a person's status was determined by his access to the limited resources of the state. Judging by the surviving statements in diaries and memoirs, access to elite medicine engendered the loyalty of Kremlin patients to the «party top» and arrogance to the «population.

Beliefs and perceptions of electronic cigarettes among medical staff in respiratory departments of Fujian Province, China, in 2021.

Due to the popularity of e-cigarettes, more and more patients ask about e-cigarettes, and it is particularly important to understand doctors' beliefs and perceptions on e-cigarettes. The aim was to evaluate the belief and perception of electronic cigarettes among medical staff in the respiratory department of medical institutions located in Fujian Province. The electronic questionnaires were conveyed to the medical staff of the respiratory department in Fujian Province during March to April 2021. Descriptive statistics were calculated for all questions, and the relationship between relevant factors and the perception of e-cigarette-related statements was analyzed by logistic regression analysis. Among 1028 medical staff in the respiratory departments of Fujian Province, 90.5% of medical staff agreed that electronic cigarettes are harmful to the human body; 61.4% of medical staff agreed that e-cigarettes cannot be regarded as a type of smoking cessation treatment; 71.7% of medical staff agreed that e-cigarettes could be a 'gateway' to other tobacco use; and 69.2% of medical staff agreed that electronic cigarettes are in 'Three No' states. The multivariate logistic regression analysis showed that the respondents' perception of 'e-cigarettes cannot be regarded as a type of smoking cessation treatment' were related to gender, professional title and whether they participated in the cessation clinic. The medical staff of the respiratory department in Fujian Province put more emphasis on the adverse effects of e-cigarettes on health, but lack the cognition of the effect of e-cigarette smoking cessation. In order to better carry out smoking cessation work, it is necessary to strengthen the training of respiratory medical staff at all levels of medical institutions on e-cigarette knowledge.

Knowledge, attitude and perception of health care providers and their patients regarding “Telemedicine” for otorhinolaryngeal care during the COVID-19 pandemic

Background: Telemedicine aids health care facilities in implementing response on otorhinolaryngeal care during the pandemic while also maintaining provision for essential health services. This study was taken up to highlight perception of doctors and patients and implementation benefit and drawbacks of telemedicine, despite the continuous effort to help reduce ailments of the patients via reduction in the in-person care during pandemic. Objectives were to assess knowledge, attitude and perception (KAP) among doctors and patients regarding telemedicine during COVID-19 pandemic. To determine the gaps and challenges experienced by the health care providers and the patients by telemedicine consultation.Methods: Cross sectional study conducted among the 18 doctors and house surgeons in department of otorhinolaryngology, KIMS Bhubaneswar and 486 patients who availed telemedicine for consultation from these health care professionals. A semi structured, mixed questionnaire was used. First phase of study was when patient contacted the doctor over phone, second was when doctor called up the patient for follow up and third was when both the doctors and patients were contacted to take their feedback on the study and assess their KAP on telemedicine. Data was analysed using SPSS-23 and Pearson’s correlation was used to determine any association.Results: 81%, 78.5% and 65.2% HCPs had good knowledge, attitude and perception score regarding telemedicine while among the patients the scores for good knowledge, attitude and perception were 42%, 21.4%, 15.4%, respectively. 88% HCPs and 84.8% patients were satisfied with e-health and were willing to continue this technology.Conclusions: The traditional clinic consultation has been modified during the pandemic to prevent and control transmission of the infection though it has both merits and demerits.

Family doctors’ perception of violence against women

Objective: This study aimed to evaluate the perception of family doctors about violence against women. Methods: This is a cross-sectional study, developed with 158 doctors from the Family Health Strategy of Teresina/Piauí, from March to April 2019, through a questionnaire adapted from the Social Perception Indicator System of the Institute of Applied Economic Research. Results: The findings indicate that male doctors, specialists, with over 25 years of training and more than 60 years of age, have a perception of violence against women based on the patriarchal model, as a problem of an intimate nature and of blaming of the woman. Conclusion: Medical training is necessary to conduct a care practice for women in situations of violence, giving them a reception guided by the social health model.

Combination characteristics of frankincense and myrrh and progress and prospect of their combination efficacy and mechanism

Herbal pair is formed based on the experience summary of doctors' deep understanding and perception of the medicinal nature in long-term clinical practice. It gradually becomes the exquisite structural unit for preparing traditional Chinese medicine(TCM) prescriptions, and often plays a core bridge role in the prescription combination. Frankincense and myrrh are raw resin materials of incense abroad, which are subsequently included as Chinese medicinal herbs and endowed with rich medicinal connotation. With the functions of relaxing Zang-fu organs, activating blood and relieving pain, they have definite clinical efficacy. From the perspective of herbal description and clinical application, this study systematically analyzed the combination of frankincense and myrrh as well as their combination proportion, efficacy characterization, diseases and syndromes, effective components and action mechanism. On this basis, the focus of in-depth research of frankincense-myrrh and the application prospects were proposed, in order to further reveal the potential meditation law of this herbal pair, thus contributing to clinical practice and drug innovation of traditional Chinese medicine, and providing reference for understanding of TCM medicinal nature and research of herbal pairs.

Self-Medication With Antibiotics: An Element Increasing Resistance.

Self-medication refers to the consumption of drugs such as antibiotics by individuals based on their own experience and knowledge, without consulting a doctor either for diagnosis or prescription. The inappropriate use of antibiotics is the primary source of antibiotic resistance (AR) development in microorganisms. As a result, some specific types of microorganisms that are naturally resistant to antibiotics have become considerably more common. Self-medication poses a danger to the advantages of antibiotics since it results in financial burdens on low and middle-income countries (LMICs), management failures, the evolution of antibiotic-resistant bacterial serotypes, and a higher risk of contamination of the general population by such tensions. Antibiotic misuse puts patients at risk for adverse drug reactions, false symptom relief, and the rise of drug-resistant microorganisms. It carries many health risks, chiefly in LMICs. These risks are linked to various factors, including a shortage of medical experts, low-level healthcare facilities, unregulated medication delivery, and negative public perceptions of doctors. The primary issue with self-medication is that majority of the population is uninformed of the harmful consequences of antibiotic resistance and how they might donate to it by self-diagnosing and self-treating with antibiotics. Antibiotic self-medication remains a common practice in society, and educational attainment significantly affects the frequency of this behavior. The article aims to educate the people by showing the development and plausible future to decrease antibiotic misuse. It also tells about the various challenges and prevention of this preceding problem.

The effect of perceived stress on organizational silence in emergency service doctors in Turkey: The mediating role of emotional intelligence.

The purpose of this study is to determine the role of emotional intelligence in the relationship between the stress perceptions of emergency medicine doctors and their organizational silence behaviors. Data were collected digitally from 434 doctors working in emergency departments in Turkey. On the assumption that perceived stress was effective on organizational silence behavior and that emotional intelligence mediates this relationship, hypotheses were developed and a mediating effect model was established. The research model and hypotheses were shaped through Structural Equation Modeling (SEM). Hayes 4th model was used to test the research hypotheses. The research model was tested via SPSS Process v4.1 by Andrew F. Hayes. According to the correlation analysis to determine the relationship between the variables, it was determined that perceived stress was positively correlated with organizational silence behavior, emotional intelligence was negatively correlated with perceived stress, and emotional intelligence was negatively correlated with organizational silence. As a result of the mediating effect model test, it was determined that emotional intelligence had a statistically significant mediating effect in the effect of perceived stress on organizational silence. Within the framework of the findings, it is thought that emotional intelligence is a key variable in turning the negative energy between stress and silence into positive.

Doctors' and Patients' Perceptions of Impacts of Doctors' Communication and Empathy Skills on Doctor-Patient Relationships During COVID-19.

BackgroundDuring the COVID-19 pandemic, the performance of Chinese doctors may have led to improved doctor–patient relationships (DPRs). However, it is unclear how doctors and patients perceived the impact of doctors’ communication and empathy skills on DPRs during the COVID-19 pandemic.ObjectiveTo examine the perceptions of doctors and patients on how doctors’ communication skills and empathy skills influence DPRs during COVID-19.Main MeasuresDoctors’ and patients’ perceptions of doctors’ communication skills were measured using the Chinese version of the SEGUE Framework. To measure empathy skills and DPRs, the Jefferson Scale of Empathy and Difficult Doctor-Patient Relationship Questionnaire were administered to doctors, and the Consultation and Relational Empathy Measure and Patient-Doctor Relationship Questionnaire were administered to patients.ResultsA total of 902 doctors and 1432 patients in China were recruited during the pandemic via online or offline surveys (overall response rate of 69.8%). Both doctors and patients rated doctors’ empathy skills as more impactful on DPRs than communication skills. Doctors believed that only their empathy skills influenced DPRs. But patients believed that there was a significant bi-directional relationship between doctors’ communication and empathy skills and these two skills interacted to directly and indirectly influence DPRs, and doctors’ empathy had a greater mediating effect than their communication.ConclusionsDuring COVID-19, there were both similarities and differences between Chinese doctors’ and patients’ views on how doctors’ communication and empathy skills influenced DPRs. The greater effect of doctors’ empathy skills suggests that both doctors and patients attach more importance to doctors’ empathy in doctor–patient interactions. The bi-directional effect on patient outcomes suggests that both doctors’ communication and empathy skills are important to patients’ perceptions of DPRs.

The Role of Doctor's Authority in Patients' Treatment Decisions.

In this study, I aimed to find empirical support for the increasingly frequent assumption about the regulatory potential of legitimacy with regard to people's health behaviors. The research determined the effect of legitimacy on 3 crucial health behaviors. It also tested whether patients' perception of doctors as competent played a role in the recognition of doctors' legitimacy. The study included 210 participants, patients of independent primary healthcare facilities and specialist hospital outpatient clinics. The collected empirical data were analyzed using structural equation modeling (SEM). I tested 6 SEM models. The study supported the main hypothesized relationship, showing that legitimacy was a factor increasing compliance with medical advice and regulating the treatment process. It also supported the relationship, postulated in the second hypothesis, between doctor's perceived competence and the perceived legitimacy of healthcare institutions. The results of analyses indicate that the perception of a healthcare institution as trustworthy and patients' recognition of the legitimacy of doctors' authority increases their willingness to voluntarily comply with medical advice and continue treatment.

Understanding the journey and decision-making process of doctors throughout their career

Background: Often, we perceive healthcare from the patient’s point of view. Very seldom do, we think about the doctors, pillars of our health-care system. They have to overcome the journey and faced challenges before fully established. Aims and Objectives: This study aims to explore this area on the perception of doctors about their career, the support they desire and the challenges they face to establishment of their private clinical practices. Materials and Methods: The data were collected from doctors using questionnaires circulated through digital platform during COVID-19 pandemic situation for cross-sectional study. Cluster followed by snowball sampling method was followed to collect the data using two different Google form questionnaires for doctors completed under-graduation and completed postgraduation/super-specialty. Chi-square analysis was used to assess the frequency count variables. Results: The millennial as well as senior doctors have securing financing the highest rank overall as the major challenge, they faced before starting a clinic. Conclusion: Decision-making process of doctors is very complex and dynamic influenced by different factors throughout their career. Factors such as securing post-graduation, securing finance and procuring equipments for the establishment of clinics were found to influence career decision.

Patient perception of doctor communication skills and patient trust in rural primary health care: the mediating role of health service quality

BackgroundThis study aimed to explore the relationship between communication skills, health service quality, and patient trust in primary health services.MethodThis study was conducted in village clinics in rural China. A simple random sampling method was used to select volunteer village clinics and patients. In total, 574 participants from 25 village clinics were selected with the help of local health officers and village doctors. The response rate was 90%. Statistical analyses (hierarchical linear regression analysis and a structural equation model) were performed to analyze the data.ResultsPatient trust in doctors in rural primary health was influenced by patient perceptions of doctors’ communication skills and health service quality. However, health service quality fully mediated the relationship between doctors’ communication skills and patient trust in village clinics. In other words, doctors’ communication skills indirectly influence patients’ trust in doctors.ConclusionsThis study found a link between doctors’ communication skills and patient trust. The findings suggest that health managers and doctors should attach great value to communication skills and health service quality in promoting the rural doctor-patient relationship. Moreover, the relationship between doctors and patients should be considered when reforming the primary health system.

Regional survey of foundation trainee doctors’ views on a career in gastroenterology: implications for diversity and inclusion

ObjectiveWe aimed to establish the perception of foundation doctors (FDs) towards gastroenterology, focusing on identifying determinants which make the career desirable or undesirable between genders, and to recognise factors to...

KNOWLEDGE, ATTITUDE, AND PERCEPTION OF ANTICIPATING 2022 GLOBAL HUMAN MONKEYPOX INFECTION AMONG INTERNAL MEDICINE RESIDENTS AT PALEMBANG INDONESIA: AN ONLINE SURVEY

Rapid increasing cases of Monkeypox infections in countries around the world, forcing medical professionals to be prepared to prevent it becoming the next global pandemic. We conducted the study to determine knowledge, attitude, and perception of doctors regarding preparedness for 2022 human monkeypox infection. This cross-sectional design research was conducted on 2-5 of August 2022, by circulating an online survey link to all internal medicine residents at the medical faculty of Universitas Sriwijaya, Dr. Mohammad Hoesin hospital Palembang Indonesia. The survey contained questions about the respondent's characteristics, knowledge, attitudes and perceptions about Monkeypox infection. A total of 75 residents agreed and completed the survey and were analyzed, with a mean age of 31 years, and 49 men (65.3%). Respondents’ knowledge of monkeypox is not very good. Almost all respondents knew that monkeypox was transmitted by direct contact, but only 53.4% knew that monkeypox was not transmitted airborne, 34.7% not sexually, and only 18.7% answered correctly that there was no specific therapy. The percentage who answered in doubt ranged from 20-30%. Respondents' attitudes and perceptions were quite good. Almost all equipped themselves with personal protective equipment and try to find information about monkeypox by attending seminars, downloading guidelines and reading online articles. A total of 58 people (77.3%) were willing to be vaccinated against monkeypox. Residents must increase the correct knowledge about this disease in order to be able to manage appropriately if they encounter cases of monkeypox infection.

Canadian Naturopathic Doctor Engagement, Preparedness, and Perceptions of Evidence-Based Practice: A National Cross-Sectional Study.

Background: Despite the reported benefits of evidence-based practice (EBP), there are concerns that some practitioners, including naturopathic doctors (NDs), may be cautious about its use. The objective of this study was to explore Canadian ND perceptions, preparedness, and engagement in EBP, and the barriers and enablers to EBP uptake. Methods: The study was a national cross-sectional survey. NDs practicing in Canada were invited to complete the validated 84-item Evidence-Based Practice Attitudes and Utilization Survey between February and May 2020. Results: A total of 252 Canadian NDs were recruited. Participant attitudes toward EBP were predominantly positive, with three-quarters of participants indicating that >50% of their practice was informed by clinical research evidence. One-half of participants self-reported a medium-high to high level of skill across most EBP-related activities. Notable barriers to EBP uptake were lack of clinical evidence in naturopathy, and lack of time. Access to the internet and online databases were identified as useful enablers to improving EBP engagement. Conclusions: By shedding light on Canadian ND engagement with, preparedness for, and perceptions of EBP, the findings will help guide the development of strategies to support EBP uptake in NDs with the expectation of improving quality of care.

Angular Kinematics of Chiropractic Supine Cervical Spine Manipulation: Rotational Measures and Comparisons to Doctor and Recipient Perceptions

ObjectivesThe primary purposes of this study were to measure axial rotation during supine cervical spinal manipulative therapy (cSMT) and to record recipients’ and doctors’ perceptions of rotational magnitudes. MethodsExperienced doctors of chiropractic (DCs) provided supine cSMT and acted as recipients of cSMT. Participants who received SMT wore inertial measurement units attached to the forehead and sternum for motion capture. Afterward, recipients and DCs completed questionnaires asking about their perceptions of motion. Data were analyzed for magnitudes of axial rotation at peak thrust and correlations with patient and doctor perceptions. Secondary analyses included angular velocity, angular acceleration, and other kinematic variables. ResultsWe recorded 23 SMT events with 14 DCs. Rotation at thrust peaks averaged 32.4° (17.4°). Doctors’ and recipients’ perceptions of rotation were higher than measured values 45% and 50% of the time, respectively. Maximum angular velocity and acceleration averaged 221.9°/s (124.9) and 4786.5°/s2 (2456.6), respectively. We found no correlation between perceptions and velocity or acceleration; doctors’ perceptions had an inverse correlation with measurements. ConclusionOn average, we found rotation during supine cSMT to be 32°. Both DCs and SMT recipients overestimated rotation compared with actual measurements. These factors should be considered in discussions of rotation and SMT.

Characteristics of Exceptionally Good Doctors: A Protocol for a Cross-Sectional Survey of Adults.

BackgroundDoctors constitute a significant proportion of a very large number of medical interactions. They are known to vary in the quality of their work, with some having an exceptionally beneficial effect on patients’ physical health. In a qualitative study, we interviewed medical doctors on their opinions and experiences of exceptionally good doctors. Their responses and the results from previous research are used as a basis for this proposed cross-sectional survey directed to members of the public on their encounters with exceptionally good doctors. The primary aim of this cross-sectional study is to describe the characteristics of exceptional doctors as reported by a large representative sample of adult patients.Methods and AnalysisA mixed qualitative and quantitative anonymous cross-sectional survey of 500 Amazon Mechanical Turk (MTurk) respondents, who have met one or more exceptionally good doctors in their life, will be conducted. Information requested will include reasons for nominating a particular doctor; experience of how that doctor differs from other and average doctors; and 34 5-point Likert scale questions on the characteristics of that doctor and the same Likert questions for the average doctor. An opportunity to report their experience in free-text form will be provided. Sample size will be sufficient to obtain a margin of error of 4%. The authors will provide descriptive statistics, including graphs of the Likert scale question responses; conduct factor analysis for internal validity; investigate satisficing and logical inconsistencies; and explore whether there are multiple types of exceptionally good doctors.DiscussionPrevious surveys of patients’ perceptions of doctors exist though none have focused on exceptionally good doctors. The expected results will include a list of characteristics that are important to patients in determining exceptionally good doctors.

Doctors' Communication Skills in Military Hospitals–A Critical Analysis

Objective: To assess the level of communication skills of doctors in military hospitals and compare their own and patient perceptions. We also aimed to determine factors affecting doctors' communication skills and suggest recommendations for improving doctors' communication skills.&#x0D; Study Design: Cross-sectional study.&#x0D; Place and Duration of Study: CMH Lahore, CMH Gujranwala and CMH Chunian and Armed Forces Institute of Cardiology, Rawalpindi, from Oct 2016 to Jun 2017.&#x0D; Methodology: Through non-probability consecutive sampling, questionnaires were distributed to 100 physicians and 100 patients inquiring about various aspects of doctors' communication skills and factors affecting them.&#x0D; Results: Doctors were asked to judge the overall level of their communication skills, and more than half of them (53%) opined that their communication skills were very good. However, the perception of doctors' communication skills was better by doctors themselves compared to patients' perception. More than half of the doctors strongly agreed that increased workload, use of the hospital management system and extra commitments were major impediments to effective communication skills.&#x0D; Conclusion: The perception about the communication skills of doctors is not as high as that of the doctors themselves. There is a striking disparity between the physicians' and patient responses. The communication skills of doctors can be improved by formal training of physicians in the form of workshops. In addition, the workload on doctors should be reduced by minimizing extra commitments.

The Perception of Medical Doctors on the Part of Hindu, Russian and Kazakh Linguoculture Bearers: Association Experiment

The objective of the article is to study the perception of medical doctors by Hindu, Russian and Kazakh linguoculture bearers by means of cognitive analysis of association data obtained from the psycholinguistic experimental study conducted among Hindi, Russian and Kazakh native speakers. Methods of the research include a free association experiment with a stimulus words डॉक्टर in Hindi, врач in Russian, and дəрігер in Kazakh, modelling the associative field DOCTOR and its cognitive structure, defining the universal and ethno-specific features of medical doctors as perceived by the representatives of Indian, Russian and Kazakh nations. The obtained associative data were distributed according to the frequency criterion, followed by content analysis and categorization. As a result, while comparing association fields in Hindi, Russian, and Kazakh languages the quantitative asymmetry of semantic zones and their associates is revealed. Conceptualization of medical doctors in the Hindu, Russian and Kazakh language consciousness includes both universal and ethno-specific features. The results of the study integrate the experiences of different nations simplifying the perception of their peculiarities, and may have a positive impact on cross-cultural interactions.