Level Of Knowledge Research Articles

Towards inclusive healthcare: evaluating knowledge, confidence and awareness of LGBTQ + health among Internal Medicine Trainees in London

BackgroundPatients from the lesbian, gay, bisexual, transgender, queer plus (LGBTQ +) community face various health inequalities and report poor healthcare experiences. Little is known about how knowledgeable and confident UK doctors are around LGBTQ + health, and previous research demonstrates that UK medical schools rarely deliver teaching in this area. This research evaluated the level of knowledge, awareness and confidence of LGBTQ + health among Internal Medical Trainees (IMTs) in London.MethodsLondon IMTs were invited to complete an online questionnaire evaluating knowledge, awareness and confidence in LGBTQ + health. Stratified analysis of results by demographics was performed.ResultsThree hundred and fifteen surveys were analysed from 796 eligible trainees (40%). Confidence in caring for LGBTQ + patients was variable. Confidence in discussing gender identity was lower than for sexual orientation. Knowledge of health issues affecting LGBTQ + patients varied. Most participants had never received training on LGBTQ + health at undergraduate (n = 201, 64%) or postgraduate level (n = 252, 80%), but the majority of participants felt that training would be useful (n = 233, 74%). Stratified analysis revealed that IMTs who received previous LGBTQ + teaching at undergraduate or postgraduate level were considerably more confident discussing sexual orientation with patients, compared to those who received no previous teaching.ConclusionsThere is a clear need for education on LGBTQ + health, given the varied levels of knowledge and confidence identified. A significant majority of IMTs in London have never received teaching on LGBTQ + health, although there exists a strong desire for this. LGBTQ + health topics should be integrated into undergraduate and postgraduate training and examinations for IMTs. This would support IMTs in delivering high quality and inclusive care for all patients, particularly those of sexual orientation and gender identity minorities. There are relatively few published studies exploring competency in LGBTQ + health among doctors, and this is the first among UK Internal Medicine Trainees.

The Knowledge and Attitude of Undergraduate Dental Students toward Dental Ergonomic Principles in Occupational Health.

Undergraduate dental curricula and courses containing ergonomic principles are introduced to students from the very beginning of dental education. Still, dentists present a high prevalence of musculoskeletal disorders, which are a direct burden on quality of life, leading to early retirement from the profession. This study aimed to assess the state of students' knowledge and awareness regarding the role of ergonomics in dentistry and its practical implementation. a cross-sectional study using a predesigned self-administered questionnaire was conducted among fourth- and fifth-year dental students of the Medical University of Silesia in Katowice, Poland (response rate of 69.2%). A total of 94.6% of students declared a good, fair, or moderate level of knowledge of the subject, with a significant difference in favor of the fifth-year students (p = 0.008). Moreover, 76.1% of respondents showed a good or very good attitude toward ergonomics as a university curriculum subject. A total of 72.3% of respondents declared that the practical application of ergonomic rules in clinical dentistry is very important (five in a five-point scale). Women found dental ergonomics more important than men (p < 0.001). However, 79.3% of participants admitted not following basic ergonomic principles during clinical procedures. The research revealed a discrepancy between theoretical knowledge and awareness and the practical application of ergonomics in a clinical environment. Only by inculcating correct occupational standards and abiding by them from the commencement of dental education can consistency between theory and practice be achieved. This will hopefully ensure the health and well-being of dental team members throughout their professional lives.

Knowledge and Awareness about Anesthesia and Perception about Anesthesiologists and their Role during the COVID-19 Pandemic among Patients at a Zonal Hospital: A Cross-sectional Survey

Abstract Background: Anesthesia forms the cornerstone of the practice of modern medicine as we know it today. The field of anesthesia has evolved beautifully since its conception in the 1800s and today the reach of the anesthesiologist goes far beyond his role in the OT. The most critical patients are managed by this fraternity, witnessed by the world during the tough times of the COVID-19 pandemic. However, even today, in the 21st century, anesthesia functions in relative obscurity, succinctly labelled as a ‘behind the screen’ specialty by the medical fraternity itself. Aims and Objectives: Conducted in the aftermath of the pandemic, the research was aimed to assess the general knowledge among patients regarding the branch of Anesthesia and understanding the public perception regarding Anesthesiologists, including their role inside and outside the OT, especially during the Covid-19 pandemic. In addition, the sources of patient information and significant association with age, gender, literacy level and employment status were explored by our study. Materials and Methods: A quantitative cross-sectional survey was conducted at a secondary-care government hospital and a total of 307 participants were enrolled in the study. After a detailed structured interview with participants, the data was tabulated in Excel form and statistical analysis was done for association with demographic variables. Results: The results, viewed against a background of previous similar national and international studies, revealed significant ignorance regarding this specialty and poor improvement as compared to previous data, despite having been in the limelight owing to the recent pandemic. Only 58% participants had heard the term ‘Anesthesia’ and 38% were aware of what it achieves in a patient. About three-fourths of them knew the anesthesiologist as a qualified doctor but only 50% considered his job equivalent to that of the surgeon. The main source of knowledge was by word of mouth followed by prior exposure to anesthesia. Furthermore, the study revealed that the level of the patient’s education controlled with the patient’s age and employment factors was the significant predictor of their knowledge, awareness and perception regarding anesthesia and role of anesthesiologists (p&lt;0.05). The patients with secondary and above level education, the younger age groups and those who were currently employed were significantly better informed. Conclusion: The results of the research, compared with previous data of Indian and International studies since the last two decades, demonstrated a clear lack of improvement in public knowledge levels. This was unexpected considering how the recent pandemic brought the entire medical community into the limelight, some of which should have been shed on Anesthesiologists as well. Additionally, there is a stark difference between the populations of developed and developing countries seen in several post pandemic studies. The ignorance continues to pervade all aspects of the anesthesiologist’s job including his purview beyond the OT. A fresh perspective was obtained through the demographic factors brought out by the study, elucidating that the anesthesia fraternity needs to focus on improving communication with certain subsets of their patients (like the elderly, the unemployed and illiterate). Several conjoint endeavors are required between the government the professional community to increase the public cognizance and appreciation that all current and future anesthesiologists, deserve.

PENGETAHUAN PETANI DALAM BUDIDAYA CABAI RAWIT DI DESA LAPANDEWA MAKMUR KECAMATAN LAPANDEWA KABUPATEN BUTON SELATAN

Cayenne pepper cultivation represents one of the most promising agricultural enterprises in the region, offering significant potential for growth and development. The objective of this study was to assess the level of knowledge and expertise among farmers engaged in the cultivation of cayenne pepper plants in Lapandewa Makmur Village, Lapandewa District, South Buton Regency. The population of interest in this study was the total number of cayenne pepper farmers in Lapandewa Makmur Village, which was 22 farmers. The sample was determined using the census method, whereby the total population was used as a sample in the study, namely 22 respondents. Data collection techniques employed observation, interview, and documentation methods using media in the form of questionnaires. This research is quantitative in nature. Data were processed using quantitative descriptive analysis using the class interval formula. The results indicated that the level of knowledge of farmers in cayenne pepper cultivation activities in Lapandewa Makmur Village was at a high level of knowledge category. This level of knowledge encompasses the following areas: seed procurement, land processing, planting, maintenance, pest control, harvest, and post-harvest. The farmers demonstrated an adequate level of knowledge regarding the processes of seed procurement, land processing, planting, pest control, harvesting, and post-harvesting. However, they exhibited an insufficient level of knowledge regarding the maintenance of cayenne pepper plants.

Disaster Preparedness among Healthcare Professionals in Lebanon.

Disaster disrupts the normal functioning of a community, causing significant damages and losses. In recent years, Lebanon faced multiple disasters, including one of the largest explosions ever recorded, the Beirut Blast, in August 2020. Limited studies in the literature have examined disaster medicine preparedness among healthcare professionals (HCPs). To examine the knowledge (K), attitude (A), readiness to practice (rP), and KArP associated with disaster medicine preparedness among HCPs in Lebanon. A cross-sectional observational study was conducted in Lebanon using data from participants answering an online survey. Participants enrolled in this study were HCPs (residents and faculty), medical students, and postdoctoral research scholars. Levels of knowledge, attitude, and readiness to practice were assessed and used to examine their association with participants' socio-demographic characteristics. A total of 195 participants (average age 30.6 ± 11.4 years) were included in this study. Participants reported moderate scores of knowledge, attitude, and readiness to practice. Older participants reported better readiness to practice and a KArP score. A significant difference was observed in all categories according to gender, with men having higher scores than women. No significant difference was observed between the level of education and knowledge, attitude, and total KArP scores. Our study's findings showed that age and the level of education were positively correlated with readiness to practice. Men, compared to women, had significantly higher scores in all categories. Barriers to the KArP should be identified and targeted in future studies, as disaster preparedness at the institutional level may improve outcomes in future disaster encounters.

The effects of single education session on physiotherapy students' knowledge levels and thoughts on accreditation.

and Purpose: In the global landscape, quality assurance is paramount for educational institutions to adapt and thrive. The accreditation process involves evaluating an institution's quality according to standards established by experts and officially documenting its level of quality. This study aimed to assess the impact of a single educational session on physiotherapy and rehabilitation students' awareness and understanding of accreditation processes, recognizing their vital role in quality assurance. A pretest-posttest design was employed with 211 students from a physiotherapy and rehabilitation department. Data were collected using a questionnaire assessing demographic information, knowledge about accreditation, and thoughts regarding accreditation. The educational session focused on accreditation criteria and processes, involving presentations and interactive discussions. McNemar's analysis was used to compare the response rates given by the students pre-and post-session. Analysis after the education session revealed a significant increase in students' knowledge of accreditation concepts (p<0.05). Positive attitudes towards accreditation were reinforced, with students recognizing its importance in education quality. Despite pre-existing positive attitudes, the educational intervention enhanced students' understanding and engagement in accreditation processes with a significant increase in three of the eight questions on thoughts about accreditation (p<0.05). This study underscores the efficacy of educational interventions in fostering student engagement and awareness of accreditation. Findings suggest the need for integrating accreditation education into curricula and advocating its significance through seminars and literature support, ultimately enhancing student participation in quality assurance processes.

The future of education in Preventive Cardiology. A Statement of the European Association of Preventive Cardiology (EAPC) of the ESC.

In recent years, major advances in our understanding of risk factors implicated in the development of cardiovascular disease (CVD), in available tools for early detection of CVD, and in effective interventions to prevent subclinical or clinically manifest disease, have led to an increasing appreciation of prevention as a major pillar of cardiovascular medicine. Preventive cardiology has evolved into a dynamic sub-specialty focused on the promotion of cardiovascular health through all stages of life, and on the management of individuals at risk of developing CVD or experiencing recurrent cardiovascular events, through interdisciplinary care in different settings. As the level of knowledge, specialized skills, experience, and committed attitudes related to cardiovascular prevention has exceeded core cardiology training, the European Association of Preventive Cardiology (EAPC) has placed major emphasis on continuous education and training of physicians and allied professionals involved in cardiovascular prevention, with the aim of setting standards for practice and improving quality of care. The EAPC recognizes the need for comprehensive educational offer across different levels of training (from core cardiology to sub-specialty to expert training) as well as the need for interdisciplinary approaches that will promote synergies among allied professionals involved in cardiovascular prevention. This statement by the EAPC aims to highlight current gaps and unmet needs, and to describe the framework to help standardize, structure, and deliver comprehensive, up-to-date, interactive, high-quality education using a combination of traditional and novel educational tools. The document aims to form the basis for ongoing refinements of the EAPC educational offer, with the ultimate goal to ensure that new evidence in the field will translate to better cardiovascular practice and improved outcomes for our patients.

Unveiling the nexus! Understanding knowledge issues, animal contact patterns and interaction of health care providers in the context of monkeypox and COVID-19 during monkeypox outbreak 2022

Background A monkeypox (MPOX) outbreak occurred in May 2022. On June 3, 2022, the WHO Blueprint organized a consultation on MPOX research knowledge gaps and priority research questions because the engagement of health care providers (HCPs) in providing accurate information and the public's motivation to adapt protective behaviour were crucial. Thus, we conducted this study to explore the knowledge issues, animal patterns, and interactions of HCPs in the context of MPOX and COVID-19 during the MPOX outbreak. Methods We conducted a cross-sectional web-based survey among 816 HCPs working in governmental health facilities from many countries, mainly Syria, Egypt, Saudi Arabia, and Cameroon, in September 2022. Results Four hundred and sixty (56.37%) were aged between 18 and less than 35 years old. About 34.44% were physicians, while only 37.25% worked on the frontlines with patients. 37.99% and 5.88% received vaccinations against chickenpox and MPOX, respectively. In the meantime, 55.39% had taken courses or training programmes regarding COVID-19. Regarding knowledge-seeking behaviours (KSBs) about COVID-19, 38.73% were through passive attention, while only 28.8% got their information through active search. Most of the participants (56.86%) had a moderate level of knowledge regarding COVID-19. Only 8.82% had courses or training programmes regarding MPOX. Regarding KSB about MPOX, 50.86% were obtained through passive attention, while only 18.01% and 23.04% got their information through active and passive search, respectively. Most of the participants (57.60%) had a poor level of knowledge regarding MPOX. The regression analysis of the MPOX knowledge score revealed that individuals working on the frontlines with patients and those who had training programmes or courses were shown to have a higher score by 1.25 and 3.18 points, respectively. Conclusions The studied HCPs had poorer knowledge about the MPOX virus than they did about the SARS-CoV-2 virus. Training programmes and education courses had an impact on their knowledge.

Palliative Care Knowledge among Physicians in King Abdullah Medical City, Makkah, Saudi Arabia: A Cross Section Study

Aims: To estimate the level of understanding of non-palliative physicians regarding the palliative approach and to identify areas of weakness in their management of advanced terminal symptoms. Study Design: An observational study was conducted among physicians at a single center using a cross-sectional design. Location and Duration of Study: King Abdullah Medical City, Makkah, Kingdom of Saudi Arabia. Methodology: The sample size was determined using ROA software based on the number of physicians. A validated survey was used from a comparable study conducted in Vietnam. The data was transmitted via an electronic iteration of the authorized survey. Statistical significance will be assessed using a significance level of P &lt; 0.05 and a confidence range of 95%. Results: The study included a sample size of 80 individuals, with the highest proportion (37.5%) belonging to the age group of 31-40 years. The findings revealed that 57.5% of the participants have knowledge about comprehensive and appropriate palliative care. The study found significant positive correlations between healthcare provider practices and education (r: 0.360, P &lt;0.001), as well as comprehensive Palliative Care Practices (r: 0.476, P &lt;0.001). A negative correlation was seen between knowledge and belief of end- of-life (r = -0.358, P &lt;0.001). Statistically significant correlations were observed between knowledge of palliative care and age (p =0.028), degree (P &lt;0.001), and clinical practice area (P =0.004). The pain management category showed a significant positive correlation with healthcare providers and practices (r: 0.316, P =0.004). Conclusion: The findings revealed that physicians possessed insufficient knowledge in the areas of pain management and palliative care. Knowledge levels are associated with age, educational attainment, and beliefs about end-of-life care. The study recommended the implementation of additional specialized facilities and the establishment of more efficient palliative care education programs.

Workplace aggressions on hospital workers: A current and prevalent problem with a high demand for training.

Workplace aggressions on hospital workers is a very frequent and under-reported problem. The novel objective of our study was to analyze the number of workplace aggressions per hospital worker. Other objectives of the study were to analyze the management knowledge and interest in receiving training on aggressions by hospital workers. An anonymous survey was handed out among all professionals in a university hospital. A total of 1118 anonymous surveys were collected. The responders declared that throughout their working life they had suffered some sort of verbal aggression in the hospital in 766 cases (68.5%) and physical aggression in 393 cases (35.2%). Multiple logistic regression analyses found higher risk of receiving physical and verbal aggression in the nursing category and in the Emergency, Critical Care or Psychiatry Units, and a higher risk of receiving physical aggression in women. The score on the level of personal knowledge regarding the legal, physical, and psychological management of aggressions (score 0-10 for each of the 3 aspects) was 2.91±2.68 in legal management, 2.97±2.77 in psychological management and 2.91±2.76 in physical management. The opinion about the interest of receiving training (score from 0 to 10) on the legal management of hospital aggressions was 8.90±1.72, on psychological management was 8.85±1.78 and on physical management was 8.88±1.78. Workplace aggression on hospital workers mainly affects women, the nursing category and the Emergency, Critical Care or Psychiatry Units. Hospital workers showed little knowledge on the topic but a great interest in receiving training.

Can heart failure phenotypes be predicted by cardiac remodelling peripartum or postpartum?

Hypertension during pregnancy affects up to 10% of pregnancies and is associated with significant cardiovascular morbidity and mortality. In the short-term it can result in pre-eclampsia, haemolysis, elevated liver enzymes and low platelets (HELLP) syndrome, or even hypertension associated acute heart failure, all of which may necessitate pre-term delivery to prevent maternal or neonatal death. In the long term, a history of gestational hypertension and pre-eclampsia significantly increases the risk of future cardiovascular disease including chronic hypertension, coronary artery disease, heart failure and stroke. This review explores our current level of knowledge of the phenotypes of heart failure, paying particular attention to those specific to women, and the role of pregnancy and non-pregnancy related risk factors in the development of this condition. We discuss why women with hypertensive pregnancy may be disproportionately affected by heart failure with preserved ejection fraction (HFpEF) and whether a unique phenotype of heart failure unique to hypertensive pregnancy exists. Finally, we explore how future cardiovascular risk may be predicted based on cardiac remodelling during or after pregnancy and suggest potential areas of further research in the field.

HUBUNGAN POLA KOMUNIKASI PENYULUH PERTANIAN DENGAN PENINGKATAN PENGETAHUAN PETANI SAYURAN DI KELURAHAN TOBUUHA KECAMATAN PUUWATU KOTA KENDARI

The process of delivering information carried out by agricultural extension workers to vegetable farmers requires an appropriate communication pattern to increase the level of knowledge of target farmers. The purpose of this study was to determine the relationship between communication patterns of agricultural extension workers and vegetable farmers in Tobuuha Village. The study population consisted of all vegetable farmers in Tobuuha Village, which amounted to 20 farmers and one field agricultural extension worker. The research sample was determined by the census method, resulting in a sample size of 21 individuals. Data were collected through survey techniques, interviews, and the use of documentation, with the assistance of media in the form of questionnaires. This study is a quantitative research study. The data were processed using descriptive analysis through the use of the class interval formula and correlation analysis through the Spearman Rank formula, with the help of SPSS Software Version 26. The research findings indicate that the communication patterns of agricultural extension workers with vegetable farmers in Tobuuha Village encompass one-way, two-way, and multi-directional communication patterns. One-way communication patterns and multi-way communication patterns are classified as medium, while two-way communication patterns are classified as high. The level of knowledge of vegetable farmers is classified as medium based on indicators of understanding, application, and analysis. While the level of knowledge of vegetable farmers based on indicators of knowing is in the low category, the relationship between communication patterns of agricultural extension workers and the level of knowledge of vegetable farmers is statistically significant (0.046) and positive (0.691). This indicates that the more effective the communication patterns employed by agricultural extension workers, the greater the likelihood of increased knowledge among vegetable farmers.

Examination of the Knowledge Levels of Family Medicine Residents in Turkey about Oral and Dental Health.

To measure the general oral and dental health knowledge level of family medicine residents who are receiving full-time specialty training in Turkey. Primary care physicians can contribute to improving the oral and dental health of patients during general health services. The fundamentals of oral and dental health that the family medicine physicians should know about were determined, and questionnaire items on these fundamentals were prepared. The sample size was calculated as 296 individuals. The survey was conducted online. The collected data were analysed employing the following tests: chi-squared, Fisher, Kolmogorov-Smirnov, Spearman, ANOVA, Mann-Whitney U, Kruskal-Wallis, and Bonferroni. 302 family medicine residents in various clinics in Turkey participated in the study. The mean age of the participants was 29.6 ± 5.1. The mean knowledge scores of the resident physicians were calculated as 65.2 ± 10.9 (lowest: 27; highest: 92). The majority of resident physicians stated that they did not receive training on oral and dental health during their residency training, and that they agreed with the idea of integrating it into the residency training curriculum. The general knowledge level of family medicine residents in Turkey about oral and dental health was found to be moderate.

Knowledge Level of Caregivers on Immunization for Children (under-5 Years) in Nigeria

Background: Families, especially mothers are the major role players with regard to their children’s immunization. This study empirically Knowledge Level of Caregivers on Immunization for Children under-5 years in Delta North Senatorial District of Delta State, Nigeria. Materials and Methods: A well self-structured questionnaires drawn from caregivers of under-5 children who were disposed to immunization in the nine (9) local government areas in Delta North senatorial district was used. However, the questionnaires were distributed to 3843 caregivers across the Nine (9) local government areas under study but the researcher was able to successfully retrieve 3624, representing 94% of the sample size.. Two major hypotheses were tested using analysis of variance (ANOVA) regression analysis with the aid of SPSS. Results: The data showed that 3030, representing about 85.0% of the respondents were mothers while the remaining 544 (15.0%) were male (fathers) with under-5 children in Delta North Senatorial District The findings shows that the knowledge level of caregivers, and enablers are respectively statistically significant in the immunization of under-5 children in Delta North senatorial district of Delta State, Nigeria. Conclusion: It is therefore concluded that for the immunization to becomes successfully performed caregivers must have basic or advanced education and training to avoid the an increased mortality rate of death to children below five (5) years old.

Assessment of the knowledge and attitudes of nurses and social caregivers in relation to falls among elderly patients in healthcare settings in a Hungarian county

AbstractPurposeThe aim of this descriptive study was to evaluate the knowledge and attitudes of nurses and social caregivers in relation to falls among elderly patients.Materials/MethodsA total of 442 nurses and social caregivers working in acute or chronic care settings participated in our study. Data were gathered on the participants' general characteristics, the characteristics of their workplace, and their levels of knowledge in relation to risk factors and types of falls. Our questionnaire also included a survey of attitudes towards fall prevention. Data were analysed using IBM SPSS software.ResultsOur results showed a significant correlation between the participants' level of knowledge and age, level of professional education, workplace localisation, form and type of care, risk evaluation scale score, and the existence of a healthcare protocol at the workplace. Participants demonstrated a positive attitude towards fall prevention: the mean value for attitude was 48.03 out of 65 points. Participants who experienced a lower number of falls among elderly patients at their workplace demonstrated a significantly more positive attitude to prevention compared to those experiencing falls more frequently.ConclusionsIn our professional opinion, trainings focusing on fall prevention are required. In addition to knowledge transfer, these should emphasise the formation of attitudes, especially in the context of chronic healthcare, among professionals working in institutions in smaller towns.

Gambaran Tingkat Pengetahuan Swamedikasi Demam pada Balita di Posyandu Desa Karanganyar Kecamatan Tamansari Kabupaten Boyolali

Fever is a condition where the body temperature is above the normal temperature limit, namely ≥ 38°C. If fever is not treated immediately, seizures can occur in toddlers which endangers the toddler's safety. In Indonesia, it was reported that the incidence of febrile seizures was 3-5% of children aged 5-6 months in 2017-2018. This figure continues to increase to 6% in 2019. Fever is one of the symptoms that can be treated with self-medication. The Indonesian Ministry of Health explains that self-medication is a person's attempt to treat the symptoms of a disease without consulting a doctor. The aim of this study was to determine the level of knowledge about fever self-medication among toddlers at posyandu. This research method is descriptive. The sample in this study was mothers of toddlers who were active members of the posyandu with a total of 93 respondents. Sample selection used purposive sampling. The instrument in this research used a questionnaire distributed to 93 respondents. The results of this study show that of the 93 respondents with characteristics aged 26-30 years 69.9%, high school education 86.0%, private employment 80.6% and the level of knowledge of fever self-medication at posyandu in the good category 86.0%, moderate category 11.8% and the less than 2.2% category. The conclusion is that the level of knowledge about fever self-medication in toddlers at the posyandu in Karanganyar Village, Tamansari District, Boyolali Regency is included in the good category, namely 86.0%.

Enhancing the Role of Posyandu Cadres in Early Detection and Support for High-Risk Pregnant Women through a Psychoeducation Approach

Introduction: High-risk pregnancies are a major cause of maternal morbidity and mortality, both on a global and national scale. Tuminting Public Health Center, which is a partner in the Community Partnership Empowerment activities, has a significant number of patients with high-risk pregnancies. This indicates an urgent need for the care of high-risk pregnant women. Pregnant women with high-risk pregnancies require priority and continuous care, including early screening/detection, monitoring, and support. However, a situation analysis at the partner site has identified several issues, including: 1) Posyandu cadres are not actively involved in supporting high-risk pregnant women, resulting in these women not receiving appropriate healthcare for their pregnancy conditions. 2) Health promotion media for high-risk pregnant women is limited, preventing these women from receiving accurate health information tailored to their condition. The objectives of these activities are to enhance the role of cadres in supporting high-risk pregnant women and to improve the availability of health promotion media as a support tool for cadres in their role. Methods: To address these issues, the proposers offer the following solutions: 1) Training on early detection, monitoring, and support for posyandu cadres using a psychoeducational approach.2) Training on the use of digital media for health promotion for high-risk pregnant women for cadres. Results: This training was attended by 37 cadres at Tuminting Public Health Center. Participants' knowledge levels were evaluated before and after the activity. The evaluation of these activities showed a p-value of 0.000, indicating that there was a difference in the knowledge of the training participants before and after the training. Conclusion: Training activities with a psychoeducational approach can improve the knowledge of cadres, enabling them to enhance their role in early detection and support for high-risk pregnant women.

The assessment of public perception towards chronic kidney disease in Jordan: a cross-sectional study

Objectives Kidney diseases are considered silent killers due to the lack of well-defined symptoms. Public knowledge about chronic kidney disease (CKD) management has been shown to decrease the risk of CKD onset and progression to end-stage renal disease and renal failure. The main objective of this study was to assess the knowledge of kidney function, CKD symptoms, etiology, prevention and treatment in the general population. Methods A cross-sectional study using a validated questionnaire was conducted in Jordan to assess public knowledge of CKD. Public knowledge of CKD was assessed using a questionnaire consisting of 32 knowledge questions, including risk factors, symptoms, treatment, protective measures and kidney function. The knowledge level was classified according to the total score: poor (0–50%), intermediate (51–70%) and good/high (71–100%). Multiple regression analysis was performed to compare knowledge scores (KS) and predict associations with the participants’ baseline characteristics. Results The level of knowledge about CKD among the 2181 participants was intermediate. The KS was significantly higher among participants with health issues such as hypertension, diabetes and heart problems, first-degree relatives working in the medical field, majors relevant to health, married, employed, highly educated, high-income and smokers. The main sources of knowledge about CKD were health professionals, TV shows, books and magazines. Multiple regression analysis showed an association between KS and age, sex, functional status, educational level and field, income, smoking status, having a family member/spouse work in the medical field, and knowledge source. Conclusions The public level of knowledge about CKD management is greatly influenced by participants’ health and social factors. Thus, improving public knowledge and perception through education and the media will significantly reduce CKD prevalence and incidence.

In situ simulation educational intervention in emergency care nursing: from identifying learning needs to developing clinical and transferable skills

Introduction: The nursing team is crucial in emergency care (EC) settings, serving as patients’ first point of contact. However, gaps in their training have been hindering the effectiveness of care and patient survival. In situ simulation (ISS) has been recognized as a valuable tool in EC education, uncovering hidden risks in clinical care areas. This study aimed to analyse how an ISS educational intervention in the EC department impacted participants’ clinical and transferable skills. Methods: To assess the effectiveness of an educational intervention on the 37 EC nursing professionals, a 12-month study quasi-experimental study was conducted. The study consisted of a survey to identify participants’ learning needs and four workshops tailored to meet the team’s specific needs, culminating in an ISS session. Knowledge levels were evaluated using pre- and post-tests administered before (T0) and after (T1) the workshops, along with a formative assessment with an Objective Structured Clinical Examination (OSCE) holistic marking guide to measure the clinical and transferable skills acquired during the ISS. Results: The primary participant’s learning needs centred around cardiopulmonary arrest caused by acute myocardial infarction, including interpreting electrocardiogram and teamwork. These topics were used to develop the workshop and the simulation scenario. A significant difference (p &lt; 0.001) was observed in the levels of learning between T0 and T1, indicating a marked improvement in the participants’ performance. The nursing professionals displayed proficient clinical and transferable skills during the ISS, successfully completing over 80% of the OSCE items. Discussion: These findings suggested that a customized educational intervention incorporating participatory learning and ISS effectively enhances clinical and transferable skills among nursing professionals. The positive outcomes observed in post-tests and OSCE holistic assessment highlighted the effectiveness of this intervention for the EC nursing team. The results of this study demonstrate that active participation in workshops facilitates knowledge acquisition. Furthermore, the OSCE results illustrate the practical application of clinical and transferable skills during the ISS.

AN OVERVIEW OF THE COMMUNITY KNOWLEDGE LEVEL TOWARDS THE USE OF GENERIC DRUGS IN TUPA VILLAGE, NORTH BULANGO DISTRICT, BONE BOLANGO REGENCY, GORONTALO PROVINCE, IN 2022

Generic drugs are medications with generic names, as defined by the Indonesian Pharmacopoeia and International Non-proprietary Names (INN) from the WHO, and they do not use trade names or manufacturer logos. Examples of these include amoxicillin and metformin. The public often perceives generic drugs to be inferior to patented drugs because of their relatively lower prices. The purpose of this study is to describe the knowledge level of the community about the use of generic drugs in Desa Tupa, Kecamatan Bulango Utara, Kabupaten Bone Bolango in 2022. This study employs a descriptive method using a quantitative approach. Data were collected through questionnaires that were distributed to 30 randomly selected respondents. A univariate analysis was conducted by creating frequency distributions to determine the community's awareness level regarding generic drugs. The survey results indicated that most residents of Desa Tupa have limited information about the use of generic drugs. The study concluded that, in terms of knowledge level about generic drugs, 30% of respondents had heard of generic drugs, 22% knew that generic drugs were named according to INN (International Non-proprietary Names), 11% understood that generic drugs are those that have expired patents, 9% recognize that generic drugs do not use brand names, and 28% are aware that generic drugs are more affordable than branded drugs.