Majority Of Healthcare Professionals Research Articles

The place of privacy in the caregiver-caregiver relationship: a descriptive exploratory study

During care, privacy is subject to physical or moral disrespect. This crucial right of the patient is increasingly neglected in the care-giver-patient relationship. However, it is observed that this is linked to soft skills, and that the majority of healthcare professionals have only one objective, which is the mastery of technical skills. The aim of the present study is to explore and describe in depth the place of respect for privacy in the care-giver-patient relationship in the maternity department of a provincial hospital in Casablanca-Settat region, in Morocco.

Perception and Knowledge of Correct Ergonomics Among Health Care Professionals in Memon Medical Institute Hospital

Background: Ergonomics is the science of adapting the workplace to suit human physical capabilities and limitations. Proper ergonomic practices can prevent musculoskeletal disorders and improve workplace productivity and employee satisfaction. Healthcare professionals are particularly susceptible to ergonomic issues due to the physical demands of their jobs. Objective: This study aims to evaluate the perception and awareness of correct ergonomics among healthcare professionals at Memon Medical Institute Hospital. Methods: A cross-sectional observational study was conducted at Memon Medical Institute Hospital over three months. A total of 150 participants, including doctors, paramedical staff, and office workers, were selected using a non-probability convenience sampling technique. Exclusion criteria included individuals with a history of trauma or malignant conditions. Data were collected through a standardized questionnaire and analyzed using SPSS version 21. The chi-square test was employed to examine the relationship between ergonomic knowledge and practice, with significance set at p < 0.05. Results: Of the 150 participants, 56.7% were male and 43.3% female. 85 participants (56.7%) reported knowledge of ergonomics, while 65 (43.3%) did not. A significant relationship was found between ergonomic knowledge and its application (p = 0.002). Conclusion: The majority of healthcare professionals at Memon Medical Institute Hospital are aware of ergonomic principles and apply them effectively, which can help reduce musculoskeletal disorders and improve productivity.

Collaborative leadership to empower nurses to implement ABCDE emergency nursing in an emergency department in Nepal

PurposeEmergency medicine can save lives and in 2018 the World Health Assembly passed resolution 72.16 ensuring the role of emergency care in all health systems. With a continued global shortage of emergency physicians, with many low-medium-income countries (LMIC) still to develop emergency medicine as a speciality, the role of emergency nurses is critical to deliver the WHO Emergency Care System Framework (WHO, 2018). Emergency medicine doctors play a critical role in collaborating with nurses, in emergency medicine where nurses are often the first clinicians are often the first clinicians to interact with patients in emergency care settings, making up the majority of health-care professionals in LMIC (Mamalelala, 2024). Yet emergency nursing has yet to become established in Nepal, where nurses are often recruited to emergency departments, without having received any training in emergency or critical care treatment and management. The purpose of this paper is to outline a collaborative leadership approach to co-design an airway, breathing, circulation, disability, exposure (ABCDE) structured approach to an emergency nursing training module designed for nurses to feel empowered in the emergency department and to report on its findings.Design/methodology/approachThis study draws upon mixed methodology research, enrolling 30 nurses (n = 30) from an emergency department in a tertiary hospital in Nepal through three stages of the project: Stage 1: training module co-design, collaborative leadership exploring the rationale for a training module and core features of design based on the ABCDE of emergency medicine; Stage 2: quantitative data were collected to assess baseline pre- and post-intervention knowledge and follow-up knowledge assessment at 30 and 45 days; Stage 3: qualitative data were collected with 24/30 (80%) nurses to evaluate the impact and application of the nurses ABCDE learning 7 months post-training. The qualitative survey was undertaken using online Google Forms.FindingsNurses were fully engaged in the co-design and collaboration of the development of an ABCDE training module which was delivered over 3 h. Full engagement was secured from all nurses in the department, and there were statistically significant advances in ABCDE emergency knowledge from the baseline, however, this knowledge began to decrease at 30 and 45 days. A follow-up qualitative survey was distributed to nurses seven months after training with an 80% return rate, which reported a range of examples of how nurses were continuing to apply their learning in practice.Originality/valueThis training module for emergency nurses was designed collaboratively from the “bottom up” in a tertiary hospital in Nepal, recognising the need to develop emergency nursing in the emergency department. The data revealed promising findings, while knowledge decreased from the post-training questionnaire, qualitative evidence revealed significant changes in practice, with the greatest reported change in the management of the airway. While this training module has made a difference in the quality of care provided, there is a need for a country-wide strategy in this area otherwise it is likely that such an initiative will only be developed by hospitals at a local level (Lecky, 2014). Education and training initiatives for nurses that focus on an evidence-based approach to clinical practice can bridge the workforce gap in the short term, however, the Government of Nepal must decide on establishing a recognised post-graduate sub-specialty in emergency nursing, the duration of training, who should be trained and what curriculum should be followed (Lecky, 2014).

Evaluation of Telemedicine Consultations Using Health Outcomes and User Attitudes and Experiences: Scoping Review.

Despite a recent rise in adoption, telemedicine consultations retention remains challenging, and aspects around the associated experiences and outcomes remain unclear. The need to further investigate these aspects was a motivating factor for conducting this scoping review. With a focus on synchronous telemedicine consultations between patients with nonmalignant chronic illnesses and health care professionals (HCPs), this scoping review aimed to gain insights into (1) the available evidence on telemedicine consultations to improve health outcomes for patients, (2) the associated behaviors and attitudes of patients and HCPs, and (3) how supplemental technology can assist in remote consultations. PRISMA-ScR (Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for Scoping Reviews) guided the scoping review process. Inclusion criteria were (1) involving adults with nonmalignant, noncommunicable chronic conditions as the study population; (2) focusing on health outcomes and experiences of and attitudes toward synchronous telemedicine consultations between patients and HCPs; and (3) conducting empirical research. A search strategy was applied to PubMed (including MEDLINE), CINAHL Complete, APA PsycNet, Web of Science, IEEE, and ACM Digital. Screening of articles and data extraction from included articles were performed in parallel and independently by 2 researchers, who corroborated their findings and resolved any conflicts. Overall, 4167 unique articles were identified from the databases searched. Following multilayer filtration, 19 (0.46%) studies fulfilled the inclusion criteria for data extraction. They investigated 6 nonmalignant chronic conditions, namely chronic obstructive pulmonary disease, diabetes, chronic kidney disease, ulcerative colitis, hypertension, and congestive heart failure, and the telemedicine consultation modality varied in each case. Most observed positive health outcomes for patients with chronic conditions using telemedicine consultations. Patients generally favored the modality's convenience, but concerns were highlighted around cost, practical logistics, and thoroughness of clinical examinations. The majority of HCPs were also in favor of the technology, but a minority experienced reduced job satisfaction. Supplemental technological assistance was identified in relation to technical considerations, improved remote workflow, and training in remote care use. For patients with noncommunicable chronic conditions, telemedicine consultations are generally associated with positive health outcomes that are either directly or indirectly related to their ailment, but sustained improvements remain unclear. These modalities also indicate the potential to empower such patients to better manage their condition. HCPs and patients tend to be satisfied with remote care experience, and most are receptive to the modality as an option. Assistance from supplemental technologies mostly resides in addressing technical issues, and additional modules could be integrated to address challenges relevant to patients and HCPs. However, positive outcomes and attitudes toward the modality might not apply to all cases, indicating that telemedicine consultations are more appropriate as options rather than replacements of in-person visits.

Knowledge, Attitude and Practices (KAP) of Sterilization and Disinfection of Health Care Professionals in Bangladesh

<i>Background:</i> Healthcare professionals face a constant risk of acquiring infections from patients. Exposure to blood, saliva, and sharp instruments increases their susceptibility to various infectious diseases. Proper sterilization and disinfection procedures are crucial for protecting both healthcare workers and patients. <i>Objective:</i> This study aimed to assess the knowledge, attitude, and practices regarding sterilization and disinfection among healthcare professionals in Bangladesh.<i> Methods</i>: A cross-sectional study was conducted at the National Institute of Cardiovascular Diseases & Hospital in Dhaka, Bangladesh, from January to June 2023. A total of 81 healthcare professionals were randomly selected and participated in the study after providing verbal consent. Data collection involved a pre-structured questionnaire focusing on knowledge, attitude, and practices related to sterilization and disinfection. Statistical analysis was performed using SPSS software, and results were presented as frequencies and percentages. Ethical clearance was obtained before the study commenced. <i>Results: </i>The study included healthcare professionals from various backgrounds, with the majority being young adults (21-25 years old). Knowledge assessment revealed a good understanding of sterilization methods, disinfection procedures, post-sterilization instrument management, and waste disposal practices. Additionally, most participants were aware of the hospital's sterilization protocols and infection prevention policies. Regarding attitudes, a positive response was observed towards regular training for staff, proper use of personal protective equipment (PPE), and adherence to sterilization and disinfection guidelines. However, a minority expressed concerns about reusing disposable items. Practices reflected the positive knowledge and attitudes, with a high percentage of participants following hand hygiene protocols, using PPE, and opting for disposable equipment. However, a small number reported experiencing needle-stick injuries, highlighting a potential gap between knowledge and practice. <i>Conclusions:</i> the study found that a majority of healthcare professionals in this setting demonstrated good knowledge, positive attitudes, and appropriate practices regarding sterilization and disinfection. However, a small knowledge, attitude, and practice gap was identified, particularly concerning needle-stick injuries. These findings suggest a need for ongoing education and reinforcement of safe practices to ensure optimal infection prevention and control in healthcare facilities.

Investigating awareness of artificial intelligence in healthcare among medical students and professionals in Pakistan: a cross-sectional study.

The purpose of this study is to find out the level of awareness and acceptance of artificial intelligence (AI) in Pakistan's medical community so as to comment on its future in our healthcare system. A survey consisting of 15 close-ended questions was conducted. The questions inquired about awareness about AI and discovered the opinions of healthcare professionals regarding its benefits and expected problems. The data were analyzed using SPSS version 26, and descriptive statistics for percentage and frequency were computed. χ2 test was used to analyze the subgroups (Significant p value <0.05). A total of 351 participants were included in this study. General familiarity with AI was low. Only 75 (21.3%) participants answered that they had good familiarity with AI, and only 56 (16%) of them had good familiarity with the role of AI in medicine. One hundred sixty-eight (47.9%) participants disagreed that AI would out-compete the physician in the important traits of professionalism. Only 71 (20.2%) participants believed AI to be diagnostically superior to the physician. Two hundred fourteen (61.0%) were worried about completely trusting AI in its decisions, and 204(58.1%) believed that AI systems lacking human traits would not be able to mirror the doctor-patient relationship. Two hundred sixty-one (74.4%) participants believed that AI would be useful in Administrative tasks. A majority, 162 (46.2%), do not believe that AI would replace them. Finally, a huge majority of participants [225 (64.1%)] demanded the integration of AI in Pakistan's healthcare system. This study suggests that a majority of healthcare professionals in Pakistan do not believe that they are sufficiently aware of the role of AI in healthcare. This was corroborated by their answers to various questions regarding the capabilities of AI. This study indicates the need for a more comprehensive ascertainment of healthcare professionals' perceptions regarding the role of Artificial Intelligence in medicine and bridging the gap between doctors and technology to further promote a patient-centred approach to medicine.

Chiropractic attitude and utilisation of evidence-based practice in South Africa: a secondary analysis

BackgroundEvidence-Based Practice (EBP) is a model utilised by the majority of healthcare professionals and is a clinical framework that assists with decision-making related to patient care, to improve outcomes and patient satisfaction. The study aimed to analyse the attitudes, skills, and utilization of evidence-based practice (EBP) among South African chiropractors, focusing on perceived skill levels, training, use and identifying facilitators and barriers to EBP application.MethodsA descriptive cross-sectional quantitative secondary analysis was conducted by inviting registered chiropractors in South Africa (n = 920) to participate in an anonymous online questionnaire using the Evidence-Based Practice Attitude and Utilisation Survey (EBASE).ResultsA total of 132 chiropractors completed the survey, yielding a response rate of 14.4%. Of the respondents, 59.9% were female, 52.3% were between 26 and 35 years old, and 63.3% had graduated from the University of Johannesburg. A third of respondents stated they have poor clinical research skills. Over half of the respondents (56.8%) indicated that EBP constituted a significant part of their education except for completing systematic reviews or meta-analyses. Published clinical evidence was ranked 6th as a source of information for clinical decisions. The obstacles indicated were time constraints and a lack of clinical research in complementary and alternative medicine. Access to the internet, databases and research tools were facilitators that were deemed to be “very useful” in promoting EBP.ConclusionThe majority of South African chiropractors are generally favourable towards EBP, and this practice therefore appears to be utilised and embraced, with the requisite skills.

Knowledge attitude and practice of materiovigilance among healthcare professionals in tertiary care hospitals

Background: Materiovigilance (Mv) refers to the systematic monitoring and evaluation of medical devices in order to assess their performance and safety during all stages of their life. The purpose of Mv is to identify and avoid any potential hazards or issues linked with medical equipment. In brief, Mv plays an important role in ensuring the performance and safety of medical equipment. It consists of the systematic observation, the collection, and analysis of data on occurrences and adverse events related to medical equipment. The study was conducted to assess knowledge, attitude, and practice regarding Mv among healthcare professionals in tertiary care hospitals. Methods: Self-prepared and validated questionnaires were distributed among healthcare Professionals in India through online forms from December 2022 to July 2023, a cross-sectional questionnaire-based survey was used, with convenience sampling utilized. Responses from 220 subjects were analyzed. Results: The primary objective of this study was to assess the demographic details of the Healthcare Professionals as well as the distribution of knowledge, Attitude, Practice on Mv, in a list of 220 responses, 40% of them know about the Mv. Remaining 60% of them they don’t know about the Mv. Total 220 responses, 76.8% of the Healthcare professionals suggested to thought about the Mv, remaining 23.1% were disagreed. 75 out of 220 healthcare professionals acknowledged to seeing the reporting form and experiencing AE in their patients, while the remaining 145 denied it. Conclusions: This study determined the knowledge, attitude and practice of Mv among healthcare professionals in tertiary care hospitals. According to the current study, the majority of healthcare professionals were knowledgeable and supportive of Mv, however they are not as effective in practice.

Perception of Healthcare Professionals towards Electronic-Prescribing at University of Gondar Comprehensive Specialized Hospital, Northwest Ethiopia: A Cross-Sectional Study.

Electronic-prescribing (e-prescribing) is the most recent technological advancement in the medication use process. Its adoption and consequent realization of its potential benefits, however, mainly depend on the healthcare professionals' perception, willingness to accept, and engagement with the technology. This study is aimed at assessing the perception of healthcare professionals towards e-prescribing at the University of Gondar Comprehensive Specialized Hospital, Northwest Ethiopia, from June 1 to August 30, 2021. A cross-sectional study was conducted using a simple random sampling technique. A self-administered questionnaire was used for data collection. Data were entered into and analyzed by using the Statistical Package for the Social Sciences (SPSS® (IBM Corporation)) version 24. Both descriptive and inferential statistics like the Kruskal-Wallis and Mann-Whitney tests were used for data analysis. A statistical significance was declared at a p value < 0.05. From 401 participants, the majority of study participants had a neutral perception of e-prescribing. More than two-thirds (68.8%) of them had a neutral perception towards the perceived usefulness of e-prescribing with a median (interquartile range (IQR)) perceived usefulness of 43.0 (7.0) (maximum score = 60). The perceived ease of use of e-prescribing was also neutral in the case of more than three-fourths (79.8%) of participants with a median (IQR) perceived ease of use of 49.0 (6) (maximum score = 75). Similarly, more than half (56.6%) of the participants had a neutral perception towards the perceived fitness of e-prescribing with a median (IQR) perceived fitness of 15.0 (2.5) (maximum score = 15). The perception of the participants showed a significant difference based on their qualifications and work and computer use experience. Participants who heard about e-prescribing and e-prescribing software had a significantly higher mean rank score of perceived usefulness, perceived ease of use, and perceived fitness of e-prescribing. Participants who previously used e-prescribing had also a significantly higher mean rank score of perceived usefulness. Conclusion and Recommendation. The majority of healthcare professionals had a neutral perception of e-prescribing. The perception of healthcare professionals differs based on their qualifications, work and computer use experience, and their exposure to e-prescribing. The hospital should take all expectations and concerns of all HCPs into consideration and provide experience-sharing opportunities for all healthcare professionals who may potentially be involved in e-prescribing.

Compassion and the quality of life of the inpatient healthcare team

Introduction Nurse-patient relationships and interactions during inpatient care evoke feelings of empathy and compassion. Compassion can lead to satisfaction, but also to exhaustion. Compassion fatigue is a commonly used concept that signifies the exhaustion of healthcare personnel due to the specific activities and repeated exposure to the suffering of others. This manifests through physical and emotional over-tiredness, anxiety, anger and irritability, low vitality, social isolation, diminished sense of enjoyment of one’s career, cognitive disorders, and sleep disturbances.ObjectivesTo assess the level of compassion of the healthcare staff employed in a Romanian general hospital.Methods The study sample included 256 nurses working in a general hospital. To identify socio-demographic data we applied a specific questionnaire, and subsequently we also used the PROQOL scale (Professional Quality of Life Scale). All data were statistically analysed.ResultsThe majority of healthcare professionals in our sample belong to the 40-49 age group (39.45%). Regarding work experience in the healthcare system, the majority(43%) have been working for over 10 years. 78.52% of nurses reported a high level of compassion satisfaction. Burnout was not identified in the majority of our sample (54.3%). We noted that the number of the staff affected by compassion fatigue increases proportionally with the years of work experience (P=0.033).ConclusionsA high level of compassion satisfaction in medical professionals leads to a remarkable improvement in the quality of the healthcare they are providing. However, our study results suggest that compassion fatigue tends to increase in line with the years of work in healthcareDisclosure of InterestNone Declared

Fear and depression among health care professionals: a cross-sectional study during COVID-19 pandemic in Bangladesh

Background: COVID-19 pandemic is a public health emergency of international concern that can result in severe mental health conditions like depression and fear in health-care professionals (HCPs). Methods: A cross-sectional study was conducted, where 834 HCPs were self-recruited via social media. Multiple linear regression analyses were performed to identify predicting factors. Results: Approximately one-third of the total participants were depressed (27.3%) and those with depressive symptoms had significant fear of COVID-19. Significant risk factors for depressive symptoms were being female, being married, having no children, having high risk elderly persons at home, being afraid of death due to COVID-19 and having comorbid diseases. Fear of death due to COVID-19 was the most common significant contributing factor the scales for depression model, β=0.397, for fear of COVID-19 model and β=0.478 respectively. Quality of PPE played a vital role for depression as majority of HCPs. About 65.3% of HCPs who were restless while examining a patient with flu symptoms and majority of HCPs who felt insecure about their family members. Conclusions: Most of the HCPs faced several challenges during COVID-19 and psychological impacts of frontline HCPs were associated with interventions and rehabilitations to improve the mental health.

Healthcare professionals' acceptance of COVID-19 vaccination for their children: A cross-sectional study at a tertiary care hospital in Western India.

Establishing a transparent and forthright dialog between healthcare professionals (HCPs) and the public is paramount in promoting the effective acceptance of COVID-19 vaccination for children. Hence, this study aimed to assess the COVID-19 vaccine acceptance, knowledge, and perception among HCPs for their children. A cross-sectional study was conducted among HCPs at a tertiary care teaching hospital in Western India. A structured questionnaire was designed and validated to collect data. Descriptive statistics were used for data analysis. The study found that more than 80% of HCPs had good knowledge about COVID-19 vaccines, and 92.74% of them were willing to accept the vaccine for their children. Doctors were more likely to vaccinate their children, and 73% of HCPs had a favorable attitude towardimmunizing their children if a new COVID-19 vaccine was available. Academic/peer-reviewed publications were considered the most reliable source of information for COVID-19 vaccination, followed by government sources. This study found that parental vaccine hesitancy was significantly lower among the HCP group. The majority of HCPs were in favor of vaccinating their children against COVID-19, indicating that they can serve as an effective channel for promoting parental acceptance of COVID-19 vaccines in the community.

Hospital Food Services Satisfaction Survey among Healthcare Professionals in a Tunisian University Hospital

Background: Periodic monitoring of food quality can help determine the staff’s satisfaction at any institution, such as the hospital. However, the lack of published studies on the evaluation of staff’s satisfaction with hospital food prompted us to conduct the first survey on this topic in Tunisia. The aim was to determine the prevalence of food satisfaction among health professionals and identify factors affecting the satisfaction level. Methods: It was an analytic cross-sectional study conducted among all staff members of Farhat Hached University Hospital in Sousse in November 2020. Data collection took place over a period of 10 days with one service being surveyed per day. Free and informed consent was obtained from all participants. Categorical variables were described in percentages and compared using the Chisquare test. Univariate analyses were performed to examine associations between the level of satisfaction and various factors. Binary logistic regression was used to eliminate confounding factors. Results: A total of 240 professionals participated in the survey. The majority were female (72.5%) with an M/F sex ratio of 0.38, under 40 years old (94.6%), medical doctors (78.8%), and having less than 5 years of professional experience (73.3%). The overall satisfaction rate was 33.3%. The majority of healthcare professionals were not satisfied with the quality of food (75.8%) and with the personal hygiene of staff who presented the food (78.4%). Factors associated with hospital food satisfaction were the taste and variety of food, cleanliness, quality of dishes, and consuming the entire meal. Conclusion: It is the first study to report the meal experience as perceived by hospital staff in Tunisia. The overall satisfaction rate has been found to be 33.3%, which remains low. Efforts should be made to improve the presentation of all meals. Periodic monitoring of food quality can help determine if recommendations and staff expectations are being met.

Perceptions of healthcare professionals on the use of Mepitel Film for the prevention of acute radiation dermatitis in breast cancer.

Randomized clinical trials support Mepitel Film (MF) as a prophylactic treatment for radiation dermatitis (RD) in patients undergoing breast radiotherapy. Although several studies have canvassed the opinion of patients on using MF, no such studies have been done to investigate the perception of healthcare professionals (HCPs). The objective of this study was therefore to investigate the perceptions of HCPs on MF as a treatment option for RD. Anonymized responses to a web-based survey sent to HCPs at a single institution managing patients using MF during breast radiotherapy were analyzed. Of the 28 HCPs contacted, 22 completed the survey, including 6 radiation oncologists (ROs), 11 radiation therapists (RTTs), and 5 nurses. Most HCPs reported MF was better at preventing severe RD than the standard of care and improved radiation-induced skin reactions (n = 20/22, 91%, and n = 19/22, 86%, respectively). MF was recommended for mastectomy patients without reconstruction (n = 15/21, 71%). The majority of HCPs believed that patients' families could be trained to apply and remove MF (n = 19/22, 86%). Many HCPs perceived that implementation of MF would be difficult in terms of maintaining patient flow and wide-scale implementation within their institution (n = 11/22, 50%, and n = 10/22, 46%, respectively). Most HCPs perceived that fewer than 50% of their patients could afford MF if priced at $100 CAD (n = 15/20, 75%). These findings provide insights into the possibility of MF to be incorporated into standard practice of care for RD. Although most HCPs were satisfied with MF as a prophylactic treatment for RD, there are concerns about its resource-intensive operationalization and financial accessibility to patients. Future research should focus on ways to improve HCP experience with MF and to improve its implementation into clinical settings as standard of care.

Knowledge, Attitude and Practice Survey on Body Posture Among Healthcare Workers in Federal Medical Centre Owo, Ondo State, Nigeria

Background: Health-care Professionals are constantly exposed to work-related musculoskeletal disorders which bring about deleterious effects on their well-being. A better understanding of ergonomic risk factors and appropriate working posture are important in overcoming various musculoskeletal disorders commonly reported among health care workers. Good posture can lead to good appearance; poise, integrity, and dignity. Aims and objectives: The objectives of this study were to assess the knowledge of body posture, attitude towards good posture and practice patterns for posture among health care health care professionals. Materials and methods: The cross-sectional survey recruited 136 health care professionals from Federal Medical Centre, Owo, Ondo State, South Western Nigeria. Ethical approval was obtained from the Health Research Ethics Committee of Federal Medical Centre, Owo, Ondo State, Nigeria. Informed consent of all participants was sought and obtained after the rationale behind the study has been explained to them. A self-administered questionnaire was used to assess Knowledge, Attitude and Practice of Good Posture among the participants. Data were summarized using descriptive statistics of percentage and frequency tables. Results: 66(48.5%) were males while 70(51.5%) were females. 24.3% of the respondents are Doctors; 36.8% Nurses; 7.4% Pharmacists; 8.8% Radiologists; 10.3% Dentists; MLS 8.8% and Optometrists 3.7%. The result also showed that 63.2% of the participants had good knowledge of good posture. 89% positive attitude towards good posture, while only 27.9% had good practice of good posture. Conclusion: Majority of Health Care Professionals in this study demonstrated adequate knowledge of good posture and positive attitude towards good posture. However, only one-quarter of the participants demonstrated good practice of good posture in their day-to-day activities which shows that good knowledge and attitudes does not always translate into good practice.

Conflict Management in Service Settings Nursing in A Hospital: Literature Review

Backgorund: The majority of healthcare professionals who offer services in hospitalsare nurses. However, nurses frequently neglect interprofessional partnerships and teamwork in favor of concentrating solely on their individual jobs. This may lead to conflict inside a healthcare organization, which may have an impact on the efficiencywith which nurses provide nursing care. Purpose: The purpose of this literature review is to identify factors that have the potential to cause conflict, the parties involved in conflict management, conflict management strategies or solutions in the nursing workplace, and variables that influence the success of conflict resolution. Methods: A literature review was used as a method in this research. The scientific databases used are Google Scholar, Sage Journals, PubMed, Elsevier, Wiley, BookedCentral,andPortal Garuda. The search results yielded 92 articles.After selection,there were 11 international journal articles and 14 national journal articles. The selection process uses an abstract checklist and a PRISMA checklist. Result: The results of the review show that the factors that cause conflict in health services include work stress, low work satisfaction and motivation, miscoordination a lack of empathy in interdisciplinary collaboration and toxic leadership. The parties involved in conflict resolution are the head of the room, nurse manager, nurses and doctors. Conflict resolution can be carried out with compromising, integrating,cooperative, assertive and obliging strategies which are supported by interdisciplinary communication, management skills, emotional intelligence and the involvement of clinical educators. Conclusion:The aspects that most often cause conflict are work stress and problems with work coordination and interdisciplinary collaboration. The parties most often involved are the head of the room and the nurse manager. Conflict management can be done using an integrating style, where the integrating style is also the most dominant style of conflict management strategy. Mindfulness is a supporting factor in implementing this integrating style. Key words: Conflict Management; Hospital; Nursing; Related parties; Strategy Issues.

Extent and predictors of presenteeism among healthcare professionals working in Swiss hospitals, nursing homes and home care organizations

Presenteeism can have negative impacts on employees’ health and organizational productivity. It occurs more often among occupations with high attendance demands, such as healthcare professionals. Information is lacking regarding the extent to which presenteeism differs between disciplines and settings in the health sector and what the reasons are for presenteeism as well as influencing factors. This study used cross-sectional data on 15,185 healthcare professionals (nursing staff, midwives, physicians, medical-technical and medical-therapeutic professionals) from various settings (acute care, rehabilitation or psychiatric hospitals, nursing homes and home care organizations). Presenteeism was measured by examining how many days participants had gone to work despite feeling sick during the past 12 months. Kruskal–Wallis was used to test for significant differences between healthcare professions/settings and regression analysis to identify significant predictors of presenteeism. Nursing assistants with a formal education reported the most days of presenteeism in the past 12 months (mean = 4.3, SD = 12.0). Healthcare professionals working in nursing homes reported the most days of presenteeism in the past 12 months (mean = 4.2, SD = 8.7). The majority of healthcare professionals had been present at work while being ill due to a sense of duty (83.7%), followed by consideration for colleagues and/or managers (76.5%). In particular, the psychiatric hospitals (β = 0.139; p < 0.001), nursing homes (β = 0.168; p < 0.001) and home care organizations (β = 0.092; p < 0.001), as well as the language regions of Swiss French (β = − 0.304; p < 0.001) and Italian (β = − 0.154; p < 0.001), were significantly associated with presenteeism. Presenteeism differs between disciplines and settings in the health sector. The reasons for presenteeism and its influencing factors in the health sector are mostly consistent with those in other sectors. Cultural differences should be afforded greater relevance in future presenteeism research.

Willingness to Pay for Social Health Insurance Among Health Care Professionals in North Wollo Zone, Amhara Region, Ethiopia: Mixed Method Study.

Ethiopia introduced a social health insurance (SHI) scheme for the formal sector that will cost 3% of the monthly salary as a premium and provide universal health coverage. Since health care professionals (HCP) are the primary front-line service providers, their willingness to pay (WTP) for SHI may have a direct or indirect impact on how the programme is implemented. However, little is known about WTP for SHI among HCP. To assess WTP for SHI and associated factors among government employee HCP in the North Wollo Zone, Northeast Ethiopia. Using the contingent valuation method, a mixed approach and cross-sectional study design were applied. For the qualitative study design, in-depth interviews were performed with focal persons and officers of health insurance. Multistage systematic random sampling was used to select 636 healthcare professionals. Logistic regression analysis was used to determine independent predictors of WTP for SHI. Qualitative data were analyzed using thematic analysis. A response rate of 92.45% was achieved among the 636 participants, with 588 healthcare professionals completing the interview. The majority (61.7%) of participants were willing to joinand pay the suggested SHI premium. Participants' WTP was significantly positively associated with the presence of under five years of children but their willingness to pay was significantly negatively associated with the female gender and increasing monthly salary. On the other hand, on the qualitative side, the amount of premium contribution, benefits package, and quality of service were the major factors affecting their WTP. The majority of healthcare professionals were willing to pay for the SHI scheme, almost as much as the premium set by the government. This suggests proof that healthcare financing reform is feasible, particularly for the implementation of the SHI system.

Examining molecular testing practices and targeted therapy use in advanced/metastatic non-small cell lung cancer (mNSCLC): A quality improvement initiative across ten community cancer centers.

e21191 Background: A growing number of targeted therapy approvals for mNSCLC have dramatically increased requirements for molecular testing. Identifying and addressing real-world challenges mNSCLC care teams face due to resulting workflow shifts is essential to optimize patient outcomes. Methods: In March–September 2022, 126 health care professionals (HCPs) who treat NSCLC at 10 US community oncology clinics completed surveys assessing practice patterns, challenges, and confidence related to biomarker testing and targeted therapy use. HCPs (N = 105) participated in interdisciplinary audit and feedback (AF) sessions to examine clinical evidence and develop clinic-specific action plans to address identified gaps. Results: Participants represented the interprofessional NSCLC care team: medical oncologists (32%), pathologists (1%), radiation oncologists (1%), pulmonologists (2%), PCP/other physicians (5%), advanced practice professionals (22%), nurses (19%), and other HCPs (e.g. patient navigator, practice manager; [19%]). At the time of the program there were 9 NCCN-recommended biomarkers for mNSCLC. Less than half of HCPs reported regular testing for 4 of these biomarkers (Table 1). The majority of HCPs were somewhat (52%) or very/extremely (23%) likely to start treatment prior to receiving molecular testing results. Top reported barriers to integrating molecular diagnostics into routine practice were biopsy tissue availability/quality (45%) and determining whether to begin treatment prior to receipt of molecular testing results (43%). Gap-oriented clinic action plans aimed to improve communication between oncologists, pulmonologists, and pathologists to increase quality and efficiency of testing. A targeted therapy toolkit was developed with a panel of oncology and pathology experts and distributed to participants to address gaps in knowledge of testing practices and guidelines. HCP confidence in biomarker testing increased from 72% to 92% following the intervention. More HCPs correctly answered knowledge (43% pre-AF vs 61% post-AF) and competence (29% pre-AF vs 54% post-AF) questions following participation in the AF sessions. Conclusions: While molecular testing is critical for mNSCLC care, HCPs report sub-optimal rates of conducting testing prior to treatment and incorporating results into treatment planning. Here, we highlight an unmet need for improved interdisciplinary communication and coordination in mNSCLC care teams and an educational intervention strategy that can be used to improve HCP biomarker and targeted therapy use in mNSCLC. [Table: see text]

Adverse events following immunization to booster dose (precautionary dose) of COVID-19 vaccine among health-care professionals in a tertiary care teaching institute

Background: The worldwide coronavirus disease-2019 (COVID-19) pandemic caused by severe acute respiratory syndrome coronavirus. The Government of India announced the booster dose for patients aged 18 or older on April 10, 2022. The booster dose effectively prevented and controlled the spread of COVID-19. This booster dose was effective against Omicron variant as well. Aims and Objectives: The aims of this study were to find out the type of adverse events following immunization to booster dose (precautionary dose) and the treatment for the adverse drug reactions developed to booster dose (precautionary dose) of COVID-19 vaccine. Materials and Methods: A prospective study was conducted among 157 health-care professionals over a period of 6 months, in a tertiary care teaching hospital. Subjects were interviewed for any adverse events at the time of vaccination and followed up at 6 months for delayed adverse effects. The data were collected and entered in Microsoft Excel sheet and analyzed using SPSS software. Results: Total 157 number of health-care professionals received Booster dose (Precautionary dose) of COVID-19 vaccine in our study. Among 157 recipients, 146 were administered with Covishield vaccine (Group 1) and 11 recipients were given Covaxin (Group 2). Majority of health-care professionals were in the age group of 31–40 years. In them majority of females than males. Six recipients tested positive for COVID-19 virus with Covishield and three with Covaxin (Adverse events noted were fever, headache, body aches, chills, cough, cold, and swelling at the inj. site). There was a statistically significant difference between these two groups with P=0.01. Conclusion: This study concludes that all the reported adverse events to booster dose of COVID-19 vaccine were non serious and were mild to moderate, which have subsided with treatment. Even though few studies on first and second dose of COVID-19 vaccine have evaluated cardiac manifestations, these findings are not evident in the present study. Hence, long-term follow-up studies are required to understand the safety of these vaccines in multiple age groups and with comorbidities.