Percent Of Healthcare Professionals Research Articles

Nursing Image From the Perspective of Healthcare Professionals During the Post-COVID-19 Pandemic Period: A Cross-Sectional Study

In this study, the goal was achieved to examine the nursing image from the perspective of healthcare professionals in the post-COVID-19 period. This descriptive study was conducted with the participation of n = 264 healthcare professionals working in a training and research hospital. A personal Information Form and Nursing Image Scale were used to collect data. Descriptive methods, the Kruskal–Wallis test, and the Mann–Whitney U test were used in data analysis. Sixty-three point three percent of the healthcare professionals were women and 76.9% were nurses. Sixty-three point six percent of healthcare professionals had COVID-19 and 84.8% had worked without leave during the pandemic. In the post-COVID-19 period, 39% of the healthcare professionals were in partial anxiety and 36.7% were in constant anxiety. Personal characteristics of healthcare professionals did not have a statistical impact on nursing image scale scores. From the perspective of healthcare professionals, the total score of the nursing image scale was moderate. The lack of a strong nursing image may trigger poor care practices.

Managing an impacted fetal head at caesarean section: a UK survey of healthcare professionals and parents

Objective(s)To understand current practice, expertise and training requirements for management of an impacted fetal head (IFH) at caesarean section (CS) in the UK, and whether a clinical trial of techniques to manage an IFH is acceptable. Study designFive hundred and thirty-eight online surveys were completed by obstetricians (n = 206), obstetric anaesthetists (n = 38), midwives (n = 35) and parents (n = 259). Data was collected on incidences of CS and IFH, current use of techniques, and acceptability of a clinical trial to manage an IFH from health care professionals. Information on incidences of CS and recollection of an IFH, acceptability of techniques, and likelihood of taking part in a clinical trial were sought from parents. ResultsThe most common technique used by obstetricians (84%) and midwives (69%) was the ‘push technique’. Eighty-seven percent of health care professionals would be willing to participate in a clinical trial, with 89% confirming that results would guide their clinical practice. Most parents expressed reluctance regarding participation in a clinical trial during labour (62%), due to preferring a doctor to adopt the technique they felt most comfortable with (63%). Conclusion(s)Given the lack of national guidance on appropriate techniques, no formal training, and no consensus on best practice for the management of an IFH during emergency CS, it is perhaps not surprising that the majority of heath care professionals would be willing to participate in a clinical trial, where results will guide their clinical practice. The future development of clinical trials, involving relevant stakeholders in the design of such trials, is crucial to improve upon the guidance and training provided to staff who may encounter an IFH.

Knowledge, Awareness and Practice of Health care Professionals amid SARS-CoV-2, Corona Virus Disease Outbreak.

Objective:To assess the knowledge, awareness and practice level of health care workers towards Corona Virus disease - 2019 (COVID-19).Methods:A cross sectional study was conducted by administering a well-structured questionnaire comprising of three sections including knowledge, attitude and practice amongst health care professionals in various hospitals and clinics, over a duration of two months ‘Feb-March’ 2020. The data from 810 participants were collected manually as well as through online survey registered on www.surveys.google.com, using a validated questionnaire. The questionnaire comprised of three sections assessing knowledge, awareness and practice of participants. The descriptive analysis was carried out for demographics and dependent variables with statistical program for social sciences. Spearman test was used to detect any relationship between the health care professional response with respect to their gender and level of education. A p value of < 0.05 was considered statistically significant.Results:More than half (57.2%) of the health care professionals were working in a hospital setting. Fifty two percent of health care professionals had awareness and 72% were practicing adequate measures to combat COVID-19. The majority (81.9%) believed that the sign and symptoms are similar to a common flu and the main strata of population that could be affected by COVID-19 are elderly (79%). Seventy three percent of participants did not attend any lecture, workshop or seminar on COVID-19 for awareness purpose. Sixty seven percent of health care professionals were practicing universal precaution for infection control and 57.4% were using sodium hypochlorite as a surface disinfectant in dental surgeries. There was no significant relationship (p > 0.05) between the health care professionals’ responses with gender and their education level.Conclusion:The study suggests that the vast majority of the health care professionals have adequate knowledge and awareness related to COVID-19. However some aspects of practice of health care professionals were found to be deficient including, following CDC guidelines during patient care, acquiring verified knowledge related to COVID-19, disinfection protocol and the use of N-95 mask. Mandatory Continued professional development programs including lectures and workshops on COVID-19 for all health care professionals are the need of the hour, to manage the pandemic and limiting the morbidity and mortality related to it.

Hip and knee replacements: Should we follow them up? A survey of orthopaedic health professionals.

The aim of this study was to collect evidence on the current view of orthopaedic health professionals on follow-up services after hip or knee replacement. It consisted of a short survey that was distributed, following ethical approval, at the British Association for Surgery of the Knee (BASK) and the British Hip Society 2018 annual meetings with the agreement of their executive committees. One hundred and seventy-two delegates completed the surveys with a high response rate. The majority of respondents were orthopaedic consultants (mean years since qualification = 18), with 13% of the participants from an allied health professional or research background. Results showed that 87% (hips) and 78% (knees) of healthcare professionals (HCPs) supported long-term follow-up by the orthopaedic community with 33% stating that changes are needed in the intervals for review and age limits as recommended in the current NICE guidelines. Freehand comments noted concerns about skilled assessment and cost; some included suggestions for alternative models of care. Seventy-four percent of HCPs were in favour of using arthroplasty practitioner services with the majority preferring a virtual arthroplasty practitioner service. Forty-six percent of HCPs were aware of their local National Health Service plans for sustainability and transformation (STP). Of these, 61% reported that their responses were not consistent with their local STP. In conclusion, there continues to be widespread support for arthroplasty follow-up services. However, with the current pressure on healthcare resources, a re-evaluation of recommended follow-up services and their method of delivery is required.

An Internet-Based, Multimedia Informed Consent Resource for Proton Therapy Clinical Trials: A Pilot Study

An Internet-Based, Multimedia Informed Consent Resource for Proton Therapy Clinical Trials: A Pilot Study

Implementing a Geriatric Assessment in Cooperative Group Clinical Cancer Trials: CALGB 360401

Factors captured in a geriatric assessment can predict morbidity and mortality in older adults, but are not routinely measured in cancer clinical trials. This study evaluated the implementation of a geriatric assessment tool in the cooperative group setting. Patients age ≥ 65 with cancer, who enrolled on cooperative group cancer trials, were eligible to enroll on Cancer and Leukemia Group B (CALGB) 360401. They completed a geriatric assessment tool before initiation of protocol therapy, consisting of valid and reliable geriatric assessment measures which are primarily self-administered and require minimal resources and time by healthcare providers. The assessment measures functional status, comorbidity, cognitive function, psychological state, social support, and nutritional status. The protocol specified criteria for incorporation of the tool in future cooperative group trials was based on the time to completion and percent of patients who could complete their portion without assistance. Patient satisfaction with the tool was captured. Of the 93 patients who enrolled in this study, five (5%) met criteria for cognitive impairment and three did not complete the cognitive screen, leaving 85 assessable patients (median age, 72 years). The median time to complete the geriatric assessment tool was 22 minutes, 87% of patients (n = 74) completed their portion without assistance, 92% (n = 78) were satisfied with the questionnaire length, 95% (n = 81) reported no difficult questions, and 96% (n = 82) reported no upsetting questions. One hundred percent of health care professionals completed their portion. This brief, primarily self-administered geriatric assessment tool met the protocol specified criteria for inclusion in future cooperative group clinical trials.

Driving and insulin‐treated diabetes: who knows the rules and recommendations?

AbstractIn the UK the Driving and Vehicle Licensing Agency (DVLA) provides statutory regulations and guidance for safe practice for patients with insulin‐treated diabetes and their health professionals. An increased risk of road traffic accidents may be associated with complications such as acute hypoglycaemia, peripheral neuropathy and amputations. Previous studies have assessed patient knowledge and adherence. The aim of this study was to simultaneously assess whether patients and their health professionals are aware of and follow this guidance.An anonymous questionnaire was given to all patients attending a secondary care diabetes clinic over a three‐week period. A second web‐based questionnaire was e‐mailed to primary and secondary care health care professionals (HCPs) involved in diabetes care throughout Grampian.In all, 117 patients with insulin‐treated diabetes completed the questionnaire and 106 HCPs from primary and secondary care completed the web‐based questionnaire. The majority of patients (95%) were aware that they were obliged to inform the DVLA of their insulin treatment and 92% had done so. Only 15% of patients always tested and 24% would never test a blood glucose prior to driving. Ninety‐four percent of patients recognised symptoms of hypoglycaemia most of the time. Only 17% would wait the recommended 45 minutes before driving again after an episode of hypoglycaemia. All HCPs knew that patients are obliged to inform the DVLA of their insulin treatment. Sixty‐two percent of HCPs knew patients should test before every journey. Thirteen percent of HCPs thought it safe to drive with blood glucose &lt;4mmol/L. Eight percent of HCPs did not know that impaired awareness of hypoglycaemia might be a contraindication to driving.Greater availability of information to health professionals about minimising the risks associated with driving and diabetes is required if patients with insulin‐treated diabetes are to become better informed and understand driving regulations and recommendations for safe driving in the UK. Copyright © 2007 John Wiley &amp; Sons.

The role of emotional labour in oncology

Oncologists and related health care professionals (HCPs) do not only have to follow professional protocols in their everyday work, but also have to communicate proper attitudes towards patients suffering from malignant diseases. This task is often a heavier load than the implementation of professional activities themselves. The present article is based on a survey on HCP work motivation, employment parameters and correlations with emotional labour. Fifty oncology HCPs at Debrecen University Medical Health Sciences Centre volunteered to participate in this survey containing 20 simple-choice questions. More than 90 percent of HCPs make an effort to hide their emotional state, giving way to possible negative side effects. The survey showed significant differences between the level of emotional labour of those working in the field of oncology longer or shorter than ten years. Surface and deep emotional labour is more frequent among professionals already working in oncology for a longer period of time. This can serve us with explanation to the burn-out syndrome so frequent in this profession. To diminish the load of emotional labour, healthcare institutes have to aim at hiring employees that spontaneously fit the emotional and behavioural norms facing them, and do not need officially prescribed behavioural norms for everyday work. Their constant need for respect and appreciation of their values must be kept in mind, because the capability of genuine emotional labour diminishes parallel to the number of years spent in work.

PREVENTING AIDS: Knowledge, Attitudes, and Practices

1. Because health care providers are the key professionals in advising patients about prevention and treatment of HIV/AIDS, the degree to which spread can be prevented is at least partially a function of preventive and education measures taken by health care professionals. 2. Nurses surveyed believe that they do not have the right to refuse treatment to patients infected with HIV. 3. Twenty percent of health care professionals indicated they did not have adequate information concerning HIV, with the largest group being nurse executives in long-term care facilities. 4. The survey indicated that more efficient and effective educational methods should be used to increase health care practitioners' knowledge about AIDS.