Preparedness Of Health Care Providers Research Articles

Perceptions of Antenatal Care among Ghanaian Mothers

In Ghana, some pregnant women may not seek antenatal care due to the unavailability of such services in their communities, although preventive service can help reduce maternal mortality with high-quality care. This study aimed to understand the antenatal care opinions of Ghanaian mothers who sought antenatal care, the barriers they faced, and their suggestions for improvement in antenatal care in Ghana. This study’s data were collected in the Central and Ashanti regions in Ghana from June 2023 to January 2024. Four hundred and fifty mothers in Ghana who indicated that they had given birth within the last 10 years of the data collection period took part in the study. Our findings revealed that 93.6% of Ghanaian mothers perceived their antenatal care to be of good quality due to proper examinations, friendly provider–patient interactions, reassurance, fair treatment, and proper education, whereas 6.5% of Ghanaian mothers perceived their care to be of poor quality due to long wait times, impersonal interactions, inadequate facility resources, and barriers to communication. For Ghanaian mothers to receive better outcomes for themselves and their children, it is worth improving healthcare facilities, healthcare provider preparedness, local transportation, and addressing financial constraints to go from suboptimal to optimal health services.

Preparedness of health care providers for motivaton of the population for leading a healthy lifestyle

Purpose. To assess the commitment to a healthy lifestyle of persons involved in the formation of health conservation (doctors, teachers). Materials and m e t h o d s . A cross-sectional study was conducted, which included 176 people (75 doctors, 101 teachers of higher medical educational institutions), employees of state budgetary institutions in Moscow. At the age of 45,48±15,33 years (from 23 to 78 years), among them 91 women, 85 men. Results. A quarter of the respondents from the group led an insufficiently healthy lifestyle (25,34%); 4% of doctors and 0,9 teachers observed “poorly” the principles of a healthy lifestyle; The main problem was low physical activity, identified in 79,3% of the respondents (95,6% of doctors, 67,56% of teachers), low responsibility for health (9,9%) and poor nutrition among teachers (3,9%), low stress management skills among doctors (5,3%). Conclusions. There is a lack of adherence to the principles of a healthy lifestyle among participants in health preservation. Insufficient commitment of doctors and teachers to adherence to the principles of a healthy lifestyle plays a negative role in the formation of health-saving behavior among the population of the Russian Federation.

Knowledge and preparedness of healthcare providers towards bioterrorism

BackgroundSeveral emergent circumstances require healthcare providers to recognize the unusual and dangerous and pathogenic agents. An in-depth literature review showed that studies about bioterrorism preparedness amongst healthcare providers are lacking. Therefore, this study aimed to investigate the knowledge and preparedness level of first emergency respondents towards bioterrorism events.MethodsThis study has a cross-sectional design and was carried out at the Emergency departments and poison control centers/clinical laboratories three in major tertiary care hospitals in Riyadh, Saudi Arabia. The subjects were randomly selected to complete the self-administered questionnaire to collect study outcomes.ResultsA total of 1030 participants were included in the final data analysis. The mean knowledge score in the basic concepts of bioterrorism and introductory clinical presentations of bioterrorism-related agents was 4.92 ± 1.86 out of 12 points.Moreover, the findings showed a mean knowledge score of 22.80 ± 3.92 out of 38 in the bioterrorism preparedness and governing policies and procedures. Respondents who received previous training in bioterrorism preparedness had a significantly higher number of perceived benefits than those not sure and without prior training (z = − 2.67, p = 0.008) and (z = − 4.4, p < 0.0001), respectively. About 79.4% of participants did not have previous training in bioterrorism preparedness, but 68.7% expressed willingness in the institution’s response and control to assist in a bioterrorist attack incident.ConclusionAlthough healthcare professionals have reported their desire to help in bioterrorism events, they need to enhance their knowledge of bioterrorism preparedness.

Novel coronavirus disease 2019: knowledge, practice and preparedness: a survey of healthcare workers in the Offinso-North District, Ghana.

IntroductionEver since World Health Organization declared COVID-19 as a public health emergency of international concern, Ghana is one of the most affected countries in Africa. However, the knowledge, practice, and preparedness of healthcare providers on the novel COVID-19 in the country has not been studied. This study assessed health workers’ knowledge, practice, and preparedness on the current pandemic in three Ghanaian hospitals.MethodsThis multi-centre cross-sectional survey recruited 261 healthcare workers in Offinso North district between April and May, 2020, through self-administered questionnaire. SPSS version 22.0 was used for the analysis and statistical significance set at p < 0.05.ResultsWe identified that 65.1% of the healthcare providers had adequate knowledge, 27.6% of them had received appropriate in-service training, 57.5% had adequately prepared themselves and willing to care for affected patients and 63.0% were duly aware of their facility’s preparedness for the situation. Again, only 57.5% of the health workers adhered strictly to the practice of precautionary measures, and 62.5% had varying forms of misconceptions about the aetiology of the novel COVID-19. Majority (77.1%) of the respondents received regular information on the COVID-19 from the Ministry of Health, Ghana.ConclusionThe overall knowledge, practice and willingness of healthcare workers to handle COVID-19 were encouraging; however, this study still elucidates the knowledge gap of the professionals on the pandemic. We advocate for progressive training of staff on COVID-19, to advance the appreciation of the risks and precautionary measures and clear the misconceptions. This, we believe, would boost the confidence and increase their willingness to deliver efficiently.

Knowledge and Preparedness of Healthcare Providers Towards Bioterrorism

Introduction: Several emergent circumstances require healthcare providers to be able to recognize the dangerous and uncommon pathogenic agents. An in-depth literature review showed that studies about bioterrorism preparedness amongst healthcare providers from the Middle East, including Saudi Arabia, are lacking. Therefore, we conducted this study to investigate the knowledge and preparedness level of first emergency respondents towards bioterrorism events, which are the emergency department (ED) healthcare providers and the poison control center/clinical laboratory staff. Methods: A cross-sectional study was conducted between at the Emergency departments and poison control centers/clinical laboratories three in major tertiary care hospitals in Riyadh city, Saudi Arabia. The subjects were randomly selected to complete the self-administered questionnaire to collect study outcomes. Results: A total of 1030 participants were included in the final data analysis. The majority were nurses, 516 (50.1%) and doctors 351 (34.1%), and females 550 (53.6%). Overall, the findings revealed a mean knowledge score of 4.92 ± 1.86 out of 12 in the basic concepts of bioterrorism and basic clinical presentations of bioterrorism-related agents. Moreover, the findings showed a mean knowledge score of 22.80 ± 3.92 out of 38 in the bioterrorism preparedness and governing policies and procedures. Respondents who received previous training in bioterrorism preparedness had a significantly higher number of perceived benefits than those not sure and without prior training (z = -2.67, p = 0.008) and (z = - 4.4, p < 0.0001), respectively. About 79.4% of participants did not have previous training in bioterrorism preparedness, but 68.7% expressed willingness in the institution's response and control to assist in the event of a bioterrorist attack. Conclusion: Although healthcare professionals have reported their willingness to assist in bioterrorism events, they need to enhance their knowledge towards bioterrorism preparedness. Funding Statement: The study was funded by King Fahad Medical City, Riyadh, Saudi Arabia. Declaration of Interests: Authors have no conflict of interests. Ethics Approval Statement: The study was reviewed and approved by the institutional review boards at the study site. Participants’ completion of the questionnaire implied their consent to take part in the study.

Influenza A H1NI (Pandemic 2009): How prepared are healthcare providers in Calabar, Nigeria?

In April 2009, an outbreak of influenza was reported in Mexico and California and within months, it spread to all continents of the world. An influenza pandemic has always posed a threat to global public health. The objective of this study was to assess the knowledge, attitude, reported practice and preparedness of health care providers in Calabar, Nigeria, regarding the H1N1 pandemic. This was a prospective study. A semi-structured questionnaire was administered on health care providers in Calabar, Nigeria. One hundred and forty-five (41.6%) respondents reported that the infection was transmitted from pigs to humans whereas 53 (15.1%) reported that it was transmitted from humans to humans. Two hundred and thirty-one (66.0%) respondents were not willing to work in a hospital unit where patients with Influenza A H1N1 are treated. One hundred and thirty-eight (39.4%) respondents were willing to receive vaccination against Influenza A H1N1 while majority, 212 (60.6%) were not willing. There are gaps in knowledge of respondents regarding H1N1 infection and their level of preparedness is low. Capacity building in emergency preparedness for infectious disease epidemic is recommended. Key words: Influenza, H1N1, pandemic, infections, Calabar, Nigeria.

Healthcare providers readiness to screen for intimate partner violence in Northern Nigeria

IntroductionScreening for intimate partner violence (IPV) against women within healthcare has been advocated and practiced as routine in high income countries. However, screening for IPV against women in sub-Saharan African...

Nurses' experiences of ethical preparedness for catastrophic public health emergencies and health care disasters; a systematic review of qualitative evidence.

Review Question: This review aims to answer the following specific question: What are nurses’ experiences of preparing for and managing the ethical challenges posed by catastrophic public health emergencies and health care disasters? Review Purpose/Objectives: The purpose of this systematic review is to systematically review and synthesise research literature reporting nurses’ experiences of ethical preparedness for dealing with catastrophic public health emergencies and health care disasters and the ethical quandaries that may arise during such events. INCLUSION CRITERIA: Types of Participants: The review will consider publications that include nurses registered or authorised under a given country’s state of emergency provisions to practice in jurisdictions in which a public health emergency (e.g. pandemic influenza) or sudden‐onset mass casualty health care disaster (e.g. flood, hurricane, earthquake, tsunami, volcanic eruption, terrorist attack) have occurred, or may occur. Phenomena of interest: This review will examine the phenomenon of nurses’ experiences of preparing for and/or managing ethical issues arising during a public health emergency or health care disaster. Consideration will be given to, but not be limited to nurse preparation for and management of ethical issues associated with: development of local public health emergency (including pandemic influenza) and sudden‐onset health care disaster plans provision of first health care contact for the general public personal protection and correct use of safety equipment providing front line clinical care providing community and primary health care assistance with containment measures triaging in a range of settings, including general practices, community health centres, and local hospitals maintaining infection control vaccinations informing the public work attendance.

Insuring Continuity of Care for Chronic Disease Patients After a Disaster: Key Preparedness Elements

Care for patients with chronic diseases is a challenge after a disaster. This is particularly true for individuals from health disparate populations as they are less likely to evacuate, have fewer financial resources and often depend on resource-strapped institutions for their care. The specific aim of the study presented here was to elicit challenges and solutions in the provision of health care to those with chronic diseases after Hurricane Katrina in coastal Alabama and Mississippi. Focusing on agencies providing care to health disparate populations, a qualitative methodology was employed using in-depth interviews with health and social service providers. Participants identified key elements essential to disaster preparedness. Predisaster issues were patient education and preparedness, evacuation, special needs shelters, and health care provider preparedness. Postdisaster issues were communication, volunteer coordination, and donation management. Lessons learned from those on the ground administering health care during disasters should inform future disaster preparations. Furthermore, the methodological approach used in this study engendered collaboration between health care institutions and may enhance future interagency disaster preparedness.

Chemical Warfare

Chemical Warfare

Radiation Injuries from Military and Accidental Explosions: A Brief Historical Review

Nuclear radiation was discovered in the late 1800s. Advances in nuclear physics split the atom to herald the atomic age soon afterward. Now, a century later, health care providers remain acutely aware that nuclear hazards may present instantly and unexpectedly, with devastating and massive results. This article highlights known radiation injuries from military and accidental explosions. This information is critical for the preparedness of health care providers in view of aging nuclear power plants, potential industrial and medical accidents, and the buildup of military weapons by other countries.

The Preliminary Result of the Training Course of Pediatric Advanced Life Support

To improve the preparedness of health care providers in pediatric resuscitation and to evaluate the effectiveness of the Pediatric Advanced Life Support course, we followed the standard guidelines of American Heart Association to conduct the first 10-hour course of Pediatric Advanced Life Support course in our hospital and designed this study. A total of 160 doctors and nurses were enrolled in the providers course held on Jan. 11, 1998. A pretest, posttest and survey questionnaire were given to each participant. One hundred and twenty-nine completed these tests. The average scores were 73.1 for the pretest and 86.8 for the posttest. The average scores on the pretest and posttest among doctors (n=57) and nurses (n=72) are 72.6, 86.7 and 73.5, 86.8, respectively (p＜0.001). In the participants with pretest score of less than 80 (n=92), the mean values of pretest and posttest scores were 69.0 and 86.4. The participants with pretest scores higher than or equal to 80 (n=37) had pretest and posttest mean values of 83.3 and 87.7. The participants with less background knowledge (pretest＜80) had better increment scores after this course (p＜0.05). The mean posttest scores in those working in private clinics and having 20 years of working experience are 74.0 and 72.0 (lower than the criteria for successful completion of written examination). We conclude that this provider course did increase the knowledge and skill pertaining to pediatric resuscitation personnel, particularly in participants with less background knowledge. The participants from private clinics or with working experience more than 20 years need a repeatedly educational PALS training course.