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Nurses’ information and their view points about patient’s rights and practical facilitators in clinics
Hooshmand A,Joolaee S,Mehrdad N,Bahrani N
Hayat Journal of Faculty of Nursing & Midwifery , 2006,
Abstract: Background & Aim: Nurses can support the patients’ rights advocacy, if they are informed of these rights. Furthermore in order to exercise and protect of these rights, the working environment should be appropriate. Methods & Materials: The aim of this descriptive analytical study was to explore the nurses’ awareness of patients’ rights in Tehran teaching hospitals and the facilitators of observing theses rights from their perspective. To achieve this, 517 nurses were selected using multi stage stratified sampling method. Data were gathered utilizing a researcher made questionnaire with 3o statements regarding patients’ bill of rights, and an open question about patients’ rights facilitators at the end. Results: The findings indicated that overall nurses had a high level of awareness regard patients’ rights. In addition nurses mentioned 17 factors as facilitators of patients’ rights practice. These were classified to three groups: organization related, personnel related and client/ patient related factors. The most frequent items were in the group of organization related factors. Conclusion: Despite of nurses’ high awareness of patients’ rights, observing these rights in practice needs many other requirements. These requirements should be recognized and identified. This can be the first step for finding proper solutions by all health care providers and policy makers as well.
Pharmacists and Nurses Perception of Medication Errors in a Nigerian University Teaching Hospital
AI Demehin, OO Babalola, WO Erhun
International Journal of Health Research , 2008,
Abstract: Purpose: To investigate the type and frequency of all medication dispensing and administration errors as perceived by pharmacists and nurses respectively, and the factors associated with such errors in a Nigerian university teaching hospital. Methods: The study was conducted at the Obafemi Awolowo University Teaching Hospitals, Ile-Ife and Ilesa, Nigeria. Data was collected by the use of pre-tested questionnaire administered to 35 pharmacists and a stratified sample of 130 nurses over a period of 2 weeks. The questionnaires were sorted and analysed. Results: The pharmacists that responded (80%) cited incorrect drug, incorrect strength of drug (70%) and wrong dose of drug (60%) as the most common dispensing errors. Fifty percent of pharmacists put the estimated frequency of occurrence of these dispensing errors at 1 per 100 prescriptions dispensed. Most of the nurses (65%) identified administration of wrong drug, administration of wrong dose (63%) and wrong time of drug administration (57%) as the most frequently occurring medication administration errors in the teaching hospital. All the pharmacists and 78% of nurses identified excess workload as the most important factor contributing to errors in medication dispensing and administration respectively. Conclusion: The fundamental factor perceived to be contributing to errors in medication dispensing and administration was excess workload resulting from insufficient members of staff.
Evaluation of Knowledge and Attitudes of the Nurses Working in a Training Hospital about Patients' Rights
Abdulkadir Teke,Muharrem Ucar,Cesim Demir,Ozay Celen
TAF Preventive Medicine Bulletin , 2007,
Abstract: Term of patients rights defines rights and responsibilities between health care organizations and patients. Health care professionals have very important responsibilities, in order to guard the rights of patients. Nurses can be seen to have more responsibility than another health care professional, because they have some kind of partnership relation with patients. This study aims to determine the knowledge level and attitudes of patient rights among the nurses of the Gulhane Military Medical Academy (GATA) Training Hospital. The study universe consisted of all the nurses at the hospital (n=603) and 120 nurses were chosen with simple random sampling for the study. In general, 41.1% of the study group didn t receive any education about patients rights, 21.7% stated that they didn t encounter any patient rights issue in their day to day practice, and 64.2% stated that they learned something about the patient rights another resource like TV or mass media. Attitudes of study group were observed changeable from 69.2% to 100% about the universal patients rights. A comprehensive effort should be sustained to make the patients rights an essential part of healthcare. Because of that, patients rights office should be established in hospitals. These offices should carry out education of healthcare staff and patients about the patient rights, solve the problems which emerged from violation of patients rights, and verify the healthcare is appropriate for patients satisfaction. [TAF Prev Med Bull. 2007; 6(4): 259-266]
Unsatisfied Patient’s Rights: A Survey on the Views of Patients, Nurses and Physicians
Alireza Parsapoor,Kazem Mohammad,Hussein Malek Afzali,Farshid Alaeddini
Journal of Medical Ethics and History of Medicine , 2012,
Abstract: Neglecting patients' rights in a health care system can give rise to a challenging situation between health care providers and patients. The purpose of this study was to compare the views of patients as recipients of healthcare services and physicians and nurses, as healthcare providers, regarding the unsatisfied demands of different aspects of patients' rights in 3 hospitals representing three types of settings (teaching, private, and public).This was a cross-sectional descriptive analytical study. Data were gathered using a questionnaire which was filled out by an interviewer for the patients and self administered for nurses and physicians. The research venues were one general teaching hospital, one first class private hospital, and one non-teaching public hospital, and all 3 were in Tehran. The questionnaire consisted of some general questions about respondents' demographics, and 21 questions concerning the importance of patients' rights, and how well patients' rights were observed. Overall, 143 patients, 143 nurses (response rate: 61%) and 82 physicians (response rate: 27.5%) completed the questionnaire.The degrees of unsatisfied demands were different depending on the various views within each group regarding the degree of importance and observance of each right, which was measured by the Likert's scale ranging from 0.0 (no importance, no observance) to 10.0 (absolutely important, full observance). Concerning the non-normal distribution, the collected data were analyzed by non-parametric tests using the SPSS software (ver. 11.5).Results showed that the studied groups had significantly different views. The most prominent issue concerned patients' to make an informed decision, which was particularly unsatisfactory in the teaching hospital. The results of this research indicate that healthcare providers, especially physicians, need to be informed to show more respect for patients' rights in terms of access to clinical information and making decisions. The results demonstrated that there was a significant difference between the opinions of patients and health care providers regarding the extent of unsatisfied demands of patients' rights. According to the patients, the level of unsatisfied demands of these rights is far higher than that expressed by physicians.
Perception of Pharmacovigilance by Nurses and Midwives of the Cocody University Teaching Hospital in Abidjan  [PDF]
Balayssac Eric, Tadjo Jean, Adon Auguste, Ehouman Mocket
Pharmacology & Pharmacy (PP) , 2019, DOI: 10.4236/pp.2019.1011039
Abstract: Objective: To assess the perception on pharmacovigilance by the nurses and midwives at the University Teaching Hospital (CHU) of Cocody in 2017. Methodology: Descriptive and analytic cross-sectional study conducted in 17 services of the University Teaching Hospital (CHU) of Cocody using an anonymized and standardized questionnaire. Results: The response rate was 39.33% for the 86 nurses and 21 midwives with at least 10 years of professional experience (50.6%). 57.94% of the respondents (n = 62) have already heard about pharmacovigilance during their basic training (40.18%, n = 43). However, only 19.63% (21/107) of the respondents knew about the existence of a pharmacovigilance unit which they wrongly located to the pharmacy (11/21) of the CHU of Cocody. 40.18% of respondents (n = 43) had previously experienced an adverse drug reaction that was reported (76.74%, n = 33) to a hierarchical supervisor (60.60%, n = 20). The causes of non-reporting were either the frequent occurence (4/10) or the benign nature (2/10) of the adverse drug reaction. Specific actions to be taken (37.38%, n = 40) and a feedback (28.97%, n = 31) were the respondents’ main expectations for the stimulation of the reporting system. They also wanted the pharmacovigilance monitors to regularly visit their services (34.57%, n = 37) and to provide them with the reporting forms (30.84%, n = 33). Conclusion: Our study has allowed us to highlight the lack of knowledge of the pharmacovigilance and to identify certain factors that could improve the perception of the pharmacovigilance by the nurses and the midwives in Ivory Coast.
Cost awareness among doctors in an Irish university-affiliated teaching hospital  [cached]
William H.C. Tiong,Michael O'Shaughnessy,Sean T. O'Sullivan
Clinics and Practice , 2011, DOI: 10.4081/cp.2011.e91
Abstract: Previous studies in USA and Canada have found that physicians and physicians in training have a limited understanding of medical care costs. In this study, we set out to survey all grades of doctors in the surgical department, emergency department, and anaesthetic department in a university-affiliated, Irish teaching hospital. Open-ended questionnaires on cost of 25 routinely used items in the hospital were sent to each department. The aims of the study were to assess the present knowledge of cost among the various grades of doctors, and to evaluate the level of professional experience on cost awareness and their confidence in their estimates. We had an overall response rate of 56.8% with 68.5% of doctors admitted to have estimated more than 90% of their responses. Ninety three percent of doctors have no confidence in their estimates on cost of listed items. We found that the lack of cost awareness was universal among doctors of all grades (P = 0.236). The doctors in our study population showed a high level of inaccuracy on their estimates of cost of routinely used items with 84% of the items overestimated. Our results were discouraging and demonstrated that considerable educational activity will be necessary if doctors are to be more cost effective in meeting the national health care budget.
Observance of Patient’s Rights: A Survey on the Views of Patients, Nurses, and Physicians  [PDF]
A Parsapoor,K Mohammad,H Malek Afzali,F Ala’eddini
Journal of Medical Ethics and History of Medicine , 2012,
Abstract: Assessment of patients' views about the observance of patients' rights in the health system is of great importance for evaluation of such systems. Comparing views of patients (recipients of health services) and physicians and nurses (health care providers) regarding the observance of various aspects of patients' rights at three hospitals representing three models of medical service provision (teaching, private, and public) is the main objective of this study.This was a cross-sectional descriptive and analytical study, and the information needed was gathered through questionnaires. They were filled out by an interviewer for patients, but self administered by physicians and nurses. The field of study consisted of three hospitals including a general teaching hospital, a private hospital, and a public hospital, all located in Tehran. The questionnaires contained some general questions regarding demographic information and 21 questions concerning the necessity of observing patient's rights. The questionnaires were initially filled out by a total of 143 patients, and then consigned to 143 nurses (response rate = 61.3%) and 82 physicians (response rate = 27.5%) to be completed. The rate of observance of each right was measured on a Likert scale ranging from zero (non-observance) to 10 (full observance). Considering abnormal distribution of the information, it was analyzed with non-parametrical tests using SPSS 11.5 software package.The results of this study showed that the study groups had different views about how well different aspects of patients' rights were observed. The highest level of disagreement was related to the right of choosing and deciding by the patients, which was not satisfactory in the teaching hospital.According to the results, it seems that healthcare providers, especially physicians, should be better informed of patients' right of access to information and right of choosing and deciding. Based on the observed disagreement between the views of the patients and those of the physicians in the present study, it can be asserted that the patients thought that the level of observance of these rights was lower in comparison with what the physicians thought.
Knowledge of nurses at a psychiatric hospitalization unit of a teaching hospital
Olschowsky, Agnes;Duarte, Maria de Lourdes Custódio;
Revista Latino-Americana de Enfermagem , 2007, DOI: 10.1590/S0104-11692007000400026
Abstract: this study aims to identify the knowledge of the nurses in a psychiatric hospitalization unit at a university hospital. it is an exploratory, descriptive research with a qualitative approach, utilizing semistructured interviews. the nurses refer to a change in the assisting care, starting from their experience in the asylum mode and making references to the concepts of the psychosocial mode: integrality, welcoming, interdisciplinarity and interpersonal relationship. integral and individual care, knowledge of the psychiatric syndromes and their treatment as well as the consideration of the subjectivity of the subject under psychiatric suffering are part of the knowledge that guides nursing actions in mental health.
Needlestick Injuries among Nurses in a Tertiary Care Hospital: A Work Hazard or Lack of Awareness?  [PDF]
Archana Angrup, Thakur Kamlesh, Jaryal Subhash Chand, Sood Anuradha, Chandel Lata
Asian Journal of Medical Sciences , 2014, DOI: 10.3126/ajms.v5i1.4971
Abstract: Objectives : The present study addresses this important issue of NSI and aims at determining their occurrence among the nursing staff in Dr Rajendra Prasad Government Medical College (RPGMC) and hospital, Kangra at Tanda (H.P). Methods: A cross sectional study undertaken amongst the nursing staff of Dr RPGMC and hospital, Kangra at Tanda. Results: Out of the 164 respondents, 35(21.3%) reported to having one or more NSIs in their career and the maximum of these were amongst the nurses whose work experience was less than five years (13.4%). Conclusions: The results of this study confirm the importance of the need for an increased awareness of the risk of needlestick injury, the need to provide for the training and education of health-care workers DOI: http://dx.doi.org/10.3126/ajms.v5i1.4971 Asian Journal of Medical Science Vol.5(1) 2014 pp.58-62
A study of knowledge assessment and competence in asthma and inhaler technique of nurses employed at university teaching hospital  [cached]
Lalani NS
theHealth , 2012,
Abstract: Background: Current effective treatments available for asthma are mainly the inhalers. Nurses play a vital role in imparting correct knowledge of asthma care and teaching inhaler techniques to patients. The aims of the study were to, a) determine the knowledge of nurses regarding asthma and its management and b) evaluate the competence of nurses to use inhalers.Methods: A simple random sample of registered nurses was taken from the medical surgical units of the hospital. Data was collected by using pre and post test asthma questionnaire and a nine step inhaler skill checklist.Results: The pre-test data shows 40-50% of RNs lacked the knowledge of causes, sign and symptoms and the management of asthma. More than 30% were not able to demonstrate the correct inhaler technique of MDIs. Evaluation after several teaching sessions shows 80-90% improvement in the knowledge and competence of nurses to use inhalers.Conclusion: Continuous training programs and workshops are needed to improve the knowledge of nurses about asthma, their competence to use inhalers and to demonstrate to patients.
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