scholarly journals When is it acceptable to allow a terminal patient to die? Pharmacy students’ views from a London University

2020 ◽  
pp. 107815522092154
Author(s):  
Beth V Clayton ◽  
Shereen Nabhani-Gebara

Accompanied suicide is a controversial topic with varying practice across Europe; therefore, there is very little guidance on how healthcare professionals should be educated on accompanied suicide. This study implemented an anonymous, cross-sectional online survey to discover the perceptions of final-year MPharm students on accompanied suicide and the factors affecting one’s views, with the aim of investigating the knowledge, awareness and opinions of pharmacy students regarding accompanied suicide, as well as education to pharmacy students. Surveys were disseminated to final-year pharmacy students at Kingston University between January and March 2019. The survey comprised of three sections: Section A consisting of definitions – to determine knowledge of pharmacy students. Section B including case studies – to understand the opinions of pharmacy students and identify influential patient factors. Section C involving demographics – to discover the influential participant factors. An ethics application was submitted and approved prior to conducting this study. The data yielded a total of 111 responses out of a possible 139 (80% response rate); 77.5% participants were unable to correctly define each term given, with many also agreeing their lack of knowledge affected their views. Overall, most pharmacy students disagreed with accompanied suicide, regardless of the patient factors. Additionally, religious participants were more likely to disagree with the patient request ( p < 0.03). Three recommendations were concluded to improve the education of pharmacy students: (1) an approved medical organisation to specifically define terminology, (2) include accompanied suicide in the pharmacy syllabus and (3) include lesser known terminal illnesses on the pharmacy syllabus.

2019 ◽  
Vol 29 (Supplement_4) ◽  
Author(s):  
E Lilja ◽  
A Seppänen ◽  
H Kuusio

Abstract Background Previous population surveys among people with foreign background (PFB) in Finland have had successful response rates (62%-66%) when using mainly face-to-face interviews. A cross-sectional population survey (FinMONIK) explored more cost-efficient ways to collect the data on PFB. Methods The data collection was conducted in Finland between May 2018 and January 2019. The random sample consisted of 12 877 (after removing over-coverage) 18-64-year-olds stratified by region. First, a letter containing a link to the online survey with 18 different language options was sent to the participants. After two reminders, the questionnaire was sent twice on paper to the non-respondents. Finally, supplementary phone interviews were carried out by multi-lingual interviewers. All the participants were able to enter in a draw to win gift cards. Results The response rate (RR) for the online survey was 34%. RR was highest for those who had lived in Finland 5 years or less (43%) and lowest among the divorced (23%) and Estonians (27%). The paper questionnaire was mostly preferred by older age groups, increasing the RR of 40-64 year-olds from 31% to 48%. Telephone interviews increased the RR by five percent points, thus making the final RR for the survey 53%. Persons born in the EU and North-America responded the most frequently (58%) whereas RR was lowest amongst the Sub-Saharan African origin migrants (47%). RR was particularly low (42%) for those who had moved to Finland at ages 0-6. Conclusions In surveys conducted amongst PFB, relatively good response rates can be obtained by using alternate methods for gathering data instead of costly and time-consuming face-to-face interview. Age and marital status seemed to affect the preference of survey format. The overall RR varied by country of origin. Key messages A good response rate can be obtained without face-to-face interviews in migrant population surveys. Migrant population surveys can be conducted more efficiently by combining a variety of methods.


2016 ◽  
Vol 2 (2) ◽  
pp. 142 ◽  
Author(s):  
Samman Chughtai

Self-medication is a common incidence in the world today. This study aims to evaluate self-medication among university students of Multan, Pakistan. This randomized cross sectional study was carried out in Bahauddin Zakariya University, Multan during December 2015- January 216. A sample size of 200 students was randomly selected. Response rate was 90% (n=182).The prevalence of self-medication among the students was determined to be 83%. There was difference in perception of pharmacy students and students of other professions. Most common condition in which students did self-medication was headache (49.66%; n=75). Students also showed tendency of self-medication in case of herbal and essential oil products (46.35%). Awareness concerning insecurity and benefits of self-medication must be spread among students to avoid the complications of self-medication. 


Author(s):  
Ammar Ali Saleh Jaber ◽  
Yaser Mohammed Al-Worafi ◽  
Abdullah Ahmed Dhabali

Purpose This study aims to explore patients’ knowledge and beliefs toward generic medicines and identify the factors affecting their beliefs toward them in Yemen. Patients and methods A cross-sectional study was conducted from April 1 to July 1, 2016. A self-administered questionnaire was distributed to 590 adult patients in Sana’a. The data were analyzed using Statistical Package for the Social Sciences® (IBM SPSS) version 26 for Windows. Results Overall, 370 patients participated in this study. The study identified that a majority of the respondents did not know the similarities and differences between generic and branded medication and had negative beliefs toward generic medication. The study identified the factors contributing to the patients’ beliefs toward generic medication. Conclusion Yemeni patients had poor knowledge and negative beliefs toward generic medication. Educational programs provided to patients and healthcare professionals regarding generic medication can improve patients’ knowledge and correct their beliefs in this regard.


2022 ◽  
pp. 131-148
Author(s):  
Burcu Karabulut Coşkun ◽  
Ezgi Mor Dirlik

In today's world, which has been administered by computers and artificial intelligence in many areas, online data gathering has become an inevitable way of collecting data. Many researchers have preferred online surveying, considering the advantages of this method over the classical ones. Hence, the factors that may affect the response rate of online surveying have become a prominent research topic. In line with the popularity of this issue, the purpose of this chapter was to clarify the concept of online surveys; give information about their types, advantages, and usage; and investigate the factors that affect the participants' response behaviors. Besides the discussions on the theoretical framework of online surveying, an online survey aiming to determine the factors affecting the participation in online surveying was administered to a group of people to investigate the response behaviors thoroughly. The findings revealed that rs might affect ants' response behaviors to online surveys in various ways radically.


Author(s):  
Usman Rashid Malik ◽  
Naveel Atif ◽  
Furqan Khurshid Hashmi ◽  
Fahad Saleem ◽  
Hamid Saeed ◽  
...  

In the current outbreak of novel coronavirus (COVID-19), healthcare professionals (HCPs) have a primary role in combating the epidemic threat. HCPs are at high risk of not only contracting the infection but also spreading it unknowingly. It is of utmost importance to evaluate their knowledge, attitudes, and practices (KAP) and the ability to assess the risks associated with the outbreak. A cross-sectional online survey involving physicians, pharmacists, and nurses was conducted. A 39-itemed questionnaire based on the World Health Organization (WHO)COVID-19 risk assessment tool was shared with healthcare professionals in three purposively selected key divisions of Punjab province. Out of 500 healthcare professionals, 385 responded to the survey. The majority (70%) were aged 22–29 years; 144 (37.4%) physicians, 113 (29.4%) nurses, and 128 (33.2%) pharmacists completed the survey. Overall, 94.8% of healthcare professionals scored adequately (>14) for COVID-19-related knowledge; 97.9% displayed an optimistic attitude (>42) and 94.5% had an adequate practice score (>28). Kruskal–Wallis and Jonckheere–Terpstra tests showed significant differences (p < 0.05) in KAP and risk assessment scores among groups; physicians and nurses scored higher as compared to pharmacists. Further research and follow-up investigations on disaster management and risk assessment can help policy-makers better tackle future epidemics.


2019 ◽  
Vol 48 (2) ◽  
pp. 324-341 ◽  
Author(s):  
Helen De Cieri ◽  
Cathy Sheehan ◽  
Ross Donohue ◽  
Tracey Shea ◽  
Brian Cooper

Purpose The purpose of this paper is to apply the concept of power imbalance to explain workplace and demographic characteristics associated with bullying by different perpetrators in the healthcare sector. Design/methodology/approach All 69,927 members of the Australian Nursing and Midwifery Federation (Victoria) were invited to participate in an online survey in 2014; 4,891 responses were received (7 per cent response rate). Participants were asked about their exposure to workplace bullying (WPB) by different perpetrators. The questionnaire addressed demographic characteristics and perceptions of workplace characteristics (workplace type, leading indicators of occupational health and safety (OHS), prioritisation of OHS, supervisor support for safety and bureaucracy). Analysis involved descriptive statistics and regression analyses. Findings The study found that the exposure of nurses and health workers to bullying is relatively high (with 42 per cent of respondents experiencing WPB in the past 12 months) and there are multiple perpetrators of bullying. The research revealed several demographic predictors associated with the different types of perpetrators. Downward and horizontal bullying were the most prevalent forms. Workplace characteristics were more important predictors of bullying by different perpetrators than were demographic characteristics. Research limitations/implications There are limitations to the study due to a low response rate and the cross-sectional survey. Practical implications Practical implications of this study emphasise the importance of focussed human resource strategies to prevent bullying. Originality/value The key contribution of this research is to draw from theoretical explanations of power to inform understanding of the differences between perpetrators of bullying. The study highlights the workplace characteristics that influence bullying.


2020 ◽  
Author(s):  
Helen Yue-lai Chan ◽  
Annie Oi-ling Kwok ◽  
Kwok-keung Yuen ◽  
Derrick Kit-sing Au ◽  
Jacqueline Kwan-yuk Yuen

Abstract Background: Training has been found effective in improving healthcare professionals’ knowledge, confidence, and skills in conducting advance care planning (ACP). However, its association with their attitudes toward ACP, which is crucial to its implementation, remained unclear. To fill this gap, this paper examines the association between their attitudes toward ACP and relevant training experiences.Methods: An online survey about attitudes toward ACP of healthcare professionals, including physicians, nurses, social workers, and allied healthcare professionals, currently working in hospital and community care in Hong Kong was conducted.Results: Of 250 respondents, approximately half (51.6%) had received ACP-related training. Those with relevant training reported significantly more positive in the perceived clinical relevance, willingness, and confidence in conducting ACP and levels of agreement with 19 out of the 25 statements in a questionnaire about attitudes toward ACP than those without (ps ≤ 0.001–0.05). Respondents who received training only in a didactic format reported a significantly lower level of confidence in conducting ACP than did others who received a blended mode of learning (p = 0.012). Notwithstanding significant differences between respondents with and without relevant training, respondents generally acknowledged their roles in initiating conversations and appreciated ACP in preventing decisional conflict in surrogate decision-making regardless of their training experience.Conclusions: This paper revealed the association between training and positive attitudes toward ACP among healthcare professionals. The findings showed that training is a predictor of their preparedness for ACP in terms of perceived relevancy, willingness, and confidence. Those who had received training were less likely to consider commonly reported barriers such as time constraints, cultural taboos, and avoidance among patients and family members as hindrances to ACP implementation.


2020 ◽  
Author(s):  
Abdulqadir J. Nashwan ◽  
Ahmad A. Abujaber ◽  
Ahmed S. Mohamed ◽  
Ralph C. Villar ◽  
Mahmood M. Al-Jabry

Abstract Aim: This study aims to assess the impact of nurses’ knowledge and attitude toward Coronavirus Disease 2019 (COVID-19) as a predictor for their willingness to work with patients diagnosed with COVID-19 in Qatar. Design: A cross-sectional study.Methods: A self-administered, 35-item online survey was circulated to the registered nurses and midwives working in Hamad Medical Corporation; the principle healthcare provider in Qatar. Results: A total of 580 attempts to complete the survey. Of them, 377 completed surveys with a response rate of 65%. Logistic regression was used to predict nurses’ willingness to work with patients with COVID-19. Two main factors were found to be significant predictors for nurses’ willingness; knowledge level and the expected remuneration that is associated with the level of exposure to risk. The findings of this study may help nursing leaders design educational programs and remuneration models that may help boost nurses’ willingness to work with high-risk patient groups, especially during crisis situations.


2020 ◽  
Author(s):  
Yijun Li ◽  
Michel W Coppieters ◽  
Jenny Setchell ◽  
Paul Hodges ◽  
Gwendolyne GM Scholten-Peeters

Abstract Background: Low back pain (LBP) is the second highest cause of health burden in China. Delayed recovery, poor clinical outcomes and persistence of LBP are associated with negative pain beliefs about LBP. Chinese philosophies are nested into Chinese people’s daily life, which is likely to influence pain beliefs. However, there is lack of knowledge about people’s thinking patterns regarding their LBP in China. The primary aim of this study was to explore the patterns of beliefs (discourses) underlying Chinese people’s beliefs about what causes their persistent or recurrent LBP. The secondary aim was to investigate the sources of these pain beliefs. Methods: People (n=152) from South Central, East and North Mainland China with LBP completed an online survey about what they believed caused their persistent or recurrent LBP and where these understandings came from. Potential causes of persistent or recurrent LBP were explored qualitatively using discourse analysis. The sources of these discourses were assessed by descriptive statistics with conventional content analysis. Results: Five discourses were identified to underpin participants’ beliefs about what caused their persistent or recurrent LBP, namely: (1) biomedical problems (66.4%), (2) unbalanced lifestyle (48.7%), (3) menstruation and ‘kidney’ status (9.2%), (4) the ‘Five Elements’ imbalance (7.9%), and (5) energy status (5.9%). Most participants responded that their pain beliefs were based on information derived from healthcare professionals (59.2%), followed by the internet (24.3%) and family (23.0%). Conclusions: Chinese people from moderately and well-developed parts of Mainland China think predominantly in line with a Western biomedical viewpoint about their LBP. Traditional Chinese medicine related pain beliefs were evident on contemporary Chinese society’s understandings of LBP. These cultural beliefs could be relevant to consider in LBP management and involve healthcare professionals, family and patient in this process.


2016 ◽  
Vol 23 (01) ◽  
pp. 085-092
Author(s):  
Huma Ali ◽  
Farya Zafar ◽  
Safila Naveed ◽  
Shabana N. Shah ◽  
Saba A. Baloch ◽  
...  

This study was conducted to assess the pharmacy students and graduateknowledge and awareness about pharmacovigilance & adverse drug reporting (ADR) systemin Karachi, Pakistan. Objectives: This study was designed to identify the trends, perception andapproaches of pharmacy students and graduate towards current scenarios of pharmacovigilanceand ADR contextual to our setting. Study Design: It was cross sectional, qualitative study.Setting: Pharmacy final year students and fresh graduates of two public and two private sectoruniversities were included in the study. Period: Data was collected between January to August,2015. Method: Relevant information was collected using questionnaire with 18 open ended and7 close ended questions. 400 final year participants and 150 fresh graduates were incorporatedin this survey. SPSS 20.0 was used to analyze the results and Percent, frequencies and meanscores were calculated for various outcomes. Results: Response rate of final year studentsand fresh graduates was found (97%, n = 388) and (88%, n= 132) respectively. Students levelof awareness about pharmacovigilance was found (54%, n =216) in final year students whilelittle higher rates were observed (78%, n=110) in graduates. Concept of pharmacovigilancegained through pharmacy curriculum was calculated 45% rated by final year students. Thepharmacovigilance knowledge mean score was found to be 2.368.5 and 2.886.3 for final yearstudents and fresh graduates respectively. 58% total respondents were aware with relationshipbetween the drug and the ADR. Conclusion: The results of this study demonstrate that pharmacystudents of final year in public and private sector universities of Pakistan are aware with somebasic knowledge of ADRs and pharmacovigilance, but it is a need of time to incorporate morecontents of such aspects in curriculum with some practical exposure that how to report ADRs.


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