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2.
BMC Health Serv Res ; 23(1): 10, 2023 Jan 04.
Artículo en Inglés | MEDLINE | ID: mdl-36600251

RESUMEN

BACKGROUND: Privately-owned cannabis clinics have sprung up in many jurisdictions where medicinal cannabis has been legalised and provide an alternative pathway for patients who are unable or unwilling to access a prescription for cannabis-based medicinal products from their usual healthcare providers. AIMS: This study aimed to explore physicians' views on cannabis clinics, including their perceptions of the role cannabis clinics play in the wider health system. METHODS: A qualitative study using in-depth, semi-structured interviews with thirty-one physicians affiliated with private and community clinics in New Zealand (including cannabis clinicians, GPs, and specialist doctors). The interviews were conducted from July to December 2021. Data were transcribed and analysed using inductive thematic analysis. RESULTS: Cannabis clinicians positioned themselves as (1) "service providers", facilitating consumer access to cannabis prescriptions and products, and (2) "educators", providing advice to patients and the wider physician community. While general practitioners and specialists recognised the benefits of specialised cannabis clinics (i.e., knowledge of products and a non-judgmental environment), they questioned the limited evidence of clinical efficacy for cannabis, potential financial conflicts of interests of cannabis clinicians that may blur their clinical judgement, and the risk of compartmentalising patients' healthcare. CONCLUSIONS: Our paper raises a number of challenges with attempting to integrate cannabis clinics into the wider health system.


Asunto(s)
Cannabis , Médicos Generales , Marihuana Medicinal , Humanos , Nueva Zelanda , Actitud del Personal de Salud , Marihuana Medicinal/uso terapéutico
3.
BMC Med Educ ; 23(1): 59, 2023 Jan 25.
Artículo en Inglés | MEDLINE | ID: mdl-36698101

RESUMEN

BACKGROUND: This study aimed to observe the impact of service learning on the attitude of senior dental students toward community service. METHODS: A cross-sectional survey-based was conducted and recruited a total of 120 senior students of Dentistry Taibah University that were enrolled in a clinical service-learning course using convenience sampling. The attitude of dental college students toward community service based on the model of helping behavior by Schwartz was evaluated through Community Service Attitude Scale (CSAS). The data was collected using the same questionnaires for the pre-test and post-test. Data were analyzed by using SPSS 25. A repeated-measures mixed-model ANOVA was used to test the changes across pre-and post-test. RESULTS: A total of 96 students completed the first survey, making a response rate of 80%, and 78 among them completed the second survey as well, making a response rate of 81%. Significant change (P < 0.0001) in ANOVA indicated that there was an overall change in attitude.  CONCLUSIONS: It can be concluded that community-based service-learning positively impacts the attitude of last year's dental students toward understanding needs at the community level and the attitude to help in providing dental care at the community level.


Asunto(s)
Actitud del Personal de Salud , Estudiantes de Odontología , Humanos , Estudios Transversales , Actitud , Aprendizaje , Bienestar Social
4.
BMC Health Serv Res ; 23(1): 81, 2023 Jan 25.
Artículo en Inglés | MEDLINE | ID: mdl-36698126

RESUMEN

BACKGROUND: There is sufficient and consistent international evidence of issues reported by nurses working in single-bed room environments, requiring a design that is not only comfortable for patients but meets nurses working needs. This paper presents a comparison of nursing staff and patients experience prior to a move to 100% single-bed room hospital in 2016 (Stage 1) and actual experiences after the move in 2021 (Stage 2) in South Australia. METHOD: Mixed method case study design. Survey sample of forty-two nursing staff; twelve patient interviews of their experiences of current environment and; thirteen nursing staff interviews of their experiences delivering nursing care in 100% single bed-room environment. RESULTS: Nurses and patients highlighted single-bed rooms contributed to patients' privacy, confidentiality, dignity and comfort. As anticipated in Stage 1, nurses in Stage 2 reported lack of patient and staff visibility. This impacted workload, workflow and concern for patient safety. CONCLUSION: Patient and nursing staff experiences are interdependent, and implications of single-bed room accommodation are complicated. Future impacts on the health system will continue to affect hospital design, which must consider nurses working needs and patient safety and comfort.


Asunto(s)
Personal de Enfermería en Hospital , Habitaciones de Pacientes , Humanos , Actitud del Personal de Salud , Hospitales , Australia
5.
Compend Contin Educ Dent ; 44(1): 26-29; quiz 30, 2023 Jan.
Artículo en Inglés | MEDLINE | ID: mdl-36696275

RESUMEN

Infection prevention and control (IPC) is an essential part of every encounter with patients in a healthcare setting, including oral healthcare. To ensure best practices are being followed, dental healthcare personnel (DHCP) should be familiar with several guidelines from the Centers for Disease Control and Prevention, including the Core Infection Prevention and Control Practices. The core practices represent the foundation upon which all other IPC protocols are built. This article is intended to increase DHCP awareness of these core practices and other guidelines so they can more effectively critically evaluate their facilities to manage IPC beyond standard precautions and ensure a safe environment in which to work and provide patient care.


Asunto(s)
Infección Hospitalaria , Humanos , Infección Hospitalaria/prevención & control , Control de Infecciones/métodos , Personal de Salud , Actitud del Personal de Salud
6.
BMC Oral Health ; 23(1): 43, 2023 Jan 25.
Artículo en Inglés | MEDLINE | ID: mdl-36698102

RESUMEN

OBJECTIVE: To explore dental professionals' perceptions of their role in the practice of oral health promotion. MATERIAL AND METHOD: In-depth interviews were conducted with three dentists, one specialist dentist and seven dental hygienists. All were employed in the public dental service in Kalmar County, Sweden and had at least 2 years' work experience. The interview questions addressed the experience and views of dental professionals with reference to their role in the practice of health promotion. The interview data were subjected to qualitative content analysis. RESULTS: Analysis revealed two themes which capture the essence of the dental professionals' perception of their role in the practice of oral health promotion. One theme, having person-focused approach, comprised four categories: 'considering the patient's life situation', 'establishing a trusting relationship with patients', 'strengthening patients' commitment to oral health' and 'health education'. The other theme, perceiving social responsibility for oral health, comprised three categories: 'dissemination of oral health knowledge', 'interprofessional collaboration' and 'equality in oral health care'. CONCLUSION: Dental professionals perceived promotion of oral health to be an important aspect of their professional role. They aspired to patient participation in the decision-making process and educational activities, as well as practising and evaluating skills development. Although the dental professionals perceived that they undertook health promotion activities, they did not clearly distinguish between oral health promotion and disease prevention. There was intra- and inter-professional agreement among the dentists and dental hygienists with respect to expected outcomes for health promotion activities.


Asunto(s)
Promoción de la Salud , Salud Bucal , Humanos , Investigación Cualitativa , Odontólogos , Percepción , Actitud del Personal de Salud
7.
BMC Health Serv Res ; 23(1): 71, 2023 Jan 24.
Artículo en Inglés | MEDLINE | ID: mdl-36690986

RESUMEN

BACKGROUND: Assisted partner notification (APN) is recommended as a public health strategy to increase HIV testing in people exposed to HIV. Yet its adoption in many countries remains at an early stage. This qualitative study sought the opinions of HIV health service providers regarding the appropriateness and feasibility of implementing APN in Indonesia where such services are on the cusp of adoption. METHODS: Four focus group discussions totaling 40 health service providers were held in Jakarta, Indonesia to consider APN as an innovative concept and to share their reactions regarding its potential implementation in Indonesia. Voice-recorded discussions were conducted in Bahasa, transcribed verbatim, and analyzed. RESULTS: Participants recognized APN's potential in contacting and informing the partners of HIV-positive clients of possible viral exposure. They also perceived APN's value as a client-driven service permitting clients to select which of three partner notification methods would work best for them across differing partner relationships and settings. Nonetheless, participants also identified personal and health system challenges that could impede successful APN adoption including medical and human resource limitations, the need for specialized APN training, ethical and equity considerations, and lack of sufficient clarity concerning laws and government policies regulating 3rd party disclosures. They also pointed to the job-overload, stress, personal discomfort, and the ethical uncertainty that providers might experience in delivering APN. CONCLUSION: Overall, providers of HIV services embraced the concept of APN but forecast practical difficulties in key service areas where investments in resources and system change appeared necessary to ensure effective and equitable implementation.


Asunto(s)
Infecciones por VIH , Parejas Sexuales , Humanos , Trazado de Contacto/métodos , Indonesia , Infecciones por VIH/epidemiología , Actitud del Personal de Salud , Personal de Salud
8.
Artículo en Inglés | MEDLINE | ID: mdl-36613144

RESUMEN

The aim of this review was to understand the barriers and facilitators facing GPs and young adults in raising and addressing suicide in medical appointments. A mixed-methods systematic review was conducted of qualitative and quantitative studies. The focus was papers that explored barriers and facilitators experienced by young adults aged 18 to 26, and GPs working in primary care environments. Nine studies met the inclusion criteria. Four studies provided information on young adults' views, four on GPs, and one considered both GP and young adults' viewpoints. Nine barrier and seven facilitator themes were identified. Unique to this review was the recognition that young adults want GPs to initiate the conversation about suicide. They see this as a GP's responsibility. This review further confirmed that GPs lack the confidence and skills to assess suicide risk in young adults. Both findings combined could explain previous results for reduced identification of suicide risk in this cohort. GP training needs considerable focus on addressing skill deficiencies and improving GP confidence to assess suicide risk. However, introducing suicide risk screening in primary care for young adults should be a priority as this will overcome the need for young adults to voluntarily disclose thoughts of suicide.


Asunto(s)
Médicos Generales , Suicidio , Humanos , Adulto Joven , Aceptación de la Atención de Salud , Médicos Generales/educación , Actitud del Personal de Salud , Investigación Cualitativa
9.
Artículo en Inglés | MEDLINE | ID: mdl-36613149

RESUMEN

Personalized medicine is a new paradigm in health care, and the concept of socio-cultural gender, as opposed to biological sex, emerged in several medical approaches. This exploratory study aimed to investigate the knowledge of sex and gender in clinical medicine among Sicilian physicians. Data collection was based on an online survey sent to the members of the Medical Councils of Sicily (Italy). The questionnaire included nine specific items about awareness and attitudes regarding gender medicine and its importance in clinical practice. 8023 Sicilian physicians received the solicitation e-mail and only 496 responded. Regarding the knowledge of gender medicine, 71.1% of participants stated that they know it, while 88.5% believe that gender medicine should be included in training programs. Similarly, a high percentage (77.6%) would like to keep up to date on this topic. Physicians sampled seem to understand the importance of gender medicine principles, although their experience of some gender issues (i.e., sex disparities in acute cardiovascular care and smoking cessation strategies) is low (55.44% and 21.57%, respectively). The results of this exploratory study should encourage facing the gender medicine gap in the current curricula of health professionals and should implement the transitional value of sex and gender principles in the clinical setting.


Asunto(s)
Médicos , Cese del Hábito de Fumar , Masculino , Femenino , Humanos , Cese del Hábito de Fumar/métodos , Atención a la Salud , Encuestas y Cuestionarios , Sicilia , Actitud , Actitud del Personal de Salud , Conocimientos, Actitudes y Práctica en Salud
11.
Fam Med ; 55(1): 45-50, 2023 Jan.
Artículo en Inglés | MEDLINE | ID: mdl-36656887

RESUMEN

Background and Objectives: Despite the significant effects of homelessness on health, medical and health professions students rarely receive formal education in caring for individuals experiencing homelessness. We describe the implementation and evaluation of a novel student-run Patient Navigator Program (PNP) and its prerequisite elective that trains students in patient navigation principles specific to homelessness in the local community. METHODS:  We analyzed pre- and postsurvey matched responses from students immediately before and after course completion. The survey utilizes the externally-validated instruments Health Professional Attitudes Toward the Homeless Inventory (HPATHI) and the Student-Run Free Clinic Project (SRFCP) survey. We examined differences using paired t tests and Wilcoxon signed-rank tests. Students also completed separate end-of-curriculum evaluation forms assessing satisfaction with the course. RESULTS:  After completing the elective, students (n=45) demonstrated improvement in self-assessed attitude towards individuals experiencing homelessness (P=.03), specifically an increase in reported social advocacy (P<.001); and an increase in self-perceived knowledge about (P<.001), efficacy in working with (P=.01), and skills in caring for (P<.001) underserved groups. The elective also received high student satisfaction ratings. CONCLUSIONS:  Formal education in patient navigation and caring for individuals experiencing homelessness improves self-assessed preparedness of future health care providers in serving homeless and underserved populations.


Asunto(s)
Estudiantes , Humanos , Curriculum , Actitud del Personal de Salud , Encuestas y Cuestionarios
12.
Harm Reduct J ; 20(1): 7, 2023 Jan 19.
Artículo en Inglés | MEDLINE | ID: mdl-36658585

RESUMEN

Stigma and other barriers limit harm reduction practice integration by clinicians within acute psychiatric settings. The objective of our study was to explore mental health clinician attitudes towards substance use and associations with clinical experience and education level. The Brief Substance Abuse Attitudes Survey was completed among a convenience sample of mental health clinicians in Vancouver, British Columbia. Five predefined attitude subgroups were evaluated. Respondents' attitudes towards substance use were associated with level of education on questions from two (non-stereotyping [p = 0.012] and treatment optimism [p = 0.008]) subscales. In pairwise comparisons, postgraduate education was associated with more positive attitudes towards relapse risk (p = 0.004) when compared to diploma-educated respondents. No significant associations were observed between years of clinical experience and participant responses. Our findings highlight important aspects of clinician attitudes that could improve harm reduction education and integration into clinical practice.


Asunto(s)
Trastornos Mentales , Trastornos Relacionados con Sustancias , Humanos , Salud Mental , Colombia Británica , Actitud Frente a la Salud , Trastornos Relacionados con Sustancias/psicología , Encuestas y Cuestionarios , Hospitales Urbanos , Trastornos Mentales/psicología , Actitud del Personal de Salud
13.
J Prim Care Community Health ; 14: 21501319221146918, 2023.
Artículo en Inglés | MEDLINE | ID: mdl-36625239

RESUMEN

OBJECTIVES: This study aims to compare primary care providers and medical assistants in degrees of comfort, confidence, and consistency when addressing behavioral health concerns with patients before and after the implementation of a model of integrated behavioral health in primary care (IBHPC), and evaluate whether these perceptions differ based on increased access to behavioral health clinicians. METHODS: This longitudinal study was conducted at 2 primary care clinics in Northern California while implementing an IBHPC model. The Integrated Behavioral Health Staff Perceptions Survey was administered to assess the comfort, confidence, and consistency of behavioral health practices. Confidential online surveys were distributed to primary care faculty and staff members before and post-implementation. Responses from providers and medical assistants were compared between pre- and post-implementation with linear regression analyses. The relationships between accessibility to behavioral health clinicians and a change in comfort, confidence, and consistency of behavioral health practices were explored using a linear mixed-effects model. RESULTS: A total of 35 providers and medical assistants completed the survey both before and post-implementation of IBHPC. Over time, there were increasingly positive perceptions about the consistency of behavioral health screening (P = .03) and overall confidence in addressing behavioral health concerns (P = .005). Comfort in addressing behavioral health concerns did not significantly change for either providers or staff over time. Medical assistants were initially more confident and comfortable addressing behavioral health concerns than providers, but providers' attitudes increased post-IBHPC implementation. Improved access to behavioral health clinicians was associated with greater consistency of screening and referral to specialty mental health care (P < .001). CONCLUSION: The present study is the first to explore differences in provider and medical assistant perceptions during the course of an IBHPC implementation. Findings underscore the importance of integrating medical assistants, along with providers, into all phases of the implementation process.


Asunto(s)
Actitud del Personal de Salud , Psiquiatría , Humanos , Estudios Longitudinales , Grupo de Atención al Paciente , Atención Primaria de Salud
14.
BMJ Open Respir Res ; 10(1)2023 Jan.
Artículo en Inglés | MEDLINE | ID: mdl-36627142

RESUMEN

OBJECTIVES: To explore physiotherapists' opinions of physiotherapy assessment of Breathing Pattern Disorder (BPD). METHODS: Qualitative study using focus groups (FGs) with reflexive thematic analysis and survey methods. The survey was distributed via social media and email to UK specialist physiotherapy interest groups. Two FGs, conducted in different settings, included physiotherapists based in hospital outpatients/community, private practice and higher education. RESULTS: One-hundred-and-three physiotherapists completed the survey. Respondents identified a lack of consensus in how to define BPD, but some agreement in the components to include in assessment. Fifteen physiotherapists participated in the FGs. Three themes emerged from FG discussions: (1) nomenclature and language of breathing, (2) BPD and breathlessness and (3) The value of assessment of breathlessness. CONCLUSION: The inconsistent nomenclature of dysfunctional breathing pattern impacts assessment, management and understanding of the diagnosis. Clarity in diagnosis, informing consistency in assessment, is fundamental to improving recognition and treatment of BPD. The findings are useful in the planning of education, training, future research and guideline development in BPD assessment.


Asunto(s)
Actitud del Personal de Salud , Trastornos Respiratorios , Humanos , Investigación Cualitativa , Modalidades de Fisioterapia , Disnea , Respiración
15.
BMC Oral Health ; 23(1): 36, 2023 Jan 22.
Artículo en Inglés | MEDLINE | ID: mdl-36683029

RESUMEN

BACKGROUND: The aim of this survey is to investigate the application of digital guide templates (DGTs) across China, and the views and attitudes of oral health professionals toward them. METHODS: This survey was prepared, distributed, and collected by WJX. Chinese oral health professionals were invited to participate in it. The basic information of respondents, the application of DGTs, and the views and attitudes toward their status quo and development were statistically described. Chi-square test was used to evaluate the correlation between the basic information of respondents and the application of DGTs as well as the views and attitudes toward them. RESULTS: A total of 276 questionnaires were collected, of which 273 were identified as valid. 269 (98.5%) respondents were dental clinical workers, 204 (74.7%) were dental clinical implant workers, and 152 (55.7%) had been engaged in the implant industry for more than five years. The chi-square test showed that working years were significantly correlated with the half-guided, tooth-supported, and mucosa-supported DGTs (P < 0.05); and professional backgrounds and working years presented significant differences in the views and attitudes toward the status quo and development of DGTs (P < 0.05). The questionnaires also made a preliminary investigation and evaluation on the factors influencing accuracy, indications, doctors' recommendations and relevant training. CONCLUSION: Most respondents held a positive attitude toward the accuracy and development of DGTs. This survey can point out the direction for the improvement of DGTs, and provide a reference for the study of factors affecting implant accuracy, the establishment of a training system, and the understanding of clinicians' current views on DGTs. Trial registration This survey was approved by the Ethics Review Committee of Chenghuaxinguanghua Dental Clinic (Approval NO. CDCIRB-D-2021-201).


Asunto(s)
Implantes Dentales , Humanos , Implantación Dental Endoósea , Encuestas y Cuestionarios , Actitud del Personal de Salud , China
16.
Pflege ; 36(1): 11-19, 2023 Feb.
Artículo en Alemán | MEDLINE | ID: mdl-36625280

RESUMEN

Role understanding of expert nurses in primary and acute care in Germany: A descriptive cross-sectional study Abstract. Background: Innovative care concepts are necessary to cope with the increase in complex care situations due to a rising number of older people with chronic diseases and a simultaneous shortage of nursing and medical staff. In the context of the implementation and development of new, innovative nursing roles, an unclear role understanding is considered a barrier. Aim: Description of expert nurses' (EN) role understanding in primary and acute care in Germany. Method: Using questionnaires, EN are asked cross-sectionally about role clarity, competencies and performance as well as perceived autonomy and interprofessional collaboration. Results are analysed descriptively. Results: A total of eight (primary care) and 14 (acute care) EN completed the questionnaires. The majority of EN often/very often perform both the clinical (77.5% and 85.7%, respectively) and the expert role (75% and 78.6%, respectively) and indicate that they can explain their role to patients (75% and 92.9%, respectively) and physicians (87.5% and 90.9%, respectively). Having a high degree of autonomy is more likely to be perceived by EN working in acute care. Conclusion: Although there are similarities in terms of role understanding, EN working in acute care can apparently benefit from already established structures, which is reflected, among other things, in their perceived autonomy.


Asunto(s)
Actitud del Personal de Salud , Enfermeras y Enfermeros , Humanos , Anciano , Estudios Transversales , Rol de la Enfermera , Alemania , Encuestas y Cuestionarios
17.
J Prim Care Community Health ; 14: 21501319221148795, 2023.
Artículo en Inglés | MEDLINE | ID: mdl-36651590

RESUMEN

INTRODUCTION/OBJECTIVES: Telehealth services expanded during the coronavirus disease 2019 (COVID-19) pandemic. Student-run free clinics (SRFC) deliver important health care services to underserved populations, who may face barriers to telehealth use. This study characterizes telehealth usage, experiences, and attitudes among individuals working in SRFCs. METHODS: In November 2021, a survey adapted from the COVID-19 Healthcare Coalition Telehealth Impact Physician Survey was sent to all registrants who identified themselves as students at the 2020 Society of Student-Run Free Clinics Annual Conference. RESULTS: Thirty-eight individuals of 576 registrants (7%) representing 21 of 88 (24%) SRFCs completed the survey. Twenty-one (58%) individuals reported using telehealth in their clinic. Those that did not cited lack of infrastructure as a barrier (eg, broadband, Internet challenges, technology investments), were more likely to serve homeless (P = .01), and less likely to serve non-English speaking populations (P = .02). There were increases in telehealth and decreases in in-person visits after March 11, 2020 though changes did not reach statistical significance. At least 15 (68%) wanted to continue chronic disease management, preventative care, and mental/behavioral health via telehealth after COVID-19. Most felt that telehealth was easy to use and improved the health, safety, and timeliness of care of patients, but not work satisfaction or access to care. Difficulty accessing physical devices, Internet, and data was the most-cited barrier to maintaining and accessing telehealth. CONCLUSIONS: Nearly all participants cited significant benefits and barriers to telehealth that impacted perceived access to care and sustainability. SRFCs' experiences may be modulated by their underserved populations and role in student education. Addressing barriers, particularly patient- and clinic-level technology challenges, could work to improve inequities in telehealth uptake.


Asunto(s)
COVID-19 , Clínica Administrada por Estudiantes , Telemedicina , Humanos , Actitud del Personal de Salud , Área sin Atención Médica
18.
Artículo en Inglés | MEDLINE | ID: mdl-36673710

RESUMEN

Teamwork, as the preferred method of cooperation in healthcare, became prevalent in the 1960s, and since then has been universally recognized as a measure to improve the quality of healthcare. Research indicates that medical care based on interdisciplinary cooperation is associated with increased patient safety, lower hospitalization rates, and reduced rates of complications and medical errors. Furthermore, it enhances the coordination of care and improves patient access to medical services. This model of providing medical care also results in considerable benefits for medical professionals. These include greater job satisfaction and a reduced risk of professional burnout syndrome. AIM: The aim of the study was to explore the opinions of medical students with regard to cooperation in the interdisciplinary team, as well as the factors affecting the formation of opinions. MATERIAL AND METHODS: The study was conducted using the Polish version of the questionnaire Attitudes Towards Interprofessional Health Care Teams. The study involved 1266 participants, including students of medicine (n = 308), midwifery (n = 348), nursing (n = 316) and physiotherapy (n = 294). RESULTS: According to the opinions of the students participating in the study, the therapeutic process based on the interdisciplinary model improves the quality of medical care provided, increases patient safety, and improves communication between members of the therapeutic team. The factors affecting the assessment of cooperation in interdisciplinary medical care teams included the faculty and the year of studies, gender, as well as participation in the multidisciplinary courses. CONCLUSIONS: Students recognize the need for interdisciplinary medical teams. The training of future medical professionals should incorporate the elements of interprofessional education. This form of education allows students to develop both a professional identity and identification with their own profession, as well as encourages teamwork skills and shapes the attitude of openness towards representatives of other medical professions. However, in order to provide the students with the relevant knowledge, skills and competencies, it is essential to respect their diversity in terms of the faculty, as well as to account for the impact of gender and the year of studies which may affect their readiness to engage in teamwork.


Asunto(s)
Educación Médica , Estudiantes de Medicina , Estudiantes de Enfermería , Humanos , Polonia , Atención a la Salud , Grupo de Atención al Paciente , Educación Médica/métodos , Relaciones Interprofesionales , Actitud del Personal de Salud
19.
Artículo en Inglés | MEDLINE | ID: mdl-36673776

RESUMEN

AIM: In dental practice there is a high risk of contact with fluids that may contain SARS-CoV-2. Salivary secretions in the form of droplets are the main route of infection. The present study aimed to evaluate factors associated with epidemiological, preventive and health care knowledge of dentists from the north of the Peruvian capital about COVID-19. MATERIALS AND METHODS: This analytical, observational, cross-sectional and prospective study evaluated 142 dental professionals from the Directorate of Integrated Health Networks (DIRIS) in the north of the Peruvian capital during June to August 2022. A validated questionnaire of 20 closed multiple-choice questions was used to measure the level of epidemiological, preventive and health care knowledge about COVID-19. A logit model was used to evaluate the influence of the following variables: age, sex, marital status, children, origin, university of origin, academic degree, work modality, work status and number of training courses. In addition, a predictive model was constructed with the causal variables considering a significance level of p < 0.05. RESULTS: Epidemiological, preventive and health care knowledge about COVID-19 was fair in 17.6%, 34.5% and 57.7%, respectively. Likewise, all the variables analyzed were influential factors. It was observed that being single (OR = 0.05, CI: 0.01-0.26), having studied at a private university (OR = 0.09, CI: 0.023-0.38) and having received four to six trainings on COVID-19 related topics (OR = 0.02, CI: 0.002-0.238) were protective factors against fair knowledge. CONCLUSIONS: More than half of the dentists surveyed had fair knowledge about COVID-19. The factors that favored a good level of overall knowledge were: being single, having studied at a private university and having received 4 to 6 training courses on COVID-19-related topics. It is advisable that the competent authorities continue to educate dental professionals with training programs about infection control practices in accordance with the health care work they perform in their specialty. It will also be of utmost importance for the professional to be updated with reliable information accredited by the Centers for Disease Control and Prevention as well as the WHO.


Asunto(s)
COVID-19 , Niño , Humanos , COVID-19/epidemiología , COVID-19/prevención & control , SARS-CoV-2 , Estudios Transversales , Perú/epidemiología , Estudios Prospectivos , Odontólogos , Encuestas y Cuestionarios , Actitud del Personal de Salud , Conocimientos, Actitudes y Práctica en Salud
20.
Artículo en Inglés | MEDLINE | ID: mdl-36674118

RESUMEN

The goal of the article is an axiological analysis of the Ethical Code of Conduct for Physiotherapists. The basic ethical values constituting the axiological basis of physiotherapy are care, professionalism, responsibility, fairness, professional integrity, respect for a patient/client's dignity and autonomy. Those values have been selected from the theory and practice of physiotherapy, but also from socio-cultural conditions influencing the relations and interdependencies between physiotherapists and other professional groups or society as a whole. Those values can exist as qualities of a subject (a physiotherapist) or as functions realised by them (acting for the welfare of a patient/client, society, profession). Some of the analysed values have been directly enumerated in the Ethical Code of Conduct for Physiotherapists, while others must be deduced from the rules included in this document. The analysed values should be internalised by the physiotherapists during their training and professional practice.


Asunto(s)
Fisioterapeutas , Humanos , Códigos de Ética , Relaciones Profesional-Paciente , Actitud del Personal de Salud , Práctica Privada
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