ABSTRACT
PURPOSE: The purpose of this study was to conduct a strengths, weaknesses, opportunities, and threats (SWOT) analysis of integrating the World Health Organization (WHO) patient safety curriculum into undergraduate medical education in Pakistan. METHODS: A qualitative interpretive case study was conducted at Riphah International University, Islamabad, from October 2016 to June 2017. The study included 9 faculty members and 1 expert on patient safety. The interviews were audiotaped, and a thematic analysis of the transcripts was performed using NVivo software. RESULTS: Four themes were derived based on the need analysis model. The sub-themes derived from the collected data were arranged under the themes of strengths, weaknesses, opportunities, and threats, in accordance with the principles of SWOT analysis. The strengths identified were the need for a formal patient safety curriculum and its early integration into the undergraduate program. The weaknesses were faculty awareness and participation in development programs. The opportunities were an ongoing effort to develop an appropriate curriculum, to improve the current culture of healthcare, and to use the WHO curricular resource guide. The threats were attitudes towards patient safety in Pakistani culture, resistance to implementation from different levels, and the role of regulatory authorities. CONCLUSION: The theme of patient safety needs to be incorporated early into the formal medical education curriculum, with the main goals of striving to do no harm and seeing mistakes as opportunities to learn. Faculty development activities need to be organized, and faculty members should to be encouraged to participate in them. The lack of a patient safety culture was identified as the primary reason for resistance to this initiative at many levels. The WHO curriculum, amended according to local institutional culture, can be implemented appropriately with support from the corresponding regulatory bodies.
Subject(s)
Curriculum , Delivery of Health Care , Education, Medical , Education, Medical, Undergraduate , Global Health , Pakistan , Patient Safety , World Health OrganizationABSTRACT
Objective: To assess the knowledge, attitude and practice [KAP] regarding elderly age health problems among adults of Rawalpindi
Study Design: Descriptive cross sectional study
Place and Duration of Study: Airport Housing Society Rawalpindi from July 2011 to Nov 2011
Material and Methods: A total of 200 households of age 50-59 years were included in the study by convenient sampling technique [115 males and 85 females]. Adult population of the age 50-59 years with physical and mental disabilities were excluded from the study. Data collected after taking informed consent was analyzed by SPSS 17
Results: Mean age of respondents was 54.78 +/- 3.41 years. Knowledge regarding age limit of senior citizens was 140 [70%]. A total of 174 [87%] knew about increased incidence of fall with increasing age but only 53 [26.5%] did any practical change. About 152 [76%] considered that prior knowledge about geriatric age problems can help plan for old age; efforts to get information about elderly age problems were reported by 170 [85%]. There was a significant association between level of knowledge and efforts to stay healthy [p<.001]. The difference between level of knowledge of males and females was significant [p=.007]
Conclusion: Prior knowledge among residents of the society was found to be a more preferred option to give people information about optimal aging, but this should be started at a much earlier time by facilitating information, to restore physical health to have a healthy and functional elderly individual in the society