ABSTRACT
Background and Objective: Considering high burden of violence against healthcare workers in Pakistan APPNA Institute of Public Health developed a training to prevent reactive violence among healthcare providers. The purpose of this training was to equip healthcare providers with skills essential to control aggressive behaviors and prevent verbal and non-verbal violence in workplace settings. This study assesses the effectiveness of training in prevention, de-escalation and management of violence in healthcare settings
Methods: A quasi-experimental study was conducted in October, 2016 using mixed method concurrent embedded design. The study assessed effectiveness of de-escalation trainings among health care providers working in emergency and gynecology and obstetrics departments of two teaching hospitals in Karachi. Quantitative assessment was done through structured interviews and qualitative through Focus Group Discussions. Healthcare providers` confidence in coping with patient aggression was also measured using a standard validated tool"
Results: The overall self-perceived mean score of Confidence in Coping with Patient Aggression Instrument "[CCPAI]" scale was significantly higher in intervention group [Mean= 27.49, SD=3.53] as compared to control group [Mean= 23.92, SD=4.52] [p<0.001]. No statistically significant difference was observed between intervention and control groups with regard to frequency of violence faced by HCPs post training and major perpetrators of violence
Conclusion: De-escalation of violence training was effective in improving confidence of healthcare providers in coping with patient aggression
ABSTRACT
Objectives: The purpose of the study was to identify the sequence of violence that ensues after breaking bad news and develop a contextual model of breaking bad news and develop a model contextual for Pakistan
Methods: A qualitative exploratory study was conducted using Six FGDs and 14 IDIs with healthcare providers working in the emergency and the obstetrics and gynecology departments of tertiary care hospitals of Karachi, Pakistan. Data was transcribed and analyzed to identify emerging themes and subthemes using thematic content analysis
Results: Impatience or lack of tolerance, lack of respect towards healthcare providers, unrealistic expectations from healthcare facility or healthcare staff were identified as main reasons that provoked violence after breaking bad news. A conceptual five step model was developed to guide communication of bad news by the health care providers. On initial testing the model was found to be effective in deescalation of violence
Conclusion: Communication of bad news requires application of specific approaches to deal with contextual challenges for reducing violence against healthcare
ABSTRACT
Objective: To determine the frequency and intensity of Internet Addiction [IA] among medical undergraduates, using Social Networking Sites [SNS], in Karachi
Methods: A cross-sectional survey was conducted in March-June 16 in a private and government medical college of Karachi. Self-administered, Young's Internet Addiction Test was implemented by 340 medical students to assess the frequency and intensity of IA among SNS profile users for past three years. The structured questionnaire further enquired regarding the social and behaviour patterns relevant to IA and SNS use. Data was analyzed using SPSS 16
Results: Internet Addiction [IA] was found in 85% [n=289] of all study participants. Among them, 65.6% [n=223] were minimally addicted', 18.5% [n=63] were moderately addicted', whereas 0.9% [n=3] were found to be severely addicted'. Burden of IA was relatively higher among female medical students as compared to male medical students [p=0.02]. There was no significant difference between type of medical college attended and IA [p=0.45]. However, statistically significant differences were observed in certain behavioural patterns among addicted and non-addicted medical students
Conclusion: Internet Addiction [IA] is an emerging mental health concern affecting social behaviour patterns of medical undergraduates. However, the burden of IA is relatively higher among female medical students