Your browser doesn't support javascript.
Show: 20 | 50 | 100
Results 1 - 20 de 340
Filter
1.
Int J Environ Res Public Health ; 19(8)2022 04 14.
Article in English | MEDLINE | ID: covidwho-1809874

ABSTRACT

The unique professional competence of pharmacists can support the safe and effective use of medicines by patients. Additionally, it is important to acknowledge and incorporate the needs of patients with various cultural and social backgrounds. The objective of this study was to assess and compare the experiences and expectations of Russian- and Estonian-speaking pharmacy customers about medicines-related services in Estonian community pharmacies. Cross-sectional study among pharmacy customers was conducted in Estonia 2018-2020. For data analysis, an Independent t-Test was used to compare experiences and expectations of respondents towards medicines-related services. The study involved 552 pharmacy customers: 58.5% (n = 323) Estonians and 41.5% (n = 229) Russians. The majority of the total sample (78.3%) considered the pharmacist competent to help. Medicines-related concerns were more common among Russians (p = 0.037), however, they sought less contact to consult a pharmacist than Estonians (p < 0.001). Furthermore, expectations about different medicines-related services in the future were higher among Estonians than among Russians (p < 0.001). Community pharmacists in Estonia should focus more on person-centered care to better meet the expectations and needs of different ethnic groups about medicines-related services. It is also important to reduce the language barrier and to increase the recognition of cultural traditions by health professionals.


Subject(s)
Community Pharmacy Services , Pharmacies , Cross-Sectional Studies , Estonia , Humans , Motivation , Pharmacists , Professional Role
2.
Am J Health Syst Pharm ; 79(12): 927-928, 2022 06 07.
Article in English | MEDLINE | ID: covidwho-1806270
3.
PLoS One ; 17(4): e0267354, 2022.
Article in English | MEDLINE | ID: covidwho-1793490

ABSTRACT

BACKGROUND: Dental practitioners and dental students are classified as high-risk exposure to COVID-19 due to the nature of dental treatments, but evidence of their acceptance towards COVID-19 vaccination is still scarce. Hence, this systemic review aims to critically appraise and analyse the acceptability of COVID-19 vaccination among dental students and dental practitioners. MATERIALS AND METHODS: This review was registered in the PROSPERO database (CRD42021286108) based on PRISMA guidelines. Cross-sectional articles on the dental students' and dental practitioners' acceptance towards COVID-19 vaccine published between March 2020 to October 2021 were searched in eight online databases. The Joanna Briggs Institute critical appraisal tool was employed to analyse the risk of bias (RoB) of each article, whereas the Oxford Centre for Evidence-Based Medicine recommendation tool was used to evaluate the level of evidence. Data were analysed using the DerSimonian-Laird random effect model based on a single-arm approach. RESULTS: Ten studies were included of which three studies focused on dental students and seven studies focused on dental practitioners. Four studies were deemed to exhibit moderate RoB and the remaining showed low RoB. All the studies demonstrated Level 3 evidence. Single-arm meta-analysis revealed that dental practitioners had a high level of vaccination acceptance (81.1%) than dental students (60.5%). A substantial data heterogeneity was observed with the overall I2 ranging from 73.65% and 96.86%. Furthermore, subgroup analysis indicated that dental practitioners from the Middle East and high-income countries showed greater (p < 0.05) acceptance levels, while meta-regression showed that the sample size of each study had no bearing on the degree of data heterogeneity. CONCLUSIONS: Despite the high degree of acceptance of COVID-19 vaccination among dental practitioners, dental students still demonstrated poor acceptance. These findings highlighted that evidence-based planning with effective approaches is warranted to enhance the knowledge and eradicate vaccination hesitancy, particularly among dental students.


Subject(s)
COVID-19 Vaccines , COVID-19 , COVID-19/prevention & control , Cross-Sectional Studies , Dentists , Humans , Professional Role , Students, Dental , Vaccination
4.
BMC Health Serv Res ; 22(1): 467, 2022 Apr 09.
Article in English | MEDLINE | ID: covidwho-1779646

ABSTRACT

BACKGROUND: In the wake of COVID-19, community pharmacists (CP) were called upon to free up healthcare providers to treat more serious conditions and alleviate overcrowded healthcare centers. CPs were placed under tremendous pressure, where many patients primarily sought their health advice. This situation raised concerns about the preparedness of CPs in facing these challenges. Therefore, this study aimed to assess the appropriateness of pharmaceutical care provided by CPs to patients with suspected COVID-19 and to investigate their communication skills. METHODS: A simulated patient (SP) study was conducted among randomly selected community pharmacies in Beirut, Lebanon. Each pharmacy was visited by the SP who complained of fever and loss of smell sensation. Interactions between the attending pharmacist and the suspected COVID-19 patient were documented directly after each visit in a standardized data collection form. RESULTS: More than half of the CPs (56%) did not retrieve any relevant information to assess the patient's condition. While pharmacists' responses were limited to one to two recommendations, with the majority recommending the patient to perform the PCR test (90%). Inappropriate recommendations made by the CPs included mainly the confirmation that the patient had COVID-19 without prior testing (9%), and prescribing either an antimicrobial drug (5%) or dietary supplements (20%), claiming that the latter are essential to boost the patient's immunity. As for the pharmacist-patient communication skills, the mean total score was 2.25 ± 0.79 (out of 4), displaying nonoptimal and ineffective communication. CONCLUSION: An unsatisfactory and suboptimal provision of pharmaceutical care to a suspected COVID-19 case was evident. This may be a public health threat, particularly for developing countries that lack an efficient and unified healthcare system. The findings should alert health authorities to support and guide community pharmacists in assisting suspected COVID-19 patients.


Subject(s)
COVID-19 , Community Pharmacy Services , Pharmacies , Pharmacy , COVID-19/drug therapy , Humans , Pharmacists , Professional Role
5.
Prim Dent J ; 11(1): 66-71, 2022 Mar.
Article in English | MEDLINE | ID: covidwho-1779563

ABSTRACT

This article details the unusual presentation of an oral squamous cell carcinoma (SCC) referred to secondary care during the COVID-19 pandemic. The patient's chief complaints were trismus and pain from a lower left partially erupted third molar, which was assumed to be pericoronitis-related on referral. Intra-oral examination was difficult due to the patient's symptoms, but radiographic assessment of an orthopantomogram (OPG) showed a pathological fracture and poorly defined radiolucency in the lower left third molar region. Oral SCC was diagnosed after biopsy, and surgery and radiotherapy were swiftly carried out despite COVID-19 restrictions. General dental practitioners (GDPs) remain the frontline healthcare professionals in the screening and detection of oral cancer through detailed history taking and examinations. Primary care dental practitioners should always remain vigilant with patients at risk of oral cancer. Prompt referral to secondary care for further investigations and management should be made when a suspicion of oral malignancy is raised, to ensure a better treatment outcome. Video consultations have had their merits in dentistry amid the coronavirus pandemic, but face-to-face consultations are essential to establish quality patient care.


Subject(s)
COVID-19 , Carcinoma, Squamous Cell , Mouth Neoplasms , COVID-19/diagnosis , Carcinoma, Squamous Cell/diagnosis , Dentists , Diagnosis, Oral , Humans , Mouth Neoplasms/diagnosis , Pandemics , Professional Role
6.
Work ; 71(4): 851-858, 2022.
Article in English | MEDLINE | ID: covidwho-1742184

ABSTRACT

BACKGROUND: Biomedical waste can potentially compromise the environment and public safety if not safely disposed. OBJECTIVE: The aim was to assess the understanding and safe practices of biomedical and dental waste amongst the dental practitioners and practical year students amid the COVID-19 pandemic. METHODS: A structured and validated questionnaire consisting of 21 closed ended questions was used to collect data from dental practitioners and students working in hospitals and clinics. The questionnaire was distributed in paper and digital form amongst the participants. Descriptive analysis was performed for categorical and numerical variables. Spearman correlation test was used to assess the relationship between awareness and waste disposal practices of dentists. A p-value of≤0.05 was considered as statistically significant. RESULTS: More than three fourth of the participants were aware of proper dental waste disposal steps. One half was aware of the color-coded segregation of biomedical waste management. Two third of the participants were deploying safe biomedical waste practices. Nearly 68% subjects allocated separate labeled containers for disposal of COVID-19 suspected patient's waste. Furthermore, 71.63% participants were practicing PCR test before aerosol procedures. While 88.65% participants believed that the COVID-19 pandemic has increased the financial burden in terms of safe practices and dental waste management. CONCLUSION: The awareness and practices of the participants towards dental waste management was found to be moderate. Satisfactory COVID-19 prevention and transmission measures were observed amongst the participants. BMW management lessons should be included in the academic curriculum and training program needs to be adopted for mass awareness.


Subject(s)
COVID-19 , Waste Management , COVID-19/epidemiology , Dental Waste , Dentists , Health Knowledge, Attitudes, Practice , Humans , Pandemics , Professional Role , Waste Management/methods
7.
Am J Health Syst Pharm ; 79(13): 1110-1114, 2022 Jun 23.
Article in English | MEDLINE | ID: covidwho-1740800

ABSTRACT

PURPOSE: To explore the perceptions of pharmacists and administrators who had an integral role in designing and operationalizing an integrated community pharmacist hypertension management program with collaboration between an academic medical center and a regional chain community pharmacy. SUMMARY: Community pharmacists (n = 3), ambulatory care pharmacists (n = 2), medical directors (n = 2), and health-system (n = 1) and pharmacy (n = 1) administrators reported positive experiences engaging with the hypertension management program. Strengths of the program included comprehensive training by the ambulatory care pharmacists, community pharmacist access to the electronic health record (EHR), and primary care providers who were receptive to referring patients and accepting recommendations from the community pharmacists. All participants felt that the program had a positive outlook and saw opportunity for expansion, such as extended hours of operation, new locations, and additional pharmacists. CONCLUSION: Pharmacists are well positioned to extend hypertension management programs from primary care clinics into local pharmacies if they have appropriate training, access to the EHR, and ongoing support from collaborating primary care offices. Additional research using implementation science methods is needed to further test the scalability and replicability of the program among different patient populations, community pharmacies, and health systems.


Subject(s)
Community Pharmacy Services , Hypertension , Pharmaceutical Services , Pharmacies , Academic Medical Centers , Humans , Hypertension/drug therapy , Pharmacists , Professional Role
8.
Medicina (Kaunas) ; 58(3)2022 Mar 05.
Article in English | MEDLINE | ID: covidwho-1732120

ABSTRACT

Background and Objectives: The SARS-CoV-2 pandemic led to changes in population daily patterns. In order to adapt oral health promotion measures for future similar conditions, the main objective of the study was to assess changes in dental hygiene and eating and smoking habits during the government lockdown in Romania. Materials and Methods: The cross-sectional study was conducted immediately after the end of the lockdown and consisted of 800 adult subjects. Data collection was done via an online survey. Participants were divided into two groups: non-medical/dental practitioners (N-M/D group) and medical/dental practitioners (M/D group). Results: An increased use of dental floss from 27% (pre-lockdown) to 30.5% (during lockdown) was identified in the M/D group, while the manual toothbrush usage increased to 64.8% (during lockdown) from 61.7% (pre-lockdown) in the N-MD/group. No significant differences regarding toothbrushing frequency were observed in either group. A change in the number of daily snacks was identified in both groups (3-4 snacks per day: from 11% to 20.2% in the N-M/D group, from 13.1% to 22.2% in the M/D group). The consumption of sweets as a preferred snack was also noticed. A decrease of tobacco consumers was assessed in the lockdown period (from 66.6% to 60.4% in the M/D group, from 68.5% to 61.9% in the N-/M/D group). Conclusions: Oral habits were changed during the pandemic lockdown through the increase in the frequency of the consumption of snacks and sweets and the decrease in frequency of smokers. Only minor changes were observed in oral hygiene.


Subject(s)
COVID-19 , SARS-CoV-2 , Adult , COVID-19/epidemiology , Communicable Disease Control , Cross-Sectional Studies , Dentists , Habits , Humans , Oral Hygiene , Pandemics , Professional Role , Romania/epidemiology , Surveys and Questionnaires
9.
Prev Chronic Dis ; 19: E10, 2022 03 03.
Article in English | MEDLINE | ID: covidwho-1726666

ABSTRACT

Health system disruption caused by the COVID-19 pandemic prompted public health professionals to reevaluate potential barriers and opportunities to community pharmacist provision of chronic disease management services and to identify opportunities for maximizing community pharmacists' impact. Researchers conducted semistructured interviews with representatives from chronic disease prevention and pharmacy practice and policy organizations to identify key themes across multiple interviews and novel responses of interest. Interviewees described a lack of payment models to support pharmacist-provided chronic disease management services but noted opportunities for community pharmacists to demonstrate their value in offering services they are uniquely positioned to provide and to implement better workflow solutions. Successfully demonstrating pharmacists' value and making the case for reimbursement from payors, as well as optimizing pharmacy workflow, are critical to maximizing pharmacists' impact in chronic disease prevention and management.


Subject(s)
COVID-19 , Community Pharmacy Services , Attitude of Health Personnel , Chronic Disease , Disease Management , Humans , Pandemics , Pharmacists , Professional Role , SARS-CoV-2
10.
Indian J Dent Res ; 32(3): 330-335, 2021.
Article in English | MEDLINE | ID: covidwho-1726312

ABSTRACT

BACKGROUND: Coronavirus disease-2019 COVID-19) pandemic has been sweeping around the globe and the cases have been reported in India since the second week of March, with Chennai being one of the most affected cities. Healthcare professionals, particularly the dental personnel have a higher risk of infection due to close face-to-face contact and the risk of inhalation of aerosolised particles. AIM: The aim of this study was to assess the knowledge, attitude and practice about COVID-19 among interns, post-graduate trainees and dental practitioners. MATERIAL AND METHODS: A cross-sectional survey was conducted using Google forms among three groups: interns, post-graduate trainees and dental practitioners. Data obtained was analysed by Chi-square test, Kruskal-Wallis and post hoc test using SPSS IBM software. RESULTS: Of total score of 9 for knowledge-based questions, the score obtained by interns, post-graduate trainees and practitioners were 7.2, 7.2 and 7.5, respectively, with no statistically significant difference among the groups (P = 0.24). Of total score of 4 for attitude-based questions, the score obtained by interns, post-graduate trainees and practitioners were 1.6, 2.0, and 1.9, respectively, with statistically significant difference among the groups (0.009). Of total score of 7 for practice-based questions, the score obtained by interns, post-graduate trainees and practitioners were 3.2, 3.3, and 3.1, respectively, with no statistically significant difference among them (P = 0.63). CONCLUSION: Though the knowledge about COVID-19 appeared adequate, the attitude and practice component needs improvement. Continuing dental education programs and webinars can be conducted to update the dental professionals about the protocols to be followed during COVID-19 pandemic.


Subject(s)
COVID-19 , Pandemics , COVID-19/epidemiology , Cross-Sectional Studies , Dentists , Health Knowledge, Attitudes, Practice , Humans , India/epidemiology , Pandemics/prevention & control , Professional Role , SARS-CoV-2
11.
PLoS One ; 17(2): e0263502, 2022.
Article in English | MEDLINE | ID: covidwho-1706351

ABSTRACT

BACKGROUND: During the COVID-19 pandemic, nurses stand in an unknown situation while facing continuous news feeds. Social media is a ubiquitous tool to gain and share reliable knowledge and experiences regarding COVID-19. The article aims to explore how nurses use social media in relation to the COVID-19 pandemic. METHOD: A scoping review inspired by Arksey and O'Mally was conducted by searches in Medline, CINAHL, Academic Search Complete and Web of Sciences. Empirical research studies investigating nurses' use of social media in relation to COVID-19 were included. Exclusion criteria were: Literature reviews, articles in languages other than English, articles about E-health, and articles investigating healthcare professionals without specification of nurses included. Articles, published in January-November 2020, were included and analysed through a thematic analysis. The PRISMA-ScR checklist was used. RESULTS: Most of the eleven included studies were cross-sectional surveys, conducted in developing countries, and had neither social media nor nurses as their main focus of interest. Three themes were identified: 'Social media as a knowledge node', 'Social media functioned as profession-promoting channels' and 'Social media as a disciplinary tool'. Nurses used social media as channels to gain and share information about COVID-19, and to support each other by highlighting the need for training and changes in delivery of care and redeployment. Further, social media functioned as profession-promoting channels partly sharing heroic self-representations and acknowledgment of frontline persons in the pandemic, partly by displaying critical working conditions. Finally, nurses used social media to educate people to perform the 'right 'COVID-19' behaviours in society. CONCLUSION: This review provided snapshots of nurses' uses of social media from various regions in the world, but revealed a need for studies from further countries and continents. The study calls for further multi-methodological and in depth qualitative research, including theoretically framed studies, with a specific focus on the uses of social media among nurses during the pandemic.


Subject(s)
COVID-19/psychology , Nurses/statistics & numerical data , Social Media/statistics & numerical data , Social Support/statistics & numerical data , COVID-19/epidemiology , Cross-Sectional Studies , Humans , Information Dissemination , Nurses/psychology , Pandemics/statistics & numerical data , Professional Role/psychology , Social Support/psychology
12.
J Nurs Adm ; 52(3): 124-126, 2022 Mar 01.
Article in English | MEDLINE | ID: covidwho-1702215

ABSTRACT

The Association for Leadership Science in Nursing's 2021 conference provided an opportunity to further enhance professional understanding of the difficulties facing nurse leaders as the COVID-19 pandemic continues to create unimaginable challenges. Presentations provided evidence in support of courageous caring leadership interventions.


Subject(s)
Congresses as Topic , Societies, Nursing , Health Equity , Humans , Leadership , Professional Role
13.
Dent Med Probl ; 59(1): 27-36, 2022.
Article in English | MEDLINE | ID: covidwho-1703927

ABSTRACT

BACKGROUND: In the wake of the coronavirus disease 2019 (COVID-19) pandemic, dental professionals are at high risk of contracting the virus owing to their close proximity to patients. Using personal protective equipment (PPE) is necessary to avoid being infected as well as to avoid being the source of infection. Apart from physical limitations, also communication and work efficiency are affected by the barriers created by PPE. OBJECTIVES: This study was conducted to assess knowledge, attitude and practice regarding the challenges faced by dental practitioners in India due to the use of PPE as well as to discuss the ways of overcoming these barriers by dentists. MATERIAL AND METHODS: A cross-sectional study was conducted during a period of 1 month. A Google Forms questionnaire was sent out; it included 12 questions regarding the use of PPE, changes in the diet and the work routine, the side effects of PPE, effects on communication and work efficiency, and the patients' attitude toward PPE. The obtained data was subjected to the statistical analysis with the use of the IBM SPSS Statistics for Windows software, v. 26.0. For all statistical tests, p < 0.05 was considered to be statistically significant, keeping α error at 5% and ß error at 20%, thus giving a power to the study of 80%. RESULTS: A total of 390 dentists completed the questionnaire. The study revealed that 85% of the respondents agreed that wearing PPE affected their work efficiency and 89% experienced difficulty in communication. The majority of the participants experienced side effects, like profuse sweating, breathlessness, headaches, and skin irritation. CONCLUSIONS: It was proven that the current use of PPE not only makes communication harder, but also elevates anxiety among patients. Dentists have adapted themselves by switching to other means of communication, such as sending instructions by means of text messages/telemedicine, as well as taking breaks between patients, switching to a healthier diet, and exercising regularly, thus helping to minimize the adverse effects of PPE.


Subject(s)
COVID-19 , Personal Protective Equipment , COVID-19/prevention & control , Cross-Sectional Studies , Dentists , Health Knowledge, Attitudes, Practice , Humans , Professional Role , SARS-CoV-2 , Surveys and Questionnaires
14.
Am J Health Syst Pharm ; 79(12): 960-968, 2022 06 07.
Article in English | MEDLINE | ID: covidwho-1692259

ABSTRACT

PURPOSE: Hematology/oncology clinical pharmacists' work activities have been described in previous literature, but time spent on pharmacist tasks has not been well characterized. Random work sampling (WS) is a form of activity assessment to determine the proportion of time spent in various types of work. Based on results from previous WS evaluations at University of Utah and its Huntsman Cancer Hospital, activities were changed to maximize time dedicated to clinical activities and pharmacists' benefit to providers and patients in both inpatient and ambulatory care settings. Therefore, updated random WS evaluations were completed during spring 2019 and fall 2020. METHODS: Personal digital assistant (PDA) devices were used to record hematology/oncology clinical pharmacists' onsite or remote location and work activity data. Data were collected 8 times per hour on weekdays, with a goal of 275 observations per pharmacist. Results were then classified as clinical, professional, or technical activities. RESULTS: In 2019, 9,079 observations were recorded by 31 onsite pharmacists. In 2020, 28 pharmacists recorded 8,803 observations (5,524 during onsite work and 3,279 during remote work). The overall distribution of pharmacists' work activities remained stable between 2019 and 2020, with 89% of activities classified as clinical or professional. Pharmacists spent a smaller proportion of time on in-person communication in 2020, balanced by increases in chart review and text-based communication. Onsite pharmacists reported a larger proportion of clinical activities, while remote pharmacists reported a larger proportion of professional activities. CONCLUSION: Continued WS assessment of work activity patterns will allow identification of opportunities to streamline workflows, maximize pharmacist engagement in clinical activities, and development of remote work policy.


Subject(s)
Hematology , Pharmacists , Humans , Professional Role , Self Report , Workflow , Workload
15.
Int J Environ Res Public Health ; 19(3)2022 Jan 31.
Article in English | MEDLINE | ID: covidwho-1690292

ABSTRACT

BACKGROUND: In recent years, a systematic increase in the role and powers of pharmacists has been observed. The COVID-19 pandemic has shown that this is a professional group that is extremely necessary for the smooth functioning of the health care system. One of the important powers of pharmacists is the possibility of issuing prescriptions for both patients in the pharmacy and for themselves and their family members. Polish pharmacists obtained extended entitlements in this field in March 2020. Due to the extension of pharmacists' prescribing rights in Poland, it was decided in this study to determine the current practice of pharmaceutical prescribing, and pharmacists' views on their new duties. METHODS: The study used the method of a questionnaire, which was distributed to all pharmacists actively working in Poland. During the study, 309 completed questionnaires were obtained that gathered information about prescriptions written by pharmacists, as well as their opinions related to this entitlement. The results of the survey were analyzed using descriptive statistics. RESULTS: Out of all authorized pharmacists, 75.62% use the new, extended authorization to issue pharmaceutical prescriptions. About half of them believe their prescriptions should be refundable. Only 11.52% of respondents do not use the entitlement to issue prescriptions for themselves or their family members. In addition, it was noticed that those who write such prescriptions most often use the fully paid version. CONCLUSIONS: Polish pharmacists use the new entitlements willingly but carefully. The legal provisions governing electronic prescription should be clearer. In addition, the idea of continued prescription should be developed as this is the most common reason that pharmacists issue prescriptions.


Subject(s)
COVID-19 , Pharmacists , Attitude of Health Personnel , Humans , Pandemics , Poland , Professional Role , SARS-CoV-2 , Surveys and Questionnaires
16.
Front Public Health ; 9: 797070, 2021.
Article in English | MEDLINE | ID: covidwho-1686571

ABSTRACT

BACKGROUND: Pharmacists are one of the coronavirus disease-2019 (COVID-19) treatment team members in China, yet only a few single-center studies have described the work experience of pharmacists during the pandemic. PURPOSE: This study aimed to explore in-depth experiences of hospital pharmacists providing pharmacy services during the COVID-19 pandemic in China on a national scale. METHODS: This is a nationwide multicenter qualitative study that used the purposive sampling method. Semi-structured interviews were conducted with 11 pharmacists from large-scale tertiary hospitals in representative provinces of mainland China. The Colaizzi seven-step method was applied to analyze the interview data. RESULTS: Eleven semi-structured interviews were conducted. Each interview lasted 25-70 min. By analyzing the work experiences of pharmacists in COVID-19 designated treatment hospitals, five descriptive themes were categorized: (1) drug supply service; (2) routine clinical pharmacy services; (3) expanded pharmacy services during the epidemic; (4) drug management loopholes; (5) areas of improvements of pharmacy services during a pandemic. CONCLUSION: During the COVID-19 epidemic, Chinese hospital pharmacists played various vital roles. However, there were loopholes in managing narcotic drugs, psychotropic drugs, and donated drugs. The study uncovered areas of improvement in pharmacy services during the pandemic. The emergency response capacity of hospital pharmacists should be continuously improved in the future.


Subject(s)
COVID-19 , Pharmaceutical Services , China , Humans , Pandemics , Pharmacists , Professional Role , SARS-CoV-2
17.
PLoS One ; 17(2): e0262254, 2022.
Article in English | MEDLINE | ID: covidwho-1674005

ABSTRACT

Over-the-counter (OTC) medications are generally deemed safe to be used during pregnancy and lactation. However, some products can be harmful to the mother, fetus or breast-fed child, which presents a challenge to health professionals and consumers. This study was aimed at assessing the practice of OTC medication dispensing and counseling services provided to pregnant and lactating by community pharmacists (CPs). A cross-sectional descriptive questionnaire-based survey was answered during February-November 2020, by licensed CPs practicing in Sharjah, United Arab Emirates. The determination of the significant factors associated with the CPs' views and OTC medication dispensing during pregnancy and breastfeeding was carried out using logistic regression. Among 256 respondents, dispensing medicines and referral to a physician were the predominant services provided to pregnant and lactating women. Respondents dispensed medications mostly to treat headache (74.2%), fever (62.5%) in pregnant women, and headache (81.3%) and fever (65.2%) in lactating mothers. Referral to a physician was common in pregnant women in the following cases: varicose veins (72.7%), swelling of the feet and legs (71.9%), and vaginal itching (53.9%). In breastfeeding women, the referrals were commonly for varicose veins (79.7%), swelling of the feet and legs (73.0%) and mastitis (70.3%). Most participants came to an agreement that CPs are capable of counselling and providing pregnant and lactating women the best OTC treatment. Around 35% of the respondents stated that OTC medicines are not safe to be used during pregnancy. One in five respondents stated that OTC medicines are not safe for breastfeeding women. CPs were confident to counsel and provide advice to pregnant and breastfeeding women to address medication and health problems. Proper utilization of CPs can contribute largely to the healthcare system in managing common minor ailments in pregnant and lactating women, reducing the need to visit the physician and enhancing patient safety.


Subject(s)
Pharmacists/psychology , Professional Role , Adult , Breast Feeding , Community Pharmacy Services , Cross-Sectional Studies , Female , Health Knowledge, Attitudes, Practice , Humans , Logistic Models , Male , Nonprescription Drugs/administration & dosage , Patient Safety , Pregnancy , Pregnant Women , Referral and Consultation , Surveys and Questionnaires , United Arab Emirates , Young Adult
18.
Hum Vaccin Immunother ; 18(1): 2016009, 2022 01 31.
Article in English | MEDLINE | ID: covidwho-1633593

ABSTRACT

Providing vaccination in community pharmacies could increase the vaccination coverage rate as well as help reducing the workload of the healthcare system. The current study was conducted to evaluate community pharmacists' willingness and barriers to provide vaccination in community pharmacy setting. A validated questionnaire which included eight items to evaluate willingness and eleven items to evaluate the barriers to provide vaccines was distributed online. Binary logistic regression was conducted to explore the factors that are significantly associated with willingness and barriers to provide the vaccine. Among the 201 participating pharmacists, 174 (86.6%) had a high willingness level. Lack of authorization (91.6%), lack of collaboration with other healthcare professionals (85.6%), and lack of space for storage (74.1%) were the most recognized barriers to vaccinate. Pharmacists with BSc degree demonstrated less willingness (OR = 0.18 (0.07-0.46), and increased barriers (OR = 4.86 (1.56-15.17) to provide the vaccine when compared with Pharm D and postgraduate pharmacists P < .01. Factors including male gender (OR: 6.10), working in chain pharmacy (OR: 8.98) and rural areas (OR: 4.31), moderate income (OR: 19.34) and less years of experience (OR:0.85) were significantly associated with increased barriers to provide the vaccine (P < .05). Despite the high willingness of the community pharmacists to vaccinate, several barriers were present. Enhancing pharmacists' authorization and collaboration with other healthcare professionals and providing space for storage along with providing training courses and workshops should be considered to enhance pharmacist's engagement in vaccination service.


Subject(s)
COVID-19 , Community Pharmacy Services , Attitude of Health Personnel , COVID-19/prevention & control , Humans , Jordan , Male , Pandemics , Pharmacists , Professional Role , Vaccination
19.
J Pediatr ; 242: 145-151.e1, 2022 Mar.
Article in English | MEDLINE | ID: covidwho-1634965

ABSTRACT

OBJECTIVE: To describe the impact of coronavirus disease-2019 (COVID-19) on the neonatology workforce, focusing on professional and domestic workloads. STUDY DESIGN: We surveyed US neonatologists in December 2020 regarding the impact of COVID-19 on professional and domestic work during the pandemic. We estimated associations between changes in time spent on types of professional and domestic work and demographic variables with multivariable logistic regression analyses. RESULTS: Two-thirds (67.6%) of the 758 participants were women. Higher proportions of women than men were in the younger age group (63.3% vs 29.3%), held no leadership position (61.4% vs 46.3%), had dependents at home (68.8% vs 56.3%), did not have a partner or other adult at home (10.6% vs 3.2%), and had an employed partner (88.1% vs 64.6%) (P < .01 for all). A higher proportion of women than men reported a decrease in time spent on scholarly work (35.0% vs 29.0%; P = .02) and career development (44.2% vs 34.9%; P < .01). A higher proportion of women than men reported spending more time caring for children (74.2% vs 55.8%; P < .01). Reduced time spent on career development was associated with younger age (aOR, 2.21; 95% CI, 1.20-4.08) and number of dependents (aOR, 1.21; 95% CI, 1.01-1.45). Women were more likely to report an increase in time spent time doing domestic work (aOR, 1.53; 95% CI, 1.07-2.19) and a reduction in time on self-care (aOR, 0.49; 95% CI, 0.29-0.81). CONCLUSIONS: COVID-19 significantly impacts the neonatology workforce, disproportionately affecting younger, parent, and women physicians. Targeted interventions are needed to support postpandemic career recovery and advance physician contributions to the field.


Subject(s)
COVID-19/epidemiology , Neonatologists/statistics & numerical data , Workload , Adult , Aged , Aged, 80 and over , Cross-Sectional Studies , Female , Gender Role , Humans , Male , Middle Aged , Physicians, Women/statistics & numerical data , Professional Role , Puerto Rico , SARS-CoV-2 , Sex Factors , Surveys and Questionnaires , United States
20.
Medicina (Kaunas) ; 58(1)2022 Jan 15.
Article in English | MEDLINE | ID: covidwho-1625439

ABSTRACT

Background and Objectives: This systemic review aims to appraise and analyse the awareness, knowledge, attitude, and practice of teledentistry among dental practitioners during COVID-19. Materials and Methods: This review was registered in the PROSPERO database (CRD42021283404). Cross-sectional articles on dental practitioners' perceptions towards teledentistry published between March 2020 and September 2021 were searched in ten online databases (PubMed, Google Scholar, Web of Science, ScienceDirect, Cochrane, EMBASE, SIGLE, EBSCO, LILACS, and Open Grey). The Joanna Briggs Institute critical appraisal tool was employed to analyse the risk of bias (RoB) of each article, whereas the Oxford Centre for Evidence-Based Medicine recommendation tool was used to evaluate the level of evidence. Data were analysed using the DerSimonian-Laird random effect model based on a single-arm approach. Results: Six studies were included and demonstrated Level 3 evidence. A single-arm meta-analysis revealed that dental practitioners had a high level of awareness (70.4%) and attitude (72.5%) towards teledentistry during the COVID-19 pandemic, but their knowledge level (57.9%) was moderate with a poor practice level (35.8%). A substantial heterogeneity was observed with the overall I2 ranging from 90.78% to 98.21%. Furthermore, meta-regression indicated that the sample size of each study had a significant (p < 0.05) impact on the degree of data heterogeneity. Conclusions: Despite their high degree of awareness and attitude, dental practitioners demonstrated moderate knowledge and relatively poor practice of teledentistry during the COVID-19 pandemic. More well-designed studies are warranted to investigate the alternatives for enhancing dental practitioners' knowledge and practice of teledentistry interventions.


Subject(s)
COVID-19 , Dentists , Cross-Sectional Studies , Health Knowledge, Attitudes, Practice , Humans , Pandemics , Professional Role , SARS-CoV-2
SELECTION OF CITATIONS
SEARCH DETAIL