The Journal of the Egyptian Public Health Association最新文献

{"title":"Comparison of physical activity levels among school-age adolescents in rural and urban areas of district Swat, KPK, Pakistan.","authors":"Imran Uddin, Saleema Gulzar, Sabeen Shah, Fauzia B Hasnani","doi":"10.1186/s42506-025-00193-z","DOIUrl":"https://doi.org/10.1186/s42506-025-00193-z","url":null,"abstract":"<p><strong>Background: </strong>Obesity and overweight represent significant global public health concerns. School-age adolescents are particularly at risk of experiencing obesity and overweight due to a sedentary lifestyle, electronic media use, and lack of physical activity (PA). This trend is linked to the development of non-communicable diseases in later life. Evidence on low physical activity levels is available in Pakistan; however, a comparative analysis of PA levels between rural and urban adolescents is lacking. The study aimed to compare physical activity levels among school-age adolescents in rural and urban areas of Swat, KPK, Pakistan. The study also aimed to explore how gender, age, grade, and school type influenced the PA levels of adolescents.</p><p><strong>Methods: </strong>A cross-sectional analytical study was carried out with a sample size of 287 school-age adolescents (aged 10 to 14 years) selected from eight governmental and private middle schools in rural and urban areas of district Swat, KPK, Pakistan. The data about physical activity was collected using a researcher-administered questionnaire adapted from the Physical Activity Questionnaire for Older Children (PAQ-C).</p><p><strong>Results: </strong>The mean PA score for rural adolescents was 3.65 ± 0.38 out of a total score of 5, whereas the mean PA score for urban adolescents was 2.22 ± 0.47 with a significant difference (p < 0.001). In addition, a significant difference between private and government school-age adolescents' PA levels was found (p < 0.001). However, there was no significant difference in PA levels in terms of gender and school grade. Further, a very low negative correlation was found (r = - 0.1) between school-age and PA scores.</p><p><strong>Conclusion: </strong>The place of residence has an impact on the PA level of adolescents. The study found a significant difference in the mean PA levels of school-age adolescents in rural and urban areas. Future research is recommended to identify the factors contributing to disparities in PA among adolescents residing in urban areas.</p>","PeriodicalId":22819,"journal":{"name":"The Journal of the Egyptian Public Health Association","volume":"100 1","pages":"19"},"PeriodicalIF":0.0,"publicationDate":"2025-10-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145233298","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Dysmenorrhea among working women and its effect on their work productivity and activity impairment.","authors":"Hend Serya, Rania El-Kurdy, Ebrahim Serria, Abdel-Hady El-Gilany","doi":"10.1186/s42506-025-00199-7","DOIUrl":"https://doi.org/10.1186/s42506-025-00199-7","url":null,"abstract":"<p><strong>Background: </strong>Dysmenorrhea, or painful menstruation, is a common condition among women of reproductive age, significantly hindering their ability to work and participate in social, family, and sports activities. In Egypt, there is limited data on the frequency of dysmenorrhea among working women and its impact on their productivity. Therefore, this study aimed to investigate the prevalence of dysmenorrhea among working women, its determinants, and its effect on their work productivity and activity impairment.</p><p><strong>Methods: </strong>A cross-sectional study was conducted on 548 working women aged 20 to 45 years. Data were collected using an interview-based questionnaire that included sociodemographic, occupational, and clinical information, menstrual history, job stress assessment using the workplace stress scale, and work productivity evaluation with the work productivity and activity impairment questionnaire.</p><p><strong>Results: </strong>The dysmenorrhea rate was 66.1%, with 64.7% of those affected reporting moderate to severe pain. Key independent predictors of dysmenorrhea include young age (≤ 32 years), working overtime or extra jobs, experiencing workplace stress, having an early menarche (< 12 years), and having a family history of dysmenorrhea. Dysmenorrheic working women reported an absenteeism rate of 39.5%, a presenteeism rate of 96.1%, an overall work impairment rate of 96.4%, and a daily activity impairment rate of 94.2%. All of these rates were significantly higher in dysmenorrheic working women compared to those without the condition. Notably, the significant differences between the two groups increased with the severity of menstrual pain.</p><p><strong>Conclusion: </strong>Dysmenorrhea is a prevalent issue among working women in Egypt, adversely affecting their performance at work and in daily activities. Therefore, providing workplace rest areas equipped with pain relief options, implementing flexible work schedules or menstrual leave, and encouraging dysmenorrheic working women to seek medical care for severe pain that impairs their work or daily activities are highly recommended.</p>","PeriodicalId":22819,"journal":{"name":"The Journal of the Egyptian Public Health Association","volume":"100 1","pages":"18"},"PeriodicalIF":0.0,"publicationDate":"2025-10-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145233266","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Dysmenorrhea and its associated symptoms among girls with special needs in Upper Egypt: an exploratory study.","authors":"Doaa M Osman, Shimaa A Khalaf, Heba M Mohamed, Reda R Ali, Fatma R Khalaf","doi":"10.1186/s42506-025-00198-8","DOIUrl":"10.1186/s42506-025-00198-8","url":null,"abstract":"<p><strong>Background: </strong>Dysmenorrhea is a highly prevalent gynecological problem that may compromise the girls' quality of life. Disabled girls might experience menstruation both differently and more negatively compared to non-disabled girls. The current study aimed to investigate the prevalence of dysmenorrhea and its associated symptoms amongst disabled girls.</p><p><strong>Methods: </strong>A cross-sectional study was conducted among 93 adolescent girls with disabilities. An interviewer questionnaire was used to inquire about personal characteristics, menstrual history, knowledge and attitudes of dysmenorrhea, symptoms that coincide with menstruation, and methods used by girls to manage their menstrual pain. WaLIDD scale was used to assess pain intensity during menstruation.</p><p><strong>Results: </strong>About 97% of the studied disabled girls suffered from moderate or severe degrees of menstrual pain. Using methods to mitigate the pain was reported by 72%. Herbal drinks and analgesics were the most frequently used methods. School absenteeism because of dysmenorrhea was reported by 36%. Most of the girls (87.1%) had a poor knowledge level. The most frequent disabling/severe symptoms that coincide with dysmenorrhea were general aches, dizziness, and fatigue. Increased perception of symptoms coinciding with menstruation was a significant predictor for severe dysmenorrhea (AOR = 3.279, 95%CI = 1.028:1.088).</p><p><strong>Conclusion and recommendations: </strong>Most disabled girls suffer from moderate to severe dysmenorrhea. Increased symptoms associated with menstruation positively affect severe dysmenorrhea perception. Girls with disabilities need better access to menstrual health education. Tailored reproductive health programs should be provided for blind and deaf girls for assurance and proper practice to manage symptoms associated with menstruation, especially pain, to mitigate their disabling impact.</p>","PeriodicalId":22819,"journal":{"name":"The Journal of the Egyptian Public Health Association","volume":"100 1","pages":"17"},"PeriodicalIF":0.0,"publicationDate":"2025-10-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12491130/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145207693","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Prevalence, causes, and staff perception of same-day elective surgery cancellation at a university hospital: a mixed study.","authors":"Eman M Nasr, Mahi M Al Tehewy, Tarek Y Youssef, Dalia A Ibrahim, Shaymaa M El-Bokl","doi":"10.1186/s42506-025-00197-9","DOIUrl":"10.1186/s42506-025-00197-9","url":null,"abstract":"<p><strong>Background: </strong>Same-day elective surgery cancellations disrupt healthcare efficiency by wasting resources and increasing costs due to repeated preparations and extended hospital stays. Beyond the financial toll, delays in necessary procedures can worsen health conditions, heighten patient anxiety, and prolong recovery times. These cancellations also place emotional and logistical burdens on patients and families, further amplifying their impact. This study aimed to determine the prevalence of same-day elective surgery cancellations at the El-Demerdash University Hospital in Egypt, identify the underlying causes-including hospital-related, patient-related, and staff-related factors-and explore the perceptions of operating room (OR) staff regarding these causes.</p><p><strong>Methods: </strong>A mixed-methods approach was used, combining quantitative and qualitative components. The quantitative component was a cross-sectional study including the prospective collection and analysis of 993 elective surgeries performed in 21 ORs at El-Demerdash University Hospital. The qualitative component involved 25 OR staff members and comprised two focus-group discussions with OR nurses, as well as 15 in-depth interviews with surgeons, anesthesiologists, and OR secretaries.</p><p><strong>Results: </strong>The cancellation rate for same-day elective surgeries was 12.59%. Key reasons for cancellation included unavailable OR time (24.03%), lack of ICU beds (21.71%), changes in the patient's medical condition (14.73%), prolonged previous surgeries (10.85%), and equipment issues (7.75%). The qualitative analysis revealed that most OR staff expected a cancellation rate of 10-20%, identifying ICU bed unavailability and changes in patient condition as the primary contributing factors.</p><p><strong>Conclusion: </strong>Same-day elective surgery cancellations at El-Demerdash University Hospital are lower than the rates reported in most developing countries but remain higher than the international efficiency benchmark. The leading causes are primarily avoidable and hospital related. To improve OR utilization, strategic management interventions targeting the key causes are recommended. These include optimizing the OR booking system, improving department communication, and ensuring proper preoperative patient preparation and education and better resource allocation.</p>","PeriodicalId":22819,"journal":{"name":"The Journal of the Egyptian Public Health Association","volume":"100 1","pages":"16"},"PeriodicalIF":0.0,"publicationDate":"2025-09-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12436667/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145065174","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Patients' willingness to pay for health care quality improvement under universal healthcare coverage in Egypt.","authors":"Hebatullah H Rozza, Taghareed A Elhoseny, Safaa H Abbas, Rasha A Mosallam","doi":"10.1186/s42506-025-00195-x","DOIUrl":"10.1186/s42506-025-00195-x","url":null,"abstract":"<p><strong>Background: </strong>In economics, the word \"willingness to pay\" refers to the highest amount that an individual would be willing to pay, give up, or exchange to obtain goods or services or to avoid something undesirable. It can be applied in healthcare as a way to evaluate the worth of improving the quality of health services. This study aims to assess patients' willingness to pay (WTP) for healthcare quality improvement among hospitalized patients in two hospitals in Egypt.</p><p><strong>Methods: </strong>Four-hundred and twenty-six patients were asked to provide a rating for different quality attributes. Patients were presented with a hypothetical scenario and asked about their WTP for a monthly insurance premium to benefit from improving each quality attribute. WTP was elicited using the payment card (PC) response format.</p><p><strong>Results: </strong>Fifty-two percent of studied patients were not willing to pay to improve healthcare quality attributes. Fifty percent of those who were willing to pay were certain to pay. The most commonly stated reasons for unwillingness to pay were \"being governmental responsibility\" and \"household cannot afford\" (43% and 36.8%, respectively). Patients were willing to pay the highest amount of money to improve the quality attributes \"competence,\" followed by \"outcome\" and \"doctor-patient relationship\" (491.03, 465, and 423 LE, respectively). For all quality attributes, except for waiting time and availability of supplies and equipment, the amount of money the patients were willing to pay increased significantly as the perceived quality of that attribute reduced. Advancing age had a significant negative association with WTP (p = 0.002). Also, advancement in education was associated with significantly higher WTP (p < 0.001). Those with health expenditures ranging from 2000 to < 6000 LE per month were 3.38 times more willing to pay than those with health expenditures ranging from 200 to 1000 LE (p < 0.001).</p><p><strong>Conclusion: </strong>WTP for quality improvement among study participants was low, being the lowest among the elderly and lower-educated individuals. Community financing should not be a method for funding quality improvements except for a few quality attributes such as doctor-patient communication and increased doctor competence. This should be coupled with clear exemption criteria for those unable to pay.</p>","PeriodicalId":22819,"journal":{"name":"The Journal of the Egyptian Public Health Association","volume":"100 1","pages":"15"},"PeriodicalIF":0.0,"publicationDate":"2025-09-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12405145/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144970126","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"As the planet warms, women pay the price: the climate change and reproductive health crisis.","authors":"Mustafa Kılavuz, Cansu Ağralı, Yalçın Kanbay","doi":"10.1186/s42506-025-00196-w","DOIUrl":"10.1186/s42506-025-00196-w","url":null,"abstract":"<p><p>Climate change has emerged as a global environmental issue exacerbated by human activities. Specifically, greenhouse gas emissions and land-use changes have contributed to rising global surface temperatures and shifting weather patterns. These changes disrupt environmental and ecosystem balance, directly impacting human health. Worldwide, 3.6 billion people live in regions vulnerable to climate change, and it is projected that between 2030 and 2050, an additional 250,000 deaths annually will occur due to climate change-induced malnutrition, malaria, and diarrheal diseases. The health impacts of climate change vary between genders depending on biological, geographical, and socioeconomic factors, with women experiencing more severe negative effects. Reproductive health is significantly affected by rising temperatures, air pollution, extreme weather events, and changing meteorological conditions. Adverse reproductive outcomes (e.g., low birth weight, preterm birth, and congenital anomalies) are more frequently observed in women. Furthermore, climate change exacerbates hot flashes, increases the risk of cardiovascular diseases, and intensifies mental health disorders in postmenopausal women. Climate change has emerged as a global environmental issue exacerbated by human activities. Specifically, greenhouse gas emissions and land-use changes have contributed to rising global surface temperatures and shifting weather patterns. These changes disrupt environmental and ecosystem balance, directly impacting human health. Worldwide, 3.6 billion people live in regions vulnerable to climate change, and it is projected that between 2030 and 2050, an additional 250,000 deaths annually will occur due to climate change-induced malnutrition, malaria, and diarrheal diseases. The health impacts of climate change vary between genders depending on biological, geographical, and socioeconomic factors, with women experiencing more severe negative effects. Reproductive health is significantly affected by rising temperatures, air pollution, extreme weather events, and changing meteorological conditions. Adverse reproductive outcomes (e.g., low birth weight, preterm birth, and congenital anomalies) are more frequently observed in women. Furthermore, climate change exacerbates hot flashes, increases the risk of cardiovascular diseases, and intensifies mental health disorders in postmenopausal women. However, current literature remains limited in addressing the specific effects of climate change on women's health in low- and middle-income countries, as well as its influence during the menopausal period. Further research is needed to explore the intersection of climate change and socioeconomic disparities, particularly in vulnerable populations. Large-scale longitudinal studies focusing on region-specific risks and health outcomes are essential to develop targeted interventions and policies.</p>","PeriodicalId":22819,"journal":{"name":"The Journal of the Egyptian Public Health Association","volume":"100 1","pages":"14"},"PeriodicalIF":0.0,"publicationDate":"2025-08-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12390898/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144970111","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Knowledge, attitude, and practice regarding telemedicine among physicians and employees at Tanta University Hospitals, Egypt.","authors":"Eman A Younis, Amira K El-Shenawy, Sanaa A E Abdo","doi":"10.1186/s42506-025-00194-y","DOIUrl":"10.1186/s42506-025-00194-y","url":null,"abstract":"<p><strong>Background: </strong>Telemedicine is a key factor in increasing patient accessibility, satisfaction with treatment, and quality of care, effectively utilizing physicians' time, and improving communication among medical experts. Despite global interest in telemedicine, there is limited research exploring users' perspectives on telemedicine within the context of Egyptian university hospitals. This study aims to examine physicians' and employees' levels of knowledge, attitudes, and practices toward telemedicine.</p><p><strong>Methods: </strong>A cross-sectional study was conducted at Tanta University's medical campus from November 2023 to March 2024. One-thousand employees and physicians were surveyed. A self-administered questionnaire was used to collect the data. It consists of four sections: sociodemographic data, knowledge about telemedicine, attitude, and practice of telemedicine.</p><p><strong>Results: </strong>Half of physicians used telemedicine, and 38.2% of the employees have used e-health services. Applications of telemedicine included patients' investigations communicated through the Internet (76.4%), patients' management with drugs (71.4%), direct medical consultation between patient and physician (65.4%), second opinion consulting (57.6%), sharing experiences and new trends in medicine and surgery with other specialists in other countries (54%), and follow-up of patients through the electronic technologies (53%). About three-quarters of physicians and employees had a positive attitude toward telemedicine. The advantages reported include being easy to use (63%), reducing travel costs for patients (68.6%), and its importance during pandemics, e.g., COVID-19 (59.8%). However, our results indicated potential barriers when using telemedicine, including the need for training; elderly patients find difficulty dealing with technology, poor infrastructure, technical issues, difficulty for patients to express their feelings and communicate with physicians, and a lack of body language.</p><p><strong>Conclusion: </strong>A considerable percentage of participants were already using telemedicine services, and they were satisfied with the telemedicine system. Though most participants had favorable attitudes toward telemedicine, potential barriers were reported, such as training for physicians and patients, difficulty dealing with technology, poor infrastructure, and technical issues. These findings underscore the need to develop and implement a regulatory framework that supports telemedicine adoption, including data protection, patient confidentiality, and reimbursement standards.</p>","PeriodicalId":22819,"journal":{"name":"The Journal of the Egyptian Public Health Association","volume":"100 1","pages":"13"},"PeriodicalIF":0.0,"publicationDate":"2025-06-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12174010/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144317900","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Association of novel visceral obesity indices with 10-year risk of major cardiovascular events in patients with type 2 diabetes mellitus.","authors":"Mirella Y Tawfik, Samar F Mohamed, Sally F Elotla","doi":"10.1186/s42506-025-00188-w","DOIUrl":"10.1186/s42506-025-00188-w","url":null,"abstract":"&lt;p&gt;&lt;strong&gt;Background: &lt;/strong&gt;Cardiovascular disease (CVD) is a leading cause of mortality among individuals with type 2 diabetes mellitus (T2DM), with visceral adiposity being a key contributor to increased CVD risk. Novel visceral obesity indices (NVOI), including the lipid accumulation product (LAP), visceral adiposity index (VAI), and metabolic score of visceral fat (METS-VF), offer improved visceral adipose tissue assessment and may enhance CVD risk prediction. This study aimed to evaluate the association of these indices with 10-year CVD risk and their predictive performance in adults with T2DM.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Methods: &lt;/strong&gt;A cross-sectional study was conducted in the diabetes outpatient clinic and family medicine units of Suez Canal University in Ismailia, Egypt over 15 months starting in February 2023. A total of 397 randomly selected patients with T2DM participated. A structured interview questionnaire was used to collect demographics, medical, family, and lifestyle-related data. Clinical data such as blood pressure, body mass index (BMI), waist circumference (WC), and laboratory data such as fasting blood glucose (FBG) and lipid profile were obtained. NVOIs were calculated using standardized equations, and 10-year CVD risk was determined using the 2019 WHO/ISH CVD risk-laboratory-based chart. Logistic regression was used to assess the associations between NVOIs and high CVD risk, while receiver operating characteristic (ROC) curve analysis was used to evaluate its predictive accuracy.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Results: &lt;/strong&gt;High CVD risk (≥ 20% 10-year risk) was identified in 40.5% of participants and was significantly associated with higher LAP, VAI, and METS-VF levels (p &lt; 0.001). VAI was associated with 3.18 times higher odds of having a high 10-year CVD risk (95% CI 1.61-6.26, p &lt; 0.001) in males and 4.16 (95% CI 1.26-13.68, p = 0.019) in females. METS-VF had the highest predictive ability, with an adjusted odds ratio (aOR) of 7.39 (95% CI 1.03-52.85, p = 0.046) in males and 7.80 (95% CI 1.53-39.92, p = 0.014) in females while, LAP showed no significant association. The area under the curve (AUC) values indicated acceptable to excellent predictive accuracy for all indices, with METS-VF and VAI generally outperforming LAP. VAI performs best in males and METS-VF in females. Sensitivity ranged from 63.92 to 87.5%, while specificity varied between 73.79% and 94.51%. Positive predictive values (PPVs) were higher in males (77-92.5%), whereas negative predictive values (NPVs) were higher in females (88.9-93%).&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Conclusions: &lt;/strong&gt;High CVD risk was significantly associated with elevated VAI, METS-VF, and LAP; however, only VAI and METS-VF emerged as independent predictors. These indices demonstrated the highest predictive accuracy, reinforcing their clinical relevance. Given their superior discriminative ability, incorporating VAI and METS-VF into routine assessments could enhance CVD risk prediction in adults with T2DM, allowi","PeriodicalId":22819,"journal":{"name":"The Journal of the Egyptian Public Health Association","volume":"100 1","pages":"12"},"PeriodicalIF":0.0,"publicationDate":"2025-05-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12125445/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144187978","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Patient safety attitude among intensive care unit physicians and nurses: a multi-center study in Egypt.","authors":"Taghareed A Elhoseny, Mohamed A Kandil, Rasha A Mosallam","doi":"10.1186/s42506-025-00190-2","DOIUrl":"10.1186/s42506-025-00190-2","url":null,"abstract":"<p><strong>Background: </strong>Continuous safety culture assessment, especially in high-risk areas as the intensive care unit (ICU) is one of the requirements for patient safety. This study aimed to assess patient safety attitude in the intensive care units of four public hospitals in Egypt, compare it with benchmarking data, and identify opportunities for improvement.</p><p><strong>Methods: </strong>A cross-sectional design was used. The Safety Attitudes Questionnaire (SAQ) was distributed in March 2024 to a total of 543 physicians and nurses involved in direct patient care in eight ICU of four public hospitals. A response rate of 85% was achieved (65.12% for physicians and 89.28% for nurses). Safety culture score (ranges from 0 to 100) and percent-positive scores (percentage of respondents with a mean score of > 75 where 100 is best) were calculated according to the tool scoring key. The scores were also compared with the benchmarking scores.</p><p><strong>Results: </strong>The overall mean scale score was 63.7 ± 13.4 and the percentage of positive responses was 58.1%. Job satisfaction was the dimension with the highest total mean and percentage of positive responses (70.0 and 65.1%, respectively). On the other hand, stress recognition was the dimension with the lowest mean score and percentage of positive responses (59.4 ± 23.8 and 53.6%, respectively). Physicians attained a significantly higher total mean scale score for the teamwork climate, job satisfaction, perceptions of management and work conditions dimensions compared to nurses (73.8 ± 10.4, 81.7 ± 14.6, 72.5 ± 19.4, 70.6 ± 18.1 for physicians compared to 61.0 ± 15.4, 68.4 ± 23.0, 60.8 ± 22.4, 61.8 ± 22.3 for nurses, respectively) (p < 0.05) while \"stress recognition'' was significantly higher among nurses (mean scale score for nurses was 60.4 ± 23.6, p < 0.05 compared to 52.0 ± 24.0, p < 0.05 for physicians). The dimensions \"teamwork climate'', \"safety climate'' and \"stress recognition'' attained lower scores in the current study compared to the benchmark data.</p><p><strong>Conclusion: </strong>The dimensions \"teamwork climate'', \"safety climate'', and \"stress recognition'' attained relatively low scores which calls for interventions such as team trainings, limitation of work hours and senior executive safety rounds. Physicians had significantly higher scores than nurses in four out of six domains which needs further research to identify the reasons and plan the appropriate improvement strategies. Future studies should track changes over time.</p>","PeriodicalId":22819,"journal":{"name":"The Journal of the Egyptian Public Health Association","volume":"100 1","pages":"11"},"PeriodicalIF":0.0,"publicationDate":"2025-05-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12078733/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144039067","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Burnout and associated risk factors among nurses working in COVID-19 isolation hospitals: a cross-sectional study in Egypt.","authors":"Ola G Ibraheim, Abdallah I Shehata, Taghareed A Elhoseny","doi":"10.1186/s42506-025-00192-0","DOIUrl":"10.1186/s42506-025-00192-0","url":null,"abstract":"<p><strong>Background: </strong>Nurses are vulnerable to burnout due to the high risk and pressure associated with their job performance. The coronavirus disease of 2019 (COVID-19) pandemic imposed an additional demand and stress on the healthcare workforce worldwide. This study aimed to assess the magnitude of burnout syndrome among nurses working in COVID-19 isolation hospitals and its associated factors.</p><p><strong>Methods: </strong>A cross-sectional study was conducted among 385 nurses working in two COVID-19 isolation hospitals between April and August 2022 in Alexandria, Egypt. A predesigned self-administered questionnaire including questions about sociodemographic and work-related factors and an Arabic-translated version of Maslach Burnout Inventory Human Services Survey \"MBI-HSS\" was used.</p><p><strong>Results: </strong>Of the total sample, 82.3% had high levels of emotional exhaustion (EE) with a mean score of 35.43 ± 9.52 (The range of the subscale score for EE = 0-54), 60.8% had a high level of depersonalization (DP) with a mean of 13.63 ± 5.81 (The range for DP = 0-30), 34.5% had a low level of personal accomplishment (PA) with a mean score of 33.70 ± 7.43 (The range for PA = 0-48 (reversed). Nurses having no children, nurses with higher educational level, and those who reported inadequacy of the number of physicians had significantly higher odds (3.98, 2.37, and 3.25, respectively) of having a high level of emotional exhaustion. Nurses having no children, and those who reported inadequacy of the number of physicians in their units had significantly higher odds (2.4 and 2.2) of having a high level of depersonalization.</p><p><strong>Conclusion: </strong>Nurses working in COVID-19 isolation hospitals had high levels of burnout syndrome. Predictors of EE or DP included having no children, higher levels of education, and reporting an inadequate number of physicians. Stress coping training and psychological and social support services are recommended to overcome the relevant stresses and burnout provoking factors.</p>","PeriodicalId":22819,"journal":{"name":"The Journal of the Egyptian Public Health Association","volume":"100 1","pages":"10"},"PeriodicalIF":0.0,"publicationDate":"2025-05-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12069197/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144027280","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}