Journal of Health Specialties最新文献

{"title":"Residents and teaching physicians' perception about bedside teaching in non-clinical shift in the emergency department of King Abdul-Aziz Medical City, Jeddah, Saudi Arabia","authors":"Azzah Aljabarti","doi":"10.4103/JHS.JHS_6_17","DOIUrl":"https://doi.org/10.4103/JHS.JHS_6_17","url":null,"abstract":"Introduction: Bedside teaching (BT) is teaching in the presence of the patients which allows direct observation of the learner. It is a very crucial educational modality, which has declined significantly over the last decades. It is under-utilised and under-studied in Emergency Medicine. Although time constraints in the emergency department (ED) is associated with efficient and effective patient management; it exerts a negative influence on the time spent on bedside teaching. Objective: To determine the residents' and teaching physicians' (TPs') perception about BT in non-clinical shift regarding: Clinical knowledge, data gathering, procedure performance, communication and constructive feedback. Methods: Quantitative, cross-sectional study was done at King Abdulaziz Medical City, ED. Two groups were formed: (learners N=30) and (TP N=20) total N=50. We used self-administered questionnaire and then the data was analysed using SPSS version 20.0. Demographic data and results were expressed by mean ±SD and percentage. Comparison was then made between the two groups by using T-test (P < 0.05). Results: There were 50 participants in this study and 100% filled the questionnaires. All 20 (100%) of TP have previous experience with BT vs. only 17 (58%) of the learners. The residents and TPs responded to benefits of the BT: on clinical knowledge with mean values of (4.63±0.41 vs. 4.76±0.37) respectively and on data gathering with mean values of (4.73±0.51 vs. 4.24±0.97) respectively. Forty-six percent of the learners and 20% of the TPs responded to the benefits on procedures; however, the mean values of (4.93±1.0 and 5.0±0.01) were reported from the residents and TPs respectively. Regarding communications, we got mean values of (4.65±1.25 vs. 4.18±0.46) respectively. In regards to giving constructive feedback, the two groups' perceptions gave mean values of (4.58±1.01 vs. 4.57±0.8) in the residents group vs. TPs. Conclusion: Based on the review of the learners and the TPs' perception, we concluded that BT in non-clinical shift is very effective to improve the learners' clinical knowledge, data gathering, communication skills and facilitates giving constructive feedback. However, the benefits regarding procedure performance is still an area that needs further investigation.","PeriodicalId":31033,"journal":{"name":"Journal of Health Specialties","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2018-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85934884","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":"Pancreatic tuberculosis causing biliary obstruction and mimicking pancreatic malignancy","authors":"Noura Al Najdi, Basim Felemban, Ahmed Abou Issa","doi":"10.4103/JHS.JHS_106_17","DOIUrl":"https://doi.org/10.4103/JHS.JHS_106_17","url":null,"abstract":"Tuberculosis (TB) is a bacterial infection which can affect any part of the body from head to toe and has various presentations depending on the site of the infection. Pancreatic TB is very rare and usually happens as a part of disseminated or miliary TB, whereas isolated pancreatic TB is even rarer. Here, we present a case of pancreatic TB at a TB endemic zone which presented with obstructive jaundice and pancreatic lesions mimicking pancreatic malignancy. A 46-year-old Saudi female patient presented with right upper quadrant abdominal pain associated with dark coloured urine and pale stool. The patient had been admitted to the surgical ward as a case of acute cholecystitis for further evaluation. On abdominal ultrasound (US), findings demonstrated dilated common bile duct (CBD), but the distal part was difficult to be visualised; hence, further evaluation by magnetic resonance cholangiopancreatography (MRCP) was recommended to look for CBD stones. The MRCP showed two focal pancreatic lesions causing the distal CBD obstruction with no stones at CBD. Based on these findings, malignancy was considered and computed tomography-guided fine-needle aspiration biopsy from the pancreatic neck lesion was performed. This demonstrated multiple granulomas and lymphocytes with no malignant cell which indicated pancreatic TB. The patient became well after a course of anti-TB medications. pancreatic TB should be included in the differential diagnosis of pancreatic masses, especially in those patients who live in an endemic area of TB. A biopsy is necessary to establish the diagnosis and start the appropriate treatment for this curable disease as soon as possible.","PeriodicalId":31033,"journal":{"name":"Journal of Health Specialties","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2018-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82783534","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":"A grounded theory pilot study: Exploring the perceptions of patient advocacy in a Saudi Arabian critical care context","authors":"Manfred Mortell, Chean Ahmad, Khatijah Lim Abdullah","doi":"10.4103/JHS.JHS_86_17","DOIUrl":"https://doi.org/10.4103/JHS.JHS_86_17","url":null,"abstract":"Aim: The purpose of this pilot study was to determine the applicability, feasibility and practicality of a constructivist-grounded theory design to explore the perceptions of patient advocacy amongst Saudi Arabian Intensive Care Unit (ICU) nurses and to assess the effectiveness of the data collection methodology. Background: Patient advocacy for all patients in a critical care setting is essential as a component of patient safety. However, data, information and knowledge pertaining to Saudi Arabian ICU nurses' perceptions of patient advocacy in the critical care setting are currently non-existent. Methods: The pilot study used a constructionist-grounded theory approach with a purposive sample of five Saudi Arabian ICU nurses. The data were collected using single participant semi-structured interviews which were guided by the individual participant's responses. A reflective participant journal and a follow-up focus group interview were also employed. Results: The findings of the study confirmed that a constructivist-grounded theory design was a feasible and logical approach to explore the perceptions of patient advocacy amongst Saudi Arabian ICU nurses. It also highlighted important implications for all Saudi Arabian nurses and their indigenous patients, which would ultimately enhance patient outcomes and safety. The pilot study also validated the efficacy of the data collection strategies, with the participants' approval that data collection transpired without prompting or forcing the data by the researcher. Conclusions: As novice researcher, the pilot study provided a discerning introduction to grounded theory as a research methodology. It also confirmed that a grounded theory approach was apt to explore the perceptions of patient advocacy amongst Saudi Arabian ICU nurses, in addition to being an effective participant recruitment strategy and a data collection and analysis tool.","PeriodicalId":31033,"journal":{"name":"Journal of Health Specialties","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2018-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"73893621","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":"Career choices of final year medical students and interns at King Abdulaziz University: Where does orthopaedics stand?","authors":"A. Ashour, A. Ashour, M. Asiri, Mohammed Alghamdi, A. Jamjoom, A. Al-Ghamdi, Ali Chaudhary","doi":"10.4103/JHS.JHS_49_17","DOIUrl":"https://doi.org/10.4103/JHS.JHS_49_17","url":null,"abstract":"Background: An extensive variety of medical specialities challenge medical students, owing to the numerous factors in choosing a profession or area of specialisation. Understanding the factors that lead to their choice of speciality is important to address the job market requirements. Objective: To determine graduating medical students' aptitude in making a career choice from King Abdulaziz University (KAU). To identify the factors affecting their career choices and determine where Orthopedic Surgery stands as a career choice amongst other specialities; and to assess whether trends and perceptions change once the students graduate and are near completing their internship. Methodology: A cross-sectional study was conducted amongst 6th year medical students and medical interns at KAU, Jeddah, Saudi Arabia, during the period of February to April 2015. A self-administered questionnaire was formulated and converted electronically and sent to the respondents through E-mail. Responses were recorded in Google spreadsheet and data analysis was done using SPSS version 23. Results: It was found that amongst the 232 respondents, Internal Medicine was the most prevalent speciality chosen by both 6th year students and interns while Orthopaedic sits at the sixth rank. Personal interest was the most important factor in choosing a speciality followed by positive experience during undergraduate elective rotation. Future job opportunity was also a consideration in addition to previous positive clerkship experience along with the desire to serve the community. Conclusion: The medical students' speciality of choice at KAU did not lean or was not affected by fixed factors, such as their grade point average, level of education or gender. Instead, their choice of speciality was greatly affected by their personal interest which is considered to be subjective by nature.","PeriodicalId":31033,"journal":{"name":"Journal of Health Specialties","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2018-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"77879686","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":"Defensive practice among psychiatrists in middle East Countries: A questionnaire survey","authors":"A. Al-Atram","doi":"10.4103/jhs.JHS_87_17","DOIUrl":"https://doi.org/10.4103/jhs.JHS_87_17","url":null,"abstract":"Purpose: Increasing medicolegal litigations, claims and compensation have forced doctors to make some defensive changes in their practice. This study was conducted to examine the prevalence of defensive practice among psychiatrists in Middle Eastern countries along with examining the relationship of defensiveness with seniority and previous medicolegal experiences. Methods: A questionnaire with thirteen questions was shared among 215 psychiatrists practicing in Middle Eastern countries. The collected data were analysed statistically using SPSS version 21. Results: Ninety-two valid responses were received and analysed, out of which sixty-two of them were from Saudi Arabia. An overall 30% (n = 28/92) of the psychiatrists have taken a defensive action in their practice in the past one month. Nearly 28% (n = 26/92) of them approved unwanted patient admission, 30% (n = 28/92) kept the patient on a higher observation. Both these defensive actions are less prevalent among the senior psychiatrists. While 24% (n = 22/92) and 30% (n = 28/92) of psychiatrists had written specific remarks such as “not suicidal” and dictated letters more than necessary for managing patient's illness, respectively, and this behaviour was more prevalent among senior psychiatrists. Conclusion: An overall 30% (n = 28/92) of the psychiatrists have taken a defensive action in their practice over the past one month. Knowledge and experience of previous medicolegal issues were important factors influencing the defensive practice. The propensity of junior psychiatrists to practice defensively may be attributed to decreased confidence. More systematic problem-based training, proper guidelines for practice insurance and more clarity and transparency in the investigation and handling of medicolegal issues may help reduce the defensive practice and improve better patient care.","PeriodicalId":31033,"journal":{"name":"Journal of Health Specialties","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2018-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86762332","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":"A cross-sectional survey on nursing students' attitude towards research","authors":"Samia Al Furaikh, Badriyah Al Omairi, T. Ganapathy","doi":"10.4103/JHS.JHS_36_17","DOIUrl":"https://doi.org/10.4103/JHS.JHS_36_17","url":null,"abstract":"Background: Nursing research promotes optimum care for patients through evidence-based nursing practice. Students' attitude towards research motivates them to engage in research, develop research skills and apply research findings in clinical settings to promote positive patient outcome. Aim: The aim of this study is to analyse the attitudes of undergraduate nursing students towards research component in order to discover implications for the best practices in teaching/learning process. Materials and Methods: A descriptive, cross-sectional investigation was carried out with purposively selected n = 186, level 5–8 students at the College of Nursing-A, King Saud bin Abdulaziz University for Health Sciences, Al-Ahsa from 2016 to 2107. With informed, voluntary consent, data on students' attitudes towards research were collected using a self-administered questionnaire. The questionnaire consisted of 32 items on a Likert scale of strongly agree (4) to strongly disagree (1) with the scores ranging from 32 to 128. Analyses were performed using SPSS version 20. Results: The overall attitude towards research was positive with a mean score (68.4 ± 6.580). Most of the students (78%) regarded that research is useful for the nursing profession. Positive attitude towards research was demonstrated by 68% of the nursing students, 61% reported that research plays an important role in professional and personal life, whereas the highest proportion of students (71%) perceived research as a difficult, complicated, stressful subject and 64% reported statistical difficulty. Conclusion: Although many of the students have a favourable attitude towards the research process and acknowledge its usefulness and benefit to the nursing profession, many of them perceived their research course as stressful. Most of them reported having negative feelings and anxiety towards the research process. Incorporating research course(s) into the curriculum at the pre-university level and having a statistical expert from the research centre teach learning strategies, would yield more positive experiences for students.","PeriodicalId":31033,"journal":{"name":"Journal of Health Specialties","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2017-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79688733","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":"The practice and attitude towards plagiarism among postgraduate trainees in Saudi Arabia","authors":"Abdullah E. Kattan, F. Alshomer, Abdullaziz K Alhujayri, Faisal A. Alfaqeeh, Yasser A. Alaska, Khwlaa Alshakrah","doi":"10.4103/JHS.JHS_64_17","DOIUrl":"https://doi.org/10.4103/JHS.JHS_64_17","url":null,"abstract":"Introduction: Plagiarism is 'The wrongful appropriation or purloining and publication as one's own, of the ideas, or the expression of the ideas'. It is the most commonly committed research misconduct with the prevalence of 2%. Its effect can be devastating and damaging to science, indicating the need to recognise and curb such an act. Methodology: A cross-sectional survey was distributed to in-training residents from all specialities in one academic hospital using the attitude towards plagiarism questionnaire. Results: A total of 221 physicians in-training participated in this study. 52.2% were males and 47.5% were females. About half of the respondents (48.9%) had attended a medical writing course, 45.2% published manuscripts and 67% had attended courses in medical research ethics. Respondents had a mean positive attitude towards plagiarism score of 29.56 ± 6.81, indicating an inclination towards plagiarism. Moreover, the mean negative attitude towards plagiarism score was 26.26 ± 3.78, indicating the tendency towards diminished tolerance of plagiarism. Furthermore, subjective norms score showed a mean value of 24.84 ± 5.47, representing an inclination towards personal approval of plagiarism practice in society. No strong correlation was found between attending research ethics course and plagiarism. However, we found that having a previous publication or attending medical writing courses was significantly associated with positive leaning towards plagiarism. Conclusions: Despite having had courses in medical writing, research ethics and/or published a scientific manuscript before; we still found a positive lean towards plagiarism. This emphasises the importance of tackling such behaviour by increasing the level of awareness among trainees to avoid such misconduct.","PeriodicalId":31033,"journal":{"name":"Journal of Health Specialties","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2017-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85852610","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":"Factors influencing the choice of ophthalmology as a career among medical students of king saud bin abdulaziz university Riyadh, Saudi Arabia","authors":"S. Alsalman, Ghadah S. AlQahtani, B. Alasmari, Salwa Alrashed Alhumaid, E. Masuadi","doi":"10.4103/JHS.JHS_61_17","DOIUrl":"https://doi.org/10.4103/JHS.JHS_61_17","url":null,"abstract":"Context: Choosing a future speciality for medical students can be frightening as well as confusing. Identifying factors that influence medical students' future career choice is critical and can play an important role in shaping the future workforce. Aims: The study aims to determine factors associated with medical students' preference of Ophthalmology as a future career choice at King Saud bin Abdulaziz University for Health Sciences (KSAU-HS). Settings and Design: A cross-sectional study was carried out among Saudi students of both genders who were enrolled in KSAU-HS (clinical phase) during the study. Subjects and Methods: A validated questionnaire was sent through E-mail to 302 eligible students, of which 275 participated, with a response rate of (91%). Statistical Analysis Used: Descriptive analysis was carried out for all categorical variables. In addition, data were compared using Chi-square test; all tests were two-sided and P < 0.05 was considered statistically significant. Results: A total of 28 students (10.2%) considered Ophthalmology as their first choice, while it was the second choice for four students (1.5%). Among all the participants, factors that attracted medical students to consider Ophthalmology as a career choice included the high income (54%), private sector opportunities (40%), part-time opportunities (40%) and leisure (34%). Whereas, the difficulty of getting into the Ophthalmology Residency Programme (53%) was the most important factor that pushed students away from choosing Ophthalmology. Conclusions: Multiple factors influenced the KSAU-HS medical students' choice of when choosing a future speciality. Knowing these factors can help in directing work-force to choose specialities that are currently limited in Saudi Arabia.","PeriodicalId":31033,"journal":{"name":"Journal of Health Specialties","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2017-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82749031","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":"Publication output of Riyadh government hospitals: A bibliometric analysis 2006–2016","authors":"Ali Howaidi, Jude Howaidi, Nora Howaidi","doi":"10.4103/JHS.JHS_77_17","DOIUrl":"https://doi.org/10.4103/JHS.JHS_77_17","url":null,"abstract":"Objective: The objective of this study was to perform and showcase a bibliometric analysis that demonstrates a quantitative research publication output in government hospitals in Riyadh, Saudi Arabia between 2006 and 2016. Methods: Scopus database was used for this bibliometric analysis in order to gather information relative to research publication output and types of publications. Data analysis was conducted using Microsoft Excel. Results: A total of 8420 publications were retrieved between 2006 and 2016. King Faisal Specialist Hospital and Research Centre contributed 3710 (44.06%) of the total publications followed by King Khalid University Hospital with 1293 (15.35%), while King Saud Medical City had 56 (0.66%) publications and King Salman Hospital had only 17 (0.20%). Articles were the most utilised form of publication adding up to 6631 (78%), followed by 779 (9.25%) reviews and 410 (4.86%) letters. The least used forms of publication were short surveys with 19 (0.22%) publications and books at 5 (0.05%). Conclusion: Saudi Arabia is growing and improving in terms of research publication output from government hospitals in Riyadh.","PeriodicalId":31033,"journal":{"name":"Journal of Health Specialties","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2017-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78222298","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":"Knowledge, attitude and practice of breast self-examination among females in medical and non-medical colleges in Qassim University","authors":"Safiya Ibnawadh, Mashael Alawad, Shorouq Alharbi, Nada Alduawihi, Feda Alkowiter, Anfal Alsalhy, Ameerah Alzahrani, Lamia Alenizy","doi":"10.4103/JHS.JHS_137_16","DOIUrl":"https://doi.org/10.4103/JHS.JHS_137_16","url":null,"abstract":"Aims: The objective of this study was to investigate any difference between females in medical and non-medical colleges for (1) knowledge and attitude of breast self-examination (BSE) and (2) practice of BSE. Subjects and Methods: A cross-sectional study was conducted in Qassim University during 2014-2015. Cluster random sample method was used. The sample size consisted of 365 females. A confidential and self-administered questionnaire was used to collect data. Results: Age range of the study participants was from 18 to 55 years, with a mean of 20.3 years. Moreover, 11% of the subjects had positive family history of breast cancer. Regarding their knowledge levels about BSE, 95.8% of medical students had heard of BSE in comparison to 93.3% of non-medical students. Social media was the most commonly reported source of BSE information (50.14%). We found that 49.7% of medical students had carried out BSE previously in comparison to 35.71% of the non-medical students. Conclusions: Both medical and non-medical students showed lack of knowledge in BSE and even though their attitude towards it was positive, medical students had a better attitude towards it. Moreover, regarding the practice, the percentage of medical students who perform BSE was higher than that of non-medical students.","PeriodicalId":31033,"journal":{"name":"Journal of Health Specialties","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2017-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78601691","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}