Background:Knowledge, attitude, practice (KAP)-based educational intervention is an important tool to reduce underreporting of adverse drug reactions (ADRs). Hence, this study aimed to assess the KAP of doctors and nurses working in medicine and allied departments of Jawaharlal Institute of Postgraduate Medical Education and Research on spontaneous reporting of ADRs, following an educational intervention. The study also compared the quantity of ADRs reported before and after 1 year of introducing the educational intervention.Methodology:The study was a cross-sectional questionnaire-based study involving doctors and nurses working in a tertiary care hospital in South India. A predesigned structured questionnaire was prepared to suit our ADR monitoring center, validated and then distributed to doctors and nurses working in medicine and allied departments of the institute. The study participants were asked to fill KAP pretest questionnaire followed by interactive educational intervention and post-test questionnaire related to KAP after 1 year. The impact of educational intervention among doctors and nurses was evaluated by their response to the post-test questionnaire and the number of ADR reported after intervention. The appropriate statistical analysis was used through Graph Pad InStat version 3.0.Results:A total of 235 health-care professionals were involved in the pre-KAP questionnaire, an educational intervention, and post-KAP questionnaire. Among them, doctors were 39%, and nurses were 61%. The overall response rate among doctors and nurses following educational intervention was statistically significant (P < 0.0001). Following the educational intervention, the quantity of ADR reported became double compared to pre-intervention.Conclusion:The KAP of health-care professionals improved following educational interventional program on pharmacovigilance. Continued educational intervention may inculcate ADR reporting culture among health-care professionals.
Background: Spontaneous reporting of adverse drug reaction is globally practiced it under pharmacovigilance programme. But the major drawback of this system is underreporting. In this context the present survey was conducted, to assess the knowledge, attitude and practice of spontaneous ADR reporting among doctors and nurses in a tertiary care teaching hospital in South India. Methods: A cross-sectional questionnaire-based survey was conducted among doctors and nurses in a tertiary care teaching hospital in South India. A pre-designed and structured multiple choice questionnaire containing 19 questions was used to assess knowledge (1-9), attitude (10-14) and practice (15)(16)(17)(18)(19). The data obtained were analyzed using appropriate statistical analysis through SPPS version 19.0. Results: A total of 318 healthcare professionals participated in the study. Among them 46.2% were doctors, and 53.8% were nurses. The participants had good knowledge regarding the purpose of monitoring ADRs, type of ADRs to report, who can report, etc. They also felt reporting of ADRs is a professional obligation and all ADRs should be reported. There was no significant difference in the knowledge and attitude between doctors and nurses. The practice of ADR reporting was significantly higher in doctors compared to nurses. Conclusion:The present study indicates that majority of participants have good knowledge about local hospital based ADR monitoring. However, the transition from knowledge to practice was not adequate. ADR reporting can be further increased by improving access to ADR reporting forms, using user-friendly methods such as electronic reporting and by educational interventions targeting especially the junior healthcare professionals.Key words: Adverse drug reactions, Knowledge, Attitude and practice, Survey questionnaire. hospital in South India, involving doctors and nurses working in departments of General Medicine, Pulmonary Medicine, Pediatrics, Psychiatry, Cardiology, Neurology, Dermatology & Sexually Transmitted Disease, Endocrinology, Medical Oncology, Clinical Immunology and Nephrology. Study Instruments: The survey tool used was based on pre-designed questionnaires adopted from previous studies [14][15][16] with minor modification done according to our hospital environment. The modified questionnaire was pretested in each five participants of doctors, nurses,and suitable modifications were done before initiation of the survey. The questionnaire survey consists of demographic characteristics of participants, their knowledge of pharmacovigilance (Q no. 1-9), attitude towards ADR reporting (Q. no. 10-14), and practice of pharmacovigilance (Q. no. 15-19). After explaining the purpose of the survey, the final version of the questionnaire was distributed to the doctors and nurses during their departmental activities. The participants were given 30 mins to provide the necessary information. The response format included multiple choice questions in which the participants were asked to choose the correct answer ...
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