Background: Since the emergence of the novel coronavirus, the front line soldiers during this pandemic are the healthcare professionals because of their direct association with COVID19 patients. In the management of such patients, nurses play a significant role through proper care and preventive measures. Due to its contagious nature, fatality, and no proper medicine, it is a risk to the health and life of nurses and has an impact on their psychological health. The aim of the current study was to assess the knowledge, attitude, practices, and anxiety levels of the frontline nurses. Methods: It was an online questionnaire-based cross-sectional survey targeting only those nurses involved in the management of COVID-19 patients from different hospitals of Karachi, Pakistan. SPSS 21 was used for data analysis. Descriptive analysis, Chi-Square, and t-tests were applied. P-value <0.05 was considered significant. Results: Data of 78 nurses were analyzed. We observed that nurses possess good knowledge about COVID-19, its sources, symptoms, and routes of transmission of the Virus, etc. The knowledge mean score was calculated at 14.67 ± 3.36. Health Department /Hospital and social media are the main sources of information regarding COVID-19. We investigated that 92.3% of the nurses had mild to severe anxiety and anxiety levels are significantly higher among females (P<0.05). Conclusion:-We concluded that the nurses performing their duties with COVID-19 positive patients have good knowledge and attitude. But their anxiety levels are high. Psychological interventions along with training should be given.
Background/ObjectiveLife is the biggest gift of God and the process of giving birth is praise-worthy. Therefore, maternal mortality and morbidity is alarming and need extensive interventions. The psychosocial and psychological perspectives of childbirth need attention and vigorous trainings for health-care workers. Many countries are working to improve standards of their living and to curtail subsequent life threatening illness associated with pregnancy and birth. For that, different reporting, evaluating and practicing guidelines made to check the present practices that have greater impact on health-care industries and on patients. One of the widely eminent is CEMACH (Confidential Enquiry into Maternal and Child Health). According to Weindling [1], CEMACH was established in April 2003. Previously it worked as CESDI (the Confidential Enquiry into Stillbirths and deaths in infancy) and CEMD (the Confidential Enquiry into Maternal Deaths).Formerly, the ministry of health had not reported adequately and timely about the maternal deaths but it started its formalized reporting in the year 1952. In the first 2 years of CEMD, about 77% of maternal deaths were captured and later for the United Kingdom, in years 1985-87 onwards reports were published. CEMD's motive was to assess the causes of maternal deaths and to indentify avoidable causes to reduce it. It recommended improvements in clinical setup and care provision. Moreover, future research and way forward to audits were indicated. Later, it was facilitated by department of health that all 14 regions of England should embark on perinatal mortality survey reports and thus CESDI, established in 1992, aimed to reduce mortality by finding practice gaps and its improvement especially cases that encountered less than 20 weeks post-conception to 1 year of birth. Confidential enquiries aim was to improve practices and care. Weindling [1] reported that six permanent staff with allotted managers were assigned in each of the regions of England and Wales. Further, the United Kingdom's MMR (maternal mortality rate) can be determined by routine death-certificate data and by the results of in-depth enquiry. CMACE [2] illustrates that the use
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