Awareness and Practice of Proper Health Seeking Behaviour and Determinant of Self-Medication among Physicians and Nurses in a Tertiary Hospital in Southwest Nigeria

Adewoye, Kayode Rasaq; Aremu, Shuaib Kayode; Ipinnimo, Tope Michael; Salawu, Idris Adedayo; Orewole, Tesleem Olayinka; Bakare, Adewumi

doi:10.4236/ojepi.2019.91004

Cited by 7 publications

(22 citation statements)

References 13 publications

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“…In this study, some nurses justified not following up on their health issues by being skeptical about observance of confidentiality in counseling and unwillingness to disclose their health status to colleagues. Similar findings were reported in previous studies 17,19,22,46. This problem is seen not only in nurses but also in other health care workers and to a greater extent in physicians.…”

Section: Discussionsupporting

confidence: 93%

“…In addition, they are concerned about violation of their confidentiality by discussing their medical history with other colleagues and about their workplace's access to their information, which prevented them from seeking health care. 17,46 The results of this study showed that nurses had the benefits of quick access to medical services and constant presence of physicians, and if they were satisfied with the health care services provided at work, they could easily use them. However, the lack of access to health care services in the general population is always an important issue in HSB.…”

Section: Discussionmentioning

confidence: 88%

“…Fear of finding something worse was reported as a well-documented barrier against HSB in the literature. 17,19,22,[27][28][29][30] In the studies by Nebert et al 22 and Rahman and Kar, 28 for example, fear of bad results prevented nurses from performing health screenings. The results of a systematic review of 15 studies showed that the severity of negative emotions was an important predictor of HSB.…”

Section: Discussionmentioning

confidence: 99%

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Factors Involved in Nurses' Health-Seeking Behaviors

Najafi

Rafii

Rahimi

2022

Advances in Nursing Science

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sociated with nurses' inability to achieve work-life balance and consequently with less attention to self-care and their own health. 6 Nurses' poor health can lead to impairments in job performance, interpersonal interaction, ability to document properly, response time in the event of emergency, and ability to provide patient care, 3,7 and even occurrence of medication errors. 8 All of these factors affect nurses' quality of care, absence, financial burden, job productivity, and patient safety. 3,7 Therefore, nowadays, many studies address the issue of nurses' health. Some of these studies identified high incidence of chronic diseases, poor eating habits, and high alcohol consumption as warning signs in this population. 9 In this regard, Phiri et al 10 showed that stressful work environments and shift work were associated with overweight and unhealthy food intake. Moreover, most nurses addressed backache, exposure to tuberculosis, and risk of chronic diseases, such as high blood pressure, as their main health concerns in a previous study. 10 In general, the results of most studies on nurses' health revealed that nurses' health status was

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Section: Discussionsupporting

confidence: 93%

Section: Discussionmentioning

confidence: 88%

Section: Discussionmentioning

confidence: 99%

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Factors Involved in Nurses' Health-Seeking Behaviors

Najafi

Rafii

Rahimi

2022

Advances in Nursing Science

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“…35 36 The health-seeking behaviour of the HCWs in Nigeria and poor reporting of COVID-19 infection cases within this cohort is to be considered. There is evidence that the practice of self-medication and reluctance to obtain medical care is high among doctors and nurses in Nigeria [35][36][37][38][39] ; therein lies the possibility of nonreporting of mild cases. This behavourial pattern emphasises the need for more awareness and education on these issues within this group of healthcare professionals.…”

Section: Discussionmentioning

confidence: 99%

Retrospective study of COVID-19 outcomes among healthcare workers in Rivers State, Nigeria

et al. 2022

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ObjectiveTo determine the illness severity and mortality among COVID-19-infected healthcare workers (HCWs).DesignA retrospective cohort study using population-level data. Secondary analysis was conducted on collated data from the Public Health Emergency Operations Centre (PHEOC) at the State Ministry of Health, Rivers State, Nigeria. Data were gathered from the COVID-19 patient database of the PHEOC on demographics, place of work, illness severity and outcome.ParticipantsThe cohort included all documented HCWs with confirmed COVID-19 infection (diagnosed by PCR).Primary and secondary outcome measuresIllness severity defined as ‘hospitalisation required’ and treatment outcome labelled as ‘alive’ or ‘dead’ were the outcomes of interest.ResultsThe mean age was 43 years and 50.5% of the cohort were female. Of the 301 HCWs infected, 187 patients were symptomatic with 32 requiring hospitalisation. Seven infected HCWs died of their COVID-19 infection, resulting in a case fatality ratio (CFR) of 2.3%. Population proportions for age groups, case presentation and mortality, would be significantly greater than those seen in the study population. Health professionals made up 79.7% (240) of the study cohort, with 68.8% (165) of them working at the teaching hospitals; the association between HCWs and health facilities they worked in, was significant. Symptomatic cases were more inclined to progress to severe illness (χ(1)2=15.219,α=<0.0001;adjusted OR (aOR) 10.658, 95% CI 2.494 to 45.552); patients also had greater odds of dying from COVID-19 (χ(5)2=13.7,α=0.003;aOR 1.079, 95% CI 1.02 to 1.141) per year increase in age adjusted for sex, case class and illness severity.ConclusionsFrontl-ine HCWs are at an increased risk of exposure to COVID-19 infections. In Nigeria, there is a higher risk of experiencing severe illness if symptomatic while infected with COVID-19. Preventive strategies, proper education and awareness must be put in place to protect HCWs.ObjectiveTo determine the illness severity and mortality among COVID-19-infected HCWs.

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“…Likewise, consideration must be given to the health-seeking behaviour of the healthcare workers in Nigeria and poor reporting of COVID-19 infection cases within this cohort. There is evidence that the practise of selfmedication and reluctancy to obtain medical care is high among doctors and nurses in Nigeria [19][20][21][22][23] . This behavourial pattern emphasises the need for more awareness and education on these issues within this group of healthcare professionals.…”

Section: Discussionmentioning

confidence: 99%

Analysis of COVID-19 Infection Amongst Healthcare Workers in Rivers State, Nigeria

Eze-Emiri

Patrick

Igwe

et al. 2022

Preprint

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Background/aims: Healthcare workers (HCWs) are at an increased risk of infection and mortality associated with the COVID-19 pandemic. This study determined the illness severity and mortality amongst COVID-19 infected healthcare workers. Methods: The current study was a retrospective cohort study using population level data. Secondary analysis was conducted on collated data from the Public Health Emergency Operations Centre (PHEOC) at the State Ministry of Health. The cohort included all documented healthcare workers with confirmed COVID-19 infection (diagnosed by Polymerase Chain Reaction). Data were gathered from the COVID-19 patient database of the PHEOC, on demographics, place of work, illness severity and outcome. Descriptive statistics were reported on the cohort characteristics. Adjusted odds ratio was used to report the measure of association between illness severity and risk factors. Results: The mean age was 43 years and 50.5% of the cohort were female. Of the 301 healthcare workers, 187 patients were symptomatic with 32 requiring hospitalisation. From the available data, seven infected HCWs died of their COVID-19 infection, resulting in a case fatality ratio of 2.3%. A subgroup analysis was conducted on the health professionals infected: doctors (71.7%), nurses (27.3%), others (1%). Symptomatic cases were more inclined to progress to severe illness. Predictors of mortality assessed included age, sex, case class and illness severity. The logistic regression model was statistically significant, χ2(9)=16.965, α = 0.049. Conclusion: Frontline healthcare workers are at an increased risk of exposure to COVID-19 infections. In Nigeria, there is a higher risk of experiencing a severe disease if symptomatic while infected with COVID-19. It is imperative that preventive strategies, proper education, and awareness are put in place to protect healthcare workers.

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Awareness and Practice of Proper Health Seeking Behaviour and Determinant of Self-Medication among Physicians and Nurses in a Tertiary Hospital in Southwest Nigeria

Cited by 7 publications

References 13 publications

Factors Involved in Nurses' Health-Seeking Behaviors

Factors Involved in Nurses' Health-Seeking Behaviors

Retrospective study of COVID-19 outcomes among healthcare workers in Rivers State, Nigeria

Analysis of COVID-19 Infection Amongst Healthcare Workers in Rivers State, Nigeria

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