Original Articles
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Assessing Healthcare Providers’ Preparedness for Managing COVID-19 Patients: A Mixed-methods Study
Hasina Al Harthi, Hashil Al Hatmi, Kamila Al-Alawi, Khalid Al Busaidi, Issa Al Salmi, Salah T. Al Awaidy
Objectives: Globally, the preparedness of frontline healthcare providers (HCPs) to deliver timely and appropriate medical care has emerged as a significant concern. The training of HCPs in containment measures is considered pivotal in elevating the quality of care for COVID-19 patients while simultaneously mitigating the risk of viral transmission to both fellow patients and HCPs. This study investigates the impact of training on HCPs readiness to manage COVID-19 patients in a tertiary hospital in Oman. Methods: Employing a mixed-method design, we extended invitations to HCPs at the Royal Hospital in Muscat using electronic forms. We collected data about HCPs demographics, their comprehension of the hospital’s core objectives and protocols, and any knowledge acquired through official training or self-directed study. Our analytical approach encompassed descriptive and univariate statistical methods, complemented by thematic analysis for the qualitative component. Results: Our survey acquired responses from a total of 241 individuals. Among the respondents, 67.6% were female nurses, and 49.8% were aged between 31–40 years old. Significant differences were observed concerning gender (p = 0.018 and p = 0.001) and profession (p < 0.001 and p < 0.001) with the total score in awareness and knowledge, respectively. Stress and fear of handling confirmed or potentially contagious patients negatively impacted nearly half of the HCPs, with doctors and nurses reporting this effect significantly. Remarkably, 61.0% of HCPs expressed that their confidence in managing COVID-19 cases was positively influenced by their faith in national pandemic plans. Conclusions: While the hospital’s protocols and procedures were well comprehended, the lack of preparedness and skills training for managing highly contagious patients resulted in diminished confidence and heightened stress. To fortify their ability to respond to future outbreaks and work with resilience and confidence, HCPs require ongoing, comprehensive, and hands-on training.
Keywords:Training; COVID-19 Pandemic; Healthcare Professionals; Preparedness; Tertiary Care Hospital;Oman.
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Hypothermia in Preterm Neonates in Oman: A Retrospective Study
Mohamed Abdellatif, Fatma Musallam Al Ghafri, Murtadha Al Kahbori, Ashfaq Ahmad Khan, Nihal Al Riyami, Moataz Hassan
Objectives: To determine the prevalence of hypothermia among preterm infants born before 32 weeks of gestation and whether their temperature at admission is associated with neonatal and maternal risk factors and gestational age. Furthermore, the study evaluates the association between admission temperature, neonatal morbidity, and in-hospital mortality. Methods: This study involved an eight-year retrospective analysis of preterm neonates born < 32 weeks of gestation and admitted to the neonatal intensive care unit at a tertiary hospital in Oman, from 2010 to 2017. Results: The study included 587 preterm infants with a mean gestational age of 28.4 weeks, a mean birth weight of 1154.2 g, and a mean admission temperature of 35.5 °C. Hypothermia (axillary temperature < 36.5 °C) was present in 509 (86.7%) infants. In univariate analysis, only birth weight and neonatal resuscitation were associated with admission temperature (< 36.5 °C). In the multivariate analysis, only intraventricular hemorrhage demonstrated a significant association with the incidence of hypothermia. Conclusions: Most preterm newborns had hypothermia upon admission to the neonatal intensive care unit, which is associated with essential morbidities. More aggressive interventions are warranted to reduce the incidence of hypothermia in preterm infants.
Keywords:Temperature; Hypothermia; Premature Birth; Low Birth Weight; Sepsis; Oman.
Clinical Quiz
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Large Vulval Lesion During Pregnancy: A Diagnostic Challenge
Chandana Prasad, Medha Davile, Avantika Gupta, Shuchita Mundle
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One-year-old Infant with Rash
Laila Al Yazidi, Buthania Al Musalhi, Khuloud Al Maamari, Eman Al Masroori
Letter to the Editor
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Studies on Ocular Infection
Fatemeh Heidary, Fahimeh Asadi-Amoli, Zohreh Nozarian, Reza Gharebaghi
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Death Literacy for a Public Health Palliative Care Approach in Brunei
Chandra Kant Rai, Shyh Poh Teo, Hanif Rahman