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How ready are we for monkeypox (Mpox)? Monkeypox knowledge and preparedness among healthcare professionals in Rawalpindi district, Pakistan: a cross-sectional study

Por: Noor · M. · Ghazal · S. · Bilal · S. · Ali · B. · Anwar · A. · Jabeen · M.
Background

Monkeypox (Mpox) is an emerging public health concern globally as well as in Pakistan, with over 100 000 confirmed cases reported across 120 countries as of July 2024.

Objectives

To assess healthcare professionals’ knowledge and preparedness regarding Mpox and examine its association with demographic factors.

Study design

Quantitative, descriptive, cross-sectional study.

Study setting and duration

Conducted in tertiary care public sector hospitals of Rawalpindi district, Pakistan, from October 2024 to February 2025.

Participants’ selection

A total of 230 healthcare professionals of either gender, aged over 18 years, currently working in the public sector tertiary care hospitals of Rawalpindi district for at least 6 months were included.

Results

The mean age of the respondents was 29.13±6.55 years. The majority were women (147, 63.9%), post-graduate trainees (106, 46.1%), with 1–5 years of experience (184, 80%) and from medicine and allied disciplines (131, 57%). Most participants had an average level of knowledge regarding Mpox (137, 59.6%), with only a few demonstrating good knowledge (40, 17.4%). Half of the participants reported that their healthcare facilities lacked proper protocols for managing Mpox cases (97, 42.2%). Significant associations were observed between Mpox knowledge scores and participants’ field of specialty (p=0.007); notably, respondents from basic sciences had a higher proportion of good knowledge scores.

Conclusion

Overall, the level of knowledge and preparedness regarding Mpox among healthcare professionals was average. There is an urgent need for standardised Mpox preparedness protocols, outbreak response planning and comprehensive training programmes to enhance readiness for future outbreaks.

Instruments to Assess Family Focused Care in Nursing Clinical Practice: A Systematic Review of Psychometric Properties

ABSTRACT

Aims

To identify, appraise and describe the characteristics and measurement properties of instruments assessing Family Focused Care in nursing clinical practice using COSMIN criteria.

Design

A systematic review based on COSMIN methodology.

Methods

Methodological quality was assessed using COSMIN methodology and evidence quality using the GRADE approach modified by COSMIN.

Data Sources

The databases PubMed, CINAHL, COCHRANE, Web of Science and SCOPUS were systematically searched from inception until September 2024.

Results

A total of 47 studies and 15 instruments evaluating Family Focused Care were included. Seven were designed for measuring professional's perspective, six for family's and two for both. Three instruments, the Family Nursing Practice Scale (FNPS), the Iceland Family Perceived Support Questionnaire (ICE-FPSQ) and the Perception of Family Centred Care Staff and Parents (PFCC-S/P), exhibited the highest methodological quality and robust psychometric properties, including internal consistency, structural validity, reliability and content validity.

Conclusion

The FNPS, the ICE-FPSQ and the PFCC-S/P questionnaires were identified as the most suitable instruments to assess Family Focused Care. Future research should rigorously evaluate their psychometric properties.

Implications for the Profession and/or Patient Care

This review provides insight into available instruments for measuring Family Focused Care, helping professionals choose the most suitable tools to enhance family involvement, align care with family needs, and improve patient outcomes and family well-being.

Impact

Given that the psychometric properties of instruments measuring Family Focused Care have not been systematically assessed, the present review utilised comprehensive methods according to COSMIN.

Patient or Public Contribution

No Patient or Public Contribution.

Reporting Method

PRISMA statement and COSMIN reporting guideline for studies on measurement properties of patient-reported outcome measures.

Protocol Registration

This systematic review has been registered at the International Prospective REGISTER of Systematic Review (PROSPERO: CRD42022315249).

Knowledge and attitudes of medical students towards the health impact of climate change: A study from Jordan

by Mohammed O. Khabour, Owais Omar Tarabsheh, Bilal M. Al-zu’bi, Omar F. Khabour, Rami Saadeh

Studies have reported a strong relationship between climate change and human health. Medical students’ knowledge and attitudes toward the impact of climate change on health are crucial to fostering their environmental stewardship. Therefore, the aim of this study was to examine the awareness and attitudes of medical students in Jordan toward climate change and human health. The study was cross-sectional in design, anonymous, self-reported, and used a closed-ended questionnaire. The study included 837 students from various medical specialties, including medicine, dentistry, applied medical sciences, pharmacy, and nursing. Statistical analysis involved cross-tabulations and regression analysis. About 46.3% of students reported good awareness of the health impacts of climate change, while 44.8% reported somewhat awareness. This awareness was found to be associated with female gender (P = 0.003) and university level (P 

Relationship between personality traits and postpartum depression in Pakistani fathers

by Najam ul Hasan Abbasi, Ahmad Bilal, Khair Muhammad, Saba Riaz, Shakeela Altaf

The previous studies have found an association between Big Five personality traits and postpartum depression in women. The present study aimed to find out an association between Big Five personality traits and postpartum depression in a sample of Pakistani fathers. A total of 400 Pakistani fathers who had birth of a child in the past 1 month to 1 year period and had been living with their married partners were recruited purposively by using Google Form based survey from the major cities of Pakistan. The Urdu translated versions of Big Five Personality Inventory (BFI) and Edinburgh Postnatal Depression Scale (EPDS) were used as the main outcome measures to assess the relationship between personality traits and postpartum depression. The results found a significant negative and moderate association between Big Five personality traits and paternal postpartum depression except openness which had a weak association and neuroticism which had a positive and moderate association with PPPD (r(398) = .45). The multiple linear regression analysis found that Big Five personality traits significantly predicted paternal postpartum depression (F(5, 394) = 53.33, p = .001) except openness (B = .007, p = .98). The analysis of variance (ANOVA) found significant differences in paternal postpartum depression for age of father (F(2, 397) = 6.65, p = .001, ηp2 = .03), spouse age (F(2, 393) = 5.97, p = .003, ηp2 = .02), employment type (F(2, 395) = 9.69, p = .001, ηp2 = .04) and time spent at home (F(2, 397) = 6.23, p = .002, ηp2 = .03) while there were found no significant differences for education (F(2, 397) = 1.29, p = .27, ηp2 = .006), marital duration (F(2, 397) = 2.17, p = .11, ηp2 = .01), and birth number of recent child (F(2, 397) = 1.48, p = .22, ηp2 = .007). The study concluded that Big Five personality traits are significantly correlated with and predict paternal postpartum depression except openness which did not predict paternal postpartum depression. The occurrence of paternal postpartum depression varied significantly for age of father, age of spouse, type of employment and time spent at home.
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