How Vietnamese healthcare students think of nurses: Students stereotypes about Nursing at University of Medicine and Pharmacy at Ho Chi Minh City

Original Research

Abstract

Introduction: Vietnam’s health system increasingly recognizes the importance of interprofessional collaboration and education. Understanding stereotypes and interprofessional attitude could foster successful collaboration. This study aimed to assess stereotypes about nursing amongst healthcare students at University of Medicine and Pharmacy at Ho Chi Minh City.

Method: We invited nursing, medical, pharmacy and rehabilitation therapy students to complete an online survey before an interprofessional education course in September 2020. Student Stereotypes Rating Questionnaire was used to assess student stereotypes about nursing. Univariate regression was used to analyze the association between stereotypes score and other factors including interprofessional attitude as measured by Readiness for Interprofessional Learning Scale.

Results: With 102 students invited, 90 students completed the survey. Students were 20-21 years old, 57% were female, and 9% from minor ethnicity. The total attitude score was 80.2 ± 7.2, which meant favorable interprofessional learning. The total stereotype score was 37.1 ± 4.0, considered as high. Stereotype rated in descending order were: Practical skills (4.4), Interpersonal skills (4.3), Ability to be a team player (4.3), Professional competence (4.2), and Confidence (4.2), Ability to make decisions (3.9), Ability to work independently (3.8) and Leadership skills (3.5). There was an association between stereotype and interprofessional attitude total score (Coefficient 0.25, 95%CI: 0.15; 0.36, p-value < 0.01).

Conclusion: Vietnamese students highly regarded nursing profession, yet stereotypes about nursing existed and students viewed nurses as a capable team player, almost a follower. We need to study how interprofessional education courses could improve students’ attitude and stereotypes in future research. 

Graphical abstract

Knowledge, attitudes, and behaviors towards COVID-19 prevention: a cross-sectional study at University Medical Center in Ho Chi Minh City, Vietnam

Original Research

Abstract

Introduction: The COVID-19 pandemic has spread around the world that severely affects people's life and the health system of countries. Enhancing the population’s awareness and prevention behaviors are crucial. This study aims to assess the knowledge, attitudes, and behaviors regarding COVID-19 prevention of outpatients and visitors at the University Medical Center in Ho Chi Minh City (UMC).

Methods: A cross-sectional study was conducted on 765 participants who were conveniently selected when they arrived at UMC between March 2021 and April 2021. A questionnaire was developed based on guidelines of Viet Nam Ministry of Health (Viet Nam MOH), World Health Organization (WHO), and other prior studies to evaluate the general knowledge regarding COVID-19 disease, disease prevention, attitude, and behaviors on prevention methods.

Results: The results showed low proportions of participants who had good knowledge of COVID-19 disease (29.15%) and prevention measures (38.17%) that were in contrast with a high percentage of positive attitudes (89.08%). There were 22.09% of participants were identified as good preventive behaviors based on seven surveyed measures. An association between prevention knowledge and prevention behaviors was observed when participants with good knowledge showed 2.15 times-higher odds of good behaviors (95%CI: 1.52, 3.04, p-value<0.001) compared to those with insufficient knowledge. Gender, occupation, accommodation, living with family or friends, comorbidities, and history of COVID-19 -related isolation were associated with good behaviors (adjusted p-value <0.05).

Conclusions: The percentage of knowledge and the compliance rate for COVID-19 prevention measures is low, and there is a positive association between prevention knowledge and good behaviors. Therefore, communication programs to improve the community's knowledge and to increase good practice rates are necessary and urgent. 

Graphical abstract

Knowledge, attitude and practice towards Covid-19 pandemic of pharmacy students in University of Medicine and Pharmacy at Ho Chi Minh city, Vietnam

Original Research

Abstract

Introduction: The rapid increase of infected cases and fatalities during the COVID-19 pandemic has created a huge health crisis to the world and Vietnam in particular. Health professionals were put under massive pressure in preventing pandemic. This study was conducted to assess the knowledge, attitude and practice (KAP) during the COVID-19 disease through an online survey as well as related infection control practices among pharmacy students in the University of Medicine and Pharmacy at Ho Chi Minh City (UMP).

Methods: The cross-sectional study was conducted based on the data obtained from an online questionnaire. Correlation analysis was performed using statistical tests and linear regression model for practice. The total study sample, chosen based on the inclusion and exclusion criteria was taken from pharmacy students in UMP during the study period.

Results: A scale of KAP towards COVID-19 was developed with 43 questions and received 1,089 responses. We acknowledged that the awareness and practice of these students were at a good level (with a mean score of 8.37±0.77 and 8.46±1.33, respectively) and the attitude was optimistic with a mean score of 6.22±0.68. Related factors to practice included gender (p=0.005), year of study (p=0.013); to knowledge included the time spent in university (p=0.040); to attitude included social distancing (p=0.024). Multivariable regression analysis showed that practice is related with male gender (β=-0.254; p=0.001), the first 3 school years (β = 0.173; p=0.020), knowledge score (β =0.154; p=0.003).

Conclusions: Based on a constructive scale, the study noted students' knowledge-attitude-practice towards COVID-19 at a good level. School year and knowledge scores positively affected practice scores, while male students had a negative effect.

Graphical abstract

Factors Relating to Preventive Practices of Health Science Students during the Early Stage of the COVID-19 Pandemic

Original Research

Abstract

Objectives: We assessed the factors relating to the prevention of the Novel Coronavirus Disease (COVID-19) for students at the University of Medicine and Pharmacy at Ho Chi Minh City, Vietnam. 

Methods: A cross-sectional study was performed in February and March 2020. A 21 item self-administered questionnaire on the knowledge, attitude, and practices regarding COVID-19 was collected from students of the first to the sixth year using the strategy of simple random sampling. The aim was to establish factors that relate to practices using Odds ratio (OR) and 95% confidence interval (95% CI) which were estimated by the logistic regression model, p-value <0.05 shows a significant difference.

Results: Of the 551 students, 41.0% recorded responses indicating good practices toward prevention measures, while around half the students reported that they did not wash their hands for 20 full seconds (50.5%). The overall rate of good knowledge and positive attitude was 49.0% and 26.1%, respectively. When adjusted for all variables in the logistic regression model, a positive overall attitude was associated with good overall preventive practice; AOR = 1.72 (95% CI: 1.16 – 2.55). Furthermore, students mainly accessed information via social media and television (95.8% and 85.8%, respectively).

Conclusions: There were only 41.0% recorded responses indicating good practices toward prevention measures. Besides, knowledge and attitudes about COVID-19 among students were inadequate. Further health education interventions should be focused to change bad hand-washing habits via mass media messages.

Graphical abstract

Associated factors of ethnic mothers’ knowledge, attitude, practice about diarrhea disease in children under 5-year old in Daklak province

Original Research

Abstract

Background and Objectives: Diarrhea is one of the first causes of morbidity and mortality among children, especially in poor and developing countries including Vietnam. For decades, although Vietnam has implemented different health interventions to suppress diarrhea spread, this disease has been continuously concerned as a national health problem. Hence, the aim of this study was to assess ethnic minority mothers’ knowledge, attitude and practice (KAP) associated with diarrhea in children under 5 years old; Then to find out the correlation among KAP, and discover some factors related to good knowledge, positive attitude, correct practice about diarrhea in under 5-year old children of the mothers in Pediatrics Department of Daklak General Hospital, 2014.

Method: A community based cross-sectional study was carried out from September 2013 to July 2014 in Pediatrics Department - Daklak General Hospital with the participation of 153 ethnic mothers who has children with diarrhea. The mothers were interviewed directly following the questionnaire, whose structure was adapted from the World Health Organization (WHO) and author Hau Van Pham. The collected data were checked for completeness, consistency and then entered into Epidata 3.1 and analyzed using SPSS 20.

Results: The data from 153 participants showed that the ethnic mothers had good knowledge accounted for 39.9%, whereas more than half of ethnic mothers (64.7%) had a positive attitude towards prevention of diarrhea among under-five children. However, the correct practice in taking care of children with diarrhea was not high (40.5%). As expected, there was statistically significant correlation between the mothers’ knowledge and their attitudes (p < 0.001), as well as their practice toward diarrhea treatment (p=0.005). Analyzed data exhibited that knowledge of the mothers about diarrhea was influenced by their differences in socio-demographic factors, including educational level (p<0.001), occupation (p=0.002) and an ability to access information related to diarrhea in children under 5 (p<0.001). Similarly, the socio-demographic factor (p=0.028) and access to information about diarrhea (p<0.001) have an effect the correct practice in the prevention of diarrhea. There was a statistically significant correlation between the good practice in preventing diarrhea and the socio-demographic factor, including the mothers’ educational level (p<0.001) and the occupation (p=0.021).

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