Przeglądanie według Autor "Abdulah, Deldar Morad"
  • Rekord
    Barriers and benefits of adopting electronic health records (EHRs) in public hospitals
    (Akademia Bialska Nauk Stosowanych im. Jana Pawła II, 2022-02-17) Abdulah, Deldar Morad ; Perot, Karwan Ali
    Background. Physicians make up the primary frontline healthcare practitioner group that must be engaged in the implementation of electronic health records (EHRs). This study aimed to explore physician attitudes and readiness towards the implementation of EHR systems in public hospitals. Material and methods. A total of 296 clinicians from four public hospitals in Iraqi Kurdistan with different job titles were included in the study. Results. The physicians reported that top hospital management would give importance to the EHR project (87.5%), include physicians in its implementation (69.6%) and provide adequate training (69.75%). EHRs may negatively affect physician attitudes due to increased control/monitoring of clinical practices by hospital administration (55.4%) or due to security, legal, and ethical concerns (50.0%), which may limit physician autonomy (51.8%). Moreover, physicians reported that EHR may diminish patient confidence in physicians (37.5%), may threaten physician credibility with patients (51.8%), and will likely interfere with doctor-patient interactions (55.4%). The analysis showed that autonomy could be limited due to the interference of EHRs in doctor-patient interactions (p=0.003). Physician concerns with respect to patient relationships included privacy concerns (p=0.008) and compromised physician autonomy (p=0.003). Conclusions. The physicians reported that while hospital management would support the implementation of an EHR system, the physicians had concerns about physician autonomy and potential negative impacts on doctor-patient relationships.
  • Rekord
    Lived experiences of companions of COVID-19 patients admitted to COVID-19 hospitals: a retrospective cross-sectional study
    (Akademia Bialska im. Jana Pawła II, 2023-11-22) Abdulah, Deldar Morad ; Mirza, Abbas Muhammed Sadiq ; Hassan, Zeravan Asaad
    Background. Due to the lack of evidence, the positive and negative experiences of companions of COVID-19 patients during their communication with medical staff in COVID-19 hospitals were explored. Material and methods. This research study encompassed a cross-sectional analysis of 437 companions of COVID-19 patients. Results. The patients’ diseases were: mild (34.55%), moderate (27.92%), severe (20.14%), and critical (17.39%). The most prevalent comorbidities were cardiovascular disease (16.7%), obesity (16.48%), endocrine and metabolic disorders (14.42%), and smoking (13.73%). Out of the total of 437 patients included in the study, 23.80% died. The study revealed that 79.63% and 71.40% of companions had regular communication with the medical staff, and received relevant and sufficient information about the patients’ medical conditions, respectively. Regarding mental health, 34.55% of companions reported fear of COVID-19 infection at the hospitals, and 66.59% expressed fear of patients’ death. A considerable percentage had conflicts with medical staff. They expressed satisfaction with the healthcare and treatment and were informed and medical staff were available on need. The hospital environment was quiet, but not in terms of psychological well-being. Conclusions. Most companions were satisfied with treatment procedures at the COVID-19 hospitals, but a percentage were affected by ambient noise and other patients’ fear.
  • Rekord
    Sero-prevalence and associated risk factors of blood-borne viral infection among healthcare workers of a tertiary referral hospital: a single-center experience
    (Akademia Bialska im. Jana Pawła II, 2023-09-08) Merza, Muayad Aghali ; Mohammed, Sabah Ahmed ; Qasim, Ayid Murad ; Abdulah, Deldar Morad
    Background. Healthcare workers (HCWs) are often exposed to contaminated blood and body fluids from infected patients. There is no research on blood-borne infection in Iraqi Kurdistan; therefore, this study aimed to determine the prevalence of blood-borne infections of hepatitis B virus (HBV), hepatitis C virus (HCV), and human immunodeficiency virus (HIV) and their associated risk factors among HCWs in the hospital. Material and methods. This cross-sectional study included 800 HCWs from a major tertiary teaching hospital, who were selected using a non-random technique. Results. The mean age of the HCWs was 35.15 years (range: 18-70 years), consisting of males (56.0%) and females (44.0%) from various specialties and different departments. The seroprevalence of HBV was 0.75% (n=6) among HCWs. However, the seroprevalence of HBV was not significantly different among HCWs with different characteristics. Only one HCW had a positive result for HCV (0.13%), while no HCWs were found to have HIV. The study showed that 34.63% had experienced needlestick injuries, and 64.88% had received the HBV vaccination. Additionally, 27.20% were smokers, and 1.42% were alcohol consumers. Other characteristics included previous hospitalization (17.28%), a history of blood transfusion (6.23%), a history of surgical operations (27.48%), and a history of dental interventions (86.69%). Conclusions. The study revealed a low seroprevalence of HBV and HCV among HCWs. No active HIV infection and almost none of them had contact with HCV.
  • Rekord
    Understanding the impact of home confinement on mental health, sleep, and behavior of children during the COVID-19 pandemic: a qualitative study
    (Akademia Bialska Nauk Stosowanych im. Jana Pawła II, 2022-12-30) Abdulah, Deldar Morad ; Piro, Rasoul Sabri
    Background. Theoretical models of behavior change focus on psychological constructs, including intention and self-efficacy, but they do not consider the role of stressors. In this study, the impact of home confinement was explored as an external stressor on mental health, sleep, loneliness, tiredness, and behavior of children during the coronavirus disease of the 2019 (COVID-19) pandemic. Material and methods. Ten children aged 7-17 years who were restricted at home for at least one month during the COVID-19 outbreak were included. Semi-structured interviews with children were conducted to elicit their feelings, reflections, and responses to home confinement during the COVID-19 pandemic. The children expressed that they felt lonely and tired at home “sometimes” to “most of the time”. Results. The children had no sleep status quality as before the COVID-19 outbreak, including difficulty in falling asleep, insomnia, and hypersomnia. Most children had depression and anxiety symptoms with different severities. The children were irritable, aggressive, or nervous at home. Only one child reported that she was more active and had positive changes compared with before. Most children experienced some degree of conflict with their parents or siblings. Conclusions. This study found that some children were affected by different kinds of emotional issues at home during the COVID-19 pandemic.