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Human albumin solution utilization patterns prior and during COVID-19 pandemic in United Arab Emirates: Time to develop and implement national guideline on prescribing and utilization Sallam, Mohammed; Snygg, Johan
Narra J Vol. 2 No. 2 (2022): August 2022
Publisher : Narra Sains Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52225/narra.v2i2.82

Abstract

The human albumin solution (HAS) has limited but important indications in clinical practice. However, the inappropriate use of HAS can be costly. Thus, it is imperative to establish a practical protocol to use albumin products and rationalize its usage. The aim of this study was to identify albumin utilization patterns in a multi-specialty private hospital in Dubai, United Arab Emirates (UAE), before and during the COVID-19 epidemic in the country. In addition, the objectives were to demonstrate the importance of reconsidering the prescribing strategies for albumin administration. All data on 20% HAS administration in Mediclinic Welcare Hospital were retrieved during January 2019–May 2021, including the total quantities administered and data on primary diagnosis. A total of 579 patient admissions with several diagnoses were included in the study. The percentage of clinically indicated 20% HAS administration decreased from 13.0% in the pre-COVID-19 phase to 1.5% in the COVID-19 phase (P<0.001). An increase in the administration of 20% HAS not backed by agreed clinical evidence followed the increase in new number of COVID-19 cases in the UAE. The current study showed a large proportion of administered HAS, that drastically increased during COVID-19 with lack of clear evidence of its benefit. This pilot study should be followed by refining of the institutional guidelines of HAS use, frequent audits and interactive educational interventions. In turn, the refinement of HAS administration guidelines can help to reduce the unjustified cost of inappropriate HAS use.
Coping strategies used by healthcare professionals during COVID-19 pandemic in Dubai: A descriptive cross-sectional study Hamdan, Ahmad; Eastaugh, Jennifer; Snygg, Johan; Naidu, Jennifer; Alhaj, Ibtisam
Narra X Vol. 1 No. 1 (2023): April 2023
Publisher : Narra Sains Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52225/narrax.v1i1.71

Abstract

The coronavirus disease 2019 (COVID-19) pandemic has affected physical, social, and psychological well-being of all people, especially healthcare professionals (HCP), who are vulnerable to work-related stress. The aim of this study was to explore the effectiveness of coping strategies practiced by HCPs during the COVID-19 pandemic. A cross-sectional study was conducted in Mediclinic Welcare Hospital in Dubai during the pandemic between March 2020 and April 2021. The questionnaire was used to collect demographic data and validated Brief Coping Orientation to Problems Experienced (Brief-COPE) scales instrument was used to measure the coping strategies. A total 112 respondents were included in the final analysis consisting of physicians (11.6 %), nurses (60.7%), other clinical HCPs (24.1%), and non-clinical staff (7.2%). The common and effective coping strategies used by HCPs were within the problem-focused category. The female HCPs used multiple coping strategies to help them to manage their stress during COVID-19 pandemic. The nurses were more likely to report using emotional support as a coping strategy than doctors or other hospital staff members. Among 48.21% of the respondents that venting helped them release their feelings and distracted themselves through watching movies or television, reading, sleeping, or shopping. Moreover, 42.86% respondents found comfort in practicing religion and spiritual beliefs. Interestingly, the use of alcohol or other drugs was used as a coping mechanism during the pandemic, whereas emotional support and actions as well as taking other advice, were common strategies. Based on these data, healthcare institutions should consider a variety of support measures and programs for the mitigation of stress and negative emotional responses among HCPs during any future outbreaks or pandemics, such as providing access to mental health services, regular check-ins with colleagues or supervisors, peer support groups, educational resources on coping strategies, and paid time off for rest and recovery. Counseling and executive support services also could help staff to manage the mental health during future disasters.