Abstract

ASSESSMENT OF KNOWLEDGE, ATTITUDE AND PRACTICE OF PHARMACOVIGILANCE AMONG RESIDENT DOCTORS AND STAFF NURSES IN A TERTIARY CARE HOSPITAL, GUJARAT

Dr. Sondarva Divyesh B*, Dr. Kubavat Amita R, Dr. Patel Brijal S and Dr. Modi
Jigar P.

Abstract

A cross-sectional questionnaire-based study was conducted on 75 resident doctors and 75 staff nurses of P.D.U govt. medical college, Rajkot, Gujarat for 6 months. The final KAP questionnaire Consisted of 19 questions out of which 1 to 11 were knowledge based, 12 to 16 were attitude based and 17 to 19 were practice based questions. Almost half of the resident doctors (56%) and one third of nurses (33.33%) knew the correct definition of the pharmacovigilance. Resident doctors had significantly (p<0.001) better knowledge (65.33%) of post marketing surveillance studies done by pharmaceutical companies. While nurses had better knowledge (29.33%) than resident doctors (22.66%) in within how many days SAE reported in India to regulatory body. Regarding regulatory body responsible for monitoring of ADR, resident doctors(69.33%) had significantly (p<0.001) better knowledge than nurse (17.33%). 78.66% of doctors and 57.33% of nurses believed that healthcare persons are responsible for ADR reporting in hospital. In attitude based questions lack of time for reporting was the major discouraging factor in resident doctors (52%) while difficult to decide whether ADR has occurred or not was the major discouraging factor in case of nurses (69.34%). Both resident doctors (96%) and nurses (84%) felt that reporting of ADRs is necessary. Regarding practice based questions, In comparison to nurses (53.33%), far better number of resident doctors (89.33) [p<0.001] read article on prevention of adverse drug reactions. In practice there are more numbers of nurses (78.66%) who came with an ADRs than resident doctors (61.33%). Regarding training on how to report ADRs doctors (34.67%) had better training than nurses (9.33%). The results of the present study demonstrate that an educational interventions, CMEs and further such studies are needed to increase awareness of pharmacovigilance among the health care professionals.

Keywords: Adverse drug reaction(ADR), Resident doctors, nurses, awareness.