scholarly journals Perception of Harrasment or Discrimination during Urology Residency in Colombia

2021 ◽  
Vol 30 (03) ◽  
pp. e184-e188
Author(s):  
Ana María Ortiz-Zableh ◽  
Andres Felipe Quiñones Roa ◽  
Bernardo Santamaria Fuerte ◽  
Veronica Tobar-Roa

Abstract Purpose Workplace bullying (harassment, abuse, or discrimination), practiced persistently against an individual, can generate a hostile workplace environment, consequently leading to exhaustion, with poor psychological outcomes, and the onset of symptoms such as loss of confidence, fatigue, depressive thoughts, desertion, and suicidal thoughts. There are no publications regarding this issue in Colombia.Our objective is to describe the residents' perception of gender and workplace discrimination and verbal/sexual harassment during their urological training. Methods Observational, descriptive, cross-sectional study with anonymous surveys. We evaluated the demographic characteristics and the residents' perception of harassment, the type of harassment, how it affected their performance during residency, and from whom it was perceived. Results We were able to obtain answers from 82/115 residents (71.3%), most of them men (45 [56%]). In total, 66% (54) reported workplace harassment; and 35.4% (29) felt gender discrimination, most of them women (17; 58.6%). Verbal abuse was reported by 64.6% (53), and it affected the work of 92.5%. The parception of workplace harassment was similar among both men and women (32 [69.5%] men and 21 [61.1%] women). A total of 7(19%) women reported sexual abuse. Regarding the source of the abuse, 39 (65.8%) was by professors, 26 (45%), by other residents, and 17 (35.4%), by patients. Conclusion The perception of harassment during urology residency in Colombia is real, and it affects the work of residents. This abuse is greater on the part of men, and is mainly perpetrated by professors. We consider our work the starting point to continue researching a topic of national and international importance.

2021 ◽  
Vol 12 (3) ◽  
pp. 75
Author(s):  
Maram Banakhar ◽  
Maha Alzahrani ◽  
Amani Omar Essa ◽  
Asal Fathi Al-dhahry ◽  
Rahma Farooq Batwa ◽  
...  

Background: Verbal abuse, in the context of workplace violence, is increasing, with nurses at high liability of being subjected to it since they are the first line of care delivery. This phenomenon is now receiving greater recognition due to its negative impact on nurses. This study aims to assess the prevalence of verbal abuse faced by Saudi nursing intern students in Jeddah, Saudi Arabia.Methods: A cross-sectional study was conducted via a modified online questionnaire completed by Saudi intern nurses in Jeddah in March 2020. Descriptive statistical analysis was executed using statistical software SPSS Version 21.Results: From a total of 132 nurses, 94 participants met the study criteria. The findings show that 39.4% of Saudi intern nurses have experienced verbal abuse. The common perpetrators are patient/client (73%) and other staff members (73%), followed by patients’ relatives (45.9%). 48.6% of the participants did not report incidences of verbal abuse, commonly citing fear of the negative consequences (51.4%) and not knowing who to report it to (45.9%). A significant relation between working night shifts (6 pm to 7 am) and being verbally abused was found.Conclusions: Saudi nursing interns are vulnerable to verbal abuse. This study’s results highlight the possible risk to nursing interns, which may be diminished by modifying perceptions of verbal abuse and by clarifying the rules and regulations for both nursing interns and suspected perpetrators. We recommend future studies of verbal abuse are conducted in larger groups of nurses across different provinces in Saudi Arabia.


Pharmacy ◽  
2019 ◽  
Vol 7 (2) ◽  
pp. 70 ◽  
Author(s):  
Simone Santos Bezerra ◽  
Mara Pereira Guerreiro ◽  
Nathany França Pessoa ◽  
Maria Gabriela Pereira da Silva ◽  
Mirela Galvão de Barros ◽  
...  

The study objective is to describe patients and professionals’ perspectives on the Tuberculosis Control Program (PCT) in Recife, Brazil, contributing to the program evaluation. A cross-sectional study was conducted in three purposively selected sites, representing the three levels of care in the public health system. All eligible PCT patients in sites A, B and C were invited to participate (n = 123). Physicians, nurses, pharmacists and community health agents providing care to PCT patients in these sites, plus their managers, were purposively selected. Data were collected by means of interviews with 44 patients and a questionnaire to 24 professionals. Instruments encompassed previously published items to capture stakeholders’ perspectives (16 and 12 closed-questions, respectively), grouped into categories. The overall evaluation by patients was unsatisfactory (median score 35%; third quartile below 50%; interquartile range 21.9%). Analysis of scores by categories showed that opinions about organizational accessibility were significantly worse than about economic and geographical accessibility, taken together. Overall the median score attributed by professionals was 52% (third quartile below 65%). Professionals had significantly worse opinions about diagnosis, clinical and laboratory assistance. Patients and professionals’ perspectives highlight potential opportunities for improvement. Our findings can be used by managers as a starting point for shared decision-making, potentially contributing to a better performance of the PCT in Recife and, consequently, reducing the risk posed by tuberculosis.


BMJ Open ◽  
2021 ◽  
Vol 11 (10) ◽  
pp. e055181
Author(s):  
Majid Alabdulla ◽  
Shuja Reagu ◽  
Nahid M Elhassan ◽  
Dhanya Shinith ◽  
Saba T Shiekh ◽  
...  

ObjectivesThis study attempts the first in a series of investigations into the misuse of alcohol and substances in Qatar. This study explores the emergency presentations of alcohol and substance abuse to all the state funded emergency departments (EDs) in the country which serve around 90% of the population over a 22-month period. Due to legal penalties for alcohol and substance use, and lack of subsidised community-based facilities, ED presentations are a good starting point to explore this burden.Design and participantsA retrospective population-based, cross-sectional study, analysing electronic patient records of all state funded EDs spanning a period of 22 months, from 1 January 2019 to 31 October 2020 was carried out. The study included all eligible individuals aged 18 or over. Primary reason/diagnosis for presentation containing any of the alcohol or substance use key words were included in the study using composite data capture forms by trained clinicians.ResultsAn overwhelming majority (95.5%) of the total 1495 cases presenting to the EDs with substance abuse were using alcohol. Only 2.1% of the cases were females. Those of Asian (non-Arab) constituted 70% of this group. Qatari citizens presented with highest proportion of substance abuse other than alcohol (23%). Overall, 2.26% of all presentations to the EDs were related to alcohol and substance abuse and this amounted to 3 ED visits per 10 000 of population per year. 56.6% of the cases presented over the weekend. Less than 1% were referred to psychiatry and no other meaningful rehabilitative interventions were offered to others.ConclusionAs Qatar moves towards establishing community-based rehabilitative resources for alcohol and substances abuse, the findings from this study will help in shaping these developments. These can include ED-based routine screening for alcohol abuse and referral to rehabilitation services without fear of legal penalties.


2017 ◽  
Vol 5 (3) ◽  
pp. 19
Author(s):  
Amar Alsheri ◽  
Nayef Almutairi ◽  
Alshebli Ahmed

Background: According to the recent studies, violence in health care is growing and it excessively affects the retention and recruitment of nurses. It also affects burnout levels and sick leave. Aims: To determine the physical and verbal abuse violence prevalence against nurses in Al-Medina hospitals. Methods: This a descriptive cross sectional study which was conducted in three community hospitals in Saudi Arabia in 2011 using a random sample of 288 nurses. Results: The prevalence of physical violence among the population of the study was 26%. Verbal abuse prevalence was 23.3%. Patients/clients were the major perpetrators of the violence (76.0%) followed by patient’s family member(s) (24.0%). Whereas 92.0% mentioned that the violence action was preventable. Gender was correlated significantly with verbal abuse violence. Conclusion: Our study manifested that the prevalence of physical violence and verbal abuse among nurses at Al-Medina hospitals was high.


Author(s):  
Christy Vijay ◽  
Naveen Ramesh ◽  
Kavita Peter Gonsalves

Background: School absenteeism because of major symptoms like dysmenorrhea has ranged from 14% to 51% and this has affected the participation of school going girls in school related activities. In developing countries, adolescent girls face health issues due to socio-economic, environmental conditions and gender discrimination. The parenting style has been explained by Baumrind, which harbours a particular coping mechanism. This study aimed to determine the level of stress in adolescent girls during menstruation using one of these standardised scales. Objective of this study was to assess stress levels during menstrual period among adolescent girls, problems faced during menstrual period and parenting skill effect on menstrual stress.Methods: This was a cross sectional study done on adolescent girls 13 to 19 years of age. The tool used in this study included demographic details, parenting style, (PSDQ scale), prevalence of stress (PSS). All the adolescent girls aged 13-19 years.Results: The study participants 54 (24.9%) felt stressed during the days of the menstrual period, 186 (85.7%) regarded their mother as the major source for menstruation related health issues, 112 (49.3%) did not get support from their family during the time of the menstrual period. Girls with parents who are very authoritarian 28 (31.5%) and very involved 34 (34%), had stress during the menstrual period.Conclusions: Parents play a very important role during the growing phase of an adolescent girl. The communication between parents and children related to menstrual health issues is dependent on educational status of the parents and their knowledge about menstrual health.


2018 ◽  
Vol 12 (9) ◽  
pp. 2407
Author(s):  
Meyrenice Cruz Da Silva ◽  
Bianca De Moura Feijó ◽  
Francisca Aslana Nargila Sousa Pereira ◽  
Francisca Joseane Farias Guerra ◽  
Idalina Santiago dos Santos ◽  
...  

RESUMOObjetivo: investigar as formas de violência obstétrica na assistência prestada ao parto e ao nascimento. Método: estudo quantitativo, exploratório, descritivo e transversal realizado com 169 puérperas em maternidades públicas. Os dados foram coletados por meio de questionário e a análise pelo Software Microsoft Office Excel®-2013. Posteriormente, as informações foram organizadas em um banco de dados e apresentadas em tabelas. Resultados: ao avaliar as formas de violência obstétrica, identificaram-se cuidado indigno e abuso verbal, discriminação baseada em certos atributos (por exemplo, raça), abandono, negligência ou recusa da assistência e detenção nos serviços prestados. Conclusão: a região rural brasileira investigada apresentou variados tipos de violência obstétrica, semelhantes aos dados nacionais, requerendo ações com vistas à sua eliminação. Descritores: Enfermagem Obstétrica; Enfermagem; Parto; Abuso Físico; Exposição à Violência; Serviços de Saúde Rural.ABSTRACT Objective: to investigate the forms of obstetric violence in childbirth and birth care. Method: a quantitative, exploratory, descriptive and cross - sectional study with 169 mothers in public maternity hospitals. Data were collected through a questionnaire and analysis by Microsoft Office Excel®-2013 Software. Subsequently, the information was organized into a database and presented in tables. Results: when evaluating forms of obstetric violence, unfair care and verbal abuse, discrimination based on certain attributes (eg race), abandonment, neglect or refusal of care and detention in the services provided were identified. Conclusion: the Brazilian rural region investigated presented several types of obstetric violence, similar to the national data, requiring actions with a view to its elimination.  Descriptors: Obstetric Nursing; Nursing; Parturition; Physical Abuse; Exposure to Violence; Rural Health Services.RESUMEN Objetivo: investigar las formas de violencia obstétrica en la asistencia prestada al parto y al nacimiento. Método: estudio cuantitativo, exploratorio, descriptivo y transversal realizado con 169 puérperas en maternidades públicas. Los datos fueron recolectados por medio de un cuestionario y el análisis por el software Microsoft Office Excel®-2013. Posteriormente, las informaciones fueron organizadas en una base de datos y se presentaron en tablas. Resultados: al evaluar las formas de violencia obstétrica, se identificaron el cuidado indigno y el abuso verbal, la discriminación basada en ciertos atributos (por ejemplo, raza), abandono, negligencia o rechazo de la asistencia y detención en los servicios prestados. Conclusión: la región rural brasileña investigada presentó variados tipos de violencia obstétrica, semejantes a los datos nacionales, requiriendo acciones con miras a su eliminación. Descriptores: Enfermería Obstétrica; Enfermería; Parto; Abuso Físico; Exposición a la Violencia; Servicios de Salud Rural.


2019 ◽  
Vol 248 (2) ◽  
pp. 107-113 ◽  
Author(s):  
Yutaka Yabe ◽  
Yoshihiro Hagiwara ◽  
Takuya Sekiguchi ◽  
Haruki Momma ◽  
Masahiro Tsuchiya ◽  
...  

Author(s):  
Anna Aaby ◽  
Alison Beauchamp ◽  
Jonathan O’Hara ◽  
Helle T Maindal

Abstract Background Health literacy is an important, modifiable, social determinant of health. This study aims to explore health literacy challenges of people with long-term illness or multimorbidity and provide detailed profiles revealing health literacy strengths and weaknesses within a Danish population. Methods In this cross-sectional study among Danish individuals (n = 490), health literacy was assessed using the nine-scale Health Literacy Questionnaire (HLQ). Using multiple logistic regression and hierarchical cluster analysis, we estimated the association between HLQ scale scores and the likelihood of long-term illness and multimorbidity, and identified socio-demographic and health characteristics related to profiles of health literacy strengths and weaknesses. Results An increase in ‘actively managing my health’ and ‘social support for health’ decreased the odds of having a long-term illness [odds ratio, OR 0.53 (0.31–0.9); OR 0.43 (0.24–0.74)] and multimorbidity [OR 0.51 (0.26–0.98); OR 0.33 (0.17–0.62)], respectively. Conversely, an increase in ‘healthcare provider support’ increased the odds of having long-term illness [OR 2.97 (1.78–5.08)] and multimorbidity [OR 2.94 (1.53–5.87)], respectively. Five profiles were identified based on the cluster analysis. Each cluster was characterized by specific health characteristics, e.g. Cluster A by better health status (χ2 = 39.976 (4), P < 0.001) and well-being (χ2 = 28.832 (4), P < 0.001) and Cluster D by poor health status (χ2 = 39.976 (4), P < 0.001) and increased likelihood of long-term illness (χ2 = 18.641 (4), P < 0.001). Conclusions The association of health literacy with long-term illness and multimorbidity in combination with the health literacy profiling based on cluster analysis provides a comprehensive needs assessment and a promising starting point for the development of health literacy responsive interventions.


Author(s):  
Lussy J. Paluku ◽  
Langalibalele H. Mabuza ◽  
Patrick M.H. Maduna ◽  
John V. Ndimande

Background: Adolescent sexual activity, early pregnancy, induced abortion and the increase in HIV infection have become major concerns in sub-Saharan Africa and understanding adolescent sexual behaviour remains a challenge. In the Democratic Republic of Congo (DRC), the practice of illegal abortions is prevalent among school-going adolescent girls with unplanned pregnancies. Assessing their attitude and knowledge on the subject could be a starting point from which to address the problem.Objectives: To determine the knowledge of schoolgirls in Goma, DRC about the health consequences of illegal abortions and to assess their attitude towards these abortions.Method: A descriptive cross-sectional study was conducted among a randomly selected sample of 328 high school girls aged 16 to 20 years. A pre-tested, self-administered questionnaire was used for data collection. Nine out of 55 (11 public and 44 private) secondary schools were randomly selected for inclusion in the study. The Epi-Info 2000 computer program was used for data capturing and analysis.Results: The different sources of information were the radio (66.2%, 217), friends (31.7%, 104), parents (1.5%, 5), and the church (0.5%, 2). The health consequences of illegal abortion mentioned were death, infertility, infection and bleeding. Of the participants, 9.8% (32) had committed an abortion before and 46% (151) knew where to obtain it; 76.2% (250) of participants were against illegal abortion, while 23.8% (78) supported it.Conclusion: Girls in secondary school in Goma had good knowledge of the illegal abortion practice and its consequences. A fifth of them were in support of the procedure. The DRC government may need to consider legalising abortion to secure a healthy future for affected girls.


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