The impact of brain drain in underserved countries: implementing a global ethical leadership approach

2015 ◽  
Vol 11 (3) ◽  
pp. 218-222
Author(s):  
Marie-Lyne Grenier
Keyword(s):  
Health Care ◽  
Health Care Worker ◽  
Brain Drain ◽  
Ethical Leadership ◽  
International Health ◽  
Content Type ◽  
Case Examples ◽  
Care Worker ◽  
The Impact ◽  
The Brain

Purpose – Health care worker migration from underserved nations to developed nations, also known as the “brain drain” effect, is a leading cause of worldwide health inequalities. The purpose of this paper is to identify the factors which have and continue to contribute to “brain drain,” investigate the human consequences of health care worker migration, and explore the ways in which a global ethical leadership approach could be used to help address the issue of “brain drain” and its resulting deleterious effects on global health equality. Design/methodology/approach – An argument is made supporting the need for a global leadership approach that is centered on the enforcement of ethical international health care worker recruitment policies and collaborative endeavors between wealthy and underserved nations to help improve the working conditions of health care workers worldwide. Findings – The successful use of ethical leadership approaches in addressing and reversing the “brain drain” effect has been documented in Thailand and Ireland. These case examples could be used as templates for future legislative action on a global scale. Originality/value – This piece highlights the urgent need for a global ethical leadership approach to help address the issue of “brain drain” in underserved nations and provides concrete strategies to help guide legislative decision making.

scholarly journals How can we better support families living with cardiovascular disease and depression?

2016 ◽  
Vol 11 (1) ◽  
pp. 61-71
Author(s):  
Martin Jones ◽  
David Thompson ◽  
Chantal Ski ◽  
Robyn Clark ◽  
Richard Gray ◽  
...  
Keyword(s):  
Cardiovascular Disease ◽  
Health Care ◽  
Health Workers ◽  
Content Type ◽  
Cardiovascular Rehabilitation ◽  
Care And Treatment ◽  
Programme Of Care ◽  
Care Worker ◽  
The Impact

Purpose – The purpose of this paper is to discuss the role of psychosocial treatments to support families living with cardiovascular disease (CVD) and depression. The paper highlights that depression in people with CVD is a predictor of non-adherence to both medicines and cardiovascular rehabilitation programmes. The authors believe there is a clinical need to develop a programme of care to support the whole family to adhere to cardiovascular rehabilitation programmes. Design/methodology/approach – A team of expert cardiovascular nurses, mental health nurses (MHN) and cardiologist clinical opinions and experiences. These opinions and experiences were supplemented by literature using MEDLINE as the primary database for papers published between December 2000 and December 2013. Findings – People with CVD who become depressed are more likely to stop taking their medicine and stop working with their health care worker. Most people with heart and mood problems live with their families. Health workers could have a role in supporting families living with heart and mood problems to their care and treatment. The paper has highlighted the importance of working with families living with heart and mood problems to help them to stick with care and treatment. Originality/value – Most people with heart and mood problems live with their families. The paper has highlighted the importance of working with families living with heart and mood problems to help them to persevere with care and treatment. MHN may have a role, though consideration should also be given to exploring the role of other health care workers and members of the community. As the population ages, clinicians and communities will need to consider the impact of depression on adherence when working with families living with CVD and depression.

The Impact of Surgical Site Infection on Health-related Quality of Life: A Systematic Review

2021 ◽  
Vol 67 (6) ◽  
pp. 10-19
Author(s):  
Pinar Avsar ◽  
Declan Patton ◽  
Karen Ousey ◽  
Joanna Blackburn ◽  
Tom O'Connor ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Health Care ◽  
Surgical Site Infection ◽  
Health Care Worker ◽  
Short Form ◽  
Site Infection ◽  
Patient Relationship ◽  
Care Worker ◽  
The Impact

BACKGROUND: Surgical site infection (SSI) is a common postoperative concern. PURPOSE: To provide an in-depth understanding of the lived experience and quality of life (QoL) of individuals with SSI. METHODS: A systematic search for published studies that explored the impact of SSI on QoL among adult patients (older than 18 years) who had undergone any type of surgery was performed in June 2020. The search included but was not limited to MEDLINE, the Cumulative Index to Nursing and Allied Health Literature, and the Cochrane databases using the terms “surgical site infection” OR “hospital-acquired infection” OR “nosocomial infection” OR “wound site infection” OR “surgical wound site infection” AND “Quality of Life” OR “Life quality” OR “Health-Related Quality of Life” OR “Life Style” OR “QOL” OR “HRQoL” OR “Short-form questionnaire 36” OR “Questionnaire SF-36” OR “SF-36.” All quantitative and qualitative study designs were included; no language or date of publication restrictions were imposed. The Critical Appraisal Skills Program Qualitative Checklist was used to assess the methodological quality of the included studies. Study author, date, setting, sample size, population, and design and type of surgery as well as QoL instrument scores were extracted. A narrative thematic synthesis, which comprised the physical, psychological, social, economic, and spiritual effects as well as the health care worker–patient relationship, was undertaken for qualitative studies. Outcome measures were collected and assessed using a range of established health QoL instruments and reported in terms of QoL for quantitative studies. In addition, the type of QoL instrument employed within the studies was elucidated for comparing the scores of the instruments. RESULTS: A total of 696 publications were found; 690 were eliminated, leaving 4 quantitative and 2 qualitative studies conducted between 2002 and 2018 that met the inclusion criteria. The total number of participants in the assessed studies was 785. The mean sample size for the included studies was 131 participants (SD = 192.5; median, 95). Thematic synthesis showed 6 overarching themes: physical, psychological, social, spiritual, and economic effects of SSI as well as the health care worker–patient relationship. Short Form-36 was used to assess QoL in 3 of the 4 quantitative studies; these studies showed that there were decrements in scores of Short Form-36. CONCLUSION: Although this systematic review included heterogeneous groups of patients who underwent different surgical procedures and completed different QoL assessment tools, patients with SSI experienced low QoL, with limitations in physical, social, and psychological functioning. The health care worker–patient relationship was predominantly perceived negatively. Further prospective research is warranted.

scholarly journals Changing from Clinician-Collected to Self-Collected Throat Swabs for Oropharyngeal Gonorrhea and Chlamydia Screening among Men Who Have Sex with Men

2020 ◽  
Vol 58 (9) ◽  
Author(s):  
Eric P. F. Chow ◽  
Catriona S. Bradshaw ◽  
Deborah A. Williamson ◽  
Shauna Hall ◽  
Marcus Y. Chen ◽  
...  
Keyword(s):  
Health Care ◽  
Health Care Worker ◽  
Health Centre ◽  
Prevalence Ratio ◽  
The Self ◽  
Chlamydia Screening ◽  
Content Type ◽  
Collection Period ◽  
Sex With Men ◽  
Care Worker

ABSTRACT The coronavirus disease 2019 (COVID-19) pandemic has led many clinics to move from clinician-collected to self-collected oropharyngeal swabs for the detection of sexually transmitted infections (STIs). Before this change, however, self-collection was used primarily for genital and anorectal infections, with only limited studies on the performance of self-collection of oropharyngeal swabs for oropharyngeal STI detection. The Melbourne Sexual Health Centre (MSHC) changed from clinician-collected to self-collected oropharyngeal swabs for oropharyngeal gonorrhea and chlamydia screening on 16 March 2020 in order to reduce health care worker risk during the COVID-19 pandemic. We compared the proportions of valid and positive samples for gonorrhea and chlamydia among men who have sex with men (MSM) in two time periods; the clinician collection period, between 20 January and 15 March 2020, and the self-collection period, between 16 March and 8 May 2020. A total of 4,097 oropharyngeal swabs were included. The proportion of oropharyngeal swabs with equivocal or invalid results for Neisseria gonorrhoeae was higher in the self-collection period (1.6% [24/1,497]) than in the clinician collection period (0.9% [23/2,600]) (P = 0.038), but the proportions did not differ for the detection of Chlamydia trachomatis. The positivity rates of oropharyngeal N. gonorrhoeae (adjusted prevalence ratio [PR], 1.07 [95% confidence interval {CI}, 0.85 to 1.34]) (P = 0.583) and oropharyngeal C. trachomatis (adjusted PR, 0.84 [95% CI, 0.51 to 1.39]) (P = 0.504) specimens did not differ between the two periods. Self-collected oropharyngeal swabs for the detection of N. gonorrhoeae and C. trachomatis have acceptable performance characteristics and, importantly, reduce health care worker exposure to respiratory infections.

scholarly journals The impact of the National HIV Health Care Worker Hotline

2010 ◽  
Vol 100 (12) ◽  
pp. 786
Author(s):  
Annoesjka Swart ◽  
Briony Chisholm ◽  
Karen Cohen ◽  
Marc Blockman ◽  
Hans-Friedemann Kinkel ◽  
...  
Keyword(s):  
Health Care ◽  
Health Care Worker ◽  
Care Worker ◽  
The Impact

Brain drain of Tunisian competencies: The case of health professionals

2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
L Labidi
Keyword(s):  
Health Systems ◽  
Brain Drain ◽  
Health Professionals ◽  
International Health ◽  
The South ◽  
Developed Economies ◽  
Cultural Aspects ◽  
Gulf States ◽  
The Impact ◽  
The Brain

Abstract The world is witnessing mobility of human resources facilitated by globalization and by international agreements on trade in services GATS. The advanced demographic transition in developed economies and increase in aging population have put pressures on demand of professionals from countries of the south to sustain economic growth. Health systems in countries of the south are facing increasing rate of migration of health workforce including physicians and allied personnel. Such situation led WHO to promote the code of ethical recruitment of international health professionals. The optional nature of the code did not allow its wider implementation. The brain drain of scare resources represents a real challenge for health systems in several countries including Tunisia. Since 2011, the pace of migration of Tunisian health professionals and particularly physicians have increased because of worsening working conditions, limited career path and uncertainty about the future. Europe and particularly France, Canada, Germany and Gulf states constitute the main destination of Tunisian migrants partly explained by cultural aspects including Arabic and French languages and similarity of Francophone model of medical education. The present qualitative study including focus group discussions with main stake holders aims at: Measuring the brain drain of Tunisian health professionalsAssessing the impact of brain drain on the Tunisian health systemSharing initiatives aimed at retaining health professionals in public sector and inside the country.Learning lessons from other countries on working models for well organized and mutually beneficial migration of health professionals.

scholarly journals Evaluation of the Impact of the 2012 Rhode Island Health Care Worker Influenza Vaccination Regulations

2015 ◽  
Vol 21 (3) ◽  
pp. E1-E9 ◽  
Author(s):  
Hanna Kim ◽  
Megan C. Lindley ◽  
Donna Dube ◽  
Elizabeth J. Kalayil ◽  
Kristi A. Paiva ◽  
...  
Keyword(s):  
Health Care ◽  
Influenza Vaccination ◽  
Rhode Island ◽  
Health Care Worker ◽  
Care Worker ◽  
The Impact

scholarly journals Examination of 388 Staphylococcus aureus Isolates from Intensive Care Unit Patients

2019 ◽  
Vol 8 (46) ◽  
Author(s):  
Timileyin Adedrian ◽  
Stephanie Hitchcock ◽  
Lyndsay M. O’Hara ◽  
Jane M. Michalski ◽  
J. Kristie Johnson ◽  
...  
Keyword(s):  
Health Care ◽  
Intensive Care Unit ◽  
Staphylococcus Aureus ◽  
Intensive Care ◽  
Health Care Worker ◽  
Genomic Diversity ◽  
Potential Health ◽  
Content Type ◽  
Geographically Distributed ◽  
Care Worker

We have examined the draft genomes of 388 methicillin-resistant Staphylococcus aureus isolates obtained from intensive care unit patients at three geographically distributed hospitals to determine genomic diversity associated with potential health care worker-associated transmission.

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