Primary healthcare personnel challenges and barriers on the management of patients with multimorbidity in Albania

2021 ◽  
Author(s):  
Enkeleint A. Mechili ◽  
Aurela Saliaj ◽  
Juliana Xhindoli ◽  
Jorgjia Bucaj ◽  
Dimitra Sifaki‐Pistolla ◽  
...  
Keyword(s):  
Primary Healthcare ◽  
Healthcare Personnel

scholarly journals Encountering suicide in primary healthcare rehabilitation: the experiences of physiotherapists

2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Åse Lundin ◽  
Anna Bergenheim
Keyword(s):  
At Risk ◽  
Healthcare System ◽  
Primary Healthcare ◽  
Qualitative Content Analysis ◽  
Western Hemisphere ◽  
Mental Wellbeing ◽  
Healthcare Personnel ◽  
Public Health Issue ◽  
Structured Interviews ◽  
Patients At Risk

Abstract Background Suicide is a serious public health issue and one of the most common causes of death globally. Suicide has long-lasting impact on personal, relational, community and societal levels. Research has shown that patients often seek help in the primary healthcare system preceding a suicide. Studies exploring the experiences of encountering patients at risk for suicide have been performed among various categories of healthcare personnel, such as nurses and psychiatry residents as well as emergency room staff. There is a lack of research regarding primary healthcare rehabilitation staff, despite the fact that physiotherapists are the third largest health profession in the Western hemisphere and often work with patients experiencing mental health symptoms. The aim of this study was to explore the experiences of encountering patients at risk for suicide among physiotherapists working in a primary healthcare rehabilitation setting. Methods Semi-structured interviews were conducted with 13 physiotherapists working in primary healthcare rehabilitation clinics in the Gothenburg area, Sweden. The interviews were recorded on audio and transcribed into written text. A qualitative content analysis was performed on the material collected. Results The analysis of the material revealed an overarching theme, Through barriers and taboos – the physiotherapist finds a way, with five main categories: possibilities for identification, obstacles in meeting suicide, workplace environment matters, where does the patient belong? and education and experience are keys. Conclusions The present study indicates that physiotherapists in the primary healthcare system encounter patients experiencing suicidality, and they expressed a strong desire to care for both the physical and mental wellbeing of the patients. Despite reporting many barriers, the physiotherapists often found a way to form a meaningful therapeutic alliance with the patient and to ask about possible suicidality in their clinical practice. The result suggests that physiotherapists could play a larger role in working with patients experiencing suicidality in a primary healthcare setting and that they could be viewed as possible gatekeepers in identification as well as referral of these patients into other parts of the healthcare system.

scholarly journals Attitude of Primary Healthcare Personnel Toward Living Donation: A Multicenter Study in the Southeast of Spain

2009 ◽  
Vol 38 (9) ◽  
pp. 360-367
Author(s):  
Antonio Ríos ◽  
Pablo Ramírez ◽  
José Sánchez ◽  
Enrique Sánchez ◽  
L. Martínez-Alarcón ◽  
...  
Keyword(s):  
Multicenter Study ◽  
Primary Healthcare ◽  
Healthcare Personnel ◽  
Living Donation

scholarly journals Frenetic, under-Challenged, and Worn-out Burnout Subtypes among Brazilian Primary Care Personnel: Validation of the Brazilian “Burnout Clinical Subtype Questionnaire” (BCSQ-36/BCSQ-12)

2020 ◽  
Vol 17 (3) ◽  
pp. 1081 ◽  
Author(s):  
Marcelo Demarzo ◽  
Javier García-Campayo ◽  
David Martínez-Rubio ◽  
Adrián Pérez-Aranda ◽  
Joao Luiz Miraglia ◽  
...  
Keyword(s):  
Primary Healthcare ◽  
Psychological Health ◽  
Depression Scale ◽  
Maslach Burnout Inventory ◽  
Cross Sectional Study ◽  
Healthcare Personnel ◽  
General Factor ◽  
Cross Sectional ◽  
Health Related ◽  
Burnout Subtypes

Primary healthcare personnel show high levels of burnout. A new model of burnout has been developed to distinguish three subtypes: frenetic, under-challenged, and worn-out, which are characterized as overwhelmed, under-stimulated, and disengaged at work, respectively. The aim of this study was to assess the psychometric properties of the long/short Brazilian versions of the “Burnout Clinical Subtypes Questionnaire” (BCSQ-36/BCSQ-12) among Brazilian primary healthcare staff and its possible associations with other psychological health-related outcomes. An online cross-sectional study conducted among 407 Brazilian primary healthcare personnel was developed. Participants answered a Brazil-specific survey including the BCSQ-36/BCSQ-12, “Maslach Burnout Inventory-General Survey”, “Utrecht Work Engagement Scale”, “Hospital Anxiety/Depression Scale”, “Positive-Negative Affect Schedule”, and a Visual Analogue Scale of guilt at work. The bifactor was the model with the best fit to the data using the BCSQ-36, which allowed a general factor for each subtype. The three-correlated factors model fit better to the BCSQ-12. Internal consistence was appropriate, and the convergence between the long-short versions was high. The pattern of relationships between the burnout subtypes and the psychological outcomes suggested a progressive deterioration from the frenetic to the under-challenged and worn-out. In sum, the Brazilian BCSQ-36/BCSQ-12 showed appropriate psychometrics to be used in primary healthcare personnel.

scholarly journals Meanings of encounters for close relatives of people with a long-term illness within a primary healthcare setting

2018 ◽  
Vol 19 (04) ◽  
pp. 392-397 ◽  
Author(s):  
Anna Nygren Zotterman ◽  
Lisa Skär ◽  
Siv Söderberg
Keyword(s):  
Structural Analysis ◽  
Primary Healthcare ◽  
Healthcare Setting ◽  
Healthcare Personnel ◽  
Narrative Approach ◽  
Close Relatives ◽  
The Relationship ◽  
At Home

AbstractBackgroundEncounters play an important role in the relationship between healthcare personnel and the close relatives of people with a long-term illness.AimThe aim of this study was to elucidate the meanings of encounters for close relatives of people with a long-term illness within a primary healthcare setting.MethodsInterviews using a narrative approach were conducted with seven women and three men, and the phenomenological hermeneutic method was used to interpret the interview texts.ResultsThe structural analysis revealed three major themes: being confirmed as a family, being informed of the care, and being respected as a valuable person. Close relatives stated that they wanted to be confirmed as a family and have a familiar and trusting relationship with healthcare personnel. They valued being informed concerning the care of the ill person so that they could give support at home. It was also important to be compassionately viewed as an important person in a welcoming atmosphere based on respect and dignity.

Building primary healthcare personnels’ support for a patient portal while alleviating eHealth-related stress: Survey study (Preprint)

2021 ◽  
Author(s):  
Iiris Hörhammer ◽  
Sari Kujala ◽  
Pirjo Hilama ◽  
Tarja Heponiemi
Keyword(s):  
Primary Healthcare ◽  
Sustainable Use ◽  
Survey Study ◽  
Healthcare Personnel ◽  
Full Potential ◽  
Patient Portal ◽  
Patient Portals ◽  
Logistic Regression Models ◽  
Implementation Practices ◽  
Related Stress

BACKGROUND Healthcare personnel’s engagement in patient portal implementation is necessary in embedding the use of the portal in everyday practices of a healthcare organization. While portal implementation may raise personnel’s positive expectations of the benefits in patient care, it is often also stressful for them due to increased workloads and disruptions in clinical workflows. An understanding of social and technical factors that build personnel’s support for patient portal implementation and alleviate their eHealth-related stress is therefore needed to realize the full potential of portals. OBJECTIVE The aim of this study was to explore the influence of managerial implementation practices, information technology (IT) usability, and personnel’s eHealth competences on support for patient portal implementation and eHealth-related stress among primary healthcare personnel. METHODS The data were collected through a survey of 919 members of the personnel at two health organizations in Finland. Linear and logistic regression models were fitted to study the associations between the variables. RESULTS The adoption of appropriate implementation practices and usability of the technology can build personnel’s support for a patient portal and alleviate their stress. Personnel’s support is manifested in their promotion of the portal to patients. CONCLUSIONS Healthcare managers are encouraged to consider the good implementation practices as a prerequisite for meaningful and sustainable use of patient portals.

scholarly journals The identification process in Early Communication Intervention (ECI) by Primary Health Care personnel in Ditsobotla sub-district

2009 ◽  
Vol 56 (1) ◽  
Author(s):  
Jeannie Van der Linde ◽  
Alta Kritzinger ◽  
Aniel Redelinghuys
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Primary Healthcare ◽  
Rating Scale ◽  
Communication Intervention ◽  
Healthcare Personnel ◽  
Identification Process ◽  
Early Communication ◽  
Primary Health ◽  
Intervention Services

Based on clinical observations, case finding for early communication intervention service delivery in rural  areas, such as Ditsobotla sub-district, is limited. The study described the identification process used for infants and young children at risk for communication delay and disorders as part of a proposed incremental implementation of early communication intervention services within the existing primary healthcare package. A descriptive survey design was followed. A rating scale was utilized and interviews were conducted with 20 randomly selected primary healthcare personnel and eight primary healthcare programme managers in Ditsobotla sub-district in North West province. The aims were to describe the early identification methods/processes, resources and limitations and provide guidelines to introduce early communication intervention services in a rural community. The results indicated that the identification process was limited. An incremental implementation of the different early communication intervention functions within the primary health care package appears feasible. Implications of the findings may be applied to initiate early communication intervention services, based on integrated teamwork, in a rural district in South Africa.

scholarly journals Healthcare personnel’s experiences using video consultation in primary healthcare in rural areas

2016 ◽  
Vol 18 (01) ◽  
pp. 73-83 ◽  
Author(s):  
Annette M. Johansson ◽  
Inger Lindberg ◽  
Siv Söderberg
Keyword(s):  
Primary Healthcare ◽  
Rural Areas ◽  
Healthcare Personnel ◽  
Specialist Care ◽  
Mixed Methods Design ◽  
District Nurse ◽  
Specialist Nurse ◽  
Primary Healthcare Centre ◽  
Video Consultation ◽  
User Friendly

BackgroundPatients living in rural areas often need to travel long distances for access to specialist care. To increase access to specialist care, video consultation between patients in primary healthcare and specialist care has been used. In order for this new method to be developed and used to the fullest, it is important to understand healthcare personnel’s experiences with this intervention.ObjectiveThe aim of this study was to describe healthcare personnel’s experiences using video consultation in their work in primary healthcare.MethodA mixed methods design was used, and the data were analysed using qualitative and quantitative analysis methods. Interviews were conducted with eight general practitioners and one district nurse, all of whom had conducted a video consultation with a patient and a specialist physician or a cardiac specialist nurse. After each video consultation, the participants completed a consultation report/questionnaire.ResultsHealthcare personnel considered video consultation to provide quicker access to specialist care for the patient, and greater security when the video consultation encounter was conducted at their own primary healthcare centre. They considered video consultation an opportunity to provide education and for the patients to ask questions.ConclusionVideo consultation is a satisfactory tool for healthcare personnel, and the technology is a new, useful method, especially for the district nurses. Further, video consultation is an opportunity for healthcare personnel to learn. However, for it to work as an accepted method, the technology must function well and be user friendly. It must also be clear that it is beneficial for the patients and the healthcare personnel.

scholarly journals Perceptions of rural primary healthcare personnel about expansion of early communication intervention

2013 ◽  
Vol 5 (1) ◽  
Author(s):  
Jeannie Van der Linde ◽  
Alta Kritzinger
Keyword(s):  
Primary Healthcare ◽  
Communication Disorders ◽  
Team Work ◽  
Communication Intervention ◽  
Healthcare Personnel ◽  
North West ◽  
Feeding Difficulties ◽  
Early Communication ◽  
Intervention Services ◽  
Sustainable Services

Background: Early communication intervention services rendered by speech-language therapists and audiologists to families of infants and young children with feeding difficulties, hearing loss or emerging communication disorders should be implemented throughout South Africa. Early intervention can ameliorate risks, enhance development and may prevent further delays. Based on research initiated during a community-service year experience in a rural subdistrict,an incremental process of establishing accessible early communication intervention services was deemed feasible. Such a process cannot be successful if the collaboration of primary healthcare personnel and managers is not ensured.Objectives: The aim of the article was to describe the perceptions of primary healthcare personnel with regard to expansion of early communication intervention services to infants at risk of developmental delay.Method: A qualitative descriptive survey design was followed. Semi-structured interviews were conducted with 20 primary healthcare nurses and sisters and eight primary healthcare programme managers in Ditsobotla subdistrict in the North West province of South Africa.Results: The participants indicated that by improving team work, developing training programmes and evaluating identification methods and resources, the step-by-step rollout of early communication intervention functions on four organisational levels may be a realistic goal for sustainable services in the resource-limited district.Conclusion: The positive perceptions and contributions by participants promise a rich human-resource basis for transdisciplinary collaboration between speech-language therapists, audiologists and primary healthcare personnel in order to reduce the burden of early communication disorders in a rural district.

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