scholarly journals Development of an instrument to measure the cultural competence of health care workers

2020 ◽  
Vol 54 ◽  
pp. 29
Author(s):  
Victor Pedrero ◽  
Margarita Bernales ◽  
Macarena Chepo ◽  
Jorge Manzi ◽  
Miguel Pérez ◽  
...  

OBJECTIVE: To validate an instrument measuring the cultural competence in health care workers from Chile. METHODS: Using Sue & Sue’s theoretical model of cultural competence, we designed a scale, which was assessed by health care workers and experts. Subsequently, the scale was applied to a sample of 483 different health care workers, during 2018 in Santiago de Chile. The analysis included: exploratory and confirmatory factor analysis, estimation of reliability, and analysis of measurement bias. Finally, the level of cultural competence was calculated for every professional who participated in this study. RESULTS: The final scale include 14 items that are grouped into three dimensions concordant with the theoretical model: sensitivity to own prejudices, cultural knowledge, and skills to work in culturally diverse environments. This scale showed good fit in factor models, adequate reliability and lack of evidence of measurement bias. Regarding the performance of health care workers, sensitivity showed a lower level compared with the other dimensions evaluated. CONCLUSION: The scale for measuring the level of cultural competence in health care workers (EMCC-14) is a reliable instrument, with initial support for its validity, which can be used in the Chilean context. Additionally, the results of this study could guide some possible interventions in the health sector to strengthen the level of cultural competence.

2021 ◽  
Vol 30 (9) ◽  
pp. 91-98
Author(s):  
Vu Ngoc Ha ◽  
Mac Dang Tuan ◽  
Nguyen Thanh Trung ◽  
Nguyen Ngoc Huan ◽  
Luu Thi Lien ◽  
...  

A cross-sectional study using DASS21 was performed in June 2019 on staff working at the commune health stations (CHSs), regional general clinics and district general clinics in Soc Son district, Hanoi to assess the mental disorders of the health care workers are working here. Among the 355 health care workers (HCWs) who participated, women accounted for 75.5%. People aged under 30 accounting for 33.5% of HCWs. Physicians, nurses take up 54.4%, and HCWs in the Soc Son district have worked in the health sector for more than ten years, accounting for 45.1%. The study shows that the rates of stress, anxiety, and depression were 13.8%, 25.4% and 16.6%, respectively. 31% of HCWs have at least one mental disorder, 8.2% of study subjects have all three manifestations of mental disorders, 8.4% of study subjects have two symptoms and 14.4% of the study subjects had only one manifestation. The rates of stress, anxiety, and depression were initially screened from the research results. The development of research directions for defnitive diagnosis and support for improving health care workers’ mental health should be integrated.


Author(s):  
Anzhela V. Meshcheryakova ◽  
Andrey P. Mazurenko

The article deals with issues of combating corruption in the health sector. The authors note that the level of corruption in general and in the healthcare sector, in particular, continues to grow. The main reasons causing corruption crimes in the mentioned area are analysed among which, the low level of income and social protection of health care workers stand out; the stratification of Russian health care "for the rich", "middle class" and "for the poor"; corporate solidarity of medical workers in concealing corruption in the health sector; forced participation of citizens in the corruption of health care, etc. The authors propose anti-corruption tools, one of which may be digitalisation and the effective use of medical information systems and technologies. In their opinion, digitalisation in the field of healthcare should lead to the complete satisfaction of the population’s need for medical care, its optimisation, quality improvement and cost reduction, and, accordingly, more effective anti-corruption efforts.


2021 ◽  
Vol 2 (4) ◽  
pp. 255-278
Author(s):  
Adellia Anggun Trisnawati ◽  
◽  
Kerin Sianto ◽  
Lady Aldli Seansyah ◽  
Nopriadi Saputra ◽  
...  

Abstract Purpose: This study aimed to determine the impact of digital quotient, authentic leadership, and perceived organizational support on work engagement of employees who work in the health industry during this COVID-19 in West Jakarta. Research methodology: The methods in this research were quantitative and survey. We obtained primary data through the questionnaire distribution with 391 respondents of health care workers who work in West Jakarta. This study used multiple regression techniques as the data analysis technique. Results: The study results indicate that digital quotient, authentic leadership, and perceived organizational support influence work engagement. Limitations: Only digital quotient, authentic leadership, perceived organizational support, work engagement variables, and health care workers in West Jakarta were assessed in this research. Contribution: This study shows the level of work engagement, digital quotient, authentic leadership, perceived organizational support and how digital quotient, authentic leadership, and perceived organizational support affect work engagement. Employers or organizations can use this research to improve their employees' work engagement by noticing their employee's level of digital quotient and implementing authentic leadership and perceived organizational support.


Author(s):  
Katia Dupret ◽  
Bjarke Friborg

Drawing on actor-network theory (ANT) and science and technology studies (STS) and on ethnographic research in Denmark, we argue that how health care workers work around technologies can be conceptualized as tacit innovation – that is, practical expressions of active encounters with the complexity of work situations and therefore potential sources of sustainable and innovative work practices. The concept ‘invisible work’ is used to show that ‘what counts as work’ is bound up with technologies that are not neutral. Technologies, professionals, and patients implicitly co-constitute innovation processes, and we argue that in order to understand the potential of tacit innovation among health care workers, one must revisit the dichotomy between technology producers and technology end-users. The aim and contribution of this paper is thus to attempt to revitalize the discussion about technology workarounds as initiatives of tacit innovation, thus adding to the theoretical conceptualization of invisible work when technologies are used in health care work.


2017 ◽  
Vol 14 (3) ◽  
pp. 2628
Author(s):  
Durdu Mehmet Biçkes ◽  
Bülent Çizmeci ◽  
Hakan Göver ◽  
Iclal Pomak

Behaviors and attitudes of the people who are in the same setting, such as service beneficiaries, co-workers and the others, have a determining effect on the mood of the people who provide the service. This effect can become either positive or negative depending on the course of action. Positive mood manifests itself as the feeling of happiness, security, appreciation, pride and etc. However, negative mood manifests itself as feeling of sorrow, disappointment, loneliness, stress, anxiety, depression and etc. Such kind of interactions is much more observed in health sector than any other workplaces due to intensive relations between service providers (health workers) and service beneficiaries (patients). So, this sector is the leading one which workplace violence is intensively observed. This study was carried out in order to investigate the effects of workplace violence on the stress, anxiety and depression levels of health care professionals. With this purpose, a survey was performed on the employees who work in a training and research hospital. According to the findings, significant differences were determined between the stress, anxiety and depression levels of health-care workers and the frequency of exposure to violence. In the light of the study findings, some recommendations were proposed to researchers and decision-makers.// // // // // // // // // // // // // // Annotate Highlight // Annotate Highlight


2019 ◽  
Author(s):  
Annisa' Nahdah Hidayaturrahmah

Technology, and in this case is Industrial Revolution 4.0, is something that always changes and develops and affects many aspects of human life, one of them is the health sector. It is important for health care workers to know the technological developments in the health sector so that people's welfare can increase and not lose competitiveness with other parties. The method used by researchers in this study is a qualitative method with the method of literature review. There are several technologies used for new discoveries and will continue to be developed, namely CRISPR, the search for new drugs with computational methods, intestinal microbiotics for targeted drug women, and biological systems.


2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
E O Ogboghodo ◽  
O H Okojie

Abstract Background Workplace violence has gained significant attention over the last few decades. Violence against health care workers is a complex and persistent occupational hazard facing the health profession and constitutes almost a quarter of all violence at work. This study was conducted to assess the prevalence and pattern of workplace violence among Healthcare workers in Tertiary Health facilities in Benin - City, Nigeria with a view to making recommendations that will enhance the safety of the healthcare workers and improve patient care. Methods A descriptive cross-sectional study was carried out among healthcare workers in tertiary healthcare facilities in Benin City. Benin City is the capital of Edo State, Nigeria. Edo State is in the South-South geo-political zone of Nigeria and is the country's central gateway to the North, East, and West. Respondents were selected using the stratified sampling technique. Data was collected using a pre-tested structured questionnaire adapted from the International Labour Organization/World Health Organization joint programme on workplace violence in the health sector confidential survey. Data analysis was carried out using IBM SPSS version 22.0 software. A p-value <0.05 was considered statistically significant. Results A total of 386 healthcare workers, with a mean age (SD) of 33.9 ± 6.0 years and male: female ratio of 1:1.7 participated in the study. Physical, verbal, sexual and emotional violence were suffered by 285 (73.8%), 267 (69.2%), 133 (34.5%) and 104 (26.9%) respectively in the workplace. Overall, majority, 323 (83.7%) of respondents had experienced workplace violence. Being female, single and nursing profession were significantly associated with workplace violence (p < 0.001). Conclusions The prevalence of workplace violence was high among the studied group. Interventions focusing on the fundamental role of prevention in effectively combating violence at work is recommended. Key messages Violence against health care workers is an occupational hazard facing the health profession and constitutes almost a quarter of all violence at work. Prevalence of workplace violence was high among the studied group. The most common pattern of workplace violence was physical violence.


2019 ◽  
Vol 49 (4) ◽  
pp. 844-861 ◽  
Author(s):  
Nurcan Hamzaoglu ◽  
Burcu Türk

Workplace violence has affected many individuals in recent years, irrespective of age, gender, race, educational level, and sector. We analyzed the responses to the Workplace Violence in the Health Sector Country Case Study Questionnaire, applied online to 447 health care workers who worked in public or private health care institutions in different cities of Turkey. Frequencies, percentages, and a chi-square independence test were used for data analysis through SPSS 18. Of the participants, 37.4% were doctors, 61.3% were midwives-nurses or emergency medical technicians (EMT), and 1.3% worked in units with no direct contact with patients and relatives (such as management and the hospital pharmacy). A total of 36.7% of participants reported exposure to physical violence, and 88.8% reported exposure to verbal abuse at least once during their working lives. Many participants who were victims of physical violence or verbal abuse did not report incidents because they thought it would provide no benefits. Regulations on effective communication training, changes in workplace conditions, and effective implementation of violence prevention procedures may help to reduce the rates of verbal abuse and physical violence in the health care sector. In addition, when managers show support for their employees in the prevention of workplace violence, it may help employees to feel more secure in their workplaces.


Medicne pravo ◽  
2021 ◽  
pp. 9-17
Author(s):  
N. V. Kniazevych

The article is devoted to historical and legal analysis of the health care workers’ legal status development. The paper analyses the beginning of the establishment of the first rules of behavior and professional responsibilities of medical workers in Ukraine, as well as regulations governing the legal status of medical workers in different years in Ukraine. It has been emphasized on the importance of research in the context of the modern health sector reforms for the formation of its directions of implementation. The administrative and legal status of a medical worker makes it possible to determine their place and role in public administration and other public relations. The rights and responsibilities of health care workers are of great scientific and practical importance, especially in view of the ongoing health care reform processes in the country. In view of this, it is important to study the peculiarities of the formation of certain rights and responsibilities of medical workers, which constitute their current legal status, over a significant period of the Ukrainian history.


2021 ◽  
Vol 7 (1) ◽  
pp. 37-55
Author(s):  
Pascalia Kisiangani ◽  
John Arudo ◽  
Gregory Sakwa ◽  
Florence Okoit

Purpose: To determine cultural competence of health care workers on maternal health care service utilization among mothers of Mt. Elgon Constituency in Bungoma County. Methodology: A descriptive-analytical cross-sectional study design was adopted using mixed methods for data collection. Cultural competence tool was used to assess health care workers cultural competence. Qualitative data was collected using key informant interviews (KII) and focus group discussion (FGD). Data entry and analysis was done using SPSS Version 25 software. Descriptive and inferential statistical analyses were used. Bivariate and multivariate logistic regressions were applied and odds ratio used to determine the strength of association. A p-value of ≤ 0.05 was considered as statistical significance threshold. Findings: Unemployment (OR: 0.6; 95% CI: 0.4 – 0.9; p = 0.02); lack of mobile clinic (OR: 0.7; 95% CI: 0.4 – 1.0; p = 0.06 ); use of interpreter  (OR: 0.2; 95% CI: 0.01 – 0.81; p = 0.02); service provided in public facilities (OR: 0.5; 95% CI: 0.3 – 0.8; p = 0.004); being too busy (OR: 0.5; 95% CI: 0.3 – 0.9; p = 0.02); consulting health care workers (OR: 0.5; 95% CI: 0.2 – 0.9; p = 0.03); not consulting elders (OR: 0.7; 95% CI: 0.4 – 1.0; p = 0.08) and  culturally incompetent ( 100%) were significantly associated with utilization of maternal and child health services. The determinants of maternal health care service utilization in Mt. Elgon Sub-County are women who are employed (OR: 2.8; 95% CI: 1.1 – 7.3; p=0.03) and cultural incompetence of health care workers (100%). A unique contribution to theory, practice, and policy: The study findings have identified  cultural competence gaps among health care workers which need to be addressed by policy makers  to  increase utilization in the study area and other similar environment


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