The implementation of child rights in healthcare services

2020 ◽  
Vol 27 (7) ◽  
pp. 1517-1528
Author(s):  
Cagla Yigitbas ◽  
Fadime Ustuner Top
Keyword(s):  
Children's Rights ◽  
Healthcare Services ◽  
Cross Sectional Study ◽  
Children’S Rights ◽  
Cross Sectional ◽  
Child Rights ◽  
Factors Affecting ◽  
Roles And Responsibilities ◽  
Service Training ◽  
The Right

Background: Hospitalized children have the right to “partake in practices related to their treatment and care.” Midwives and nurses have important roles and responsibilities regarding the protection and enforcement of these rights, such as providing information and advocating for children. Objectives: This study aims to determine the attitudes of midwives and nurses toward their roles and responsibilities in the implementation of child rights in healthcare services and the factors affecting their attitudes. Methods: This descriptive cross-sectional study included 122 midwives and nurses in total. The data were collected through a questionnaire. Ethical considerations: Written permission was obtained from an ethics committee in the center of the city where the research was conducted. Results: The mean age of the participants was 36.70 ± 8.03 years; 58.9% of midwives and nurses stated that they understood the child’s consent about the treatment by looking at the child’s facial expression; 36% of midwives and nurses stated that children could not participate in decisions regarding their own health. It was observed that obtaining the child’s consent in matters related to treatment does not make any difference between midwives and nurses. The rate of the midwives stating that they would report suspicious violence-neglect and abuse was found to be higher. Conclusion: The variables of the unit of employment, the state of having children, choosing the profession and practicing in it willingly, and getting training on children’s rights make a difference in terms of children’s rights in healthcare services. Midwives and nurses should be reminded of child rights in healthcare services through regular in-service training programs.

Evaluation of Respect for Patient's Rights from the Viewpoint of Hospitalized Surgical Patinents in Shohada Ashayer Hospital of Khorramabad City, Iran in 2015-2016

2017 ◽  
Vol 8 (01) ◽  
Author(s):  
Ghafar Ali Mahmoudi ◽  
Hormuz Mahmoudvand ◽  
Mahin Adeli ◽  
Amin Taghadosi ◽  
Mahmoud Bahmani
Keyword(s):  
Medical Science ◽  
Quality Of Healthcare ◽  
Healthcare Services ◽  
Cross Sectional Study ◽  
Bill Of Rights ◽  
Patient Privacy ◽  
Cross Sectional ◽  
Patients Satisfaction ◽  
Strongly Agree ◽  
The Right

One of the most important branches of medical science, until past time, law and consequently to medical ethics. Patients' satisfaction of their rights, one of the most important indicators of effectiveness, efficiency, productivity and quality of healthcare services. The goal of this study was to Check the Observance of the rights of patients in surgical patients admitted to Shohaday Ashayer hospital in 2015-2016 from the perspective of patients. This cross-sectional study included 800 patients admitted to Shohada Ashayer Hospital in 2015 and 2016. Respecting patient’s bill of rights from their viewpoint was determined by a questionnaire using a Likert scale from one (strongly disagree) to five (strongly agree). The results obtained in this study showed that the rate of patients' rights in all aspects of the %15.8 patient's view was poor, from the %67.4 patient's perspective was middle, and from the %16.8 patient's view was good. Most patients' satisfaction with their rights in respect to the axis of the right to choose and decide freely and the lowest levels of satisfaction was at the core of respect for patient privacy and confidentiality principle. Level of satisfaction in all axes was significantly associated with age, type of substrate in the third axis, history of hospitalization in the fourth axis and duration of hospital stay in the second axis(P>0.O5). Between gender and place of residence and educational level found no significant relaion(P>O.O5). In total, based on the obtained results and comparing them with the results of other studies, it may be concluded that respecting patient’s bill of rights from the viewpoint of patients is considered as optimal and to enhance the implementation of the Charter as well as patient satisfaction is essential that solutions be identified barriers to implementation

scholarly journals Determinan Pemilihan Pengobatan Pasien Fraktur di RSUD Raden Mattaher Jambi Tahun 2018

2020 ◽  
Vol 20 (1) ◽  
pp. 207
Author(s):  
Sovia Sovia ◽  
Daryono Daryono ◽  
Mashudi Mashudi ◽  
Debi Sintia Dewi
Keyword(s):  
Cross Sectional Study ◽  
Treatment Costs ◽  
Fracture Treatment ◽  
Sectional Study ◽  
Chi Square ◽  
Cross Sectional ◽  
Factors Affecting ◽  
Chi Square Test ◽  
The Right ◽  
Selection Of

To determine factors that influence fracture patients on the selection of fracture treatment in Raden Mattaher General Hospital of Jambi. A cross-sectional study was conducted from May 23 to September 25, 2018, using a questionnaire with limb fracture patients as participants. The survey included questions about the selection of fracture treatment, severity fracture, beliefs, culture, side effects, and treatment costs, and was completed by 64 patients. Data analysis used for this study were chi-square test. The factors affecting the selection of fracture treatment were fracture severity (p 0.001; 95% CI 2.13-32.60), beliefs (p 0.003; 95% CI 1.70-20.53), and treatment costs (p 0.009; 95% CI 1.41 – 33.14). Professional personnel, especially nurses, need a persuasive approach and education with appropriate communication and media in fracture patients and families so that they can make the right decisions in fracture treatment.

scholarly journals VATSONGA PEOPLE’S PERCEPTIONS OF CHILDREN’S RIGHTS

2021 ◽  
Vol 57 (4) ◽  
pp. 472-485
Author(s):  
Lisenga Simbine ◽  
Liana Le Roux
Keyword(s):  
Children's Rights ◽  
Children’S Rights ◽  
Snowball Sampling ◽  
Structured Interviews ◽  
Community Based ◽  
Child Rights ◽  
The Social ◽  
Key Informant ◽  
The Right ◽  
People’S Perceptions

This article is based on the findings of a qualitative study that explored the Vatsonga people’s perceptions of children’s rights to protection. Semi-structured interviews were conducted with 40 community-based participants and 11child protection social workers who were familiar with the Vatsonga people's cultural heritage. Key informant and snowball sampling techniques were employed to select the community-based participants and availability sampling for selecting the social work participants. The study established that the Vatsonga people recognise the provision, protection and participation rights of children. Child participation is perceived as comprised of childhood responsibilities, not the right to be heard perse. The paper argues that some of the purported violations of child rights in Africa emanate from the universal application of a Eurocentric worldview of children’s rights. We conclude that to understand child rights in Africa, African people should be allowed to contribute to the construction of an indigenised and contextualised perspective on child rights.

scholarly journals The Feasibility of Ultrasonographic Diaphragmatic Excursion in Healthy Dogs: Effect of Positioning, Diaphragmatic Location, and Body Weight of Dogs

2021 ◽  
Vol 8 ◽  
Author(s):  
Phasamon Saisawart ◽  
Somchin Sutthigran ◽  
Kumpanart Soontornvipart ◽  
Chutimon Thanaboonnipat ◽  
Damri Darawiroj ◽  
...  
Keyword(s):  
Body Weight ◽  
Cross Sectional Study ◽  
Ultrasound Technique ◽  
Cross Sectional ◽  
Factors Affecting ◽  
Intrinsic Factors ◽  
Significant Difference ◽  
Healthy Dogs ◽  
The Right ◽  
Almost All

Diaphragmatic excursion (DE) has been utilized for detecting respiratory related problems in humans. However, several factors should be considered such as the ultrasound technique and factors intrinsic to patients. Nevertheless, knowledge of the effect of these factors on DE in dogs is still lacking. The aim of this study was to evaluate the proper ultrasound technique by varying postures and diaphragmatic locations for DE measurement and to explore intrinsic factors such as diaphragmatic sides, sex, and body weight of dogs on DE. The prospective, analytic, cross-sectional study included 44 healthy dogs; 12 beagles and 32 dogs of other breeds. The experiment was divided into (i) an exploration of the proper ultrasound technique by varying postures (supine, standing, and recumbent in each of the right and left lateral positions), diaphragmatic locations (middle crus and proximal to the last rib), and diaphragmatic sublocations (xiphoid, mid, and proximal rib) for detection of DE and (ii) the evaluation of canine intrinsic factors affecting DE. The results show that the mid-diaphragmatic sublocation in the middle crus area in almost all positions revealed the highest percentage DE detection. However, DEs were revealed to be more accessible in the supine position. There was no significant difference in DE between the right and the left diaphragms or between the sexes of beagle dogs. However, body weight was significantly correlated with the DE among dogs of various sizes. In conclusion, the posture of the dogs and the diaphragmatic location can affect DE evaluation. Neither sex nor diaphragmatic side had an influence, but body weight was revealed as a major factor in DE in dogs.

scholarly journals Factors Affecting Implementation of Pain Reassessment in Inpatient Unit at Balaraja Regional Hospital

2021 ◽  
Vol 9 (T4) ◽  
pp. 66-69
Author(s):  
Kristina Everentia Ngasu ◽  
Restiana Restiana
Keyword(s):  
Data Entry ◽  
Sampling Technique ◽  
Cross Sectional Study ◽  
Regional Hospital ◽  
Inpatient Unit ◽  
Validity And Reliability ◽  
Chi Square ◽  
Cross Sectional ◽  
Factors Affecting ◽  
Service Training

BACKGROUND: Pain is a sensation of individual discomfort. Patients often experience pain, especially pain after undergoing surgery. Pain free is one of patient’s needs. Nurses should control and monitor the level of pain through pain reassessment, but this is not adequate. AIM: This study aims to get a picture about nurse’s knowledge, attitude and supervision, and its relationship to the implementation of pain reassessment. METHODS: A descriptive type of cross-sectional study was conducted among 36 inpatient’s nurses at Balaraja Regional Hospital applying total sampling technique. Data were collected using a self-made questionnaire, which passed validity and reliability test. Data entry and analysis were carried out using the Statistical Package for the Social Sciences with Chi-square test. RESULTS: Twenty-five (61.1%) nurses were in category good knowledge, 24 (66.7%) in category good attitude, 26 (72.2%) in good supervision, and 25 (69.4%) implementation of pain reassessment were in good category. There is no relationship between knowledge and implementation of pain reassessment (p = 0.467), but there is a relationship between attitude and implementation of pain reassessment (p = 0.020) and between supervision and implementation of pain reassessment (p = 0.039). CONCLUSION: This research concludes that there is no relationship between respondent knowledge and implementation of pain reassessment and there is a relationship between respondent’s attitude and supervision with the implementation of pain reassessment in Inpatient Unit at Balaraja Regional Hospital in 2019. Nursing Management, to provide this information or in-service training for respondents to increase knowledge and attitude and to have a tight supervision, especially for respondents at practical nurses level one (PK-1) so that it is expected that the implementation of pain re-assessment will be better.

scholarly journals Identifying Influential Factors of the Patient Discharge Process from ShafaTakestan Hospital in Qazvin City

2020 ◽  
Author(s):  
Parisa Rahmani ◽  
Rafat Mohebbifar ◽  
Sima Rafiei
Keyword(s):  
Relevant Literature ◽  
Patient Discharge ◽  
Hospital Performance ◽  
Cross Sectional Study ◽  
Influential Factors ◽  
Discharge Process ◽  
Structured Interviews ◽  
Cross Sectional ◽  
Factors Affecting ◽  
The Right

Background:The process of the patient discharge from the hospital is one of the most important processes that has been taken into consideration by managers in recent years. An efficient health system can only accomplish its duty to provide the health of the community by providing the right services and this system can be evaluated through its services. Therefore, the necessity of performing this research is to improve the quality of hospital services for patients and increasing patient satisfaction. This study has been aimed to identify the factors affecting the process of patient discharge. Methods: This was a cross-sectional study conducted in a general hospital located in Takestan, Qazvin in 2019. The study population in the qualitative section of the study included those who were aware of the discharge process and had managerial positions in the hospital. The sampling process was continued until achieving data saturation. The required information was gathered through reviewing relevant literature, observing the discharge process, and conducting semi-structured interviews with managerial members and study experts. Results: In the present study, the most important factors affecting the discharge process were lack of timely physician visit and issuance of the discharge order, delay in the approval of medication used by pharmacy officer, sending discharge files to hospital discharge unit, the patients' needs, diagnostic services (discharging with doctor's opinion), delays in registering nursing records, and undue secretarial performance in reviewing and recording reports in the hospital information system. Conclusion: The results of the present study, in line with other researches, have shown that the importance of the discharge process on hospital performance is undeniable and this process needs continuous investigation, monitoring, and intervention.

Perceptions of Final Year Medical Students about Family Medicine as A Career Choice in Pakistan

2020 ◽  
Author(s):  
Dur-e- Nishat
Keyword(s):  
Medical Students ◽  
Family Medicine ◽  
Medical Profession ◽  
Healthcare Services ◽  
Developed Countries ◽  
Cross Sectional Study ◽  
Chi Square ◽  
Cross Sectional ◽  
Medical College ◽  
Chi Square Test

Background: Family medicine is a field in which complete and detailed set of healthcare services are provided to the patients and their families. In developed countries, freshly graduated students choose family medicine as a priority for their career. However, in Pakistan it is not the case. The present study is undertaken to determine the perceptions of final year medical students’ about Family Medicine as a viable career. Methods: A total number of 504 students participated in the study. This was a cross-sectional study. The study participants were in their final year of medical college. Data was collected using a preapproved questionnaire. Data was entered and analyzed via SPSS version 17 and Chi-Square test was used post-stratification. Results: Only 14.3% (n=72) medical students had heard about Family Medicine. Only 18% (n=92) would select family medicine as a profession. The most frequent rationale for choosing the field of Family Medicine was the variety of patients seen in general practice (55.4% n=51). Conclusion: There is a dire need to focus on increasing awareness about the field of family medicine among medical students. The students should be counseled on the advantages along with the disadvantages of choosing this field as a medical profession.

Distribution and Characteristics of Intrathoracic Lymphadenopathy in TB/HIV Co-Infection

2019 ◽  
Vol 19 (4) ◽  
pp. 414-420
Author(s):  
Payam Mehrian ◽  
Abtin Doroudinia ◽  
Moghadaseh Shams ◽  
Niloufar Alizadeh
Keyword(s):  
Lymph Nodes ◽  
Cross Sectional Study ◽  
Short Axis ◽  
Mediastinal Lymph Nodes ◽  
Sectional Study ◽  
Cross Sectional ◽  
Immunodeficiency Virus ◽  
Hilar Adenopathy ◽  
The Right ◽  
Pulmonary Abnormalities

Background: Intrathoracic Lymphadenopathy (ITLN) in Human Immunodeficiency Virus (HIV) infected patients may have various etiologies and prognoses. Etiologies of ITLN can be distinguished based on the distribution of enlarged lymph nodes. Sometimes tuberculosis (TB) is the first sign of underlying HIV infection. Objective: We sought to determine ITLN distribution and associated pulmonary findings in TB/HIV co-infection using Computed Tomography (CT) scan. Methods: In this retrospective, observational, cross-sectional study, chest CT scans of 52 patients with TB/HIV co-infection were assessed for enlarged intrathoracic lymph nodes (>10 mm in short axis diameter), lymphadenopathy (LAP) distribution, calcification, conglomeration, the presence of hypodense center and associated pulmonary abnormalities. LAP distribution was compared in TB/HIV co-infection with isolated TB infection. Results: Mediastinal and/or hilar LAP were seen in 53.8% of TB/HIV co-infection patients. In all cases, LAP was multinational. The most frequent stations were right lower paratracheal and subcarinal stations. Lymph node conglomeration, hypodense center and calcification were noted in 25%, 21.4% and 3.5% of patients, respectively. LAP distribution was the same as that in patients with isolated TB infection except for the right hilar, right upper paratracheal and prevascular stations. All patients with mediastinal and/or hilar adenopathy had associated pulmonary abnormalities. Conclusion: All patients with TB/HIV co-infection and mediastinal and/or hilar adenopathy had associated pulmonary abnormalities. Superior mediastinal lymph nodes were less commonly affected in TB/HIV co-infection than isolated TB.

scholarly journals Socioeconomic determinants of unmet need for outpatient healthcare services in Iran: a national cross-sectional study

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Sajad Vahedi ◽  
Amin Torabipour ◽  
Amirhossein Takian ◽  
Saeed Mohammadpur ◽  
Alireza Olyaeemanesh ◽  
...  
Keyword(s):  
Health System ◽  
Age Groups ◽  
Unmet Need ◽  
Healthcare Services ◽  
Cross Sectional Study ◽  
Outpatient Services ◽  
Self Medication ◽  
Cross Sectional ◽  
Organizational Policies ◽  
Utilization Of Healthcare

Abstract Background Unmet need is a critical indicator of access to healthcare services. Despite concrete evidence about unmet need in Iran’s health system, no recent evidence of this negative outcome is available. This study aimed to measure the subjective unmet need (SUN), the factors associated with it and various reasons behind it in Iran. Methods We used the data of 13,005 respondents over the age of 15 from the Iranian Utilization of Healthcare Services Survey in 2016. SUN was defined as citizens whose needs were not sought through formal healthcare services, while they did not show a history of self-medication. The reasons for SUN were categorized into availability, accessibility, responsibility and acceptability of the health system. The multivariable logistic regression was used to determine significant predictors of SUN and associated major reasons. Results About 17% of the respondents (N = 2217) had unmet need for outpatient services. Nearly 40% of the respondents chose only accessibility, 4% selected only availability, 78% chose only responsibility, and 13% selected only acceptability as the main reasons for their unmet need. Higher outpatient needs was the only factor that significantly increased SUN, responsibility-related SUN and acceptability-related SUN. Low education was associated with higher SUN and responsibility-related SUN, while it could also reduce acceptability-related SUN. While SUN and responsibility-related SUN were prevalent among lower economic quintiles, having a complementary insurance was associated with decreased SUN and responsibility-related SUN. The people with basic insurance had lower chances to face with responsibility-related SUN, while employed individuals were at risk to experience SUN. Although the middle-aged group had higher odds to experience SUN, the responsibility-related SUN were prevalent among elderly, while higher age groups had significant chance to be exposed to acceptability-related SUN. Conclusion It seems that Iran is still suffering from unmet need for outpatient services, most of which emerges from its health system performance. The majority of the unmet health needs could be addressed through improving financial as well as organizational policies. Special attention is needed to address the unmet need among individuals with poor health status.

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