scholarly journals Guidelines for implantation of a quality improvement training programme for health professionals in the ministry of health and social services in Namibia

2016 ◽  
Vol 4 (1) ◽  
pp. 54
Author(s):  
Julia Paul Nangombe ◽  
Hans Justus Amukugo
Keyword(s):  
Health Care ◽  
Quality Improvement ◽  
Social Services ◽  
Health Professionals ◽  
Care Delivery ◽  
Training Programme ◽  
Health Care Facilities ◽  
Successful Implementation ◽  
Quality Health Care ◽  
Care Facilities

This paper is focuses on the description of the guidelines for implantation of a quality improvement training programme for health professionals. The formulation of the guidelines also borrowed the CDC (2001) steps and UNFPA phases of developing the guidelines for successful implementation of the training programme at the health care facilities in the MoHSS. The facilitator(s) and implementers of the training programme are advised to first understand the background and the development process of the training programme for successful implementation. These guidelines have been developed to assist quality manager(s) and facilitator(s) with the implementation of the quality improvement training programme for health professionals at the health care facilities (MoHSS).The guidelines enhance consistency in steps and methods to be followed during the implementation of the programme. The guidelines were derived from the conceptual framework that was developed during the exploratory and situation analysis of quality health care delivery at the health care facilities. Two prominent theories were adapted in developing these guidelines. Firstly, Deming’s PDSA model of quality improvement and secondly, Kolb’s experiential learning theory. These theories were used to understand the teaching and learning styles. The guidelines outlined the process, activities, and elements required to implement the such programme.

scholarly journals Paradigmatic perspective for a quality improvement training programme for health professionals in the ministry of health and social services in Namibia

2016 ◽  
Vol 4 (2) ◽  
pp. 89 ◽  
Author(s):  
Hans Justus Amukugo ◽  
Julia Paul Nangombe
Keyword(s):  
Health Care ◽  
Quality Improvement ◽  
Social Services ◽  
Health Professionals ◽  
Training Programme ◽  
Health Care Facilities ◽  
Ministry Of Health ◽  
Quality Health Care ◽  
Health And Social Services ◽  
Quality Health

This article focuses on the paradigmatic perspective facilitate the development of a quality improvement training programme for health professionals in the ministry of health and social services in Namibia. The study of this nature requires a paradigmatic perspective; this is a collection of logically linked concepts and propositions that provide a theoretical perspective or orientation that tends to guide the research approach to a specific. Assumptions are useful in directing research decisions during the research process.The study adopted a constructivism and interpretivism approach, since it involved understand the current situation of quality health care/service delivery at health care facilities, and explore and describe the of the health professionals; experiences at the health care facilities. The study was based on the specific information that was accepted as true, as obtained from those lived the experiences of challenges and constraints of providing quality health care at the health care facilities.The paradigm perspectives in this study include Meta – theoretical assumption which consisted ontological, epistemological, axiological, methodological and rhetorical assumptions. Theoretical basis of the study includes Dickoff (1968), Practice Oriented Theory; Programme development by Meyer and Van Niekerk; Kolb’s Theory of experiential learning; Demining’s model of quality improvement, Quality improvement policy of the Ministry of Health and Social Services (MoHSS) and Centre for Diseases control (CDC) framework for programme education.

scholarly journals Development of the conceptual framework for a quality improvement training programme for health professionals in the ministry of health and social services in Namibia

2016 ◽  
Vol 4 (1) ◽  
pp. 46
Author(s):  
Julia Paul Nangombe ◽  
Hans Justus Amukugo
Keyword(s):  
Quality Improvement ◽  
Conceptual Framework ◽  
Social Services ◽  
Health Professionals ◽  
Care Delivery ◽  
Training Programme ◽  
Health Facilities ◽  
Ministry Of Health ◽  
Quality Health Care ◽  
Health And Social Services

This article describe the process followed by the researcher in the development of the conceptual framework for a quality improvement training programme for health professionals in the Ministry of Health and Social Services in Namibia. The conceptual framework of this study was based on the Practice Orientated Theory of Dickoff (1968) that assisted with explaining the concepts used in developing the quality improvement training programme for health professionals at the health facilities. Dickoff’ s (1968) practice orientated theory consists of the agent, recipients, context, procedure, dynamics, and the terminus. In this study, the agent was a quality specialist, the recipients were health professionals, the context was the health facilities, the dynamics were challenges that health professionals were experiencing; the procedure was the training programme, while the terminus was knowledgeable and skillful health professionals in quality health care delivery.

scholarly journals Development for a quality improvement training programme for health professionals in the ministry of health and social services in Namibia

2016 ◽  
Vol 4 (1) ◽  
pp. 40
Author(s):  
Julia Paul Nangombe ◽  
Hans Justus Amukugo
Keyword(s):  
Health Care ◽  
Quality Improvement ◽  
Health Professionals ◽  
Care Delivery ◽  
Medical Science ◽  
Training Programme ◽  
Health Care Facilities ◽  
Situational Analysis ◽  
Programme Development ◽  
Five Phases

The paper describes the steps followed in the development of a quality improvement training programme for health professionals. This was echoed by the facts that the health professionals are facing in their quest for quality health care delivery. In Namibia, most health care facilities have not been yielding good results in response to patients’ health care needs. Health care dynamics are complex and inundated with several factors; among others new methods, speed of improving medical science and technology, as well as increasing demands of the clients to address emerging and re-emerging diseases.In order to achieved that the five phases of programme development by Meyer and Van Niekerk (2008) were modified to facilitate the programme development. Quality improvement training for health professionals. Those five phases were situational analysis; conceptual framework; developing of the training programme; development of the guidelines for the implementation; and Evaluation of training programme.

scholarly journals Description of a quality improvement training programme for health professionals in the ministry of health and social services in Namibia

2016 ◽  
Vol 4 (1) ◽  
pp. 66
Author(s):  
Julia Paul Nangombe ◽  
Hans Justus Amukugo
Keyword(s):  
Quality Improvement ◽  
Conceptual Framework ◽  
Social Services ◽  
Health Professionals ◽  
Training Programme ◽  
Research Process ◽  
Educational Programme ◽  
Successful Implementation ◽  
Ministry Of Health ◽  
Health And Social Services

The aim of this paper is to describe the quality improvement training programme for health professionals in the Ministry of Health and Social Services in Namibia. The Practice Oriented Theory of Dickoff (1968) was used as practical guidelines to develop the conceptual framework. This framework was employed during the research and the educational programme development process. During the research process, the agent was the researcher; recipients (Managers/leadership and health professionals); the context (MoHSS head office and healthcare facilities); dynamics (findings for objective one and two); Procedure (research process) and terminus (foundations for development of educational programme). For the educational programme developing process, agent (quality specialist), recipients (health professional), context (health facilities), procedure (training programme for health professionals), dynamics, (challenges hampering successful implementation of the programme) and the terminus (knowledge, skills and abilities acquired through the training programme). During the development of the quality improvement training programme, two main theories were adapted. The most prominent one was a model by Meyer and Van Niekerk (2008), which was adapted to guide the process of developing the training programme. Kolb’s experiential learning theory was used to explain the learning process and styles of developing knowledge through experiences.The content of the training programme was derived from five main themes, 17 sub-themes and the conceptual framework based on the situation analysis about challenges faced by the health care facilities. The five themes were lack of implementation of policies and guidelines; inadequate resources; lack of interpersonal relationships; inadequate understanding of quality assurance and quality improvement; and inadequate research to provide evidence-based information during treatment and patient care.The educational programme consisted of the purpose / aim, objectives, structure / design, facilitation process, implementation process, and evaluation of the programme.

scholarly journals Rural Healthcare Delivery in Sub-Saharan Africa

2020 ◽  
Vol 15 (3) ◽  
pp. 1-21 ◽  
Author(s):  
Nasir Faruk ◽  
N.T. Surajudeen-Bakinde ◽  
Abubakar Abdulkarim ◽  
Abdulkarim Ayopo Oloyede ◽  
Lukman Olawoyin ◽  
...  
Keyword(s):  
Health Care ◽  
Care Delivery ◽  
Healthcare Delivery ◽  
Health Care Delivery System ◽  
Health Care Facilities ◽  
Sub Saharan Africa ◽  
World Health ◽  
Successful Implementation ◽  
Care Facilities ◽  
Sub Saharan

Access to quality healthcare is a major problem in Sub-Saharan Africa with a doctor-to-patient ratio as high as 1:50,000, which is far above the recommended ratio by the World Health Organization (WHO) which is 1:600. This has been aggravated by the lack of access to critical infrastructures such as the health care facilities, roads, electricity, and many other factors. Even if these infrastructures are provided, the number of medical practitioners to cater for the growing population of these countries is not sufficient. In this article, how information and communication technology (ICT) can be used to drive a sustainable health care delivery system through the introduction and promotion of Virtual Clinics and various health information systems such as mobile health and electronic health record systems into the healthcare industry in Sub-Saharan Africa is presented. Furthermore, the article suggests ways of attaining successful implementation of telemedicine applications /services and remote health care facilities in Africa.

CANADA'S FAILURE

PEDIATRICS ◽  
1994 ◽  
Vol 93 (4) ◽  
pp. 569-569
Author(s):  
J. F. L.
Keyword(s):  
Health Care ◽  
New England ◽  
Care Delivery ◽  
Health Care Facilities ◽  
User Fees ◽  
Capital Expenditures ◽  
The Past ◽  
Care Facilities ◽  
Dog Owners ◽  
The Government

The direct costs of Canada's national health insurance are not as troublesome as the distortive effect they have on health care delivery. Health care facilities have been forced to cut back severely on their capital expenditures, thus depleting the availability of advanced medical equipment. As a result, many patients must seek advanced treatment elsewhere. According to a recent study reported in the New England Journal of Medicine, nearly one-third of Canada's doctors have sent patients outside the country for treatment during the past five years. About 10% of all British Columbia residents requiring cancer therapy have been sent to the U.S. In Toronto, because the government doesn't provide enough money for personnel, 3,000 beds have been removed from service, while thousands of patients are on waiting lists for admission. Even where advanced equipment is available, bureaucratic absurdities prevent proper use. According to the April issue of "Fraser Forum," dogs at York Central Hospital in metropolitan Toronto were able to get CAT scans immediately while humans were put on a waiting list. The reason? Canadian patients are not allowed to pay for CAT scans, and the procedure costs too much to operate more than a few hours a day for nonpaying customers. Dog owners, on the other hand, were permitted to pay to use it. The user fees paid by the dog owners allowed the machine to operate longer, thus more human patients could be scanned. When this information was released, instead of considering user fees for humans, the Canadian government banned the tests for dogs!

scholarly journals Patient Experience of Obstetric Care During the COVID-19 Pandemic: Preliminary Results From a Recurring National Survey

2020 ◽  
Vol 7 (5) ◽  
pp. 653-656
Author(s):  
Dani Bradley ◽  
Arianna Blaine ◽  
Neel Shah ◽  
Ateev Mehrotra ◽  
Rahul Gupta ◽  
...  
Keyword(s):  
Health Care ◽  
Patient Experience ◽  
Surveillance System ◽  
Care Delivery ◽  
Obstetric Care ◽  
Health Care Facilities ◽  
Traditional Health ◽  
Care Facilities ◽  
Traditional Health Care ◽  
Ongoing Surveillance

The experience of pregnant and postpartum patients continues to evolve during the COVID-19 pandemic. Limited clinical data and the unknown nature of the virus’ impact and transmission routes have forced constant changes to traditional care delivery. Dependence on telehealth technology such as telephonic and videoconferencing has surged, and patients’ willingness to visit traditional health care facilities has plummeted. We set out to create an ongoing surveillance system to monitor changes to prenatal and obstetric care and the patient experience during the COVID-19 pandemic.

Marketing Social Services in Health Care Facilities

1981 ◽  
Vol 6 (3) ◽  
pp. 13-20 ◽  
Author(s):  
Gary Rosenberg ◽  
Andrew Weissman
Keyword(s):  
Health Care ◽  
Social Services ◽  
Health Care Facilities ◽  
Marketing Social ◽  
Care Facilities

Facilitators and Barriers to Implementing the International Dysphagia Diet Standardisation Initiative in Care Facilities in Upstate New York

2021 ◽  
pp. 1-9
Author(s):  
Caileen Harvey ◽  
Rachel Flemming ◽  
Julia Davis ◽  
Victoria Reynolds
Keyword(s):  
Health Care ◽  
New York ◽  
Health Care Professionals ◽  
Geographical Area ◽  
The United States ◽  
Health Care Facilities ◽  
Successful Implementation ◽  
Upstate New York ◽  
Texture Modification ◽  
Care Facilities

Introduction: Dysphagia is a swallowing disorder that can result in aspiration, asphyxiation, or other complications. One method of facilitating safer swallowing is modification of the diet and fluids of individuals living with dysphagia. The International Dysphagia Diet Standardisation Initiative (IDDSI) is a globally standardized framework for texture modification. Its implementation has been recommended in the United States, but adoption is not yet universal. This study investigated implementation issues by surveying health care professionals in health care facilities in rural, Upstate New York. Method: A questionnaire created through the SurveyMonkey platform was distributed to health care facilities within a predetermined geographical area in Upstate New York. The survey consisted of 22 questions and utilized a mixed-methods design. Results: Forty-six participants from 10 individual professions and nine types of facilities completed the study. Twenty texture modification labels and 10 fluid modification labels were described. Analysis of qualitative data yielded three main barriers to implementation: funding, education, and communication. Within each barrier, awareness and resources were recurrent themes. Discussion: The variety of modification labels in comparison with the sample size demonstrates a lack of standardization of texture modification processes across facilities. While nearly half the respondents had not heard of IDDSI prior to the survey, 89% agreed that a standardized dysphagia diet would improve patient health and safety. This demonstrated a willingness to adopt IDDSI and indicated that staff attitudes may not be a barrier to its implementation. Participants felt that training was needed for successful implementation and expressed concern about the lack of availability of financial resources. Supplemental Material: https://doi.org/10.23641/asha.17270861

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