Liptay Imréné - egy 20. századi magyar szülésznő története

Nowadays, in Hungary, midwives are classified as skilled health workers, and according to their qualifications and professionalism, they are important health care providers. Midwifery, as an ancient profession based on traditions and rituals, was gradually transformed into an in-patient nursing of the 20th-century health care facilities. This study was written on the basis of a diploma work “The Life and Working of Hungarian Midwives in the 20th Century” defended at the Faculty of Health Sciences of Semmelweis University in 2020, inspired by a memorial plaque in honour of the former midwife of Gyömrő. This review presents the professional career and life of the town midwife Liptay, born Ilona Hebrancz (1903-1990). It is based on her records and oral history of her descendants and acquaintances while focusing especially on changes of the traditional midwifery in Hungary.

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PENGETAHUAN MAHASISWA TENTANG KERAHASIAAN REKAM MEDIS DI RS SANTA ELISABETH MEDAN

Elisabeth Health Jurnal ◽

10.52317/ehj.v4i1.251 ◽

2020 ◽

Vol 4 (1) ◽

pp. 1-5

Author(s):

Adrian Martin Hutauruk

Keyword(s):

Health Care ◽

Medical Record ◽

Health Care Providers ◽

Medical Records ◽

Health Care Facilities ◽

Distribution Data ◽

Care Providers ◽

Public Health Information ◽

History Of ◽

Study Population

Interactions between health care providers and recipients or patients are closely related and can be sustainable. Medical records are very useful to assess the health status of a patient in a hospital, a clear and complete medical record will improve the quality of services and achieve optimal public health. Information about identity, diagnosis, disease history, examination history and medical history of the patient must be kept confidential by doctors, dentists, certain health personnel, management officers and leaders of health care facilities. Goals: The purpose of this study was to determine students' knowledge about the confidentiality of medical records at Santa Elisabeth Hospital, Medan. Method: This study was a descriptive observational study. The study population was students who were served at Santa Elisabeth Medan Hospital. The study sample consisted of 30 students who would in service first time in Santa Elisabeth Hospital in Medan. In this study a questionnaire was used to determine students' knowledge about the confidentiality of medical records. Data is presented descriptively to see frequency distribution. Data obtained through questionnaires filled in by samples. Results: The results showed that 66.67% of students had enough knowledge about the confidentiality of medical records. Medical record data can only be accessed by patients or families of patients responsible for patients. Conclusion: Some students have enough knowledge about the confidentiality of medical records. Students should be reminded of the confidentiality of medical records before they are served in the hospital.

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EVALUATION OF PROFESSIONAL READINESS OF HEALTH CARE PROVIDERS TO PREVENTION-ORIENTED ACTIVITIES

Hygiene and Sanitation ◽

10.18821/0016-9900-2017-96-4-402-404 ◽

2019 ◽

Vol 96 (4) ◽

pp. 402-404 ◽

Cited By ~ 1

Author(s):

A. N. Pavlova ◽

I. A. Mishkich ◽

V. S. Luchkevich ◽

A. N. Chechura ◽

V. V. Zarudnaya

Keyword(s):

Health Care ◽

Disease Prevention ◽

Health Care Providers ◽

Health Workers ◽

Health Care Facilities ◽

Care Providers ◽

Work Intensity ◽

Health Lifestyle ◽

Medical Prevention ◽

Wide Range

In the first one and a half decades of the 21st century, there is observed an intensive development of the medical prevention in health care facilities. New preventive treatment facilities and subdivisions were created and a new feature - preventive counseling was imputed to a wide range of doctors. This work included the evaluation of the preventive activity, lifestyle and health state of 221 health care providers, analysis of results of the preventive check-up of 154 nurses and analysis of the workplace assessment of 200 health workers. The results of the work showed just doctors to perform most of the preventive health care for patients. Only half of the surveyed physicians and one third of nurses noted that they gained knowledge about medical prevention in the process of training in a medical school. Most health care providers stated that they keep a healthy lifestyle. At once, a quarter of surveyed nurses answered that they smoke and more often do it at work. It should be noted that there was much less smokers among doctors. Nurses and doctors justified the cause of smoking by to the necessity to relieve work-related stress. A large part of health care providers noted a lack of physical activity, poor diet and insufficient sleep. An objective assessment of working conditions based on the analysis of workplaces assessment showed the increased work intensity and low lighting at the workplace of health care providers. Based on the findings it can be concluded health care providers to be motivated to perform work on preventive medicine. However, the training of physicians and nurses in the field of health lifestyle promotion and disease prevention requires the improvement. The personal commitment of health workers to the disease prevention for their own health preserving cannot be considered to be sufficient. A comprehensive approach to the training of health professionals and the organization of their work will allow to enhance of the professional activity health of care providers in the field of the disease prevention and improving their health.

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Perceptions, awareness on snakebite envenoming among the tribal community and health care providers of Dahanu block, Palghar District in Maharashtra, India

PLoS ONE ◽

10.1371/journal.pone.0255657 ◽

2021 ◽

Vol 16 (8) ◽

pp. e0255657

Author(s):

Itta Krishna Chaaithanya ◽

Dipak Abnave ◽

Himmatrao Bawaskar ◽

Ujwal Pachalkar ◽

Sandip Tarukar ◽

...

Keyword(s):

Health Care ◽

Health Care Providers ◽

Health Workers ◽

First Aid ◽

Health Care Facilities ◽

Tribal Community ◽

Care Providers ◽

Government Health ◽

Frontline Health Workers ◽

The Government

Introduction India has remarkably the highest number of snakebite cases contributing to nearly 50% of the global snakebite deaths. Despite this fact, there is limited knowledge and awareness regarding the management practices for snakebite in the Indian population. The study aimed to explore the knowledge, awareness, and perception of snakes and snakebites, first aid, and treatment amongst the community and the frontline health workers in a tribal block of Dahanu, Maharashtra, India. Methods A cross-sectional study was carried out from June 2016 to October 2018 in the Dahanu Block, Maharashtra. Perceptions, knowledge, awareness, and first-aid practices on the snakebites among the community were studied through focus group discussions (FGDs). Semi-structured questionnaires were used to assess the knowledge, awareness, and experience of the traditional faith healers, snake rescuers, frontline health workers on the snakebites and their management. A facility check survey was conducted using pre-tested questionnaires for different levels of the government health care facilities. Results Most of the tribal community was aware of the commonly found snakes and their hiding places. However, there was inadequate knowledge on the identification and classification of venomous snakes. Belief in a snake god, the perception that snakes will not come out during thunderstorms, change in taste sensation, the ability of tamarind seeds or magnet to reduce the venom effect were some of the superstitions reported by the tribal community. The application of a harmful method (Tourniquet) as the first aid for snakebite was practiced by the tribal community. They preferred herbal medicines and visiting the traditional faith healers before shifting the patient to the government health facility. The knowledge on the ability to identify venomous snakebites and anti-venom was significantly higher amongst nurses and accredited social health activists (ASHAs) than auxiliary nurse midwives (ANMs) and multi-purpose workers (MPWs) (p < 0.05). None of the traditional faith healers; but nearly 60% of snake rescuers were aware of anti-venom. Fifty percent of the medical officers in Dahanu block did not have correct knowledge about the Krait bite symptoms, and renal complications due to the Russell viper bite. Conclusions Inappropriate perception, inadequate awareness, and knowledge about snakes and snakebites may predispose the tribal community to increased risks of venomous snakebites. Unproven and harmful methods for snakebite treatment practiced by the community and traditional faith healers could be dangerous leading to high mortality. Therefore, a multi-sectoral approach of community awareness, mapping of vulnerable populations, capacity building of health care facility, empowerment of health care workers (HCWs) could be useful for reducing the mortality and morbidity due to snakebite envenoming in India.

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Women and Medicine

Renaissance and Reformation ◽

10.1093/obo/9780195399301-0278 ◽

2013 ◽

Author(s):

Mary E. Fissell

Keyword(s):

Health Care ◽

Early Modern ◽

History Of Medicine ◽

Social History ◽

20Th Century ◽

Health Care Providers ◽

Academic Discipline ◽

Care Providers ◽

History Of ◽

Health And Healing

Women played substantial roles as healers in Renaissance and Reformation Europe, as well as experiencing ill health and serving as a focus of medical inquiry. The history of pre-modern women and medicine received its first modern treatment in a 1930s overview by a feminist physician, but the topic only began to receive sustained attention from the 1970s, when women’s history emerged as an academic discipline and the history of medicine became oriented to social history. Prior to this period, the history of medicine had emphasized the scientific developments that led to breakthroughs and the men who had made them and was often written by physicians. The ordinary everyday practice of medicine, let alone the kinds of domestic or marginal healing often performed by women, were simply not part of the agenda of the discipline. Feminist scholarship of the 1970s, combined with a new social history of medicine, broadened the remit of historians of medicine. Initially, historians offered stories of how male doctors elbowed female midwives out of the birthing room: a kind of feminist morality tale, a rejoinder to late 19th and early 20th century obstetricians’ portrayals of midwives as ignorant, superstitious, and dangerous. Such portrayals, of course, tell us more about the politics of obstetrics at the turn of the 20th century than they do about early modern midwives. Scholarship on women, health, and healing has expanded considerably since the 1970s, and such studies often complicate or nuance our more general understanding of early modern health and healing. First, scholarship on practitioners has broadened beyond midwives. While midwives were significant health-care providers (often the only medical occupation to be clearly designated in many historical records) we can now situate them in a much larger array of female healers. Healers ranged from the many women who prepared sophisticated medicines in their homes and treated family, friends, and neighbors, to the more specialized health-care workers such as searchers (who examined bodies to determine cause of death) and the variety of women who provided forms of nursing care in their own and others’ homes and in hospitals. Research into women and women’s experiences has also extended into other areas of medical history. Scholars have developed the history of the patient by examining the role of gender in shaping how women (and men) experienced illness and made meaning of their sufferings. Historians have also explored how ideas and practices about gender and body intersect with the history of medicine in multiple ways, from studies of popular ideas about reproduction to a new interpretation of the rise of anatomy that takes gender as a central category of analysis.

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PERCEPTIONS OF HEALTH WORKERS INVOLVED IN DISTRICT HEALTH INFORMATION SYSTEM NOWSHERA, KHYBER PAKHTUNKHWA

Journal of Saidu Medical College, Swat ◽

10.52206/jsmc.2014.4.2.542-545 ◽

1969 ◽

Vol 4 (2) ◽

pp. 542-545

Author(s):

RAB NAWAZ ◽

ALAM ZEB ◽

TAJ MUHAMMAD KHAN ◽

GHULAM SARWAR ◽

SHAHZAD ALI KHAN

Keyword(s):

Health Care ◽

Prospective Study ◽

Health Care Providers ◽

Care Provider ◽

Health Workers ◽

Health Care Facilities ◽

Growth Monitoring ◽

Care Providers ◽

District Health ◽

Care Facilities

OBJECTIVE: To explore the perceptions of health workers regarding Health Management InformationSystem (HMIS), within their health facilities providing health care facilities in multiple disciplines undersingle roof.METHODS: A prospective study was planned to explore, understand, and describe the perceptions ofhealth workers regarding HMIS within their health care facilities. The study was carried out in eightselected health care facilities of district Nowshera four facilities were selected from urban and four fromruler area of the district Nowshera.RESULTS: In 6 out of 8(75%) HCFs HMIS record was properly maintained, 29 out of 32(90%) ofhealth care provider were fully aware of the system, 7 out of 8(87%) MCH centers were follow theproper protocol of the system, in 5, EPI centers out of 8(63%) outreach activity, in 4(50%) drop outactivity and in 7(87%) all relevant graphs were updated. In 3(37%), OPD slips and OPD registers, MCHregistered and growth charts were available in 7(87%) vaccination cards and in 5(50%) units monthlyreport charts were found. No feedback or coordination with HMIS coordinator was reported in all 8Health care providing facilities monitoring and supervision,METHODOLOGY: This prospective study was conducted from July 2014 to October 2014 in eighthealth care facilities four from urban and four from ruler area of district Nowshera Khyber PukhtanKhawa Pakistan. Data was collected on pre formed preforms from 32 health care providers who wereinvolved/ responsible for the record maintenance, keeping and reporting of HMIS, i.e. (From in chargeOPD, MCH and EPI centers). The OPD register was tailed with the disease register and recordmaintenance behavior of the HCP was noted. In the same way registers of MCH centers were tailed withthe maternal health register and child health register and growth monitoring registered. Similarly EPIcenter register were tallied with the daily vaccination register. Multiple pre designed questions wereasked from all concerned and their responses were recordedKEY WORDS: HMIS, Health care provider, monthly report form.

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Practices of Care to HIV-Infected Children: Current Situation in Cameroon

Clinical Medicine Insights Pediatrics ◽

10.1177/1179556519846110 ◽

2019 ◽

Vol 13 ◽

pp. 117955651984611

Author(s):

Calixte Ida Penda ◽

Francis A Ndongo ◽

Anne-Cécile Z-K Bissek ◽

Mathurin C Téjiokem ◽

Casimir Sofeu ◽

...

Keyword(s):

Health Care ◽

Health Care Providers ◽

Health Workers ◽

Health Care Facilities ◽

Pediatric Hiv ◽

Hiv Care ◽

Pediatric Care ◽

Care Providers ◽

Attitudes And Practices ◽

Pediatric Hiv Care

Background: To accelerate access to pediatric HIV care in Cameroon, operational challenges in implementing HIV pediatric care need to be identified. The aim of this study was to assess the knowledge, attitudes, and practices of health care workers regarding pediatric HIV infection in Cameroon. Methods: A descriptive cross-sectional study was conducted over a 4-month period (April to August 2014) in 12 health facilities in 7 regions of Cameroon selected using systematic random sampling. Data were collected from interviews with health care providers and managers using standardized self-administered questionnaires and stored in the ACCESS software. Results: In total, 103 health care providers were included in this study, of which 59 (57.3%) were health workers and 44 (42.7%) community agents. Most of the health workers in charge of HIV pediatric care were nurses, requiring effective medical task shifting that was institutionalized in Cameroon. The knowledge of health care providers in relation to pediatric HIV care was acceptable. Indications for prescription of test for early infant diagnosis were known (96.1%), but their attitudes and practices regarding initiating antiretroviral therapy (ART) in infants less than 2 years (5.2%) and first-line ART protocols (25.4%) were insufficient, due to little information about standard procedures. Conclusion: Capacity building of health care providers and large-scale dissemination of normative national documents are imperative to improve HIV pediatric care in the health care facilities.

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Brazil’s Community Health Workers Practicing Narrative Medicine: Patients’ Perspectives

Journal of General Internal Medicine ◽

10.1007/s11606-021-06730-8 ◽

2021 ◽

Author(s):

Rogério Meireles Pinto ◽

Rahbel Rahman ◽

Margareth Santos Zanchetta ◽

W. Galhego-Garcia

Keyword(s):

Health Care ◽

Community Health ◽

Community Health Workers ◽

Health Care Providers ◽

Health Workers ◽

Hybrid Approach ◽

Narrative Medicine ◽

Structured Interview ◽

Patient Perspectives ◽

Care Providers

Abstract Background Narrative medicine (NM) encourages health care providers to draw on their personal experiences to establish therapeutic alliances with patients of prevention and care services. NM medicine practiced by nurses and physicians has been well documented, yet there is little understanding of how community health workers (CHWs) apply NM concepts in their day-to-day practices from patient perspectives. Objective To document how CHWs apply specific NM concepts in Brazil’s Family Health Strategy (FHS), the key component of Brazil’s Unified Health System. Design We used a semi-structured interview, grounded in Charon’s (2001) framework, including four types of NM relationships: provider–patient, provider–colleague, provider–society, and provider–self. A hybrid approach of thematic analysis was used to analyze data from 27 patients. Key Results Sample: 18 females; 13 White, 12 “Pardo” (mixed races), 12 Black. We found: (1) provider–patient relationship—CHWs offered health education through compassion, empathy, trustworthiness, patience, attentiveness, jargon-free communication, and altruism; (2) provider–colleague relationship—CHWs lacked credibility as perceived by physicians, impacting their effectiveness negatively; (3) provider–society relationship—CHWs mobilized patients civically and politically to advocate for and address emerging health care and prevention needs; (4) provider–self relationship—patients identified possible low self-esteem among CHWs and a need to engage in self-care practices to abate exhaustion from intense labor and lack of resources. Conclusion This study adds to patient perspectives on how CHWs apply NM concepts to build and sustain four types of relationships. Findings suggest the need to improve provider–colleague relationships by ongoing training to foster cooperation among FHS team members. More generous organizational supports (wellness initiatives and supervision) may facilitate the provider–self relationship. Public education on CHWs’ roles is needed to enhance the professional and societal credibility of their roles and responsibilities. Future research should investigate how CHWs’ personality traits may influence their ability to apply NM.

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Training health workers to provide person-centred maternal and newborn health care in Burkina Faso

The International Journal of Person Centered Medicine ◽

10.5750/ijpcm.v3i2.405 ◽

2013 ◽

Vol 3 (2) ◽

pp. 154-159

Author(s):

Janet Perkins ◽

Aminata Bargo ◽

Cecilia Capello ◽

Carlo Santarelli

Keyword(s):

Health Care ◽

Burkina Faso ◽

Health Care Providers ◽

Health Workers ◽

Healthcare Providers ◽

Newborn Health ◽

World Health ◽

Maternal And Newborn Health ◽

Care Providers ◽

Maternal And Newborn

Assuring the provision of person-centred care is critical in maternal and newborn health (MNH). As a component of the national strategy to improve MNH, Burkina Faso Ministry of Health, supported by Enfants du Monde, La Fondation pour le Développement Communautaire/Burkina Faso and UNFPA, is implementing the World Health Organization’s (WHO) framework for Working with Individuals, Families and Communities (IFC) to improve MNH. As a first step in district implementation, participatory community assessments were conducted. These assessments consistently revealed that poor interactions with healthcare providers posed one important barrier preventing women from seeking MNH services. In order to address this barrier, healthcare providers were trained to improve their interpersonal skills and in counselling women. During 2011-12 a total of 175 personnel were trained over a 5-day course developed using a WHO manual. The course was met with enthusiasm as providers expressed their need and desire for such training. Immediate post-test results revealed an impressive increase in knowledge and anecdotal evidence suggests that training has influenced provider’s behaviours in their interactions with women. In addition, health care providers are taking concrete action to build the capabilities of women to experience pregnancy and birth safely by engaging directly with communities. While early findings are promising, an evaluation will be necessary to measure how the training has influenced practices, whether this translates into a shift of perceptions at community level and ultimately its contribution toward promoting person-centred care in Burkina Faso.

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Factors Influencing Sustained Engagement with ECG Self-Monitoring: Perspectives from Patients and Health Care Providers

Applied Clinical Informatics ◽

10.1055/s-0038-1672138 ◽

2018 ◽

Vol 09 (04) ◽

pp. 772-781 ◽

Cited By ~ 8

Author(s):

Meghan Reading ◽

Dawon Baik ◽

Melissa Beauchemin ◽

Kathleen Hickey ◽

Jacqueline Merrill

Keyword(s):

Health Care ◽

Health Care Providers ◽

Ease Of Use ◽

Perceived Usefulness ◽

Care Providers ◽

Self Monitoring ◽

Major Barrier ◽

Utaut Model ◽

History Of ◽

Mhealth Technology

Background Patient-generated health data (PGHD) collected digitally with mobile health (mHealth) technology has garnered recent excitement for its potential to improve precision management of chronic conditions such as atrial fibrillation (AF), a common cardiac arrhythmia. However, sustained engagement is a major barrier to collection of PGHD. Little is known about barriers to sustained engagement or strategies to intervene upon engagement through application design. Objective This article investigates individual patient differences in sustained engagement among individuals with a history of AF who are self-monitoring using mHealth technology. Methods This qualitative study involved patients, health care providers, and research coordinators previously involved in a randomized, controlled trial involving electrocardiogram (ECG) self-monitoring of AF. Patients were adults with a history of AF randomized to the intervention arm of this trial who self-monitored using ECG mHealth technology for 6 months. Semistructured interviews and focus groups were conducted separately with health care providers and research coordinators, engaged patients, and unengaged patients. A validated model of sustained engagement, an adapted unified theory of acceptance and use of technology (UTAUT), guided data collection, and analysis through directed content analysis. Results We interviewed 13 patients (7 engaged, 6 unengaged), 6 providers, and 2 research coordinators. In addition to finding differences between engaged and unengaged patients within each predictor in the adapted UTAUT model (perceived ease of use, perceived usefulness, facilitating conditions), four additional factors were identified as being related to sustained engagement in this population. These are: (1) internal motivation to manage health, (2) relationship with health care provider, (3) supportive environments, and (4) feedback and guidance. Conclusion Although it required some modification, the adapted UTAUT model was useful in understanding of the parameters of sustained engagement. The findings of this study provide initial requirement specifications for the design of applications that engage patients in this unique population of adults with AF.

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Knowledge and attitudes of tuberculosis management in San Juan de Lurigancho district of Lima, Peru

The Journal of Infection in Developing Countries ◽

10.3855/jidc.335 ◽

2009 ◽

Vol 3 (10) ◽

pp. 783-788 ◽

Cited By ~ 18

Author(s):

Elizabeth M. Kiefer ◽

Theresa Shao ◽

Olveen Carrasquillo ◽

Pamela Nabeta ◽

Carlos Seas

Keyword(s):

Health Care ◽

Community Health ◽

Community Health Workers ◽

Health Care Providers ◽

Health Workers ◽

Knowledge Score ◽

San Juan ◽

Care Providers ◽

Knowledge Gaps ◽

Knowledge And Attitudes

Background: Expansion of the health care workforce in Peru to combat tuberculosis (TB) includes both professional health care providers (HCPs) such as doctors and nurses, and non-professional HCPs such as community health workers (CHWs). We describe the knowledge and attitudes of these HCPs, and identify modifiable barriers to appropriate anti-tuberculosis treatment. Methodology: We surveyed HCPs practicing in 30 clinical settings (hospitals, community health centers, and health posts) in the San Juan de Lurigancho district of Eastern Lima, Peru. Multiple-choice questions were used to assess knowledge of TB. A five-item Likert scale was created to assess attitudes toward the community, patients, and clinics. Linear regression was used to identify predictors of mean knowledge score, and analysis of variance was used to test differences in HCP score. Results: Of the 73 HCPs surveyed, 15% were professionals (doctors or nurses). The remaining 85% were health technicians, community health workers (CHWs) or students. The mean knowledge score was 10.0 ± 1.9 (maximum 14) with professional HCPs scoring higher than other HCPs (11.7 ± 1.1 vs. 9.7 ± 1.9), p < .01). Knowledge gaps included identification of patients at high risk for TB, assessment of treatment outcomes, and consequences of treatment failure. The most commonly cited modifiable barriers were structural, including laboratory facilities and staffing of TB clinics, with 52.1% and 62.5% of HCPs, respectively, citing these as problematic. Conclusions: Efforts to improve knowledge of TB HCPs in Peru should focus on the specific gaps we have identified. Further research is needed to evaluate whether these knowledge gaps correlate with TB control.

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