scholarly journals NEONATOLOGISTS AT THE OBSTETRIC ORGANIZATIONS OF MEGAPOLIS: OCCUPATIONAL ACTIVITY AND ATTITUDE TO THE OCCUPATION

2019 ◽  
Vol 22 (6) ◽  
pp. 366-372
Author(s):  
Karina E. Moiseeva
Keyword(s):  
Financial Support ◽  
Obstetric Care ◽  
Working Hours ◽  
Medical Specialty ◽  
Occupational Activity ◽  
Labor Intensity ◽  
Medical Work ◽  
Educational Work ◽  
Maternity Hospitals

Materials and methods. An anonymous survey of 146 neonatologists working in obstetric organizations in the city St. Petersburg was conducted. Mathematical data processing was carried out using spreadsheets “MS Office Excel 2010” and the statistical software package PASW STATISTICS. Results. 36.4% of neonatologists working in obstetric organizations believe the occupational standard “Neonatologist” fails to fully reflect all their duties. Neonatologists call the functions associated with the implementation of medical work to be the most important labor functions included in the Occupational Standard, sanitary and educational work and activities related to the maintenance of accounting and medical records are believed to be the least important. 29.1% of neonatologists of obstetric care organizations work for more than one rate, 28.6% of doctors do not work on schedule, 58.4% have a feeling of overwork. Conclusions. Despite the fact that most neonatologists have chosen their occupation by vocation and because of love for children, more than half of the doctors are partially or completely disappointed with their work, most often due to unsatisfactory working conditions and its financial support. High workload and labor intensity, observed by almost 30% of neonatologists, can lead to an increase in the risk of medical error and a decrease in the quality of medical care. 51.7% of doctors are partially or completely unsatisfied with their work. The main reasons for the dissatisfaction of neonatologists are significant physical and psychological stress (36.6%) and low wages (34.4%). Neonatologists working in maternity hospitals (departments) are 26.8% less likely than doctors at neonatologists at perinatal centers to work at the same rate and 57.1% less often than during working hours but have a higher labor intensity during the working day. Neonatologist working in perinatal centers, to a greater extent than doctors in maternity hospitals (departments), are not satisfied with the conditions and financial support of their activities and are 24.1% more likely to perform occupational duties that are not part of the professional standard “Neonatologist”. Most neonatologists working in obstetric organizations have chosen their profession by calling (58.5%) and because of their love for children (62.8%), they fully feel responsible for the quality of their work (99.3%), they do not want to change their medical specialty (93.5%) and are satisfied with the choice of occupation (93.3%).

Practice Guidelines: How Good are Medicine's New Recipes?

1995 ◽  
Vol 23 (1) ◽  
pp. 47-48 ◽  
Author(s):  
Alexander Morgan Capron
Keyword(s):  
Health Care ◽  
Nonprofit Organizations ◽  
Medical Knowledge ◽  
Medical Specialty ◽  
Therapeutic Interventions ◽  
Medical Interventions ◽  
Practice Parameters ◽  
Wide Range ◽  
Standard Of Practice

Over the last decade, standards for when and how to undertake a wide range of medical interventions have poured forth from medical specialty groups, commercial and nonprofit organizations, and state and federal panels. Known by a variety of names—from practice parameters to clinical guidelines—and intended for a range of purposes—from diminishing the incidence of maloccurences in hospitals to cutting the costs of health care—these guidelines share one important feature: the intention of decreasing the range of variation in medical practice. Such standardization immediately appeals to anyone interested in improving the quality of health care and, in particular, reducing inappropriate medical interventions, in light of the difficulties for a conscientious physician today in adhering to the best standard of practice when faced with ever increasing medical knowledge and the growing number and complexity of diagnostic, preventive, and therapeutic interventions.

scholarly journals MP16: Quality of work life among nurses and physicians in Québec rural emergency departments

CJEM ◽  
2017 ◽  
Vol 19 (S1) ◽  
pp. S70
Author(s):  
R. Fleet ◽  
G. Dupuis ◽  
M. Mbakop-Nguebou ◽  
P.M. Archambault ◽  
J. Plant ◽  
...  
Keyword(s):  
Rural Communities ◽  
Career Path ◽  
Working Hours ◽  
Small Towns ◽  
Work Life ◽  
Quality Of Work Life ◽  
Recruitment And Retention ◽  
Quality Of Work ◽  
Nurses And Physicians

Introduction: Recruitment and retention of healthcare staff are difficult in rural communities. Poor quality of work life (QWL) may be an underling factor as rural healthcare professionals are often isolated and work with limited resources. However, QWL data on rural emergency (ED) staff is limited. We assessed QWL among nurses and physicians as part of an ongoing study on ED care in Québec. Methods: We selected EDs offering 24/7 medical coverage, with hospitalization beds, in rural or small towns (Stats Canada definition). Of Québec’s 26 rural EDs, 23 (88%) agreed to participate. The online Quality of Work Life Systemic Inventory (QWLSI, with 1 item per 34 “life domains”), was sent to all non-locum ED nurses and physicians (about 500 potential participants). The QWLSI is used for comparing QWL scores to those of a large international database. We present overall and subscale QWL scores as percentiles (PCTL) of scores in the large database, and comparisons of nurses’ and physicians’ scores (t test). Results: Thirty-three physicians and 84 nurses participated. Mean age was 39.8 years (SD=10.1): physicians=37 (7.7) and nurses=40.9 (10.7). Overall QWL scores for all were in the 32nd PCTL, i.e. low. Nurses were in the 28th PCTL and physicians in the 44nd (p>0.05). For both groups, QWL was below the 25th PCTL i.e. very low, for “sharing workload during absence of an employee”, “working equipment”, “flexibility of work schedule”, “impact of working hours on health”, “possibility of being absent for familial reasons”, “relations with employees”. The groups differed (p<0.05) on only two subscales: remuneration and career path. For remuneration, scores were similar on fringe benefits (nurses 22nd PCTL, physicians 32nd) and income security (nurses 72nd, physicians 74th), but differed on income level (nurses 74th, physicians 93rd). The groups differed on all 3 career path items: advancement possibilities (nurses 53th, physicians 91st), possibilities for transfer (nurses 51nd, physicians 84th) and continuing education (nurses 18th, physicians 49th). Conclusion: Overall QWL among rural ED staff is poor. Groups had similar QWL scores except on career path, with physicians perceiving better long-term prospects. Given difficulties in rural recruitment and retention, these findings suggest that QWL should be assessed in rural and urban EDs nationwide.

scholarly journals Immediate Care of Open Extremity Fractures: Where Can We Improve?

2014 ◽  
Vol 2014 ◽  
pp. 1-6 ◽  
Author(s):  
R. Walton ◽  
J. Manara ◽  
S. E. Elamin ◽  
I. Braithwaite ◽  
E. Wood
Keyword(s):  
Acute Care ◽  
Bone Fractures ◽  
Working Hours ◽  
District General Hospital ◽  
Open Fractures ◽  
Care Staff ◽  
Long Bone ◽  
Initial Management ◽  
Clinical Consequences

Clear guidelines are set by the British Orthopaedic Association (BOA) and British Association of Plastic, Reconstructive and Aesthetic Surgeons (BAPRAS) on the preoperative management of open fractures. This as well as the clinical consequences of poor management of open fractures means the patient workup for surgery is important as well as the timing of surgery. Experience suggests few patients are managed 100% as per the guidelines and we look to test this hypothesis. A retrospective analysis was undertaken of all open long bone fractures (total 133), excluding hand injuries, which presented to a district general hospital over a 5-year period. The implementation of 7 defined key tasks for initial management was recorded. 101 cases were eligible, with the majority of cases (71.4%) having initial orthopaedic assessment outside normal working hours. The mean number of tasks completed was 3.23/7. Assessment out of hours was associated with less tasks being implemented but doctor seniority and the presence of polytrauma made no difference to the quality of acute care. Staff involved in the acute care of open fractures require targeted education to improve the delivery of initial preoperative care. We recommend that other centres assess their performance against this data.

ENTREPRENEURIAL ACTIVITIES MODELING IN THE HOSPITALITY INDUSTRY BASED ON THE USE OF LAND CADASTRAL VALUATION INDICATORS

2017 ◽  
Author(s):  
Raisa Kozhukhіvska ◽  
◽  
Оlena Sakovska ◽  
Keyword(s):  
Financial Support ◽  
Hospitality Industry ◽  
The State ◽  
Practical Significance ◽  
Time Intervals ◽  
Main Disadvantage ◽  
Entrepreneurial Activities ◽  
The City ◽  
Cluster Level

The article examines the organizational basis of modeling entrepreneurial activities in the hospitality industry based on the use of indicators of cadastral assessment of land. The analysis of practical aspects of updating the results of cadastral assessment of lands of settlements of Cherkassy region has been carried out. It is stated that the cadastral assessment should take into account market situations and trends as much as possible. For the territories of localities the term of actualization in the context of revaluation should be minimum and economically justified. It is designated that the updating of the results of the state cadastral assessment of land requires significant modernization aimed at improving the quality of land assessment work and adequate replenishment of budgets at all levels. The mechanism and features of performance of works on actualization of the state cadastral estimation of the lands of settlements in the territory of Cherkassy region have been analyzed. As a result of the study, it has been found that the main disadvantage of modeling the cadastral assessment of land settlements is: the duration of time intervals between rounds of revaluation, which causes rapid aging of information. The reason for this case is related with the financial support of the works and their scale. Mechanisms for prompt updating of information on the value of land for entrepreneurial activities in the hospitality industry in Cherkassy region have been proposed. The considered method of determining the normative monetary valuation of land takes into account the most important indicators of this industry and is practically significant in collecting information and calculating all indicators in conducting cadastral valuation of land for entrepreneurial activities in the hospitality industry of Cherkassy region. The practical significance of the study is to assess the cadastral condition of land and calculate the specific cadastral value of the city of Uman, as the territory where the hospitality industry is the most developed in Cherkassy region. Due to the clarification of the specific indicator of cadastral value, the price of one square meter of such objects will increase which will allow to proportionally increase the tax component and increase the profitability of budgets at the cluster level

The prevalence of the technocratic model in obstetric care from the perspective of health professionals

2021 ◽  
Vol 74 (suppl 4) ◽  
Author(s):  
Marli Therezinha Stein Backes ◽  
Karini Manhães de Carvalho ◽  
Larissa Nascimento Ribeiro ◽  
Tamiris Scoz Amorim ◽  
Evanguelia Kotzias Atherino dos Santos ◽  
...  
Keyword(s):  
Health Professionals ◽  
Scientific Evidence ◽  
Obstetric Care ◽  
Ethics Committees ◽  
Obstetric Nurses ◽  
Data Collection And Analysis ◽  
Maternity Hospitals ◽  
Theoretical Sampling ◽  
Centered Care ◽  
Nursing Professionals

ABSTRACT Objectives: to identify the reasons for the prevalence of the technocratic model in obstetric care from the perspective of health professionals. Methods: Grounded Theory. Study approved by two Research Ethics Committees and conducted by theoretical sampling, from July 2015 to June 2017. Twenty-nine interviews were conducted with health professionals from two maternity hospitals in the Southern Region of Brazil. Data collection and analysis was performed alternately; and analysis by open, axial, and selective coding/integration. Results: the technocratic model still persists because the assistance is performed in a mechanized way, centered on the professionals. There is a lack of systematization of care, and under-dimensioning of the nursing staff. Final Considerations: obstetric nurses need to review their performance in obstetric centers, the internal organization, the dimensioning of nursing professionals, and become protagonists of care. Investment in academic training/updating the knowledge of midwifery professionals, based on scientific evidence and user-centered care is necessary.

Organization of school excursions in biology

2020 ◽  
Vol 04 (05) ◽  
pp. 39-32
Author(s):  
Gunay Isfandiyar Sadigov ◽  
Keyword(s):  
Teaching Methods ◽  
Scientific Information ◽  
Learning Technologies ◽  
Quality Of Education ◽  
Educational Work ◽  
Important Place ◽  
Methods Development ◽  
New Learning

The purpose of this article is to highlight the role of excursions in the lives of students and schoolchildren. The excursion is one of the main forms of educational work. The excursion is one of the main forms of educational work. The tour is conducted according to the school program. The tour is conducted in a group to make it more interesting. Excursions also contribute to the development of polytechnic education, as they give students the opportunity to get acquainted with production, use scientific information in industry and agriculture. From this it can be concluded that excursions occupy a very important place in the life of both schoolchildren and students. Key words: the process of teaching the method of excursion, the principle of vitality, teaching process, introduction of new learning technologies, quality of education, form of training, teaching methods, development and dissemination of the method

Diagnostic and Therapeutic Knowledge and Practices in the Management of Congenital Syphilis by Pediatricians in Public Maternity Hospitals in Brazil

2017 ◽  
Vol 49 (2) ◽  
pp. 322-342 ◽  
Author(s):  
Raquel Rodrigues dos Santos ◽  
Roberta Pereira Niquini ◽  
Francisco Inácio Bastos ◽  
Rosa Maria Soares Madeira Domingues
Keyword(s):  
Congenital Syphilis ◽  
Cross Sectional Study ◽  
Case Definition ◽  
Educational Work ◽  
Correct Treatment ◽  
Cross Sectional ◽  
Treatment Protocols ◽  
Missed Opportunities ◽  
Maternity Hospitals ◽  
Definition Of

The study aimed to assess conformity with Brazil’s standard protocol for diagnostic and therapeutic practices in the management of congenital syphilis by pediatricians in public maternity hospitals. A cross-sectional study was conducted in 2015 with 41 pediatricians working in all the public maternity hospitals in Teresina, the capital of Piauí State, Northeast Brazil, through self-completed questionnaires. The study assessed the conformity of knowledge and practices according to the Brazilian Ministry of Health protocols. The study has made evident low access to training courses (54%) and insufficient knowledge of the case definition of congenital syphilis (42%) and rapid tests for syphilis (39%). Flaws were observed in the diagnostic workup and treatment of newborns. Requesting VDRL (88%) and correct treatment of neurosyphilis (88%) were the practices that showed the highest conformity with standard protocols. Low conformity with protocols leads to missed opportunities for identifying and adequately treating congenital syphilis. Based on the barriers identified in the study, better access to diagnostic and treatment protocols, improved recording on prenatal cards and hospital patient charts, availability of tests and medicines, and educational work with pregnant women should be urgently implemented, aiming to reverse the currently inadequate management of congenital syphilis and to curb its spread.

scholarly journals Quality of obstetric care provided for Asian immigrants in Leicestershire.

BMJ ◽  
1983 ◽  
Vol 286 (6365) ◽  
pp. 621-623 ◽  
Author(s):  
M Clarke ◽  
D G Clayton
Keyword(s):  
Obstetric Care ◽  
Asian Immigrants ◽  
Quality Of Obstetric Care
Sign in / Sign up

Export Citation Format

Share Document