scholarly journals Designing Headquarters General Competency Model for The Health Sector

2020 ◽  
Author(s):  
Hamed Fattahi ◽  
Hasan Abolghasem Gorji ◽  
Mahboubeh Bayat ◽  
Arash Fattahi ◽  
Faezeh Ghasemi Seproo
Keyword(s):  
Interpersonal Relationships ◽  
Delphi Method ◽  
Health Sector ◽  
Competency Model ◽  
Leadership And Management ◽  
Building Process ◽  
Third Stage ◽  
Efficiency And Effectiveness ◽  
Health Related ◽  
High Level

Abstract Background An effective health headquarters has behaviors, knowledge, skills, and motivations that are behavioral, technical, and motivational prerequisites for successful performance in a job. This study aims to identify the general competencies of health headquarters to meet the needs of the health system.Methods To facilitate a consensus-building process on the development of public competencies, a multi-step approach was used. First, to identify the dimensions and components of general competencies in attracting health headquarters, the systematic review and meta-synthesis were used. Then, using a purposive critical case sampling, twenty-six participants were interviewed and the information was analyzed. In the third stage, the health headquarters were classified into three levels. To present the initial model of competencies, the Mini Delphi method was used. Finally, in the fourth step, to validate and finalize the pattern, the three-step Delphi method was used.Results The six dimensions of competency have been developed, which are (1) leadership and management (12 components), (2) analysis, interpretation, and reporting (6 components), (3) interpersonal relationships (4 components), (4) individual competencies (7 components), (5) cultural and community competencies (5 components), (6), and Administrative competencies (4 components). The leadership and management dimension, in both the first and second stages of this research, had the highest number of codes (42 and 25% of the total codes). Conclusion Since health headquarters play a major role in supervising and directing human resources and promoting the efficiency and effectiveness of the activities of health-related organizations, they should have a high level of management and leadership skills. It is important to pay attention to the competency level of the health headquarters, their classification, and the use of different competencies to attract each group of these headquarters. Also, due to the effective nature of the duties of third-level headquarters who are recruited to work at the highest headquarter level, these headquarters must have a high level of all competencies. Finally, using the competency model of health headquarters can help health organizations in achieving high visions, goals, and self-help strategies.

scholarly journals Designing health headquarter workers general competency model for the national level: A multiple qualitative study

2021 ◽  
Author(s):  
Hamed Fattahi ◽  
Hasan Abolghasem Gorji ◽  
Mahboubeh Bayat ◽  
Arash Fattahi ◽  
Faezeh Ghasemi Seproo
Keyword(s):  
Interpersonal Relationships ◽  
Delphi Method ◽  
Core Competencies ◽  
National Level ◽  
Health Sector ◽  
Health Resources ◽  
Competency Model ◽  
Middle Level ◽  
The Third ◽  
Building Process

Abstract BackgroundAn effective health headquarter worker has behaviors, knowledge, skills, and motivations which are behavioral, technical, and motivational prerequisites for successful performance in a job. This study aims to identify the general competencies of health headquarters workers to meet the needs of the health system.MethodsWe used multiple qualitative methods to facilitate a consensus-building process on developing core competencies. First, we used systematic review and meta-synthesis to identify the dimensions and components of core competencies. Using a critical case sampling, we interviewed twenty-six participants and analyzed the information with thematic content analysis. In the third phase, we divided the health headquarters workers into three levels. Then, to present the initial model of competencies, the Mini Delphi method was used. Finally, in the fourth phase, to reach a consensus on the importance of each competency and determine the level of competencies required for each level of health headquarters workers, three-step Delphi method was used, and we presented the final model.ResultsWe presented a competency model for three levels of health headquarters workers. The main competencies are (1) leadership and management (12 components), (2) analysis, interpretation, and reporting (6 components), (3) interpersonal relationships (4 components), (4) individual competencies (7 components), (5) cultural and community competencies (5 components), (6), and administrative competencies (4 components). All competencies are needed for the third level of health headquarters workers. In general, second and third levels of health headquarters workers need high and middle level of required competencies that mean these workers' levels should have all competencies before using them in top of national health organizations. ConclusionThe competencies were extracted due to the levels of health headquarters workers, as well as the level of competencies required by each group of experts, could act as a guide for policy-makers and managers related to human health resources in the health sector, and help them adopt appropriate strategies to employ and train health headquarters workers.

scholarly journals Psychosomatic interactions in kidney transplantation: role of personality dimensions in mental health-related quality of life

2021 ◽  
Vol 12 ◽  
pp. 204062232110243
Author(s):  
Federica Guerra ◽  
Jessica Ranieri ◽  
Domenico Passafiume ◽  
Diana Lupi ◽  
Daniela Maccarone ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Mental Health ◽  
Kidney Transplantation ◽  
Health Related Quality ◽  
Personality Dimensions ◽  
Related Quality ◽  
Health Related ◽  
Body Self ◽  
High Level

Background and aims: The increase in innovative and personalized medicine solutions in kidney surgery can improve patients’ chances of survival; however, during the transplantation process, patients are exposed to many psychological challenges. This study aimed to evaluate the role and impact of personality dimensions on the behaviour of waiting-list patients towards the post-surgery adaptation process. Method: The participants were 113 out-patients aged 18–70 years (mean age 54.7 years, SD ± 9.9) who had received a kidney transplant at least 3 years prior to the study. Results: The results of the study revealed that personality dimensions can predict mental health-related quality of life after kidney transplantation; in particular, the dimensions play an important role in patients’ behavioural ability to manage their quality of life both during end-stage renal disease and after kidney transplantation. Psychological distress and anxiety were associated with a low level of the conscientiousness dimension, while a high level of the openness dimension was associated with a high level of psychological distress and stress. In addition, body self-perception was associated with personality dimensions. Conclusion: Personality dimensions were found to predict behavioural reactions when emotional traits and body self-perception for each patient were combined; clinical psychologists could apply personalized intervention by modeling the treatments step by step and mitigating the negative effects of the whole kidney transplantation disease, thus helping the individual to adapt to a new life.

Best Practices for Meta-Reviews in Physical Activity and Health Research: Insights From the Physical Activity Guidelines for Americans Advisory Committee Scientific Report

2021 ◽  
pp. 1-9
Author(s):  
Linda S. Pescatello ◽  
Emily A. Hennessy ◽  
Peter T. Katzmarzyk ◽  
William E. Kraus ◽  
Anne F. Fish ◽  
...  
Keyword(s):  
Physical Activity ◽  
Advisory Committee ◽  
Best Practice ◽  
Physical Activity Guidelines ◽  
Health Related Research ◽  
Health Related ◽  
Scientific Report ◽  
Synthesis Methodology ◽  
High Level ◽  
Meta Analyses

Background: Systematic reviews (SRs) and meta-analyses (MAs) have proliferated with a concomitant increase in reviews of SRs/MAs or “meta-reviews” (MRs). As uncovered by the 2018 US Physical Activity Guidelines Advisory Committee (PAGAC), there is a paucity of best practice guidance on MRs on physical activity health-related research. This manuscript aims to fill this gap. Methods: In total, the PAGAC conducted 38 literature searches across 3 electronic databases and triaged 20,838 titles, 4913 abstracts, and 2139 full texts from which 1130 articles qualified for the PAGAC Scientific Report. Results: During the MR process, the following challenges were encountered: (1) if the SR/MA authors had limited experience in synthesis methodology, they likely did not account for risk of bias in the conclusions they reached; (2) many SRs/MAs reviewed the same primary-level studies; (3) many SRs/MAs failed to disclose effect modifier analyses; (4) source populations varied; (5) physical activity exposures were nonstandardized; and (6) dose–response effects or effect modification of the physical activity exposure could not be identified. Conclusions: Using examples from the PAGAC Scientific Report, we provide (1) a high-level introduction to MRs; (2) recommended steps in conducting a MR; (3) challenges that can be encountered; and (4) guidance in addressing these challenges.

The Acceptability and Effectiveness of Videos Promoting Smoking Cessation Among Australians Experiencing Mental Illness

2021 ◽  
pp. 109019812110347
Author(s):  
Ratika Sharma-Kumar ◽  
Cheneal Puljević ◽  
Kylie Morphett ◽  
Carla Meurk ◽  
Coral Gartner
Keyword(s):  
Mental Illness ◽  
Smoking Cessation ◽  
Rank Test ◽  
Related Information ◽  
Signed Rank ◽  
Semistructured Interviews ◽  
Promote Smoking Cessation ◽  
Health Related ◽  
Signed Rank Test ◽  
High Level

There are high rates of tobacco smoking among people who experience mental illness (MI). While videos are an effective method of disseminating health-related information, there is limited research investigating the effectiveness of video-delivered education promoting smoking cessation among people living with MI. This formative study aimed to investigate the effectiveness and acceptability of targeted video resources providing smoking cessation information and advice to smokers with MI. This study used a mixed-method design; 29 Australian smokers living with MI completed a preinterview survey including 12 questions assessing knowledge about smoking cessation, watched six videos developed by the research team providing information about smoking cessation, took part in semistructured interviews about the videos’ quality, content, and format, and then completed a postinterview survey identical to the preinterview survey to assess changes in smoking cessation-related knowledge. A Wilcoxon signed rank test was used to calculate changes in cessation-related knowledge, and thematic analysis was used to identify common themes in qualitative data. We found a statistically significant increase in participants’ smoking cessation-related knowledge scores after watching the videos. Participants indicated an overall high level of acceptability of the videos’ quality, content, and format, and findings from the semistructured interviews reflected these favorable views. This study’s findings provide a new understanding of the effectiveness and acceptability of customized video-based education to promote smoking cessation among people living with MI, and can be used to inform the content and focus of video resources aimed at increasing knowledge about smoking cessation for people experiencing MI.

Comparative assessment of the dynamics of the incidence of pulmonary and etraulmonary tuberculosis in St. Petersburg for half a century of observation

MedAlliance ◽  
2020 ◽  
Vol 8 (3) ◽  
pp. 6-14
Keyword(s):  
Control System ◽  
Incidence Rate ◽  
Extrapulmonary Tuberculosis ◽  
High Rate ◽  
Tb Control ◽  
Complete Restoration ◽  
Third Stage ◽  
High Level ◽  
Clinical Awareness ◽  
Positive Effect

This article describes the results of comparative analysis of the dynamics of incidence of pulmonary tuberculo-sis (TBP), extrapulmonary extrarespiratory tuberculo-sis (TBER) and respiratory extrapulmonary tuberculosis (TBREP) in St. Petersburg (Leningrad) from 1970 to 2019. Throughout the 50 years of observation, epidemiological situation for TBP, especially for TBER, hasmuch improved, with incidence of the latter going down 30 times. Five stages (decades) were identified, within which the factors demonstrate practically the same impact, the growth rate of indicators was calculated for each stage (the value of indicators at the beginning of each stage taken as 100%).The first stage was a simultaneous reduction in the inci-dence rate in all categories of TB localization against the background of socio-economic factors positive effect and organization of effective and comprehensive an-ti-TB measures. In the second stage (1980ies, a period of growing socio-economic problems), the positive dynam-ics of TB incidence stopped and switched to stabilization at a low level. Indicators became more volatile, while TB dynamics by localization more and more desynchro-nized. Тhe third stage (1990iеs, a period of social and economic crisis) was char-acterised by a sharp increase of TB incidence, especially TBREP, with a switch to stabi-lization at a high level. The fourth stage (2000 through 2009, the beginning of TB control system restoration) demonstrated the indicators’ dynamics desynchroniza-tion: the incidence of TBP and TBREP has stabilized, and TBER continued to decline. The fifth stage (2009 through 2019, complete restoration of TB control system) showed a steady trend of incidence rate reduction and return of uniformity in incidence rate of various localizations.There is no increase in the proportion of extrapulmonary TB expected for the incidence decline. TBER incidence had been declining in most stages, with the exception of the 90ies, which could be explained by substandard work in identifying patients, and the rarity of TBER etiological verification. It is necessary to raise the clinical awareness of narrow specialists and general practitioners in the di-agnostic problems associated with TBER.The coincidence of the rate of TB incidence decrease in main localizations in the 1970ies and 2010s proves that a comprehensive state strategy to combat tuberculosis can provide a high rate of TB incidence decrease in various social layers with positive social and economic conditions of life of the population.

scholarly journals Message framing in the context of the national menu-labelling policy: a comparison of public health and private industry interests

2016 ◽  
Vol 20 (5) ◽  
pp. 814-823 ◽  
Author(s):  
Rachel C Shelton ◽  
James Colgrove ◽  
Grace Lee ◽  
Michelle Truong ◽  
Gina M Wingood
Keyword(s):  
Public Health ◽  
Content Analysis ◽  
Policy Making ◽  
Message Framing ◽  
Health Sector ◽  
Positive Health ◽  
Private Industry ◽  
Nutrition Labelling ◽  
Health Related ◽  
The Usa

AbstractObjectiveWe conducted a content analysis of public comments to understand the key framing approaches used by private industryv. public health sector, with the goal of informing future public health messaging, framing and advocacy in the context of policy making.DesignComments to the proposed menu-labelling policy were extracted from Regulations.gov and analysed. A framing matrix was used to organize and code key devices and themes. Documents were analysed using content analysis with Dedoose software.SettingRecent national nutrition-labelling regulations in the USA provide a timely opportunity to understand message framing in relation to obesity prevention and policy.SubjectsWe examined a total of ninety-seven documents submitted on behalf of organizations (private industry,n64; public health,n33).ResultsPublic health focused on positive health consequences of the policy, used a social justice frame and supported its arguments with academic data. Industry was more critical of the policy; it used a market justice frame that emphasized minimal regulation, depicted its members as small, family-run businesses, and illustrated points with humanizing examples.ConclusionsPublic health framing should counter and consider engaging directly with non-health-related arguments made by industry. Public health should include more powerful framing devices to convey their messages, including metaphors and humanizing examples.

scholarly journals School-Related Stressors and the Intensity of Perceived Stress Experienced by Adolescents in Poland

2021 ◽  
Vol 18 (22) ◽  
pp. 11791
Author(s):  
Maria Kaczmarek ◽  
Sylwia Trambacz-Oleszak
Keyword(s):  
Interpersonal Relationships ◽  
Perceived Stress ◽  
School Environment ◽  
Weight Status ◽  
Stress Reactivity ◽  
Well Being ◽  
Parental Relationships ◽  
Cross Sectional ◽  
Stratified Sample ◽  
High Level

Higher stress reactivity during adolescence is a vulnerability marker of exposure to various environmental stressors. This study aimed to investigate the association between a high level of perceived stress experienced by adolescents and stressful stimuli induced from school environment, peer, and parental relationships. The data used were from a cross-sectional, observational study conducted in a stratified sample of 1846 adolescents (13–18 years) in the Wielkopolska province, Poland. Data were collected through self-administered questionnaires and anthropometric measurements. Perceived stress was assessed using the Perceived Stress Scale (PSS-10). The association of a high level of perceived stress with school-induced exposures was determined using multivariate logistic regression after adjusting for gender, age, height and weight status and interpersonal relationships (STATISTICA 13.1). It was found that girls were over three times more likely than boys to experience a high level of perceived stress. Moreover, girls appeared to be more vulnerable than boys to school-related stressors and weight status, while boys to stressors that can arise from interpersonal relationships. School environment was the only predictor factor of high perceived stress level with a large effect size in both boys (OR = 4.45; 95% CI: 3.11–6.36) and girls (OR = 6.22; 95% CI: 4.18–7.59). Given the findings of the present study, preventive programs are critical to mitigate the effect of stress from school on adolescents’ health and well-being.

scholarly journals Knowledge, Attitude, and Practices of Mothers Related to their Oral Health Status of 6-12 Years Old Children in Bhilai City, Chhattisgarh, India

2018 ◽  
Vol 14 (21) ◽  
pp. 248
Author(s):  
Pallavi Pawar ◽  
Nilotpol Kashyap ◽  
Rohit Anand
Keyword(s):  
Health Status ◽  
Oral Health ◽  
Health Assessment ◽  
Cross Sectional Study ◽  
Oral Health Status ◽  
P Value ◽  
Cross Sectional ◽  
Health Related ◽  
High Level ◽  
Children’S Oral Health

Aim and Objectives: The aim of the study was to assess the oral health status of 6-12 year old children and their mother’s knowledge, attitude, and practices in Bhilai city. Moreover, this study was also carried out to determine whether mother’s oral health related knowledge, attitude, and practices have a significant influence on the oral health of their children. Materials and Methods: A cross- sectional study was conducted among children (n=600) aged between 6-12 years, attending both government and private schools accompanied with their mothers in Bhilai city. The oral health status of the children was evaluated by using WHO Oral Health Assessment Form (2013). The parents were then asked to fill 25 item based on selfadministered questionnaire. Mother’s knowledge, attitude, and practices were assessed by direct contact with mothers using close ended questionnaire. Statistical Analysis: The data was then entered and analysed using SPSS (Statistical Package for Social Sciences, SPSS Inc., Chicago, IL, USA). Also, p value≤ 0.05 was considered to be statistically significant. Results: The result of the study showed that 90% of mothers had good knowledge, 75% mothers had average attitude, and 51% mothers had high level practices related to oral health. An inverse relationship was found between children’s oral health status and their mother’s knowledge, attitude, and practices about oral health. Thus, the findings were highly significant. Conclusion: Results showed that mother’s oral health related to knowledge, attitude, and practices had a significant impact on oral health status of their children.

scholarly journals Testing a Modified Version of the Spenn-Fisher Codependency Scale

2019 ◽  
Vol 8 (1) ◽  
pp. 215-234
Author(s):  
A. Berdichevsky ◽  
M.A. Padun ◽  
M. Gagarina
Keyword(s):  
Locus Of Control ◽  
Interpersonal Relationships ◽  
Interpersonal Relations ◽  
External World ◽  
Educational Institutions ◽  
External Locus ◽  
Affective Component ◽  
Psychometric Data ◽  
External Locus Of Control ◽  
High Level

The article presents the adaptation process of the modified Spenn-Fisher code of co-dependence, which allows to measure the severity of co-dependency. The study was conducted on a sample of students (N=227) and cadets (N=38) of higher educational institutions. The theoretical construct of codependency as a psychosocial state, which includes an external locus of control, a tendency to suppress emotions and an increased importance of interpersonal relationships, confirmed by the data of cluster analysis. The questionnaire showed acceptable rates of both reliability-consistency and retest reliability. The constructive validity of the methodology was confirmed by significant correlations that substantiate underlying construct of codependency. The high level of codependency positively correlates with the external locus of control, the suppression of emotions, anxiety, and negatively correlates with the affective component of interpersonal relations, the benevolence of the external world and beliefs about control. The psychometric data obtained during the study are largely consistent with the results of the authors of the original scale and indicate a successful adaptation of the methodology in the Russian sample.

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