Job Satisfaction Among Syrian Healthcare Workers in Refugee Health Centers in Turkey

Abstract Background: Achieving universal health coverage is subject to the availability, accessibility, acceptability and quality of health workers. Countries that host refugees and migrants, like Turkey, must strengthen the capacity of their health systems to increase access to services, especially for refugees and migrants. The Turkish Ministry of Health adapted Syrian refugee healthcare workers in the healthcare services to boost Syrian refugees' access to healthcare. This study aimed to assess job satisfaction and the factors influencing job satisfaction among refugee physicians and nurses working in Refugee Health Centers (RHCs) in Turkey.Methods: A self-administered, cross-sectional survey targeted all Syrian physicians and nurses working in RHCs across Turkey. The short-form Minnesota Satisfaction Questionnaire(MSQ) was used to assess job satisfaction. In total, 555 nurse/midwives and 336 physicians responded, yielding a total response rate of 56.5%. Descriptive analyses and linear regression tests were conducted to determine the level of job satisfaction and to analyze determinant factors. Results: Nurses/midwives reported the highest level of general job satisfaction, followed by specialist physicians and general physicians. Physicians who had worked as specialists in Syria but were now working as general physicians in Turkey had the lowest job satisfaction levels. Multiple regression analysis showed that professional status in Turkey, income, teamwork and team management were significantly associated with job satisfaction.Conclusions: To maintain a high level of job satisfaction in refugee healthcare workers, human resources management should consider matching job placements with training specialization and support good leadership and good teamwork. Remuneration that accounts for the cost of living and non-financial incentives could also play a significant role in job satisfaction.

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Job satisfaction among Syrian healthcare workers in refugee health centres

Human Resources for Health ◽

10.1186/s12960-021-00685-x ◽

2021 ◽

Vol 19 (1) ◽

Author(s):

Monica Zikusooka ◽

Omur Cinar Elci ◽

Habibe Özdemir

Keyword(s):

Job Satisfaction ◽

Financial Incentives ◽

Healthcare Workers ◽

Health Workers ◽

Short Form ◽

Human Resources Management ◽

Professional Status ◽

Health Coverage ◽

Cross Sectional Survey ◽

General Physicians

Abstract Background Achieving universal health coverage is subject to the availability, accessibility, acceptability, and quality of health workers. Countries that host refugees and migrants, such as Turkey, must strengthen the capacity of their health systems to increase access to services, especially for refugees and migrants. The Turkish Ministry of Health adapted Syrian refugee healthcare workers in the healthcare services to boost Syrian refugees’ access to healthcare. This study aimed to assess job satisfaction and the factors influencing job satisfaction among refugee physicians and nurses working in Refugee Healthcentres (RHCs) in Turkey. Methods A self-administered, cross-sectional survey targeted all Syrian physicians and nurses working in RHCs across Turkey. The short-form Minnesota Satisfaction Questionnaire(MSQ) was used to assess job satisfaction. In total, 555 nurse/midwives and 336 physicians responded, yielding a total response rate of 56.5%. Descriptive analyses and linear regression tests were conducted to determine the level of job satisfaction and to analyze determinant factors. Results Nurses/midwives reported the highest level of general job satisfaction, followed by specialist physicians and general physicians. Physicians who had worked as specialists in Syria but were now working as general physicians in Turkey had the lowest job satisfaction levels. Multiple regression analysis showed that professional status in Turkey, income, teamwork and team management were significantly associated with job satisfaction. Conclusions To maintain a high level of job satisfaction in refugee healthcare workers, human resources management should consider matching job placements with training specialization and support good leadership and good teamwork. Remuneration that accounts for the cost of living and non-financial incentives could also play a significant role in job satisfaction.

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Assessment of Job Satisfaction Level and Its Associated Factors among Health Workers in Addis Ababa Health Centers: A Cross-Sectional Study

Advances in Public Health ◽

10.1155/2020/1085029 ◽

2020 ◽

Vol 2020 ◽

pp. 1-6

Author(s):

Mesfin Aklilu ◽

Waleleng Warku ◽

Wogayehu Tadele ◽

Yimer Mulugeta ◽

Hussene Usman ◽

...

Keyword(s):

Job Satisfaction ◽

Healthcare Workers ◽

Associated Factors ◽

Health Workers ◽

Addis Ababa ◽

Cross Sectional Study ◽

Health Centers ◽

Satisfaction Level ◽

Sectional Study ◽

Cross Sectional

Health workers account for the largest share of public expenditures on health and play an important role in improving the quality of health services. There is concern that poor health worker performance limits the effectiveness of health systems strengthening efforts. A cross-sectional study was conducted from September to October 2016 in Addis Ababa health centers. Data were collected from 420 healthcare workers using a pretested and structured questionnaire by trained data collectors. EPI Info 7 was used for data entry, and analysis was done by SPSS version 20. Bivariate and multivariate logistic analyses were used to identify factors associated with the outcome variable and to control confounders. P values less than 0.05 were considered statistically significant. The overall job satisfaction level accounts for 53.8% with 95% CI of (48.9%, 59.0%). Marital status and professional qualification were the potent predictors of job satisfaction. Respondents who never married were 1.65 times more likely to be satisfied in their job than those married or divorced (AOR: 1.65 (95% CI: 1.02, 2.66)). Laboratory professionals and nursing professionals were 2.74 and 1.97 times more likely to be satisfied in their job compared to health officers (AOR: 2.47 (95% CI: 1.14, 6.59) and AOR: 1.97 (95% CI: 1.12, 3.48), respectively). More than half of the healthcare workers in the study area were satisfied in their job. Marital status and healthcare workers’ profession type were predictors of job satisfaction. Research studies indicate that there is a positive relationship between performance and job satisfaction. Accordingly, the present study aimed at determining the level of job satisfaction of health workers and its associated factors in the health centers of Addis Ababa, Ethiopia.

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Translation and validation of Training Needs Analysis Questionnaire among reproductive, maternal and newborn health workers in Tanzania

BMC Health Services Research ◽

10.1186/s12913-021-06686-9 ◽

2021 ◽

Vol 21 (1) ◽

Author(s):

Tumbwene Mwansisya ◽

Columba Mbekenga ◽

Kahabi Isangula ◽

Loveluck Mwasha ◽

Eunice Pallangyo ◽

...

Keyword(s):

Healthcare Workers ◽

Professional Training ◽

Health Workers ◽

Newborn Health ◽

Training Needs ◽

Assessment Tools ◽

Needs Analysis ◽

Maternal And Newborn Health ◽

Cross Sectional Survey ◽

Cross Sectional

Abstract Background Continuous professional development (CPD) has been reported to enhance healthcare workers’ knowledge and skills, improve retention and recruitment, improve the quality of patient care, and reduce patient mortality. Therefore, validated training needs assessment tools are important to facilitate the design of effective CPD programs. Methods A cross-sectional survey was conducted using self-administered questionnaires. Participants were healthcare workers in reproductive, maternal, and neonatal health (RMNH) from seven hospitals, 12 health centers, and 17 dispensaries in eight districts of Mwanza Region, Tanzania. The training needs analysis (TNA) tool that was used for data collection was adapted and translated into Kiswahili from English version of the Hennessy-Hicks’ Training Need Analysis Questionnaire (TNAQ). Results In total, 153 healthcare workers participated in this study. Most participants were female 83 % (n = 127), and 76 % (n = 115) were nurses. The average age was 39 years, and the mean duration working in RMNH was 7.9 years. The reliability of the adapted TNAQ was 0.954. Assessment of construct validity indicated that the comparative fit index was equal to 1. Conclusions The adapted TNAQ appears to be reliable and valid for identifying professional training needs among healthcare workers in RMNH settings in Mwanza Region, Tanzania. Further studies with larger sample sizes are needed to test the use of the TNAQ in broader healthcare systems and settings.

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Intention of Healthcare Workers to Receive COVID-19 Vaccine: A Cross-Sectional Survey in 10 Countries in Eastern Mediterranean Region

10.1101/2021.03.20.21253892 ◽

2021 ◽

Author(s):

Yasir Ahmed Mohammed Elhadi ◽

Azza Mehanna ◽

Yusuff Adebayo Adebisi ◽

Mohammad Yasir Essar ◽

Haider M El Saeh ◽

...

Keyword(s):

Mediterranean Region ◽

Healthcare Workers ◽

Online Survey ◽

Health Workers ◽

Eastern Mediterranean ◽

Eastern Mediterranean Region ◽

Cross Sectional Study ◽

Cross Sectional Survey ◽

Cross Sectional ◽

To Receive

Background: Healthcare workers intention to be vaccinated is an important factor to be consider for successful COVID-19 vaccination programme. Our study aimed to understand the intention of health workers to receive COVID-19 vaccine and associated concerns across 10 countries in Eastern Mediterranean Region (EMRO). Method: A cross-sectional study was conducted in January 2021 among healthcare workers using an online survey. A total of 2806 health workers (physicians, nurses and pharmacists) completed and returned the informed consent along with the questionnaire electronically. Data were analyzed using IBM SPSS software package version 20.0. Results: More than half of the respondents (58.0%) intend to receive COVID-19 vaccine, even if the vaccination is not mandatory for them. On the other hand, 25.7% of respondents were not intending to undertake COVID-19 vaccination while 16.3 % answered undecided. The top three reasons for not intending to be vaccinated were unreliability of COVID-19 vaccine clinical trials (62.0%), fear of the side effects of the vaccine (45.3%), and that COVID-19 vaccine will not give immunity for a long period of time (23.1%). Conclusion: Overall, our study revealed suboptimal acceptance of COVID-19 vaccine among healthcare workers in the 10 countries in EMRO.

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Antibodies to SARS-CoV2 detectable for less than 50 days in polymerase chain reaction confirmed COVID-19 patients

International Journal of Community Medicine and Public Health ◽

10.18203/2394-6040.ijcmph20203893 ◽

2020 ◽

Vol 7 (9) ◽

pp. 3378

Author(s):

Nishant Kumar ◽

Shibal Bhartiya ◽

Tarundeep Singh

Keyword(s):

Polymerase Chain Reaction ◽

Healthcare Workers ◽

Health Workers ◽

Natural Infection ◽

Rt Pcr ◽

Chain Reaction ◽

Cross Sectional Survey ◽

Polymerase Chain ◽

Roche Diagnostics ◽

Pcr Test

Background: A seroprevalence study for COVID-19 antibodies was conducted amongst health workers in Mumbai, India, in June 2020.Methods: Healthcare workers (n=801) underwent a cross sectional survey through electrochemiluminescence immunoassay (Roche diagnostics’ Elecsys anti-SARS-CoV-2 assay, Roche diagnostics, Rotkreuz, Switzerland).Results: Of the 801 healthcare workers, 62 who had been previously diagnosed with a real time-polymerase chain reaction (RT-PCR) proven SARS-CoV-2 infection, 45 (73.6%) were found to be seronegative during the study. The duration between the positive RT-PCR test and the serological testing ranged from 15 to 49 days for 34 (54.8%), and was >50 days in 28 subjects. Up to 28 days after a positive PCR test, 90% of the subjects were found to be seropositive, but this reduced to less than half over the next two weeks (38.5% between 29 and 42 days).Conclusions: Our findings are in agreement with previous reports that demonstrate a peak antibody formation after 3 weeks, and also an early antibody decay that is almost exponential. This may also have a significant effect on the protection vaccines are able to provide considering that a natural infection has such a transient antibody response.

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PO 8438 KNOWLEDGE, ATTITUDE AND PERCEPTIONS ON ADVERSE DRUG EVENTS REPORTING AMONG PATIENTS AND HEALTHCARE PROVIDERS IN RURAL UGANDA

BMJ Global Health ◽

10.1136/bmjgh-2019-edc.96 ◽

2019 ◽

Vol 4 (Suppl 3) ◽

pp. A37.1-A37

Author(s):

Helen Ndagije ◽

Victoria Nambasa ◽

Dan Kajungu

Keyword(s):

Healthcare Workers ◽

Adverse Drug Events ◽

Health Workers ◽

Healthcare Providers ◽

Reporting Rate ◽

Cross Sectional Survey ◽

Cross Sectional ◽

Adequate Knowledge ◽

Drug Shops ◽

Outcome Monitoring

BackgroundDrug regulatory authorities promote patient safety by, among other ways, monitoring adverse drug events (ADEs). Reporting of ADEs in Uganda is below the average for a well-performing system. Enhancing patients’ understanding of and involving them in reporting ADEs improves drug safety and treatment outcome monitoring. The objective of this study was to describe the knowledge, attitude, and practice of patients and healthcare workers regarding ADEs and ADEs reporting.MethodsA cross-sectional survey was carried out among 1034 respondents from randomly selected households and 327 health workers at health facilities in the Iganga Mayuge Health and Demographic Surveillance Site (IMHDSS). The IMHDSS, located in Uganda, covers 90,000 people living in 17,000 households.ResultsOver half of respondents (59%) sought treatment from private drug shops, 37% from either clinic, health center or hospital, while 4% sought treatment from herbalists, friends or relatives. Over half (56%) were aware of ADEs, 57% expressed willingness to report an ADE while 43% did not know what to do when it occurs. Almost half (46%) could not differentiate between an ADE and the symptoms, and for those who could, the majority (76%) were willing to report it. Only 34% had ever reported an ADE when it occurred to them. Of those who reported, 43% had their drugs changed, 31% were only counseled while 11.5% continued taking the same medication. Among healthcare workers, 95% knew about ADEs, but only 35% had ever reported. Reasons for not reporting were: fear of being victimised or sued (35%); lack of adequate knowledge about ADE (26%); 20% thought it would disappear shortly; and 14% did not find it necessary to report.ConclusionPatients seek their treatment from private providers. Patients want to report ADEs, but they do not have adequate knowledge. Healthcare workers’ reasons for not reporting are subjective. Dedicated pharmacovigilance-related interventions at community level would improve community members’ knowledge and hence ADE reporting rate.

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The magnitude and determinants of violence against healthcare workers in Pakistan

BMJ Global Health ◽

10.1136/bmjgh-2019-002112 ◽

2020 ◽

Vol 5 (4) ◽

pp. e002112 ◽

Cited By ~ 2

Author(s):

Shiraz Shaikh ◽

Lubna Ansari Baig ◽

Ibrahim Hashmi ◽

Mirwais Khan ◽

Seemin Jamali ◽

...

Keyword(s):

Healthcare Workers ◽

Health Workers ◽

Physical Violence ◽

Tertiary Care ◽

Emergency Vehicle ◽

Cross Sectional Survey ◽

Cross Sectional ◽

Levels Of Care ◽

Different Types ◽

Verbal Violence

ObjectivesTo determine the magnitude and determinants of violence against healthcare workers (HCWs) and to identify the predominant types and causes of violence experienced by them.MethodologyA cross-sectional survey based on structured questionnaire adopted from previous surveys and qualitative data was conducted in 4 large cities and 12 districts in 3 provinces of Pakistan. The survey covered 8579 from all cadres of HCWs, including doctors, nurses, technicians, support staff, ambulance workers, vaccinators, lady health visitors, midwives and lady health workers (LHWs). The predictors of overall violence experienced, physical violence experienced and verbal violence experienced were separately analysed for tertiary care hospitals, secondary care hospitals, primary care hospitals and field-level HCWs. Logistic regression was used to compute adjusted ORs with 95% CIs for the association of different factors with the violence experienced.ResultsMore than one-third (38.4%) reported having experienced any form of violence in the last 6 months. Verbal violence was the most commonly experienced form (33.9%), followed by physical violence (6.6%). The main reasons for physical violence were death of patients (17.6%), serious condition of patients (16.6%) and delay in care (13.4%). Among the different types of field HCWs, emergency vehicle operators were significantly more likely to experience verbal violence compared with LHWs (adjusted OR=1.97; 95% CI 1.31 to 2.94; p=0.001). Among hospital HCWs, those working in private hospitals were significantly less likely to experience physical violence (adjusted OR=0.52; 95% CI 0.38 to 0.71; p=0.001) and verbal violence (adjusted OR=0.57; 95% CI 0.48 to 0.68; p=0.001).ConclusionViolence against HCWs exists in various forms among all cadres and at different levels of care. The gaps in capacity, resources and policies are evident. Specific strategies need to be adopted for different types of HCWs to protect them against violence.*The study was conducted under the framework of ICRC’s Healthcare in Danger Initiative for protection of healthcare against Violence

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Knowledge, Attitude, and Practice Regarding COVID-19 Among Healthcare Workers in Primary Healthcare Centers in Dubai: A Cross-Sectional Survey, 2020

Frontiers in Public Health ◽

10.3389/fpubh.2021.617679 ◽

2021 ◽

Vol 9 ◽

Author(s):

Abdulaziz Hussain Albahri ◽

Shatha Ahmed Alnaqbi ◽

Shahad Ahmed Alnaqbi ◽

Asma Obaid Alshaali ◽

Shaikha Mohammad Shahdoor

Keyword(s):

Healthcare Workers ◽

Primary Source ◽

Healthcare Services ◽

Health Centers ◽

Vaccine Hesitancy ◽

Attitude Score ◽

Cross Sectional Survey ◽

Online Questionnaire ◽

Cross Sectional ◽

Primary Health

Introduction: The coronavirus disease 2019 (COVID-19) pandemic continues to challenge healthcare services worldwide. Healthcare workers (HCWs) are key to the continued effort to overcome the pandemic. This study aims to evaluate the knowledge, attitude, and practices of HCWs toward COVID-19 in primary health centers in Dubai.Methods: This cross-sectional study was conducted at four primary health centers in Dubai, including two fever clinics, from July 5th to July 11th, 2020. A self-administered online questionnaire was distributed to nurses and physicians working in these centers, which evaluated their knowledge, attitude, and practices regarding COVID-19 and their associations with the participants' demographic factors. A total score of 80% and above constituted a level of sufficiency in each section. Additionally, Mann-Whitney U test and multivariable logistic regression were used to analyze the variables.Results: A total of 176 HCWs completed the questionnaire, with a 91.2% (176/193) response rate. They were predominantly female (158/176, 90.0%), nurses (128/176, 72.7%), and non-Emiratis (150/176, 85.2%). While official health organizations were the primary source of information for 91.5% (161/176) of participants, only 38.1% (67/176) reported using scientific journals as one of their sources. Overall, 57.4% (101/176) of participants had a sufficient overall level of knowledge. Moreover, knowledge regarding signs, symptoms, and at-risk groups was generally satisfactory. However, knowledge about the virus, testing, transmission, and the isolation of contacts with positive cases was identified correctly by less than two-thirds of the participants. Half of the participants (89/176, 50.6%) expressed their concern about personally acquiring the infection, 112/176 (63.6%) worried about their relatives acquiring it, and 72/176 (40.9%) expressed some hesitancy to take the COVID-19 vaccine once available. Overall, only 58/176 (33.0%) HCWs had a sufficient overall positive attitude score. Nurses, compared to physicians, and non-Emiratis compared to Emiratis' HCWs, had statistically higher mean scores for attitude (U = 2,212, p < 0.01; and U = 1164.5, p < 0.01, respectively). The majority of participants (156/176, 88.6%) reported acceptable infection control practices.Conclusion: Given the gaps identified in the knowledge and attitude, we recommend further training to improve the skills of primary HCWs, with encouragement to practice evidence-based medicine. Additionally, further exploration regarding vaccine hesitancy is warranted.

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Effectiveness of Involvement of Community Health Workers in Identification and Referral of Persons Living With Epilepsy in Rural Rwanda

10.21203/rs.3.rs-75407/v1 ◽

2020 ◽

Author(s):

Fidele Sebera ◽

Peter Dedeken ◽

Jeannine Kayirangwa ◽

Josiane Umwiringirwa ◽

Delphine Kajeneza ◽

...

Keyword(s):

Healthcare Workers ◽

Screening Tool ◽

Health Workers ◽

Fold Increase ◽

Health Centers ◽

Community Healthcare ◽

Co Morbidity ◽

Treatment Gaps ◽

Epilepsy Diagnosis ◽

Community Healthcare Workers

Abstract IntroductionAs part of an interventional study on epilepsy and depression as co-morbidity, persons living with epilepsy (PwE) were enrolled in villages associated with three health centers (HCs) in the Musanze district, Rwanda. Due to slower than expected enrolment based on an estimated prevalence of 47.7‰, we engaged Community Healthcare Workers (CHWs) in the identification and referral of PwE. MethodsCHWs of villages associated to three HC participated in a one-day training on epilepsy and on the Kinyarwanda version of the Limoges epilepsy screening questionnaire. CHWs returned to their villages and identified persons responding positive to one or more questions. After one week, CHWs accompanied possible PwE to their respective HC for clinical evaluation and diagnosis of epilepsy by neurologistsResults A total of 1308 patients screened positive. Clinical diagnosis of epilepsy was confirmed in 589. We observed an unexpected effect of an additional 93 non-screened patients also presenting to HCs, all confirmed with epilepsy. The number of PwE increased from 48 persons prior to the intervention to 682 (a 14.2-fold increase). In the Gataraga, Kimonyi and Karwasa HC, the patient number increased from 18 to 161, 11 to 193 and 19 to 328, respectively. Relative increases at each HC were 8.9-, 17.5- and 17.3-fold, respectively. Conclusion This observation illustrates that involving CHWs, equipped with an easy-to-administer screening tool, enhances possible case detection and decreases epilepsy diagnosis and treatment gaps. The involvement of CHWs impacted the lives of many PwE. Study supported by: UCB Pharma

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PTSD symptoms among health workers and public service providers during the COVID-19 outbreak

10.31234/osf.io/w8c6p ◽

2020 ◽

Author(s):

Sverre Urnes Johnson ◽

Omid V. Ebrahimi ◽

Asle Hoffart

Keyword(s):

Public Service ◽

Healthcare Workers ◽

Mental Health Problems ◽

Service Providers ◽

Health Workers ◽

Health Anxiety ◽

Anxiety And Depression ◽

Ptsd Symptoms ◽

Post Traumatic Stress ◽

Cross Sectional Survey

In the frontline of the pandemic stand healthcare workers and public service providers, occupations which have proven to be associated with increased mental health problems during pandemic crises. This cross-sectional, survey-based study collected data from 1773 healthcare workers and public service providers throughout Norway between March 31, 2020 and April 7, 2020, which encompasses a timeframe where all non-pharmacological interventions (NPIs) were held constant. Post-traumatic stress disorder (PTSD), anxiety and depression were assessed by the Norwegian version of the PTSD checklist (PCL-5), General Anxiety Disorder –7, and Patient Health Questionnaire-9 (PHQ-9), respectively. Health anxiety and specific predictors were assessed with specific items. Multiple regression analysis was used for predictor analysis. A total of 28.9% of the sample had clinical or subclinical symptoms of PTSD, and 21.2% and 20.5% were above the established cut-offs for anxiety and depression. Those working directly in contrast to indirectly with COVID-19 patients had significantly higher PTSD symptoms. Worries about job and economy, negative metacognitions, burnout, health anxiety and emotional support were significantly associated with PTSD symptoms, after controlling for demographic variables and psychological symptoms. Health workers and public service providers are experiencing high levels of PTSD symptoms, anxiety and depression during the COVID-19 pandemic. Health workers working directly with COVID-19 patients have significantly higher levels of PTSD symptoms and depression compared to those working indirectly. Appropriate action to monitor and reduce PTSD, anxiety, and depression among these groups of individuals working in the frontline of pandemic with crucial societal roles should be taken immediately.

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