scholarly journals Microbiological Air Contamination in Premises of the Primary Health-care

2013 ◽  
Vol 39 (4) ◽  
pp. 51-58 ◽  
Author(s):  
Ewa Karwowska ◽  
Ewa Miaśkiewicz-Pęska ◽  
Dorota Andrzejewska-Morzuch
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Community Health Centers ◽  
Culture Method ◽  
Health Centers ◽  
Contamination Level ◽  
Air Contamination ◽  
Mesophilic Bacteria ◽  
Primary Health ◽  
Adults And Children

Abstract The aim of this research was to evaluate the microbiological indoor air contamination level in chosen facilities of the primary health-care for adults and children. The total numbers of mesophilic bacteria, staphylococci, coli-group bacteria and moulds in both surgery rooms and patients’ waiting rooms were determined. Air samples were collected with a MAS 100 impactor and the concentration of microorganisms was estimated by a culture method. The microbiological air contamination level was diverse: the number of mesophilic bacteria ranged from 320 to 560 CFU/m3, number of staphylococci - 10-305 CFU/m3, coli group bacteria - 0-15 CFU/m3 and moulds - 15-35 CFU/m3. The bacteriological contamination level of the air in examined community health centers was higher than described in the literature for hospitals and exceeded the acceptable values proposed for the surgery objects.

scholarly journals The effect of preceptorship on nurses' training and preparation with implications for Qatar: A literature review

2018 ◽  
Vol 8 (7) ◽  
pp. 44 ◽  
Author(s):  
Hajer Arbabi ◽  
Jessie Johnson ◽  
Daniel Forgrave
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Literature Review ◽  
Organizational Support ◽  
Care Delivery ◽  
Health Centers ◽  
Primary Health ◽  
Newly Graduated Nurses ◽  
Level Of Training ◽  
High Level

Background and objective: The Primary Health Care Corporation in Qatar was established in 2012 and is comprised of 23 Health Centers. One of its goals is to create excellence in its workforce. A preceptorship program needs to be initiated at the Primary Health Care Corporation to ensure a high level of training for its nurses. The purpose of these preceptorship programs is to ensure nurses are equipped to carry out Qatar’s National Health Strategy and in doing so the Primary Health Care Corporation has this as its goal. This study amis to assess the effectiveness of preceptorship program models that can eventually be used for adoption as training programs for nurses in Health Centers in Qatar.Methods: A literature review of twenty articles published between 2006 and 2017 that focused on different models of preceptorship programs was conducted. The Mixed Methods Appraisal Tool was used to assess the quality of these studies. The data was analyzed by categorizing the included articles in a matrix sheet based on study design.Results and conclusions: Preceptorship programs are effective in four key areas: increasing nursing knowledge, supporting effective and safe care delivery by newly graduated nurses, increasing organizational support, and decreasing turnover rate and cost. 

scholarly journals Comprehensiveness and programmatic vulnerability to stds/hiv/aids in primary care

2014 ◽  
Vol 48 (spe) ◽  
pp. 145-151 ◽  
Author(s):  
Luciane Ferreira do Val ◽  
Lucia Yasuko Izumi Nichiata
Keyword(s):  
Primary Care ◽  
Health Care ◽  
Primary Health Care ◽  
Prenatal Care ◽  
Online Survey ◽  
Health Centers ◽  
Multidisciplinary Teams ◽  
Primary Health ◽  
The City ◽  
Hiv Aids




This study aimed to identify programmatic vulnerability to STDs/HIV/AIDS in primary health centers (PHCs). This is a descrip - tive and quantitative study carried out in the city of São Paulo. An online survey was applied (FormSUS platform), involving administrators from 442 PHCs in the city, with responses received from 328 of them (74.2%), of which 53.6% were nurses. At - tention was raised in relation to program - matic vulnerability in the PHCs regarding certain items of infrastructure, prevention, treatment, prenatal care and integration among services on STDs/HIV/AIDS care. It was concluded that in order to reach comprehensiveness of actions for HIV/ AIDS in primary health care, it is necessary to consider programmatic vulnerability, in addition to more investment and reor - ganization of services in a dialogue with the stakeholders (users, multidisciplinary teams, and managers, among others).




scholarly journals Validation of the Psychometric Properties of the Practice Environment Scale of Nursing Work Index in Primary Health Care in Portugal

2021 ◽  
Vol 18 (12) ◽  
pp. 6422
Author(s):  
Pedro Lucas ◽  
Elvio Jesus ◽  
Sofia Almeida ◽  
Beatriz Araújo
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Psychometric Properties ◽  
Health Centers ◽  
Factor Analyses ◽  
Confirmatory Factor Analyses ◽  
Autonomous Region ◽  
Primary Health ◽  
Work Index ◽  
Confirmatory Factor

Studies related to the work environment in primary health care are scarce in the literature. The present study aimed to validate the psychometric properties of the Practice Environment Scale of Nursing Work Index (PES-NWI) in primary health care (PHC) and to evaluate its construct validity through exploratory and confirmatory factor analyses in a sample of Portuguese nurses. A quantitative, cross-sectional, and validation study design was implemented. Methods: The sample consisted of 1059 nurses from the PHC units of all 55 health center groups (HCGs) in mainland Portugal, 15 health centers in the Autonomous Region of Madeira, and 6 health centers in the Autonomous Region of the Azores. The study tested different structural models using exploratory and confirmatory factor analysis techniques. The reliability of the scale was tested by determining Cronbach’s alpha coefficient. Results: The internal consistency of the PES-NWI was 0.91. Exploratory and confirmatory factor analyses were performed on the PES-NWI model in PHC with five factors: NPOA, NFQC, NMALSN, SRA, and CNPR. The results show that the scale presents acceptable fit quality indexes in the final factorial solution and adequate convergent validity. Conclusion: The PES-NWI in PHC has an adequate, robust, and reliable five-factor structure. The scale is valid and can be used in clinical practice, nursing management, and PHC research.

scholarly journals Factors affecting the technical efficiency of rural primary health care centers in Hamadan, Iran: data envelopment analysis and Tobit regression

2020 ◽  
Vol 18 (1) ◽  
Author(s):  
Saeed Mohammadpour ◽  
Javad Javan-Noughabi ◽  
Ali Vafaee Najar ◽  
Moharram Zangeneh ◽  
Shaghayegh Yousefi ◽  
...  
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Data Envelopment Analysis ◽  
Mortality Rate ◽  
Health Centers ◽  
Data Envelopment ◽  
Primary Health ◽  
Child Mortality Rate ◽  
Primary Health Care Centers ◽  
Health Care Centers

Abstract Background Studying and monitoring the efficiency of primary health care centers has a special place in the health system. Although studies have been conducted in the field of efficiency in Iran, few have focused on rural primary health care centers. In addition, previous studies have not used the child mortality rate and Behvarzes as input and output. Objective The present study was conducted aimed to estimate the technical efficiency of rural primary health care centers and determinant factors in Hamadan using data envelopment analysis and Tobit regression. Methods This is a Longitudinal study of rural primary health care centers in Hamadan province (2002–2016). Data Envelopment Analysis was employed to estimate technical efficiency of sampled health facilities while Panel Tobit Analysis was applied to predict factors associated with efficiency levels. The outputs were child mortality rate under 1 year of age and child mortality rate 1 year to 5 years of age. The input was Behvarzes (rural health workers). Results The results of efficiency analysis showed that the average efficiency scores of the centers had a fluctuating trend during the period of the study, but the average performance scores generally decreased in 2016, as compared with 2002. The highest and lowest average performance scores were observed in 2003 (0.78) and 2013 (0.56), respectively. Number of physicians and rural primary healthcare centers per population had a positive statistically significant and the number of midwives and the total fertility per population had a negative statistically significant effect on efficiency. Conclusions The findings suggest some level of wastage of health resources in primary health centers. Findings indicate a level of waste of health resources in primary health centers. Behvarz functions in providing primary care services can be considered in the reallocation and optimal use of available resources at the level of rural health centers.

scholarly journals Primary health care and general practice attachment: establishing an undergraduate teaching network in rural Greek health centers

2013 ◽  
Author(s):  
Emmanouil Smyrnakis ◽  
Magda Gavana ◽  
Elias Kondilis ◽  
Stathis Giannakopoulos ◽  
Alexandros Panos ◽  
...  
Keyword(s):  
Health Care ◽  
General Practice ◽  
Primary Health Care ◽  
Health Centers ◽  
Undergraduate Teaching ◽  
Primary Health

scholarly journals The impact of the COVID-19 pandemic on the delivery of primary health care services

2021 ◽  
Vol 2021 (2) ◽  
Author(s):  
Samya Ahmad Al-Abdulla ◽  
Robin O’Dwyer
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Call Center ◽  
Health Care Services ◽  
Health Centers ◽  
Face To Face ◽  
Care Services ◽  
Primary Health ◽  
Primary Health Care Services ◽  
Alternative Means

Background: In response to the COVID-19 global pandemic the Primary Health Care Corporation (PHCC) in Qatar recognized the need to limit face-to-face consultations within health centers in order to prevent unnecessary spread of the virus by offering an alternative solution for patients to access primary health care. PHCC responded by establishing teleconsultation services (telephone and video) within health centers and establishing a community call center offering teleconsultations for family medicine, ophthalmology, and dentistry services, with a nursing tele-triage service operating 24 hours a day, 7 days a week. Methods: All previously booked appointments within health centers were converted to outbound telephone consultations. The community call center was widely advertised and received incoming patient inquiries. This led to an analysis of the teleconsultation service utilization on a daily, weekly, and monthly basis. Results: The 27 health centers successfully provided 703,845 teleconsultations (via video and telephone calls) between 1st April and 31st October 2020 compared to 964,285 in-person consultations. A significant percentage of patients continue to opt for a telephone consultation rather than a face-to-face visit. Between 29th March and 28th November 2020, the community call center received a total of 159,137 calls with 61% of calls managed and resolved by a nurse, without the need for a consultation by a physician. Conclusion: The rapid response by PHCC to find alternative means to offer primary health care services during a pandemic was activated early and the public responded positively. Teleconsultation services within Qatar have been widely accepted by patients who have more choices to access primary care services. Since April 2020, when teleconsultations were fully implemented in PHCC, to October 2020, 42% of all consultations have been via teleconsultation . Teleconsultation services both within health centers and the community call center, offer an alternative means of care delivery, empowering patients.

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