scholarly journals Compassion Fatigue among Nurses: The Cost of Having a Relationship with HIV-Positive Patients

2020 ◽  
Vol 22 (2) ◽  
Author(s):  
Mercia Jane Tellie
Keyword(s):  
Compassion Fatigue ◽  
Healthcare Sector ◽  
Hiv Positive ◽  
Public Healthcare ◽  
Outpatient Basis ◽  
Public Healthcare Sector ◽  
Number Of Patients ◽  
Outpatient Settings ◽  
The Cost ◽  
Embedded Case Study

In the public healthcare sector in South Africa, nurses treat a large number of patients who are infected with the human immunodeficiency virus (HIV) on an outpatient basis. Many patients consult the nurses only when they experience symptoms due to the delayed onset of antiretroviral (ARV) treatment. The large number of patients and often poor outcome of treatment could result in compassion fatigue in the nurses. The aim of the current study was to describe the cost of having a relationship with HIV-positive patients on nurses who work in outpatient ARV clinics. A qualitative, single, embedded case study design was used, and six registered nurses (RNs) and one enrolled nurse (EN) were individually interviewed. The data analysis revealed two themes, namely: (1) the risk of developing compassion fatigue; and (2) the manifestation of compassion fatigue. The themes were discussed with reference to the extant literature. Many research reports have focused on compassion fatigue in nurses in hospital-based settings, but few on the manifestation of compassion fatigue in nurses who work in outpatient settings. The authors concluded that nurses who take care of HIV-positive patients on an outpatient basis are at risk of developing and do manifest compassion fatigue, and it is thus recommended that programmes be instituted to support them.

scholarly journals Survival of South African patients on renal replacement therapy

2020 ◽  
Vol 13 (5) ◽  
pp. 782-790 ◽  
Author(s):  
Thabiet Jardine ◽  
Esther Wong ◽  
Retha Steenkamp ◽  
Fergus J Caskey ◽  
Mogamat Razeen Davids
Keyword(s):  
Risk Factors ◽  
Renal Function ◽  
South African ◽  
Healthcare Sector ◽  
Hiv Positive ◽  
Public Healthcare ◽  
South Africans ◽  
Public Healthcare Sector ◽  
Potential Risk Factors ◽  
African Patients

Abstract Background The majority of South Africans rely on a resource-constrained public healthcare sector, where access to renal replacement therapy (RRT) is strictly rationed. The incidence of RRT in this sector is only 4.4 per million population (pmp), whereas it is 139 pmp in the private sector, which serves mainly the 16% of South Africans who have medical insurance. Data on the outcomes of RRT may influence policies and resource allocation. This study evaluated, for the first time, the survival of South African patients starting RRT based on data from the South African Renal Registry. Methods The cohort included patients with end-stage kidney disease who initiated RRT between January 2013 and September 2016. Data were collected on potential risk factors for mortality. Failure events included stopping treatment without recovery of renal function and death. Patients were censored at 1 year or upon recovery of renal function or loss to follow-up. The 1-year patient survival was estimated using the Kaplan–Meier method and the association of potential risk factors with survival was assessed using multivariable Cox proportional hazards regression. Results The cohort comprised 6187 patients. The median age was 52.5 years, 47.2% had diabetes, 10.2% were human immunodeficiency virus (HIV) positive and 82.2% had haemodialysis as their first RRT modality. A total of 542 patients died within 1 year of initiating RRT, and overall 1-year survival was 90.4% [95% confidence interval (CI) 89.6–91.2]. Survival was similar in patients treated in the private sector as compared with the public healthcare sector [hazard ratio 0.93 (95% CI 0.72–1.21)]. Higher mortality was associated with older age and a primary renal diagnosis of ‘Other’ or ‘Aetiology unknown’. When compared with those residing in the Western Cape, patients residing in the Northern Cape, Eastern Cape, Mpumalanga and Free State provinces had higher mortality. There was no difference in mortality based on ethnicity, diabetes or treatment modality. The 1-year survival was 95.9 and 94.2% in HIV-positive and -negative patients, respectively. One-fifth of the cohort had no data on HIV status and the survival in this group was considerably lower at 77.1% (P < 0.001). Conclusions The survival rates of South African patients accessing RRT are comparable to those in better-resourced countries. It is still unclear what effect, if any, HIV infection has on survival.

Job satisfaction, dual practice and intention to work abroad in the Serbian public healthcare sector

2018 ◽  
Vol 28 (suppl_4) ◽  
Author(s):  
M Šantric Milicevic ◽  
M Gacevic ◽  
N Milic ◽  
M Milicevic ◽  
M Vasic ◽  
...  
Keyword(s):  
Job Satisfaction ◽  
Healthcare Sector ◽  
Public Healthcare ◽  
Dual Practice ◽  
Public Healthcare Sector ◽  
Work Abroad

scholarly journals How healthcare structures and communication delivery influence trust: a parallel-group randomized controlled trial

2021 ◽  
Author(s):  
Stephen Cantarutti ◽  
Emmanuel M. Pothos
Keyword(s):  
Controlled Trial ◽  
Random Order ◽  
Healthcare Sector ◽  
Public Healthcare ◽  
The Public ◽  
Private Healthcare ◽  
Public Healthcare Sector ◽  
Parallel Group ◽  
Therapy Compliance ◽  
Study Offer

Abstract Background According to recent polling, public trust in the healthcare sector remains low relative to other industries globally. The implications of low healthcare trust permeate throughout the industry in a number of ways, most visibly by discouraging therapy compliance. Methods This study investigated four putative determinants of trust in healthcare-related scenarios: individuals vs. collective groups as communicators of healthcare advice; expert vs. laypeople as providers of healthcare communication; public vs. private healthcare sector; and positive vs. negative information. Two hundred seventy-four participants were recruited via Prolific Academic and were presented with four statements in random order, related to a positive reflection of the public healthcare sector, a negative reflection of the public healthcare sector, a positive reflection of the private healthcare sector and a negative reflection of the private healthcare sector. According to these reflection, participants were repeatedly asked to rate the system on its trustworthiness. Trust outcomes were constructed using a four-dimension framework, consisting of benevolence, reliability, competence and predictability. Results Claims relating to the public sector had a significantly stronger impact on benevolence and reliability than claims relating to the private sector; claims from individuals had a significantly stronger impact on all trust variables than claims from collectives; and claims from laypeople had a significantly greater impact on reliability and competence ratings than claims from experts. Conclusions The findings in this study offer insight into the patterns with which trust decisions are made in healthcare contexts. More importantly, this research offers a novel perspective of how different factors interact to affect the various facets of trust. These results provide a foundation for future study in this evolving area, and offer insights into designing effective communication strategies that cultivate greater levels of individual trust in the healthcare sector.

scholarly journals Leaders’ Emotional Intelligence and Employees’ Performance: A Case in Nigeria’s Public Healthcare Sector

2015 ◽  
Vol 5 (3) ◽  
pp. 23 ◽  
Author(s):  
Adebukola Esther Oyewunmi ◽  
Olabode Adeleke Oyewunmi ◽  
Ibiyinka Stella Ojo ◽  
Olumuyiwa Akinrole Oludayo
Keyword(s):  
Emotional Intelligence ◽  
Analytical Tool ◽  
Healthcare Sector ◽  
Survey Method ◽  
Hierarchical Regression ◽  
Public Healthcare ◽  
Public Healthcare Sector ◽  
Multiple Challenges ◽  
The Impact ◽  
Sector Data

Undoubtedly, multiple competencies are essential for effective leadership and identifying specific competencies that will foster employees’ performance, is a veritable venture. This study explores the impact of leaders’ emotional intelligence on employees’ performance within Nigeria’s public healthcare sector and also provides perspective on the contextual underpinnings. It adopts the survey method and randomly samples leaders and employees within the sector. Data analyses using the t-test and hierarchical regression analytical tool, reveals a significant correlation between the emotional intelligence of leaders and the performance of employees. The study finds that the task of leadership, coupled with the multiple challenges within Nigeria’s public healthcare sector, requires a reasonable measure of emotional intelligence in order to facilitate employees’ performance.

scholarly journals The Barriers and Facilitators to the Adoption of New Technologies in Public Healthcare Sector: A Qualitative Investigation

2016 ◽  
Vol 12 (1) ◽  
pp. 159 ◽  
Author(s):  
Waleed KH Mohamed AL-Hadban ◽  
Shafiz Affendi Mohd Yusof ◽  
Kamarul Faizal Hashim
Keyword(s):  
Information Systems ◽  
New Technologies ◽  
Healthcare Sector ◽  
Public Healthcare ◽  
Structured Interviews ◽  
Healthcare Information ◽  
Healthcare Information Systems ◽  
Healthcare Information System ◽  
Public Healthcare Sector ◽  
Healthcare Practice

The use of new technologies and information systems within healthcare practice provides several advantages and functionalities for healthcare institutions. However, the use of these advanced technologies is not an easy task and the literature has documented several cases of resistance to adopting such technologies by the healthcare staff. Furthermore, governmental reports stated that Iraq healthcare sector is enduring challenges in this regard. For this reason, the current study explored the opinions of healthcare professionals using semi-structured interviews to highlight the important factors and issues that influence the use and adoption of new technologies within Iraq public healthcare sector. To our best knowledge, this empirical study is the first to employ a qualitative approach to address the issue of healthcare information system adoption in Iraq healthcare domain. Twenty six themes have emerged in the findings of this qualitative study which can be helpful for healthcare seniors in order to overcome the present challenges related to the adoption of healthcare information systems and to improve the healthcare practice in general.

scholarly journals Human Resource Practices in Public Healthcare Sector: A Perceptual Study among Healthcare Professionals

2017 ◽  
Vol 6 (1) ◽  
pp. 52
Author(s):  
Sumathi G N
Keyword(s):  
Performance Management ◽  
Human Resource ◽  
Healthcare Professionals ◽  
Healthcare Sector ◽  
Family Welfare ◽  
Public Healthcare ◽  
Human Resource Practices ◽  
Public Healthcare Sector ◽  
Primary Health Centres ◽  
And Performance

<span lang="EN-US">The study is aimed to identify various human resource practices in the public healthcare sector and to measure the level of human resource practices. The study adopts the perceptual view of healthcare professionals such as medical officers and staff nurses working in Primary Health Centres of Tamilnadu. A survey using a questionnaire is used to collect data from healthcare professionals. The results indicated that human resource practices such as job autonomy and job security are perceived to be useful and necessary, while training and performance management system are found to provide necessary inputs for carrying job duties and practices such as career growth opportunities and compensation need the attention of the officials of Health and Family Welfare department of Tamilnadu Government for enhancing the utility of these practices</span><span>.</span>

Adoption of Mobile Technology by Public Healthcare Doctors

2011 ◽  
pp. 773-789
Author(s):  
Nesaar Banderker ◽  
Jean-Paul Van Belle
Keyword(s):  
Information And Communication Technologies ◽  
New Technologies ◽  
Resource Constraints ◽  
Quality Of Healthcare ◽  
Healthcare Sector ◽  
Public Healthcare ◽  
Western Cape ◽  
Adoption Factors ◽  
Public Healthcare Sector ◽  
Information And Communication

Doctors working in the South African public healthcare sector are faced with the unique resource constraints prevalent in a developing country. Mobile information and communication technologies (ICTs) hold the promise of improving the quality of healthcare, but this potential can only be unlocked if individuals decide to adopt the new technologies. Understanding the factors that influence the doctor’s adoption of a technology is therefore vital. This chapter reports on an investigation into the factors influencing the adoption of mobile devices by doctors in the public healthcare sector in the Western Cape, South Africa. The research methodology was shaped by qualitative enquiry and described through thematic analysis. The authors confirmed the key adoption factors identified in prior research: job relevance, usefulness, perceived user resources and device characteristics. However, some additional adoption factors were uncovered in this research, namely patient influence, support structures from national government and hospital administration, and unease in respect of malpractice legal suits.

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