scholarly journals Leadership and team building in clinical practice (according to the results of a case study)

2021 ◽  
pp. 52-60
Author(s):  
A. O. Belebeyeva ◽  
M. V. Shevchenko ◽  
Yu. G. Vernigor ◽  
L. M. Semenyuk
Keyword(s):  
Health Care ◽  
Medical Staff ◽  
Reproductive Medicine ◽  
Health Workers ◽  
Personality Type ◽  
Care Facility ◽  
Endocrine Surgery ◽  
Self Assessment ◽  
Endocrine Organs ◽  
Definition Of

The purpose of this paper is to study the distribution of the roles of medical staff in teams that provide medical care in a tertiary health care facility. Materials and methods. The study was conducted among medical workers of the Ukrainian Scientific and Practical Center for Endocrine Surgery, Transplantation of Endocrine Organs and Tissues of the Ministry of Health of Ukraine: Departments of Reproductive Medicine, Surgery and Consultative Clinic according to R. Belbin’s methodology for diagnosing team roles using BSPIQ uestionnaire (Belbin Self-Perception Inventory). The study involved 25 health workers from three structural units of the center: the Department of Reproductive Medicine (7 respondents), a consultative clinic of different specialties (11) and the Department of Endocrine Surgery (7). This study was conducted in several stages. In the first stage, respondents identified and assessed their role in the team based on self-assessment. Respondents answered «Yes» / «No» to 3 short questions concerning the knowledge about the distribution of team members according to the typology of roles proposed by R.M. Belbin (1); belief that the roles that employees perform in the department are identical to their positions or expectations; confidence in the definition of team roles by personality type (3). The following is the direct diagnosis and definition of team roles among the selected medical staff of this health care institution.The survey was conducted during COVID-19 pande­mic, so it has some sampling limitations and is a pilot study. Results and discussion. According to the survey, it was found that all respondents were not previously familiar with this methodology. Every second respondent does not believe in the identity of the roles that employees perform in these teams, their positions or descriptions. However, 84 % of respondents indicated the dependence of team roles on personality type. The results of respondents’ self-assessment of their own roles in teams and direct diagnosis of the distribution of roles using the BSPI-questionnaire coincided with only 5 % of respondents. According to the study, there was a statistically significant relationship between gender and team membership. In particular, only women work in team I (Department of Reproductive Medicine), and 91 % of men (p < 0.002) work in team III (Department of Endocrine Surgery). The situation is similar in terms of position and work in individual clinical teams studied (p < 0.001). The hypothesis of the existence of a relationship between the age of the respondent and the severity of his command role behavioral functions was not confirmed (p < 0.991).The teams differed statistically significantly in the filling of roles (p < 0.087). Separate regularities of distribution of roles in each of the studied commands are revealed. Conclusions. This study points to the importance of studying the distribution of roles in teams. According to its results, it was found that the team (behavioral) role (role) of a member of the studied teams depends on gender and position, but is not related to the age factor. Team roles in the studied clinical teams are distributed differently: the most pronounced role characteristics in all teams are a specialist (expert), a completer-finisher (controller); the absence of a coordinator role has been established. Roles such as monitor evaluator and resource investigator exist only in the team of doctors of the consulting clinic.

Self-assessment by medical workers of the degree of influence of working conditions on the development of occupational diseases

2019 ◽  
pp. 463-467 ◽  
Author(s):  
N. N. Petrukhin ◽  
O. N. Andreenko ◽  
I. V. Boyko ◽  
S. V. Grebenkov
Keyword(s):  
Health Care ◽  
Working Conditions ◽  
Occupational Diseases ◽  
Health Workers ◽  
Medical Personnel ◽  
Long Term Memory ◽  
Self Assessment ◽  
Medical Institutions ◽  
Care Workers ◽  
The Impact

Introduction. The activities of health workers are associated with the impact of many harmful factors that lead to loss of health. Compared with other professional groups, health care workers are ill longer and harder, which may be due to polymorbidity pathology.The aim of the study based on the survey data to study the representation of health workers about working conditions and to identify their impact on the formation of occupational diseases.Materials and methods. In order to get a real idea of the attitude of medical workers to their working conditions in 2018, an anonymous survey was conducted of 1129 doctors and 776 employees of secondary and junior medical personnel working in health care institutions in St. Petersburg, Moscow, Krasnoyarsk, Vologda and Orel.Results. Research of working conditions and health of physicians allowed to establish that work in medical institutions imposes considerable requirements to an organism of working, its physical condition and endurance, volume of operational and long-term memory, ability to resist to mental, moral and ethical overloads.Conclusions: The most important method of combating the development of occupational diseases is their prevention. Organizational and preventive measures should be aimed primarily at monitoring the working conditions and health of medical staff .

scholarly journals Can public sector community health workers deliver a nurturing care intervention in South Africa? The Amagugu Asakhula feasibility study

2021 ◽  
Vol 7 (1) ◽  
Author(s):  
Sonja Klingberg ◽  
Esther M. F. van Sluijs ◽  
Stephanie T. Jong ◽  
Catherine E. Draper
Keyword(s):  
South Africa ◽  
Health Care ◽  
Public Sector ◽  
Health Workers ◽  
Care Facility ◽  
Health Care Facility ◽  
Preschool Age ◽  
Primary Health Care Facility ◽  
Community Based ◽  
Primary Health

Abstract Background Nurturing care interventions have the potential to promote health and development in early childhood. Amagugu Asakhula was designed to promote developmentally important dietary and movement behaviours among children of preschool age (3–5 years) in South Africa. An initial formative study in Cape Town found the intervention to be feasible and acceptable when delivered by community health workers (CHWs) linked to a community-based organisation. This study evaluated the delivery of the Amagugu Asakhula intervention by CHWs linked to a public sector primary health care facility in Soweto, as this mode of delivery could have more potential for sustainability and scalability. Methods A qualitative design was utilised to assess feasibility, acceptability, adoption, appropriateness, implementation, fidelity and context. CHWs (n = 14) delivered the intervention to caregivers (n = 23) of preschool-age children in Soweto over 6 weeks. Following the completion of the intervention, focus group discussions were held with CHWs and caregivers. Further data were obtained through observations, study records and key informant interviews (n = 5). Data were analysed using deductive thematic analysis guided by a process evaluation framework. Results The delivery of the Amagugu Asakhula intervention through CHWs linked to a primary health care facility in Soweto was not found to be feasible due to contextual challenges such as late payment of salaries influencing CHW performance and willingness to deliver the intervention. CHWs expressed dissatisfaction with their general working conditions and were thus reluctant to take on new tasks. Despite barriers to successful delivery, the intervention was well received by both CHWs and caregivers and was considered a good fit with the CHWs’ scope of work. Conclusions Based on these findings, delivery of the Amagugu Asakhula intervention is not recommended through public sector CHWs in South Africa. This feasibility study informs the optimisation of implementation and supports further testing of the intervention’s effectiveness when delivered by CHWs linked to community-based organisations. The present study further demonstrates how implementation challenges can be identified through qualitative feasibility studies and subsequently addressed prior to large-scale trials, avoiding the wasting of research and resources.

scholarly journals NURSE IN THE POLISH HEALTH CARE SYSTEM

2020 ◽  
Vol 73 (8) ◽  
pp. 1771-1779
Author(s):  
Małgorzata Paszkowska
Keyword(s):  
Health Care ◽  
Health Care System ◽  
Medical Staff ◽  
Medical Profession ◽  
Legal Norms ◽  
The Status ◽  
Medical Order ◽  
Definition Of ◽  
Care System

Nurses are the largest group of Polish medical staff. There are currently approximately 230,000 nurses employed in Poland. There is a statutory profession for many years. Nurses provide health services on the basis of a medical order or on their own. As a result of changes in the law, the scope of their professional competences has been increasing for several years, including to independently administer medicines and issue prescriptions. The purpose of the article is to present and analyze legal norms determining the status of a nurse in the Polish health care system. In addition, the definition of the statutory principles of cooperation between doctors and nurses. The analysis shows that changes in law in recent years have significantly influenced the increase in the role of nurses in the health care system and they are also relevant to the practice of the medical profession.

scholarly journals PATIENT-ORIENTEDMODEL OF DELIVERY OF HEALTH CARE AS INSTRUMENT OF IMPROVEMENT OF QUALITY OF MEDICALAND DIAGNOSTIC PROCESS

2014 ◽  
Vol 6 (4) ◽  
pp. 71-74
Author(s):  
V A Gilvanov ◽  
N E Minaycheva ◽  
I A Lebedev ◽  
V N Filatov
Keyword(s):  
Health Care ◽  
Corporate Culture ◽  
Delivery Of Health Care ◽  
Health Workers ◽  
Hospitalized Patients ◽  
Medical Institution ◽  
Diagnostic Process ◽  
Self Assessment

On the basis of the employees given questioning and patients of versatile hospital, influence of patient-oriented model of delivery of health care on its quality is shown. The most important results of introduction of this model are high commitment of health workers to clinic and increase of a self-assessment of employees, and also improvement of quality of medical and diagnostic process, according to repeatedly hospitalized patients. One of the most significant components of the work of medical institution focused on the patient is observance of the principles of corporate culture.

scholarly journals PENINGKATAN PENGETAHUN MASYARAKAT TERKAIT PENTINGNYA REKAM MEDIS BAGI PASIEN DI FASILITAS PELAYANAN KESEHATAN

2021 ◽  
Vol 5 (1) ◽  
pp. 163
Author(s):  
Romaden Marbun ◽  
Rea Ariyanti ◽  
Vincensia Dea
Keyword(s):  
Health Care ◽  
Health Service ◽  
Medical Record ◽  
Medical Records ◽  
Health Workers ◽  
Personal Information ◽  
Care Facility ◽  
Health Care Facilities ◽  
Public Knowledge ◽  
Maximum Point

ABSTRAKRekam medis merupakan bagian dari arsip yang menggambarkan segala aktivitas sebuah fasilitas pelayanan kesehatan dalam kurun waktu tertentu. Rekam Medis ialah berkas yang berisikan catatan dan dokumen tentang identitas pasien, pemeriksaan, pengobatan, tindakan, dan pelayanan lain yang telah diberikan kepada pasien. Rekam medis ini memiliki fungsi penting bagi pasien dan juga dokter. Oleh karena itu pengisian rekam medis ini harus lengkap dan tidak boleh ditunda pengisiannya baik bagi pasien ataupun tenaga kesehatan. Namun, banyak masyarakat yang belum mengetahui fungsi penting dari melengkapi rekam medis dan keterbukaan informasi pribadinya yang harus diberikan kepada fasilitas pelayanan kesehatan bahkan tenaga kesehatan yang merawatnya dalam menunjang mutu informasi pada rekam medis tersebut. Tujuan kegiatan ini adalah meningkatkan pengetahuan masyarakat khususnya RT 09 Kelurahan Bandulan Kota Malang tentang pentingnya rekam medis bagi masyarakat yang berobat di fasilitas pelayanan kesehatan. Metode penyuluhan dilakukan secara tidak langsung atau dalam jaringan (daring) dengan berkoordinasi via online grup whatsapp selama 3 kali pertemuan serta dikirimkan materi presentasi serta video pembelajaran. Masyarakat yang terlibat sebanyak 34 orang. Tahap evaluasi dilakukan melalui google form. Hasil kegiatan diperoleh peningkatan pengetahuan masyarakat dari rata-rata 37,53 menjadi 79,06 dengan point maksimal 100. Kegiatan berjalan dengan baik dan perlu adanya monitoring lebih lanjut. Kata kunci: pengetahuan; masyarakat; rekam medis; fasilitas pelayanan kesehatan. ABSTRACTThe medical record is part of the archive that describes all the activities of a health care facility within a certain period of time. Medical Record is a file that contains records and documents about the patient's identity, examination, treatment, action, and other services that have been provided to the patient. This medical record has an important function for patients as well as doctors. Therefore, the filling of this medical record must be complete and the filling should not be delayed either for the patient or the health worker. However, many people do not know the important function of completing medical records and the disclosure of personal information that must be provided to health care facilities and even health workers who take care of them in supporting the quality of information in the medical record. The purpose of this activity is to increase public knowledge, especially RT 09 RW 05 Kelurahan Bandulan Malang City about the importance of medical records for people who seek treatment at health service facilities. The counseling method is carried out indirectly or online by coordinating via online WhatsApp groups for 3 meetings and sending presentation materials and learning videos. There were 34 people involved. The evaluation stage is carried out through a google form. The results of the activity obtained an increase in public knowledge from an average of 37.53 to 79.06 with a maximum point of 100. The activity went well and needed further monitoring. Keywords: knowledge; public; medical records; health service facilities.

scholarly journals BIG DATA ANALYTICS IN PHARMACOVIGILANCE - A GLOBAL TREND

2021 ◽  
pp. 19-24
Author(s):  
SWETHA RANI AITHA ◽  
SRAVANI MARPAKA ◽  
CHAKRADHAR T ◽  
BHUVANESHWARI E ◽  
SWARUPA RANI KASUKURTHI
Keyword(s):  
Health Care ◽  
Big Data ◽  
Data Analytics ◽  
Medical Information ◽  
Big Data Analytics ◽  
Care Facility ◽  
Health Care Facility ◽  
Global Trend ◽  
Computerized Medical Information ◽  
Definition Of

Big data analysis has enhanced its demand nowadays in various sectors of health-care including pharmacovigilance. The exact definition of big data is not known to many people though it is routinely used by them. Big data refer to immense and voluminous computerized medical information which are obtained from electronic health records, administrative data, registries related to disease, drug monitoring, etc. This data are usually collected from doctors and pharmacists in a health-care facility. Analysis of big data in pharmacovigilance is useful for early raising of safety alerts, line listing them for signal detection of drugs and vaccines, and also for their validation. The present paper is intended to discuss big data analytics in pharmacovigilance focusing on global prospect and domestic country-India.

scholarly journals Development of Vietnamese Medical Staff in the Period of Accelerated Industrialization and Modernization of the Country and International Integration

2020 ◽  
Vol 5 (1) ◽  
pp. 39
Author(s):  
Do Thi Nhuong ◽  
Chu Tuan Anh
Keyword(s):  
Health Care ◽  
Quality Of Health Care ◽  
Medical Staff ◽  
Health Care Services ◽  
Health Workers ◽  
Continuous Growth ◽  
Remote Areas ◽  
Care Services ◽  
The Right

Medical staff holds a pivotal role in the Vietnamese health system, and is crucial to the efficiency and quality of health care services in Vietnam. It is their professional and dedicated work that is a permanent basis to guarantee protection of and care for people’s health in the provision of health care services to people in all regions, including remote areas, borders and islands. The continuous growth in the quantity and quality of health workers in Vietnam has affirmed the right leadership of the Communist Party of Vietnam in building this health workforce over the years.

The influence of facility ownership structure on individual responding to stress: a multilevel model

2009 ◽  
Vol 22 (2) ◽  
pp. 62-70 ◽  
Author(s):  
Shu-Chuan Jennifer Yeh ◽  
Chia-Hsiung Huang ◽  
Hsueh-Chih Chou ◽  
Thomas T H Wan
Keyword(s):  
Health Care ◽  
Coping Strategies ◽  
Medical Staff ◽  
Role Ambiguity ◽  
Care Facility ◽  
Health Care Facility ◽  
Physical Symptoms ◽  
Primary Data ◽  
Fluid Restriction ◽  
And Coping

Few studies have investigated the effect of health-care facility ownership on the relationship between patient stressors and coping strategies. The purpose of this study was to investigate whether haemodialysis (HD) patient stressors and coping strategies differ by type of health-care facility ownership, and whether such ownership has a cross-level moderating effect between stressors and coping strategies. We used the Haemodialysis Stressor Scale and the Jalowiec Coping Scale; primary data were collected by interviewing 2642 HD patients 15 years or older on dialysis for at least three months from 27 HD centres. One-way analysis of variance and hierarchical linear modelling were used to attain the research purposes. HD patients from religious-based hospitals had higher stress related to their physical symptoms, dependency on medical staff, role ambiguity and blood vessel problems than those differently owned facilities. Patients in veterans and army (VA) hospitals had higher stress related to food and fluid restriction and dependency on medical staff than private centres. Patients in religious-based hospitals had significantly higher coping scores, followed by VA and private HD centres. Religion-based ownership might serve as a cross-level moderator for patients perceiving role ambiguity stress and using problem-oriented, support seeking and isolated thought-coping strategies.

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