scholarly journals Mobbing in the Case of Primary Health Care Providers

2022 ◽  
Vol 5 (1) ◽  
pp. 01-07
Author(s):  
Oya Dirican ◽  
Özge Abacı Bozyel ◽  
Dilek Öztaş

Objectives: Primary healthcare workers are the main drivers of the population-oriented health education programs. In this work, we aim to offer an account of the conditions that lead to mobbing in Primary Health Care Employees, and of the ways to address this problem and its consequences. Methods: This study has been conducted on the medical staff in primary health care units in the province of Antalya, with the permission of the Provincial Health Directorate and the approval of the ethics board of the Antalya Education and Research Hospital. It was planned as a cross-sectional study; survey forms were filled out by 752 employees during an internal training for primary health care in 2017. After informing the subjects regarding the aims of the study, we gave them a survey of 21 questions. The average time for the individuals to answer the questions was 30 minutes. The survey was designed to ask the individuals their age, gender, educational background and occupation, whether they know of any case of mobbing, whether they were subjected to mobbing themselves and for how long, the position and the gender of the perpetrator, and whether and how they addressed the issue. The answers of the participants were analyzed with descriptive statistical analysis, the frequencies were determined and chi-square test was used. Results: 72.2% (543) of the participants declare that they heard the words "mobbing" or "psychological harassment" before. In our study, the rate of exposure to mobbing was found to be 30.4% among primary care providers. We have found that mobbing exposure was significantly higher among females and midwives and nurses. Our study reveals that in every occupational group perpetrators are mostly in management positions; that 36-45 age group was the most victimized group by both genders; that the most common method in order to handle mobbing is the loss of communication which is a new problem between the perpetrator and the victim and that the most common response to mobbing is to share it with friends; and our study finds that the period of mobbing in the midwife-nurse group is mostly 19 months and more, while this period takes to 9-12 months in the case of doctors. Discussion: One of the most important steps in preventing mobbing is to take timely measures in organizations and to prevent the problem from harming the organization and employees. Educating employees about emotional assault within their working environment is proposed as an important solution for them to protect themselves when they are subjected to harassment.

2021 ◽  
Author(s):  
Yadeta Alemayehu ◽  
Adamu kenea ◽  
Ebsa Gelan ◽  
Geremew Tolesa ◽  
Lemi Bacha

Abstract Background: Pandemic corona virus outbreak has global distribution and world health organization stated that there is a high risk of pandemic corona virus out spreading to other developing countries that can make health professionals serving in third world countries to fear for morbidity and mortality. Objectives: To assess level of perceived stress and associated factors among health care providers during corona virus outbreak in Ilu Aba Bora and Bunno Bedelle Zones, Oromia regional state South West Ethiopia 2020.Methods: Facility based cross sectional study design was conducted among 365 respondents. Perceived stress was assessed using perceived stress scale (PSS) instrument. The data was organized and processed by the use of epi info-7 and analyzed using SPSS version 21.Results: The prevalence of perceived stress due to pandemic corona virus management among health care providers working in public health facilities was 57% in the last month of this study period. In Multivariate logistic regression being married (AOR=4.6, 95% CI: 3.51; 9.33), less than one year working experience (AOR= 2.57, 95%CI: 1.83-7.32) and having BSc degree and lower educational background in health related fields (AOR=3.8, 95%CI: 3.81; 7.03) had significantly associated with perceived stress among health care providers at p value of less than 0.05.Conclusion: Lower work experience, being married and lower educational background was significantly associated with perceived stress. Ministry of health in collaboration with ministry of education and other stakeholders should facilitate stress management skills inductive trainings to practitioners of newly recruited health care providers working in health care facilities.


2021 ◽  
Author(s):  
Yadeta Alemayehu ◽  
Adamu kenea ◽  
Ebsa Gelan ◽  
Geremew Tolesa ◽  
Lemi Bacha

Abstract Background: Pandemic corona virus outbreak has global distribution and world health organization stated that there is a high risk of pandemic corona virus out spreading to other developing countries that can make health professionals serving in third world countries to fear for morbidity and mortality. Objectives: To assess level of perceived stress and associated factors among health care providers during corona virus outbreak in Ilu Aba Bora and Bunno Bedelle Zones, Oromia regional state South West Ethiopia 2020.Methods: Facility based cross sectional study design was conducted among 365 respondents. Perceived stress was assessed using perceived stress scale(PSS). The data was organized and processed by using epi info-7 and analyzed using SPSS version 21. Results: Prevalence of perceived stress was 57%. In multivariable logistic regression being married(AOR=4.6, 95% CI: 3.51;9.33), less than one year working experience (AOR= 2.57, 95%CI: 1.83-7.32) and having BSc degree and lower educational background in health related fields (AOR=3.8, 95%CI: 3.81; 7.03) was significantly associated with perceived stress among health care providers at p value of less than 0.05. Conclusion: Lower work experience, being married and lower educational background was significantly associated with perceived stress. Ministry of health in collaboration with ministry of education and other stakeholders should facilitate stress management skills inductive trainings to practitioners of newly recruited health care providers working in health care facilities.


Author(s):  
Zewdie Birhanu ◽  
Mirkuzie K. Woldie ◽  
Tsion Assefa ◽  
Sudhakar Morankar

Background: Patient enablement is associated with behaviours like treatment adherence and self-care and is becoming a well-accepted indicator of quality of care. However, the concept of patient enablement has never been subjected to scientific inquiry in Ethiopia.Objectives: The aim of this study was to determine the degree of patient enablement and its predictors after consultation at primary health care centres in central Ethiopia.Method: Data were collected from 768 outpatients from six primary health care centres in central Ethiopia during a cross-sectional study designed to assess patient satisfaction.Consecutive patients, 15 years or older, were selected for the study from each health centre.Multinomial logistic regression was performed to identify predictors of patient enablement using SPSS (version 16.0).Results: The study showed that 48.4% of patients expressed an intermediate level of enablement, while 25.4% and 26.2% of the patients expressed low and high levels of patient enablement, respectively. Four models were developed to identify predictors of patient enablement. The first model included socio-demographic variables, showing that residence, educational status and occupational status were significantly associated with patient enablement (p < 0.05). This model explained only 20.5% of the variation. The second and third models included institutional aspects, and perceived doctor–patient interaction and information sharing about illness, respectively. They explained 31.1% and 64.9% of the variation. The fourth model included variables that were significantly associated with patient enablement in the first, second and third models and explained 72% of the variation. In this model, perceived empathy and technical competency, non-verbal communication, familiarity with the provider, information sharing about illness and arrangement for follow-up visits were strong predictors of patient enablement (p < 0.05).Conclusion: The present study revealed specific predictors of patient enablement, which health care providers should consider in their practice to enhance patient enablement after consultation.


2021 ◽  
Author(s):  
Yadeta Alemayehu ◽  
Adamu kenea ◽  
Ibsa Gelan ◽  
Lemi Bacha ◽  
Geremew Tolessa

Abstract Background: Pandemic corona virus outbreak has global distribution and world health organization stated that there is a high risk of pandemic corona virus out spreading to other developing countries that can make health professionals serving in third world countries to fear for morbidity and mortality. Even though the problem is given a concern in Western countries, in developing countries like Ethiopia the data is limited and the concern for these front liners is low.Objectives: To assess level of perceived stress and associated factors among health care providers during corona virus outbreak in Ilu Aba Bora and Bunno Bedelle Zones, Oromia regional state, South West Ethiopia, 2020.Methods: Facility based cross sectional study design was conducted among 365 respondents. Perceived stress was assessed using perceived stress scale (PSS) instrument. The data was organized and processed by the use of epi info-7 and analyzed using SPSS version 21.Results: The prevalence of perceived stress due to pandemic corona virus among health care providers working in public health facilities was 57%. In Multivariate logistic regression being married (AOR=4.6, 95% CI: 3.51; 9.33), less than one year work experience (AOR= 2.57, 95%CI: 1.83-7.32) and having BSc degree and lower educational background (AOR=3.8, 95%CI: 2.81; 7.03) had significantly associated with perceived stress among health care providers at p value of less than 0.05.Conclusion: Lower work experience, being married and lower educational background was significantly associated with perceived stress. Ministry of health in collaboration with ministry of education and other stakeholders should facilitate stress management skills inductive trainings to practitioners of newly recruited health care providers working in health care facilities.


2021 ◽  
Vol 16 (3) ◽  
pp. 101-103
Author(s):  
Qin Jian Low ◽  
Tzyy Huei Lim ◽  
Shu Ann Hon ◽  
Seng Wee Cheo ◽  
Noranizah Wagino ◽  
...  

Skin conditions are a common reason for consulting primary health care. The public frequently expects their primary health care providers to be able to recognise and treat common skin conditions with confidence. Primary care providers must be able to identify ‘red flag’ skin conditions that require dermatology referral. However, diagnosis is often delayed due to the non-specific clinical presentation, low incidence, slow evolution and long-term history of such lesions. We report the case of a patient with extramammary Paget’s disease that presented to her primary care provider and subsequently underwent a wide local excision.


Sexual Health ◽  
2014 ◽  
Vol 11 (3) ◽  
pp. 258 ◽  
Author(s):  
Chee S. Koh ◽  
Melissa Kang ◽  
Tim Usherwood

Background Individuals who identify as gay, lesbian, bisexual, transgender or queer (GLBTQ) suffer higher rates of illness and morbidity compared with the general population but may experience significant barriers to accessing primary health care. Method: We used an online questionnaire to explore GLBTQ adults’ experiences of accessing primary health care in Australia. We developed the questionnaire in consultation with individuals who belonged to or worked closely with the GLBTQ community. Questions were open-ended and sought information about four topic areas: sexual identity and its meaning, utilisation of primary health care services, disclosure of sexual identity to primary care providers and experiences of accessing primary health care. Data were analysed by coding free-text responses into themes. Results: Ninety-nine valid responses were received. Participants were 18–60+ years old (modal age group: 20–29 years); 70% lived in cities. Of these, 49% identified as gay, 35% as lesbian, 13% as bisexual, 8% as queer and 3% as transgender. Some participants indicated more than one identity. GLBTQ-identifying adults often divided care, seeking different primary care services for different health concerns. Themes in relation to disclosure of sexual identity were: taking a rights-based position, experiences of homophobia and clinical context. Themes about access to primary health care were: diversity and heterogeneity, real or perceived discrimination, visual symbols and respect. Conclusion: Despite diversity, GLBTQ adults experience many barriers to accessing health care due to sexual identity. General practitioners and other primary health care providers have a role in ensuring equitable access to health care.


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