scholarly journals Opportunities and Challenges of Nurses after Upgradation of Class 2 Status

2022 ◽  
Vol 13 (1) ◽  
pp. 20-26
Author(s):  
M Akter ◽  
MR Begum ◽  
R Begum ◽  
N Sultana
Keyword(s):  
Care Delivery ◽  
Group Discussion ◽  
Structured Interview ◽  
Health Care Delivery System ◽  
Cross Sectional Study ◽  
Public Hospitals ◽  
Working Environment ◽  
Staff Nurse ◽  
Cross Sectional ◽  
Depth Interview

Nurse’s job facilities and challenges have emerged as a burning issue in health care delivery system in Bangladesh. This descriptive cross sectional study with a mixed quantitative and qualitative design aimed to explore the opportunities and challenges of nurses after upgradation of class 2 status. The study was carried out in two specialized public hospitals for one year duration among purposively selected 144 nurses with a semi structured interview administered questionnaire In depth interview and focus group discussion (FGD) were conducted among selected personnel. The study revealed that the mean age of nurses was 42.3 (±6.3) years, majority (86.1%) were female, most of them (79.1%) were senior staff nurse with 16.8 years mean working experience. The study explored the opportunities of nurses after upgradation of class 2 status like increased responsibilities and honor in working place, promotional opportunities mentioned by majority of respondents. On the other hand, the challenges were noted as not changing the physicians attitude, not changing the working environment, limited scope for utilization of professional skill, not having job security mentioned by majority of respondents. The study also found that most of the nurses (90.3%) were satisfied after upgradation, but a large portion were not satisfied regarding fringe benefits and current salary structure. From FGD and in depth interview some suggestions come forward for nursing profession empowerment like good salary package, medical incentive, residence and training facilities etc. Few opportunities increased in upgradation of nurses in class 2 status, however nurses were depriving from many of their facilities, which indicated that 2nd class status was partially implemented in professionally, socially and culturally. Bangladesh Journal of Medical Education Vol.13(1) January 2022: 20-26

scholarly journals Teachers’ view about feminization of Medical Education in Bangladesh

2021 ◽  
Vol 12 (2) ◽  
pp. 4-9
Author(s):  
Muqbula Tasrin Aktar ◽  
Fuad Reajwan Kabir ◽  
M Kumrul Hasan ◽  
Md Rafiqul Islam
Keyword(s):  
Health Care ◽  
Medical Education ◽  
Care Delivery ◽  
Health Care Delivery System ◽  
Cross Sectional Study ◽  
Female Students ◽  
Working Environment ◽  
Medical Emergency ◽  
Cross Sectional ◽  
The Impact

This descriptive type of cross-sectional study was driven to explore the teachers’ view about feminization of medical education in Bangladesh. This study was carried out in 4 government and 4 non-government medical colleges of Bangladesh during the period of July 2019 to June 2020. From all four phases, total 104 teachers were respondents of this study to seek information regarding the factors affecting and effects of feminization of medical education in Bangladesh with a pretested self-administered questionnaire. The study revealed that high social respect, high marriage value, parental pressure, financial security are the factors for feminization of medical education in Bangladesh. Other factor that may influence female students to get admitted in the MBBS course is female students are more studious. There are limited better alternate profession for female students. This study also revealed that empathetic to patients are more satisfied with female doctors, they like some specific subspecialty as their career choice and feminization do not hamper quality of health care. 46 (44.2%) teachers were disagreed that female doctors like to work in rural area. and 49 (47.1%) teachers were disagreed that female doctors are efficient in medical emergency management during disaster. Study recommended establishment of female friendly working environment at all levels of the hospital. Study also recommended further long term and wider scale study with more participants to observe the impact of feminization of medical education on health care delivery system in Bangladesh Bangladesh Journal of Medical Education Vol.12(2) July 2021: 4-9

Prevalence and Risk Factors of work Related Musculo Skeletal Disorders (wrmsd’s) Among Doctors - A Cross Sectional Study

2021 ◽  
pp. 1-4
Author(s):  
Biju Azariah ◽  
◽  
Geethu Babu ◽  
Keyword(s):  
Risk Factors ◽  
Service Sector ◽  
Care Delivery ◽  
Tertiary Care ◽  
Health Sector ◽  
High Volume ◽  
Cross Sectional Study ◽  
Working Environment ◽  
Cross Sectional ◽  
Work Related

Work related musculoskeletal disorders (WRMSDs) have not only shown to impact the physical and pschycological comfort of the employee but also deteriorate the prospects of any production or service sector. The prevalence of WRMSDs, though studied extensively in various sectors, has been understudied in health sector, especially among doctors. This study which evaluated the prevalence and risk factors of these disorders among fifty cancer treating Radiation Oncologist at a Tertiary Care Cancer Centre in India had exposed out an alarming 68% prevalence of these disorders in the study population, with neck pain being the commonest site of these Muscloskeletal Disorders (MSDs). Several factors which could impact the development of MSDs were analysed. This higher incidence of MSDs is presumed to be because of extreme physical and mental stress of working in a high volume cancer care centre, persistent unhealthy postures during work, inadequate micropauses between works and uncomfortable working atmosphere. Adequate physician patient ratio, restricting the patient load, providing good physician friendly working environment and adequate mandatory breaks might significantly reduce the incidence of these disorders and can prevent the sagging of health care delivery.

scholarly journals A Cross-sectional Study on Challenges Faced and Strategies Adopted in Responding to Corona Virus Disease (COVID-19) by Hospital Administrators in Kaski District

2021 ◽  
Vol 2 (4) ◽  
pp. 256-260
Author(s):  
KC Deepti ◽  
S Poudel ◽  
SB Hamal Thakuri ◽  
S Shrestha
Keyword(s):  
Virus Disease ◽  
Health Care Systems ◽  
Structured Interview ◽  
Cross Sectional Study ◽  
Public Hospitals ◽  
Cross Sectional ◽  
Hospital Administrators ◽  
Corona Virus ◽  
Care Systems ◽  
Private And Public

Background: Following the outbreak of Coronavirus disease in 2019, the year 2020/21 has been an incredibly challenging one for all global health-care systems. Methods: A cross sectional descriptive research design was used to conduct the study. The study was carried out in all general private and public hospitals of Kaski district of Nepal. Data were collected from 25th October to 5th December, 2020 from the Hospital administrators using a semi structured interview schedule. Descriptive statistics were used for data analysis. Results: Most (96.3%) of the hospitals reported that increased cost or expenses of the hospitals creating financial threat is the most challenging situation that hospitals are facing in this pandemic. In addition shortages of ventilators creating ethical dilemma for patient allocation and changing guidelines from authorities have been reported as a challenge by 88.9 percent of the hospitals respectively. All of the surveyed hospitals had developed the use of thermometers for screening at the hospital entrances to minimize the risk. Conclusion: Hospitals in this pandemic are facing a lot of challenges with regard to staff management, PPE management and so on. Hence they need to adopt best strategies in responding to the corona virus.

scholarly journals Physicians' Attitudes toward Unnecessary Tests and Processes in the Health Care Delivery System; a Cross-Sectional Study

2021 ◽  
Vol 6 (2) ◽  
pp. 115-124
Author(s):  
Fatemeh Farhadi ◽  
Rahim Khodayari ◽  
Zahra Mobarak ◽  
Morteza Arab-Zozani ◽  
◽  
...  
Keyword(s):  
Health Care ◽  
Delivery System ◽  
Health Care Delivery ◽  
Care Delivery ◽  
Health Care Delivery System ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Cross Sectional ◽  
System A

scholarly journals Patterns of antenatal care services utilization in rural Amroha, Uttar Pradesh: a community based cross sectional study

2019 ◽  
Vol 6 (9) ◽  
pp. 4048
Author(s):  
Bhaskar K. Watode ◽  
Anurag Srivastava ◽  
Rajeev Kumar
Keyword(s):  
Antenatal Care ◽  
Care Delivery ◽  
Economic Status ◽  
Uttar Pradesh ◽  
Health Care Delivery System ◽  
Cross Sectional Study ◽  
Family Type ◽  
World Health ◽  
Cross Sectional ◽  
Maternal Deaths

Background: Antenatal care (ANC) services are considered to be the crucial element in the primary health care delivery system of a country. World Health Organization (WHO) estimates suggested that almost all of the maternal deaths (99%) and child deaths (98%) occurred in developing countries. These maternal deaths could have been prevented if the pregnant women or adolescent girls had been able to access quality antenatal care. The objectives of the present study were conducted in rural parts of district Amroha, Uttar Pradesh for assessing the patterns of utilization of the ANC services and to ascertain the factors influencing utilization of ANC services.Methods: The present study was a cross sectional in nature. Recently delivered women were selected as study subject. A multi-stage stratified sampling design with random approaches had been used. Total 360 subjects included in the study.Results: Respondents age, education, occupation, socio economic status, family type and family size were the factors that influenced the utilization of the ANC services. With 100% ANC registration, sub centre was the most preferred place for registration. 76.9% of woman received more than 3 ANC visits. 315 (87.5%) and (71.9%) respondents received 2 doses to TT vaccine and more than 100 IFA tablets respectively.Conclusions: Utilization of ANC services are on rise in rural parts of Amroha, Uttar Pradesh. Still significant proportions of women are doesn’t return to health facility after the ANC registration. Intensification of efforts is needed to cater this left out group through improving community awareness and motivation.

scholarly journals Socio-demographic Characteristics of Depressive Illness Patients Attending a Selected Military Hospital

2020 ◽  
Vol 15 (2) ◽  
pp. 178-180
Author(s):  
Md Abdul Hamid ◽  
Md Mahbubur Rahman ◽  
Md Rafiqul Islam ◽  
Sheikh Shahidul Islam
Keyword(s):  
Gender Difference ◽  
Care Delivery ◽  
Public Health Problem ◽  
Health Care Delivery System ◽  
Cross Sectional Study ◽  
Depressive Illness ◽  
Child Rearing ◽  
Military Hospital ◽  
Important Public Health Problem ◽  
Cross Sectional

Introduction:Depressive illness is generally not perceived as an important public health problem and is not priority in health care delivery system in Bangladesh. It is the leading cause of disease-related disability in the country today. Gender differences in depression are likely to be result of certain risk factors. Objectives: To find out gender difference in epidemiological and socio-demographic features associated with depressive illness. Materials and Methods: This descriptive cross sectional study was carried out among 91 diagnosed depressive patients attending in the psychiatry department of CMH Dhaka from January to December 2014. The patients were interviewed through an interviewer-administered questionnaire. Data were analyzed by using SPSS version 20.  Chi-square test was used to see the level of significance. Results: In this study the mean age of the patients was 34.47±9.577 years. The study revealed that depressive illness appears to be  more in female during child bearing and child rearing period of 16-39 years and male of 40-63 years were more sufferer than female which was significantly different (p<0.05). In this study 63.74% of patients were female and 36.26% were male with ratio of 1.757:1. It was observed that the association of depression with residence in urban area in female (72.1%) was significantly (p<0.05) higher than male (27.9%) in the same area. This study revealed that the association of depression with history of financial hardship in female was statistically significant (p<0.05) over their male counter-part.The study also revealed that strenuous job was significantly (p<0.05) associated with depression in female than male. Conclusion:  The overall finding of the study indicates that possibility of gender difference in certain epidemiological and sociodemographic features of depressive illness is significantly present. As depressive illness has significant impact on burden of disease and quality of life, this issue needs to be addressed. JAFMC Bangladesh. Vol 15, No 2 (December) 2019: 178-180

scholarly journals Técnicos de enfermagem: condições laborais e acidentes em hospital escola

2019 ◽  
Vol 13 ◽  
Author(s):  
Katia Maria Rosa Vieira ◽  
Francisco Ubaldo Vieira Junior ◽  
Zélia Zilda Lourenço de Camargo Bittencourt
Keyword(s):  
Working Conditions ◽  
Personal Protective Equipment ◽  
Biological Material ◽  
Cross Sectional Study ◽  
Public Hospitals ◽  
Working Environment ◽  
Protective Equipment ◽  
Work Processes ◽  
Cross Sectional ◽  
Occupational Risks

Objetivo: analisar as condições de trabalho percebidas por técnicos de Enfermagem e sua relação com acidentes envolvendo material biológico. Método: trata-se de um estudo misto, descritivo, transversal, realizado em um hospital público. Elencaram-se 275 profissionais que responderam a um questionário com perguntas relacionadas ao número de acidentes, percepção das condições de trabalho e sugestões para minimizá-los. Detalha-se que a pesquisa foi do tipo probabilística aleatória simples, com distribuição proporcional nas unidades e turnos de trabalho e os resultados apresentados a partir de relatos e tabelas. Resultados: declarou-se, por 210 técnicos, ter sofrido acidente de trabalho. Revela-se que as variáveis ritmo de trabalho estressante, monotonia e influência do trabalho na saúde tiveram significância estatística, e o uso de equipamentos de proteção individual e diminuição da sobrecarga foram as medidas mais indicadas pelos respondentes. Conclusão: indicou-se, pela análise, relação positiva entre sobrecarga de trabalho e acidentes com material biológico. Percebe-se que, apesar de a instituição disponibilizar equipamentos de proteção individual aos trabalhadores, há forte indício do não uso ou uso parcial. Podem-se subsidiar, pelo instrumento utilizado nesta pesquisa, ações gerenciais para readequações dos processos de trabalho. Descritores: Riscos Ocupacionais; Acidentes de Trabalho; Hospitais Públicos; Ambiente de Trabalho; Condições de Trabalho; Enfermagem.   ABSTRACTObjective: to analyze the working conditions perceived by nursing technicians and their relationship with accidents involving biological material. Method: this is a mixed, descriptive, cross-sectional study conducted in a public hospital. 275 professionals answered a questionnaire with questions related to the number of accidents, perception of working conditions and suggestions to minimize them. It is noted that the research was of simple random probability type, with proportional distribution in units and work shifts and the results presented from reports and tables. Results: 210 technicians claimed to have suffered an accident at work. It is revealed that the variables stressful work rhythm, monotony and influence of work on health were statistically significant, and the use of personal protective equipment and decreased overload were the measures most indicated by respondents. Conclusion: the analysis indicated a positive relationship between work overload and accidents with biological material. Although the institution makes personal protective equipment available to workers, there is strong evidence of non-use or partial use. It can be subsidized, by the instrument used in this research, managerial actions to readjust the work processes. Descriptors: Occupational Risks; Occupational Acidentes; Public Hospitals; Workplace; Working Environment; Nursing.  RESUMENObjetivo: analizar las condiciones de trabajo percibidas por los técnicos de Enfermería y su relación con los accidentes que involucran material biológico. Método: este es un estudio mixto, descriptivo, transversal realizado en un hospital público. Fueron listados 275 profesionales respondieron un cuestionario con preguntas relacionadas con el número de accidentes, la percepción de las condiciones de trabajo y sugerencias para minimizarlos. Se observa que la investigación fue de tipo de probabilidad aleatoria simple, con distribución proporcional en unidades y turnos de trabajo y los resultados presentados a partir de relatos y tablas. Resultados: 210 técnicos afirmaron haber sufrido un accidente en el trabajo. Se revela que las variables ritmo de trabajo estresante, monotonía e influencia del trabajo en la salud fueron estadísticamente significativas, y el uso de equipo de protección personal y la disminución de la sobrecarga fueron las medidas más indicadas por los encuestados. Conclusión: el análisis indicó una relación positiva entre sobrecarga de trabajo y accidentes con material biológico. Si bien la institución pone a disposición de los trabajadores equipos de protección personal, existe una fuerte evidencia de falta de uso o uso parcial. Puede ser subsidiado, por el instrumento utilizado en esta investigación, acciones de gestión para reajustes de los procesos de trabajo. Descriptores: Riesgos Laborales; Accidentes de Trabajo; Hospitales Públicos; Ambiente de Trabajo; Condiciones de Trabajo; Enfermería.

scholarly journals Assessment of Oral Health Care Delivery System in Greater Noida Using Five A’s Model

2019 ◽  
Vol 3 (9) ◽  
pp. 303-313
Author(s):  
Insha Nissar ◽  
Bhuvandeep Gupta ◽  
Priyanka Kotia ◽  
Kirti Raina ◽  
Akansha Monga
Keyword(s):  
Family Income ◽  
Care Delivery ◽  
Dental Health ◽  
Health Care Delivery System ◽  
Cross Sectional Study ◽  
Dental Services ◽  
Cross Sectional ◽  
Services Utilization ◽  
Care Services ◽  
Study Population

BACKGROUND: Access to dental health services refers not only to utilization but also to the extent by which the utilization is judged as per the professional norms using five independent dimensions of accessibility, availability, accommodation, affordability and acceptability. AIM: The aim of the study is to assess the dental services utilization among population of Greater Noida using Five A’s model. MATERIALS AND METHOD: The study was conducted in Dental College in Greater Noida. This cross-sectional study was carried out on the 200 subjects using convenient sampling on the patients visiting dental OPD.A self-administered structured questionnaire in English and Hindi language was used. Data was entered in the Microsoft excel sheet and analysed using SPSS (version 20.0).RESULTS: Mean level of access to dental services in the study population was 60.3.Corresponding figures for affordability, availability, accessibility, accommodation and acceptability were 55.2 ± 12.1,57.1± 12.8,60.75 ± 14.7,61.75 ± 8.7,58.65± 11.4 respectively.CONCLUSION: According to the results of our study , the level of access to dental care services is not very good with family income, location and level of education being the determinants of this access.

scholarly journals Utilization of Maternal Health Care Services in India: A Community Based Cross-sectional Study in Rural Belgaum

2019 ◽  
pp. 1-11
Author(s):  
Maginsh Dahal ◽  
Kushalata Baral ◽  
Mubashir Angolkar
Keyword(s):  
Health Care ◽  
Maternal Health ◽  
Health Care Delivery ◽  
Health Workers ◽  
Care Delivery ◽  
Health Care Delivery System ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Community Based ◽  
Cross Sectional

Introduction: Sub Centre (SC) is the peripheral unit of the existing health care delivery system under the allopathic system of medicine in India. These basically provide preventive, promotive and the curative services and are facilitated by Female Health Workers (ANM) and Male Health Workers (MHW). They are the integral part of health care delivery system. Also, key to achieve a goal of health for all and to promote the community people for their overall development. Methods: A community based descriptive cross-sectional study was conducted from August 2011 to February 2013 in all 9 sub centers of Kinaye PHC of Belgaum district, all 14 maternal health care workers were selected  and 272 beneficiaries were selected from catchments area of these sub-centers were interviewed by administering structured, pretested interview schedule. Data were analyzed by SPSS (20 Version). Results: Study revealed that (85%) of the workers had correct knowledge but could not transform it into practice completely. This is due to multiple problems that encounter such as include lack of equipments(85.71%), transport facilities (77.78%), delay in decision-making by community to seek care (77.78%), lack of supportive supervision (>20%). Besides these, they were lacking in career development opportunities. There are no promotional avenues and low remuneration and benefits. The acceptance of service provided through sub centers was satisfactory (>90%) among beneficiaries and ANMs (98%) were most accepted than MHW. Beneficiaries faced many problems to access services such as lack of need based services (60%), poor attention by health service provider towards the need of consumers (5.2%) and difficulty in reaching to sub health post (21%). Conclusion: The regular supply of necessary equipments and medicines needs to be ensured          at the sub centre and frequent in-service trainings and career development opportunities to be given to health workers to maintain the enthusiasm and devotion towards the profession.                Also there is a need to provide skill development opportunities and ensure the convenience of service at all sub centers and communication between health workers and beneficiaries to be emphasized.

scholarly journals Intention to leave and associated factors among laboratory professionals working in Amhara National Regional State public hospitals, Ethiopia: institutional based cross-sectional study

2019 ◽  
Author(s):  
Endalkachew Dellie ◽  
Gashaw Andargie ◽  
Geta Asrade ◽  
Tsegaye Gebremedhin
Keyword(s):  
Associated Factors ◽  
Affective Commitment ◽  
Educational Opportunity ◽  
Intention To Leave ◽  
Cross Sectional Study ◽  
Vital Role ◽  
Public Hospitals ◽  
Working Environment ◽  
Cross Sectional ◽  
Regional State

Abstract Objective laboratory professionals play a vital role in the detection, diagnosis, and treatment of diseases. Therefore, it is important to get a deeper knowledge of workplace variables that either motivates laboratory staffs to remain employed or lead them to leave their current jobs. Thus, this study aimed to assess intention to leave and associated factors among laboratory professionals working in public hospitals of Amhara National Regional State, Ethiopia. Results A total of 220 (65.5%) with 95% CI: 60-70 laboratory professionals had the intention to leave their hospitals. Dissatisfaction with educational opportunity (AOR: 3.59, 95% CI: 1.61-7.99), pay and benefit (AOR: 3.89, 95% CI: 1.53-9.89), recognition (AOR: 2.69, 95% CI: 1.35-5.38), working environment (AOR: 2.77, 95% CI: 1.45-3.30), high workload (AOR: 1.94, 95% CI: 1.04-3.63), low affective commitment (AOR: 2.05, 95% CI: 1.10-3.82) and being unmarried (AOR:2.46, 95% CI: 1.32-4.58) were the factors significantly associated with intention to leave. The magnitude of laboratory professionals’ intention to leave was found to be high. Health care policymakers and hospital managers need to develop and institutionalize evidence-based retention strategies to reduce the intention of laboratory professionals to leave.

Sign in / Sign up

Export Citation Format

Share Document