scholarly journals Prevalence of Burnout among Primary Health Care Staff and Its Predictors: A Study in Iran

2019 ◽  
Vol 16 (12) ◽  
pp. 2249 ◽  
Author(s):  
Zarei ◽  
Ahmadi ◽  
Sial ◽  
Hwang ◽  
Thu ◽  
...  
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Maslach Burnout Inventory ◽  
Cross Sectional Study ◽  
Care Staff ◽  
Health Care Staff ◽  
Cross Sectional ◽  
Primary Health ◽  
Data Collection Instrument ◽  
Communication Competencies

: Burnout, which is an emerging challenge in health systems, is very common among primary health care (PHC) workers. The aim of this study was to investigate the level of burnout among PHC workers, and its predictive factors, in a region in the west of Iran.In this cross-sectional study, all the health network staff (n = 539) were enrolled. The data collection instrument was the Maslach Burnout Inventory (MBI), which consists of 22 items and the three subscales of emotional exhaustion (EE), depersonalization (DP), and personal achievement (PA). High scores in EE and DP and low scores in PA are indicative of high burnout. Logistic regression was used to determine the predictors of high burnout. The data were analyzed using SPSS version 16. The findings showed that 90.5% of the staff had high DP, 55.3% had high EE, and 98.9% had low PA scores. Also, 52.9% (277 people) of the staff suffered from high burnout. Single people (OR = 3.33), less experienced employees (OR = 9.09), people aged over 35 years (OR = 2.35), physicians (OR = 1.72), and staff with permanent employment (OR = 5.0) were more likely to suffer high levels of burnout. We conclude that burnout is a common problem in PHC workers. Less experienced, younger, single employees and physicians were more at risk of suffering from high burnout. Preventive measures, such as strengthening social skills, communication competencies, and coping strategies, and reduction of risk factors such as job stress, are suggested for reducing employees’ risk of burnout.

scholarly journals KNOWLEDGE OF GOVERNMENT AND PRIVATE PRIMARY HEALTH CARE WORKERS ON NEWBORN CARE COMPONENTS: A QUESTIONNAIRE-BASED CROSS-SECTIONAL COMPARATIVE STUDY

2017 ◽  
Vol 10 (3) ◽  
pp. 318 ◽  
Author(s):  
Pandiamunian Jayabal ◽  
Ishwarya Thaniarasu
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Health Care Workers ◽  
Newborn Care ◽  
Care Staff ◽  
Health Care Staff ◽  
Cross Sectional ◽  
Government Health ◽  
Primary Health ◽  
Care Workers

ABSTRACTObjective: This study was done to evaluate the knowledge of primary health-care workers about the newborn care components.Methods: The Institutional Ethics Committee approval was obtained, and a cross-sectional study was carried out among the primary health-careworkers of Karaikal using a pretested questionnaire from January 2015 to March 2015. The questionnaire contained questions on various domains ofnewborn care components. The study participants were explained about the study. Verbal informed consent was obtained, and the questionnaire wasintroduced to 383 health-care workers. The answered questionnaires were collected and analyzed.Results: A total of 349 participants (192-government employees; 157-private employees) were willing to take part in the study. Most (54.7%) of thegovernment participants were nurses and auxiliary nurse midwives (43.2%) whereas the private sector participants were predominantly (79%)nurses. The knowledge level about some of the newborn care components, namely, positioning and attachment, advice on discharge, time of follow-upcheckup, bad child rearing practices, and danger signs of newborn were assessed to be predominantly inadequate among a majority of health workersof both sectors. 22.29% and 41.1% of the private health-care workers and government health-care workers respectively, were having an overalladequate knowledge (overall score >75%) on newborn care components. Knowledge of the government health workers was significantly better thanprivate health-care staff (P < 0.001).Conclusion: Knowledge is found to be inadequate among health-care workers on some newborn care components which necessitate measures toimprove.Keywords: Newborn care, Nurses, Midwives, Inadequate knowledge, Training programs. 

scholarly journals Automedicação e Saúde Pública: dimensionamento dos fatores de risco e comportamentos de saúde

2021 ◽  
Vol 14 ((Supl. 1)) ◽  
pp. 1-18
Author(s):  
Julia Arruda Batista ◽  
Artênio Jose Isper Garbin ◽  
Bruno Wakayama ◽  
Artênio Jose Saliba Garbin ◽  
Orlando Adas Saliba Junior ◽  
...  
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Adult Population ◽  
Leisure Activities ◽  
Cross Sectional Study ◽  
Bivariate Analysis ◽  
Self Medication ◽  
Cross Sectional ◽  
Primary Health ◽  
Data Collection Instrument

This study characterized and measured self-medication in adult population, as well as identified possible associations between lifestyle and risk factors for the use of over-the-counter medications. This is an epidemiological, cross-sectional study, carried out in the primary health care of a city in Brazil. The data collection instrument was a semi-structured survey grouped into thematic blocks. The statistical analysis included a bivariate analysis and a binomial logistic regression provided the statistics. Of the 537 participants, 42.83% reported having used medication without a prescription in the last 15 days. There were associations between the dependent variable and migraine (OR = 3.347); current pain (OR = 2.189); use of medications under the influence of family members (OR = 2.431); not reading drugs’ leaflet (OR = 1.682); and lack of leisure activities (OR = 4.335). A significant part of users of primary health care self-medicated.

scholarly journals Convergent and discriminative validity of the Frail-VIG index with the EQ-5D-3L in people cared for in primary health care

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Juan-José Zamora-Sánchez ◽  
Edurne Zabaleta-del-Olmo ◽  
Vicente Gea-Caballero ◽  
Iván Julián-Rochina ◽  
Gemma Pérez-Tortajada ◽  
...  
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Convergent Validity ◽  
Frailty Index ◽  
Cross Sectional Study ◽  
Cross Sectional ◽  
Care Programme ◽  
Discriminative Validity ◽  
Primary Health ◽  
Related Quality

Abstract Background The Frail-VIG frailty index has been developed recently. It is an instrument with a multidimensional approach and a pragmatic purpose that allows rapid and efficient assessment of the degree of frailty in the context of clinical practice. Our aim was to investigate the convergent and discriminative validity of the Frail-VIG frailty index with regard to EQ-5D-3L value. Methods We carried out a cross-sectional study in two Primary Health Care (PHC) centres of the Catalan Institute of Health (Institut Català de la Salut), Barcelona (Spain) from February 2017 to January 2019. Participants in the study were all people included under a home care programme during the study period. No exclusion criteria were applied. We used the EQ-5D-3L to measure Health-Related Quality of Life (HRQoL) and the Frail-VIG index to measure frailty. Trained PHC nurses administered both instruments during face-to-face assessments in a participant’s home during usual care. The relationships between both instruments were examined using Pearson’s correlation coefficient and multiple linear regression analyses. Results Four hundred and twelve participants were included in this study. Frail-VIG score and EQ-5D-3L value were negatively correlated (r = − 0.510; P < 0.001). Non-frail people reported a substantially better HRQoL than people with moderate and severe frailty. EQ-5D-3L value declined significantly as the Frail-VIG index score increased. Conclusions Frail-VIG index demonstrated a convergent validity with the EQ-5D-3L value. Its discriminative validity was optimal, as their scores showed an excellent capacity to differentiate between people with better and worse HRQoL. These findings provide additional pieces of evidence for construct validity of the Frail-VIG index.

scholarly journals Factors Related to Primary Health Care Provision: A Cross-Sectional Study in an Elderly Rural Population

2015 ◽  
Vol 38 (5) ◽  
pp. 343-356
Author(s):  
Ana Maseda ◽  
José Carlos Millán-Calenti ◽  
Julia Carpente ◽  
José Luis Rodríguez-Villamil ◽  
Carmen de Labra
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Rural Population ◽  
Cross Sectional Study ◽  
Health Care Provision ◽  
Care Provision ◽  
Sectional Study ◽  
Cross Sectional ◽  
Primary Health

scholarly journals Factors associated with reporting of abuse against children and adolescents by nurses within Primary Health Care

2014 ◽  
Vol 22 (6) ◽  
pp. 1048-1055 ◽  
Author(s):  
Ana Carine Arruda Rolim ◽  
Gracyelle Alves Remigio Moreira ◽  
Sarah Maria Mendes Gondim ◽  
Soraya da Silva Paz ◽  
Luiza Jane Eyre de Souza Vieira
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Children And Adolescents ◽  
Demographic Data ◽  
Cross Sectional Study ◽  
Graduate Studies ◽  
Cross Sectional ◽  
Topic Identification ◽  
Factors Associated ◽  
Primary Health

OBJECTIVE: to analyze the factors associated with the underreporting on the part of nurses within Primary Health Care of abuse against children and adolescents.METHOD: cross-sectional study with 616 nurses. A questionnaire addressed socio-demographic data, profession, instrumentation and knowledge on the topic, identification and reporting of abuse cases. Bivariate and multivariate logistic regression was used.RESULTS: female nurses, aged between 21 and 32 years old, not married, with five or more years since graduation, with graduate studies, and working for five or more years in PHC predominated. The final regression model showed that factors such as working for five or more years, having a reporting form within the PHC unit, and believing that reporting within Primary Health Care is an advantage, facilitate reporting.CONCLUSION: the study's results may, in addition to sensitizing nurses, support management professionals in establishing strategies intended to produce compliance with reporting as a legal device that ensures the rights of children and adolescents.

scholarly journals Knowledge, adherence and control among patients with hypertension attending a peri-urban primary health care clinic, KwaZulu-Natal

2017 ◽  
Vol 9 (1) ◽  
Author(s):  
Olumuyiwa A. Olowe ◽  
Andrew J. Ross
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Cross Sectional Study ◽  
Related Factors ◽  
Cross Sectional ◽  
Care Clinic ◽  
Primary Health ◽  
Validated Questionnaire ◽  
Study Population ◽  
And Control

Background: Despite hypertension being a common condition among patients attending primary health care (PHC) clinics, blood pressure (BP) control is often poor. Greater insight into patient-related factors that influence the control of hypertension will assist in the development of an intervention to address the issues identified.Aim: The aim of the study was to assess patient-related variables associated with hypertension control among patients attending a peri-urban PHC clinic.Setting: The setting for this study was a peri-urban PHC clinic in KwaZulu-Natal.Method: This was an observational, descriptive and cross-sectional study with 348 patients selected over a 1-month period. A validated questionnaire was used to collect data on patients’ hypertension knowledge and self-reported adherence, and BP recordings from their medical record were recorded to ascertain control.Results: Of the 348 participants, only 49% had good BP control and 44% (152/348) had concurrent diabetes mellitus. The majority of patients had moderate levels of knowledge on hypertension and exhibited moderate adherence. There was a significant relationship between knowledge and reported adherence, between reported adherence and control, but not between reported knowledge and control.Conclusion: Despite over 90% of the study population having moderate knowledge, and 62% with moderate reported adherence, BP was well controlled in only less than 50% of the study population. These findings suggest a need to emphasise adherence and explore new ways of approaching adherence.

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