scholarly journals Who Cares for Visiting Nurses? Workplace Violence against Home Visiting Nurses from Public Health Centers in Korea

Author(s):  
Eunjoo Kim ◽  
Heeseung Choi ◽  
Ju Young Yoon

Visiting nurses are commonly exposed to workplace violence, but there is a lack of research on violence against these nurses. The purpose of this study was to identify visiting nurses’ workplace violence experiences during home visits. This study used a mixed method design. Survey data of 357 home visiting nurses from public health centers were collected for the quantitative data, and a focus group interview was conducted with six visiting nurses for the qualitative data. The quantitative data were analyzed using logistic regression, and the qualitative data were analyzed using content analysis. Younger, temporary visiting nurses and those who had previously been exposed to violent clients had a higher risk of workplace violence. The violence visiting nurses faced included not only violence during the visits but also unpredicted danger and harassment after the visit. After experiencing a violent event, visiting nurses’ attitudes and emotions changed toward nursing services. Visiting nurses were likely to deal with violence at the individual level given the insufficient organizational support system. An organizational-level safety management system should be established based on the characteristics of workplace violence risks and the nurses’ experiences in this study.

2013 ◽  
Vol 8 (1) ◽  
pp. 3
Author(s):  
Yuyun Yuniar ◽  
Max Joseph Herman

Indonesia is facing shortage of pharmacist in public health centers (PHCs), therefore the local government and PHCs have to cope with this problem. This paper aimed to describe the pharmaceutical manpower availability in PHCs, the problems occurred and potential applied solutions. Data was taken from National Health Facility Research 201. Quantitative data related to pharmaceutical manpower in PHCs was analyzed descriptively based on regions. Supporting qualitative data through in-depth interviews with the health office staffs in Bogor and Bekasi and pharmacists in four PHCs were conducted and being analyzed using thematic analysis. It was found that Sulawesi had the highest percentage of PHCs having pharmacist (29.1%) while Eastern Indonesia 51.5% of PHCs didn’t have any staff with pharmacy related educational background. The highest percentages of staff composition were pharmacy technician followed by nurse. The main problem was due to high workload with limited manpower available. The proposed solutions are recruitment of new pharmacists, but in case it is not possible then placing pharmacist in certain type of PHCs with urgent needs is a priority. Empowering pharmacy technician, all available trained staff and other resources such as on job students are other feasible choices.Indonesia masih menghadapi keterbatasan jumlah apoteker di puskesmas, sehingga pihak pemerintah daerah dan puskesmas harus berupaya mengatasi permasalahan tersebut. Penelitian ini bertujuan untuk menggambarkan ketersediaan dan distribusi tenaga pelayanan kefarmasian di puskesmas serta permasalahan dan alternatif pemecahannya. Data diambil dari hasil Riset Fasilitas Kesehatan (Rifaskes) tahun 2011I. Data kuantitatif tentang tenaga pelayanan kefarmasian di puskesmas dianalisis secara deskriptif berdasarkan regional. Data kualitatif sebagai pendukung diperoleh melalui wawancara mendalam dengan bagian kepegawaian dinas kesehatan dan apoteker empat puskesmas di Kota Bogor dan Bekasi, 3 kemudian dianalisis dengan metode analisis tema. Hasil analisis menunjukkan bahwa Sulawesi memiliki persentase puskesmas dengan tenaga apoteker tertinggi (29,1%) sedangkan Indonesia Timur memiliki persentase puskesmas tertinggi dengan tenaga pelayanan kefarmasian tanpa latar belakang pendidikan farmasi (51,5%). Persentase tenaga kefarmasian terbesar di puskesmas adalah tenaga teknis kefarmasian kemudian perawat. Permasalahan utama yang dihadapi puskesmas adalah beban kerja yang berat dengan kondisi tenaga yang terbatas. Alternatif pemecahan masalah yaitu pengangkatan apoteker baru, namun jika tidak memungkinkan maka penempatan apoteker pada puskesmas dengan kebutuhan mendesak merupakan prioritas utama. Pilihan lain yang memungkinkan adalah pemberdayaan tenaga teknis kefarmasian dan staf lain yang sudah dilatih atau memanfaatkan tenaga siswa magang.


2019 ◽  
Vol 10 (2) ◽  
pp. 126-131
Author(s):  
Amrina Rosyada ◽  
Dini Arista Putri ◽  
Nur Alam Fajar

Diarrhea is still a public health problem in developing countries such as Indonesia because morbidity and mortality rates are still high in these areas. A morbidity survey conducted by the Diarrhea Department of the Ministry of Health in Indonesia between 2000 and 2010 shows rising incidences of diarrhea in children. In 2000, Incidence Rate (IR) diarrhea incidents occurred in 301/1000 members of the population, and this increased to 411/1000 in 2010. Cases of diarrhea have become dangerous when suffered by infants because the mortality rate will increase because weaker immunity than olders. Environmental factors such as water, waste, and toilet contribute greatly to cases of diarrhea; therefore, in this research, we analyze environmental characteristics’ effects on the incidence of diarrhea in infants in Palembang. This study uses a mixed-method design combining quantitative data collection using secondary data from the Department of Health with qualitative data collection using in-depth interviews of Palembang’s local government and health center personnel in the districts with the highest and lowest cases of diarrhea. Quantitative data analysis are visualized in the form of a map, while qualitative data are analyzed using content analysis. The results show that Ilir Timur I has the highest incidences of diarrhea while the Sako district has the lowest. Based on the results of the analysis, Ilir Timur I has more cases of diarrhea largely because of its non-working area health centers. Sako has the fewest cases of diarrhea because the clinics, doctors, and midwives in private practice in the region of Sako do not report the cases, as well as because of factors related to access remote health centers. Therefore, interventions based on health data for diarrhea need to be restyled for a drastic reduction of diarrhea cases. Keywords: Area, diarrhea, children, characteristic, environment, data


Author(s):  
John Odhiambo Oluoch ◽  
Charles M. Rambo ◽  
Ganesh P. Pokhariyal

The study sought to determine how data dissemination and use influence provision of curative and preventive tuberculosis healthcare in institutions of public health in Kisumu County, Kenya. The study focused on public health institutions that practices M&E system on provision of curative and preventive tuberculosis healthcare services. The study employed the use of pragmatism paradigm and a descriptive research design to collect both quantitative and qualitative data. A correlational design was used to test the hypothesis. A sample of 221 respondents was selected from a population of 517 using stratified random sampling. Data was collected using a structured questionnaire with both open and close ended with Likert type on 1-5 five point scale and interview schedule. Correlational design was used to test the hypothesis. Quantitative data was analyzed using descriptive and inferential statistics and data presented in frequency tables using means and standard deviations while qualitative data was presented in in narrative statements. Hypothesis was tested using linear regression at 0.05 level of significance to determine the degree and direction of relationships among the thematic area of the study. The reliability of the instruments was obtained using Cronbach Alpha coefficient of 0.735 for all items meaning that the instruments were reliable. The results showed that data dissemination and use and provision of curative and preventive tuberculosis health care services in public health institutions had [r2=0.186, p<0.05]. The results for quantitative data based on composite mean score of 3.91 and 0.466 standard deviation for this variable respectively. Therefore, data dissemination and use influence provision of curative and preventive tuberculosis healthcare services in public health institutions.


2021 ◽  
Author(s):  
Nigusu Endashaw ◽  
Bezawit Birhanu ◽  
Melese Teka ◽  
Gelila Abrham

Abstract Background: Comprehensive medical records are cornerstones in the quality and efficiency of patient care, as they can provide a complete and accurate chronology of treatments, patient results, and future plans for care. The study was aimed to assess the quality of medical records in public health facilities of Jimma Zone. Methods: A facility-based cross-sectional quantitative study design supplemented by a qualitative method was used from May 30 to July 29, 2020. A total of 384 medical records were reviewed by using the facility inventory form for quantitative data. The data was entered by EPI data 3.1 and analyzed by SPSS 23 and descriptive statistics were used to present the findings. Qualitative data were triangulated with the quantitative data.Result: The majority of the health facility has a shortage of trained and qualified recording personnel in the medical record department. Among 36 health facilities, only one facility have printer in the record room and 3(8%) of them have tracer card. The overall quality of medical records in terms of content completeness as per the standard of health facilities requirements for districts, hospitals, and health centers were 30.62%, 39.49%, 25.79% respectively. Conclusion: The majority of medical records had poor completeness of administrative data, clinical, financial, and legal contents. The overall quality of medical records in Jimma Zone was very low for components of the quality of medical records as per the standard of health facilities requirements.


Author(s):  
Frances MacVicar

"During the summer of 2017 Frances Macvicar worked with Dr. Sharday Mosurinjohn and Dr. Valerie Michaelson on a project about religious commitment as a positive health asset for young people. She performed a secondary analysis of qualitative data from over fifty adolescent boys and girls from across Canada. While, as expected, overall religious commitment was not important to many young people, for those who did find it important, its protective effects were strong. Currently, Frances Macvicar, Sharday Mosurinjohn, Valerie Michaelson, and colleagues from the Department of Public Health Sciences are co-writing a paper that treats this data in conjunction with quantitative data from another much larger study. Further directions suggested by the project include exploring ways to account for the relationships between religion, spirituality, and health in educational settings."


2021 ◽  
Vol 8 ◽  
pp. 233339282110311
Author(s):  
Tariku Shimels

Introduction: The COVID-19 pandemic has imposed an extraordinary challenge to the health and socio-economic facet of nations globally. Health facilities have encountered tremendous challenges to contain service delivery at all levels. This study aims to assess the trend of health service utilization and challenges faced during the COVID-19 pandemic at primary units in Addis Ababa, Ethiopia. Method: A multi-facility-based cross-sectional study was conducted in Addis Ababa between 1 and 30 of August 2020. A mixed-methods design was employed, and both quantitative and qualitative data were collected at 5 health centers. Facilities were selected randomly from 5 sub-cities while interviewees were recruited purposively. A structured questionnaire was used to collect quantitative data from the HMIS units of each facility. Qualitative data was collected using a semi-structured key-informant interview guide. Quantitative data were analyzed using Microsoft Excel, and a 10-month time-series trend was generated. For the qualitative data, qualitative data analysis (QDA-minor) software was used. Results: Time-series comparison of the pre-COVID-19 era loads with the COVID-19 period showed that there was an extensive disparity in the service delivery capacity of the health facilities. A huge drop in inpatient flow of some units such as PICT, VCT, FP services, and most sub-units of the OPDs has been recorded following the COVID-19 outbreak. The key-informant interview also revealed that such challenges, as fear of infection and stigma, poor infrastructure, challenges related to human resources, and challenges related to the supply of prevention and treatment inputs were prominently encountered at the health centers. Conclusion: The COVID-19 wave has negatively impacted many service delivery points in the study settings. The presence of weak infrastructure, lack of PPEs, fear of the infection and stigma, and staff workload have been mentioned as the predominant challenges faced during the outbreak. Health authorities should arrange multifaceted supports to ensure uninterrupted service delivery at primary healthcare units.


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