scholarly journals A formação, o trabalho e fixação de egressos médicos na Amazônia Ocidental / The Medical Education, Medical Work and Staying of Student Egress of the Medicine Course in Western Amazonia

Author(s):  
Jene Greyce Souza de Oliveira ◽  
Grimar De Oliveira Paula ◽  
Thiago Santos de Araujo

ABSTRACTThe present study allowed describing the characteristics and identifying the aspects of permanence and migration after graduating of Medicine students from Federal University of Acre. Transversal study with a convenience sample of 89 graduates of the five already graduated classes until 2011. The data were collected through questionnaires submitted online, in the period of June to August 2012. The study results show that 71% of graduates are coming from other states of Brazil, 80% aged below 30 years, 61% male, 81.8% rated the medicine course of UFAC as good, 66.7 % reported being prepared for professional practice, with 64% approved on residency and / or internship specialty. The vast majority of doctors are residing and working in the capitals of Brazil (79%), working in the public sector (61.4%) satisfied with their chosen career (87.4%). About 58% stayed in Acre and pointed family (26%) the main cause of permanence. Of the 42% who migrated to another state, better job offers (29.7%) was the main cause of change. The present study demonstrates that in places like Amazon, the best working conditions and remuneration can be measures to be taken by the competent bodies for fixing physicians in areas with lack of professionals and should be prioritized.RESUMOO presente estudo permitiu descrever as características e identificar os aspectos relacionados à fixação ou migração dos egressos do curso de medicina da Universidade Federal do Acre após a graduação. Estudo transversal, com uma amostra de conveniência de 89 egressos das cinco turmas já graduadas até 2011. Os dados foram coletados por meio de questionários encaminhados via eletrônica, no período de Junho a Agosto de 2012. Os resultados do estudo demonstraram que 71% dos egressos são procedentes de outros estados do Brasil, 80% com idade abaixo de 30 anos, 61% do sexo masculino, 81,8% avaliaram como bom o curso de medicina da UFAC, 66,7% referiram estarem preparados para o exercício profissional, com 64% aprovados em curso de residência médica e/ou estágio de especialidade. A grande maioria dos médicos está residindo e trabalhando nas capitais do Brasil (79%), em setor público (61,4%), satisfeitos com carreira que escolheram (87,4%). Aproximadamente 58% ficaram no Acre e apontaram os laços familiares (26%) como causas principais de permanência. Dos 42% que migraram para outro estado, as melhores propostas de trabalho (29,7%) foram as principais causas de mudança. O presente estudo demonstra que a em locais como a Amazônia, as melhores condições de trabalho e remuneração, podem ser medidas a serem adotadas pelos órgãos competentes para a fixação de médicos em áreas com poucos profissionais e devem ser priorizadas.

2016 ◽  
Vol 14 (6) ◽  
pp. 664-671 ◽  
Author(s):  
Karla T. Washington ◽  
David L. Albright ◽  
Debra Parker Oliver ◽  
L. Ashley Gage ◽  
Alexandria Lewis ◽  
...  

AbstractObjective:We sought to determine the frequency with which hospice and palliative social workers encounter patients, family caregivers, and other clients at risk of suicide, and to discover the extent to which hospice and palliative social workers feel prepared to address issues related to suicide in their professional practice.Method:We conducted a cross-sectional survey of hospice and palliative social workers, recruiting a convenience sample of volunteer respondents through advertisements at professional conferences and listservs, and via social media accounts associated with national organizations, state hospice and palliative care associations, and individual healthcare professionals.Results:Most respondents reported having worked with patients, family caregivers, or other clients who had exhibited warning signs of suicide during the previous year. Fewer respondents indicated that they had worked with patients and family members who had attempted or died by suicide. While the majority of respondents believed they possessed sufficient knowledge and skills to intervene effectively with individuals at risk of suicide, they indicated that additional education on this topic would be valuable for their professional practice.Significance of results:These study results suggest that suicide-related competencies are important in the practice of hospice and palliative social work. Future education and training efforts should include skill development in addition to knowledge building.


2018 ◽  
Vol 15 (2) ◽  
pp. 1
Author(s):  
Joy Joshua Maina

The clamour for better quality graduates by architects in the Nigerian Construction Industry (NCI) necessitates a look into the core competencies and the adequacy of architecture education in preparing architecture graduates for professional practice. 116 self-report likertscale questionnaires from architecture graduates (2009-2015), academics and employers were analysed to establish core competencies developed by the graduates while in school. Descriptive statistics, t-tests as well as Mann-Whitney tests for differences in ratings were employed for the study. Results reveal the perceived adequacy of architecture education for the future career of graduates from the academic perspective. Graduates were most proficient at design related competencies while AutoCAD was still considered the most important CAD competency for architecture graduates in the NCI. The study recommends more frequent evaluations of competencies for employability in collaboration with industry as well as embracing BIM related software in line with global best practices. Keywords: Academics, Architecture, Employers, Graduates, Professional competencies, NCI


2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Przemyslaw Kardas ◽  
Marek Dabrowa ◽  
Konrad Witkowski

Abstract Background Due to high prevalence, non-adherence to prescribed treatment seriously undermines the effectiveness of evidence-based therapies in paediatric patients. In order to change this negative scenario, physicians need to be aware of adherence problem, as well as of possible solutions. Unfortunately, full potential of adherence-targeting interventions is still underused in Poland. Therefore, the aim of this study was to assess the knowledge, attitudes and behaviours toward non-adherence in Polish paediatricians. Methods An anonymous cross-sectional nationwide survey was conducted in the convenience sample of Polish doctors providing care to paediatric patients. The survey focused on the prevalence of non-adherence, its causes, and interventions employed. Primary studied parameter was perceived prevalence of non-adherence in paediatric patients. Reporting of this study adheres to STROBE guidelines. Results One thousand and thirty-three responses were eligible for analysis. Vast majority of respondents were female (85.9%), most of them worked in primary care (90.6%). The respondents represented all 16 Polish Voivodeships, with the biggest number coming from the Mazowieckie Voivodeship (n = 144, 13.9%). Survey participants believed that on average 28.9% of paediatric patients were non-adherent to medication. More than half of the respondents (n = 548, 53.0%) were convinced that their own patients were more adherent than average. Duration of the professional practice strongly correlated with a lower perceived prevalence of non-adherence. Professionals with more than 40 years of practice believed that the percentage of non-adherent patients was <=20% particularly often (OR = 3.82 (95% CI 2.11–6.93) versus those up to 10 years in practice). Out of all respondents, they were also most often convinced that their own patients were more adherent than the general population (P < 0.01). Consequently, they underestimated the need for training in this area. Conclusions Physicians taking care of Polish paediatric patients underestimated the prevalence of medication non-adherence and believed that this was a problem of other doctors. This optimistic bias was particularly pronounced in older doctors. These results identify important barriers toward improving patient adherence that are worth addressing in the pre- and post-graduate education of Polish physicians. They also put some light over the challenges that educational activities in this area may face.


Author(s):  
Arielle Kaim ◽  
Maya Siman-Tov ◽  
Eli Jaffe ◽  
Bruria Adini

In the ongoing COVID-19 pandemic, maintenance of protective behavior is a continued challenge in the effort to contain the spread of the virus. A cross-sectional study via an internet questionnaire was utilized to elucidate changes in compliance to protective behavior among the Israeli population (n = 1120), after the beginning of the vaccination campaign. Comparison was made between individuals who were previously infected with the virus, those who received one dose of inoculation with the vaccine, and individuals that were neither infected or vaccinated. The study results indicate that those who were previously infected with the COVID-19 virus were less careful about mask wearing (18.8%) and social distancing (29.7%), as compared to the other examined groups (regarding mask wearing, 8.2% and 11.6% respectively, and with regard to social distancing 12.8% and 19.2%) and may require targeted risk communication campaigns to address this population. Furthermore, the study revealed that those that were non-Jewish (as compared to Jewish study counterparts) or that were older (19+) were more vigilant in their protective behavior (29.6% vs. 11.2% respectively for social distancing and 29.6% vs. 11.1% respectively for mask wearing). Despite a successful initial vaccination campaign in Israel, public health officials need to engage all members of the public to unremittingly observe compliance to directed health guidelines, to ensure that the results of previous governmental efforts in fighting the pandemic (such as lockdowns) will be effectively sustained, and the road to containment will be hastened.


2021 ◽  
Vol 11 (8) ◽  
pp. 3630
Author(s):  
Muhammad Abdullah ◽  
Nazam Ali ◽  
Charitha Dias ◽  
Tiziana Campisi ◽  
Muhammad Ashraf Javid

Public transport use has drastically declined during the COVID-19 pandemic because the virus spreads through close contact with infected people and contaminated surfaces, especially in closed-environments. Evidence suggests that following the necessary safety guidelines can limit the spread of the virus, however, non-compliance to precautionary measures has been reported widely. Ignoring the precautionary measures may lead to quick transmission of the virus since public transport vehicles generally resemble closed-environments. This study explores people’s intentions to use public transport during the COVID-19 pandemic while adhering to precautionary measures. For this purpose, a total of 1516 useable responses were collected through a questionnaire survey conducted in Lahore, Pakistan. Regression models were developed to model the intentions to use public transport during the pandemic, to adhere to the precautionary measures while using public transport during the pandemic, and to use public transport while suffering from COVID-19 disease. The results of this study will help in understanding the intentions of the public transport users during the COVID-19 pandemic. It will also provide insights for policymakers and public transport operators about further necessary actions to promote safe public transport use during the current and any possible future pandemics. As public transport use declined during the pandemic, policy implications for alternative mobility options such as demand-responsive-transport (DRT) are also presented. Considering the study results, a policy interventions framework is proposed to promote the safe use of various public transport modes, particularly in developing regions.


2021 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Chiara Oppi ◽  
Cristina Campanale ◽  
Lino Cinquini

PurposeThis paper presents a systematic literature review aiming at analysing how research has addressed performance measurement systems’ (PMSs) ambiguities in the public sector. This paper embraces the ambiguity perspective that PMSs in public sector coexist with and cope with existing ambiguities.Design/methodology/approachThe authors conducted a literature review in Scopus and ScienceDirect, considering articles published since 1985, and the authors selected articles published in the journals included in the Association of Business Schools' Academic Journal Guide (Chartered ABS, 2018). Of the 1,278 abstracts that matched the study’s search criteria, the authors selected 131 articles for full reading and 37 articles for the final discussion.FindingsThe study's key findings concern the elements of ambiguity in PMSs discussed in the literature. The study’s results suggest that ambiguity is still a relevant problem in performance measurement, as a problem that is impossible to be solved and therefore needs to be better understood by researchers and public managers. The analysis allows us to summarize the antecedents and consequences of ambiguity in the public sector.Research limitations/implicationsThe key findings of the study concern the main sources of ambiguity in PMSs discussed in the literature, their antecedents and their consequences. The study results suggest that ambiguity exists in performance measurement and that is an issue to be handled with various strategies that can be implemented by managers and employees.Practical implicationsManagers and researchers may benefit from this research as it may represent a guideline to understand ambiguities in their organizations or in field research. Researchers may also benefit from a summary list of the key issues that have been analysed in the empirical cases provided by this research. Social implicationsThis research may provide insights to limit ambiguity and thus contribute to improve performance measurement in the public sector.Originality/valueThis research presents a comprehensive review on the topic. It provides insight that suggests what future research should attend to in helping to interpret ambiguity, considering also what should be done to influence ambiguity.


2010 ◽  
Vol 38 (3) ◽  
Author(s):  
Frank van Vree

An Unstable Discipline. Journalism Studies & the Revolution in the Media An Unstable Discipline. Journalism Studies & the Revolution in the Media During the last decade media and journalism have got into turmoil; landslides have changed the traditional media landscape, overturning familiar marking points, institutions and patterns. To understand these radical changes journalism studies should not only develop a new research agenda, but also review its approach and perspective.This article looks back on recent development in the field and argues for a more cohesive perspective, taking journalism as a professional practice as its starting point. Furthermore a plea is made for a thorough research into the structural changes of the public sphere and the role and position of journalism.


2018 ◽  
Vol 9 (3) ◽  
Author(s):  
Andresa Mendonça Oliveira ◽  
Katia Stancato ◽  
Eliete Maria Silva

Objetivo: Refletir teoricamente sobre a Política Nacional (brasileira) para Prevenção e Controle do Câncer na Rede de Atenção à Saúde das Pessoas com Doenças Crônicas e articulações na formação do enfermeiro e na prática profissional. Metodologia: Reflexão teórica, por meio de questionamentos das pesquisadoras, discussões em grupo e busca na literatura. Resultados: Os trabalhadores que atuam no cuidado ao paciente oncológico possuem papel essencial na efetivação dessa política. Porém, para que sejam implementadas, é necessário que seus princípios estabelecidos façam sentido na formação e nas práticas profissionais. Conclusão: O ensino reflexivo sobre essa política na formação do enfermeiro contribui para melhorias em sua prática, assim como, práticas reflexivas e melhor qualificadas certamente impactam positivamente na formação profissional. O desenvolvimento de políticas públicas com ênfase nas demandas da população pressupõe articulação teórica e prática e transformações sociais.Descritores: Educação Superior; Educação em enfermagem; Políticas públicas de saúde; Prática profissional; Enfermagem Oncológica.NURSING EDUCATION : PUBLIC POLICY AT ONCOLOGI C ATTENTIONObjective: Reflect theoretically about the Public Policies on the Oncological Care, especially the National Policy(Brazilian) for Prevention and Cancer Control in Health Care Network of People with Chronic Diseases and the impact on nurse training and professional practice. Methodology: Theoretical speculation by means of interviews with researchers, group discussions and literature research. Results: Caregivers of oncological patients have an essential role on the effecting this Policy. However, in order to implement this policy, it is necessary that its established principles make sense for nursing education and professional practices. Conclusion: The reflective teaching about this policy in the formation of nurses contributes to improve its practice, as reflective and better qualified practices certainly have a positive impact on vocational education. The public policy development with emphasis on population demands assumes theoretical and practical articulation and social transformations.Descriptors: Education Higher; Education; Nursing; Public Health Policy; Professional Practice; Oncology Nursing.EDUCACIÓN EN ENFERMERÍA: POLÍTICA PÚBLICA EN ATEN CIÓN ONCOLÓGICAObjetivo: reflexionar teóricamente sobre las políticas públicas para atención oncológica, especialmente para la Política Nacional (brasileña) para Prevención y Control del Cáncer en la Red de Salud de Personas con Enfermedades Crónicas e articulaciones en la formación de enfermeras y en la práctica profesional. Metodología: Reflexión teórica por medio de cuestionamientos de los pesquisidores, discusiones en grupo y pesquisa en la literatura. Resultados: Los cuidadores de enfermos oncológicos tienen un papel esencial en la implementación de políticas. Sin embargo, para funcionar, es necesario que sus principios hagan sentido en la formación y en las prácticas profesionales. Conclusión: La enseñanza reflexiva sobre la política en la formación de enfermeros contribuye para mejoras en su práctica, como tal, prácticas reflexivas y más calificadas, sin duda, causan impacto positivo en las prácticas de formación profesional. El desarrollo de las políticas públicas con énfasis en las demandas de la población presupone la articulación teórica y práctica y la transformación social.Descriptores: Educación Superior; Educación en Enfermería; Políticas Públicas de Salud; Práctica Profesional; Enfermería Oncológica.


2021 ◽  
Author(s):  
Modrite Pelse ◽  
◽  
Sandris Ancans ◽  
Lasma Strazdina ◽  
◽  
...  

There is no doubt that digitalization processes make positive effects on the development of a company as emphasized and evidenced by many research papers and studies. However, there are a few empirical research studies on digitalization in the public sector, particularly in public administration institutions. Therefore, the present research aims to identify and compare the level of digitalization in four national public administration institutions: the State Revenue Service, the Office of Citizenship and Migration Affairs, the State Social Insurance Agency and the State Employment Agency. In Latvia, very good technical solutions and a broadband mobile Internet network are available, the number of Internet users increases all over the world every year, but are they widely used by public administration institutions to provide consumers with appropriate digital services? The State Revenue Service has reached the highest level of maturity in digitalization, and the institution has also allocated the most funds from its budget to information technologies and the maintenance of their systems. The level of digitalization is low in the State Employment Agency and the Office of Citizenship and Migration Affairs. The public requires public administration services to be available digitally on a 24-hour/7day basis.


Author(s):  
Adhi Surya Perdana

Tourism is now seen as a sector popular in the national economy and the world,where one of the motor industry style of contemporary capable of providing social servicescommunity, especially in the village of Genito in providing natural attractions and agro, aswell as the opportunities of economic growth in terms of employment opportunities, income,the standard of living and to enable the local production sector. The purpose of this studywhich is to identify the factors driving and inhibiting natural attractions as well as therestructuring and agro tourism. Problems include the lack of accessibility of land and thedifficulty of the motor vehicle to the location of natural and agro. This is a qualitative study,which describes the study explanation about the state of the field findings and submit thequestionnaire contained structured questions addressed to the public ranging fromcommunity leaders, stakeholders of the village administration, the offender driving tourism,and tourists with the total respondents as many as 30 people, using the method of randomsampling incidental. The study results showed that the natural attractions and tourism in thevillage of Genito there are two attractions that nature tenure is owned by forestry andagricultural land supported rural communities that provide beauty agro tourism.Restructuring of natural attractions such as swimming pools, fish ponds and objects whoseexistence Selfie nestled in the woods with Sukorini name. Restructuring of the naturalattractions in the form of a pool is an innovation village government.


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