scholarly journals Paediatricians and trainee paediatricians perspectives on industrial action by medical doctors in Nigeria

2020 ◽  
Vol 47 (3) ◽  
pp. 246-251
Author(s):  
C. Okechukwu ◽  
D.C. Briggs
Keyword(s):  
Working Conditions ◽  
Descriptive Study ◽  
Scientific Conference ◽  
Medical Doctors ◽  
Recent Past ◽  
Cross Sectional ◽  
Industrial Action ◽  
The Government ◽  
Paediatric Association

Background: Industrial actions have become a common means by which medical doctors attempt to communicate their grievances to the  government. Paediatricians are frequently caught between a desire to support the course of their professional association and caring for their patients. The purpose of this study was to assess the opinion of paediatricians and trainee paediatricians regarding strike actions, the likely cause(s) and their reasons for and against industrial actions as a means for communicating grievances to the government.Methods: A cross-sectional descriptive study was conducted using self-administered questionnaires randomly distributed to consenting participants at the 48thAnnual Scientific Conference of the Paediatric Association of Nigeria. Data were analysed using SPSS version 20.Results: A total of 102 respondents from the 6 geopolitical zones in Nigeria returned appropriately filled forms. Fifty-seven (55.9%) were females, 91 (81.2%) were married, 72 (70.6%) were Christians and 49 (48%) were Consultant paediatricians. Poor remuneration (36%), poor working conditions(24.3%) and failure of the government to keep promises to doctors (19.9%) were the top three reasons given for the incessant industrial actions in the recent past. Forty-nine percent of respondents did not support industrial actions, 65% responded that strikes affect the quality of training and practice and (84.3%) volunteer their services during a strike.Conclusions: Industrial actions are not the paediatricians’ preferred means of communicating grievances. Other methods should, therefore, be explored to limit the deleterious effects of industrial actions. Keywords: Paediatrician, Nigeria, industrial action, strike, medical doctors, trainee

scholarly journals Evaluation of Internship Assessment in Medical Colleges of Bangladesh

2017 ◽  
Vol 8 (1) ◽  
pp. 14-17
Author(s):  
Farhana Noman ◽  
AKM Asaduzzaman ◽  
Humayun Kabir Talukder ◽  
ASM Shamsul Arefin ◽  
Shamima Rahman
Keyword(s):  
Feedback System ◽  
Descriptive Study ◽  
Current Status ◽  
Cross Sectional ◽  
Medical Practitioners ◽  
Assessment Feedback ◽  
Assessment Techniques ◽  
Major Discipline ◽  
Medical Colleges

This study aimed to evaluate the current status of the internship assessment in medical colleges of Bangladesh. Internship acts as the pathway from being a medical student to becoming a registered doctor. Hence, a rigorous and robust internship leads to producing better doctor and in turn better healthcare. Thus, proper assessment is necessary to ensure the quality of the future medical practitioners. Unfortunately, no study has been done in Bangladesh related to this context. A cross-sectional descriptive study with pre-tested self-administered questionnaires covering study place and population and factors relevant to intern assessment (assessment after each major discipline completion, assessment techniques, and feedback) was performed. The study was carried out in 8 medical colleges (4 public and 4 non-government; 4 inside Dhaka and 4 outside). 300 completed questionnaires (250 interns, 50 supervisors) were analyzed. All the collected data were analyzed and presented with SPSS v 19.0 software. Results revealed that there was no assessment present after completion of major placement rotation (about 54% interns and 24% teachers). Furthermore, only logbook was signed as the prevailing assessment technique (more than 66% interns and 72% doctors). Moreover, assessment feedback system was not fully functional (48.7% respondent views). Hence, the overall scenario is shabby and poses questions on our future doctors' skill set.Bangladesh Journal of Medical Education Vol.8(1) 2017: 14-17

scholarly journals The challenges of measuring quality-of-care indicators in rural emergency departments: a cross-sectional descriptive study

CMAJ Open ◽  
2016 ◽  
Vol 4 (3) ◽  
pp. E398-E403 ◽  
Author(s):  
Géraldine Layani ◽  
Richard Fleet ◽  
Renée Dallaire ◽  
Fatoumata K. Tounkara ◽  
Julien Poitras ◽  
...  
Keyword(s):  
Quality Of Care ◽  
Emergency Departments ◽  
Descriptive Study ◽  
Cross Sectional

scholarly journals Assessment Patients’ Satisfaction Related on Quality of Care: A Cross-sectional Descriptive Study

2017 ◽  
Vol 5 (4) ◽  
pp. 1-8
Author(s):  
Mohammad Heidari ◽  
Hossein Pour ◽  
Reza Norouzzadeh ◽  
Ezgi Temel ◽  
Büşra Şahin
Keyword(s):  
Quality Of Care ◽  
Descriptive Study ◽  
Cross Sectional ◽  
Patients Satisfaction

scholarly journals Gambaran Kebutuhan Orangtua Dengan Bayi Yang Sakit Kritis di RSUD Prof.dr. Margono Soekarjo Purwokerto

2019 ◽  
Vol 11 (02) ◽  
pp. 64-76
Author(s):  
ADIRATNA SEKAR SIWI
Keyword(s):  
Care Setting ◽  
Quality Care ◽  
Total Sample ◽  
Descriptive Study ◽  
Psychological Problem ◽  
Family Needs ◽  
High Quality ◽  
Cross Sectional ◽  
Consecutive Sampling

Patient’s parent is an essential part of holistically care treatment, especially when the patients are still too young to responsible for their own. Nurse have to understand regarding parents need to deliver high quality care for patients and their family. Parents’ needs during accompanying their children could be very specific and unique. The knowledge regarding this issue is crucial to increase the quality of care and prevent parents’ psychological problem. This is a descriptive study with cross sectional approach. Total sample in this study are respondent who are chosen by using consecutive sampling. The NICU Family Needs Inventory (NFNI) was used in this study. This study shows that the parents’ needs during accompanying their children in critical care setting are need for closeness with their children, Certainty regarding patient condition, comfort, information, and the needs of support.

Not Just a Labour of Love: industrial action by nurses in Australia

1997 ◽  
Vol 4 (4) ◽  
pp. 294-302 ◽  
Author(s):  
Glenda Strachan
Keyword(s):  
Working Conditions ◽  
Career Paths ◽  
Quality Of Services ◽  
Medical Practitioners ◽  
Industrial Action ◽  
Course Of Action ◽  
Large Numbers ◽  
Professional Model

Deciding to take industrial action or go on strike has been an issue of great concern for nurses. While it is typical for most groups of workers to undertake industrial action in the pursuit of better wages and working conditions or improved quality of services, historically, nurses have found this a difficult course to pursue. Frequently, nurses have been caught between acceptance of themselves as ordinary workers and a professional model, which has carried with it the implication that a profession does not engage in industrial action (although, in reality, professions, including medical practitioners, have undertaken industrial action). Nurses in Australia have gone on strike, although widespread industrial action was not undertaken until the 1980s, when lengthy industrial campaigns, including strikes, were used in an effort to achieve enhanced status for the profession, improved career paths and increased salaries. While debate remains about the efficacy of this course of action, large numbers of nurses have been involved in these campaigns. Significant changes in salaries and status were achieved in the 1980s.

scholarly journals Factors associated with employment and expected work retention among persons with multiple sclerosis: findings of a cross-sectional citizen science study

2020 ◽  
Vol 267 (10) ◽  
pp. 3069-3082
Author(s):  
Anja I. Lehmann ◽  
Stephanie Rodgers ◽  
Christian P. Kamm ◽  
Mathias Mettler ◽  
Nina Steinemann ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Multiple Sclerosis ◽  
Social Support ◽  
Working Conditions ◽  
Time Pressure ◽  
Related Factors ◽  
Cross Sectional ◽  
Work Retention ◽  
Psychosocial Working Conditions

Abstract Background Multiple sclerosis (MS) notably affects adults of working age. For persons with MS (PwMS), being employed enhances their quality of life and it may be regarded as an indicator of overall functioning. Thus, ensuring work participation in PwMS is of general public health interest. Objective To examine relevant socio-demographic, MS-, health- and work-related factors, including psychosocial working conditions, associated with currently working PwMS in Switzerland and their expected work retention. Methods Using cross-sectional data of PwMS in the Swiss MS Registry (n = 541, median age = 48 [IQR 40;55]), multivariable logistic regression models were computed. First, currently working PwMS were characterised in comparison with those not currently working. Second, expected work retention, operationalized as subjective judgement “likely to work in the same job in 2 years”, was examined within the group of currently working PwMS. Results The factors age (OR 0.96, 95% CI 0.92–0.99), sex (OR 0.28, 95% CI 0.13–0.60), highest achieved job position (OR 1.21, 95% CI 1.01–1.46), health-related quality of life (HRQoL) (OR 1.02, 95% CI 1.01–1.04) and the number of MS symptoms (OR 0.90, 95% CI 0.82–0.98) were associated with currently working PwMS. Moreover, HRQoL (OR 1.07, 95% CI 1.04–1.10) and psychosocial working conditions, such as job resources (e.g. autonomy, control or social support) (OR 2.83, 95% CI 1.50–5.33) and job demands (e.g. workload, time pressure) (OR 0.41, 95% CI 0.18–0.90) were important factors for expected work retention among this group. Conclusions Resourceful psychosocial working conditions are crucial for PwMS to maintain employment. Employers could contribute to work retention among PwMS by creating a work environment with resourceful psychosocial working conditions and providing, for instance, social support.

scholarly journals Evaluation of Pharmacology Written Question Papers of MBBS Professional Examinations

2017 ◽  
Vol 8 (2) ◽  
pp. 12-17 ◽  
Author(s):  
Dipak Kumer Paul Chowdhury ◽  
Debashish Saha ◽  
Md Humayun Kabir Talukder ◽  
Md Ahsan Habib ◽  
AFM Saiful Islam ◽  
...  
Keyword(s):  
Medical Education ◽  
Problem Solving ◽  
Descriptive Study ◽  
Cross Sectional ◽  
Significant Difference ◽  
Different Types ◽  
Content Coverage

This cross sectional descriptive study was conducted to observe the quality of Pharmacology professional written question papers of Bangladesh University of Professionals (BUP), University of Chittagong (CU), University of Dhaka (DU), Rajshahi University (RU) and Shahjalal University of Science & Technology (SUST). For this purpose total 82 SAQ papers of five universities dated from January 2007 to July 2015 were reviewed. Question papers were reviewed to find out the coverage of recall, understanding and problem solving type questions, content coverage and presence of marking scheme in SAQ papers. Mean percentage of recall, understanding and problem questions were 54.3%, 44% and 01.7% respectively in SAQ papers. Mean of the recall questions of SUST statistically significantly differed from curriculum standard 60%. Other universities had no significant differences with the standard. Mean of the understanding questions of all the universities statistically significantly differed from curriculum standard 30% except BUP. There was statistically significant difference between mean of the problem solving questions of all the universities and curriculum standard 10% . Most of the SAQ papers (62%) were without problem based questions. No question paper was found having different types question as per curriculum standard. Total 15(18.3%) SAQ papers contained 100 % topics (all the 11 groups). Thirty nine (47.6) contained 10 groups and 22% contained 9 groups out of 11. Twelve percent SAQ papers contained less 80% topics Total 29 (35.4%) SAQ papers of all the universities showed marking scheme on the questions papers, rest 64.6% were devoid of it. Maximum 87.5% SAQ papers of RU had marking scheme. Findings of this study may be used to redefine the distribution of different types question in SAQ papers and to improve the quality of question papers by ensuring their coverage.Bangladesh Journal of Medical Education Vol.8(2) 2017: 12-17

Attitudinal, Perceptual, and Normative Beliefs Influencing the Exercise Decisions of Community-Dwelling Physically Frail Seniors

2005 ◽  
Vol 13 (3) ◽  
pp. 276-293 ◽  
Author(s):  
Kathleen Benjamin ◽  
Nancy C. Edwards ◽  
Virendra K. Bharti
Keyword(s):  
Descriptive Study ◽  
Community Dwelling ◽  
Cross Sectional ◽  
Sociodemographic Predictors ◽  
Low Levels ◽  
Behavior Health ◽  
And Behavior ◽  
Intention To Continue ◽  
Exercise Intention

For seniors, an inactive lifestyle can result in declines in mental and physical functioning, loss of independence, and poorer quality of life. This cross-sectional descriptive study examined theory-of-planned-behavior, health-status, and sociodemographic predictors on exercise intention and behavior among 109 older and physically frail adults. Significant predictors of being a high versus a low active were a strong intention to continue exercising, positive indirect attitudes about exercise, and having been advised by a doctor to exercise. Findings indicate that a strong intention to continue exercising differentiates between those who report low levels and those who report high levels of physical activity. The results also highlight the salience of physician’s advice for seniors to exercise.

scholarly journals Common morbidities and felt needs of salt pan workers in a coastal area of Tamil Nadu, India

2019 ◽  
Vol 7 (3) ◽  
pp. 805
Author(s):  
Jyothi Vasudevan ◽  
Saravanan Vaithiyalingam ◽  
Velavan Anandan ◽  
Amit Kumar Mishra ◽  
Anil J. Purty
Keyword(s):  
Working Conditions ◽  
Tamil Nadu ◽  
Cross Sectional Study ◽  
Health Problems ◽  
Work Place ◽  
Qualitative Aspect ◽  
Cross Sectional ◽  
Musculoskeletal Problems ◽  
Salt Pan ◽  
The Government

Background: The occupational hazards faced by salt pan workers during their occupation are myriad, a fact compounded by the lack of basic amenities at their workplace and lack of awareness regarding usage of personal protection equipment.Methods: This cross-sectional study was carried out among fifty-six salt pan workers in Marakkanam, Tamil Nadu to assess their common health problems and a qualitative component was added to assess their felt needs in work place and daily living. Data was collected using pre-designed data collection sheet for assessing the common morbidities. For the qualitative aspect of the study, in-depth interviews were conducted among twenty workers based on convenient sampling, using open ended questions. Data was collected after obtaining informed consent and steps were taken to ensure confidentiality at all stages.Results: The most common health problem of the workers in present study area included dental caries (41.7%), skin conditions (38.1%) musculoskeletal problems (36.7%) and anemia (35.1%) being other significant health problems. The qualitative aspect of the study revealed that the felt needs were improvement of their working conditions and more social support from the Government and the employers. There was very little awareness among the workers regarding use of PPE and none of them used any form of PPE.Conclusions: Salt pan workers had dental problems, dermatological problems and musculoskeletal problems as most common morbidities among them. Harsh working conditions, financial insecurity etc. are some of their work-related problems. Provision of housing facility and financial assistance during off- season by the government, basic amenities at the work place, paid leave in case of injuries, and insurance schemes for them by employer are their main felt needs. They also had no awareness regarding usage of personal protective equipment at the work place.

scholarly journals Could EAISI-trained providers provide better quality of IUD services? Results of a secondary data analysis of complications as a proxy indicator

2019 ◽  
Vol 3 ◽  
pp. 1473
Author(s):  
Manish Gehani ◽  
Manoj Pal ◽  
Anupama Arya ◽  
Shobhana Singh ◽  
Kaushik S. ◽  
...  
Keyword(s):  
Service Providers ◽  
Positive Impact ◽  
Clinical Skills ◽  
Intrauterine Device ◽  
Secondary Data ◽  
Cross Sectional Study ◽  
Cross Sectional ◽  
The Government

Background: For accelerating its progress towards FP2020 goals, the Government of India has focused on improving the quality of intrauterine device (IUD) services. EngenderHealth has supported the Governments of Rajasthan and Gujarat since 2014 through its Expanding Access to IUD Services in India (EAISI) project by building the capacity of service providers, monitoring their compliance with standard practices, and strengthening health systems. This study sought to assess whether EAISI trained providers provide a better quality of IUD services as compared to non-EAISI trained providers, as indicated by a reduction in confirmed IUD complications? Methods: This study was an analytical cross-sectional study of secondary data collected from the follow-up registers of 176 intervention facilities (138 in Rajasthan and 38 in Gujarat) during Phase I of EAISI project. The analysis included clients who returned between April 2018 and March 2019 to the same facility for a follow-up visit. Multivariate logistic regression was performed to determine factors associated with IUD complications. Results: A total of 56,733 IUD insertions were conducted, and 10,747 (18.9%) client follow-ups were documented. Of these, 49.4% (N=5,305) clients received IUDs from EAISI-trained providers, while 50.6% (N=5,442) received IUDs from non-EAISI trained providers. A total of 4.0% (N=432) of clients experienced complications (Expulsion: 1.3%, Missing Strings: 1.7%, Infection: 1.1%). Clients who received IUDs from non-EAISI-trained providers were 55.5% more likely [95% CI (26.2%, 91.5%), p<0.0005] to have complications compared to clients who received insertions from EAISI-trained providers. Other significant factors include the type of IUD, timing of the follow-up visit and timing of the insertion. Conclusion: The findings demonstrate that intensive, hands-on training of providers to improve clinical skills for IUD insertions can have a positive impact on the reduction of post-insertion complications.

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