Neglected Concerns of Nurses and Their Unheard Voices; A Blind Spot in our Health System

2021 ◽  
pp. 594-598
Author(s):  
Priya Baby ◽  
Manju Dhandapani ◽  
L Gopichandran
Keyword(s):  
Nursing Education ◽  
Healthcare System ◽  
Working Conditions ◽  
Blind Spot ◽  
Healthcare Research ◽  
Educational Quality ◽  
Leadership Roles ◽  
Quality Patient Care ◽  
Career Opportunity ◽  
Current Scenario

The current scenario of nursing in India forces us to introspect if the nurses are equipped enough to bring out their best contribution towards the health of our country and if their voices are well heard in the healthcare system. Despite being highly skilled professionals, nurses are neither facilitated nor rewarded enough to sustain their motivation and inputs. To understand the struggles faced by nurses in India, we reviewed literature that addresses Indian nurses’ concerns and brainstormed about the major challenges that nurses encounter with key nursing personnel from nursing education, clinical services and administration from selected hospitals of India. The major challenges that negatively affect the contribution of nurses are shortage of nurses, poor working conditions and career opportunity, ineffective leadership roles, poor educational quality, low salary and state neglect. The COVID-19 pandemic has proven the vast contribution and sacrifice of nurses. The competency of nurses has gone up with specialization, and advanced nursing degrees. Enhancing nurses’ involvement in collaborative healthcare research would be a hallmark in improving the quality patient care. To efficiently utilize the contribution of the nurses in healthcare system, the society and state have to recognize the potentials and vulnerabilities of nurses, appreciate their strengths and reciprocate responsibilities to their neglected concerns.

scholarly journals Pharmacy Services beyond the Basics: A Qualitative Study to Explore Perspectives of Pharmacists towards Basic and Enhanced Pharmacy Services in Pakistan

2020 ◽  
Vol 17 (7) ◽  
pp. 2379 ◽  
Author(s):  
Muhammad Atif ◽  
Wajiha Razzaq ◽  
Irem Mushtaq ◽  
Iram Malik ◽  
Madiha Razzaq ◽  
...  
Keyword(s):  
Qualitative Study ◽  
Healthcare System ◽  
Pharmacy Services ◽  
Drug Related Problems ◽  
Face To Face ◽  
Postgraduate Studies ◽  
Current Scenario ◽  
Barriers To Implementation ◽  
Effective Use ◽  
The University

Enhanced pharmacy services have been identified as a mechanism to address medicines and drug-related problems. The aim of the study was to explore the perspectives of practicing pharmacists on the scope of pharmacy service provision in Pakistan. This qualitative study was conducted at the Department of Pharmacy, the Islamia University of Bahawalpur (IUB). Face-to-face, in-depth interviews were conducted with practicing pharmacists at the university who were undertaking postgraduate studies. All interviews were audio-recorded, transcribed verbatim, and analyzed using thematic analysis. A total of 13 pharmacists were interviewed. The analysis of data yielded four themes and 12 subthemes. The themes included the current scenario of pharmacy services, the benefits of pharmacy services, barriers to implementation of pharmacy services, and strategies to improve their delivery. Pharmacist participants reported that patient-oriented pharmacy services have not been properly implemented in Pakistan. Pharmacists appear to be undertaking only conventional roles at various levels within the healthcare system. The participants indicated multiple benefits of patient-oriented pharmacy services, including safe and effective use of medicines, minimization of drug-related problems, and financial benefits to the healthcare system. Based on the findings, policy-makers are required to take the necessary steps to overcome pharmacist-related and policy-related barriers associated with the implementation of patient-oriented pharmacy services in Pakistan.

scholarly journals State of pathophysiology in undergraduate nursing education: A systematic review

2020 ◽  
Vol 11 (3) ◽  
pp. 11
Author(s):  
Renee Colsch ◽  
Suzanne Lehman ◽  
Katherine Tolcser
Keyword(s):  
Systematic Review ◽  
Nursing Education ◽  
Student Satisfaction ◽  
Measurement Instruments ◽  
Pedagogical Strategies ◽  
Quality Patient Care ◽  
Undergraduate Nursing ◽  
Rigorous Research ◽  
Research Designs ◽  
Meta Analyses

Background: Nurses who understand pathophysiology can provide higher quality patient care. Various pedagogical strategies make it unclear which practice meets the challenges of teaching pathophysiology. The aim of this systematic review was to synthesize research in the last ten years to report the current state of pedagogical strategies related to teaching pathophysiology concepts in undergraduate nursing.Methods: A systematic review of mixed, quantitative, and qualitative literature guided by the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines was conducted from 2010 to 2020 through electronic databases.Results: Seven studies met the inclusion criteria. A gap exists among comparable research designs, pedagogy strategies, and outcomes specific to undergraduate nursing pathophysiology courses. Conclusions: Findings suggest that more rigorous research designs with validated measurement instruments are needed to compare student satisfaction and outcomes after different pedagogical strategies are applied to undergraduate pathophysiology courses. Also, there is a need to elicit findings related to the retention and effectiveness of pathophysiology concepts in clinical practice.

scholarly journals Models of Physician’s Behavior in the Situation of Assignment Paid Procedures

Inter ◽  
2021 ◽  
Vol 13 (1) ◽  
pp. 40-62
Author(s):  
Ekaterina Andreeva
Keyword(s):  
Grounded Theory ◽  
Social Norms ◽  
Healthcare System ◽  
Working Conditions ◽  
Personal Values ◽  
Complex Combination ◽  
Therapeutic Services ◽  
Depth Interviews

The Russian healthcare system provides a set of free and paid diagnostic and therapeutic services. Although, when prescribing additional paid services, a specific doctor is provided with the situation of choice. The doctor is faced with a set of ethical and professional motivators, one of which is paid services as a source of additional medical income. What do doctors do in this situation, what strategies do they choose and what motivates their decision? Conducted and analyzed in-depth interviews (18 interviews, Tver, 2018) with doctors of different specialties revealed several patterns of doctor’s behavior when prescribing paid services. The data analyzed in the tactics of grounded theory allowed the author to build several models of doctor’s behavior, where such choices are associated with certain system of professional and personal values. The described models are conventionally named by author: “Making money”, “Polypragmasia”, “Collegiality”, “Man-System”, “One and a half rates”, “Out of the system”, “Avoidance”.The constructed models of behavior of doctors show that the appointment of additional optional procedures is associated not only with the doctor's desire to earn money, but also can be explained by a more complex combination of reasons, working conditions, formal and informal social norms, as well as the basic values of the doctors themselves.

Evolution and current scenario of doctoral nursing education in India

2021 ◽  
Vol 2 (1) ◽  
pp. 79
Author(s):  
SureshK Sharma ◽  
Ritu Rani ◽  
Sonali Banerjee ◽  
KhadizahHaji Abdul Mumin
Keyword(s):  
Nursing Education ◽  
Education In India ◽  
Current Scenario

scholarly journals Magyarországi orvostanhallgatók külföldi munkavállalási szándékai

2018 ◽  
Vol 159 (1) ◽  
pp. 31-37
Author(s):  
Zsuzsa Győrffy ◽  
Zsuzsanna Szél
Keyword(s):  
Human Resources ◽  
Healthcare System ◽  
Working Conditions ◽  
Online Survey ◽  
Work Conditions ◽  
Medical System ◽  
Drop Out ◽  
Work Culture ◽  
Work Abroad ◽  
Medical University

Abstract: Introduction: Migration, drop-out and ageing of physicians are the most important challenges of the 21st century healthcare system. The young doctors’ willingness to work abroad will become a decisive issue of the human resources of healthcare in the following decades. Aim: To explore the willingness of migration among medical university students. Method: Quantitative and qualitative online survey of students from 4 Hungarian medical universities (n = 530). In the present study we investigated only the 5th- and 6th- year students’ answers (n = 165). Results: 40% of students plan to work abroad, mostly for a 2–5 year timeframe. The motivation of working abroad are the following: work conditions of medical system, inadequate pay and general living conditions in Hungary. The content analysis of open answers showed that the willingness to return depends mainly on family reasons and the objective working conditions (infrastructure, pay, abolition of the gratuity system). An equally important factor is the evolution of work culture. Conclusions: As opposed to previous studies, our results indicate a more prevalent willingness to work abroad while an unambiguous return is only possible with a drastic change in the healthcare system. Orv Hetil. 2018; 159(1): 31–37.

scholarly journals Targeting COVID-19 Vaccine Hesitancy in Minority Populations in the US: Implications for Herd Immunity

Vaccines ◽  
2021 ◽  
Vol 9 (5) ◽  
pp. 489
Author(s):  
James E. K. Hildreth ◽  
Donald J. Alcendor
Keyword(s):  
Ethnic Minorities ◽  
Healthcare System ◽  
Herd Immunity ◽  
Virus Transmission ◽  
Healthcare Research ◽  
Vaccine Uptake ◽  
Vaccine Hesitancy ◽  
Culturally Competent ◽  
Vaccine Trials ◽  
The Us

There has been a continuous underrepresentation of minorities in healthcare research and vaccine trials, along with long-standing systemic racism and discrimination that have been fueling the distrust of the healthcare system among these communities for decades. The history and legacy of racial injustices and negative experiences within a culturally insensitive healthcare system have greatly contributed to vaccine hesitancy among ethnic minorities. COVID-19 vaccine hesitancy will impact vaccine uptake in the US, subsequently hindering the establishment of herd immunity (75–85% of the population vaccinated) to mitigate SARS-CoV-2 infection and transmission. Information targeting underserved racial/ethnic minorities in the US in a culturally competent manner has been lacking. This information is crucial for educating these communities about COVID-19 vaccines and their distribution as well as dispelling misinformation regarding vaccine trials, safety, and efficacy. This lack of education has greatly contributed to COVID-19 vaccine hesitancy and will increase disparities in vaccine uptake. Moreover, timely vaccinations are also essential to curtailing virus transmission and the emergence of SARS-CoV-2 variants that may evade the immune response produced by the three existing COVID-19 vaccines.

scholarly journals Models of Physician’s Behavior in the Situation of Assignment Paid Procedures

Inter ◽  
2021 ◽  
Vol 13 (1) ◽  
pp. 40-62
Author(s):  
Ekaterina Andreeva
Keyword(s):  
Grounded Theory ◽  
Social Norms ◽  
Healthcare System ◽  
Working Conditions ◽  
Personal Values ◽  
Complex Combination ◽  
Therapeutic Services ◽  
Depth Interviews

The Russian healthcare system provides a set of free and paid diagnostic and therapeutic services. Although, when prescribing additional paid services, a specific doctor is provided with the situation of choice. The doctor is faced with a set of ethical and professional motivators, one of which is paid services as a source of additional medical income. What do doctors do in this situation, what strategies do they choose and what motivates their decision? Conducted and analyzed in-depth interviews (18 interviews, Tver, 2018) with doctors of different specialties revealed several patterns of doctor’s behavior when prescribing paid services. The data analyzed in the tactics of grounded theory allowed the author to build several models of doctor’s behavior, where such choices are associated with certain system of professional and personal values. The described models are conventionally named by author: “Making money”, “Polypragmasia”, “Collegiality”, “Man-System”, “One and a half rates”, “Out of the system”, “Avoidance”.The constructed models of behavior of doctors show that the appointment of additional optional procedures is associated not only with the doctor's desire to earn money, but also can be explained by a more complex combination of reasons, working conditions, formal and informal social norms, as well as the basic values of the doctors themselves.

scholarly journals A Modified Communication and Optimal Resolution Program for Intersystem Medical Error Discovery: Protocol for an Implementation Study (Preprint)

2019 ◽  
Author(s):  
Lesly Dossett ◽  
Jacquelyn Miller ◽  
Reshma Jagsi ◽  
Anne Sales ◽  
Michael D Fetters ◽  
...  
Keyword(s):  
Medical Errors ◽  
Medical Error ◽  
Public Health Problem ◽  
Blind Spot ◽  
Healthcare Research ◽  
Major Public Health Problem ◽  
Implementation Framework ◽  
Individual Level ◽  
Optimal Resolution ◽  
Key Informant

BACKGROUND Preventable medical errors represent a major public health problem. To prevent future errors, improve disclosure, and mitigate malpractice risks, organizations have adopted strategies for transparent communication and emphasized quality improvement through peer review. These principles are incorporated into the Agency for Healthcare Research and Quality (AHRQ) Communication and Optimal Resolution (CANDOR) Toolkit, which facilitates (1) transparent communication, (2) error prevention, and (3) achieving optimal resolution with patients and families; however, how medical errors should be addressed when they are discovered between systems—intersystem medical error discovery (IMED)—remains unclear. Without mechanisms for disclosure and feedback on the part of the discovering provider, uncertainty remains as to the extent to which IMED is communicated with patients or responsible providers. Furthermore, known barriers to disclosure and reporting one’s own error may not be relevant or may be replaced by other unknown barriers when considering scenarios of IMED. OBJECTIVE This study aims to develop and test implementation of a modified CANDOR process for application to IMED scenarios. METHODS We plan a series of studies following an implementation framework. First, we plan a participatory, consensus-building stakeholder panel process to develop the modified CANDOR process. We will then conduct a robust preimplementation analysis to identify determinants of implementation of the modified process. Using the Consolidated Framework for Implementation Research as a theoretical framework, we will assess organizational readiness by key informant interviews and individual-level behaviors by a survey. Findings from this analysis will inform the implementation toolkit that will be developed and pilot-tested at 2 cancer centers, sites where IMED is hypothesized to occur more frequently than other settings. We will measure 5 implementation outcomes (acceptability, appropriateness, reach, adoption, and feasibility) using a combination of key informant interviews and surveys over the pre- and postimplementation phases. RESULTS This protocol was funded in August 2018 with support from the AHRQ. The University of Michigan Medical School Institutional Review Board has reviewed and approved the scope of activities described. As of April 2019, step 1 of aim 1 is underway, and aim 1 is projected to be completed by April 2020. Data collection is projected to begin in January 2020 for aim 2 and in August 2020 for aim 3. CONCLUSIONS Providing a communication and resolution strategy applicable to IMED scenarios will help address the current blind spot in the patient safety movement. This work will provide important insights into the potential utility of an implementation toolkit to improve transparent communication and optimal resolution of IMED scenarios. The natural progression of this work will be to test the toolkit more broadly, understand the feasibility and barriers of implementation on a broader scale, and pilot the implementation in new organizations. INTERNATIONAL REGISTERED REPOR PRR1-10.2196/13396

Cenários e Perspectivas da Profissão Docente

2021 ◽  
Author(s):  
Jane Adriana Vasconcelos Pacheco Rios ◽  
Luciana de Araújo Pereira
Keyword(s):  
Working Conditions ◽  
Basic Education ◽  
Daily Life ◽  
Teaching Profession ◽  
Educational Policies ◽  
State University ◽  
Teaching Career ◽  
Current Scenario ◽  
Teaching Learning ◽  
Different Levels

This publication shares perspectives built on teacher training, educational policies, the profession and other educational settings related to teaching, learning and research. From a collection of texts, it reveals walks through research and pedagogical experiences built in the school's daily life, which is an incarnated and reconfigured scenario in the lives of teachers who appear in publications as authors and/or as collaborators of search. It is an e-book that emerges from the debates held in the Thematic Group gathered at the Colloquium on Teaching and Diversity in Basic Education, organized by the Diverso Research Group, from the State University of Bahia – Uneb and which presents texts that dialogue with the current scenario of the Teaching Profession, considering the professionalization processes with a focus on the teaching career at its different levels and teaching modalities, in addition to enabling the broadening of the debate about the collective organization of the category in view of the current educational policies and teaching working conditions in a scenario in which the new political and sanitary agendas call the profession to destabilizations, uncertainties and ruptures.

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