Perception of the psychosocial working conditions in a group of nurses working in hospitals and primary health care

2016 ◽  
Vol 6 (2) ◽  
pp. 100-108 ◽  
Author(s):  
H. Kalandyk ◽  
B. Penar-Zadarko ◽  
E. Krajewska-Kułak
Keyword(s):  
Social Support ◽  
Job Satisfaction ◽  
Health Care ◽  
Primary Health Care ◽  
Working Conditions ◽  
Sense Of Self ◽  
The Other ◽  
Psychosocial Working Conditions ◽  
Primary Health ◽  
District Hospitals

Introduction: In the nurses group, it is required to have great psychosocial skills, guaranteeing the high quality of professional services. Purpose: To assess the psychosocial working conditions of nurses, depending on their place of employment. Material and methods: The study involved 570 randomly selected nurses. It was based on a diagnostic survey using a standardised questionnaire of Psychosocial Working Conditions (PWC). Results: Correlation factors between the overall and average level of satisfaction with the work were quite high – exceed 0.30 and even 0.40. The greater was the need for change, the lower was the job satisfaction. High sense of self-control at work, social support, or wellbeing was linked with better ratings. Psychophysical requirements were assessed as the worst, and the least frequent were the additional requirements resulting from the conflict nature of the job and overload. Nurses from voivodeship hospitals rated their work lower in the category of intellectual demands, and nurses from the Primary Health Care - in the category of requirements resulting from the conflict nature of the job and overload. Behavioural control and the need for change were different for PHC and the other two hospitals. Psychological wellbeing in district hospitals was worse than in the other two types of medical institutions. Conclusions: The larger was the sense of work control, or sense of social support, the higher was the job satisfaction. The higher the level of requirements and the need for change, the lower was the satisfaction of the assessed aspects of work. There were clear differences in the assessment of the psychosocial working conditions of nurses from hospitals and nurses from PHC.

scholarly journals Cross-cultural adaptation and validation of the teamwork climate scale

2016 ◽  
Vol 50 (0) ◽  
Author(s):  
Mariana Charantola Silva ◽  
Marina Peduzzi ◽  
Carine Teles Sangaleti ◽  
Dirceu da Silva ◽  
Heloise Fernandes Agreli ◽  
...  
Keyword(s):  
Job Satisfaction ◽  
Health Care ◽  
Factor Analysis ◽  
Primary Health Care ◽  
Confirmatory Factor Analysis ◽  
Cultural Adaptation ◽  
Cross Cultural ◽  
Cross Cultural Adaptation ◽  
Primary Health ◽  
Confirmatory Factor

ABSTRACT OBJECTIVE To adapt and validate the Team Climate Inventory scale, of teamwork climate measurement, for the Portuguese language, in the context of primary health care in Brazil. METHODS Methodological study with quantitative approach of cross-cultural adaptation (translation, back-translation, synthesis, expert committee, and pretest) and validation with 497 employees from 72 teams of the Family Health Strategy in the city of Campinas, SP, Southeastern Brazil. We verified reliability by the Cronbach’s alpha, construct validity by the confirmatory factor analysis with SmartPLS software, and correlation by the job satisfaction scale. RESULTS We problematized the overlap of items 9, 11, and 12 of the “participation in the team” factor and the “team goals” factor regarding its definition. The validation showed no overlapping of items and the reliability ranged from 0.92 to 0.93. The confirmatory factor analysis indicated suitability of the proposed model with distribution of the 38 items in the four factors. The correlation between teamwork climate and job satisfaction was significant. CONCLUSIONS The version of the scale in Brazilian Portuguese was validated and can be used in the context of primary health care in the Country, constituting an adequate tool for the assessment and diagnosis of teamwork.

scholarly journals Physiotherapy services required at primary health care level in gauteng and limpopo provinces (service provider’s perspective -physiotherapists/assistants)

2008 ◽  
Vol 64 (1) ◽  
Author(s):  
Douglas Maleka ◽  
D. Franzsen ◽  
A. Stewart
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Descriptive Study ◽  
The Other ◽  
Gauteng Province ◽  
Care Level ◽  
Primary Health ◽  
Rehabilitative Services ◽  
Self Administered Questionnaire ◽  
Preventative Services

This study was conducted to determine the opinion of physiotherapists and physiotherapy assistants with regards to physiotherapyservices required at a Primary Health Care (PHC) level in two provinces ofSouth Africa, one being urban (Gauteng) and the other one more rural(Limpopo). Using a descriptive study design, a sample consisting of 728 physio-therapists and assistants was selected from the HPCSA register list. Datacollection was by a self-administered questionnaire. Sixty six percent of physiotherapists in Gauteng Province and 68% inLimpopo Province agreed that promotive services are required whereas thepercentage for physiotherapy assistants in Gauteng province and Limpopoprovince were 78% and 89% respectively. Preventative services were suggested by 82% and 85% by physiotherapistsand 95% and 96% by physiotherapy assistants in Gauteng and Limpopo. Eighty nine percent and 88% of physio-therapists, 80% and 85% of physiotherapy assistants in Gauteng and Limpopo respectively agreed that curative services are required.  Rehabilitative services were suggested to be required by 83% and 90% of physiotherapists, 85% and 95% by physiotherapy assistants in Gauteng and Limpopo respectively.

scholarly journals Kendala Organisasi Berbasis Komunitas dalam Program Pencegahan dan Penanggulangan HIV/AIDS: Studi Kasus pada Dua LSM Peduli AIDS di Jakarta

2019 ◽  
pp. 163-174
Author(s):  
Ranti Suciati ◽  
Mujiati Mujiati ◽  
Novianti Novianti
Keyword(s):  
Social Support ◽  
Health Care ◽  
Content Analysis ◽  
Primary Health Care ◽  
Community Based ◽  
Purposive Sampling ◽  
Community Based Organizations ◽  
Primary Health ◽  
The Government ◽  
Hiv Aids

Abstrak Semakin meningkatnya jumlah kasus HIV/AIDS di Indonesia, berdampak tidak hanya pada masalah kesehatan, memacu pemerintah untuk melibatkan masyarakat sipil dalam Organisasi Berbasis Komunitas (OBK) untuk ikut berperan dalam upaya pencegahan dan penanggulangan HIV/AIDS. Pentingnya identifikasi kendala atau hambatan yang dihadapi oleh OBK memunculkan strategi atau alternatif solusi untuk mengatasi kendala, serta memberikan gambaran model intervensi yang lebih sinkron antara pemerintah dan masyarakat. Desain penelitian adalah kualitatif dengan melakukan studi kasus di dua LSM Peduli AIDS di Jakarta. Informan dipilih secara purposive sampling yaitu pengurus, anggota/petugas, dan dampingan dari dua OBK. Pengumpulan informasi dengan wawancara mendalam berdasarkan pedoman wawancara dan diolah menggunakan metode content analysis. Kendala yang dihadapi OBK yaitu alur rujukan BPJS yang mengikuti domisili sehingga memberatkan pasien, kurang optimalnya koordinasi dan kerjasama antara OBK dengan Puskesmas, belum meratanya kualitas dan kapasitas SDM anggota OBK, persoalan administratif organisasi, sumber dana yang tidak selalu kontinu, adanya perbedaan kepentingan antara OBK dengan pihak kepolisian, serta masih tingginya stigma masyarakat terhadap penderita HIV/AIDS. Solusi mengatasi kendala OBK dilakukan dengan peningkatan efektifitas pelaksanaan program pemerintah melalui OBK, antara lain dengan penerapan fleksibilitas pengelolaan dana berdasarkan kinerja OBK, peningkatan kapasitas SDM, pemantapan sistem manajerial, pemahaman alur layanan kesehatan di Puskesmas, serta social support bagi penderita HIV/AIDS. Kata kunci: organisasi berbasis komunitas, LSM, HIV/AIDS Abstract The increasing number of HIV/AIDS cases in Indonesia that impact not only on health issues, spur the Government to involve civil society in community-based organizations (OBK) to play a role in HIV/AIDS prevention program. Identification of constraints or obstacles faced by OBK do as they can generate alternative strategies or solutions to overcome these constraints, and provide a more synchronous model of intervention between the government and the community. This type of research is a case study at two AIDS Awareness NGOs in Jakarta. The informants were chosen by purposive sampling ie the board, members/officers, and assistants from the two NGOs. Information collection with by in-depth interview based on interview guideline and processed using content analysis method. Constraints faced by the OBK is the issue of referral flow pathways that follow the domicile so burdensome patients, less optimal coordination and cooperation between OBK with primary health care, uneven quality and capacity of human resources of NGO members, organizational administrative issues, sources of funds that are not always continuous, different interests between the OBK with the police department, and the stigma. Reduction of obstacles faced by OBK can be done by increasing the effectiveness of government program implementation through OBK, among others by applying flexibility of fund management based on OBK performance, human resource capacity building, managerial system strengthening, understanding of health service flow in primary health care, and social support for patient HIV/AIDS. Keywords: community-based organizations, NGOs, HIV/AIDS

scholarly journals Improving Health Care Management in Primary Care for Homeless People: A Literature Review

2019 ◽  
Vol 29 (Supplement_4) ◽  
Author(s):  
M Jego ◽  
J Abcaya ◽  
C Calvet-montredon ◽  
S Gentile
Keyword(s):  
Social Support ◽  
Primary Care ◽  
Health Care ◽  
Primary Health Care ◽  
General Population ◽  
Literature Review ◽  
Care Management ◽  
Multidisciplinary Approach ◽  
Homeless People ◽  
Primary Health

Abstract Background Homeless people have poorer health status than the general population. They need complex care management, because of associated medical troubles (somatic and psychiatric) and social difficulties. However, they face multiple difficulties in accessing primary health care and receive less preventive health care than the general population. Methods We performed a literature review that included articles which described and evaluated primary care programs for homeless people. We searched into the MEDLINE, PsycINFO, COCHRANE library, and Cairn.info databases primary articles published between 1 January 2012 and 15 December 2016. We also performed a grey literature search, and we added relative articles as we read the references of the selected articles. We described the main characteristics of the primary care programs presented in the selected articles. Then we classified these characteristics in main categories, as a descriptive thematic analysis. Secondarily, we synthetized the main results about the evaluation of each intervention or organization. Results Most of the programs presented a team-based approach, multidisciplinary and/or integrated care. They often proposed co-located services between somatic health services, mental health services and social support services. They also tried to answer to the specific needs of homeless people. Some characteristics of these programs were associated with significant positive outcomes: tailored primary care organizations, clinic orientation, multidisciplinary team-based models which included primary care physicians and clinic nurses, integration of social support, and engagement in the community’s health. Conclusions Primary health care programs that aimed at taking care of the homeless people should emphasize a multidisciplinary approach and should consider an integrated (mental, somatic and social) care model. Key messages To improve the health care management of homeless people it seems necessary to priorize multidisciplinary approach, integrated care, involve community health and answer their specific needs. It is necessary to evaluate more non-tailored primary care programs that collaborate with tailored structures.

scholarly journals Self-rated health and working conditions among workers from primary health care centers in Brazil

2010 ◽  
Vol 26 (5) ◽  
pp. 971-980 ◽  
Author(s):  
Leila Posenato Garcia ◽  
Doroteia Aparecida Höfelmann ◽  
Luiz Augusto Facchini
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Working Conditions ◽  
Care Center ◽  
Musculoskeletal Symptoms ◽  
Primary Care Center ◽  
Self Rated Health ◽  
Primary Health ◽  
Primary Health Care Centers ◽  
Health Care Centers

This cross-sectional study with 1,249 workers from all 49 municipal primary health care centers was conducted in Florianópolis, Santa Catarina State, Brazil, with the objective of investigating the prevalence of poor self-rated health and its association with working conditions and other factors. Multivariate statistical analyses were conducted using Poisson regression. The prevalence of poor self-rated health was 21.86% (95%CI: 19.56%-24.15%). The largest prevalence was found among dental assistants (35.71%), and the lowest among physicians (10.66%). In the adjusted analysis, the outcome was associated with female gender (PR = 1.48; 95%CI: 1.03-2.14), older age (PR = 1.29; 95%CI: 1.05-1.59), higher education (PR = 0.69; 95%CI: 0.55-0.87), more time working at the primary care center (PR = 1.57; 95%CI: 1.29-1.98), higher workload score (PR = 1.67; 95%CI: 1.35-2.05), obesity (PR = 1.74; 95%CI: 1.37-2.21), and often or always experiencing musculoskeletal symptoms (PR = 2.69; 95%CI: 1.90-3.83). A higher workload score remained associated with the outcome, suggesting an association between working conditions and self-rated health.

Surviving or thriving in the primary health care research workforce: the Australian experience

2017 ◽  
Vol 23 (2) ◽  
pp. 183
Author(s):  
Jodie Oliver-Baxter ◽  
Lynsey Brown ◽  
Ellen McIntyre
Keyword(s):  
Job Satisfaction ◽  
Health Care ◽  
Primary Health Care ◽  
Primary Healthcare ◽  
Health Care Research ◽  
Healthcare Research ◽  
Full Time ◽  
Policy And Practice ◽  
Primary Health ◽  
Research Workforce

Primary healthcare research strives for high-quality, priority-driven research to inform policy and practice. This relies on a robust and sustainable workforce to tackle complex problems faced in primary health care locally and globally. The current study investigated characteristics, experiences and career paths of the Australian primary healthcare research workforce. Thirty-seven former Research Higher Degree students from University Departments of General Practice and Rural Health completed a survey. Number of provisions for researchers and career path clarity were associated with job satisfaction. Motivators to stay in research included job satisfaction, research in role descriptions, and identification of problems requiring change. Barriers related to funding, time, and other work roles taking priority were identified. Comparisons were made between participants self-identifying as working in primary healthcare research (‘stayers’; n=22) and those no longer part of this workforce (‘leavers’; n=15). Leavers were more likely to be in permanent full-time work whereas stayers had experienced more career progression and mentoring. This study raises challenges faced by primary healthcare researchers and will inform strategies for supporting the sustainability of this workforce.

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