scholarly journals Perineal Management and Episiotomy Practice in Chile

2021 ◽  
Author(s):  
Cristhel K. Fagerstrom-Sade ◽  
Sara Parada-Ibañez ◽  
Marcela M. Gurovich ◽  
Esther Ayala-Pérez ◽  
Pablo Ortega-Plancic ◽  
...  
Keyword(s):  
Health Care Providers ◽  
Cross Sectional Study ◽  
National Guidelines ◽  
Perineal Tear ◽  
Cross Sectional ◽  
Public And Private ◽  
Perineal Repair ◽  
Public And Private Hospitals ◽  
Almost All ◽  
Anatomy Knowledge

Episiotomy is a common intervention used during the second stage of delivery. Current use of this procedure is restricted to certain births due to several complications. Almost all births in Chile are delivered by a gynecologist or a midwife in the public or private health system where episiotomy is performed. The objective of this study is to identify strengths and weakness in aspects of perineal management and episiotomy practice among obstetric health care providers with the purpose of promoting practice assessment and updating skills and competencies. Design: Questionnaire-based-cross-sectional study. Method: Anonymous questionnaire applied to gynecologists and midwives of public and private hospitals, between October and December 2019 using the Instrument designed by Cornet et al. addressing questions such as affiliation, number of births/year, knowledge of anatomy, knowledge of episiotomy, knowledge of perineal tear, competence in perineal repair, and presence of expert in perineal trauma at their unit. Results: 189 surveys responded, 51% from midwives and 37.6% from doctors. 71% of total were trained at their medical or midwifery schools and 69% during postgraduate internships. Episiotomy practice criteria: 19% always in primigravida patients and 14,3% always in premature deliveries. Majority of professionals, 79.4% with less than 100 deliveries a year had incorrect answers about depth or sphincter tear prevention technique. Conclusions: The majority of professionals indicated insufficient training capacities in relation to episiotomy techniques. Undergraduate programs should strength training on this intervention, national guidelines must include routine episiotomy performance in order to unify criteria.

Matching Ethical Climate to Nurses’ Service Behaviors in Public and Private Hospitals: A Cross-Sectional Study

2020 ◽  
Author(s):  
Na Zhang ◽  
Jingjing Li ◽  
Xing Bu ◽  
Zhenxing Gong
Keyword(s):  
Ethical Climate ◽  
Cross Sectional Study ◽  
Public Hospitals ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Private Hospitals ◽  
Public And Private ◽  
Service Behavior ◽  
Public And Private Hospitals ◽  
The Relationship

Abstract Background: Workplace climate is great significant element that has impact on nurses’ behavior and practice; moreover, nurses’ service behavior contributes to the patients’ satisfaction and subsequently to the long-term success of hospitals. Few studies explore how different types of organizational ethical climate encourage nurses to engage in both in-role and extra-role service behaviors, especially in comparing the influencing process between public and private hospitals. This study aimed to compare the relationship between the five types of ethical climate and nurses’ in-role and extra-role service behaviors in public and private hospitals.Methods: This study conducted a cross-sectional survey on 559 nurses from China. All participants were investigated using the Ethical Climate Scale and Service Behavior Questionnaire. SPSS 22.0 was used for correlation analysis, t-test and analysis of variance test, and Mplus 7.4 was used for group comparison.Results: The law and code climate has a much greater influence on nurses’ in-role service behavior in private hospitals than on that in public hospitals (β = -.277; CI 95% = [-.452, -.075]; p < .01), and the instrumental climate has a stronger influence on nurses’ extra-role service behavior private hospitals than on that in public hospitals (β = -.352; CI 95% = [-.651, -.056]; p < .05). Meanwhile, the rules climate has a greater effect on nurses’ extra-role service behavior in public hospitals than it does in private hospitals (β = .397; CI 95% = [.120, .651]; p < .01). Conclusions: As the relationship between the five types of ethical climate and nurses’ in-role and extra-role service behaviors in public and private hospitals were different, the strategies used to foster and enhance the types of ethical climate are various from public to private hospitals. The caring and instrumental climate are the key to promote extra-role service behavior for nurses in private hospitals. And independent climate has great effect on extra-role service behaviors for nurses in public hospitals.

scholarly journals Impact of maternity care policy in Catalonia: a retrospective cross-sectional study of service delivery in public and private hospitals

2015 ◽  
Vol 15 (1) ◽  
Author(s):  
Ramón Escuriet-Peiró ◽  
Josefina Goberna-Tricas ◽  
Maria J Pueyo-Sanchez ◽  
Neus Garriga-Comas ◽  
Immaculada Úbeda-Bonet ◽  
...  
Keyword(s):  
Service Delivery ◽  
Maternity Care ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Care Policy ◽  
Cross Sectional ◽  
Private Hospitals ◽  
Public And Private ◽  
Public And Private Hospitals

scholarly journals Factors associated with cesarean delivery in public and private hospitals in a city of northeastern Brazil: a cross-sectional study

2015 ◽  
Vol 15 (1) ◽  
Author(s):  
Graciete Oliveira Vieira ◽  
Lorena Gabriel Fernandes ◽  
Nelson Fernandes de Oliveira ◽  
Luciana Rodrigues Silva ◽  
Tatiana de Oliveira Vieira
Keyword(s):  
Cesarean Delivery ◽  
Cross Sectional Study ◽  
Northeastern Brazil ◽  
Sectional Study ◽  
Cross Sectional ◽  
Private Hospitals ◽  
Public And Private ◽  
Factors Associated ◽  
Public And Private Hospitals

scholarly journals RELUCTANCE TO SERVE IN RURAL AREAS: DOCTORS' PERSPECTIVE

1970 ◽  
Vol 7 (3) ◽  
pp. 157-162 ◽  
Author(s):  
Tamkeen Nishat Jaffry ◽  
Samiha Mirza ◽  
Shehla Farheen ◽  
Sadaf Khalid
Keyword(s):  
Health Care ◽  
Rural Areas ◽  
Health Care Services ◽  
Cross Sectional Study ◽  
Working Environment ◽  
Cross Sectional ◽  
Public And Private ◽  
Care Services ◽  
Rural And Remote Areas ◽  
Public And Private Hospitals

Background: Pakistan's health care system has been adversely affected by the non-availability of doctors in its rural and remote areas. It is the high time to realize that the improvement in the standard of health care services can be achieved with willingness and dedication of doctors to work in these areas which is only possible by providing them with suitable working environment. Methods: This was a descriptive cross-sectional study conducted on 200 doctors working in public and private hospitals/clinics of Islamabad, Pakistan. Data was collected through a questionnaire and processed in SPSS software version 16. Results: 200 doctors comprising of 113 males and 87 females were recruited for the study. The mean age was 30 years (0.65 SD). Majority (86.5 %) of the doctors were of the view; that indeed it was the non-availability of doctors at rural health care centres for poor health services in such areas. 83.9 % agreed that basic facilities were lacking in rural areas. Regarding transportation, 74.5 % had the opinion that these facilities were inadequate in rural areas. Nevertheless, 84.5 % agreed that by improving the basic facilities of life, working conditions could be improved. However, 72.5 % supported the idea of extra hard area grant to improve doctors' motivation towards serving rural areas. Conclusion: Doctors were reluctant to serve in rural areas because of the difficulties affecting their social, professional and family life. By developing the infra-structure of health centres and by providing some special incentives to the serving doctors, this issue can be resolved to a considerable extent.

scholarly journals Assessment of knowledge and attitude regarding intrauterine devices among auxiliary nurse midwife in two districts of North Bengal

2018 ◽  
Vol 5 (11) ◽  
pp. 4831
Author(s):  
Romy Biswas ◽  
Sharmistha Bhattacherjee ◽  
Kuntala Ray ◽  
Jayanta K. Roy ◽  
Tapas K. Sarkar ◽  
...  
Keyword(s):  
Health Care Providers ◽  
Service Providers ◽  
Peer Group ◽  
Cross Sectional Study ◽  
Care Providers ◽  
Cross Sectional ◽  
Public And Private ◽  
Favourable Attitude ◽  
Auxiliary Nurse ◽  
Knowledge And Attitude

Background: Despite being one of the most easily available and reversible methods of family planning, IUD utilization continue to remain low, as evident in the nationwide surveys. One of the reasons was poor knowledge and skills on IUD provision among health care providers. This study examined factors related to providers, by examining their IUD-related knowledge, and their attitudes toward recommending or inserting the IUD.Methods: A descriptive cross sectional study was conducted among 503 ANMs from Uttar Dinajpur and Darjeeling Districts using a semi-structured questionnaire exploring the service providers’ knowledge, current practices and experience with IUD insertion. Attitudes regarding IUDs were assessed by asking how much they agreed with a number of hypothetical statements about the IUD.Results: The proportion of good knowledge and favourable attitude was 57.5% and 60% respectively. The knowledge was found to be significantly higher among ANMs aged less than 30 years and who had graduate education than their counterparts. Better knowledge and favourable attitude was found among the ANMs posted in Darjeeling and had service experience of more than 5 years.Conclusions: The knowledge and attitude of the ANMs were found to be less than satisfactory. Addressing IUDs and other newer contraceptives in pre-service curriculum, within job training and peer group education in both public and private areas may help the situation.

scholarly journals Cross-sectional study comparing public and private hospitals in Catalonia: Is the practice of routine episiotomy changing?

2015 ◽  
Vol 15 (1) ◽  
Author(s):  
Ramón Escuriet ◽  
María J Pueyo ◽  
Mercedes Perez-Botella ◽  
Xavi Espada ◽  
Isabel Salgado ◽  
...  
Keyword(s):  
Cross Sectional Study ◽  
Sectional Study ◽  
Cross Sectional ◽  
Private Hospitals ◽  
Public And Private ◽  
Public And Private Hospitals

scholarly journals A Study of 0-14-Year-Old Children’s Access to Health Centers in Rural Areas Using a Buffer Model (a Case Study of Villages Based in Kermanshah Province, Iran)

2019 ◽  
Author(s):  
Ali Almasi ◽  
Alireza Zangeneh ◽  
Shahram Saeidi ◽  
Arash Ziapour ◽  
Raziyeh Teimouri ◽  
...  
Keyword(s):  
Rural Areas ◽  
Cross Sectional Study ◽  
Health Centers ◽  
Vulnerable Groups ◽  
Medical Sciences ◽  
Cross Sectional ◽  
Public And Private ◽  
Present Cross Sectional Study ◽  
Access To Health ◽  
Public And Private Hospitals

Abstract Background: Children are among the most vulnerable groups in society, whose health is of prominent significance. Moreover, as a group of clients with special needs in the health care system, they require special attention. Therefore, the present study aimed to investigate the 0-14-year-old children’s access to health centers in rural areas of Kermanshah Province, Iran. Methods: In the present cross-sectional study, both the latest published demographic statistics related to the Population and Housing Census, announced by the Statistical Center of Iran in 2011, and the information about the public and private hospitals in the province, collected by Kermanshah University of Medical Sciences, were used as the basis for the analyses. Additionally, given the importance of spatial nature of the research, GIS was used for data analysis, and a buffer model was also applied. Results: The results revealed that out of the total population of 0-14-year-old children residing in rural areas within 15,000 and 30,000-Kilometer radii of Kermanshah Province, 87.94% and 75.11% of girls versus 88.15% and 75.38% of boys lacked access to health centers, respectively. Conclusion: It was found out that the 0-14-year-old children’s access to health centers was in poor condition in rural areas of Kermanshah Province, which would endanger the health of this age group.

scholarly journals Rheumatic heart disease knowledge and associated factors among nurses working in cardiac centers at public and private hospitals of Addis Ababa: cross sectional study

2021 ◽  
Author(s):  
Tesfaye Techane ◽  
Bethlehem Legesse ◽  
Yohannes Ayalew ◽  
Aklil Hailu
Keyword(s):  
Heart Disease ◽  
Rheumatic Heart Disease ◽  
Addis Ababa ◽  
Cross Sectional Study ◽  
Good Knowledge ◽  
Cross Sectional ◽  
Private Hospitals ◽  
Public And Private ◽  
Public And Private Hospitals ◽  
Rheumatic Heart

Abstract Back ground: It is proposed that the biggest gap in control of rheumatic heart disease is in implementing of ineffective primary and secondary preventive measures. These measures are supposed to be well addressed by nurses. For prevention and proper management, nurses are expected to have full knowledge about rheumatic heart disease. Therefor the main objective of the study was to assess the level of nurse’s knowledge and factors behind regarding RHD in the current study. Method: Institution based cross sectional study was conducted on nurses working in cardiac centers of public and private hospitals at Addis Ababa from April 1 to 30, 2021. Total sample size is 163 selected by purposive sampling method. Data was entered in to Epi-data version 4.5 and exported to SPSS version 25.0 and was checked for missing values. Data was cleaned. Descriptive statistics such as frequency, mean and percentages were calculated, described and displayed in tables, graphs and charts. Binary logistic regression was done to see the crude significant relation of each independent variable with nurse’s good knowledge score. Significant factors were identified based on multivariate logistics regression in 95% confidence level at P-value less than 0.05. Result: In the present study about 154 participants were participated. The mean correct answer response of the nurses for knowledge of RHD questions is 12.2 ± 5.2. Only 48.7% of the nurses have good knowledge towards RHD. Being male in gender, having history of sore throat, taking formal education in university or collage, taking in-service training on RHD, having higher wok experience, have found significantly associated with higher odds of nurses’ good knowledge towards RHD. Conclusion and recommendation: regular training regarding RHD management should be given to nurses who are working in cardiac centers. Rheumatic heart disease early treatment and prevention should be incorporated and reinforced in to nursing and other health related professions curriculums.

scholarly journals Perfil Sociolinguístico e Alimentar de Crianças Assistidas em Creches Públicas e Privadas

2019 ◽  
Vol 23 (3) ◽  
pp. 244
Author(s):  
Priscilla Mayara Estrela Barbosa ◽  
Januária Lopes de Melo ◽  
Moisés Andrade dos Santos de Queiroz ◽  
Andréa Cintia Laurindo Porto ◽  
Luciana Bernardino de Oliveira ◽  
...  
Keyword(s):  
Cultural Context ◽  
Cross Sectional Study ◽  
Full Time ◽  
Cross Sectional ◽  
Public And Private ◽  
Daycare Centers ◽  
Improved Performance ◽  
Time Basis ◽  
Quantitative Descriptive ◽  
Almost All

Com o objetivo de comparar o perfil sociolinguístico e alimentar de crianças de um a três anos, que frequentam creches públicas e privadas no município de Fortaleza, em tempo integral, foi realizado este estudo quali-quantitativo, descritivo-comparativo, transversal, no qual foram avaliadas 89 crianças com faixa etária entre um e três anos de idade cronológica, 41 em uma creche pública e 48 em uma privada. Para isso foi aplicado um protocolo de avaliação das habilidades linguísticas (fonológicas, semânticas, morfossintáticas e pragmáticas) e alimentação. Quanto às habilidades fonológicas se verificou que a inteligibilidade de fala foi o principal aspecto alterado e mais encontrado na creche pública. A respeito da aquisição das habilidades semânticas foram identificados achados discrepantes entre as creches, em especial, na seleção de palavras adequadas e expressão de ideias e conceitos, com desempenho superior das crianças na instituição privada. Não houve diferenças importantes entre as creches para aquisição das habilidades morfossintáticas. As habilidades pragmáticas foram as que obtiveram maiores diferenças, com melhor desempenho das crianças da creche privada, em todos aspectos avaliados no protocolo. Sobre a alimentação foram obtidos resultados semelhantes quanto à consistência alimentar e postura, constatando o uso prolongado do utensílio mamadeira para alimentação em ambas as creches e maior prevalência de crianças que se alimentam sem ajuda na creche privada. Pode-se perceber que o contexto socioeconômico e cultural influencia o desenvolvimento da linguagem e da alimentação infantis, visto que as crianças da creche particular apresentaram melhor performance em quase todos os aspectos analisados. Palavras-chave: Desenvolvimento Infantil. Crianças. Creche. Linguagem. AbstractIn order to  compare the feeding and sociolinguistic profile of children attended in public and private daycare centers in the city of Fortaleza enrolled  on a full-time basis. Quali-quantitative, descriptive cross-sectional study, evaluated 89 children aged 1 and 3 years old, 41 in public and 48 in the private childcare centers. A  protocol assessment was performed  of linguistics abilities (phonological, semantic, morphosyntax and pragmatic) and feeding. About the phonological abilities,  a significant predominance was checked, being the unintelligible speech the main altered aspect, especially in the public center. Concerning semantic abilities discrepant findings were determined between the daycare centers, particularly in selection of adequate words and concept and idea expression, with improved performance of children in the private daycares. There was no difference between the daycares, for morphosyntax abilities acquisition. The pragmatic abilities revealed larger differences between the daycare centers, in which all the evaluated aspects were statistically significant and the children in the private daycare centers had better results. About the feeding, similar findings were obtained to food consistence, posture and tools, although there were  divergences related to use of nursing bottle and feeding independence. It was concluded  that the socioeconomic and cultural context influence in linguistic and feeding development, because the private daycares children presented better performance  in almost all the evaluated aspects. Keywords: Child Development. Child. Daycare Centers. Language.  

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