Motivation Of Health Professionals Research Articles

Psychological Exhaustion and Motivation of Health Professionals in the COVID Era

Psychological Exhaustion and Motivation of Health Professionals in the COVID Era

Knowledge sharing motivations in online health communities: A comparative study of health professionals and normal users

The effect of motivations on knowledge sharing behavior has been extensively investigated in various online communities. However, this topic is rarely examined in the context of online health communities (OHCs). Furthermore, the difference in the motivations of sharing knowledge between two types of members in OHCs − health professionals and normal users, is never examined. The present study models and examines both the extrinsic (reputation and reciprocity) and intrinsic (knowledge self-efficacy, altruism, and empathy) motivations of health professionals and normal users. The hypotheses derived from the research model were empirically validated using an online survey of 443 members of three famous online health communities in China. Results show that reciprocity and altruism positively affect the knowledge sharing intention of both health professionals and normal users. Moreover, reputation and knowledge self-efficacy have a greater influence on the knowledge sharing intentions of health professionals than normal users; whereas reciprocity, altruism, and empathy have a greater influence on the knowledge sharing intentions of normal users than health professionals. These new findings expand our understanding on the motivations that may affect knowledge sharing intentions in the context of OHCs.

Which Motivational Factors are of More Relevance to the Rural Health Worker? Evidence from a Ghanaian District Hospital

Introduction: Motivation of health professionals is one of the key ways to ensuring efficient provision of health services. Improving the motivation of health workers in rural and remote areas is of greatest concern to all countries worldwide. Even though factors influencing health worker motivation are well established in the literature, little is known about the motivational factors that are of relevance to different categories of rural health workers in developing countries. Objectives: Employing questionnaire survey, we studied 252 health employees of a rural healthcare organization in Northern Ghana to understand the motivational factors that are considered most important by rural health workers, and to determine if these factors are valued differently by different cadres of health professionals. Results: Our findings showed financial rewards as the number one motivator; followed by promotion, growth and development; job security; acknowledgement, praise and recognition; and working environment in that order. Different cadres of the rural health professionals valued the motivational factors differently: doctors were motivated by their working environment; nurses by promotion, growth and development; pharmacists and pharmacy technicians by praise, acknowledgement and recognition; and support staff and laboratory technicians by financial rewards. Conclusion: Motivational factors should be applied to different cadres of rural health workers differently.

Motivation and Factors Affecting It among Health Professionals in the Public Hospitals, Central Ethiopia.

Motivation is an individual's degree of willingness to exert and maintain an effort towards organizational goals. This study assessed motivational status and factors affecting it among health professionals in public hospitals of West Shoa Zone, Oromia Region. Facility based cross-sectional survey was employed. All health professionals who served at least for 6 months in Ambo, Gedo and Gindeberet hospitals were included. Self-administered Likert scale type questionnaire was used. Data were analyzed using SPSS version 20. Mean motivation calculated as percentage of maximum scale score was used. Bivariate and multiple linear regression analyses were done to see the independent effects of explanatory variables. The overall motivation level of health professionals was 63.63%. Motivation level of health professionals varied among the hospitals. Gindeberet Hospital had lower motivation score as compared to Ambo Hospital (B = -0.54 and 95% CI; -0.08,-0.27). The mean motivation score of health professionals who got monthly financial benefit was significantly higher than those who did not (B = 0.71 and 95% CI; 0.32, 1.10). Environmental factors had higher impact on doctors' motivation compared to nurses' (B = 0.51 and 95% CI; 0.10, 0.92). Supervisor-related factors highly varied in motivation relative to other variables. Motivation of health professionals was affected by factors related to supervisor, financial benefits, job content and hospital location. Efforts should be made to provide financial benefits to health professionals as appropriate especially, to those who did not get any such benefits. Officially recognizing best performance is also suggested.

1165 – Hidden siallorrhea for 11 years - a case report

Objective Patients with chronic schizophrenia receive medications for long terms. Sialorrhea is a common and usually manageable side effect of clozapine occurring 31–54% of patients receiving clozapine therapy. It usually occurs in the early course of treatment and is more prominent at night. This is a case report about a patient suffering from schizophrenia for 15 years and receiving clozapine for the last 11 years. Methods The patient has been receiving clozapine for 11 years and had sialorrhea during all this time. He had been hospitalized once at the beginning of schizophrenia and the latter follow up continued with outpatient clinic controls. During this period he has never talked about sialorrhea, he ‘shamed about talking about it’so he never received any treatment for it. He reports that doctors asked about ‘side effects of the medication but not about sialorrhea’. Results He mentioned about sialorrhea when he learned that it is a common side effect of clozapine and he reported it when existence of sialorrhea was asked as a special question in a rehabilitation program for schizophrenia. Conclusion This case is important to show the insufficient motivation of health professionals to talk the side effects of medications name by name with the patients so a distributive side effect as siallorrhea may elude observation for years. Using screening scales for common adverse effects in routine examinations may provide a beneficial approach.

Motivation of health professionals and associates to perform daily job activities

Introduction: Motivation is one of the most complex elements of human behavior, it is the subject of debates by which we answer to the question of why someone behaves in a certain way. The aim of this study wasto examine the factors of motivation for health workers and staff in working with diffi cult patients in intensive care units and to evaluate implementation of motivation factors by managers in their daily work with a team of health professionals.Methods: The study was designed as prospective. It was conducted on 27 employees who work in intensive care units in Clinical Center of Sarajevo University. The survey questionnaire was used with a clear andconcise questions , aimed at testing the factors of motivation for daily work with diffi cult patients, as well as implementation of motivational factors by managers in the organizational unit (OU).Results: Respondents indicated that motivates them, good organization of work - 10 of them (37%), while 26% of respondents indicated that they are motivated by fi nancial gain. In our study 21 (77%) of respondentssaid that their managers infuenced the motivation for a better job. Mobbing at the workplace did not had 80% of respondents, while 8% of respondents stated that they had some form of mobbing, and 12% of respondents give partial response.Conclusions: The survey showed that most respondents have a good motivation factors for the performance of daily activities to work with diffi cult patients. As the main motivating factors respondents reportedgood organization of work, as well as positive examples of their managers.

Safety during the monitoring of diabetic patients: trial teaching course on health professionals and diabetics - SEGUDIAB study

BackgroundSafety for diabetic patients means providing the most suitable treatment for each type of diabetic in order to improve monitoring and to prevent the adverse effects of drugs and complications arising from the disease. The aim of this study is to analyze the effect of imparting educational interventions to health professionals regarding the safety of patients with Diabetes Mellitus (DM).MethodsDesign: A cluster randomized trial with a control group.Setting and sample: The study analyzed ten primary healthcare centres (PHC) covering approximately 150,000 inhabitants. Two groups of 5 PHC were selected on the basis of their geographic location (urban, semi-urban and rural), their socio-economic status and the size of their PHC, The interventions and control groups were assigned at random. The study uses computerized patient records to individually assess subjects aged 45 to 75 diagnosed with type 1 and type 2 DM, who met the inclusion conditions and who had the variables of particular interest to the study.Trial: The educational interventions consisted of a standardized teaching course aimed at doctors and nurses. The course lasted 6 hours and was split into three 2-hour blocks with subsequent monthly refresher courses.Measurement: For the health professionals, the study used the Diabetes Attitude Scale (DAS-3) to assess their attitudes and motivation when monitoring diabetes. For the patients, the study assessed factors related to their degree of control over the disease at onset, 6, 12 and 24 months.Main variables: levels of HbA1c.Analysis: The study analyzed the effect of the educational interventions both on the attitudes and motivations of health professionals and on the degree of control over the diabetes in both groups.DiscussionImparting educational interventions to health professionals would improve the monitoring of diabetic patients. The most effective model involves imparting the course to both doctors and nurses. However, these models have not been tested on our Spanish population within the framework of primary healthcare.Trial registrationClinicalTrials.gov: NCT01087541

The Chilean Rural Practitioner Programme: a multidimensional strategy to attract and retain doctors in rural areas.

Developing countries currently face internal and external migration of their health workforce and interventions are needed to attract and retain health professionals in rural areas. Evidence of multidimensional interventions, however, is scarce. This study explores a long-standing strategy to attract and retain doctors to rural areas in Chile: the Rural Practitioner Programme. The main objective is to describe the programme, characterize its multidimensional set of incentives and appraise preliminary programme outcomes.Retrospective national data were employed to examine recruitment, retention and incentives provided to extend the length of stay and motivate non-clinical work. The programme has successfully recruited a large number of applicants, with acceptance rates close to 100%. Retention rates are nearly 100% (drop-outs are exceptional), but only 58% of participants stay for the maximum period. Areas with greater work difficulty are attracting the best-ranked applicants, but incentives to engage in community projects, management responsibilities, continuous medical education and research have achieved mixed results. Rural doctors are satisfied with their experience and 70% plan to practise as specialists in a referral hospital.The programme has successfully matched the interests of physicians in specialization with the country's need for rural doctors. However, a gap might be forming between the demand for certain specialties and what the programme can offer. There is a need to conciliate both parties, which will require a more refined strategy than before. This should be grounded in robust knowledge based on programme outcomes and evidence of the interests and motivations of health professionals.

Câncer de colo uterino em profissionais de saúde: práticas preventivas e de autocuidado

Objective: to investigate the habit of self-care for the prevention of cervical cancer in health professionals. Methods: quantitative study with a cross-sectional design. It was used a questionnaire for data collection. Eighty professionals performed: 8 physicians, 16 nurses and 56 nursing technicians. This study was approved by the Committee of Ethics in Research of the State Department of Health of the Federal District (395/08). Results: the most professionals 49 (61.25%) did not practice physical activity, and although 57 (71,25%) reported to have healthy eating habits, only 23 (28,75%) carried approximately for 4 to 6 meals a day and 30 (37,5%) ate fruit and vegetables daily. Regarding to cyto-pathological abnormalities presented on preventive routine tests, 46 (57.5%) professionals reported inflammation episodes, 3 (3.75%) reported cervical intraepithelial neoplasia (CIN I), 2 (2.5%) CIN II and 1 (1.25%) CIN III. When they were asked about the promotion of self-care for the prevention of cervical cancer, 26 (32.5%) reported not being thorough about effective personal care. Conclusion: it was identified the important role of the motivation of health professionals to the preventive practice and self-care, by continued education or by workshops to raise awareness of the issue above, mainly if promoted by institution where they work. Descriptors: self care; neoplasms; uterine neoplasms; uterine cervical neoplasms; women's health.

Indicators of Conformance With Guidelines of Schizophrenia Treatment in Mental Health Services

The aim of this study was to develop indicators of conformance in clinical practice with guidelines for care in schizophrenia. Recommended guidelines rarely apply to all patients and need to allow for social ability, family context, and phase of the disorder. These indicators were therefore devised for tailoring to patient characteristics and allowing for factors that may justify the lack of adherence to clinical guidelines. A team of senior clinicians and methodologists reviewed three clinical guidelines (from the Schizophrenia Patient Outcomes Research Team, McEvoy and colleagues, and the National Institute for Health and Clinical Excellence) and defined criteria for their operationalization into clinical indicators. For each indicator, the team defined criteria for eligibility (requirements to be met to qualify for evaluation), conformance (criteria to be satisfied to comply with each recommendation), and moderators (factors that could justify the lack of application of a given recommendation). These indicators were tested with a random sample of 807 patients with schizophrenia or schizoaffective disorders in outpatient facilities, long-term residential facilities, and hospital units for acute care in the Piedmont region of Italy. A set of 15 indicators was derived, nine concerning pharmacological treatment and six for general care and psychosocial rehabilitation. Moderators such as patient or family refusal of antipsychotic treatment and the patient's level of disability helped to justify a considerable proportion of nonconformant care. The indicators developed are a simple and useful tool to monitor the conformance of care with recommended practices and to identify areas needing improvement.

Indicators of Conformance With Guidelines of Schizophrenia Treatment in Mental Health Services

Indicators of Conformance With Guidelines of Schizophrenia Treatment in Mental Health Services

Qualidade nos cuidados de saúde.

Quality assurance is a relatively recent concern but already plays a major role in health care management and provision. Quality involves the definition of a comprehensive programme tailored by realistic and effective objectives and norms that include the structured review of procedures (namely clinical audits) and the use of up-to-date protocols. The involvement and motivation of health professionals, together with an adequate internal and external communication strategy, play a key role in the planning and application of these programmes. The use of programmed assessment, based on a solid knowledge of current practice, should have practical implications, optimising procedures in order to improve the quality of care. This commitment towards quality in health care should go far beyond governmental policy and should have clear support from health professionals.