Opinion Of Health Workers Research Articles

DEVELOPMENT DIRECTIONS OF PROFESSIONAL NURSING EDUCATION

Background: With the signing of the Bologna Convention by the Republic of Serbia, higher schools were reformed into higher vocational schools for a period of three years. The paper analyzes the education programs of professional healthcare workers and their importance for the business of modern healthcare institutions. Method: A survey was conducted that included the gender, age, and educational structure of the respondents, the number of children and household members they live with, the length of service and the type of employment relationship of the respondents, and the attitudes and opinions of health workers. Results: The results of a survey conducted among students of specialized studies at the High School of Professional Studies in Belgrade are shown in tables. The importance of higher education for healthcare workers for the successful operation of healthcare institutions was confirmed. Discussion: The authors dealt with this problem in the course of their work as professors, and their observations, which they presented at expert meetings, were cited in the literature. Conclusion: Based on the results of the work, the conclusions were reached that knowledge from the management of the work organization helps in acquiring managerial positions in the institution and that the acquired skills and abilities encourage the staff in carrying out the social mission. Health workers have shown that they want to improve their profession and support changes and additions to the school's program contents in accordance with the progress of medicine.

THE ROLE OF HEALTH WORKERS AND SUPPORT SYSTEM COUNSELORS FOR WOMEN WITH PRIMARY INFERTILITY

Background: Primary infertility is a problem, one of which is psychological in infertile women. Based on the Indonesian In Vitro Fertilization Association (Perfitri), the total cycle of IVF programs in Indonesia in 2021 reached 10,000, the most significant number in handling fertility problems. Problems appear because there are no psychological services. Aims: To explore the role of health workers and counselors in the support system at the central hospital in Semarang for women with primary infertility Methods: This is descriptive research with qualitative exploratory design at the Central Hospital in Semarang City with five health workers and two counselors. The researcher used semi-structured, one-on-one interviews for one week. The data was then analyzed using inductive thematic analysis Results: The results found that the support system for women with primary infertility, from the opinion of health workers, will focus on clinical care and counseling according to the diagnosis from the counselors that women with primary infertility need psychological support to assist the success of clinical care Conclusion: Health workers and counselors need an integrated support system service for women with primary infertility.

Analisa Perspektif Tenaga Kesehatan Mengenai Aplikasi untuk Pencegahan dan Penanganan COVID-19 di Indonesia

The Covid-19 pandemic that has hit Indonesia has had many impacts on various sectors. This virus is able to spread quickly so that the number of confirmed positives is increasing every day. In the era of the industrial revolution 4.0, currently all sectors are directed to digital services, including the health sector through health service applications. However, the implementation of health-based applications certainly has pros and cons, for this reason this study aims to find out the opinions of health workers regarding the application of handling and preventing Covid-19. This research uses qualitative research methods with library research research instruments and interviews. The results of the study show that in general, health workers do not need applications for handling Covid-19 due to the intensity of work for Covid-19 survivors and also the lack of knowledge of health workers in the field of digital health services or what we commonly call telemedical applications. However, the health workers who are the subjects of the interview are open to applications that contain prevention as well as the features contained in the PeduliLindung application. Healthcare workers also argue that apps can help with close contact tracing.

Analisa Perspektif Tenaga Kesehatan Mengenai Aplikasi untuk Pencegahan dan Penanganan COVID-19 di Indonesia

The Covid-19 pandemic that has hit Indonesia has had many impacts on various sectors. This virus is able to spread quickly so that the number of confirmed positives is increasing every day. In the era of the industrial revolution 4.0, currently all sectors are directed to digital services, including the health sector through health service applications. However, the implementation of health-based applications certainly has pros and cons, for this reason this study aims to find out the opinions of health workers regarding the application of handling and preventing Covid-19. This research uses qualitative research methods with library research research instruments and interviews. The results of the study show that in general, health workers do not need applications for handling Covid-19 due to the intensity of work for Covid-19 survivors and also the lack of knowledge of health workers in the field of digital health services or what we commonly call telemedical applications. However, the health workers who are the subjects of the interview are open to applications that contain prevention as well as the features contained in the PeduliLindung application. Healthcare workers also argue that apps can help with close contact tracing.

Stavovi o pravnim i etičkim aspektima doniranja organa među zdravstvenim radnicima i opštom populacijom u Crnoj Gori

Introduction: Medical and legal problems of organ transplantation are numerous. The donor must be fully and properly informed about all elements regarding the transplantation, and especially about the possible consequences resulting from the removal of tissues and organs, which is an essential ethical problem. Aim: The aim of this research was to determine the attitude of health professionals and the general population in Montenegro towards some of the legal and ethical aspects of organ donation. Material and methods: The research was conducted with the consent of the Ethics Committee of the Clinical Center of Montenegro, in Podgorica number 03 / 01-1504. The sample was formed by random selection and consisted of 400 adult citizens of the city of Podgorica. The research included 200 health workers employed at the Clinical Center of Montenegro in Podgorica and 200 adult citizens of the city of Podgorica. Results: The majority of health workers (84.6%) state that the donor should be the one who gives consent for organ donation for life. Similarly, the vast majority (76%) of the general population believe the same. The largest percentage of participants, more than a third, in both groups, believe that using organs for the wrong purposes is sometimes possible, while almost a quarter of respondents said they did not believe it could happen. The difference in the opinion of health workers and the general population on this issue was not statistically significant (p = 0.522). Conclusion: From our research it can be concluded that both groups of respondents generally believe that the guarantee that organs will be used for the right purposes is the most important factor in organ donation and that the donor is the one who will give consent for living organ donation. The proposed measures need to create a strategy to increase confidence that organ donation will be done only for the right purposes, both in the general population and among health professionals.

Health Personnel and the Implementation of National Health Insurance Scheme (NHIS) in Federal Capital Territory, Abuja, Nigeria

Acknowledged as a policy target for the government of Nigeria, healthcare provision represents an important preoccupation for the government. As with other public policies, the achievement of policy goals in Nigeria is usually encumbered by numerous factors of implementation across various sectors. In the health sector, factors such as inadequate physical infrastructure, shortage of healthcare personnel, limited medical supplies etc. have hindered the implementation of several health policies. National Health Insurance Scheme (NHIS) is one of such policies and this study examined the effects of shortage of healthcare personnel on the implementation of NHIS policy in FCT, Abuja. Specifically, the study evaluated the opinions of health workers as well as enrollees of NHIS in four purposively chosen Area Councils of the six Area Councils in FCT. This study adopted a survey research design with Rensis Likert’s five-point scale questionnaire instrument administered to both categories of respondents. The data were analyzed using the Statistical Package for Social Sciences (SPSS Version 25) and the T-tested statistical tool was used to test the hypothesis. The study found out that shortage of health personnel is a major barrier to the effective implementation of NHIS in the FCT, Abuja. Consequently, the study recommends that there should be massive recruitment of qualified healthcare personnel; training and retraining of healthcare workers; and timely and adequate remuneration for the healthcare workers in FCT, Abuja.

National Vaccination Shedule: Quality of Performance and Determining Factors

Many issues concerning the organization of vaccination of the population in polyclinics still require improvement. The aim of the study is to assess the completeness and timeliness of vaccination of children in an outpatient setting and to identify factors affecting the adherence to vaccination of parents and medical staff. Materials and methods. The authors analyzed the history of child development and maps of preventive vaccinations of 631 children under 18 months of age to establish the completeness and timeliness of vaccinations against infections, approved by National immunization schedules. The authors analyzed the reasons for the lack of vaccinations and violations of the start and end of vaccination. To assess the population's attitude to vaccination, a survey of 865 parents and 1325 employees of medical organizations were conducted. In order to study the activity of discussion on the Internet issues related to vaccination, the number of records in the network on this topic and their content for 2007–2017 were analyzed. Results. The authors found that the coverage of children with vaccinations in the decreed age is insufficient and does not meet the requirements of National immunization schedules. The reasons for unvaccinated children in the maternity hospital were refusal of vaccination and medical contraindications (prematurity and low birth weight, respiratory failure, neonatal jaundice, HIV infection in the mother). In the clinic the leading causes of violation of the schedule of vaccination was temporary medical branches (the acute diseases), the late turnout at vaccination and refusals of immunization of parents. In assessing the attitude of parents to vaccination, the authors found that 79.3% of parents were positive, 6.4% – negative and 14.3% expressed doubts about the effectiveness and safety of vaccination. The main source of information was the opinion of health workers, among whom the survey revealed 187 people who are negative about vaccination. The opinion of relatives, friends and information received on the Internet were less authoritative. In assessing the monitoring data on the Internet, there was a significant increase in the number of people interested in and discussing the issues of vaccine prevention in social media, including their negative feedback. Conclusion . Authors recommend increasing the compliance of vaccine prophylaxis of medical workers, to form a positive attitude to vaccination among the population and to increase the coverage of vaccinations.

The attitude of health workers to vaccination at the present stage

Aim. Evaluation of the awareness of health workers of vaccine prevention at the present stage.
 Methods. To achieve the aim, survey of health workers of the Republic of Tatarstan was conducted using the developed questionnaire. The coverage of survey was 3 250 people. Statistical processing of the results was carried out using Microsoft Excel 2010 programs.
 Results. The conducted study revealed that a significant proportion (95 %) of health workers were positive about vaccine prevention, were vaccinated themselves and vaccinated their children. The most prevalent forms of informing parents of vaccinated children about adverse reactions after vaccination are oral recommendations by the doctor and information sheets about adverse reactions. The majority of interviewed health workers (89.9 %) support the initiative to cancel the right of citizens to refuse vaccination. In the opinion of health workers, the main components of successful organization of vaccine prevention in the medical organization are availability and diversity of vaccines, the level of qualification of medical personnel, and equipment of the vaccination room. Less than half of health workers were trained in specialized training on immunoprevention. The majority of health workers (86.3 %) consider it necessary to expand the national schedule of preventive vaccinations of the Russian Federation.
 Conclusion. Organizational measures to inform health workers in various areas of vaccine prevention are needed to be taken; promising directions are organizing specialized courses on immunoprevention and discussion of relevant aspects of immunization of the population and adverse reactions in post-vaccination period.

Knowledge, Perception and Opinion of Health Workers on Bone Marrow Transplantation in Nigeria

Knowledge, Perception and Opinion of Health Workers on Bone Marrow Transplantation in Nigeria

Does decentralization influence efficiency of health units? A study of opinion and perception of health workers in Odisha.

BackgroundHealth systems in low and middle income countries are struggling to improve efficiency in the functioning of health units of which workforce is one of the most critical building blocks. In India, Rogi Kalyan Samiti (RKS) was established at every health unit as institutions of local decision making in order to improve productive efficiency and quality. Measuring efficiency of health units is a complex task. This study aimed at assessing the perception (opinion and satisfaction) of health workers about influence of RKS on improving efficiency of peripheral decision making health units (DMHU); examining differences between priority and non-priority set-ups; identifying predictors of satisfaction at work; and discussing suggestions to improve performance.MethodsFollowing a cross-sectional, comparative study design, 130 health workers from 30 institutions were selected through a multi-stage stratified random sampling. A semi-structured questionnaire was administered to assess perception and opinion of health workers about influence of RKS on efficiency of decision making at local level, motivation and performance of staff, and availability of funds; improvement of quality of services, and coordination among co-workers; and participation of community in local decision making. Three districts with highest infant mortality rate (IMR), one each, from 3 zones of Odisha and 3 with lowest IMR were selected on the basis of IMR estimates of 2011. The former constituted priority districts (PD) and the latter, non-priority districts (NPD). Composite scores were developed and compared between PD and NPD. Adjusted linear regression was conducted to identify predictors of satisfaction at work.ResultsA majority of respondents felt that RKS was efficient in decision making that resulted in improvement of all critical parameters of health service delivery, including quality; this was significantly higher in PD. Further, higher proportion of respondents from PD was highly satisfied with the current set of provisions and manners of functioning of the sample health units. Active community engagement, participation of elected representatives, selection of a pro-active Chairman, and training to RKS members were suggested as the immediate priority action points for the state government. Mean scores differed significantly between PD and NPD with regard to: influence of RKS on individual-centric, organizational-centric and patient-centric performance, and the responsibilities to be entrusted with RKS. Absenteeism was strongly associated with satisfaction and local self-governance. Work-related factors, systemic factors, local accountability and patients’ involvement were found to be the key predictors of satisfaction of health workforce.ConclusionThe understanding on quality improvement strategies was found to be very poor among the health workers. Tailor-made capacity building measures at district and sub-district levels could be critical to equip the peripheral health units to achieve the universal health coverage goals. Work environment, systemic factors and accountability need to be addressed on priority for retention of health workforce. The hypothesized link between efficient local decision making, perception of health workers about efficiency of health units and the health status of population needs further investigation.

Task-shifting: experiences and opinions of health workers in Mozambique and Zambia.

BackgroundThis paper describes the task-shifting taking place in health centres and district hospitals in Mozambique and Zambia. The objectives of this study were to identify the perceived causes and factors facilitating or impeding task-shifting, and to determine both the positive and negative consequences of task-shifting for the service users, for the services and for health workers.MethodsData collection involved individual and group interviews and focus group discussions with health workers from the civil service.ResultsIn both the Republic of Mozambique and the Republic of Zambia, health workers have to practice beyond the traditional scope of their professional practice to cope with their daily tasks. They do so to ensure that their patients receive the level of care that they, the health workers, deem due to them, even in the absence of written instructions.The “out of professional scope” activities consume a significant amount of working time. On occasions, health workers are given on-the-job training to assume new roles, but job titles and rewards do not change, and career progression is unheard of. Ancillary staff and nurses are the two cadres assuming a greater diversity of functions as a result of improvised task-shifting.ConclusionsOur observations show that the consequences of staff deficits and poor conditions of work include heavier workloads for those on duty, the closure of some services, the inability to release staff for continuing education, loss of quality, conflicts with patients, risks for patients, unsatisfied staff (with the exception of ancillary staff) and hazards for health workers and managers. Task-shifting is openly acknowledged and widespread, informal and carries risks for patients, staff and management.

Opinion Of Health Workers On, And Their Safety Practices In Connection With The Handling Of Medical Wastes At A University Teaching Hospital In South East Nigeria

Context Health care institutions are service-oriented establishments that provide observational, diagnostic, research, therapeutic and rehabilitative services. These facilities are involved in the generation of large amount of solid wastes on a per capita basis. Accidental and hospital acquired infections may be consequent upon ignorance, and careless handling of medical wastes. Objective This research work was conducted to determine the awareness and practices associated with the handling of medical wastes at a University Teaching Hospital. Method This descriptive cross sectional study was conducted at Ebonyi State University Teaching Hospital among health workers, multistage sampling technique and the data were collected with structured, self-administered questionnaires. The quantitative Data obtained from the study was collated and analysed using Statistical Package for Social Sciences (SPSS) version 10 software. Results Four hundred and eighty six (486) health workers were recruited into the study, out of whom 36% were females and 62.3% of the participants were married. Polythene bags (39.9%) were the commonest means of collecting hospital wastes. Waste segregation is not practiced at all in the hospital. Refuse truck (71.8%) was the most frequent means of transporting hospital waste while open van was the least used (28.2%). Conclusion Standard practices in handling medical wastes were not adhered to, hence health education towards safe practices is recommended. Keywords: Awareness, Practices, Medical Wastes, Teaching Hospital, Nigeria.

Palliative care for HIV in the era of antiretroviral therapy availability: perspectives of nurses in Lesotho

BackgroundSouthern Africa is disproportionately affected by the HIV/AIDS epidemic. In Lesotho 23% of adults are HIV-positive, and only 26% of those in need are accessing antiretroviral treatment (ART). Consequently, about 18,000 people die from AIDS each year. In this situation, palliative care is needed towards the end of life, but is also recommended throughout the HIV disease trajectory. The World Health Organisation (WHO) has produced the Integrated Management of Adolescent and Adult Illness (IMAI) guidelines, which includes a palliative care guidebook (as well as acute and chronic ART guidebooks). IMAI aims to facilitate the implementation of integrated HIV/AIDS care in resource-poor areas. The opinions of health workers towards this integrated approach to care and the use of IMAI has not been considered in previous research studies. This paper therefore aims to address some of these issues.MethodsSemi-structured interviews were conducted with six key informants and ten nurses in Lesotho. The interviews were transcribed verbatim and analysed using content thematic analysis.ResultsMany nurses described palliative care as synonymous with chronic care and felt that palliative care is necessary for HIV-positive patients despite the introduction of ART. It was thought that the approach taken should be holistic and integrated throughout the disease trajectory. Pain management was noted to be a particular area of need for palliative care, and it was suggested that this could be improved in Lesotho. The IMAI guidelines were thought to be useful, but knowledge of the palliative care booklet was limited.ConclusionPalliative care remains necessary for HIV despite the increasing availability of ART. However, it is currently significantly lacking in Lesotho and many other sub-Saharan African countries. Greater understanding of palliative care amongst health workers is required, as well as strong political will from the Ministry of Health. The IMAI guidelines are a useful tool for holistic HIV care, including palliative care, but they need to be used more effectively. As ART is becoming increasingly available worldwide, the complex chronic care issues for patients with HIV/AIDS should not be neglected.

Voices from the Grassroots

We evaluated the opinion of health workers and the cost effectiveness of report forms from which health statistics in Thailand are compiled. A consortium of health workers designed and tested questionnaires to allow grading of opinion with regards to time spent, reliability, relevancy, duplication and the possible value of 37 forms ranging from maternal and child health, disease surveillance, outpatient department attendance etc. Out of 8041 health centres and rural hospitals, 787 were randomly selected to receive the questionnaires, some 54% participated. The grades were summed such that the highest score reflects highest utility. The ratio between utility and time spent on each item was computed. Mean time spent on health information was 53 man-hours per month. Utility score correlates well with time spent (Rp 0.058, P = 0.002). However, utility/time ratio has a negative statistically significant correlation with time spent (Rp = -0.63, P less than 0.0001). The occasional report requested by administrators has the lowest utility/time ratio. We concluded that peripheral health workers can help in the actual design and performance of research relating to health information. Time spent on health information is high. As time spent increases the cost-effectiveness tends to decrease.