The Experts below are selected from a list of 378129 Experts worldwide ranked by ideXlab platform
Kjersti Alsaker - One of the best experts on this subject based on the ideXlab platform.
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dealing with workplace violence in emergency Primary Health Care a focus group study
BMC Family Practice, 2015Co-Authors: Tone Morken, Ingrid Hjulstad Johansen, Kjersti AlsakerAbstract:Prevention and management of workplace violence among Health workers has been described in different Health Care settings. However, little is known about which phenomena the emergency Primary Health Care (EPC) organization should attend to in their strategies for preventing and managing it. In the current study, we therefore explored how EPC personnel have dealt with threats and violence from visitors or patients, focusing on how organizational factors affected the incidents.
In Christian B Bygbjerg - One of the best experts on this subject based on the ideXlab platform.
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improving motivation among Primary Health Care workers in tanzania a Health worker perspective
Human Resources for Health, 2006Co-Authors: Rachel Manongi, Tanya C Marchant, In Christian B BygbjergAbstract:In Tanzania access to urban and rural Primary Health Care is relatively widespread, yet there is evidence of considerable bypassing of services; questions have been raised about how to improve functionality. The aim of this study was to explore the experiences of Health workers working in the Primary Health Care facilities in Kilimanjaro Region, Tanzania, in terms of their motivation to work, satisfaction and frustration, and to identify areas for sustainable improvement to the services they provide. The Primary issues arising pertain to complexities of multitasking in an environment of staff shortages, a desire for more structured and supportive supervision from managers, and improved transparency in Career development opportunities. Further, suggestions were made for inter-facility exchanges, particularly on commonly referred cases. The discussion highlights the context of some of the problems identified in the results and suggests that some of the preferences presented by the Health workers be discussed at policy level with a view to adding value to most services with minimum additional resources.
Fei Yan - One of the best experts on this subject based on the ideXlab platform.
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Coping and compromise: a qualitative study of how Primary Health Care providers respond to Health reform in China
Human Resources for Health, 2017Co-Authors: Mingji Zhang, Wen-tong Wang, Ross Millar, Guohong Li, Fei YanAbstract:BackgroundHealth reform in China since 2009 has emphasized basic public Health services to enhance the function of Community Health Services as a Primary Health Care facility. A variety of studies have documented these efforts, and the challenges these have faced, yet up to now the experience of Primary Health Care (PHC) providers in terms of how they have coped with these changes remains underdeveloped. Despite the abundant literature on psychological coping processes and mechanisms, the application of coping research within the context of human resources for Health remains yet to be explored. This research aims to understand how PHC providers coped with the new Primary Health Care model and the job characteristics brought about by these changes.MethodsSemi-structured interviews with Primary Health Care workers were conducted in Jinan city of Shandong province in China. A maximum variation sampling method selected 30 PHC providers from different specialties. Thematic analysis was used drawing on a synthesis of theories related to the Job Demands-Resources model, work adjustment, and the model of exit, voice, loyalty and neglect to understand PHC providers’ coping strategies.ResultsOur interviews identified that the new model of Primary Health Care significantly affected the nature of Primary Health work and triggered a range of PHC providers’ coping processes. The results found that Health workers perceived their job as less intensive than hospital medical work but often more trivial, characterized by heavy workload, blurred job description, unsatisfactory income, and a lack of professional development. However, close relationship with community and low work pressure were satisfactory. PHC providers’ processing of job demands and resources displayed two ways of interaction: aggravation and alleviation. Processing of job demands and resources led to three coping strategies: exit, passive loyalty, and compromise with new roles and functions.ConclusionsPrimary Health Care providers employed coping strategies of exit, passive loyalty, and compromise to deal with changes in Primary Health work. In light of these findings, our paper concludes that it is necessary for the policymakers to provide further job resources for CHS, and involve Health workers in policy-making. The introduction of particular professional training opportunities to support job role orientation for PHC providers is advocated.
Rosely Moralez De Figueiredo - One of the best experts on this subject based on the ideXlab platform.
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Adherence to precautions for preventing the transmission of microorganisms in Primary Health Care: a qualitative study
BMC Nursing, 2017Co-Authors: Michely Aparecida Cardoso Maroldi, Adriana Maria Da Silva Felix, Ana Angélica Lima Dias, Sílvia Alice Ferreira, Sílvia Helena Zem-mascarenhas, Stephen Timmons, Maria Clara Padoveze, Julia Yaeko Kawagoe, Rosely Moralez De FigueiredoAbstract:Background Health Care associated infections (HAIs) are a source of concern worldwide. No Health service in any country can be considered HAI risk-free. However, there is scarcity of data on the risks to which both patients and Health workers are subject in non-hospital settings. The aim of this study was to identify issues that determine the adherence of professionals to precautions for preventing transmission of microorganisms in Primary Health Care. Method This was a qualitative study, using focus groups of Primary Health Care staff, in two Brazilian municipalities. The data were analysed using content analysis. Results Four focus groups were conducted with 20 professionals (11 community Health workers, 5 nursing assistants and 4 nurses), and the analysed content was organized into four thematic categories. These categories are: low risk perception , weaknesses in knowledge , insufficient in-service training and infrastructure limitations . Participants expressed their weaknesses in knowledge of standard and transmission based precautions, mainly for hand hygiene and tuberculosis. A lack of appropriate resources and standardization in sharps disposal management was also highlighted by the participants. Conclusion The study points out the need to provide in-service training for professionals on the transmission of microorganisms in Primary Health Care to ensure adequate level of risk perception and knowledge. Further recommendations include investment to improve infrastructure to facilitate adherence to precautions and to minimize the risk of disease transmission for both patients and Health Care workers.
Tone Morken - One of the best experts on this subject based on the ideXlab platform.
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dealing with workplace violence in emergency Primary Health Care a focus group study
BMC Family Practice, 2015Co-Authors: Tone Morken, Ingrid Hjulstad Johansen, Kjersti AlsakerAbstract:Prevention and management of workplace violence among Health workers has been described in different Health Care settings. However, little is known about which phenomena the emergency Primary Health Care (EPC) organization should attend to in their strategies for preventing and managing it. In the current study, we therefore explored how EPC personnel have dealt with threats and violence from visitors or patients, focusing on how organizational factors affected the incidents.
