scholarly journals Job Satisfaction Analysis in Rural China: A Qualitative Study of Doctors in a Township Hospital

Scientifica ◽  
2017 ◽  
Vol 2017 ◽  
pp. 1-6 ◽  
Author(s):  
Qiwei Chen ◽  
Lan Yang ◽  
Qiming Feng ◽  
Scott S. Tighe
Keyword(s):  
Job Satisfaction ◽  
Rural Communities ◽  
Qualitative Study ◽  
Health Care Services ◽  
Health Workers ◽  
Rural China ◽  
Work Conditions ◽  
Township Hospital ◽  
The Government ◽  
Township Hospitals

Background. Township hospitals in China provide rural communities with basic but much needed critical health care services. The doctors working in these hospitals often feel unsatisfied when considering their work schedules and financial rewards. Method. To explore job satisfaction of health workers in a township hospital, a qualitative study was conducted of 39 doctors from five township hospitals in Guangxi Zhuang Autonomous Region. The goal was to understand the level of job satisfaction of doctors and to make recommendations for improvements. Results. About 75% (28/39) of the doctors expressed negative attitudes related to their work conditions. Slightly more than half (22/39) mentioned they should receive greater compensation for their work and more than one were seriously considering other options. Many participants (35/39) showed their satisfaction about the achievement of serving as a doctor. Conclusion. Their main concerns related to job satisfaction included working conditions, financial rewards, and the doctor’s relationships with patients. Increasing the incomes and fringe benefits of healthcare workers, improving their work conditions, and providing training and continuing education opportunities would help rural clinics retain doctors and eliminate the current unsatisfactory conditions. The findings also highlight the need for the government to increase financial support of township hospitals.

Patient safety attitudes of health worker and its associated factors in Lung Hospital, Son La province, 2020

2021 ◽  
Vol 30 (9) ◽  
pp. 105-114
Author(s):  
Nguyen Huu Thang ◽  
Vu Thi Hue ◽  
Tong Thi Thao ◽  
Nguyen Ngoc Khanh
Keyword(s):  
Job Satisfaction ◽  
Patient Safety ◽  
Health Care Professionals ◽  
Associated Factors ◽  
Health Workers ◽  
Work Conditions ◽  
Average Score ◽  
Safety Attitudes ◽  
College Degrees ◽  
The Government

Patient safety is being seen as an increasingly important topic in the healthcare feld, and the rise in the number of patient safety incidents poses a challenge for hospital management. The cross-sectinal study was conduted to describle the health care professionals’ attitudes regarding patient safety. The results showed that the average score for the questionnaire was 76.8 ± 6.5. In each dimension, job satisfaction was the highest score and stress recognition was the lowest score. Three of the six dimensions achieved positively patient safety attitudes (job satisfaction, work conditions, perception of management). There was a statistically signifcant difference (p < 0.05) between the main training expertise and the expertise scope. Pharmacists were better at safety attitudes than doctors, nurses, and technicians in almost all dimensions (85.1 ± 1.0) (excepted the perception of management). People who graduated from university and had postgraduate degrees had a higher score in patient safety attitudes than people who had intermediate and college degrees (77.5 ± 6.2 versus 76.4 ± 6.8). When results were calculated at each hospital, associated factors of patient safety attitudes differed in occupation and education level. Health workers who are pharmacist and post graduate have patient safety attitude scores higher than others. Evidence could help the government and hospital managers develop strategies in patient safety attitudes. Moreover, the methodology was used for future studies in patient safety attitudes.

scholarly journals “They have been neglected for a long time”: a qualitative study on the role and recognition of rural health motivators in the Shiselweni region, Eswatini

2020 ◽  
Vol 18 (1) ◽  
Author(s):  
Caroline Walker ◽  
Doris Burtscher ◽  
John Myeni ◽  
Bernhard Kerschberger ◽  
Bernadette Schausberger ◽  
...  
Keyword(s):  
Rural Communities ◽  
Qualitative Study ◽  
Rural Health ◽  
Health Workers ◽  
Influencing Factor ◽  
Limiting Factors ◽  
Positive Health ◽  
Community Stakeholders ◽  
Public Health Challenges

Abstract Background Community health workers (CHWs) are increasingly engaged to address human resource shortages and fill primary healthcare gaps. In Eswatini, a cadre of CHWs called Rural Health Motivators (RHM) was introduced in 1976 to respond to key public health challenges. However, the emergence of health needs, particularly HIV/TB, has been met with inadequate programme amendments, and the role of RHMs has become marginalised following the addition of other CHWs supported by non-governmental organisations. This study was implemented to understand the role of RHMs in decentralised HIV/TB activities. In this paper, we explore the findings in relation to the recognition of RHMs and the programme. Methods This exploratory qualitative study utilised individual in-depth interviews, group and focus group discussions, participatory methods (utilising a game format) and observations. Participants were purposively selected and comprised RHM programme implementers, community stakeholders and local and non-governmental personnel. Data collection took place between August and September 2019. Interviews were conducted in English or siSwati and transcribed. SiSwati interviews were translated directly into English. All interviews were audio-recorded, manually coded and thematically analysed. Data was validated through methodical triangulation. Results Suboptimal organisational structure and support, primarily insufficient training and supervision for activities were factors identified through interviews and observation activities. Significant confusion of the RHM role was observed, with community expectations beyond formally endorsed tasks. Community participants expressed dissatisfaction with receiving health information only, preferring physical assistance in the form of goods. Additionally, gender emerged as a significant influencing factor on the acceptability of health messages and the engagement of RHMs with community members. Expectations and structurally limiting factors shape the extent to which RHMs are recognised as integral to the health system, at all social and organisational levels. Conclusions Findings highlight the lack of recognition of RHMs and the programme at both community and national levels. This, along with historical neglect, has hindered the capacity of RHMs to successfully contribute to positive health outcomes for rural communities. Renewed attention and support mechanisms for this cadre are needed. Clarification of the RHM role in line with current health challenges and clearer role parameters is essential.

scholarly journals Challenges for Healthcare Workers Caring for COVID-19 Patients in Indonesia: A Qualitative Study

2021 ◽  
Vol 58 ◽  
pp. 004695802110602
Author(s):  
Herley Windo Setiawan ◽  
Ika Nur Pratiwi ◽  
Lailatun Nimah ◽  
Zulfayandi Pawanis ◽  
Arief Bakhtiar ◽  
...  
Keyword(s):  
Qualitative Study ◽  
Personal Protective Equipment ◽  
Healthcare Workers ◽  
Health Workers ◽  
Limited Resources ◽  
Protective Equipment ◽  
Sampled Data ◽  
Hospital Managers ◽  
The Government ◽  
Depth Interviews

COVID-19 pandemic raises various challenges faced by health workers in hospitals. This study explored strategies for overcoming challenges in caring for COVID-19 patients at hospitals in Indonesia based on healthcare workers’ experience. In-depth interviews were employed with 28 healthcare workers (physicians and nurses) who were purposively sampled. Data were collected via phone and analysed using the Colaizzi method. Five following challenges were found: difficulties in working with personal protective equipment (PPE), offline training for handling Covid and using PPE not being implemented evenly for all health workers, physical and psychological fatigue, difficulties in carrying out health education and assessment towards patients and families, and limited resources to cope with the COVID-19 pandemic. Meanwhile, some barriers require support from the government, public and hospital managers. The information gained from research on the strategies for caring for COVID-19 patients can contribute to better preparedness for hospitals and health workers facing the COVID-19 pandemic.

scholarly journals Nurses’ Feelings and Perspectives of the COVID-19 Pandemic: A Qualitative Study in a Developing Country

2021 ◽  
Vol 9 (G) ◽  
pp. 71-80
Author(s):  
Restuning Widiasih ◽  
Ermiati Ermiati ◽  
Etika Emaliyawati ◽  
Sri Hendrawati ◽  
Raini Diah Susanti ◽  
...  
Keyword(s):  
Qualitative Study ◽  
Health Workers ◽  
Social Stigma ◽  
Structured Interview ◽  
Health Awareness ◽  
Referral Hospitals ◽  
Qualitative Descriptive ◽  
The Government ◽  
Perceptions And Expectations ◽  
And Behavior

BACKGROUND: Nurses’ duties and responsibilities related to the risk of transmitting COVID-19. Studies that explore nurses’ feelings and perspectives in providing health services at COVID-19 referral hospitals, especially in developing countries like Indonesia, are limited. AIM: This study aims to explore nurses’ feelings, perceptions, and expectations of the COVID-19 pandemic. METHODS: This qualitative study applied the qualitative descriptive design that involved 17 nurses from different hospitals in Indonesia. The semi-structured interview gathered their views of COVID-19, and the comparative analysis for interviews technique was chosen to analyze the data. RESULTS: Three themes emerged from the data analysis. The themes were nurses’ express psychological responses in facing the COVID-19 pandemic such as fear, surrender, panic, and calmness. Other two themes included the COVID 19 pandemic enhances nurses’ health awareness and behavior, and the government protect nurses from the COVID-19 transmission and social stigma. CONCLUSION: The feelings reported dominantly by the nurse, in addition to information about health awareness, behavior, the government’s actions, and their expectations. Mental health assistance would be useful to prevent depression in nurses, and the government’s comprehensive approaches in dealing with the COVID-19 pandemic would increase the protection and productivity of health workers, including nurses.

scholarly journals Community acceptance, satisfaction, and support for case management of malaria of various degrees in selected rural communities in Ibadan, Oyo-State

2021 ◽  
Vol 55 (3) ◽  
pp. 198-205
Author(s):  
IkeOluwapo O. Ajayi ◽  
Ayodele S. Jegede ◽  
Akintayo O. Ogunwale ◽  
Janet Ogundairo ◽  
Oladipupo S. Olaleye ◽  
...  
Keyword(s):  
Rural Communities ◽  
Case Management ◽  
Health Workers ◽  
Artemisinin Combination Therapy ◽  
Positive Health ◽  
Under Five ◽  
Under Five Children ◽  
Management Intervention ◽  
Case Management Intervention ◽  
The Government

Objectives: This study aimed to assess communities’ perception and adoption of the evidenced-based malaria diagnosis and case management intervention targeted at under-five children. The effectiveness of trained Volunteer Community Health Workers (VCHWs) to diagnose malaria among under-five children using rapid diagnostic testing kit, provide treatment using Artemisinin Combination Therapy and rectal Artesunate were assessed.Design: A qualitative evaluation study was conducted in October 2015.Setting: Communities in the 6 rural wards in Ona-Ara Local Government Area, Oyo State Nigeria.Participants: Caregivers of under-five children, community–based frontline health workers, and community leaders selected using purposively sampling.Methods: Nine Focus Group Discussions and 15 Key Informant Interviews were conducted using a pre-tested guide. Data were subjected to thematic analysis.Results: It was disclosed that VCHWs promoted people’s access to prompt and appropriate malaria treatment. The communities accepted the VCHWs; the reasons given for this included the following: effectiveness of VCHWs in case management of malaria; good inter-personal relationship with caregivers; and the positive health outcomes associated with services provided by them. In addition, community members expressed satisfaction with the VCHWs and provided them with all the support needed to function throughout the malaria case management intervention. The VCHWs considered the support as a great source of encouragement.Conclusions: The use of VCHWs to treat malaria was adjudged to be effective and considered acceptable to the communities. The adoption of the intervention and its integration into the primary health system by the government is advocated for in medically underserved rural communities.

scholarly journals “They have been neglected for a long time”: a qualitative study on the role and recognition of Rural Health Motivators in the Shiselweni region, Eswatini

2020 ◽  
Author(s):  
Caroline Walker ◽  
Doris Burtscher ◽  
John Myeni ◽  
Bernhard Kerschberger ◽  
Bernadette Schausberger ◽  
...  
Keyword(s):  
Rural Communities ◽  
Qualitative Study ◽  
Rural Health ◽  
Health Workers ◽  
Influencing Factor ◽  
National Level ◽  
Limiting Factors ◽  
Positive Health ◽  
Public Health Challenges

Abstract Background: Community health workers (CHWs) are increasingly engaged to address human resource shortages and fill primary healthcare gaps. In Eswatini, a cadre of CHWs called Rural Health Motivators (RHM) was introduced in 1976 to respond to key public health challenges. However, the emergence of health needs, particularly HIV/TB, has been met with inadequate programme amendments; and the role of RHMs has become marginalised following the addition of other CHWs supported by non-governmental organisations. This study was implemented to understand the role of RHMs in decentralised HIV/TB activities. In this paper, we explore the findings in relation to the recognition of RHMs and the programme. Methods:This exploratory qualitative study utilised individual in-depth interviews, group and focus group discussions, participatory methods (utilising a game format) and observations. Participants were purposively selected and comprised RHM programme implementers, community stakeholders, and local and non-governmental personnel. Data collection took place between August and September 2019. Interviews were conducted in English or siSwati and transcribed. SiSwati interviews were translated directly into English. All interviews were audio recorded, manually coded and thematically analysed. Data was validated through methodical triangulation. Results: Suboptimal organisational structure and support, primarily insufficient training and supervision for activities were factors identified through interviews and observation activities. Significant confusion of the RHM role was observed, with community expectations beyond formally endorsed tasks. Community participants expressed dissatisfaction with receiving health information only, preferring physical assistance in the form of goods. Additionally, gender emerged as a significant influencing factor on the acceptability of health messages and the engagement of RHMs with community members. Expectations and structurally limiting factors shape the extent to which RHMs are recognised as integral to the health system, at all social and organisational levels. Conclusions: Findings highlight the lack of recognition of RHMs and the programme at both community and national level. This, along with historical neglect, has hindered the capacity of RHMs to successfully contribute to positive health outcomes for rural communities. Renewed attention and support mechanisms for this cadre are needed. Clarification of the RHM role in line with current health challenges and clearer role parameters is essential.

scholarly journals Unmet Needs and Coping Mechanisms Among Community-Dwelling Senior Citizens in the Philippines: A Qualitative Study

2019 ◽  
Vol 16 (19) ◽  
pp. 3745 ◽  
Author(s):  
Carandang ◽  
Asis ◽  
Shibanuma ◽  
Kiriya ◽  
Murayama ◽  
...  
Keyword(s):  
Qualitative Study ◽  
Social Services ◽  
Health Care Services ◽  
Unmet Needs ◽  
Senior Citizens ◽  
Coping Mechanisms ◽  
The Philippines ◽  
Community Dwelling ◽  
Health Providers ◽  
The Government

The Philippine government is facing a burden of improving health and social services for both the growing elderly and young population. The extent of discussion on aging issues and concerns, however, is minimal at best. Therefore, this study aimed to examine the perceptions of unmet needs and to explore the coping mechanisms of senior citizens across local stakeholders in an urban area in the Philippines. In this qualitative study, we collected data using focus group discussions among senior citizens (n = 4) and health providers (n = 4) as well as in-depth interviews among local administrators (n = 7). We analyzed the data through thematic analysis using the social determinants of health as the theoretical framework. We used qualitative research software NVivo10® to track the coding and manage the data. Four major themes related to unmet needs emerged in the analyses: (1) financial security, (2) health care services, (3) age-friendly environment, and (4) family support. Senior citizens responded either positively or negatively to cope with the challenges associated with aging. The government must then revisit existing national policies to address their unmet needs. Actions should be taken to strengthen positive coping and modifying the negative coping mechanisms, with a particular focus on community and family interventions.

scholarly journals Multi-level determinants of failure to receive timely and complete measles vaccinations in Southwest China: a mixed methods study

2021 ◽  
Vol 10 (1) ◽  
Author(s):  
Xian-Yan Tang ◽  
Man Cheng ◽  
Alan Geater ◽  
Qiu-Yun Deng ◽  
Ge Zhong ◽  
...  
Keyword(s):  
Rural China ◽  
Village Doctor ◽  
Routine Vaccination ◽  
Cluster Sampling ◽  
Local Market ◽  
Logistic Regression Models ◽  
Household Level ◽  
Township Hospital ◽  
Multi Stage ◽  
Township Hospitals

Abstract Background Measles outbreaks re-emerged in 2013–2014 in Guangxi Zhuang Autonomous Region of China, where measles immunisation coverage is high. The discrepancy between the vaccination coverage and outbreaks indicates that timeliness is crucial, yet there is limited knowledge on the health system barriers to timely vaccination. Using integrated evidence at the household, village clinic, and township hospital levels, this study aimed to identify the determinants of failure in receiving timely measles vaccinations among children in rural Guangxi. Methods A multi-stage stratified cluster sampling survey with a nested qualitative study was conducted among children aged 18–54 months in Longan, Zhaoping, Wuxuan, and Longlin counties of Guangxi from June to August 2015. The status of timely vaccinations for the first dose of measles-containing vaccine (MCV1) and the second dose of measles-containing vaccine (MCV2) was verified via vaccination certificates. Data on household-level factors were collected using structured questionnaires, whereas data on village and township-level factors were obtained through in-depth interviews and focus group discussions. Determinants of untimely measles vaccinations were identified using multilevel logistic regression models. Results A total of 1216 target children at the household level, 120 villages, and 20 township hospitals were sampled. Children were more likely to have untimely vaccination when their primary guardian had poor vaccination knowledge [MCV1, odds ratio (OR) = 1.72; MCV2, OR = 1.51], had weak confidence in vaccines (MCV1, OR = 1.28–4.58; MCV2, OR = 1.42–3.12), had few practices towards vaccination (MCV1, OR = 12.5; MCV2, OR = 3.70), or had low satisfaction with vaccination service (MCV1, OR = 2.04; MCV2, OR = 2.08). This trend was also observed in children whose village doctor was not involved in routine vaccination service (MCV1, OR = 1.85; MCV2, OR = 2.11) or whose township hospital did not provide vaccination notices (MCV1, OR = 1.64; MCV2, OR = 2.05), vaccination appointment services (MCV1, OR = 2.96; MCV2, OR = 2.74), sufficient and uniformly distributed sessions for routine vaccination (MCV1, OR = 1.28; MCV2, OR = 1.17; MCV1, OR = 2.08), or vaccination service on local market days (MCV1, OR = 2.48). Conclusions Guardians with poor knowledge, weak beliefs, and little practice towards vaccination; non-involvement of village doctors in routine vaccinations; and inconvenient vaccination services in township hospitals may affect timely measles vaccinations among children in rural China. Graphical abstract

scholarly journals Training primary healthcare workers in China’s township hospitals: a mixed methods study

2020 ◽  
Vol 21 (1) ◽  
Author(s):  
Xuan Zhao ◽  
Haipeng Wang ◽  
Juan Li ◽  
Beibei Yuan
Keyword(s):  
Job Satisfaction ◽  
Primary Healthcare ◽  
Healthcare Workers ◽  
Health Workers ◽  
Health Coverage ◽  
Short Term ◽  
Service Training ◽  
Public Health Workers ◽  
Development Goals ◽  
Township Hospitals

Abstract Background Primary health care (PHC) was a keystone toward achieving universal health coverage and Sustainable Development Goals (SDGs). China has made efforts to strengthen its PHC institutions. As part of such efforts, regular in-service training is crucial for primary healthcare workers (PHWs) to strengthen their knowledge and keep their skills up to date. Objective To investigate if and how the existing training arrangements influenced the competence and job satisfaction of PHWs in township hospitals (THs). Methods A mixed method approach was employed. We analyzed the associations between in-service training and competence, as well as between in-service training and job satisfaction of PHWs using logistic regression. Interviews were recorded, transcribed, and analyzed using NVivo12 to better understand the trainings and the impacts on PHWs. Results The study found that training was associated with competence for all the types of PHWs except nurses. The odds of higher competence for physicians who received long-term training were 3.60 (p < 0.01) and that of those who received both types of training was 2.40 (p < 0.01). PHWs who received short-term training had odds of higher competence significantly (OR = 1.710, p < 0.05). PHWs who received training were more satisfied than their untrained colleagues in general (OR = 1.638, p < 0.01). Specifically, physicians who received short-term training (OR = 1.916, p < 0.01) and who received both types of training (OR = 1.941, p < 0.05) had greater odds of general job satisfaction. The odds ratios (ORs) of general job satisfaction for nurses who received short-term training was 2.697 (p < 0.01), but this association was not significant for public health workers. The interview data supported these results, and revealed how training influenced competence and satisfaction. Conclusions Considering existing evidence that competence and satisfaction serve as two major determinants of health workers’ performance, to further improve PHWs’ performance, it is necessary to provide sufficient training opportunities and improve the quality of training.

scholarly journals Sociodemographic Correlates of Choice of Health Care Services in Six Rural Communities in North Central Nigeria

2014 ◽  
Vol 2014 ◽  
pp. 1-7 ◽  
Author(s):  
Onyemocho Audu ◽  
Ishaku Bako Ara ◽  
Abdujalil Abdullahi Umar ◽  
Victoria Nanben Omole ◽  
Solomon Avidime
Keyword(s):  
Health Care ◽  
Rural Communities ◽  
Health Care Services ◽  
Health Seeking ◽  
Cross Sectional ◽  
North Central ◽  
Care Services ◽  
Sociodemographic Correlates ◽  
The Government ◽  
Household Heads

Household expenditure on health has increasingly remained a major source of health care financing in Nigeria despite the introduction of several social health scheme policies provided by the government for meeting the health care costs of patients. Recognizing these limitations, this study assessed the type of health care services people commonly use in various illnesses and the sociodemographic correlates of the preferred health care services by household heads in six rural communities of North Central Nigeria. A cross-sectional community-based descriptive study design was used to study 154 household heads in the settlements using a multistage sampling method. Multiple logistic regressions were performed to investigate independent predictors that had significant chi-square atP<0.05. The leading causes of illness experienced by respondents were medical conditions (42.0%) and 41.7% of them sought treatment from patent medicine vendors. The dominant reasons for health-seeking preferences were financial access (53.7%) and proximity (48.6%). Age had a higher impact (Beta = 0.892) on the health-seeking preferences of the respondents as compared to their occupation and religion (Beta = 0.368 and −0.746, resp.). Therefore, in order to meet the health care of patients, it is pertinent that the unmet needs of patients are properly addressed by appropriate agencies.

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