scholarly journals Integrating Palliative Care in Cancer Care in Kenya

2018 ◽  
Vol 4 (Supplement 2) ◽  
pp. 164s-164s
Author(s):  
Z. Ali
Keyword(s):  
Health Care ◽  
Palliative Care ◽  
Pain Relief ◽  
Health Care Professionals ◽  
Medical Training ◽  
Cultural Beliefs ◽  
National Level ◽  
Public Hospitals ◽  
Essential Medicines ◽  
The Government

Background and context: Most Africa countries now recognize the pain and suffering of many patients and families who have no access to cure (where cure is possible), cannot afford treatment of cancer or other progressive chronic illnesses, are stigmatized or discriminated against because of their illness among many other dehumanizing issues. This project aims to ensure that all those in need of palliative care and pain relief have access close to their homes. Aim: This project aims to ensure that all those in need of palliative care and pain relief have access close to their homes. Strategy/Tactics: In the recent past Kenya Hospices and Palliative Care Association has extensively advocated for the integration of palliative care into the Kenya health services; thus, resulting in many health care professionals being trained in palliative care; integration of palliative care in public, private and mission health institutions and integration of palliative care in undergraduate medical and nursing curricula, as well as policy documents. Program/Policy process: The process of integrating palliative care in public hospitals involved advocacy at the national level as well as at the institutional level, training of health care professionals and setting up services within the hospitals that we worked with. Technical support was provided to each individual institution as needed. Outcomes: Palliative care units have been set up in over 25 government hospitals across the country. National Palliative Care Guidelines have been developed. A Diploma in Palliative Care for nurses has been initiated at the Kenya Medical Training College since 2012. Palliative care has been included in all the relevant health policies/strategies. Kenya Essential Medicines List includes Opioids. The Ministry of Health is supplying morphine powder for the country. More patients are now able to access quality palliative care. What was learned: National associations are challenged by an enormous need for services, education and training of health care professionals as well as educating the public and policy makers. The government has no budget for palliative care and most of the work is donor funded. Cultural beliefs are a big barrier to accessing PC. Only a small fraction of patients in need of opioids for pain medication are receiving opioids due to lack of awareness; reluctance of HPCs to prescribe. For many years PC in Kenya has been provided by a few hospices, thus making access very limited to many who are in need. Regional and national associations in Africa should work together with African Ministries of Health and other relevant stakeholders to ensure that there is greater access to palliative care for cancer patients. This encompasses addressing issues of accessibility, affordability, quality palliative care (PC) and a human's right approach to PC.

scholarly journals Impact of COVID-19 on Mental Health of Palliative Care Professionals and Services: A Mixed Method Survey Study

2021 ◽  
Author(s):  
Wallace Chi Ho Chan ◽  
Raymond Kam Wing Woo ◽  
Denis Ka-Shaw Kwok ◽  
Clare Tsz Kiu Yu ◽  
Lawrence Man-Hon Chiu
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Palliative Care ◽  
Health Care Professionals ◽  
Public Hospitals ◽  
Survey Study ◽  
Post Traumatic Stress ◽  
Care Services ◽  
Palliative Care Services ◽  
The Impact

Abstract Background: The impact of the COVID-19 pandemic on the mental health of health care professionals is profound, but few studies have examined this phenomenon. The way palliative care services have been affected during the pandemic remains underexplored. This study aimed to 1. examine the mental health of palliative care professionals during the pandemic and the relationship of mental health with socio-demographic factors; and 2. explore the impact of the pandemic on palliative care services. Methods: A cross-sectional survey study was conducted, and 142 palliative care professionals from public hospitals in Hong Kong completed an online questionnaire, which includes measurements on depression, anxiety, perceived stress, post-traumatic stress, professional quality of life, and 15 questions on the effect of COVID-19 on palliative care services. Descriptive and multivariate regression analyses were conducted. Quantitative and qualitative data about the impact of COVID-19 on palliative care services were analyzed and triangulated using a mixed-methods approach. Results: Our findings indicated that 82%, 43% and 42% of the participants felt moderately to highly stressed, anxious, and depressed during the pandemic. Female professionals who are younger or have no religious belief tended to have poorer mental health. Qualitative findings identified three themes which affected the provision of palliative care: 1. the tightening of restrictions on visitors; 2. The limited provision of services; and 3. staff deployment. Conclusions: This study suggests the need for concern about the mental health of palliative care professionals and for developing strategies of coping with the challenges during the pandemic.Trial registration: N/A (This paper does not involve a health care intervention)

scholarly journals Integration of and visions for community pharmacy in primary health care in Denmark

2021 ◽  
Vol 19 (1) ◽  
pp. 2212
Author(s):  
Rikke N. Hansen ◽  
Lotte S. Nørgaard ◽  
Ulla Hedegaard ◽  
Lone Søndergaard ◽  
Kerly Servilieri ◽  
...  
Keyword(s):  
Public Health ◽  
Health Care ◽  
Community Pharmacy ◽  
Health Care Professionals ◽  
Central Government ◽  
National Level ◽  
Community Pharmacies ◽  
Pharmacy Services ◽  
Health And Social Care ◽  
The Government

In 2014, the Danish government launched a plan for health entitled: “Healthier lives for everyone – national goals for the health of Danes within the next 10 years”. The overall objective is to prolong healthy years of life and to reduce inequality in health. In Denmark, the responsibility for health and social care is shared between the central government, the regions and the municipalities. National and local strategies seek to enhance public health through national and local initiatives initiated by different stakeholders. The Danish community pharmacies also contribute to promoting public health through distribution of and counselling on medication in the entire country and through offering several pharmacy services, six of which are fully or partly remunerated on a national level. Because of greater demands from patients, health care professionals and society and a lack of general practitioners, the Danish community pharmacies now have the opportunity to suggest several new functions and services or to extend existing services. The Danish pharmacy law changed in 2015 with the objective to maintain and develop community pharmacies and to achieve increased patient accessibility. The change in the law made it possible for every community pharmacy owner to open a maximum of seven pharmacy branches (apart from the main pharmacy) in a range of 75 km. This change also increased the competition between community pharmacies and consequently the pharmacies are now under financial pressure. On the other hand, each pharmacy may have been given an incentive to develop their specific pharmacy and become the best pharmacy for the patients. Community pharmacies are working to be seen as partners in the health care system. This role is in Denmark increasingly being supported by the government through the remunerated pharmacy services and through contract with municipalities. Concurrent with the extended tasks for the Danish community pharmacies and utilisation of their excellent competencies in medication the community pharmacies need to focus on their main tasks of supplying medicines and implementing services. This requires efficient management, an increased use of technology for distribution and communication and continuing education and training.

Collective soul: The spirituality of an interdisciplinary palliative care team

2006 ◽  
Vol 4 (1) ◽  
pp. 13-24 ◽  
Author(s):  
SHANE SINCLAIR ◽  
SHELLEY RAFFIN ◽  
JOSE PEREIRA ◽  
NANCY GUEBERT
Keyword(s):  
Health Care ◽  
Palliative Care ◽  
Focus Groups ◽  
Health Care Professionals ◽  
Palliative Care Team ◽  
Care Team ◽  
Cancer Center ◽  
Team Members ◽  
Spiritual Journeys ◽  
Common Goals

Objective:Although spirituality as it relates to patients is gaining increasing attention, less is known about how health care professionals (HCP) experience spirituality personally or collectively in the workplace. This study explores the collective spirituality of an interdisciplinary palliative care team, by studying how individuals felt about their own spirituality, whether there was a shared sense of a team spirituality, how spirituality related to the care the team provided to patients and whether they felt that they provided spiritual care.Methods:A qualitative autoethnographic approach was used. The study was conducted in a 10-bed Tertiary Palliative Care Unit (TPCU) in a large acute-care referral hospital and cancer center. Interdisciplinary team members of the TPCU were invited to participate in one-to-one interviews and/or focus groups. Five interviews and three focus groups were conducted with a total of 20 participants.Results:Initially participants struggled to define spirituality. Concepts of spirituality relating to integrity, wholeness, meaning, and personal journeying emerged. For many, spirituality is inherently relational. Others acknowledged transcendence as an element of spirituality. Spirituality was described as being wrapped in caring and often manifests in small daily acts of kindness and of love, embedded within routine acts of caring. Palliative care served as a catalyst for team members' own spiritual journeys. For some participants, palliative care represented a spiritual calling. A collective spirituality stemming from common goals, values, and belonging surfaced.Significance of results:This was the first known study that focused specifically on the exploration of a collective spirituality. The culture of palliative care seems to foster spiritual reflection among health care professionals both as individuals and as a whole. While spirituality was difficult to describe, it was a shared experience often tangibly present in the provision of care on all levels.

A Human Resource Development Strategy for Primary Health Care: an Exploratory Study of Mixed Methods

2021 ◽  
Author(s):  
Huanhuan Jia ◽  
Hairui Jiang ◽  
Jianxing Yu ◽  
Jingru Zhang ◽  
Zhou Zheng ◽  
...  
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Human Resource Development ◽  
Structural Equation ◽  
External Environment ◽  
Medical Personnel ◽  
Public Hospitals ◽  
Individual Development ◽  
Primary Health ◽  
The Government

Abstract Background: The serious shortage of primary health care (PHC) providers is a common issue in the health reforms worldwide, including in China. The government of China have proposed that encouraging and guiding qualified medical personnel to work in primary medical and health care institutions (PMHCIs) is an effective way to improve the overall quality and efficiency of PHC, but it has not produced good results. The problem of insufficient human resources of PHC has not been substantially ameliorated.Methods: Based on implicit theory and lexical approach, pre-investigation was conducted to collect the items that influence the medical personnel to seek employment at PMHCIs from the perspective of guided objects. Through a three-phase investigation of 1,160 doctors in 29 public hospitals in 9 cities, the items were categorized, and a structural equation model was established and verified to explore the interrelationship of influencing factors.Results: A total of 5 factors were rotated, including Sense of Gain (SG), Internal Organization Development (IOD), Remuneration and Development (RD), Condition of the City Where the PMHCI Is Located (CCPL), Job Responsibilities (JR) and Family Support (FS). The results of the model showed that IOD, RD, JR and FS had a significantly positive effect on the SG, whereas CCPL had no significant direct effect. In addition, the FS, RD and JR significantly mediated the relationship between the internal and external environment of the institution and the willing of medical personnel to seek employment at PMHCIs. The values of fit index indicated an acceptable-fitting model.Conclusion: Family, remuneration, individual development, and job responsibility are closely related with the willingness of medical personnel to seek employment at PMHCIs, and the internal and external environment of PMHCIs is also an important factor. Based on this, targeted measures can be proposed to promote the development of PHC providers.

Moral distress experienced by health care professionals who provide home-based palliative care

2010 ◽  
Vol 71 (9) ◽  
pp. 1687-1691 ◽  
Author(s):  
Kevin Brazil ◽  
Sharon Kassalainen ◽  
Jenny Ploeg ◽  
Denise Marshall
Keyword(s):  
Health Care ◽  
Palliative Care ◽  
Health Care Professionals ◽  
Moral Distress ◽  
Home Based

scholarly journals Sykepleiestudenters læringsutbytte belyst gjennom to kunnskapsbaserte samarbeidsprosjekter. Fagutviklingsarbeid med studenter i hjemmesykepleiepraksis

2015 ◽  
Vol 11 (2) ◽  
pp. 163
Author(s):  
Bente Bjørsland ◽  
Reidun Hov
Keyword(s):  
Health Care ◽  
Palliative Care ◽  
Pain Relief ◽  
Health Services ◽  
Learning Outcomes ◽  
Evidence Based Practice ◽  
Health Workers ◽  
Evidence Based ◽  
Next Of Kin ◽  
Evaluation Form

Health services are constantly met by greater demands on offering the best treatment and care based on quality and research. For that reason health workers and teachers in health care institutions and universities are working evidence-based. Hedmark University College and Hamar municipality have collaborated in two projects. The aim of this article is to illuminate the students’ learning outcomes in palliative care after participated in two evidence-based projects. Different written guides for conversations with patients, next of kin and staff, a log-book and an evaluation form were developed. Results show that the students learned about the significance of continuity in patients’ pain relief, spiritual and existential needs, and about palliative care in the municipality. The students concluded that they in some areas experienced greater learning outcomes from working with evidence-based practice than in their ordinary practice in the municipality.

scholarly journals PERANAN SERVICE QUALITY TERHADAP PATIENT REVISIT INTENTION MELALUI PATIENT SATISFACTION PADA RUMAH SAKIT UMUM DAN RUMAH SAKIT SWASTA TIPE B

2008 ◽  
Vol 1 (1) ◽  
pp. 49
Author(s):  
Febry Adhiana
Keyword(s):  
Health Care ◽  
Patient Satisfaction ◽  
Service Quality ◽  
Health Care Professionals ◽  
Public Hospitals ◽  
Human Beings ◽  
Private Hospitals ◽  
Public And Private ◽  
Revisit Intention ◽  
Public And Private Hospitals

<p>Backg of nd: the increasing of awareness in health care by Indonesian people especially in Jakart Healthcare that health care professionals are highly dependent on each other to provide and coordi ate services of high value for human beings. Patients usually prefer to go to private hospitals hoping tc receive high service quality. But in fact, public hospitals have a good quality service also becau e ft is supported by the government.<br />Object ve to compare service quality, patient satisfaction and patient revisit intention of public and privatE hospitals.<br />Resea h design: this research applies to public and private hospitals in Jakarta and questionnaires were s read away to 97 respondents or patients from some public and private hospitals in Jakarta by usi g purpose sampling.<br />Findin s: There are no differences between private and public hospitals in service quality, patient satisf Um and patient revisit intention. Finally the implications of the results are highlighted for health :are managers.</p>

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