scholarly journals Non-formal CNE Program Barriers to Participation: A Comparative Study among Hospital Nurses of two Provinces in Pakistan

2018 ◽  
Vol 3 (1) ◽  
Keyword(s):  
Nursing Education ◽  
Comparative Study ◽  
Poor Performance ◽  
Hospital Nurses ◽  
Health Care Environment ◽  
Cross Sectional ◽  
Financial Barriers ◽  
Barriers To Participation ◽  
Continuing Nursing Education ◽  
Work Related

Rapid scientific and technological discoveries have increased demands of specialized nursing care. Because knowledge and skills can be replaced by engaging nurses in a set amount of continuing nursing education (CNE) program activities. Literature suggested that degree or license is not the end point of education after basic nursing study. Apparently, basic nursing education for practice becomes obsolete within five to ten years of graduation. This obsolescence can lead to the poor performance of nurses in clinical practice. Therefore, a comparative study was designed to investigate and compare most influential and predicting barriers to participation among hospital nurses of two provinces in Pakistan. This was a cross sectional analytical study in which convenience sampling approach was used to collect data of three hundred (n=300) nurses through “Barriers to Participation Questionnaire” (BPQ). Quantitatively, result interpretation was set as “the lower the mean score in each type of barrier, higher the barrier was measured due to reverse Likert scale rating. Generally, administrative barrier was found higher and most prevalent barrier, work-related barrier was more predictive and financial barriers as predicting barrier as compare to family and personal barrier. Data also revealed that Punjab nurses have greater administrative with mean score of 2.16±0.87 and work-related barriers with mean score of 2.43±0.81 than the nurses from Sindh province with mean score of 2.26±0.75 and 2.81±0.90. Regarding financial barrier, both provinces nurses have equal level barriers than the family and personal barriers among nurses of two provinces. To keep nurses connected with advanced knowledge in rapidly changing health care environment, more opportunities for non-formal CNE programs should be provided for employed nurses both in and outside of the organization.

Providing care for older adults with extreme obesity in aged residential care facilities: An environmental scan

2020 ◽  
Vol 36 (3) ◽  
pp. 24-36
Author(s):  
Caz Hales ◽  
◽  
Isaac Amankwaa ◽  
Lesley Gray ◽  
Helen Rook ◽  
...  
Keyword(s):  
Older Adults ◽  
Residential Care ◽  
Service Provision ◽  
Aged Care ◽  
Extreme Obesity ◽  
Financial Barriers ◽  
Residential Care Facilities ◽  
Environmental Scan ◽  
Staffing Ratios ◽  
Care Facilities

Little is known about the level of service demand and preparedness of Aotearoa New Zealand’s aged residential care facilities to care for older adults with extreme obesity. The aim of this study was to assess the current state of bariatric (extreme obesity) services within aged residential care. An environmental scan was conducted to identify bariatric resident needs and gaps in service provision to inform the development of policy and service provision. Observational and interview data from three facilities in Aotearoa New Zealand was collected along with a retrospective review of national resident admissions over a three-year period. Poor environmental design that included infrastructure deficiencies and financial barriers impacted on the ability to deliver safe and equitable care for this population. Specifically, equipment procurement and safe staffing ratios were of concern to the sector. There is an increasing need for bariatric level support within aged care, necessitating more equipment and staff, adaptation of physical care environments, and enhanced funding. Significant investment is required to address care concerns of older adults with extreme obesity at government and organisational levels.

scholarly journals Population-based rapid assessment of avoidable blindness survey in Sohag governorate in Egypt

BMJ Open ◽  
2020 ◽  
Vol 10 (10) ◽  
pp. e036337
Author(s):  
Heba AlSawahli ◽  
Ian McCormick ◽  
Caleb D Mpyet ◽  
Gamal Ezzelarab ◽  
Mohammad Shalaby
Keyword(s):  
Cataract Surgery ◽  
Census Data ◽  
Rapid Assessment ◽  
Population Based ◽  
Vision Impairment ◽  
Health System Strengthening ◽  
Secondary Outcome ◽  
Institutional Setting ◽  
Financial Barriers

ObjectivesTo determine the prevalence and causes of blindness and vision impairment, and the coverage and quality of cataract surgical services, among population aged 50 years and older in Sohag governorate in Egypt.DesignA population-based cross-sectional survey using two-stage cluster random sampling following the rapid assessment of avoidable blindness methodology.SettingA community-based survey conducted by six teams of ophthalmologists, assistants and local guides. Enrolment and examination were door-to-door in selected clusters.ParticipantsUsing 2016 census data, 68 population units were randomly selected as clusters (of 60 people) with probability proportionate to population size. Anyone aged 50 years and older, residing in a non-institutional setting in a cluster for at least 6 months, was eligible to participate.Primary and secondary outcome measuresThe prevalence and causes of blindness and vision impairment. Secondary outcomes were CSC and effectiveness and participant-reported barriers to cataract surgery.ResultsOf 4078 participants enrolled, 4033 (98.9%) were examined. The age-adjusted and sex-adjusted prevalence of blindness, severe vision impairment and moderate vision impairment were 5.9% (95% CI 4.8% to 6.9%), 4.7% (95% CI 3.8% to 5.7%) and 18.9% (95% CI 16.8% to 21.0%), respectively. Cataract caused most of blindness (41.6%), followed by non-trachomatous corneal opacity (15.7%) and posterior segment diseases (14.5%). Cataract surgical coverage (CSC) for persons for visual acuity <3/60 was 86.8%, the proportion of cataract surgeries with poor visual outcome was 29.5% and effective CSC (eCSC) was 44.9%. eCSC was lower in women than men. The most frequently reported barrier to surgery was cost (51.5%).ConclusionsThe prevalence of blindness in Sohag governorate is higher than districts in other middle-income countries in the region. CSC was high; however, women suffer worse quality-corrected CSC than men. The quality of cataract surgery needs to be addressed, while health system strengthening across government and private settings could alleviate financial barriers.

scholarly journals Effect of the COVID-19 on perceptions of health, anticipated need for health services, and cost of healthcare

2021 ◽  
pp. 1-28
Author(s):  
Natalia Rekhter ◽  
Natalia Ermasova
Keyword(s):  
Health Services ◽  
Healthcare Services ◽  
Care Seeking ◽  
Financial Barriers ◽  
Health Concerns ◽  
Anova Test ◽  
Targeted Interventions ◽  
Early Stages ◽  
Care Seeking Behavior ◽  
Related Stress

Abstract Objective: This article investigates how perceived vulnerability to the COVID-19 pandemic at its early stages is associated with people’s perception of their health, the need for healthcare services, and expenses related to addressing the COVID-19 impact on their health. Methods: The results are based on the analysis of surveys that were distributed among members of 26 random Facebook groups in April-May, 2020. Perceived COVID-19 pandemic related stress and health concerns were examined by using the ANOVA test. Results: Among 315 respondents, 64% have experienced COVID-19 related stress and identified anxiety, headache, insomnia, and weight gain as their primary health concerns. The ANOVA test revealed that females are more impacted by the COVID-19 stress than males. Around 40% of respondents believed that the COVID-19 would lead to an increase in the cost of health services, and 20% of respondents anticipated that the COVID-19 pandemic would increase their need for health services. Conclusions: Learning about how people perceive the COVID-19 pandemic impact on their health, particularly in the pandemic’s early stages can allow health professionals to develop targeted interventions that can influence pandemic preventative behaviors among different population groups. This study can help understand utilization patterns and mitigate financial barriers that could interfere with patients’ care-seeking behavior.

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