scholarly journals Interdisciplinary Promises and Hierarchical Ambiguities in a Danish Hospital Context

2019 ◽  
Vol 9 (1) ◽  
Author(s):  
Anette Lykke Hindhede ◽  
Vibeke Andersen
Keyword(s):  
Health Professionals ◽  
Middle Managers ◽  
Healthcare Professionals ◽  
Qualitative Interviews ◽  
Health Sector ◽  
Welfare States ◽  
The Public ◽  
Jurisdictional Control ◽  
Knowledge Claims ◽  
Danish Hospital

The public health sector in welfare states is increasingly subject to organisational changes, particularly in hospitals, as organisations comprise coali-tions of various (healthcare) professionals. In this context, due to interprofessional competition, knowledge claims play an important role in achieving jurisdictional control. In this paper, we investigate the manifestations of and health professionals’ reactions to competing institutional discourses. Through qualitative interviews with hospital management, middle managers, and staff employees at three hospitals in Denmark, we demonstrate how managerial attempts to control tenacious profes-sional bureaucracies are exercised through both bureaucratic forms of control and cultural-ideological modes of control with an introduction of new discourses of in-terprofessional teamwork. The findings suggest that hospitals seek not only to con-tain ambiguity through bureaucratic features of control, but also to cultivate it when seeking to strengthen cooperation between professions. Thereby, ambiguity itself becomes a mechanism for management.

Public Representation of Ubiquitous ICT Applications in the Outpatient Health Sector

2013 ◽  
pp. 212-232
Author(s):  
Stephanie Moser ◽  
Susanne Elisabeth Bruppacher ◽  
Frederic de Simoni
Keyword(s):  
Mental Models ◽  
Social Acceptance ◽  
Qualitative Interviews ◽  
Health Sector ◽  
Third Parties ◽  
The Public ◽  
Public Representation ◽  
The Social ◽  
New Generation ◽  
Opening Up

ICT advances will bring a new generation of ubiquitous applications, opening up new possibilities for the health sector. However, the social impacts of this trend have largely remained unexplored. This study investigates the public representation of future ICT applications in the outpatient health sector in terms of their social acceptance. Mental models of ICT applications were elicited from inhabitants of Berlin, Germany, by means of qualitative interviews. The findings revealed that the interviewees felt ambivalent about anticipated changes; only if ICT use were to be voluntary and restricted to single applications and trustworthy institutions did they expect individual benefits. Concerns about data transmission to unauthorized third parties and widespread technological dissemination forcing compulsory participation led people to feel averse to such technology. Implications for potential implementation of future ICT applications in the outpatient health sector are discussed.

scholarly journals Healthcare professionals' perceptions related to the provision of clinical pharmacy services in the public health sector: A case study

2019 ◽  
Vol 15 (3) ◽  
pp. 321-329
Author(s):  
Christian Díaz de León-Castañeda ◽  
Jéssica Gutiérrez-Godínez ◽  
Juventino III Colado-Velázquez ◽  
Cairo Toledano-Jaimes
Keyword(s):  
Public Health ◽  
Clinical Pharmacy ◽  
Healthcare Professionals ◽  
Health Sector ◽  
Pharmacy Services ◽  
The Public ◽  
Clinical Pharmacy Services ◽  
Public Health Sector

scholarly journals The Role of Professional Standards in Regulating the Professional Activities of Healthcare Professionals

2021 ◽  
Vol 2 (42) ◽  
pp. 4-19
Author(s):  
Vitaliy Koikov ◽  
Keyword(s):  
Health Care ◽  
Health Professionals ◽  
Healthcare Professionals ◽  
Human Resources For Health ◽  
Health Sector ◽  
Educational Programs ◽  
Professional Standards ◽  
Healthcare Organizations ◽  
Professional Activities ◽  
The Republic

This review is devoted to the analysis of the existing shortcomings in the sectoral qualifications system and the development of suggestions for improving the mechanisms for regulating the professional activities of healthcare professionals in the Republic of Kazakhstan. The main problems in the development of human resources for health care that require a systemic solution include the lack of compliance of training programs and the system of continuous professional development of workers in the industry, a system for assessing professional readiness and admission of health professionals for practical activities to the needs of practical health care, the lack of a clear delineation of the competencies of health professionals by levels qualifications. The above problems are based on the imperfection of the Sectoral Qualifications System due to the absence of the Sectoral Qualifications Framework (covering all professions and professional activities in the health sector) and professional standards (regulating in detail for each qualification level all those labor functions and professional tasks that are necessary for those working in the industry. specialists, as well as the skills, knowledge, and even personal competencies required for this). The implementation of professional standards in the development of educational programs at all levels of education, in the activities of organizations that assess the professional readinesss of healthcare professionals, in the personnel policy of the health system, regions and medical organizations, will ensure that the competencies of graduates of educational programs and specialists working in the health sector correspond to the real needs of practical healthcare. All this will make it possible to achieve greater labor productivity of healthcare professionals, improve the quality of medical and other services provided, reduce the costs of recruiting and enhance the competitiveness of both specialists working in healthcare organizations. Keywords: sectoral qualifications system, professional standards, healthcare professionals

Beleidsvervreemding in de gezondheidszorg

2012 ◽  
Vol 28 (3) ◽  
Author(s):  
Lars Tummers
Keyword(s):  
Public Administration ◽  
Healthcare Professionals ◽  
Health Sector ◽  
Interdisciplinary Approach ◽  
Motivational Factor ◽  
Five Dimensions ◽  
The Public ◽  
Professional Experiences ◽  
Behavioural Support ◽  
Management Literature

Policy alienation in the health sector. Professional experiences of midwifes and sonographers Policy alienation in the health sector. Professional experiences of midwifes and sonographers A number of developments – such as increased performance measurement and new governmental policies – put pressure on employees working in the public sector. In this article, we examine pressures healthcare professionals experience during the implementation of the 20-weeks ultrasound policy (structural ultrasound policy). We use an interdisciplinary approach. From public administration literature, we draw on the policy alienation concept, which consists of five dimensions: strategic powerlessness, tactical powerlessness, operational powerlessness, societal meaninglessness and client meaninglessness. These are considered as factors that influence the behavioural support for a policy, based on the concept of ‘behavioural support for a change’, drawn from the change management literature. We test this model using survey data collected among 780 Dutch midwives implementing the 20-week ultrasound policy. Both meaninglessness dimensions proved highly significant, whereas strategic and tactic al powerlessness were found not significant. We conclude that clarifying the value of the policy is important in getting professionals to willing implement a policy, whereas their participation on the strategic or tactical levels seems less of a motivational factor. These insights help in understanding why public professionals embrace or resist the implementation of particular policies.

scholarly journals Can we prepare healthcare professionals and students for involvement in stressful healthcare events? A mixed-methods evaluation of a resilience training intervention

2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Judith Johnson ◽  
Ruth Simms-Ellis ◽  
Gillian Janes ◽  
Thomas Mills ◽  
Luke Budworth ◽  
...  
Keyword(s):  
Health Professionals ◽  
Healthcare Professionals ◽  
Qualitative Interviews ◽  
Preliminary Evidence ◽  
Reference Points ◽  
Post Intervention ◽  
Safe Patient Care ◽  
Coaching Session ◽  
Mandatory Requirement ◽  
Randomised Controlled

Abstract Background Healthcare professionals are experiencing unprecedented levels of occupational stress and burnout. Higher stress and burnout in health professionals is linked with the delivery of poorer quality, less safe patient care across healthcare settings. In order to understand how we can better support healthcare professionals in the workplace, this study evaluated a tailored resilience coaching intervention comprising a workshop and one-to-one coaching session addressing the intrinsic challenges of healthcare work in health professionals and students. Methods The evaluation used an uncontrolled before-and-after design with four data-collection time points: baseline (T1); after the workshop (T2); after the coaching session (T3) and four-to-six weeks post-baseline (T4). Quantitative outcome measures were Confidence in Coping with Adverse Events (‘Confidence’), a Knowledge assessment (‘Knowledge’) and Resilience. At T4, qualitative interviews were also conducted with a subset of participants exploring participant experiences and perceptions of the intervention. Results We recruited 66 participants, retaining 62 (93.9%) at T2, 47 (71.2%) at T3, and 33 (50%) at T4. Compared with baseline, Confidence was significantly higher post-intervention: T2 (unadj. β = 2.43, 95% CI 2.08–2.79, d = 1.55, p < .001), T3 (unadj. β = 2.81, 95% CI 2.42–3.21, d = 1.71, p < .001) and T4 (unadj. β = 2.75, 95% CI 2.31–3.19, d = 1.52, p < .001). Knowledge increased significantly post-intervention (T2 unadj. β = 1.14, 95% CI 0.82–1.46, d = 0.86, p < .001). Compared with baseline, resilience was also higher post-intervention (T3 unadj. β = 2.77, 95% CI 1.82–3.73, d = 0.90, p < .001 and T4 unadj. β = 2.54, 95% CI 1.45–3.62, d = 0.65, p < .001). The qualitative findings identified four themes. The first addressed the ‘tension between mandatory and voluntary delivery’, suggesting that resilience is a mandatory skillset but it may not be effective to make the training a mandatory requirement. The second, the ‘importance of experience and reference points for learning’, suggested the intervention was more appropriate for qualified staff than students. The third suggested participants valued the ‘peer learning and engagement’ they gained in the interactive group workshop. The fourth, ‘opportunities to tailor learning’, suggested the coaching session was an opportunity to personalise the workshop material. Conclusions We found preliminary evidence that the intervention was well received and effective, but further research using a randomised controlled design will be necessary to confirm this.

Public Perception About the Zika Virus in Working Professionals: A Qualitative Inquiry

2020 ◽  
Vol 41 (2) ◽  
pp. 199-207
Author(s):  
Fahad Riaz Choudhry ◽  
Khadeeja Munawar ◽  
Yaman W. Kassab ◽  
Faizah Safina Bakrin ◽  
Yaser Mohammed Al-Worafi ◽  
...  
Keyword(s):  
Zika Virus ◽  
Public Perception ◽  
Qualitative Interviews ◽  
Health Sector ◽  
Qualitative Inquiry ◽  
Real Problem ◽  
The Public ◽  
Response Network ◽  
Current Scenario ◽  
Preventive Methods

Aims The Global Outbreak Alert and Response Network recently warned that the Zika virus-containing mosquitoes are being found in Pakistan and the health sector is on high alert. It is thus significant to understand public beliefs and perceptions of the Zika virus and vaccination in the current scenario of Pakistan. Methods Twenty semistructured qualitative interviews were conducted and analyzed through an inductive approach to analysis. Results The findings were presented in three main categories which were coded: Reality vs. Conspiracy, Vaccination Concerns, and Public Worries. The majority believed that the Zika virus is a real problem and that authorities might be trying to hide the Zika cases in Pakistan. Moreover, they believed that health organizations are being incompetent by failing to take timely remedial measures to manage the Zika. However, 20% have an opposing view and believed that the Zika virus is a conspiracy against Pakistan from the West. Conclusion Overall, most participants were concerned about the lack of treatment and preventive methods and emphasized the need to create awareness among the public. It is observed that the participants’ perceptions ranged from perceiving the Zika virus as real to as a conspiracy.

scholarly journals Predatory journals, fake conferences and misleading social media: The dark side of medical information

2021 ◽  
Vol 60 (2) ◽  
pp. 79-81
Author(s):  
Suzana Kert ◽  
Igor Švab
Keyword(s):  
Social Media ◽  
Health Professionals ◽  
Healthcare Professionals ◽  
Medical Information ◽  
Dark Side ◽  
Information Revolution ◽  
Predatory Journals ◽  
The Public ◽  
Health Damage ◽  
Lay Public

Abstract We live in an age of information revolution, where trends in informing physicians and the lay public bring new challenges that must be faced by healthcare professionals. Predatory journals and fake conferences are common. Social media is full of false information, which results in serious public health damage. Therefore, it is important that health professionals communicate properly with the public and patients and that they address the education of both the public and other health professionals.

Public Representation of Ubiquitous ICT Applications in the Outpatient Health Sector

2011 ◽  
Vol 7 (4) ◽  
pp. 62-80 ◽  
Author(s):  
Stephanie Moser ◽  
Susanne Elisabeth Bruppacher ◽  
Frederic de Simoni
Keyword(s):  
Data Transmission ◽  
Social Acceptance ◽  
Qualitative Interviews ◽  
Health Sector ◽  
The Public ◽  
Ict Use ◽  
Public Representation ◽  
The Social ◽  
New Generation ◽  
Opening Up

ICT advances will bring a new generation of ubiquitous applications, opening up new possibilities for the health sector. However, the social impacts of this trend have largely remained unexplored. This study investigates the public representation of future ICT applications in the outpatient health sector in terms of their social acceptance. Mental models of ICT applications were elicited from inhabitants of Berlin, Germany, by means of qualitative interviews. The findings revealed that the interviewees felt ambivalent about anticipated changes; only if ICT use were to be voluntary and restricted to single applications and trustworthy institutions did they expect individual benefits. Concerns about data transmission to unauthorized third parties and widespread technological dissemination forcing compulsory participation led people to feel averse to such technology. Implications for potential implementation of future ICT applications in the outpatient health sector are discussed.

Welfare State Values and Public Service Media in the Era of Datafication

2020 ◽  
Vol 1 (1) ◽  
Author(s):  
Kaarina Nikunen ◽  
Jenni Hokka
Keyword(s):  
Public Service ◽  
Well Being ◽  
Welfare States ◽  
Social Solidarity ◽  
Media Environment ◽  
The Public ◽  
Media Companies ◽  
Data Practices ◽  
Public Media ◽  
New Public

Welfare states have historically been built on values of egalitarianism and universalism and through high taxation that provides free education, health care, and social security for all. Ideally, this encourages participation of all citizens and formation of inclusive public sphere. In this welfare model, the public service media are also considered some of the main institutions that serve the well-being of an entire society. That is, independent, publicly funded media companies are perceived to enhance equality, citizenship, and social solidarity by providing information and programming that is driven by public rather than commercial interest. This article explores how the public service media and their values of universality, equality, diversity, and quality are affected by datafication and a platformed media environment. It argues that the embeddedness of public service media in a platformed media environment produces complex and contradictory dependencies between public service media and commercial platforms. The embeddedness has resulted in simultaneous processes of adapting to social media logics and datafication within public service media as well as in attempts to create alternative public media value-driven data practices and new public media spaces.

Recomendações de equipamentos de proteção individual no combate ao COVID-19

2020 ◽  
Vol 10 (31) ◽  
pp. 87-95
Author(s):  
Nicole Maria Miyamoto Bettini ◽  
Fabiana Tomé Ramos ◽  
Priscila Masquetto Vieira de Almeida
Keyword(s):  
World Health Organization ◽  
Personal Protective Equipment ◽  
Health Professionals ◽  
Health Personnel ◽  
Healthcare Professionals ◽  
World Health ◽  
Protective Equipment ◽  
Effective Strategy ◽  
The World ◽  
Health Organization

A Organização Mundial da Saúde - OMS confirmou a circulação internacional do novo Coronavírus em janeiro de 2020, nomeando-o como COVID-19 e, declarando uma pandemia. É de extrema importância que durante a pandemia, os profissionais de saúde tenham acesso e conhecimento sobre o uso correto dos Equipamentos de Proteção Individual (EPIs) e suas indicações, tomando assim, as devidas precauções na prevenção de infecções. O presente estudo buscou identificar a padronização mundial quanto ao uso dos EPIs utilizados no atendimento a pacientes suspeitos e/ou confirmados de COVID-19 no Brasil, EUA, China, Espanha, Itália e demais países europeus. Os guidelines apresentam a padronização quanto ao uso dos EPIs utilizados no atendimento a suspeitos e/ou confirmados de COVID-19, indo ao encontro das recomendações fornecidas pela OMS. Até o momento, o uso de EPIs é sem dúvida a estratégia mais importante e eficaz para proteger os profissionais de saúde durante a assistência ao paciente com COVID-19.Descritores: Infecções por Coronavírus, Equipamento de Proteção Individual, Pessoal de Saúde, Enfermagem. Recommendations for personal protective equipment to combat COVID-19Abstract: The World Health Organization - WHO confirmed the international circulation of the new Coronavirus in January 2020, naming it as COVID-19 and declaring a pandemic. It is extremely important that during the pandemic, health professionals have access and knowledge about the correct use of Personal Protective Equipment (PPE) and its indications, thus taking appropriate precautions to prevent infections. The present study sought to identify the worldwide standardization regarding the use of PPE utilized to take care of suspected and confirmed patients with COVID-19 in Brazil, USA, China, Spain, Italy and other European countries. The guidelines present a standardization regarding the use of PPE utilized to take care of suspected and confirmed with COVID-19, in line with the recommendations provided by WHO. To date, the use of PPE is undoubtedly the most important and effective strategy to protect healthcare professionals during care for patients with COVID-19.Descriptors: Coronavirus Infections, Personal Protective Equipment, Health Personnel, Nursing. Recomendaciones para el equipo de protección personal para combatir COVID-19Resumen: La Organización Mundial de la Salud - La OMS confirmó la circulación internacional del nuevo Coronavirus en enero de 2020, nombrándolo COVID-19 y declarando una pandemia. Es extremadamente importante que durante la pandemia, los profesionales de la salud tengan acceso y conocimiento sobre el uso correcto del Equipo de Protección Personal (EPP) y sus indicaciones, tomando así las precauciones adecuadas para prevenir infecciones. El presente estudio buscó identificar la estandarización mundial con respecto al uso de EPP utilizado para atender a pacientes sospechosos y/o confirmados con COVID-19 en Brasil, Estados Unidos, China, España, Italia y otros países europeos. Las pautas presentan la estandarización con respecto al uso de EPP utilizado para cuidar COVID-19 sospechoso y/o confirmado, de acuerdo con las recomendaciones proporcionadas por la OMS. Hasta la fecha, el uso de EPP es, sin duda, la estrategia más importante y efectiva para proteger a los profesionales de la salud durante la atención de pacientes con COVID-19.Descriptores: Infecciones por Coronavirus, Equipo de Protección Personal, Personal de Salud, Enfermería.

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