ABSTRACT
Tamil Nadu is one of the states in India, where the diabetic retinopathy (DR) project was implemented in the Tirunelveli District. Aravind Eye Hospital, Tirunelveli was the mentoring institution and ophthalmology department of Tirunelveli Medical College and Hospital (TVMCH) was the implementing partner. The objective of the project was to develop a district level model for building capacity at the government health system for effective screening, diagnosis and management (primary to tertiary) of diabetic retinopathy. The DR screening, counseling, referral and follow-up tasks were included in the scope of Non- Communicable Disease (NCD) nurses at the respective Community Health Centres and Primary Health Centres using the tele-medicine platform. During the project period (December 2016 to June 2019), 8,574 people with diabetes were registered at the 18 CHCs/PHCs. 6,462 (75.4% of those registered) were screened by NCD staff. The government has agreed to scale up services in 3 more districts.
ABSTRACT
La satisfacción laboral en la enfermería establece la calidad de los servicios prestados. Al determinar esta en ámbitos hospitalarios como unidades de cuidado intensivo y en la Atención Primaria en Salud en ámbito comunitario, a través del autoreporte de 280 enfermeros con la aplicación del cuestionario Font roja de 24 ítems, se encuentra que el 39,6% de la población está entre los 20 y 30 años, donde el ámbito comunitario posee medias más elevadas y estadísticamente significativas (p=0,00) en la relación interpersonal con sus jefes y compañeros, percepciones que favorecen a la autonomía del profesional de enfermería. El ámbito hospitalario goza de mayor satisfacción por el trabajo, de igual forma se satisface mejor con la competencia profesional. La monotonía laboral que manifiesta la escasa variedad del trabajo es autodeclarada con una media mayor en el ámbito comunitario, y afirmada con un OR de 2,36 (p=0,00) considerándose un factor de riesgo para este. Para concluir, la satisfacción laboral comparada en dos ámbitos laborales ratifica una realidad ante la insatisfacción de las relaciones interpersonales con los compañeros y jefes del ámbito hospitalario y la monotonía como factor de riesgo en ambientes comunitarios.
Nursing job satisfaction establishes the quality of the services provided. When determining this in hospital settings as intensive care units and Primary Health Care in the community, through the self-report of 280 nurses with the application of Font Roja questionnaire of 24 items, it is found that 39.6% of the population is between 20 and 30 years old, where the community environment has higher and statistically significant averages (p=0.00) in the interpersonal relationship with their heads and colleagues, perceptions that favor the autonomy of the nursing professional. The hospital environment enjoys greater satisfaction with work, in the same way, it is better satisfied with professional competence. The labor monotony that manifests the scarce variety of work is self-reported with a higher average in the community environment, and affirmed with an OR of 2.36 (p = 0.00), considering it a risk factor for this. To conclude, comparative job satisfaction in two work environments ratifies a reality of the dissatisfaction of interpersonal relationships with colleagues and heads of the hospital environment and monotony as a risk factor in community environments.
Subject(s)
Job Satisfaction , Primary Health CareABSTRACT
The study on awareness of community health nurses on legal aspects of health care was conducted to analyze the nurses knowledge on the laws related to the health care. Health care laws serve as a hallmark in maintaining the equilibrium in the delivery of health care services. It goes without saying that this particular field of activities calls for a sound technical and legal knowledge. In the current scenario the nursing service is widened and deals with various issues on legal aspects of health care. To keep abreast with such developments and to face the changing challenge, it is essential that the nurses are equipped with updated knowledge on laws related to health care. This will enhance safe health care delivery in an unbiased standardized way. Therefore this study was conducted to determine the awareness of nurses in public health sector on legal aspects of health care. Using nonexperimental descriptive research design, with the objectives 1. To determine the level of knowledge on legal aspects among nurses, 2. To associate the level of knowledge score of nurses with the variables such as (a) age (b) academic education (c) work experience (d) exposure to in-service education. Comparing the private and government health care sectors, the government health centers has meager turnover of nurse than the other private health care centers. Thus the consistency of the samples would be maintained. Via convenient nonprobability sampling technique 180 community health nurses were selected as samples. To measure the awareness of nurses’ knowledge on legal aspects, the researcher developed a questionnaire after a wide search of literature and with the experts’ opinion. The syllabus of the student nurses was also perused. The content validity, the reliability of the tool was measured using Test and Retest method. Generally health care system is governed by the laws, rules, regulations and other jurisprudence that cover a wide range of legal concerns, from healthcare law, mental health, public health, technology and medical care, to medicine, and the entire healthcare field, including specific laws governing the health industry: physicians, nurses, hospitals and health systems, health maintenance organizations, health insurers,managed care companies, nursing facilities, home care providers, social services and the relationship among them and patients. So, to cover all the aspects of health care laws, the investigator classified the legal aspects into four headings, they are 1.Sources of Law. 2. Laws on Health care Personnel. 3. Laws on Information management and 4.Laws of Protection in health care sector. The study revealed that among the nurses in the assessed public health care areas, only 11.7% nurses had the expected adequate level of knowledge on Legal Aspects of Health Care while the remaining 88.3% nurses had a moderate level of knowledge. Therefore, the result shows that nurses have moderate knowledge on legal aspects of health care, and they need more enhancement of knowledge through continuing nursing education and by maximum utilization of the library.