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Fasil Tegegn L, Andualem F, Derbie Begashaw T, Seid J, Temesgen K. Multicentre Cross-Sectional Study Describing Postoperative Wound Care Practice in Northeast Ethiopia. SAGE Open Nurs 2023; 9:23779608231219134. [PMID: 38130471 PMCID: PMC10734327 DOI: 10.1177/23779608231219134] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/17/2023] [Revised: 11/05/2023] [Accepted: 11/10/2023] [Indexed: 12/23/2023] Open
Abstract
Background Postoperative care is the management of a patient after surgery that includes care given during the immediate postoperative period. Postoperative complications are continuing to be a major source of morbidity following operative procedures. Postoperative wound infection delays the patient's recovery, increases discomfort, and prolongs the hospital stay. Objective The study aimed to assess among nurses working in governmental hospitals in the south Wollo zone and Oromia special zone, northeast Ethiopia, 2020. Methods Institution-based cross-sectional study design was conducted on governmental hospitals in the south Wollo zone and Oromia special zone. Variables in multivariable logistic regression, p-value < 0.05 was used to declare statistical significance. Result From a total of 411 samples, 402 nurses responded to the questionnaire, with a response rate of 97.81%. This study showed that 49.8% of participants had good practice. The availability of a wound management tool was 1.6 times more likely to promote good practice than the lack of a wound assessment tool. Nurses who had documented their wound assessment and management activities were 2.1 times more likely to have good practice than those who hadn't documented. Conclusion This study showed that half of the participants had poor wound care practices. Regarding associated factors, the availability of wound management tools and documentation of wound assessment and management had a significant association with the nurse's poor wound care practice. On the basis of these results, health policymakers and hospital administrators should develop a program to train nurses in wound care practice, and it helps as a reference for the researchers to further study.
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Affiliation(s)
- Lidiya Fasil Tegegn
- Department of Nursing, College of Medicine and Health Science, Arsi University, Asella, Ethiopia
| | - Fantahun Andualem
- Department of Psychiatry, College of Medicine and Health Science, University of Gondar, Gondar, Ethiopia
| | - Tesfaye Derbie Begashaw
- Department of Psychiatry, College of Medicine and Health Science, Dilla University, Dilla, Ethiopia
- Present address: Department of Psychiatry, College of Medicine and Health Science, Aksum University, Axum, Ethiopia
| | - Jemal Seid
- Department of Psychiatry, College of Medicine and Health Science, Wollo University, Dessie, Ethiopia
| | - Kibir Temesgen
- Department of Midwifery, College of Medicine and Health Science, Wollo University, Dessie, Ethiopia
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2
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Becker J, Becker C, Oprescu F, Wu CJJ, Moir J, Shimwela M, Gray M. Silent voices of the midwives: factors that influence midwives' achievement of successful neonatal resuscitation in sub-Saharan Africa: a narrative inquiry. BMC Pregnancy Childbirth 2022; 22:39. [PMID: 35034616 PMCID: PMC8761383 DOI: 10.1186/s12884-021-04339-7] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/01/2021] [Accepted: 12/13/2021] [Indexed: 11/10/2022] Open
Abstract
BACKGROUND In Tanzania, birth asphyxia is a leading cause of neonatal death. The aim of this study was to identify factors that influence successful neonatal resuscitation to inform clinical practice and reduce the incidence of very early neonatal death (death within 24 h of delivery). METHODS This was a qualitative narrative inquiry study utilizing the 32 consolidated criteria for reporting qualitative research (COREQ). Audio-recorded, semistructured, individual interviews with midwives were conducted. Thematic analysis was applied to identify themes. RESULTS Thematic analysis of the midwives' responses revealed three factors that influence successful resuscitation: 1. Hands-on training ("HOT") with clinical support during live emergency neonatal resuscitation events, which decreases fear and enables the transfer of clinical skills; 2. Unequivocal commitment to the Golden Minute® and the mindset of the midwife; and. 3. Strategies that reduce barriers. Immediately after birth, live resuscitation can commence at the mother's bedside, with actively guided clinical instruction. Confidence and mastery of resuscitation competencies are reinforced as the physiological changes in neonates are immediately visible with bag and mask ventilation. The proclivity to perform suction initially delays ventilation, and suction is rarely clinically indicated. Keeping skilled midwives in labor wards is important and impacts clinical practice. The midwives interviewed articulated a mindset of unequivocal commitment to the baby for one Golden Minute®. Heavy workload, frequent staff rotation and lack of clean working equipment were other barriers identified that are worthy of future research. CONCLUSIONS Training in resuscitation skills in a simulated environment alone is not enough to change clinical practice. Active guidance of "HOT" real-life emergency resuscitation events builds confidence, as the visible signs of successful resuscitation impact the midwife's beliefs and behaviors. Furthermore, a focused commitment by midwives working together to reduce birth asphyxia-related deaths builds hope and collective self-efficacy.
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Affiliation(s)
- Jan Becker
- Midwife Vision Global Ltd, PO BOX 9165, Pacific Paradise, QLD, 4564, Australia. .,University of the Sunshine Coast, 90 Sippy Downs Dr, Sippy Downs, QLD, 4556, Australia. .,General Division of the Order of Australia, Office of the Official Secretary to the Governor-General, Government House, ACT, 2600, Canberra, Australia.
| | - Chase Becker
- Midwife Vision Global Ltd, PO BOX 9165, Pacific Paradise, QLD, 4564, Australia.,University of Nicosia Medical School in Partnership with St George's University of London, Makedonitissis 46, Nicosia, 2417, Cyprus
| | - Florin Oprescu
- School of Health and Behavioural Sciences, University of Sunshine Coast (USC), 90 Sippy Downs Dr, Sippy Downs, QLD, 4556, Australia
| | - Chiung-Jung Jo Wu
- School of Nursing, Midwifery and Paramedicine, University of the Sunshine Coast (USC), 1 Morton Bay Parade, Petrie, QLD, 4502, Australia.,Royal Brisbane and Women's Hospital, Butterfield St, Herston, QLD, 4029, Australia
| | - James Moir
- Midwife Vision Global Ltd, PO BOX 9165, Pacific Paradise, QLD, 4564, Australia.,Clinical Director, QLD Fertility Group Sunshine Coast, 44 Clarkes Road, Diddillibah, QLD, 4559, Australia
| | - Meshak Shimwela
- Internal Medicine, Temeke Regional Referral Hospital, Temeke Road, Adjacent Sterio Market, Dar es Salaam, Tanzania
| | - Marion Gray
- Centre for Health Research/School of Health and Wellbeing; Associate Dean (Clinical), Faculty of Health, Engineering and Sciences, University of the Southern Queensland, Sinnathamby Blvd, Springfield Central, Queensland, 4300, Australia
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3
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Ezeonwu M. The Role of African Nurse Diaspora in Addressing Public Health Priorities in Africa. Glob Qual Nurs Res 2021; 8:23333936211031501. [PMID: 34291124 PMCID: PMC8278446 DOI: 10.1177/23333936211031501] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/01/2021] [Revised: 06/15/2021] [Accepted: 06/23/2021] [Indexed: 01/31/2023] Open
Abstract
African countries experience many complex public health challenges that, to tackle, require coordinated, multi-stakeholder, collaborative partnerships at local and global levels. The African nurse diaspora is a strategic stakeholder, contributor, and liaison to public health interventions, given their roots in the continent, their professional connections in the west, and their ability to build an extensive network of global partners. Using a descriptive qualitative approach that amplifies the voices of the Africa nurse diaspora, this study provides an insider view of the continent’s public health priorities and what roles the diaspora can play to improve health and population outcomes. Findings show that Africa’s high disease burden is generally preventable but compounded by enduring socioeconomic challenges. Against this situation, African-born nurses in the diaspora are uniquely positioned to mobilize both local and global stakeholders in coordinated global health policy interventions and actively engage communities in preventive care while earning their trust.
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4
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van Pelt S, Massar K, Shields-Zeeman L, de Wit JBF, van der Eem L, Lughata AS, Ruiter RAC. The Development of an Electronic Clinical Decision and Support System to Improve the Quality of Antenatal Care in Rural Tanzania: Lessons Learned Using Intervention Mapping. Front Public Health 2021; 9:645521. [PMID: 34095055 PMCID: PMC8172617 DOI: 10.3389/fpubh.2021.645521] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/23/2020] [Accepted: 04/20/2021] [Indexed: 11/24/2022] Open
Abstract
It is widely recognised that high quality antenatal care is a key element in maternal healthcare. Tanzania has a very high maternal mortality ratio of 524 maternal deaths per 100,000 live births. Most maternal deaths are due to preventable causes that can be detected during pregnancy, and antenatal care therefore plays an important role in reducing maternal morbidity and mortality. Unfortunately, quality of antenatal care in Tanzania is low: Research has shown that healthcare workers show poor adherence to antenatal care guidelines, and the majority of pregnant women miss essential services. Digital health tools might improve the performance of healthcare workers and contribute to improving the quality of antenatal care. To this end, an electronic clinical decision and support system (the Nurse Assistant App) was developed and implemented in Tanzania in 2016 to provide digital assistance during antenatal care consultations to healthcare workers. The current study systematically evaluated the development and implementation process of the Nurse Assistant App in Magu District, Tanzania, with the aim of informing future programme planners about relevant steps in the development of a digital health intervention. Desk research was combined with semi-structured interviews to appraise the development process of the digital health tool. We employed the criteria stipulated by Godin et al., which are based on the six steps of Intervention Mapping [IM; Bartholomew Eldredge et al.]. Findings indicated that five of the six steps of IM were completed during the development and implementation of the Nurse Assistant App. Tasks related to community engagement, adjustment to local context, implementation in the practical context in collaboration with local partners, and rigorous evaluation were accomplished. However, tasks related to identifying theory-based behaviour change methods were not accomplished. Based on the lessons learned during the process of developing and implementing the Nurse Assistant App, we conclude that programme developers are recommended to (1) engage the community and listen to their insights, (2), focus on clear programme goals and the desired change, (3), consult or involve a behaviour change specialist, and (4), anticipate potential problems in unexpected circumstances.
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Affiliation(s)
- Sandra van Pelt
- Department of Work and Social Psychology, Maastricht University, Maastricht, Netherlands
| | - Karlijn Massar
- Department of Work and Social Psychology, Maastricht University, Maastricht, Netherlands
| | - Laura Shields-Zeeman
- Department of Mental Health and Prevention, Netherlands Institute for Mental Health and Addiction, Utrecht, Netherlands
| | - John B F de Wit
- Department of Interdisciplinary Social Science, International Public Health, Utrecht University, Utrecht, Netherlands
| | - Lisette van der Eem
- Woman Centered Care Project, A Project of the African Woman Foundation, Magu, Tanzania
| | - Athanas S Lughata
- Woman Centered Care Project, A Project of the African Woman Foundation, Magu, Tanzania
| | - Robert A C Ruiter
- Department of Work and Social Psychology, Maastricht University, Maastricht, Netherlands
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5
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Pattison N, Deaton C, McCabe C, Coates V, Johnston B, Nolan F, Whiting L, Briggs M. Florence Nightingale's legacy for clinical academics: A framework analysis of a clinical professorial network and a model for clinical academia. J Clin Nurs 2021; 31:353-361. [PMID: 33797144 DOI: 10.1111/jocn.15756] [Citation(s) in RCA: 9] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/04/2020] [Revised: 01/15/2021] [Accepted: 02/01/2021] [Indexed: 11/28/2022]
Abstract
BACKGROUND Clinical academic nursing roles are rare, and clinical academic leadership positions even more scarce. Amongst the United Kingdom (UK) academia, only 3% of nurses who are employed within universities are clinically active. Furthermore, access to research fellowships and research grant funding for nurses in clinical or academic practice is also limited. The work of Florence Nightingale, the original role model for clinical academic nursing, is discussed in terms of how this has shaped and influenced that of clinical academic nurse leaders in modern UK healthcare settings. We analysed case studies with a view to providing exemplars and informing a new model by which to visualise a trajectory of clinical academic careers. METHODS A Framework analysis of seven exemplar cases was conducted for a network of Clinical Academic Nursing Professors (n = 7), using a structured template. Independent analysis highlighted shared features of the roles: (a) model of clinical academic practice, (b) infrastructure for the post, (c) capacity-building initiatives, (d) strategic influence, (e) wider influence, (f) local and national implementation initiatives, (g) research area and focus and (h) impact and contribution. FINDINGS All seven of the professors of nursing involved in this discourse were based in both universities and healthcare organisations in an equal split. All had national and international profiles in their specialist clinical areas and were implementing innovation in their clinical and teaching settings through boundary spanning. We outline a model for career trajectories in clinical academia, and how leadership is crucial. CONCLUSION The model outlined emphasises the different stages of clinical academic roles in nursing. Nursing as a discipline needs to embrace the value of these roles, which have great potential to raise the standards of healthcare and the status of the profession.
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Affiliation(s)
- Natalie Pattison
- University of Hertfordshire, Hatfield, UK.,East/North Herts NHS Trust, Stevenage, UK
| | - Christi Deaton
- University of Cambridge, Cambridge, UK.,Cambridge University NHS Trust, Cambridge, UK
| | - Candy McCabe
- University of West England, Bristol, UK.,Dorothy House Hospice, Bath, UK
| | - Vivien Coates
- University of Ulster, Coleraine, UK.,Western Health and Social Care Trust, Londonderry, UK
| | - Bridget Johnston
- University of Glasgow, Glasgow, UK.,Glasgow Royal Infirmary, Glasgow, UK
| | | | | | - Michelle Briggs
- University of Manchester, Manchester, UK.,Manchester NHS Foundation Trust, Manchester, UK
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6
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A model operationalizing sustainability in global nursing. Nurs Outlook 2020; 68:345-354. [DOI: 10.1016/j.outlook.2020.01.006] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/29/2019] [Revised: 12/24/2019] [Accepted: 01/02/2020] [Indexed: 11/20/2022]
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7
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Nishimi K, Street NW. Nursing education partnerships between western high-income universities and non-governmental agencies and low-income local agencies: A scoping review of the literature. J Prof Nurs 2020; 36:147-157. [DOI: 10.1016/j.profnurs.2019.08.010] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/15/2019] [Revised: 08/14/2019] [Accepted: 08/16/2019] [Indexed: 02/06/2023]
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8
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Weller CD, Team V, Sussman G. First-Line Interactive Wound Dressing Update: A Comprehensive Review of the Evidence. Front Pharmacol 2020; 11:155. [PMID: 32180720 PMCID: PMC7059819 DOI: 10.3389/fphar.2020.00155] [Citation(s) in RCA: 99] [Impact Index Per Article: 24.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/02/2019] [Accepted: 02/05/2020] [Indexed: 01/20/2023] Open
Abstract
Wound management is a significant and growing issue worldwide. Knowledge of dressing products and clinical expertise in dressing selection are two major components in holistic wound management to ensure evidence-based wound care. With expanding global market of dressing products, there is need to update clinician knowledge of dressing properties in wound care. Optimal wound management depends on accurate patient assessment, wound diagnosis, clinicians’ knowledge of the wound healing process and properties of wound dressings. We conducted a comprehensive review of the physical properties of wound dressing products, including the advantages and disadvantages, indications and contraindications and effectiveness of first-line interactive/bioactive dressing groups commonly used in clinical practice. These include semipermeable films, foams, hydroactives, alginates, hydrofibers, hydrocolloids, and hydrogels. In making decisions regarding dressing product selection, clinicians need to ensure a holistic assessment of patient and wound etiology, and understand dressing properties when making clinical decisions using wound management guidelines to ensure optimal patient outcomes. This review has highlighted there is lack of high quality evidence and the need for future well designed trials.
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Affiliation(s)
- Carolina D Weller
- Monash Nursing and Midwifery, Faculty of Medicine, Nursing and Health Sciences, Monash University, Melbourne, VIC, Australia
| | - Victoria Team
- Monash Nursing and Midwifery, Faculty of Medicine, Nursing and Health Sciences, Monash University, Melbourne, VIC, Australia
| | - Geoffrey Sussman
- Faculty of Medicine, Nursing and Health Sciences, Monash University, Melbourne, VIC, Australia
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9
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Nielsen DS, Tarimo EAM, Kibusi SM, Jansen MB, Mkoka DA. How do Tanzanian nursing students experience an elective exchange programme - A qualitative study. NURSE EDUCATION TODAY 2020; 88:104380. [PMID: 32114401 DOI: 10.1016/j.nedt.2020.104380] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 04/06/2019] [Revised: 01/04/2020] [Accepted: 02/15/2020] [Indexed: 06/10/2023]
Abstract
BACKGROUND Experiences from the Peace Corps and President's Emergency Plan for AIDS Relief programs show that exchange of nurses can strengthen the breadth and quality of nursing care delivery in places with shortages of health professionals. The objective of this study was to capture the perspectives and experiences of Tanzanian students participating in an international elective in a Scandinavian country. With a phenomenological hermeneutical approach, qualitative interviews were conducted with 16 student nurses from Tanzania. The interviews were guided by a qualitative thematic interview guide. The international placement in Scandinavia had significance to all students. Most students underlined that it had changed their professional and private life to the better, providing them with new competences, new awareness, and job opportunities.
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Affiliation(s)
- Dorthe S Nielsen
- Migrant Health Clinic, Odense University Hospital, Center of Global Health, University of Southern Denmark, Health Sciences Research Center, University College Lillebaelt, Denmark.
| | - Edith A M Tarimo
- Department of Nursing Management, School of Nursing, Muhimbili University of Health and Allied Sciences, Dar es Salaam, Tanzania
| | - Stephen M Kibusi
- School of Nursing & Public Health, the University of Dodoma, Dodoma, Tanzania
| | - Mette Bro Jansen
- International Department, University College Lillebaelt, Denmark.
| | - Dickson Ally Mkoka
- Clinical Nursing Department, School of Nursing, Muhimbili University of Health and Allied Sciences, Tanzania
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10
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Shokoohi H, Raymond A, Fleming K, Scott J, Kerry V, Haile-Mariam T, Sayeed S, Boniface KS. Assessment of Point-of-Care Ultrasound Training for Clinical Educators in Malawi, Tanzania and Uganda. ULTRASOUND IN MEDICINE & BIOLOGY 2019; 45:1351-1357. [PMID: 30904246 DOI: 10.1016/j.ultrasmedbio.2019.01.019] [Citation(s) in RCA: 19] [Impact Index Per Article: 3.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 08/31/2018] [Revised: 01/22/2019] [Accepted: 01/22/2019] [Indexed: 05/24/2023]
Abstract
Integrating point-of-care ultrasound (POCUS) to enhance diagnostic availability in resource-limited regions in Africa has become a main initiative for global health services in recent years. In this article, we present lessons learned from introducing POCUS as part of the Global Health Service Partnership (GHSP), a collaboration started in 2012 between the U.S. President's Emergency Plan for AIDS Relief (PEPFAR), the Peace Corps and Seed Global Health to provide health care work force education and training in resource-limited countries. A cross-sectional survey of GHSP clinical educators trained to use POCUS and provided with hand-held ultrasound during their 1-y deployment during the period 2013-2017. The survey consisted of 35 questions on the adequacy of the training program and how useful POCUS was to their overall clinical and educational mission. Clinical educators engaged in a series of ultrasound educational initiatives including pre-departure training, bedside training in the host institutions, online educational modules, educational feedback on transmitted images and training of local counterparts. In this study 63 GHSP clinical educators who participated in the POCUS trainings were identified, and 49 were included at the study (78% response rate). They were assigned to academic institutions in Tanzania (n = 24), Malawi (n = 21) and Uganda (n = 18). More than 75% reported use of POCUS in clinical diagnoses and 50% in determining treatment, and 18% reported procedural application of ultrasound in their practice. The top indications for POCUS were cardiac exams, second- and third-trimester obstetric exams, lung and pleura, liver and spleen and gynecology/first-trimester obstetrics. The largest perceived barriers were lack of ultrasound knowledge by the clinical educators, lack of time, equipment security, difficulty accessing the Internet and equipment problems. We concluded that our multiphase POCUS training program has increased the utility, acceptability and usage of POCUS in resource-limited settings.
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Affiliation(s)
- Hamid Shokoohi
- Department of Emergency Medicine, Massachusetts General Hospital, Harvard Medical School, Boston, Massachusetts, USA; Department of Emergency Medicine, George Washington University Medical Center, Washington, DC, USA.
| | - Aislynn Raymond
- Department of Medicine, George Washington University Medical Center, Washington, DC, USA
| | - Katelyn Fleming
- Seed Global Health-Massachusetts General Hospital, Boston, Massachusetts, USA
| | - James Scott
- Department of Emergency Medicine, George Washington University Medical Center, Washington, DC, USA
| | - Vanessa Kerry
- MGH Global Health, Massachusetts General Hospital, Boston, Massachusetts, USA; Department of Global Health and Social Medicine, Harvard Medical School, Boston, Massachusetts, USA; Seed Global Health, Boston, Massachusetts, USA
| | - Tenagne Haile-Mariam
- Department of Emergency Medicine, George Washington University Medical Center, Washington, DC, USA
| | - Sadath Sayeed
- Department of Global Health and Social Medicine, Harvard Medical School, Boston, Massachusetts, USA; Boston Children's Hospital, Boston, Massachusetts, USA
| | - Keith S Boniface
- Department of Emergency Medicine, George Washington University Medical Center, Washington, DC, USA
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11
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Dohlman L, DiMeglio M, Hajj J, Laudanski K. Global Brain Drain: How Can the Maslow Theory of Motivation Improve Our Understanding of Physician Migration? INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2019; 16:ijerph16071182. [PMID: 30986972 PMCID: PMC6479547 DOI: 10.3390/ijerph16071182] [Citation(s) in RCA: 11] [Impact Index Per Article: 2.2] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 03/04/2019] [Revised: 03/28/2019] [Accepted: 03/29/2019] [Indexed: 11/23/2022]
Abstract
The migration of physicians from low-resource to high-resource settings is a prevalent global phenomenon that is insufficiently understood. Most low-income countries are severely understaffed with physicians, and the emigration of the already limited number of physicians to other countries can significantly reduce access to healthcare in the source country. Despite a growing interest in global capacity building in these countries by academic and non-governmental organizations in high-income countries, efforts to stem physician migration have been mostly unsuccessful. The authors reviewed the current literature for the motivational factors leading to physician migration in the context of Maslow’s hierarchy of human needs. Our study found that financial safety needs were major drivers of physician emigration. However, factors related to self-actualization such as the desire for professional development through training opportunities and research, were also major contributors. These findings highlight the multifactorial nature of physician motivations to emigrate from low-resource countries. Maslow’s Theory of Motivation may provide a useful framework for future studies evaluating the concerns of physicians in low-income countries and as a guide to incentivize retention.
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Affiliation(s)
- Lena Dohlman
- Department of Anesthesia, Critical Care, and Pain Medicine, Massachusetts General Hospital, Boston, MA 02114, USA.
| | - Matthew DiMeglio
- DO/MBA Student, Philadelphia College of Osteopathic Medicine, Philadelphia, PA 19131, USA.
| | - Jihane Hajj
- Department of Cardiology, Penn Presbyterian Medical Center, Philadelphia, PA 19104, USA.
| | - Krzysztof Laudanski
- Department of Anesthesiology and Critical Care, Hospital of the University of Pennsylvania, Philadelphia, PA 19104, USA.
- Leonard Davis Institute of Healthcare, University of Pennsylvania, Philadelphia, PA 19104, USA.
- Global Health Initiative, University of Pennsylvania, Philadelphia, PA 19104, USA.
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12
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Cancedda C, Binagwaho A, Kerry V. It is time for academic institutions to align their strategies and priorities with the Sustainable Development Goals. BMJ Glob Health 2019; 3:e001067. [PMID: 30613425 PMCID: PMC6304100 DOI: 10.1136/bmjgh-2018-001067] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/19/2018] [Revised: 10/27/2018] [Accepted: 11/06/2018] [Indexed: 11/09/2022] Open
Affiliation(s)
- Corrado Cancedda
- Center for Global Health, Division of Infectious Disease/Department of Medicine, Perelman School of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania, USA
| | | | - Vanessa Kerry
- Center for Global Health, Massachusetts General Hospital, Harvard Medical School, Seed Global Health, Boston, Massachusetts, USA
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13
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Yamey G, Summers LH, Jamison DT, Brinton J. How to convene an international health or development commission: ten key steps. Health Policy Plan 2018; 33:429-435. [PMID: 29329429 PMCID: PMC5886197 DOI: 10.1093/heapol/czx179] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 11/22/2017] [Indexed: 11/26/2022] Open
Abstract
The Commission on Investing in Health (CIH), an international group of 25 economists and global health experts, published its Global Health 2035 report in The Lancet in December 2013. The report laid out an ambitious investment framework for achieving a “grand convergence” in health—a universal reduction in deaths from infectious diseases and maternal and child health conditions—within a generation. This article captures ten key elements that the CIH found important to its process and successful outcomes. The elements are presented in chronological order, from inception to post-publication activities. The starting point is to identify the gap that a new commission could help to narrow. A critical early step is to choose a chair who can help to set the agenda, motivate the commissioners, frame the commission’s analytic work, and run the commission meetings in an effective way. In selecting commissioners, important considerations are their technical expertise, ensuring diversity of people and viewpoints, and the connections that commissioners have with the intended policy audience. Financial and human resources need to be secured, typically from universities, foundations, and development agencies. It is important to set a clear end date, so that the commission’s work program, the timing of its meetings and its interim deadlines can be established. In-person meetings are usually a more effective mechanism than conference calls for gaining commissioners’ inputs, surfacing important debates, and ‘reality testing’ the commission’s key findings and messages. To have policy impact, the commission report should ideally say something new and unexpected and should have simple messages. Generating new empirical data and including forward-looking recommendations can also help galvanize policy action. Finally, the lifespan of a commission can be extended if it lays the foundation for a research agenda that is then taken up after the commission report is published.
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Affiliation(s)
- Gavin Yamey
- Duke Global Health Institute, Center for Policy Impact in Global Health, 310 Trent Drive, Durham, NC 27708.,Duke Sanford School of Public Policy, 201 Science Dr, Durham, NC 27708
| | - Lawrence H Summers
- Harvard University, Harvard Kennedy School, Mossavar-Rahmani Center for Business and Government, 79 John F. Kennedy St, Cambridge, MA 02138
| | - Dean T Jamison
- Institute for Global Health Sciences, University of California, San Francisco, San Francisco, CA, USA and
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14
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The Global Health Service Partnership's point-of-care ultrasound initiatives in Malawi, Tanzania and Uganda. Am J Emerg Med 2018; 37:777-779. [PMID: 30185389 DOI: 10.1016/j.ajem.2018.08.065] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/18/2018] [Revised: 08/24/2018] [Accepted: 08/25/2018] [Indexed: 11/22/2022] Open
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15
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Arora G, Esmaili E, Pitt MB, Green A, Umphrey L, Butteris SM, St Clair NE, Batra M, O'Callahan C. Pediatricians and Global Health: Opportunities and Considerations for Meaningful Engagement. Pediatrics 2018; 142:peds.2017-2964. [PMID: 30054345 DOI: 10.1542/peds.2017-2964] [Citation(s) in RCA: 13] [Impact Index Per Article: 2.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Accepted: 04/27/2018] [Indexed: 11/24/2022] Open
Abstract
Pediatric practitioners whose expertise is primarily focused on the care of children within health settings in the United States are increasingly engaged in global child health (GCH). The wide spectrum of this involvement may include incorporating short-term or longer-term GCH commitments in clinical care, teaching and training, mentoring, collaborative research, health policy, and advocacy into a pediatric career. We provide an overview of routes of engagement, identify resources, and describe important considerations for and challenges to better equipping US pediatric practitioners to participate in meaningful GCH experiences. This article is part of a series on GCH describing critical issues relevant to caring for children from an international perspective.
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Affiliation(s)
- Gitanjli Arora
- Department of Pediatrics, Children's Hospital Los Angeles, University of Southern California, Los Angeles, California;
| | - Emily Esmaili
- Department of Pediatrics, Lincoln Community Health Center, Durham, North Carolina.,Center for Health Policy and Inequalities Research and Hubert-Yeargan Center for Global Health, Duke University, Durham, North Carolina
| | - Michael B Pitt
- Department of Pediatrics, University of Minnesota and University of Minnesota Masonic Children's Hospital, Minneapolis, Minnesota
| | - Andrea Green
- Departments of Pediatrics and Pediatric Primary Care, University of Vermont Children's Hospital, Burlington, Vermont
| | - Lisa Umphrey
- Doctors Without Borders/Médecins Sans Frontiéres, Sydney, Australia
| | - Sabrina M Butteris
- Department of Pediatrics, School of Medicine and Public Health, University of Wisconsin-Madison, Madison, Wisconsin
| | - Nicole E St Clair
- Department of Pediatrics, School of Medicine and Public Health, University of Wisconsin-Madison, Madison, Wisconsin
| | - Maneesh Batra
- Department of Pediatrics, University of Washington, Seattle, Washington; and
| | - Cliff O'Callahan
- Department of Pediatrics, Middlesex Hospital and University of Connecticut, Middletown, Connecticut
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Irabor OC, Kerry VB, Matton J, Ngwa W. Leveraging the Global Health Service Partnership Model for Workforce Development in Global Radiation Oncology. J Glob Oncol 2017:1-8. [PMID: 29244633 PMCID: PMC6180745 DOI: 10.1200/jgo.2017.010066] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022] Open
Abstract
A major contributor to the disparity in cancer outcome across the globe is the
limited health care access in low- and middle-income countries that results from
the shortfall in human resources for health (HRH), fomented by the limited
training and leadership capacity of low-resource countries. In 2012, Seed Global
Health teamed up with the Peace Corps to create the Global Health Service
Partnership, an initiative that has introduced a novel model for tackling the
HRH crises in developing regions of the world. The Global Health Service
Partnership has made global health impacts in leveraging partnerships for HRH
development, faculty activities and output, scholarship engagement, adding value
to the learning environment, health workforce empowerment, and infrastructure
development.
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Affiliation(s)
- Omoruyi Credit Irabor
- Omoruyi Credit Irabor, Dana Farber Cancer Institute; Wilfred Ngwa, Dana Farber Cancer Institute and Brigham and Women's Hospital; Omoruyi Credit Irabor, Vanessa Bradford Kerry, and Wilfred Ngwa, Harvard Medical School; Vanessa Bradford Kerry, Massachusetts General Hospital, Boston; and Juliet Matton and Wilfred Ngwa, University of Massachusetts, Lowell. MA
| | - Vanessa Bradford Kerry
- Omoruyi Credit Irabor, Dana Farber Cancer Institute; Wilfred Ngwa, Dana Farber Cancer Institute and Brigham and Women's Hospital; Omoruyi Credit Irabor, Vanessa Bradford Kerry, and Wilfred Ngwa, Harvard Medical School; Vanessa Bradford Kerry, Massachusetts General Hospital, Boston; and Juliet Matton and Wilfred Ngwa, University of Massachusetts, Lowell. MA
| | - Juliet Matton
- Omoruyi Credit Irabor, Dana Farber Cancer Institute; Wilfred Ngwa, Dana Farber Cancer Institute and Brigham and Women's Hospital; Omoruyi Credit Irabor, Vanessa Bradford Kerry, and Wilfred Ngwa, Harvard Medical School; Vanessa Bradford Kerry, Massachusetts General Hospital, Boston; and Juliet Matton and Wilfred Ngwa, University of Massachusetts, Lowell. MA
| | - Wilfred Ngwa
- Omoruyi Credit Irabor, Dana Farber Cancer Institute; Wilfred Ngwa, Dana Farber Cancer Institute and Brigham and Women's Hospital; Omoruyi Credit Irabor, Vanessa Bradford Kerry, and Wilfred Ngwa, Harvard Medical School; Vanessa Bradford Kerry, Massachusetts General Hospital, Boston; and Juliet Matton and Wilfred Ngwa, University of Massachusetts, Lowell. MA
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