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Results for “Client-staff Relations”

Search indexed PubMed citations on genomics, clinical trials, systematic reviews and public health. Explore titles, authors and supplied subject terms, then open the PubMed record.

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At least 37 records · Page 2Linked to original sources
PubMed1997

Case management and patient reactions: a study of STD care in a province in Zambia.

Sexually transmitted disease (STD) case management was evaluated through observation and interviews at 2 urban and 4 rural health centres and 2 district hospital STD clinics in one urban and 2 rural districts in Central Province, Zambia. The analysis was limited to 59 patients (42 men and 17 women) who paid first visits for their disease and were managed by a clinical officer. The evaluation suffered from the lack of a standard for case management. Results showed that the patients engaged in risky sexual behaviour without being aware of the risks. At the health institutions, few patients were informed about condoms, the risk of HIV, and abstinence from sex during treatment and few were asked to notify their partners. Clinical officers with special STD training performed better than others but sill informed only one-fifth of the patients. Few clinical officers managed patients according to the syndromic approach recommended by the STD control programme.

Adolescent↗
PubMed1992

The role of the expanded function nurse in fertility preservation.

The women's health care nurse practitioner has a unique opportunity to provide care to women in all stages of the reproductive life span. The care and guidance provided can affect general gynecologic health and the patient's ability to conceive. Crucial decisions about contraception and life-style choices have a far-reaching impact on reproductive potential. Women must be made aware of the issues surrounding these topics so they can make appropriate choices. The nurse practitioner, in the role of primary care provider, can assist women in this decision making process.

Adolescent↗
PubMedDate not supplied

The question of access.

Explore the source record for details and available documents.

Contraception Behavior↗
PubMed1994

Knowledge, practices and attitudes towards HIV positive and AIDS patients among dental auxiliaries.

The purpose of this study was to assess knowledge, practices and attitudes towards HIV positive and AIDS patients amongst 71 dental auxiliaries using on a self administered questionnaire. 65 (91.5%) returned the questionnaire. In general, respondents' knowledge was fair. 87.7% felt that dentistry as practised in Kenya today carries a high risk of transmission of HIV primarily because of improper sterilization of instruments. 72.3% had changed their sex habits since they became aware of the dangers posed by indiscriminate sex. Over 67% used gloves and masks routinely when assisting in the management of AIDS patients. Over 33% did not use protective eye wear and protective covers on operatories routinely because they were not provided by the employer. 27.7% felt that AIDS and HIV positive health workers should stop treating patients. 64.6% advocated that the cost of buying materials and equipment to prevent cross infection be met by the patient and the employer or dentist. 23.1% supported the idea that HIV positive and AIDS patients be isolated from uninfected individuals. In conclusion, a substantial number of dental auxiliaries were wanting in their knowledge, practices and attitudes towards HIV positive/AIDS patients.

Adult↗
PubMed1994

How disease prevention fails without good communication.

Even where resources are plentiful, efforts to achieve full immunization coverage fail if staff and users are misinformed and unmotivated. A highly practical study in Lagos pinpoints some of these failures and suggests ways of overcoming them.

Adult↗
PubMedDate not supplied

Using self-assessment to improve the quality of family planning clinic services.

A follow-up study was conducted to evaluate the effect of a self-assessment technique called COPE (client-oriented, provider-efficient) on the quality of family planning clinic operations in Africa. In 1991 the Association for Voluntary Surgical Contraception revisited 11 clinics where it had introduced COPE from five to 15 months earlier. Changes that had occurred as a result of the COPE intervention were assessed by (1) determining how many of the clinic problems identified by staff at the COPE introduction had been solved; (2) comparing the results of a second client-flow analysis with the initial analysis; and (3) interviewing service providers to obtain their opinions of the effects of COPE. Of the problems identified by staff nearly three-fourths of those that could be solved internally were solved. The study revealed improvements in the quality of care provided as well as increased staff involvement in solving clinic problems.

Africa↗
PubMed1993

Mothers voice their opinion on immunization services.

A survey of the Expanded Programme on Immunization (EPI) in eastern Zimbabwe showed a low valid immunization coverage by one year of age. While health personnel originally thought traditional and religious beliefs were to blame, the survey indicated the problem lay in the poor quality of EPI services. Focus group discussions with mothers confirmed this. Mothers were well informed, highly motivated and had many suggestions on how services could be improved, but were rarely given the opportunity to discuss them with health workers.

Attitude to Health↗
PubMedDate not supplied

The client's view of high-quality care in Santiago, Chile.

The meaning of quality of care for the women who receive reproductive health services at a family planning and maternal and infant care clinic in Santiago, Chile, was examined to describe the clinic's service from the women's point of view. A participatory research project with the staff of the clinic was conducted. The central part of that study, reported here, consisted of interviews with 60 of the 330 women who came to the clinic during two weeks in June 1991. The women defined high quality of care as "being treated like a human being." Among specific elements of care they identified were cleanliness, promptness and availability of service, time made available for consultation, learning opportunities for themselves and their partners, and cordial treatment. Clients' view of quality of care must be supplemented by professional judgments about how well services meet clients' needs. But the client's view is determinant if improvements are to result in greater acceptance and sustained use of the services offered. The issues identified by the clients involve only minor costs for the clinic.

Child Health Services↗
PubMed1991

Observing staff-resident interactions: what staff do, what residents receive.

Observations of direct-care staff behavior were made for 20 consecutive days at various locations in a large state-operated residential facility serving clients with mental retardation. Results indicated that the clients' functioning level, the presence of professional staff, the location of the observation, and the resident-staff ratio significantly affected the activities of direct-care staff as well as the kind of care an individual client received. Recommendations were made for increasing the frequency of desirable client-staff interactions.

Activities of Daily Living↗
PubMed1999

Outreach workers' experiences in a homeless outreach project: issues of boundaries, ethics and staff safety.

Mental health professionals and researchers have emphasized the importance of conducting outreach to locate homeless persons with mental illness, and of creatively engaging these persons into a therapeutic relationship. These outreach and engagement activities raise challenging issues in the areas of client-staff boundaries, professional ethics, and staff safety. While several issues in each of these three key areas have received attention in the growing literature on homelessness, certain issues within each area remain unexplored. The authors draw from the street experiences of outreach staff in a federally funded homeless outreach project to further explore each of these areas, and suggest that experiences of outreach workers are essential in shaping and redefining work activities in these, and other important areas.

Adult↗