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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 19 recordsLinked to original sources
PubMedDate not supplied

The study of client-provider interactions: a review of methodological issues.

In recent years, increased focus on the quality of family planning and other reproductive health services has led to a better understanding of women's reproductive health needs and has drawn attention to program-client interactions as a critical and neglected dimension of program effort. In this article, the relevant methods and experience related to studying client-provider interactions within family planning programs in southern countries are reviewed. The policy relevance of this work is highlighted first by stressing the operational usefulness of examining what happens when people engage with service-delivery systems that offer family planning or reproductive health services. Subsequently, the content areas encompassed by program-client interactions are clarified by identifying manifest and latent dimensions and by distinguishing the variables that define these interactions from variables related to their determinants and consequences. Finally, a critical review of existing methods is presented, with examples of research and a discussion of ethical issues.

Data Collection↗
PubMedDate not supplied

Indicators for measuring the quality of family planning services in Nigeria.

This article presents the Situation Analysis approach as a means of collecting data that can be used to assess the quality of care provided by family planning service-delivery points (SDPs), and describes the quality of services offered in Nigeria. Elements of the quality of services provided at 181 clinical service-delivery points in six states of Nigeria are described. The substantive results from the study suggest that although most of the 181 service points sampled are functional, the quality of care being provided could be improved. Illustrative scores for these indicators and elements of the Bruce-Jain framework are given. By comparison with contraceptive prevalence surveys, the Situation Analysis approach is still in its early stages. Some methodological issues are raised here and future directions for strengthening the validity and applicability of the approach are discussed.

Bias↗
PubMedDate not supplied

Characteristics associated with contraceptive use among adolescent females in school-based family planning programs.

Among 162 young female family planning clients at four school-based health centers, a step-wise regression analysis shows that students' consistency of contraceptive use is associated with only a few specific service and provider characteristics. For example, clients who have more contacts with the family planning program use contraceptives more consistently than those with fewer contacts. On the other hand, young women whose follow-up visits are scheduled to occur within one month of their previous visit are less consistent contraceptive users than other clients. Contraceptive use is not related to whether contraceptives are dispensed on site, whether health education and counseling are provided by a health educator, whether contraceptive services are part of a comprehensive array of services that include medical or counseling services, or whether a family planning visit results in the dispensing of contraceptives or a prescription for contraceptives.

Adolescent↗
PubMed1994

Research on patient compliance in developing countries.

Patient compliance with health care provider advice is a subject of particular importance in developing countries, one that has not been sufficiently studied. This article begins by explaining why this type of research is important and describing the various methodologies used to examine patient compliance in developed nations--notably self-reporting by the patient, collateral reporting by friends or relatives, pill or bottle counting, review of the patient's clinic attendance, review of clinical outcomes, and use of biochemical tracers. The applicability of each of these methods to scenarios commonly found in developing countries is then considered, and the results of the limited compliance research performed in developing countries are described. In general, it is suggested that self-reporting, collateral reporting, and pill or bottle counting can be employed effectively in many Third World situations. The article also notes the importance of standardizing research procedures, provides logistic advice about applying various compliance research methods in Third World conditions, and points up the need to validate the accuracy of the methods used.

Attitude to Health↗
PubMed1994

The impact of nursing care in Latin America and the Caribbean: a focus on outcomes.

A systems model is presented that has the potential to expand understanding of the complex nature of health-related outcomes. The horizontal axis is a systems axis of context, process and outcome and the vertical axis consists of the client, provider and setting. Examples from outcome research in Latin America and the Caribbean are provided. Each section is explored from the perspective of primary health care research and some of the issues of design, measurement and analysis are raised. The systems model is offered as a framework for conceptualizing research on the impact of nursing care on client, provider and setting outcomes.

Caribbean Region↗
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↗
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↗