An innovative leadership development initiative to support building everyday resilience in health systemsby Jacinta Nzinga, Mwanamvua Boga, Nancy Kagwanja, Dennis Waithaka, Edwine Barasa, Benjamin Tsofa, Lucy Gilson and Sassy Molyneux
Effective management and leadership are essential for everyday health system resilience, but actors charged with these roles are often underprepared and undersupported to perform them. Particular challenges have been observed in interpersonal and relational aspects of health managers’ work, including communication skills, emotional competence and supportive oversight. Within the Resilient and Responsive Health Systems (RESYST) consortium in Kenya, the authors worked with two county health and hospital management teams to adapt a package of leadership development interventions aimed at building these skills. This article provides insights into: (1) the content and co-development of a participatory intervention combining two core elements: a complex health system taught course, and an adapted communications and emotional competence process training; and (2) the findings from a formative evaluation of this intervention which included observations of the training, individual interviews with participating managers and discussions in regular meetings with managers.
Collective strategies to cope with work related stress among nurses in resource constrained settings: An ethnography of neonatal nursing in Kenyaby Jacob McKnighta, Jacinta Nzingab, Joyline Jepkosgeib, Mike English
Nursing is central to the provision of hospital-based care and is particularly so in the treatment of newborns. Continuous, effective provision of a basic set of interventions can have a highly positive impact on neonatal mortality, and most of these key interventions are delivered by nurses. Unfortunately, neonatal wards in low income settings are typified by a high ratio of sick infants to nurses, which makes it difficult to deliver even basic care and limits the level of quality that is achievable. In the context of neonatal nursing in low-income countries, nursing stress is of particular concern because workloads are higher and the demands on individuals are greater. While a great deal of research has been directed towards nursing stress, the study of how stress affects nursing practice at the ward level has not been a priority, particularly in LMIC settings. Instead, the study of nursing over-work, burnout and resilience has largely been focused on individuals and their personal, psychological characteristics. In the course of this study, the authors found that theories of individualised burnout and resilience did not help to explain the practices that seemed most important in reducing nurses' exposure to stress. Their research question asks instead how nurses collectively cope with workload and stress and how this affects nursing practice.
Prevalence and associated factors of depression, anxiety and stress among health staff in the hospital of tropical diseases - Ho Chi Minh city-Vietnamby Phạm Ngọc Thanh, Nguyễn Thị Kim Ngọc, Mary Chambers, Phùng Khánh Lâm, Nguyễn Văn Vĩnh Châu, Nguyễn Thị Lệ Hồng
Giao tiếp ứng xử với nhóm người có tính cách khác nhau | Communicating effectively with patients with diverse characteristicsby Thạc sĩ Nguyễn Thị Kim Ngọc
Văn hóa ứng xử giao tiếp của nhân viên y tế | The cultural and behavioural communication of healthcare workersby Bác sĩ Phạm Ngọc Thanh
Ba giai đoạn ứng phó với đại dịch: Ứng phó với tự cách ly và giãn cách xã hội | Three Stages of Pandemic Response: Coping with Self-Isolation and Social Distancingby Dr Phạm Ngọc Thanh
Quản lý sự căng thẳng: hỗ trợ nhân viên y tế trong mùa dịch Covid-19 | Stress management – supporting healthcareworkers during Covid-19by OUCRU Healthcare Engagement Team
Khảo sát về sức khỏe tâm trí của nhân viên y tế tại Bệnh viện Bệnh Nhiệt Đới, thành phố Hồ Chí Minh năm 2016. | Survey on mental health of Healthcare Workers at the Hospital of Tropical Diseases, HCMCby Bác sĩ Phạm Ngọc Thanh
Kiệt sức của nhân viên y tế: Kiệt sức là gì và những yếu tố nào gây kiệt sức? | Burn out of health care workers: what is burn out, and what are contributing factors?by OUCRU Healthcare Engagement Team
Experiencing everyday ethics in context: frontline data collectors perspectives and practices of bioethicsby Patricia Kingori et al.
Evolving friendships and shifting ethical dilemmas: fieldworkers' experiences in a short term community based study in Kenyaby Dorcas Kamuya, Sally Theobold, Patrick K Munywoki, Dorothy Koech, Wenzel P Geissler, Sassy Molyneux
In this paper, we draw on qualitative observation and interview data collected alongside a six month basic science study which involved a team of FWs regularly visiting 47 participating households in their homes. The qualitative study documented how relationships between field workers and research participants were initiated, developed and evolved over the course of the study, the shifting dilemmas FWs faced and how they handled them.