BACKGROUND Yobe State has faced severe disruption of its health service as a result of the Boko Haram insurgency. A systems dynamics analysis was conducted to identify key pathways of threat to provision and emerging pathways of response and adaptation. METHODS Structured interviews were conducted with 39 stakeholders from three local government areas selected to represent the diversity of co...

BACKGROUND Malawi continues to experience critical shortages of key health technical cadres that can adequately respond to Malawi's disease burden. Difficult working conditions contribute to low morale and frustration among health care workers. We aimed to understand how obstetric care staff perceive their working relationships with managers. METHODS A qualitative exploratory study was conduc...

background: social capital causes promoting community members’ participation level as set of norms among community systems. we aimed to determination between perceived social capital with relevant factors among health workers in medical and health network of rey city.   methods: this study was a cross sectional one which assessed determination between social capital and relevant factors among h...

martin powell suggests that the death of the english national health service (nhs) has been announced so many times we are at risk of not noticing should it actually happen. he is right. if we ‘cry wolf’ too many times, we risk losing sight of what is important about the nhs and why.

BACKGROUND The aim of this study was to develop and evaluate a brief quantitative five-language measure of involvement and satisfaction in clinical decision-making (CDIS) - with versions for patients (CDIS-P) and staff (CDIS-S) - for use in mental health services. METHODS An English CDIS was developed by reviewing existing measures, focus groups, semistructured interviews and piloting. Transl...

introduction: a career development consists of jobs that a person passes in order to reach a professional goal. career development management results in job satisfaction, professional commitment and higher effectiveness. the purpose of this study was to determine different dimensions of career development among the staff of shiraz university of medical sciences.   methods: this study was a cros...

Low-income countries are plagued by a high burden of preventable and curable disease as well as unmet need for healthcare, but detailed microeconomic evidence on the relationship between supply-side factors and service use is limited. Causality has rarely been assessed due to the challenges posed by the endogeneity of health service supply.In this study, using data from Mozambique, we investiga...

BACKGROUND NICE recommends computerised cognitive behavioural therapy (cCBT) for the treatment of several mental health problems such as anxiety and depression. cCBT may be one way that services can reduce waiting lists and improve capacity and efficiency. However, there is some doubt about the extent to which the National Health Service (NHS) in the UK is embracing this new health technology i...

background and objectives: not reporting medication errors by the clinical staff prevent identification of type and frequency of these errors, and thereby developing effective strategies to alleviate the problem. most investigation of barriers to medication error reporting comes from public hospitals. this study aimed to explore the issue from a nurse’s perspective in private hospital. methods:...

background: motivational interviewing (m.i.) is an option for modifying an individual’s behavior. it is used as an educational method in recent years. the aim of our study was to indicate whether or not education, using lecture alone and lecture with m.i., would affect the performance of nursing personnel regarding their hand hygiene. if so, which of these two methods were most effective for th...