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Physical assessment ability of nurses and midwives on maternal care in Mongolia

Health 2013年第3期5卷 475-480页

作者： Sakumi Akao Keiko Tanabe Bayarkhuu Dorjsuren michiyo higuchi Department of Nursing Nagoya University Graduate School of Medicine Nagoya Japan Department of Public Health and Health Systems Nagoya University Graduate School of Medicine Nagoya Japan. Mongolian Nurses Association Ulaanbaatar Mongolia

This study examined the physical assessment ability of Mongolian nurses and midwives engaged in maternal care and the factors that could influence this ability. We found that nurses and midwives from prefectural hospitals had higher scores than those from national and district (soum) hospitals. The latter group could not perform more than half of the 28 tested procedures on their own, even though most had over 10 years’ experience. Therefore, to decrease the Mongolian maternal mortality ratio, we argue that in-service training for nurses and midwives in both the capital city and peripheral areas is needed.

关键词： Physical Assessment Mongolian Nurses and Midwives Skilled Birth Attendant Maternal Mortality Ratio

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Medical students’ willingness to work in post-conflict areas: A qualitative study in Sri Lanka

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Health 2012年第10期4卷 824-831页

作者： Azeem Dad Gadi michiyo higuchi Narada Warnasuriya Leo Kawaguchi Atsuko Aoyama Department of Public Health and Health Systems Nagoya University School of Medicine Nagoya Japan Faculty of Medical Sciences University of Sri Jayewardenepura Nugegoda Sri Lanka

Background: The north-east (NE) region of Sri Lanka observed a critical health workers’ shortage after the long-lasting armed conflict. This study aimed to explore medical students’ attitudes towards working in the NE and to identify factors determining such attitudes. Methods: A semi-structured, self-administered questionnaire survey was conducted in two medical schools, one in the NE and the other near the capital, in October 2004. Data were qualitatively analysed using the framework approach. Results: Three main themes were identified: 1) Professional motives and career plans;2) Students’ perceptions of the healthcare situation in the NE;and 3) Students’ choice of the NE as a future practice location. It was found that familiarity with the difficulties faced by the NE people was a major motivation for medical students to work in the NE in the future. For NE students, familiarity was linked to their sense of belonging. For non-NE students, their personal experience of the NE familiarized them with the difficult situation there, which positively influenced their willingness to work there. Demotivations to work in the NE were poor working and living conditions, fewer opportunities for postgraduate education, language differences, insecurity, and fear of an unpleasant social response from the NE communities. Conclusions: NE local medical students had a sense of belonging to the NE and compassion for the Tamil people as members of the ethnic group. They were willing to work in the NE if their concerns about difficult working and living conditions and postgraduate education could be solved. Non-NE students who were familiar with the NE situation through their personal experience also showed a willingness to work there;thus, early exposure programmes in medical education might help to increase the health workforce in the NE. It is also expected that non-NE physicians working for the NE people would facilitate reconciliation and the rebuilding of trust between two ethnic

关键词： Willingness Human Resources for Health Medical Students Qualitative Study Post-Conflict Sri Lanka

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