• Title, Summary, Keyword: Barriers with Staff

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A Study on Correlation Analysis between Library Anxiety and Personality Traits (도서관 불안과 성격 유형의 상관관계 분석 연구)

  • Oh, Eui-Kyung
    • Journal of the Korean Society for Library and Information Science
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    • v.46 no.2
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    • pp.199-217
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    • 2012
  • This study analyzes the correlation between the library anxiety and personality traits. The library anxiety (LAS) and personality traits (the Korean BFI) were measured against 49 freshmen in the university. The library anxiety was average 2.57, 'mechanical barriers' score was the highest(2.91), subsequently was 'affective barriers' 2.72, 'barriers with staff' 2.49, 'knowledge of library' 2.42, and 'comfort with the library' score was the lowest(2.38). The personality traits had the tendency that 'agreeableness'f actor(3.65) is higher than other 4 factors, 'neuroticism'(3.48), 'extraversion'(3.27), 'openness'(2.85), and 'conscientiousness' (3.26). It found that 'comfort with the library' and 'neuroticism' were correlated statistically and the personality traits have an effect on library anxiety. Based on the findings, the following recommendations are made: improving the measurement tool of information anxiety, using other personality traits variables in similar researches, and developing personalized library anxiety resolution programs.

Barriers to Participation in a Randomized Controlled Trial of Qigong Exercises Amongst Cancer Survivors: Lessons Learnt

  • Loh, Siew Yim;Lee, Shing Yee;Quek, Kia Fatt;Murray, Liam
    • Asian Pacific Journal of Cancer Prevention
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    • v.13 no.12
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    • pp.6337-6342
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    • 2012
  • Background: Clinical trials on cancer subjects have one of the highest dropout rates. Barriers to recruitment range from patient-related, through institutional-related to staff-related factors. This paper highlights the low response rate and the recruitment barriers faced in our Qigong exercises trial. Materials and Method: The Qigong trial is a three-arm trial with a priori power size of 114 patients for 80% power. The University Malaya Medical Centre database showed a total of 1,933 patients from 2006-2010 and 751 patients met our inclusion criteria. These patients were approached via telephone interview. 131 out of 197 patients attended the trial and the final response rate was 48% (n=95/197). Results: Multiple barriers were identified, and were regrouped as patient-related, clinician-related and/or institutional related. A major consistent barrier was logistic difficulty related to transportation and car parking at the Medical Centre. Conclusions: All clinical trials must pay considerable attention to the recruitment process and it should even be piloted to identify potential barriers and facilitators to reduce attrition rate in trials.

Barriers of community networking practices in the context of family-centered case-management (가족사례관리 중심 지역사회협의체 운영의 장애요인 및 발전 방안)

  • Auh, Seongyeon;Koh, Sun-Kang
    • Korean Family Resource Management Association
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    • v.21 no.1
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    • pp.65-88
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    • 2017
  • The main purposes of this study are to appraise the family-centered case-management (FCCM) practices in terms of building the community networking efforts, and to propose the practical improvement suggestions to overcome the barriers in practicing the current Healthy Families Policy, FCCM. The blended methodology was employed by collecting the quantitative and qualitative data sets including an staff's on-line survey, in-depth interviews(site case studies), and FGIs. As results, the authors found, despite the building and maintaining functional community networks was the essential and critical condition for the FCCM policy deliveries, many staffs have faced hardships in FCCM practices such as building a new network or finding an available and apt network within their communities. The lack of previous experiences in case-management exaggerated the functional difficulties thus, the new staffs were more prone than the staffs with 2 or more years experiences to the misunderstanding about the missions and tasks related to FCCM. Authors suggested that various on-the-job-training should be provided to eliminate those obstacles to build and/or maintain the community network for FCCM. Also, it is necessary for the each institution's director or managers to understand the FCCM and its relation to community networking, and to support FCCM staff members.

Cultural Barriers Influencing Midwives' Sexual Conversation with Menopausal Women

  • Khadivzadeh, Talat;Ghazanfarpour, Masumeh;Roudsari, Robab Latifnejad
    • Journal of Menopausal Medicine
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    • v.24 no.3
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    • pp.210-216
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    • 2018
  • Objectives: The present study aimed to determine the barriers influencing the sexual conversation. Methods: In this descriptive cross-sectional study, 200 midwives were selected through convenience sampling method from private and public clinics in Mashhad, North East of Iran. A self-structured questionnaire was used to collect the study data. Results: The mean age of subjects was $39.58{\pm}8.12years$ with $13.49{\pm}7.59years$ of work experience. A number of cultural conditions act as an inhibitory force for the midwives to address sexual issues with menopausal women. Menopausal women visit a doctor at the acute stage when emotional and physical problems make sexual discussion difficult for the midwives (86.5%). Other related causes for not having proper sexual conversation were insufficient knowledge (51.4%), inadequate education provided via public media through health providers (83.5%), midwives or their patient's shame (51.5%), and attempt to get help from traditional healers, friends, relatives and supplicants instead of midwifery staff (78.5%). Also, we found that sexual workshops, communication workshops, and work experiences had a significant influence in changing the views of midwives. Conclusions: Cultural barriers prevent the patients and providers from communicating effectively with each other, thus highlighting the need for sexual and communication workshops for the health care providers.

Stages of change to increase fruit and vegetable intake and its relationships with fruit and vegetable intake and related psychosocial factors

  • Yen, Wong Chee;Shariff, Zalilah Mohd;Kandiah, Mirnalini;Mohd Kandiah, Mohd Nasir
    • Nutrition Research and Practice
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    • v.8 no.3
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    • pp.297-303
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    • 2014
  • BACKGROUND/OBJECTIVES: Understanding individual's intention, action and maintenance to increase fruit and vegetable intake is an initial step in designing nutrition or health promotion programs. This study aimed to determine stages of change to increase fruit and vegetable intake and its relationships with fruit and vegetable intake, self-efficacy, perceived benefits and perceived barriers. SUBJECTS/METHODS: This cross-sectional study was conducted among 348 public university staff in Universiti Putra Malaysia. A pre-tested self-administered questionnaire and two days 24-hour diet recall were used. RESULTS: Half of the respondents (50%) were in preparation stage, followed by 43% in action/maintenance, 7% in pre-contemplation/contemplation stages. Respondents in action/maintenance stages had significantly higher self-efficacy (F = 9.17, P < 0.001) and perceived benefits (F =5.07, P < 0.01) while respondents in pre-contemplation/contemplation and preparation stages had significantly higher perceived barriers (F = 4.83, P < 0.05). Perceived benefits tend to outweigh perceived barriers pre-ceding to taking action. Self-efficacy is important in motivating individuals to increase fruit and vegetable intake as self-efficacy and perceived barriers crossed over between preparation and action/maintenance. Respondents in action/maintenance stages had the highest adjusted mean serving of fruit and vegetable intake (F = 4.52, P < 0.05) but the intake did not meet recommendation. CONCLUSION: Intervention strategies should emphasize on increasing perceived benefits and building self-efficacy by providing knowledge and skills to consume a diet high in fruits and vegetables in order to promote healthy changes in having high fruit and vegetable intake.

A Stakeholder Analysis for Understanding Barriers to Resource Sharing (대학도서관의 자원공유의 장벽에 대한 이해관계자 분석)

  • Shim, Won-Sik
    • Journal of the Korean BIBLIA Society for library and Information Science
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    • v.21 no.2
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    • pp.129-143
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    • 2010
  • There is a recognition that traditional resource sharing methods such as interlibrary lending and document delivery are now inadequate to meet user needs in the increasingly networked environment. The current study identifies barriers to resource sharing and provides analysis of stakeholders engaged in resource sharing. Focused interviews with six professional librarians were also carried out to seek out deeper understanding of perceptions of barriers among librarians. Results show that the size of the library was not necessarily result in active resource sharing. There was a wide gap among librarians in terms of their attitudinal and organizational orientations towards resource sharing. Barriers specifically identified in the study include the narrowly defined notion among librarians of what constitutes research and the untested fear of swamping where there is an imbalance of collections. Overall, while resource sharing is recognized as an integral part of library services, it seriously lacks funding and staff. The study recommends earnest efforts to build librarians' community to invigorate resource sharing among libraries.

Evaluation of Managerial Needs for Palliative Care Centers: Perspectives of Medical Directors

  • Kafadar, Didem;Ince, Nurhan;Akcakaya, Adem;Gumus, Mahmut
    • Asian Pacific Journal of Cancer Prevention
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    • v.16 no.11
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    • pp.4653-4658
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    • 2015
  • Background: Palliative therapies have an important role in increasing the quality of healthcare and in dealing with physical and psychosocial problems due to cancer. We here aimed to evaluate the managerial perspectives and opinions of the hospital managers and clinical directors about specialized palliative care centers. Materials and Methods: This study was conducted in two large-scale hospitals in which oncology care is given with medical directors (n:70). A questionnaire developed by the researchers asking about demographic characteristics and professional experience, opinions and suggestions of medical directors about providing and integrating palliative care into healthcare was used and responses were analyzed. Results: Potential barriers in providing palliative care (PC) and integrating PC into health systems were perceived as institutional by most of the doctors (97%) and nurses (96%). Social barriers were reported by 54% of doctors and 82% of nurses. Barriers due to interest and knowledge of health professionals about PC were reported by 76% of doctors and 75% of nurses. Among encouragement ideas to provide PC were dealing with staff educational needs (72%), improved working conditions (77%) and establishing a special PC unit (49)%. An independent PC unit was suggested by 27.7% of participants and there was no difference between the hospitals. To overcome the barriers for integration of PC into health systems, providing education for health professionals and patient relatives, raising awareness in society, financial arrangements and providing infrastructure were suggested. The necessity for planning and programming were emphasized. Conclusions: In our study, the opinions and perspectives of hospital managers and clinical directors were similar to current approaches. Managerial needs for treating cancer in efficient cancer centers, increasing the capacity of health professionals to provide care in every stage of cancer, effective education planning and patient care management were emphasized.

Factors affecting hand hygiene behavior among health care workers of intensive care units in teaching hospitals in Korea: importance of cultural and situational barriers

  • Jeong, Heon-jae;Jo, Heui-sug;Lee, Hye-jean;Kim, Min-ji;Yoon, Hye-yeon
    • Quality Improvement in Health Care
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    • v.21 no.1
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    • pp.36-49
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    • 2015
  • In Intensive Care Units (ICUs), where severely ill patients are treated, importance of reducing Hospital Acquired Infection (HAI) cannot be overstated. One of the simplest and most effective actions against HAI is proper hand hygiene (HH) behavior of Health Care Workers (HCWs). However, compliance varies across different cultures and different job types of HCWs (physicians, residents and nurses). This study aims to understand determinants of HH behavior by HCWs' job types in Korea. Qualitative analysis was performed based on Reasoned Action Approach style interviews with staff physicians, residents and nurses across 7 teaching hospitals. We found that all HCWs strongly believe HH is important in reducing HAI. There were, however, job type-specific HH behavior modifying factors; staff physicians stated feeling pressure to be HH behavior role model. Residents identified Quality Improvement team that measured compliance as a facilitator; a notable barrier for residents was senior physicians not washing their hands, because they were afraid of appearing impudent to their seniors. Nurses designated their chief nurse as a key referent. All participants mentioned heavy workload and lack of access to alcohol-based sanitizer as situational barriers, and sore and dry hand as deterrents to HH compliance.

Barriers to Smoking Cessation Intervention among Clinical Nurses (간호사가 인식하는 환자 금연중재의 장애요인)

  • Shin, Sung-Rae;Oh, Pok-Ja
    • Korean Journal of Adult Nursing
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    • v.17 no.1
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    • pp.139-148
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    • 2005
  • Purpose: The specific aims of this study was to find out the barrier to smoking cessation intervention in clinical practice among clinical nurses and compare them in high barrier group with those in the low barrier group. Method: The sample of this study consisted of 738 nurses practicing in general hospitals with over 400 beds throughout the country. The questionnaire was adopted from the 'Oncology Nurse's Tobacco Control Survey' used in the United Stated by Sarna et al.(2001). Result: Age, marital status, hospital experience, position were the variables related to the mean score of subjective resource insufficiency. The perception that the patient was not motivated to quit smoking was the most commonly identified barrier in low barrier group and the second most common barrier in high barrier group. Conclusion: Younger, with less clinical experience, single, staff nurses were the characteristics of nurses in the high barrier group. The smoking cessation educational program should be targeted to these populations. Further research is needed to develope strategies to reduce the perception associated with barriers in delivery of tobacco cessation interventions.

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Measurement and Analysis of the Library Anxiety among Academic Library Users (대학도서관 이용자의 도서관불안 측정과 분석)

  • Chang, Hye-Rhan;Oh, Eui-Kyung
    • Journal of the Korean Society for information Management
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    • v.23 no.3
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    • pp.205-221
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    • 2006
  • To investigate the present states and analyze the library anxiety among academic library users, A University library users sampled systematically and surveyed. Data collected from 707 students are analyzed and compared with the previous studies. The average LAS score is 2.55 and show differences in sex, grade levels, and major areas of study. Library use instruction reduces anxiety subscale of barriers with staff. Library anxiety is also differed according to the frequency of library visit. Especially, the anxiety subscale of affective barriers is decreased according to the grade level and frequency of library visit. Based on the results, recommendations are suggested to overcome the library anxiety.