Resource generation challenges for burn care in Iran.


Journal

The International journal of health planning and management
ISSN: 1099-1751
Titre abrégé: Int J Health Plann Manage
Pays: England
ID NLM: 8605825

Informations de publication

Date de publication:
Sep 2021
Historique:
revised: 06 04 2021
received: 02 04 2020
accepted: 09 05 2021
pubmed: 21 5 2021
medline: 30 9 2021
entrez: 20 5 2021
Statut: ppublish

Résumé

Given the importance of investment in human and physical resources and knowledge in burn injuries for improving health service performance, this study endeavoured to identify resource production challenges in the burn care of Iran. In this descriptive qualitative study, semi-structured interviews were conducted with 21 key informants. The purposive sampling method was applied to select interviewees, and data collection through interviews was continued to achieve data saturation. Using the framework of Adams et al. for health resource production, the directed content analysis approach was undertaken to analyse the qualitative data. Three main themes and seven sub-themes were identified, and the main themes (sub-themes) were human (the lack of motivation, job stressors and the lack of clinical staff), physical (capital resources and consumables) and intellectual (burn care education and staff training) resources. In general, investment in different areas would help provide better burn services, including educating and empowering employees, motivating through identifying and defining their needs, and considering points for job stressors as work hardship, burnout and workplace harassment. Other areas of investment are increasing the recruitment of burn section personnel, providing burn specialized equipment and updating them, providing standard physical space, and supplying consumables such as medicines and dressings.

Sections du résumé

BACKGROUND BACKGROUND
Given the importance of investment in human and physical resources and knowledge in burn injuries for improving health service performance, this study endeavoured to identify resource production challenges in the burn care of Iran.
METHODS METHODS
In this descriptive qualitative study, semi-structured interviews were conducted with 21 key informants. The purposive sampling method was applied to select interviewees, and data collection through interviews was continued to achieve data saturation. Using the framework of Adams et al. for health resource production, the directed content analysis approach was undertaken to analyse the qualitative data.
RESULTS RESULTS
Three main themes and seven sub-themes were identified, and the main themes (sub-themes) were human (the lack of motivation, job stressors and the lack of clinical staff), physical (capital resources and consumables) and intellectual (burn care education and staff training) resources.
CONCLUSION CONCLUSIONS
In general, investment in different areas would help provide better burn services, including educating and empowering employees, motivating through identifying and defining their needs, and considering points for job stressors as work hardship, burnout and workplace harassment. Other areas of investment are increasing the recruitment of burn section personnel, providing burn specialized equipment and updating them, providing standard physical space, and supplying consumables such as medicines and dressings.

Identifiants

pubmed: 34013550
doi: 10.1002/hpm.3241
doi:

Types de publication

Journal Article

Langues

eng

Pagination

1600-1612

Subventions

Organisme : Isfahan University of Medical Sciences
ID : No. 295292

Informations de copyright

© 2021 John Wiley & Sons Ltd.

Références

World Health Organization. World Health Report 2000. Health Systems: Improving Performance. 2000.
Mercer H, Poz MD, Adams O, et al. Human Resources for Health: Developing Policy Options for Change [Discussion paper]. World Health Organization; 2002.
World Health Organization. Strengthened Health Systems Save More Lives. An Insight into WHO’s European Health Systems’ Strategy. 2005.
Adams O, Dal Poz M, Shengelia D, et al. Human, physical and intellectual resource generation: proposals for monitoring. In: Christopher JLM, David BE, eds. Health Systems Performance Assessment: Debates, Methods and Empiricism. Geneva: World Health Organization; 2003:273-287.
World Health Organization. A WHO Plan for Burn Prevention and Care. Geneva: World Health Organization; 2008.
Mock C, Peck M, Juillard C, Meddings D, Gielen A, McKenzie L. Burn Prevention: Success Stories and Lessons Learned. Geneva: World Health Organization; 2011.
Global Burden of Disease, 2004 Update. Geneva: World Health Organization; 2008.
Taylor S, Curri T, Lawless M, Sen S, Greenhalgh DG, Palmieri TL. Predicting resource utilization in burn treatment. J Burn Care Res. 2014;35(Suppl 2(0 2)):S235-S246.
Outwater AH, Ismail H, Mgalilwa L, Justin Temu M, Mbembati NA. Burns in Tanzania: morbidity and mortality, causes and risk factors: a review. Int J Burns Trauma. 2013;3(1):18-29.
Potokar T, Bendell R, Chamania S, Falder S, Nnabuko R, Price PE. A comprehensive, integrated approach to quality improvement and capacity building in burn care and prevention in low and middle-income countries: an overview. Burns. 2020;46(8):1756-1767.
Meara JG, Leather AJM, Hagander L, et al. Global Surgery 2030: evidence and solutions for achieving health, welfare, and economic development. Int J Obstet Anesth. 2016;25:75-78. https://doi.org/10.1016/j.ijoa.2015.09.006
Gupta S, Wong EG, Mahmood U, Charles AG, Nwomeh BC, Kushner AL. Burn management capacity in low and middle-income countries: a systematic review of 458 hospitals across 14 countries. Int J Surg. 2014;12(10):1070-1073. https://doi.org/10.1016/j.ijsu.2014.08.353
Peden M. World Report on Child Injury Prevention. Geneva: World Health Organization; 2008.
Zia N, Latif A, Mashreky S, et al. 471 understanding burn care challenges in resource constraint settings: a qualitative study from South Asia. J Burn Care Res. 2018;39(Suppl_1):S208-S209.
Jagnoor J, Lukaszyk C, Christou A, Potokar T, Chamania S, Ivers R. Where to from here? A quality improvement project investigating burns treatment and rehabilitation practices in India. BMC Res Notes. 2018;11(1):224.
Jagnoor J, Bekker S, Chamania S, Potokar T, Ivers R. Identifying priority policy issues and health system research questions associated with recovery outcomes for burns survivors in India: a qualitative inquiry. BMJ Open. 2018;8(3):e020045. Published 2018 Mar 8. https://doi.org/10.1136/bmjopen-2017-020045
Colorafi KJ, Evans B. Qualitative descriptive methods in health science research. HERD. 2016;9(4):16-25. https://doi.org/10.1177/1937586715614171
Kallio H, Pietilä A-M, Johnson M, Kangasniemi M. Systematic methodological review: developing a framework for a qualitative semi-structured interview guide. J Adv Nurs. 2016;72(12):2954-2965. https://doi.org/10.1111/jan.13031
Hsieh H-F, Shannon SE. Three approaches to qualitative content analysis. Qual Health Res. 2005;15(9):1277-1288. https://doi.org/10.1177/1049732305276687
Lincoln YS, Guba EG. Naturalistic Inquiry. Beverly Hills, CA: SAGE Publications, Inc; 1985.
Baxter J, Eyles J. Evaluating qualitative research in social geography: establishing ‘rigour’ in interview analysis. Trans Inst Br Geog. 1997;22(4):505-525.
Vlaev I, King D, Darzi A, Dolan P. Changing health behaviors using financial incentives: a review from behavioral economics. BMC Publ Health. 2019;19(1):1059.
Heider A-K, Mang H. Effects of monetary incentives in physician groups: a systematic review of reviews. Appl Health Econ Health Policy. 2020;18(5):655-667. https://doi.org/10.1007/s40258-020-00572-x
Cox C, Krout K, Navabi P, Markiewitz N, McColl M, Caffrey J. 9 prevalence of burnout syndrome in burn center clinical staff. J Burn Care Res. 2018;39(Suppl_1):S9.
Maslach C. Different Perspectives on Job Burnout. American Psychological Association; 2004.
Markiewitz N, Cox C, Krout K, McColl M, Caffrey JA. Examining the rates of anxiety, depression, and burnout among providers at a regional burn center. J Burn Care Res. 2019;40(1):39-43. https://doi.org/10.1093/jbcr/iry042
Shanafelt TD, Balch CM, Bechamps GJ, et al. Burnout and career satisfaction among American surgeons. Ann Surg. 2009;250(3):463-471. https://doi.org/10.1097/SLA.0b013e3181ac4dfd
Becker JL, Milad MP, Klock SC. Burnout, depression, and career satisfaction: cross-sectional study of obstetrics and gynecology residents. Am J Obstet Gynecol. 2006;195(5):1444-1449. https://doi.org/10.1016/j.ajog.2006.06.075
Steenkamp WC, van der Merwe AE. The psychosocial functioning of nurses in a burn unit. Burns. 1998;24(3):253-258. https://doi.org/10.1016/s0305-4179(98)00010-2
Hultman CS, Neumeister MW. Wellness and burnout in burn care providers. Clin Plastic Surg. 2017;44(4):943-948. https://doi.org/10.1016/j.cps.2017.06.003
Bayuo J, Agbenorku P. Coping strategies among nurses in the Burn Intensive Care Unit: a qualitative study. Burns Open. 2018;2(1):47-52.
Shivanpour M, Firouzkouhi M, Abdollahi Mohammad A, Naderifar M, Mohammadi M. Nurses experiences in the burn unit: a qualitative research. Iran J Nurs Midwifery Res. 2020;25(3):232-236. https://doi.org/10.4103/ijnmr.IJNMR_162_19
HolmesIV,JH. Critical issues in burn care. J Burn Care Res. 2008;29(Suppl_2_pt_6):S180S187.
Vrouwe SQ, Jeschke MG, Fish JS. Are we headed for a shortage of burn care providers in Canada? Burns. 2018;44(4):1000-1004. https://doi.org/10.1016/j.burns.2017.11.009
Carrougher G, Gordon M, Marvin J. Nursing forum. J Burn Care Rehab. 2004;25(2):215.
Marwa NP, Tarimo EAM. Provision of care to hospitalized pediatric burn patients: a qualitative study among nurses at Muhimbili National Hospital, Dar es Salaam, Tanzania. BMC Nurs. 2019;18:8. Published 2019 Mar 12. https://doi.org/10.1186/s12912-019-0335-1
Yu T-C, Zhang X, Smiell J, et al. Healthcare resource utilization, treatment patterns, and cost of care among patients with thermal burns and inpatient autografting in two large privately insured populations in the United States. Burns. 2020;46(4):825-835. https://doi.org/10.1016/j.burns.2019.10.019
Kumar V. Skin bank - the need of hour for burn treatment. Indian J Burns. 2018;26:1-2.
Zhanzeng F, Yurong Z, Chuangang Y, et al. Basic investigation into the present burn care system in China: burn units, doctors, nurses, beds and special treatment equipment. Burns. 2015;41(2):279-288. https://doi.org/10.1016/j.burns.2014.06.003
Lam NN, Huong HTX, Tuan CA. Preparation for major burns incidents: evaluation of continuing medical education training courses for professionals. Ann Burns Fire Disasters. 2018;31(4):322-328.
Potokar T, Ali S, Bouali R, Walusimbi M, Chamania S. Training of medical and paramedical personnel in burn care and prevention. Indian J Plast Surg. 2010;43(Suppl):121-S125. https://doi.org/10.4103/0970-0358.70734

Auteurs

Nasrin Shaarbafchizadeh (N)

Social Determinants of Health Research Center, Isfahan University of Medical Sciences, Isfahan, Iran.

Mostafa Amini-Rarani (M)

Social Determinants of Health Research Center, Isfahan University of Medical Sciences, Isfahan, Iran.

Farzaneh Mohammadi (F)

Health Management and Economics Research Center, Isfahan University of Medical Sciences, Isfahan, Iran.

Articles similaires

[Redispensing of expensive oral anticancer medicines: a practical application].

Lisanne N van Merendonk, Kübra Akgöl, Bastiaan Nuijen
1.00
Humans Antineoplastic Agents Administration, Oral Drug Costs Counterfeit Drugs

Smoking Cessation and Incident Cardiovascular Disease.

Jun Hwan Cho, Seung Yong Shin, Hoseob Kim et al.
1.00
Humans Male Smoking Cessation Cardiovascular Diseases Female
Humans United States Aged Cross-Sectional Studies Medicare Part C
1.00
Humans Yoga Low Back Pain Female Male

Classifications MeSH