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预防和缓解尼日利亚医疗保健专业人员之间的跨专业冲突。

Preventing and Mitigating Inter-Professional Conflict Among Healthcare Professionals in Nigeria.

作者信息

Adigwe Obi Peter, Mohammed Elijah N A, Onavbavba Godspower

机构信息

Office of the Director General, National Institute for Pharmaceutical Research and Development, Abuja, Federal Capital Territory, Nigeria.

Office of the Registrar, Pharmacists Council of Nigeria, Abuja, Federal Capital Territory, Nigeria.

出版信息

J Healthc Leadersh. 2023 Jan 6;15:1-9. doi: 10.2147/JHL.S392882. eCollection 2023.

DOI:10.2147/JHL.S392882
PMID:36636738
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9831122/
Abstract

INTRODUCTION

The primary obligation of healthcare professionals is the well-being of patients. Inter-professional conflict can prevent the achievement of this goal, thereby potentially putting patients in peril. This study aimed at articulating contextual strategies to mitigate and prevent inter-professional conflict among healthcare workers in Nigeria.

METHODS

A cross sectional study was undertaken in various health facilities in Nigeria. Questionnaires were administered to healthcare professionals. Completed questionnaires were analysed using Statistical Package for Social Sciences. Descriptive and inferential statistical analyses were undertaken.

RESULTS

A total of 2207 valid responses were included for analysis. Findings revealed that almost all the respondents (92.9%) indicated that the Ministry of Health has a key role in resolving conflict in the healthcare sector. Close to three quarters (70.4%) of the study participants disagreed that leadership of hospitals and health agencies be limited to a particular profession. Almost all the participants (90.15%) indicated that cognate administrative expertise and experience are critical for leadership. A strong majority of the sample (93.5%) opined that reforms are required in the leadership selection process of hospital and other healthcare agencies.

CONCLUSION

Due to the criticality of this issue to patients' access to healthcare, findings from this study can underpin a proactive evidence based strategy that can comprehensively address inter-professional conflict among healthcare workers in Nigeria.

摘要

引言

医疗保健专业人员的首要职责是患者的福祉。跨专业冲突可能会阻碍这一目标的实现,从而可能使患者处于危险之中。本研究旨在阐明减轻和预防尼日利亚医护人员之间跨专业冲突的背景策略。

方法

在尼日利亚的各种医疗机构中进行了一项横断面研究。向医疗保健专业人员发放了问卷。使用社会科学统计软件包对完成的问卷进行分析。进行了描述性和推断性统计分析。

结果

共纳入2207份有效回复进行分析。结果显示,几乎所有受访者(92.9%)表示卫生部在解决医疗保健部门的冲突中起着关键作用。近四分之三(70.4%)的研究参与者不同意医院和卫生机构的领导仅限于某一特定专业。几乎所有参与者(90.15%)表示相关的行政专业知识和经验对领导至关重要。绝大多数样本(93.5%)认为医院和其他医疗保健机构的领导选拔过程需要改革。

结论

由于这个问题对患者获得医疗保健至关重要,本研究的结果可以为一项积极的循证策略提供支持,该策略可以全面解决尼日利亚医护人员之间的跨专业冲突。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/099d/9831122/b1907eb6d2d7/JHL-15-1-g0004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/099d/9831122/a3cd91accb72/JHL-15-1-g0001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/099d/9831122/e7ea9bd54a0a/JHL-15-1-g0002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/099d/9831122/ab8c08acfff3/JHL-15-1-g0003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/099d/9831122/b1907eb6d2d7/JHL-15-1-g0004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/099d/9831122/a3cd91accb72/JHL-15-1-g0001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/099d/9831122/e7ea9bd54a0a/JHL-15-1-g0002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/099d/9831122/ab8c08acfff3/JHL-15-1-g0003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/099d/9831122/b1907eb6d2d7/JHL-15-1-g0004.jpg

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本文引用的文献

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Confronting power in low places: historical analysis of medical dominance and role-boundary negotiation between health professions in Nigeria.直面底层权力:尼日利亚医疗主导地位与卫生职业间界限协商的历史分析。
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Healthcare workers' industrial action in Nigeria: a cross-sectional survey of Nigerian physicians.
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Am Psychol. 2018 May-Jun;73(4):433-450. doi: 10.1037/amp0000298.
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Interprofessional Rivalry in Nigeria's Health Sector: A Comparison of Doctors and Other Health Workers' Views at a Secondary Care Center.尼日利亚卫生部门的跨专业竞争:二级医疗中心医生与其他医护人员观点比较
Int Q Community Health Educ. 2017 Oct;38(1):9-16. doi: 10.1177/0272684X17748892. Epub 2017 Dec 21.
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