Objective: To study the relationship of vicarious traumatization with family relations and coping strategiesamong Health care professionals along with to find out the frequency of vicarious traumatization. Study Design: Cross sectional study. Place and Duration of Study: Various hospitals in Rawalpindi and Islamabad, from Jan2018 to Jun 2018. Methodology: A sample of 170 healthcare professionals (doctors=39, psychiatrists=27, psychologists=36, nurses=30 and others=38) (men=67, women=103) were taken from various hospitals in Rawalpindi and Islamabad. Data was collected by using the secondary traumatic stress scale, the index of family relations and the brief COPE scale. Results: Results revealed that all the instruments have good reliability and there was significant positivecorrelation (r=0.71) between various aspects of VT (intrusion, avoidance and arousal) and poor family relations.Further analysis reflected that Emotion focused coping was positively correlated (r=0.22) with poor familyrelations whereas problem focused coping was negatively correlated (r=-0.39) with poor family relations. Conclusion: So it is concluded that vicarious traumatization must be addressed and identified in health settingand coping skills training must be part of healthcare professionals’ education programs.
Objective: To assess the reasons of conflicts in tertiary care hospital Rawalpindi. Study Design: Cross sectional study. Place and Duration of Study: Tertiary care hospital Rawalpindi, from Aug 2008 to Jul 2009. Methodology: Hospital staff comprising of health administrators, clinicians, nurses and paramedics working in tertiary care hospital Rawalpindi were included in the study. Results: These questions were asked to assess the general understanding of the respondents regarding the subject of conflicts to deduct their possible response in conflict situations. As per "Traditional" view conflict was considered as dysfunctional, destructive and irrational. The "Human relations view" describes conflict as natural, suggests tolerating it whereas the latest “inter-actionist view” defines conflict as a means for keeping us viable and creative, and suggests encouraging it. Average 44% of the respondents, mainly administrators and clinicians have fair idea regarding current concept of conflict. Conclusion: Clinical and administrative staffs of hospitals are like parts of a train track. The irrational relationship between them will result in distortion and lower quality of services. Therefore, effective strategies to decrease staffs‟ experience of conflict need to be developed. This might create a healthier and more productive work environment which positively affects the care quality.
Objective: To determine patient’s level of satisfaction and factors leading to dissatisfaction in selected patientsgroup with health care delivery in outpatients department of CMH Rawalpindi. Study Design: Cross sectional study. Place and Duration of Study: Out Patients Department of Combined Military Hospital Rawalpindi, from Sep2013 to Aug 2015. Methodology: Before data collection, written informed consent was taken from all the participants. The studypopulation comprised of armed forces personnel and their families. Patients, including both, males and females, coming to the outpatient department of Combined Military Hospital Rawalpindi were included in the study through consecutive sampling. Results: Results revealed that only 30% were satisfied. 67% patients were satisfied with the facilities in reception and 70% were satisfied with cleanliness in waiting area. A relatively low level of satisfaction with dealing of nursing assistant was recorded while very high percentage of satisfaction with performance of doctor i.e. 91%, examination done by doctor 91% and information provided by doctor 93% was recorded.90% patients reported high level of satisfaction with medicines provided.95.33% patients were satisfied with lab tests being done in hospital. Conclusion: Assessing satisfaction of patients is a simple and cost effective way for assessment of hospitalservices. Most of the patients were contented with services delivered in OPD and showed their trust in doctors,medicines provided and lab facilities offered. Majority were willing to revisit the hospital if required.
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