“…This study was conducted across Jamaica, the third largest Caribbean island, 11,424 km 2 , with a population of approximately 2.8 million [ 20 , 21 ]. Approximately 4000 public and private doctors were identified as currently providing medical care from national registration records (Jamaican Medical Council).…”
BackgroundAntibiotic resistance (ABR) is a serious threat that requires coordinated global intervention to prevent its spread. There is limited data from the English-speaking Caribbean.MethodsAs part of a national programme to address antibiotic resistance in Jamaica, a survey of the knowledge, attitudes and antibiotic prescribing practices of Jamaican physicians was conducted using a 32-item self-administered questionnaire.ResultsOf the eight hundred physicians targeted, 87% responded. The majority thought the problem of resistance very important globally (82%), less nationally (73%) and even less (53%) in personal practices. Hospital physicians were more likely to consider antibiotic resistance important in their practice compared to those in outpatient practice or both (p < 0.001). Composite knowledge scores were generated and considered good if scored > 80%, average if 60–79% and poor if < 60%. Most had good knowledge of factors preventing resistance (83%) and resistance inducing potential of specific antibiotics (59%), but only average knowledge of factors contributing to resistance (57%). Knowledge of preventative factors was highest in females (p = 0.004), those with postgraduate training (p = 0.001) and those > four years post graduation (p = 0.03). Empiric therapy was often directed by international guidelines and cultures were not routinely done. Limited laboratory and human resources were identified as challenges.ConclusionPhysicians in this study were aware of the problem of ABR, but downplayed its significance nationally and personally. These results will guide a national antibiotic stewardship programme.
“…This study was conducted across Jamaica, the third largest Caribbean island, 11,424 km 2 , with a population of approximately 2.8 million [ 20 , 21 ]. Approximately 4000 public and private doctors were identified as currently providing medical care from national registration records (Jamaican Medical Council).…”
BackgroundAntibiotic resistance (ABR) is a serious threat that requires coordinated global intervention to prevent its spread. There is limited data from the English-speaking Caribbean.MethodsAs part of a national programme to address antibiotic resistance in Jamaica, a survey of the knowledge, attitudes and antibiotic prescribing practices of Jamaican physicians was conducted using a 32-item self-administered questionnaire.ResultsOf the eight hundred physicians targeted, 87% responded. The majority thought the problem of resistance very important globally (82%), less nationally (73%) and even less (53%) in personal practices. Hospital physicians were more likely to consider antibiotic resistance important in their practice compared to those in outpatient practice or both (p < 0.001). Composite knowledge scores were generated and considered good if scored > 80%, average if 60–79% and poor if < 60%. Most had good knowledge of factors preventing resistance (83%) and resistance inducing potential of specific antibiotics (59%), but only average knowledge of factors contributing to resistance (57%). Knowledge of preventative factors was highest in females (p = 0.004), those with postgraduate training (p = 0.001) and those > four years post graduation (p = 0.03). Empiric therapy was often directed by international guidelines and cultures were not routinely done. Limited laboratory and human resources were identified as challenges.ConclusionPhysicians in this study were aware of the problem of ABR, but downplayed its significance nationally and personally. These results will guide a national antibiotic stewardship programme.
“…The findings of this paper can be compared with the existing studies conducted on best HRM practices in the hotel sector of Barbados (Alleyne et al, 2006a, b), Cuba (Cunha and Cunha, 2004), Caribbean Islands ( Jayawardena, 2002( Jayawardena, , 2003, Maldives (Adam and Urquhart, 2009) and Jamaica (Chen et al, 2012;Johnson and Bartlett, 2013). According to Alleyne et al (2006a, b), there are five best HRM practices in the Barbados hotel sector.…”
Section: Discussionmentioning
confidence: 84%
“…Adam and his colleague found that two best HRM practices in the hotel sector of Maldives are training and development and teamwork. Chen et al (2012) and Johnson and Bartlett (2013) found that best HRM practice in the hotel sector of Jamaica is training and development.…”
Emerald is a global publisher linking research and practice to the benefit of society. The company manages a portfolio of more than 290 journals and over 2,350 books and book series volumes, as well as providing an extensive range of online products and additional customer resources and services. Emerald is both COUNTER 4 and TRANSFER compliant. The organization is a partner of the Committee on Publication Ethics (COPE) and also works with Portico and the LOCKSS initiative for digital archive preservation.
“…I believe the poor are poor not because of too much globalization, but because of too little." Johnson and Bartlett (2013) examined the tourism industry within the context of NHRD in Jamaica. Although unnoticed by most tourists and largely ignored by the Jamaican government, employment for many workers in resorts, hotels, and large population centers is characterized by long hours and low wages.…”
Section: Hrd Poverty and The Working Poormentioning
This article explores the persistence of working poor families in the United Statesfamilies that live on the threshold of poverty despite at least one family member working full-time. The persistence of poverty in the United States has been exacerbated by recent changes in the job market that have altered the composition and availability of jobs due to technological unemployment, the polarization of jobs, declining job quality, and stagnation in job growth. The relationships between the persistence of working poor families and these changes in the job market are examined. The article concludes with a review of human resource development (HRD) research on poverty and the working poor, and a discussion of the implications of the persistence of working poor families for HRD research and practice.
scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.