International Research in Medical and Health Sciences en-US International Research in Medical and Health Sciences 2581-771X Effectiveness of Induction Programme for Novice Nurses at CMC Vellore, India- A Review Article <p>The effectiveness of the induction programme was conducted in CMC Vellore one of the best tertiary care hospitals in India, presently with 4500 beds. The aim of the study was to assess the effectiveness of a structured induction programme on the knowledge and practice of the recruitees in C.M.C, Vellore. A study to assess the effectiveness of structured induction training programme on the knowledge and competency of nursing practice for the newly recruited staff nurses.</p> Johnson M Premkumar J Chetty K Copyright (c) 2021 International Research in Medical and Health Sciences 2021-04-16 2021-04-16 4 2 1 10 10.36437/irmhs.2021.4.2.A A Pilot Qualitative Study on the Supply and Demand for Health Services in Migrant and Refugee Hosting Centers in Greece <p><strong>Introduction:</strong> Migration and mobile populations constitute a main determining factor for change in demand and supply of a host country’s healthcare services.</p> <p><strong>Aim:</strong> The purpose of this pilot ethnographic study is to explore the factors affecting health care provided at the infirmary of a Migrant Refugee Hosting Centers in Greece, by elaborating on the views and lived experiences of both camp residents and healthcare workers.</p> <p><strong>Materials and Methods:</strong> A qualitative design was adopted and data was obtained via in-depth face-to-face interviews, using two focus groups namely camp residents and camp medical staff. Interviews were semi-structured with both closed and open questions. The interviews lasted 40-60 minutes but were not recorded. Instead, detailed field notes were taken. Data were analyzed via content analysis and specific extracts were used to illustrate points of interest. Anonymity and data confidentiality was secured.</p> <p><strong>Results:</strong> Data analysis revealed subthemes and particular points of interest, namely, the degree of utilization of the doctors’ office; the frequency of referrals to tertiary hospitals; the way that living conditions affect the health of the camp’s population; and the degree that the epidemiological profile of the camp population affects the supply and demand of the health services offered in the camp.</p> <p><strong>Discussion:</strong> This pilot study exposed a greater need for primary health services especially those that prevent and treat patients at risk of developing chronic disease as a camp population of different cultures can bring a different set of problems, especially for new arrivals. In this context, not just the medical but all the camp personnel per se need more training to understand and cope with cultural diversity especially as conflict may reside within simple cultural or ethnic differences. Thus, the target of a camp’s mission is to establish a high degree of harmony in everyday life despite adverse conditions.</p> <p><strong>Conclusions:</strong> The interviews with the camp’s residents have revealed interesting aspects of their living reality further confirmed by the medical staff dealing with their health care needs. More investigations need to take place concerning this dynamic phenomenon as the very people in today’s camps are not the same as they were ‘yesterday’ i.e. when they arrived.</p> Provias G Perperidou P Kosmidis D Fountouki A Theofanidis D Copyright (c) 2021 International Research in Medical and Health Sciences 2021-04-16 2021-04-16 4 2 11 18 10.36437/irmhs.2021.4.2.B Assessment of Stress Levels amongst Radiation Oncology Health Care Workers during COVID-19 Pandemic: A Double Centre Study <p><strong>Purpose: </strong>To evaluate stress levels of health care workers in Radiation Oncology in Nepal during COVID-19.</p> <p><strong>Methods: </strong>A total of 46 eligible health care workers working in radiation oncology departments of two tertiary care hospitals in Nepal were enrolled in this study from May 2020 to July 2020. The 7- item Generalized Anxiety Disorder, 9- item Patient Health Questionnaire, and 22-item Impact of Events Scale-Revised were used for assessing anxiety, depression, and post-traumatic stress disorder. Precautionary measures are taken by the health care workers and satisfaction of organizational preparedness was also assessed.</p> <p><strong>Results: </strong>Responses to the given questionnaire of all the participants were assessed. The median age was 33 years. The majority of participants had the mild impact of anxiety (70%), depression (75%), and post-traumatic stress (89%). Most of the participants (97.9%) followed hand hygiene as precautionary measures. Though anxiety and depression were mild, worry about family members getting COVID-19 was more (65.2%). Approximately half of the responders thought that organizations were concerned about their safety and necessary precautionary measures were taken.</p> <p><strong>Conclusion: </strong>This survey highlighted the importance of taking measures for addressing the need of health care workers and finding out a solution to eliminating mild anxiety and depression amongst them.</p> Acharya B Chapagain S Rayamajhi A Khanal B Copyright (c) 2021 International Research in Medical and Health Sciences 2021-04-18 2021-04-18 4 2 19 27 10.36437/irmhs.2021.4.2.C Health and Care Services during the Longstanding Financial Crisis in Greece <p><strong>Introduction: </strong>Health services today refer to all services providing medical care, prevention, and overall treatment. In Greece, health service structures consist of the public Greek National Health System, other public services outside the public sector, and a wide range of private sector healthcare services.</p> <p><strong>Objective: </strong>The aim of this critical review is to elaborate on the provision of healthcare services during the decade-longstanding financial crisis in Greece and explore further the factors that influence healthcare provision.</p> <p><strong>Methods: </strong>A scoping literature review was performed on the MEDLINE, CINAHL, and Web of Science databases using terms related to the healthcare system and austerity measures in Greece. Original, peer-reviewed research published from 2000 to 2020, were included in this scoping review.</p> <p><strong>Results: </strong>We identified a total of 37 articles that met our inclusion criteria. Results were further analyzed and critically discussed via five exposed subcategories, i.e. demographic, economic, social, cultural, and epidemiological factors.</p> <p><strong>Discussion: </strong>Greece’s public health system provides free access to low-cost health care for those who contribute to Greek social security, plus their families and retirees. It is also free for those in need of emergency care. Yet, a closer look into the demographic, economic, social, cultural, and epidemiological factors that influence healthcare provision, reveals complex interactions between these elements. Furthermore, Greece’s longstanding economic austerity has impacted considerably on prompt healthcare provision.</p> <p><strong>Conclusion:</strong> This review may help to identify key factors that influenced changes made to our national healthcare system in response to dire economic circumstances and austerity. The current Covid-19 pandemic has revealed significant lessons for the healthcare systems globally as well as in Greece as serious shortcomings in healthcare provision have been exposed. Although Greece does not have a particularly advanced healthcare service, and despite still being in the midst of an economic recession its healthcare system responded relatively well to the pandemic. Yet, more efforts should be made in Greece and elsewhere to enhance health policies and to implement health reforms in order to develop sustainable and more flexible healthcare services for all.</p> Fountouki A Kosmidis D Provias G Theofanidis D Copyright (c) 2021 International Research in Medical and Health Sciences 2021-04-19 2021-04-19 4 2 28 40 10.36437/irmhs.2021.4.2.D