Factors Related To Job Satisfaction Among Nurses

Background: The level of job satisfaction affects not only the quality of the function exercised by the nurse, but also patient satisfaction, therefore it is very important for health care institutions to measure these perceptions amongst nurses. Aim of the study: This research had assessed the job satisfaction among nurses in the Public Hospital Vlora, Albania and the contributing factors on it. Method: Data of this cross-sectional research were collected using a questionnaire which measures job satisfaction, based on Mueller and McCloskey Satisfaction Scale (MMSS), adapted. Results: The professional pleasure that nurses sense to their profession is close to neutral (x = 2.92), with the trend to dissatisfaction. Most important extrinsic factor that affects the intensity of satisfaction in the nursing profession is 'monthly payment' (4.5 points), while as the most important intrinsic factor is ranked "career escalation" (3.84 points). Conclusions: In conclusion, we can say that the level of professional satisfaction among nurses involved in this study was below the average. Less satisfied groups from nursing profession were young people and high educated nurses. The low level of professional gratifying is expressed as well in the fact that over 70% of nurses in the study would like to practice another profession

Current practices and perceived barriers to tobacco-treatment delivery among healthcare professionals from 15 European countries. The EPACTT Plus project

Introduction: The latest evidence-based Guidelines for Treating Tobacco Dependence highlight the significant role of healthcare professionals in supporting smokers interested to quit. This study aimed to identify the current practices of healthcare professionals in Europe and perceived barriers in delivering tobacco treatment to their patients who smoke. Methods: In the context of EPACTT-Plus, collaborating institutions from 15 countries (Albania, Armenia, Belgium, Italy, France, Georgia, Greece, Kosovo, Romania, North Macedonia, Russia, Serbia, Slovenia, Spain, Ukraine) worked for the development of an accredited eLearning course on Tobacco Treatment Delivery available at http://elearning-ensp.eu/. In total, 444 healthcare professionals from the wider European region successfully completed the course from December 2018 to July 2019. Cross-sectional data were collected online on healthcare professionals' current practices and perceived barriers in introducing tobacco-dependence treatment into their daily clinical life. Results: At registration, 41.2% of the participants reported having asked their patients if they smoked. Advise to quit smoking was offered by 47.1% of the participants, while 29.5% reported offering assistance to their patients who smoked in order to quit. From the total number of participants, 39.9% regarded the lack of patient compliance as a significant barrier. Other key barriers were lack of: interest from the patients (37.4%), healthcare professionals training (33.1%), community resources to refer patients (31.5%), and adequate time during their everyday clinical life (29.7%). Conclusions: The identification of current practices and significant barriers is important to build evidence-based guidelines and training programs (online and/or live) that will improve the performance of healthcare professionals in offering tobacco-dependence treatment for their patients who smoke

Current practices and perceived barriers to tobacco treatment delivery among healthcare professionals from 15 European countries. The EPACTT Plus project

INTRODUCTION The latest evidence-based Guidelines for Treating Tobacco Dependence highlight the significant role of healthcare professionals in supporting smokers interested to quit. This study aimed to identify the current practices of healthcare professionals in Europe and perceived barriers in delivering tobacco treatment to their patients who smoke. METHODS In the context of EPACTT-Plus, collaborating institutions from 15 countries (Albania, Armenia, Belgium, Italy, France, Georgia, Greece, Kosovo, Romania, North Macedonia, Russia, Serbia, Slovenia, Spain, Ukraine) worked for the development of an accredited eLearning course on Tobacco Treatment Delivery available at http:// elearning-ensp.eu/. In total, 444 healthcare professionals from the wider European region successfully completed the course from December 2018 to July 2019. Cross-sectional data were collected online on healthcare professionals’ current practices and perceived barriers in introducing tobacco-dependence treatment into their daily clinical life. RESULTS At registration, 41.2% of the participants reported having asked their patients if they smoked. Advise to quit smoking was offered by 47.1% of the participants, while 29.5% reported offering assistance to their patients who smoked in order to quit. From the total number of participants, 39.9% regarded the lack of patient compliance as a significant barrier. Other key barriers were lack of: interest from the patients (37.4%), healthcare professionals training (33.1%), community resources to refer patients (31.5%), and adequate time during their everyday clinical life (29.7%). CONCLUSIONS The identification of current practices and significant barriers is important to build evidence-based guidelines and training programs (online and/or live) that will improve the performance of healthcare professionals in offering tobacco-dependence treatment for their patients who smoke

Impact of the ENSP eLearning platform on improving knowledge, attitudes and self-efficacy for treating tobacco dependence. An assessment across 15 European countries

INTRODUCTION In 2018, the European Network for Smoking Cessation and Prevention (ENSP) released an update to its Tobacco Treatment Guidelines for healthcare professionals, which was the scientific base for the development of an accredited eLearning curriculum to train healthcare professionals, available in 14 languages. The aim of this study was to evaluate the effectiveness of ENSP eLearning curriculum in increasing healthcare professionals’ knowledge, attitudes, self-efficacy (perceived behavioral control) and intentions in delivering tobacco treatment interventions in their daily clinical routines. METHODS We conducted a quasi-experimental pre-post design study with 444 healthcare professionals, invited by 20 collaborating institutions from 15 countries (Albania, Armenia, Belgium, Italy, France, Georgia, Greece, Kosovo, Romania, North Macedonia, Russia, Serbia, Slovenia, Spain, Ukraine), which completed the eLearning course between December 2018 and July 2019. RESULTS Healthcare professionals’ self-reported knowledge improved after the completion of each module of the eLearning program. Increases in healthcare professionals’ self-efficacy in delivering tobacco treatment interventions (p<0.001) were also documented. Significant improvements were documented in intentions to address tobacco use as a priority, document tobacco use, offer support, provide brief counselling, give written material, discuss available medication, prescribe medication, schedule dedicated appointment to develop a quit plan, and be persistent in addressing tobacco use with the patients (all p<0.001). CONCLUSIONS An evidence-based digital intervention can be effective in improving knowledge, attitudes, self-efficacy and intentions on future delivery of tobacco-treatment interventions

The developmental and social-emotional screening evaluation of institutionalized children;prospective three month surveillance (July-September 2011) in the Foster Care Home of Vlorë, Albania

Support teacher in regular classrooms of primary education in the city of Vlora The purpose: The aim of this study is to monitor the level of the motor, cognitive, language and social development of the institutionalized children in the Foster Care Home, in the city of Vlorë and to evaluate the impact of the stimuli offered by an appropriate educative environment, in order to create supportive policies for the professionalized education of the development of preschoolers before they go to elementary school. The research questions: 1.Which are the distribution and the frequency of score system reached by the institutionalized children according to the different areas of the development screening tests of standard Denver II and Ages and Stages Questionnaire (ASQ-3)? 2.Which are the children with developmental delays in general or in specific areas? 3.Which is the impact of the educative environment in the cognitive and the language development of the child? Method: The evaluation of children development is done based on the standardized international tests of Denver II and A&S Questionnaires, referring to the chronological age of the children. In the Denver II test the failure of two or more sector items is considered not normal. According to the ASQ, the score system interpretations and recommendations for further following of the child are presented on the last page after each test according to the age. After pretesting of the development level, this group of children was put under a specialized and personalized stimulation program and at the end they were revaluated. This program provides personalized activities that promote development in weak areas. Results: In this study was includes all the 14 children between 2-6 years, who had lived in the Foster Care of Vlorë during the period JulySeptember 2011. According to the score system in A&S Questionnaires before the personalized program 50% of the children had their level of Communication and the Problem Solving areas under the cutoff, meanwhile the Gross Motor area of 80% of the children was above the cutoff. Even the Fine Motor area was found to be problematic in 42% of the children under the cutoff for the development age. The Personal-Social area was a little bit better with 33% of the children under the cutoff. The reevaluation done at the end of the educative program showed great improvement in all studied areas. The area with the best improvement was the Communication area. Also the Fine Motor had e great improvement. This improvement is shown also in the children’s development assessment with the Denver II test. Conclusions: The children development in most of the cases presented important retardation. The application of an educative environment had got a strong impact in the improvement of the cognitive and language development of the children