Why is the grass ever green? Why do flowers have many colours? Why when people put on clothes, they are all decorated with different colours? Why was Joseph given the coat tunic of many colours?
Received Nov 27; Accepted Jul 1. This article has been cited by other articles in PMC. Abstract Background Despite the increasing interest in using non-physician clinicians in many low-income countries, little is known about the roles they play in typical health system settings.
Prior research has concentrated on evaluating their technical competencies compared to those of doctors. This work explored perceptions of the roles of Kenyan non-physician clinicians Clinical Officers COs.
Methods Qualitative methods including in-depth interviews with COs, nurses, doctors, hospital management, and policymakers, among othersparticipant observation and document analysis were used. A nomothetic-idiographic framework was used to examine tensions between institutions and individuals within them.
A comparative approach was used to examine institutional versus individual notions of CO roles, how these roles play out in government and faith-based hospital FBH settings as well as differences arising from three specific work settings for COs within hospitals. Results The main finding was the discrepancy between policy documents that outline a broad role for COs that covers both technical and managerial roles, while respondents articulated a narrow technical role that focused on patient care and management.
COs argued for a defined role associated with primary healthcare, feeling constrained by their technical role. FBH settings were found to additionally clarify CO roles when compared with public hospitals. Tensions between formal prescriptions of CO roles and actual practice were reported and coalesced around lack of recognition over COs work, role conflict among specialist COs, and role ambiguity.
Conclusions Even though COs are important service providers their role is not clearly understood, which has resulted in role conflict.
Introduction Recent research has shown that non-physician clinicians NPCsa form of mid-level worker, may be a viable solution to bringing physician-type services closer to people that need them while long-term solutions to recruiting and retaining qualified health professionals especially in rural areas are sought [ 1 - 6 ].
In Kenya, NPCs are currently known as Clinical Officers COsof whom more exist COs number 1, compared with medical officers and specialists that number at district level [ 7 ].
This body provides guidance on illness to be handled by COs, requirements for continuous professional development for continued registration, and issues licenses for private practice.
However, the Council is not seen to have much influence over day-to-day CO roles, which is left to the hospitals where they work.
Available literature on COs suggests that they play distinct and important roles in the day-to-day delivery of health services [ 89 ]. However, what their roles are and how these are perceived by COs and others is rarely described.
To understand the role issues facing COs, we draw on work describing professional tensions between doctors and nurses. Tensions between nurses and physicians arise because of overlapping roles, nurses desire for collegiality, and changing role relationships as nurses achieve increased levels of education [ 11 ].
In addition, research also shows that nurse practitioners can do some of what doctors do, usually to the greater satisfaction of patients [ 12 ]. Nurses experiencing role conflict described as inconsistent job obligations and role ambiguity were reported to be less satisfied with their jobs which in turn negatively influenced their job performance and also lowered their organizational commitment [ 13 ].
Much of the research undertaken on non-physician clinicians, however, focuses on whether they are able to perform technical tasks Caesarean section, provision of antiretroviral therapy ART and so on previously the preserve of physicians [ 14 - 16 ].
The positive results from this work have supported the growing interest in such cadres as a solution to physician shortages in many sub-Saharan countries.
However, this focus on technical aspects of the role ignores the non-technical but equally important aspects of work [ 1217 ]. As this cadre likely plays specific roles in the system there is need to understand this cadre specifically.
The one previous study that did examine non-technical aspects of the work of clinical officers reported that COs experience significantly greater levels of dissatisfaction with their jobs and with their profession compared to other cadres [ 6 ].
Yet in these studies, there is little description of the roles played by COs that might give insight into what, in their routine practice, results in these feelings of dissatisfaction. This report seeks to fill this gap by describing the roles played by COs in Kenya, a country with decades of experience using COs within the health system.
Here, roles refer to the actions and activities assigned to, required of or expected of a person or a cadre in a substantive organizational position [ 1819 ].Medical Officer Intern.
olive wanyonyi. dental officer mariakani subcounty hospital. Winnie Jeptoo--Stephen Kigotho. Resident Clinical Officer at Embu children hospital TENRI. Public profile badge. Include this LinkedIn profile on other websites.
Jackson Mutiso. registered clinical officer. Perform elementary blood banking and clinical laboratory procedures in hematology, immunohematology, clinical chemistry, serology, bacteriology, parasitology and urinalysis; As an Army Medical Department officer, you won’t participate in Basic Combat Training.
Instead, you’ll attend the Officer Basic Course, a basic orientation course. Jan 12, · Clinical is to do with diagnosing and treating patients. It includes clinical aspects of medicine, but also the work of non-medically qualified clinicians such as such as nurses, pharmacists, physiotherapists etc.
Medical is a more complex term. Medical services corps officers command the Medical Service Corps that treats and helps Soldiers and their families in a variety of areas: Behavioral sciences – social workers, clinical psychologists and counseling psychologists.
Home Essays Medical Clinical Officer. Medical Clinical Officer. Topics: Health Other reports, as well as medical officers, have suggested in the hospital environment that the main problem effecting wait times is the lack of hospital beds.
However, in the environment under study this was not as prominent of an issue. Medical Doctors, Clinical officers, Nurses, Radiology and Records team, Pharmac JOB SUMMARY The position is responsible for planning, coordinating, implementing and assuming responsibility and accountability for the provision of efficient, speedy, and accurate laboratory services (tests and procedures) to assist in diagnosing, monitoring, and.