Revista de Pesquisa e Desenvolvimento em Educação em Saúde

Medical specialists are scarce in India, and the numbers are disproportionately lower in the public sector, at the Community Health Centre (CHC) level and above. Even district hospitals in several states have an acute shortage of medical specialists. There is a huge potential for starting DNB courses in State Government District and Sub-district Hospitals to overcome shortages of Medical Specialists at these levels. NHM provides monetary support under the resource envelopes of the states to start DNB courses in district hospitals. Gujarat has a gap of 1200 specialists in public sector hospitals, when compared to sanctioned posts, wherein only 50% are filled. After various internal assessments state had identified 18 DHs and 28 SDHs to apply for DNB programme during 2019 accreditation cycle to overcome shortages of medical specialists. Applications for total 46 districts and sub-district hospitals have been done for seeking approval of 224 seats. Gujarat has lodged highest number of application during 2019 cycle across the country. These applications are in process and results are yet to be declared by NBE.

Purpose: The aim of this research is to improve the awareness of mothers and evaluate the impact of education, to determine the factors affecting the education of mothers with children of 0-3 age group, to determine the factors affecting the education.

Design and Method: The study was carried out experimentally with pre-test post-test control group, in a Family Health Center between July and October 2019, in Iğdır, in Eastern of Turkey. The universe of the study consisted of mothers (S= 103) who applied to family health center for any reason and who met the study criteria. The data were obtained by Personal Information Form and Mother Home Accident Awareness Rating Scale. Children's Home Accidents Training was carried out with the child home accidents training booklet and presentation. The data were evaluated with descriptive statistics, chi-square and variance. Ethical principles were followed.

Results: The mothers in the experimental group had a significantly higher level of awareness of home accidents than the mothers in the control group (p<.001). The awareness of child home accidents was significantly higher among mothers who were university graduates, living in nuclear families, whose income was higher than their expenses, whose mother was between 20-35 years old and who had a 0-3-year-old child (p<.05).

Conclusion: Training of mothers for 0-3 age group children on home accident awareness can be effective in developing their awareness.

Practice implications: Training of mothers for 0-3 age group children on home accident awareness increases their awareness.

Health and well-being are overlapping yet significantly differing concepts; the difference being in the dimensions of human life encompassed by each entity. The practice of health sciences is continuously evolving. As with most areas of science, recent decades have seen rapidly increasing progress in application of digital technology in medical field. In past few years, there has been a global boom in telehealth systems. Telehealth is a new technology, a new mode of health care delivery, a new industry and a new area of research. The generality of applications of telehealth in the field of medical care is still in an infancy stage. The term ‘Tele-health’ and ‘Telemedicine’ are interchangeable as per American Telemedicine Association (ATA) which characterizes Telemedicine to be “the natural evolution of healthcare in the digital world”. All stakeholders realize that the impact of technology in health care is inevitable and its applications in telehealth will be progressively expanded and diversified. Till recently, there was relatively spotted distribution in adoption of telehealth in the medical care; but COVID-19 pandemic has forced all healthcare systems, hospitals and clinics to rapidly implement the telehealth system and its widespread usage is now much visible. Establishing more up-to-date telehealth applications in medical care is a persistent need. The current urgency for telehealth systems has brought into focus aattention- to planning, preparing and processing capacity building, budgeting for infrastructure and resources for this field, increased awareness about staff’s technical and clinical competencies in this field, analyzing medical and legal issues in its usage and ensuring confidentiality and data safety.

The primary focus of this article is to examine the existing relevant literature on tele health/telemedicine in health sector - from early development to current applications, benefits of the telehealth during pandemic COVID-19, application to nursing domain, impediments to adopting telehealth systems and conclude with a look at future considerations in this field. Hopefully, it will contribute to guiding health care professionals, policy makers and nursing administrators to enhance existing knowledge, develop standard operating guidelines, technical competencies and capacity building for effective implementation of telemedicine in practice.