The National Medical Journal of India

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ISSN : 0970-258X
Published by: Medknow (10.4103)
Total articles ≅ 2,316
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Anita Nath, Martina A.J. Shalini, Prashant Mathur
The National Medical Journal of India, Volume 34; https://doi.org/10.4103/0970-258x.323661

Abstract:
The increasing burden of non-communicable diseases in rural areas poses new challenges to an already overburdened health systems. We detail these challenges and identify opportunities to address them. The major challenges in service delivery in rural areas include poor accessibility, shortage of adequate manpower especially specialists in rural areas, irregular supply of medicines and lack of adequate diagnostic facilities. This has led to an increased dependency on the private sector resulting in high out-of-pocket and catastrophic health expenditure. The challenges are amplified by lower health literacy, large pool of informal or untrained healthcare practitioners, and lack of proper referral and follow up. The health system opportunities identified include task-shifting by training of mid-level healthcare providers and practitioners from Indian systems of medicine, widening use of e-health and m-health, community engagement and public–private partnerships. Participatory health governance through community engagement has been shown to improve accountability and quality in health systems. Civil society organizations (CSO) can also improve awareness and health-seeking behaviour. New and evidence-based strategies need to be implemented to address health system challenges for tackling non-communicable diseases in rural areas.
Seham Mansour Alyousef, Sami Abdulrahman Alhamidi
The National Medical Journal of India, Volume 34; https://doi.org/10.4103/0970-258x.323449

Abstract:
Background. Nurses engaged in mental health-related practice experience stress and burnout. We assessed the role of the practice of mindfulness in coping with these aspects of providing care in mental health settings. Methods. Mindfulness as a coping method was explored using qualitative methods to illuminate its impact on practice from the perspective of mental health nursing graduate students at the College of Nursing, King Saud University, Riyadh, Saudi Arabia. Data were obtained by semi-structured interviews in focus groups of these nurses. Results. The themes that emerged were (i) positive techniques; (ii) recognized stress; (iii) managing stress; (iv) acceptance; (v) psychological reaction; and (vi) physical responses. Conclusions. The themes that emerged in this study confirm the stresses faced by nurses practising in mental healthcare and suggest improved coping methods.
Richa Aggarwal, Akshay Kumar, Navdeep Sokhal, Keshav Goyal, KapilDev Soni, Rakesh Garg, Sanjeev Bhoi, Ashok Deorari, Ajay Sharma
Published: 1 January 2021
The National Medical Journal of India, Volume 34; https://doi.org/10.4103/0970-258x.326757

Jitendra Mistry, Sumit Kapadia, Deepali Mistry
Published: 1 January 2021
The National Medical Journal of India, Volume 34; https://doi.org/10.4103/0970-258x.326766

HardikRevanand Bendale, ChiragArvind Jorvekar
Published: 1 January 2021
The National Medical Journal of India, Volume 34; https://doi.org/10.4103/0970-258x.326751

Saurabh Mittal, Karan Madan, Pawan Tiwari, Anant Mohan, Vijay Hadda
The National Medical Journal of India, Volume 34; https://doi.org/10.4103/0970-258x.323455

Madhuri D Patil
The National Medical Journal of India, Volume 34; https://doi.org/10.4103/0970-258x.323448

Sabina Bhoil, Rohit Bhoil, Ajay Kumar Ahluwalia, Mukesh Surya
The National Medical Journal of India, Volume 34; https://doi.org/10.4103/0970-258x.323452

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