Background: As a non–European Union member state, Albania is increasingly orienting itself on Western models regarding human rights, patient rights, and legal regulations for healthcare. Due to its limited fiscal and legal power, enforcing legal and ethical regulations poses a major problem. Aim: The aim of this study is to investigate nurse’s knowledge and experiences regarding ethical and legal issues in Albanian elder care in state-funded and privately run institutions. Research design: The study was conducted using an inductive and qualitative design, utilizing a focused ethnographic approach, based on Roper and Shapira’s framework. Method: Data were collected between June 2017 and September 2018 using participant observation, field notes, and semi-structured interviews with 15 nurses in seven different elder care institutions. In total, 100 h of observation and 15 interviews were performed. Data analysis was based on Mayring’s qualitative content analysis. Ethical consideration: The approval for the study was obtained from UMIT—The Health and Life Sciences University, Austria. Findings: The findings of the study fell into the following main categories: “Everyday care issues,” “End-of-life issues,” “Legal issues,” and “Ethical-legal education and conflicts.” Discussion: The participants reported many ethical and legal issues when describing their everyday challenges and displayed a strong lack of ethical and legal education. Despite a wide spectrum in the quality of care between private and state-funded nursing homes, older people mostly do not know their own diagnosis. Conclusion: This study indicates that further ethical and legal education is needed. Furthermore, nurses need to be better prepared for ethical conflicts with families, as strengthening patient rights could come into conflict with traditional rights of the Albanian family.
Background:Any behavior or attitude that harms the physical, emotional, and sexual well-being of one or more persons and affects the termination of the individual's normal development is considered as violence. Violence at school includes behaviors such as: victimization of a child and teachers, raping of a child and / or a teacher, physical and psychological harassment, cyber threatening, controversies, bullism, physical and psychological harm, teachers and students sexual violence, using of weapons in school environments. The main violence forms at school are: teachers to students, students to teachers, students to students. This is a punctual, transversal, cross-sectional study. 100 students at high school of Shkodra city participated in this study. The sample selection was randomized. Students of 14-18 years old; 63 females and 37 males were included in the study. The timeframe of the study was January -February 2018. The information was gathered from face to face interviews using standatized questionnaires: Global School-based Student Health Survey (GSHS) 2003, Core-Expanded Questions for the Violence and Unintentional Injury Module Violence (adapted). The information collected by the questionnaires was confident, self-report and with permission of school. All data were calculated with Microsoft Office 2010.
Background: Midwives, as an essential part of the healthcare professionals, make a necessary contribution to the healthcare system. They are in demand in developed countries and developing countries like Albania. Aim: This study was carried out to identify the main factors that influence the students’ decisions about choosing midwifery as their career. Methods: A quantitative descriptive research design was used to identify the motivating reasons for attending midwifery. This quantitative explorative study was born at the University of Shkodra, Albania, with the midwifery students in February – March 2022. One hundred seventeen voluntary students were included in the study. The data were collected online via a questionnaire prepared from the authors and analyzed with the SPSS software, using exploratory factor analysis (EFA) with the Kaiser–Meyer–Olkin (KMO) test. Results: It was found that five main domain factors influence students on choosing midwifery as a future career. “Extrinsic rewards of midwifery” and “Employment security over midwifery life” were considered more critical domains. The dominant issues included were about: security, economic welfare, career opportunities, transferring to nursing studies, and more possibilities to work as a midwife in other countries. Conclusions: The findings of this study provided valuable information regarding motivating factors that attract the new generation to join midwifery in Albania. Understanding why people choose to study midwifery may help managers and educators develop student-focused and enticing midwifery programs.
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