Post-War Kosovo: Part 2. Assessment of Emergency Medicine Leadership Development Strategy

2001 ◽  
Vol 16 (4) ◽  
pp. 268-274 ◽  
Author(s):  
M. James Eliades ◽  
Julian Lis ◽  
Joilo Barbosa ◽  
Michael J. VanRooyen
Keyword(s):  
Health Care ◽  
Emergency Medicine ◽  
Data Collection ◽  
Health System ◽  
Health Systems ◽  
Health Care Workers ◽  
Group Discussions ◽  
Post Conflict ◽  
Care Workers ◽  
Future System

AbstractSince the return of the refugee population to Kosovo, attempts at development of an emergency medical system in Kosovo have met with varied success, and have been hampered by unforeseen barriers. These barriers have been exacerbated by the lack of detailed health system assessments. A multimodal approach of data collection and analysis was used to identify potential barriers, and determine the appropriate level of intervention for emergency medicine (EM) development in Kosovo. The four step, multi-modal, data collection tool utilized: 1) demographic and health systems data; 2) focus group discussions with health-care workers; 3) individual interviews with key individuals in EM development; and 4) Q-Analysis of the attitudes and opinions of EM leaders.Results indicated that Emergency Medicine in Kosovo is under-developed. This method of combined quantitative and qualitative analysis identified a number of developmental needs in the Kosovar health system. There has been litde formal training, the EMS system lacks organization, equipment, and a reliable communication system, and centralized emergency centers, other than the center at Prishtina Hospital, are inadequate. Group discussions and interviews support the desire by Kosovar health-care workers to establish EM, and highlight a number of concerns. A Q-methodology analysis of the attitudes of potential leaders in the field, supported these concerns and identified two attitudinal groups with deeper insights into their opinions on the development of such a system.This study suggests that a multi-modal assessment of health systems can provide important information about the need for emergency health system improvements in Kosovo. This methodology may serve as a model for future, system-wide assessments in post-conflict health system reconstruction.

scholarly journals COVID-19 Vaccination and the Expanding Role of Pharmacists: Pharmacist - Immunization Program

2021 ◽  
Vol 2 (4) ◽  
pp. 288-291
Author(s):  
Muhammad Ahmer Raza ◽  
Shireen Aziz ◽  
Shahid Masood Raza ◽  
Sana Shahzad
Keyword(s):  
Public Health ◽  
Health Care ◽  
Health System ◽  
Health Systems ◽  
Health Care Workers ◽  
Immunization Program ◽  
The Public ◽  
Care Workers

Pharmacists in health systems involved with immunizations have used their practice settings to become advocates for immunization and increase their responsibilities in the public health monarchy. Administering vaccines to patients and health care workers is enabling some health-system pharmacists to assume a prominent role in public health. Pharmacists have noticed that immunization needs were not being met and, through their advocacy, increased the numbers of patients and employees of health systems who have been vaccinated.

scholarly journals Health care workers in conflict and post-conflict settings: Systematic mapping of the evidence

PLoS ONE ◽  
2020 ◽  
Vol 15 (5) ◽  
pp. e0233757
Author(s):  
Lama Bou-Karroum ◽  
Amena El-Harakeh ◽  
Inas Kassamany ◽  
Hussein Ismail ◽  
Nour El Arnaout ◽  
...  
Keyword(s):  
Health Care ◽  
Health Care Workers ◽  
Systematic Mapping ◽  
Post Conflict ◽  
Conflict Settings ◽  
Care Workers

Interventions for Improving Health Care Workers’ Retention in Epidemics – a Scoping Review

2021 ◽  
Author(s):  
Zahra Zarei Jelyani ◽  
Sadra Valiee ◽  
Mohammad Kia ◽  
Ali jajarmizadeh ◽  
Sajad Delavari
Keyword(s):  
Health Care ◽  
Human Resources ◽  
Health System ◽  
Human Health ◽  
Scoping Review ◽  
Health Care Workers ◽  
Health Resources ◽  
The United States ◽  
Human Beings ◽  
Care Workers

Abstract Introduction: Generally, in Epidemics, such as COVID-19, health care workers (HCWs) faces many problems which lead to a shortage and weakening of human resources in the health system. Therefore, using effective strategies to retain human resources is one of the most important issues during outbreaks. This study aims to collect and classify the proposed interventions to strengthen human health resources and their sustainability during epidemics through scoping review.Methods: In this scoping review study, 2300 studies were retrieved through searching international databases –PubMed, Embase, Scopus and Web of Science. The retrieved studies were screened, and finally, 50 studies were included for analysis. The strategies were classified using inductive qualitative content analysis.Results: Most of the studies were conducted in the United States and the United Kingdom. The target population in 39 studies was all health workers; five studies were on physicians, five studies on nurses, and only one study on dentists. The proposed interventions were classified into five categories: preparation, protection, support, treatment, and feedback. Discussion: Most studies focused on providing interventions in one or two dimensions of human resources, but these interventions were summarized and categorized in this review. Therefore, this study has a holistic view of various dimensions of strengthening and maintaining human health resources during epidemics by providing a thematic map. Considering that human beings are multidimensional, policymakers and managers of the health system should use a set of interventions that simultaneously cover different aspects of their needs to strengthen and maintain HCWs.

scholarly journals Factors for late initiation of antenatal care in Dar es Salaam, Tanzania: A qualitative study

2019 ◽  
Vol 19 (1) ◽  
Author(s):  
Saidi Mgata ◽  
Stephen Oswald Maluka
Keyword(s):  
Health Care ◽  
Antenatal Care ◽  
Health System ◽  
Pregnant Women ◽  
Health Care Workers ◽  
Cultural Beliefs ◽  
Dar Es Salaam ◽  
World Health ◽  
Health Providers ◽  
Care Workers

Abstract Background Antenatal care (ANC) provided by a trained health care provider is important for monitoring pregnancy thereby reducing potential risks for the mother and child during pregnancy and delivery. The World Health Organization (WHO) recommends at least four ANC visits to all pregnant women. While the proportion of women who attend at least one ANC in low-income countries is high, most pregnant women start their first ANC attendance very late. In Tanzania only 24% of pregnant women start their first ANC attendance before the fourth month of pregnancy. While factors for the utilization of antenatal care in general have been widely studied, there is paucity of studies on the factors affecting timing of the first ANC attendance. This study aimed to understand individual, community, and health system factors that lead to the delay in seeking ANC services among pregnant women in Ilala Municipal in Dar es Salaam region, Tanzania. Methods A qualitative exploratory study, using in-depth interviews with 20 pregnant women and five health care workers was conducted in three different health facilities in Dar es Salaam Tanzania. Thematic analysis approach was used to analyse the data. Results Individual perceptions of antenatal care, past experience with pregnancy, fear of pregnancy disclosure, and socio-cultural beliefs were the key individual and social factors for late ANC attendance. Shortage of trained health care workers, lack of spouse’s escort and health providers’ disrespect to pregnant women were the main health system barriers to early ANC attendance. Conclusions This study concludes that community members should be sensitized about the importance of early ANC attendance. Additionally, while spouse’s escort policy is important for promoting PMTCT, the interpretation of the policy should not solely be left to the health providers. District and regional health officials should provide correct interpretation of this policy.

Self-reported influenza vaccination rates among health care workers in a large health system

2008 ◽  
Vol 36 (8) ◽  
pp. 574-581 ◽  
Author(s):  
Mary Patricia Nowalk ◽  
Chyongchiou J. Lin ◽  
Richard K. Zimmerman ◽  
Dwight E. Fox ◽  
Mahlon Raymund ◽  
...  
Keyword(s):  
Health Care ◽  
Influenza Vaccination ◽  
Health System ◽  
Health Care Workers ◽  
Vaccination Rates ◽  
Care Workers

scholarly journals Motivation of Labor in the Health System

2014 ◽  
Author(s):  
Damira Japarova
Keyword(s):  
Health Care ◽  
Health System ◽  
Health Care Workers ◽  
Main Part ◽  
Real Sector ◽  
Wage System ◽  
Care Workers ◽  
The Family ◽  
Hospital Bed ◽  
Additional Income

With the increase of salaries of medical workers in Kyrgyzstan their income increased. But the desire to earn additional income from patients not disappeared. As practice shows, giving money to the hands of health care workers is widespread in health system of Kyrgyzstan. It is not only drops the image of doctors, but also causes serious damage to the family budget of citizens who are in a hospital bed, or at the reception of doctor's. The main reason for the existence of informal payments in health care is considered a relatively low level of wages. If in the real sector the financial stimulation carried out by the expense of encouraging profit in medicine only source of stimulation is wage fund. The stimulating part should be increased at the expense of main part of wages. İnasmuch as there is no profit in medicine as a source of encouragement it is used the funds received from paid services. The basis for motivation of labor in medicine is to avoid time-based wage system and to introduction of piecework forms in different versions. Criterion for evaluating health care workers is the health of the patient after treatment.

scholarly journals Hand Hygiene Guidelines for Front Line Health Care Workers

2020 ◽  
Vol 5 (9) ◽  
pp. 35-36
Author(s):  
Bhavanam Sai Rajendra
Keyword(s):  
Health Care ◽  
Data Collection ◽  
Hand Hygiene ◽  
Health Care Workers ◽  
Rural Areas ◽  
Online Survey ◽  
Sample Survey ◽  
World Health ◽  
Front Line ◽  
Care Workers

Hand hygiene competence is one of the critical outcomes for health care workers who are working for covid patients.. Ensuring health care workers to reduce the risk of infections among nurses and health care workers. Adequate hand hygiene(HH) awareness for hospital staff like Nurses, ward technicians, health care workers should be implemented so as to reduce risks of facing infections. To assess the knowledge and awareness programmes to the front line warriors who are in direct contact with covid patients. A systematic review of studies published on January 1, 2009 based on, an online survey done in Canada where FIVE leading hospitals are actively involved and participated for Hand hygiene care. An online Data collection with simple and sample survey was conducted for Nurses, ward technicians, covid health care workers and Gram volunteers according to Guidelines given by World Health Organization’s SEVEN ( 7) hand washing steps. The Data collection was taken from 50 Nurses and 50 covid health care workers particularly working in rural areas of Parchur Mandal of Prakasam District in Andhra Pradesh state

scholarly journals Association of Social Network Use With Increased Anxiety Related to the COVID-19 Pandemic in Anesthesiology, Intensive Care, and Emergency Medicine Teams: Cross-Sectional Web-Based Survey Study (Preprint)

2020 ◽  
Author(s):  
Thomas Clavier ◽  
Benjamin Popoff ◽  
Jean Selim ◽  
Marion Beuzelin ◽  
Melanie Roussel ◽  
...  
Keyword(s):  
Health Care ◽  
Social Networks ◽  
Emergency Medicine ◽  
Critical Care ◽  
Intensive Care ◽  
Social Network ◽  
Health Care Workers ◽  
Survey Study ◽  
Web Based ◽  
Care Workers

BACKGROUND Critical care teams are on the front line of managing the COVID-19 pandemic, which is stressful for members of these teams. OBJECTIVE Our objective was to assess whether the use of social networks is associated with increased anxiety related to the COVID-19 pandemic among members of critical care teams. METHODS We distributed a web-based survey to physicians, residents, registered and auxiliary nurses, and nurse anesthetists providing critical care (anesthesiology, intensive care, or emergency medicine) in several French hospitals. The survey evaluated the respondents’ use of social networks, their sources of information on COVID-19, and their levels of anxiety and information regarding COVID-19 on analog scales from 0 to 10. RESULTS We included 641 respondents in the final analysis; 553 (86.3%) used social networks, spending a median time of 60 minutes (IQR 30-90) per day on these networks. COVID-19–related anxiety was higher in social network users than in health care workers who did not use these networks (median 6, IQR 5-8 vs median 5, IQR 3-7) in univariate (<i>P</i>=.02) and multivariate (<i>P</i>&lt;.001) analyses, with an average anxiety increase of 10% in social network users. Anxiety was higher among health care workers using social networks to obtain information on COVID-19 than among those using other sources (median 6, IQR 5-8 vs median 6, IQR 4-7; <i>P</i>=.04). Social network users considered that they were less informed about COVID-19 than those who did not use social networks (median 8, IQR 7-9 vs median 7, IQR 6-8; <i>P</i>&lt;.01). CONCLUSIONS Our results suggest that social networks contribute to increased anxiety in critical care teams. To protect their mental health, critical care professionals should consider limiting their use of these networks during the COVID-19 pandemic.

scholarly journals Heat stroke: knowledge and practices of medical professionals in pediatric emergency medicine departments – a survey study

2021 ◽  
Vol 10 (1) ◽  
Author(s):  
Noy Cohen-Ronen ◽  
Ayelet Rimon ◽  
Neta Cohen ◽  
Tali Capua
Keyword(s):  
Health Care ◽  
Emergency Medicine ◽  
Health Care Workers ◽  
Heat Stroke ◽  
Evaporative Cooling ◽  
Pediatric Emergency ◽  
Medical Professionals ◽  
Pediatric Emergency Medicine ◽  
Exertional Heat Stroke ◽  
Care Workers

Abstract Background and importance Heat stroke is a life-threatening condition affecting children worldwide. Rapid cooling remains the most important feature of emergency management. The accepted preferred method of evaporative cooling in the ED as listed by the reference text book endorsed by the Israeli Society of Pediatric Emergency Medicine (PEMI), is actively cooling the patient by spraying him with water and positioning fans to blow air across the body. Objective This study aimed to assess Israeli health care workers (HCWs) medical professionals’ knowledge and preparedness of treating heat stroke and recommend policy changes to ensure better treatment based on survey results. Design, settings and participants A cross-sectional survey of all HCWs working in an ED that accepts children was conducted. An online questionnaire was utilized to assess heat stroke management practices and available resources in all Israeli pediatric emergency departments (PEDs). Main results Data from 208 health care workers was analyzed. Only 30% of the participants reported ever treating a patient with exertional heat stroke. Two scenarios were presented to the participants: motor vehicle-related child hyperthermia (MVRCH) in an infant and an adolescent with exertional heat stroke. One hundred twenty-five (60%) and 83 (40%) participants, respectively, listed cool water with a fan as the primary mode of cooling, which is considered the appropriate preferred method of evaporative cooling in the PED. Certificated pediatric emergency medicine (PEM) physicians answered significantly more correctly regarding both scenarios’ management (P < 0.001). Participants who were trained via simulation in the past, answered significantly more correctly regarding the exertional heat stroke scenario (P < 0.01), however no difference was found regarding the MVRCH case. Conclusions: The present study exposes weaknesses in HCW knowledge, PED resources, and published PED policies for appropriate management of children following heat stroke. Our finding emphasizes the importance of both certificated PEM physicians attendance and simulation performance for implementing proper management of patients with heat stroke. A policy change should be performed among the Israeli PED community, with respect to establishing and implementing guidelines for treatment of exertional heat stroke. A future study, following an interventional simulation program is planned to be performed.

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