Health-care needs of older women prisoners: Perspectives of the health-care workers who care for them

According to existing literature, ancillary health care workers (AHCWs) often do not meet the health care needs of patients with physical disabilities (physically disabled patients) in a homebased environment, because of inadequate training programmes. The purpose of this research study was to explore the health care needs of physically disabled patients in long-term, home-based care in the northern suburbs of Johannesburg and, based on results, to offer recommendations for the training of AHCWs. Qualitative, exploratory, descriptive and contextual means were employed in data collection and analysis. The population consisted of eight physically disabled participants who employed an AHCW to assist them with their long-term home care. Purposive sampling was used with subsequent snowballing to identify further participants for the study. Individual interviews were conducted, where participants had to answer the questions (1)‘What are your health care needs?’ and(2) ‘How should these be met?’ Data saturation was ensured, after which Tesch’s method of data analysis was followed. Three categories of health care needs were identified (1) physical health care needs, (2) interpersonal relationship needs and (3) social needs, and 12 themes were derived from these categories. These categories of health care needs should be addressed in the training of AHCWs.From the themes, recommendations were described for the training of AHCWs on the health care needs of the home-based physically disabled patients. The AHCW should assist in the adaptation of the environment to the patient’s individual needs, and should use knowledge and critical thinking skills to ensure a patient-centred care setting.OpsommingVolgens die literatuur kan assistentgesondheidsorgwerkers (AGWs), as gevolg van ontoereikende opleiding, nie altyd aan die behoeftes van fisies gestremde pasiënte in 'n tuisopset voldoen nie.Die doel van hierdie navorsingstudie was om die gesondheidsorgbehoeftes van langtermyn,tuisgebaseerde fisies gestremde pasiënte in die noordelike voorstede van Johannesburg te verken en te beskryf, en om hieruit aanbevelings vir die opleiding van AGWs voor te stel. Kwalitatiewe,verkennende, beskrywende en kontekstuele metodes is gebruik om die data in te samel en die analise te doen. Die studiepopulasie het uit agt fisies gestremde deelnemers bestaan wat 'n AGW aangestel het om hulle met hul langtermyntuisversorging by te staan. Doelbewuste steekproefneming met die daaropvolgendesneeubalmetode is gebruik om verdere deelnemers vir die studie te identifiseer.Individuele onderhoude is gevoer waartydens deelnemers die volgende vrae moes beantwoord (1)‘Wat is jou gesondheidsorgbehoeftes?’ en (2) ‘Hoe behoort hieraan voldoen te word?’ Datasaturasie is verseker, waarna Tesch se data-analisemetode gevolg is. Drie kategorieë van gesondheidsorgbehoeftes is geïdentifiseer (1) fisiese gesondheidsorgbehoeftes, (2) interpersoonlike verhoudingsbehoeftes en (3)sosiale behoeftes, en 12 temas is van hierdie kategorieë afgelei. Hierdie gesondheidsorgkategorieë behoort aandag tydens die opleiding van AGWs te kry. Aan die hand van die temas is aanbevelings gemaak vir die opleiding van AGWs in tuisgebaseerde sorg van fisies gestremde pasiënte. AGWs behoort ondersteuning te bied om die omgewing by die individuele behoeftes van die pasiënt aan te pas, en moet hul kennis en kritiese denkvaardighede kan toepas om ŉ pasiëntgesentreerde omgewing te verseker.

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From Migration to Palliation: Uncharted Waters

Journal of Palliative Care ◽

10.1177/082585979100700406 ◽

1991 ◽

Vol 7 (4) ◽

pp. 26-30 ◽

Cited By ~ 2

Author(s):

Carmelita Mcneil

Keyword(s):

Health Care ◽

Health Care Workers ◽

Special Role ◽

Health Care Needs ◽

Care Needs ◽

Palliative Home Care ◽

Family Ties ◽

The Past ◽

Care Workers ◽

The Family

Attention to the unique health care needs of people who have immigrated to Canada should not wait until they are dying. The culture of the past and the reasons for migration are blended into their understanding of health care values and affect their response to interventions. Health professionals should understand that the family and the cultural community play a special role in the integration and acceptance of Canadian methods of care. Palliative home care nurses are participant-observers of the family ties to the past. They can share these observations with other health care workers.

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Through the cracks: An examination of women, homelessness and health care.

10.32920/ryerson.14664975 ◽

2021 ◽

Author(s):

Ashley Comrie

Keyword(s):

Health Care ◽

Older Women ◽

Negative Impact ◽

Qualitative Interviews ◽

Institutional Setting ◽

Health Care Needs ◽

Emergency Shelter ◽

Care Needs ◽

The City ◽

Shelter Services

This study provides a unique perspective on health care and emergency shelter services for older women dealing with homelessness as well as complex health care needs in the city of Toronto. Qualitative interviews with frontline shelter staff highlight the assumption that older women who are discharged from hospital will be cared for in an institutional setting such as an emergency shelter. Discussion focuses on how this assumption fails to adequately meet the needs of older women and how lack of adequate housing has a negative impact on their access to healthcare.

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The experience of the health care workers of a severely hit SARS-CoV-2 referral Hospital in Italy: incidence, clinical course and modifiable risk factors for COVID-19 infection

Journal of Public Health ◽

10.1093/pubmed/fdaa195 ◽

2020 ◽

Cited By ~ 1

Author(s):

Marta Colaneri ◽

Viola Novelli ◽

Sara Cutti ◽

Alba Muzzi ◽

Guido Resani ◽

...

Keyword(s):

Risk Factors ◽

Health Care ◽

Health Care Workers ◽

Cumulative Incidence ◽

Clinical Course ◽

Nasopharyngeal Swab ◽

Modifiable Risk Factors ◽

Care Needs ◽

Care Workers ◽

Prolonged Contact

Abstract Background During the COVID-19 pandemic, the health care workers (HCWs) at the frontline have been largely exposed to infected patients, running a high risk of being infected by the SARS-CoV-2 virus. Since limiting transmission of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) in health care setting is crucial to avoid the community spread of SARS-CoV-2, we want to share our experience as an early hit hospital where standard infection control practices have been conscientiously applied and effective. We believe that our example, as first and hardest hit country, might be a warning and aid not only for those who have been hit later, but also for a second fearful wave of contagion. In addition, we want to offer an insight on modifiable risk factors for HWs-related infection. Methods Demographic, lifestyle, work-related and comorbidities data of 1447 HCWs, which underwent a nasopharyngeal swab for SARS-CoV-2, were retrospectively collected. For the 164 HCWs positive for SARS-CoV-2, data about safety in the workplace, symptoms and clinical course of COVID-19 were also collected. Cumulative incidence of SARS-CoV-2 infection was estimated. Risk factors for SARS-CoV-2 infection were assessed using a multivariable Poisson regression. Results The cumulative incidence of SARS-CoV-2 infection among the screened HCWs was 11.33% (9.72–13.21). Working in a COVID-19 ward, being a former smoker (versus being a person who never smoked) and BMI was positively associated with SARS-CoV-2 infection, whereas being a current smoker was negatively associated with this variable. Conclusions Assuming an equal accessibility and proper use of personal protective equipment of all the HCWs of our Hospital, the great and more prolonged contact with COVID-19 patients remains the crucial risk factor for SARS-CoV-2. Therefore, increased and particular care needs to be focused specifically on the most exposed HCWs groups, which should be safeguarded. Furthermore, in order to limit the risk of asymptomatic spread of SARS-CoV-2 infection, the HCWs mild symptoms of COVID-19 should be considered when evaluating the potential benefits of universal staff testing.

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Assessment of health and wellness centres in hilly district of Himachal Pradesh

International Journal of Community Medicine and Public Health ◽

10.18203/2394-6040.ijcmph20214578 ◽

2021 ◽

Vol 8 (12) ◽

pp. 5852

Author(s):

Abhilash Sood ◽

Devender Kumar ◽

Arvind Kumar ◽

Sanjay . ◽

Aditya Sood ◽

...

Keyword(s):

Health Care ◽

Human Resource ◽

National Health ◽

Health Care Workers ◽

Health Centre ◽

Himachal Pradesh ◽

Health And Wellness ◽

Care Needs ◽

Cross Sectional ◽

Care Workers

Background: The National health policy 2017 has envisioned Health and wellness centres under Ayushman Bharat in health care system of India. In Himachal Pradesh with significant geographical disparities and challenges, establishment of HWC in far-flung areas indicates a paradigm shift in government policy in addressing health-care needs through primary health-care setup. The aim of the study was conducted to identify the gaps in Ayushman Bharat Health and wellness centres under various domains of service delivery.Methods:A cross-sectional study was conducted to assess the AB-Health and wellness centres in district Hamirpur of Himachal Pradesh. Duration of study was five months with effect from 1st March 2021 to 31st July 2021.Study tool used was a validated checklist prepared by National Health Mission Government of Himachal Pradesh.Results: There is deficient human resource in Health and wellness centres (PHCs and SCs). Inadequate skill competencies observed especially in newly appointed health care workers. Equipment for telemedicine are available at each health centre but none or very few tele-consultation are being done by health care workers.Conclusions:In present study it was seen that target to upgrade AB-HWCs have been achieved but still human resource, infrastructure, trainings, skill competencies of health care workers are inadequate. To fill up these gaps there is need of focussed and target oriented determination by health department of state.

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Academic Institutions’ Critical Guidelines for Health Care Workers Who Deploy to West Africa for the Ebola Response and Future Crises

Disaster Medicine and Public Health Preparedness ◽

10.1017/dmp.2015.79 ◽

2015 ◽

Vol 9 (5) ◽

pp. 586-590 ◽

Cited By ~ 6

Author(s):

Hilarie Cranmer ◽

Miriam Aschkenasy ◽

Ryan Wildes ◽

Stephanie Kayden ◽

David Bangsberg ◽

...

Keyword(s):

Health Care ◽

West Africa ◽

Health Care Workers ◽

Ebola Virus ◽

Virus Disease ◽

Care Needs ◽

Medical Response ◽

Care Workers ◽

Health Care Infrastructure ◽

And Control

AbstractThe unprecedented Ebola Virus Disease (EVD) outbreak in West Africa, with its first cases documented in March 2014, has claimed the lives of thousands of people, and it has devastated the health care infrastructure and workforce in affected countries. Throughout this outbreak, there has been a critical lack of health care workers (HCW), including physicians, nurses, and other essential non-clinical staff, who have been needed, in most of the affected countries, to support the medical response to EVD, to attend to the health care needs of the population overall, and to be trained effectively in infection protection and control. This lack of sufficient and qualified HCW is due in large part to three factors: 1) limited HCW staff prior to the outbreak, 2) disproportionate illness and death among HCWs caused by EVD directly, and 3) valid concerns about personal safety among international HCWs who are considering responding to the affected areas. These guidelines are meant to inform institutions who deploy professional HCWs. (Disaster Med Public Health Preparedness. 2015;9:586–590)

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Survey of Health Care Workers Suggests Unmet Palliative Care Needs in Parkinson's Disease

Movement Disorders Clinical Practice ◽

10.1002/mdc3.12133 ◽

2015 ◽

Vol 2 (2) ◽

pp. 142-148 ◽

Cited By ~ 7

Author(s):

Siobhan Fox ◽

Elizabeth Gannon ◽

Alison Cashell ◽

W. George Kernohan ◽

Marie Lynch ◽

...

Keyword(s):

Parkinson’S Disease ◽

Health Care ◽

Palliative Care ◽

Parkinson's Disease ◽

Health Care Workers ◽

Care Needs ◽

Care Workers ◽

Palliative Care Needs

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Through the cracks: An examination of women, homelessness and health care.

10.32920/ryerson.14664975.v1 ◽

2021 ◽

Author(s):

Ashley Comrie

Keyword(s):

Health Care ◽

Older Women ◽

Negative Impact ◽

Qualitative Interviews ◽

Institutional Setting ◽

Health Care Needs ◽

Emergency Shelter ◽

Care Needs ◽

The City ◽

Shelter Services

This study provides a unique perspective on health care and emergency shelter services for older women dealing with homelessness as well as complex health care needs in the city of Toronto. Qualitative interviews with frontline shelter staff highlight the assumption that older women who are discharged from hospital will be cared for in an institutional setting such as an emergency shelter. Discussion focuses on how this assumption fails to adequately meet the needs of older women and how lack of adequate housing has a negative impact on their access to healthcare.

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Honors and Costs of Being Heroes: Risk Factors and Epidemiology of COVID-19 Infection among Health Care Workers of a Severely Hit COVID-19-Referral Hospital in Italy

10.20944/preprints202008.0588.v1 ◽

2020 ◽

Author(s):

Marta Colaneri ◽

Viola Novelli ◽

Sara Cutti ◽

Alba Muzzi ◽

Guido Resani ◽

...

Keyword(s):

Risk Factors ◽

Health Care ◽

Health Care Workers ◽

Cumulative Incidence ◽

Current Smoker ◽

Nasopharyngeal Swab ◽

Care Needs ◽

Work Related ◽

Care Workers ◽

Prolonged Contact

Purpose: During the COVID-19 pandemic, the health care workers (HCWs) at the frontline have been largely exposed to infected patients, running an high risk of being infected by the SARS-CoV-2 virus. This study investigates the epidemiological, clinical and lifestyles characteristics that might play roles in the susceptibility of HCWs to COVID-19 in a hit Italian hospital. Methods:Demographic, lifestyle, work-related and comorbidities data of 1447 HCWs which underwent a nasopharyngeal swab for SARS-CoV-2 were retrospectively collected. For the 164 HCWs positive for SARS-CoV-2, data about safety in the workplace, symptoms and clinical course of COVID-19 were also collected. Cumulative incidence of SARS-CoV-2 infection was estimated. Risk factors for SARS-CoV-2 infection were assessed using a multivariable Poisson regression. Results: The cumulative incidence of SARS-CoV-2 infection among the screened HCWs was 11.33 (9.72-13.21). Working in a COVID-19 ward, being a former smoker (vs being a person who never smoked) and BMI were positively associated with SARS-CoV-2 infection, whereas being a current smoker was negatively associated with this variable. Conclusions: Assuming an equal accessibility and proper use of PPE of all the HCWs of our Hospital, the great and more prolonged contact with COVID-19 patients remains the crucial risk factor for SARS-CoV-2. Therefore, increased and particular care needs to be focused specifically on the most exposed HCWs groups, which should be safeguarded. Furthermore, in order to limit the risk of asymptomatic spread of SARS-CoV-2 infection, the HCWs mild symptoms of COVID-19 should be considered when evaluating the potential benefits of universal staff testing

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Fragile heroes. The psychological impact of the COVID-19 pandemic on health-care workers in Italy

PLoS ONE ◽

10.1371/journal.pone.0242538 ◽

2020 ◽

Vol 15 (11) ◽

pp. e0242538

Author(s):

Chiara Conti ◽

Lilybeth Fontanesi ◽

Roberta Lanzara ◽

Ilenia Rosa ◽

Piero Porcelli

Keyword(s):

Health Care ◽

Health Care Workers ◽

Psychological Health ◽

Psychological Impact ◽

Psychological Support ◽

Psychological Care ◽

Care Needs ◽

Care Workers ◽

Post Traumatic ◽

Traumatic Symptoms

This survey-based study aimed to explore the mental health status and psychological care needs of 933 health-care workers in Italy during the COVID-19 outbreak. Sociodemographic data, exposure to COVID-19, perception of psychological care needs, depression, anxiety, somatization, and post-traumatic symptoms were concurrently assessed. The majority of the sample (71%) suffered from somatization and 55% of distress. Female care workers experienced higher levels of anxiety (d = 0.50) and somatization symptoms (d = 0.82) and stated they needed psychological care more than men (p < .001). Younger participants (aged <40 years-old) reported higher levels of somatization, depression, anxiety, and post-traumatic symptoms (effects size range from d = 0.22 to d = 0.31). Working in a high infected area (red-zones) and directly with COVID-19 patients (front-line) affected the psychological health of participants to a smaller degree. Health-care workers who lost one of their patients reported higher levels of depression (d = 0.22), anxiety (d = 0.19), post-traumatic symptoms (d = 0.30), and psychological care needs than those who did not have the same experience (p < .01). Health-care workers who perceived the need for psychological support scored above the clinical alarming level (cut-off scores) in all the psychological scales, ranging from 76% to 88%. Psychological distress (p < .01), anxiety (p < .05), depression (p < .05), and being women (p < .01) contribute to explain the need for psychological care and accounted for 32% of the variance in this sample. These findings point out the importance to consider the psychological impact of COVID-19 on Italian health-care workers and strongly suggest establishing psychological support services for providing adequate professional care.

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