scholarly journals The adequacy of health system measures in reducing vulnerability to COVID 19 among the health care providers working in primary health care in Rajasthan, India A Cross sectional Study

2020 ◽  
Author(s):  
Arup Kumar Das ◽  
Ambey Kumar Srivastava ◽  
Saswata Ghosh ◽  
Ruchi Bhargava ◽  
Rajan Kumar Gupt ◽  
...  
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Health Care Providers ◽  
System Level ◽  
Care Providers ◽  
Physical And Mental Health ◽  
Cross Sectional ◽  
Safety Measures ◽  
Primary Level ◽  
Facility Level

Background This paper examines the role of individual, facility and system level preparedness in reducing the physiological and psychological vulnerability among primary-level health care providers (HCPs) of COVID19 pandemic in Rajasthan, India. Method and Material Online and telephonic interviews are conducted among 274 HCPs working in 24 PHCs (17 rural and 7 urban), across 13 districts of Rajasthan. Five dimensions of vulnerability covering awareness, exposure to infection (daily contact; contact with high risk individuals), physical and mental health conditions, while three aspects of preparedness at individual (personal care) and facility (provider safety; management and supervision) level are measured by employing factor analysis. Generalized ordered logit regression model is used to measure the effect of preparedness on COVID19 related vulnerability. Result: Among the 274 HCPs, majority of the staff are from rural PHCs (76 %), less than 35 years (87%), female (57%) and married (57 %). Almost half have high level exposure to COVID19, with mean contact rate is 90. Overall, 26% have comprehensive knowledge on COVID19, and 32% have any mental health issues. Although more than 70% of HCPs have reported more than one individual level preparedness, mental health measures adopted by the HCPs are comparably low. The facility level preparedness for enhancing safety are high such as social distance (79%) and maintaining record of each visitor (75%). However, management related measures adopted by the PHCs are perceived to be lower than the safety measures. The regression analyses suggest that safety related preparedness is significantly associated with reduction of vulnerability by 50%. The management-level preparedness has statistically no significant effect in explaining the variations in level of vulnerability. Conclusion: The facility-level safety measures, which lowers chances of acquiring infection has a positive effect on reducing vulnerability of COVID19. However, the HCPs do not have adequate preparedness at individual, facility management (PHC) and system level to reduce COVID19 vulnerability. Findings suggest that there is a need for a non-conventional approach of monitoring and supervision, in the absence of such measures there is a chance of moral injury that will make the HCPs at the primary level vulnerable to both physiologically and psychologically.

scholarly journals Cannabis Use for Medicinal Purposes among Canadian University Students

2019 ◽  
Vol 64 (5) ◽  
pp. 351-355 ◽  
Author(s):  
Jacqueline M. Smith ◽  
Joel Mader ◽  
Andrew C. H. Szeto ◽  
Amelia M. Arria ◽  
Ken C. Winters ◽  
...  
Keyword(s):  
Mental Health ◽  
Health Care ◽  
University Students ◽  
Health Care Providers ◽  
Sleep Problems ◽  
Health Condition ◽  
Cannabis Use ◽  
Care Providers ◽  
Cross Sectional ◽  
Medicinal Cannabis

Objective: The study sought to describe a Canadian sample of university students’ medicinal use of cannabis, including prevalence of cannabis use disorder (CUD) and replacement of traditional treatments with cannabis. Method: A random sample of 4000 university students was asked to complete a cross-sectional web-based survey. The survey was completed by 2212 (average age 23.2 years, SD = 5.2 years), representing a 55.3% response rate. To be eligible, students had to be enrolled in a class on campus and were 18 years or older. Result: Half (52%) of respondents used cannabis at least once in their lifetime, with ∼11% reporting medicinal cannabis use. Recreational motives to use cannabis were common among medicinal users (85%), several (38%) replaced traditional medication with cannabis, and more than a third received authorization by a health care provider. Of the medicinal users, 13.6% met the criteria for CUD. Common ailments for medicinal cannabis use were anxiety, sleep problems, depression, and pain. When mental health–related categories are combined, 78.2% of medicinal users used for at least 1 mental health condition. Conclusions: Medicinal cannabis use occurs among university students. None of the ailments listed by medicinal users meet the Canadian Family Physicians prescribing guidelines, and most are not among those viewed by the National Academies of Science, Engineering, and Medicine as having strong evidence for therapeutic value. The results raise concerns for health care providers who are authorizing or counselling patients’ considering medicinal cannabis.

scholarly journals Prevalence and risk factors of perceived stress on COVID-19 among health care providers in Dilla Town Health institutions, Southern Ethiopia: A cross-sectional study

2020 ◽  
Author(s):  
Yigrem Ali Chekole ◽  
Solomon Yimer ◽  
Birhanie Mekuriaw ◽  
Semagn Mekonnen
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Perceived Stress ◽  
Health Care Providers ◽  
Healthcare Providers ◽  
Cross Sectional Study ◽  
Southern Ethiopia ◽  
Care Providers ◽  
Sectional Study ◽  
Cross Sectional

Abstract Background: The Coronavirus belongs to large groups of viruses that cause serious health problems including the mental health of the society particularly the health care providers. Understanding the mental health response after a public health emergency might help health care providers and communities to prepare for a population's response to a disaster.Objective: This study aimed to assess the magnitude of perceived stress and risk factors of coronaviruses disease 2019 among healthcare providers in Dilla, Southern Ethiopia 2020.Methods: This cross-sectional study was conducted among 244 samples selected with systematic random sampling technique. Data collection was carried out with validated perceived stress scale adapted from the World health organization. Data were coded and entered into Epi-info Version 7 and was exported and analyzed with SPSS version 20. Crude and adjusted OR were analyzed using logistic regression and the level of significance of association was determined at P-value <0.05.Result: The magnitude of perceived stress of coronavirus disease 2019 among participants was 126 (51.6%). Being at the age range of 25-31 years (AOR=2.5, 95%CI, 1.07, 5.90), nurse professionals (AOR= 7.8, 95%CI 2.15, 27.98) and pharmacist professionals (AOR=4.15, 95%CI, 1.01, 17.06) were variables found to have a strongly statistically significant association with perceived stress of Coronaviruses disease.Conclusion: this indicates that early prevention, early identification and intervention of perceived stress of coronaviruses disease among healthcare providers. Particularly, more stress for the frontline healthcare worker nurses, pharmacists and age ranges of 25-31 years.

Getting to the Heart of the Matter: Nursing Assessment and Intervention with Battered Women in Psychiatric Mental Health Settings

1995 ◽  
Vol 1 (2) ◽  
pp. 48-54
Author(s):  
Nancy Fishwick
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Battered Women ◽  
Health Care Providers ◽  
Mental Health Problems ◽  
Abusive Relationships ◽  
Care Providers ◽  
Physical And Mental Health ◽  
Nursing Assessment ◽  
Mental Health Settings

The consequences of abusive relationships are reflected in the physical and psychologic distress for which women seek assistance from health care providers. Although the physical and mental health problems from the abuse are addressed and treated, the heart of the matter— the abuse at home— goes unattended Women often leave the health care setting as isolated and uninformed about options as when they came in. Mental health settings offer important opportunities for psychiatric nurses to identify and intervene with women in abusive relationships. Whether encounters are relatively brief or occur over an extended period of time, important interactions can take place. The nurse's response to women in abusive relationships is one component of a unified community-wide response that is needed to prevent violence and abuse in the home. (J Am Psychiatr Nurses Assoc [1995]. 1, 48–54)

scholarly journals A Discussion on Different Approaches for Prescribing Physical Interventions – Four Roads Lead to Rome, but Which One Should We Choose?

2020 ◽  
Vol 10 (3) ◽  
pp. 55 ◽  
Author(s):  
Fabian Herold ◽  
Alexander Törpel ◽  
Dennis Hamacher ◽  
Henning Budde ◽  
Thomas Gronwald
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Physical Exercise ◽  
Health Care Providers ◽  
Care Providers ◽  
Physical And Mental Health ◽  
Crucial Point ◽  
Positive Effects ◽  
Advantages And Disadvantages ◽  
Regular Physical Exercise

It is well recognized that regular physical exercise has positive effects on physical and mental health. To use the beneficial health effects of physical exercise, there are worldwide movements encouraging health care providers to include physical exercise in their care and treatments strategies. However, a crucial point in administering the “exercise polypill” is the dosing and, in turn, the prescription of the physical intervention (PI). In this perspective article, we discuss the advantages and disadvantages of different approaches to prescribe PI. In this context, we also highlight outstanding questions and potential areas of opportunity for further investigations.

scholarly journals Intimate Partner Violence Among Men With Disabilities: The Role of Health Care Providers

2015 ◽  
Vol 11 (5) ◽  
pp. 1436-1443 ◽  
Author(s):  
Michelle S. Ballan ◽  
Molly Burke Freyer ◽  
Lauren Powledge
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Physical Abuse ◽  
Health Care Providers ◽  
Interpersonal Violence ◽  
Partner Violence ◽  
Intimate Partner ◽  
Care Providers ◽  
Physical And Mental Health ◽  
Previous Contact

Men with disabilities experience higher rates of interpersonal violence (IPV) than either women or men without disabilities, yet research exploring this problem is limited. This retrospective descriptive study examines the clinical files of male survivors of IPV with disabilities who received services from the Secret Garden, a disability-specific nonresidential IPV program located in New York City. These data inform the role health care providers may fill in helping address IPV against men with disabilities. Abuse history, medical and mental health service utilization, and the channels through which men accessed IPV assistance were areas of focus for analysis. Data were analyzed descriptively and outcomes reported as frequencies and percentages. Results indicate that more than half of study participants were abused by an intimate partner (66.2%) and nearly two-thirds described an act of physical abuse as the most serious type of abuse perpetrated (71.7%). Nearly half (40.8%) had previous contact with medical providers due to abuse. The high prevalence of physical abuse in this sample has critical physical and mental health implications, and could further exacerbate already precarious health statuses. While nearly half reported previous contact with health care providers due to abuse, only 15.8% were referred for IPV assistance by a health care provider, indicating a missed opportunity to identify signs of abuse and direct survivors to additional resources.

scholarly journals Prevalence of depression and its associated factors among the doctors working in a private medical college, Trichy- a cross sectional study

2020 ◽  
Vol 7 (11) ◽  
pp. 4410
Author(s):  
Sathasivam Ponnan ◽  
N. Mareeswaran ◽  
Thalha . ◽  
T. Tamizhan
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Health Care Providers ◽  
Mental Health Problems ◽  
Cross Sectional Study ◽  
Care Providers ◽  
Sectional Study ◽  
Cross Sectional ◽  
Tertiary Teaching ◽  
Study Participants

Background: Stress is one among the leading health problem throughout the world. Stress due to family problems and work related are often encountered. Among the various professionals, health care providers are found to be more depressed than others. This study was conducted with an objective to study the socio demographic characters of the study participants, to study the depression status of the study participants and to study the association between various factors and depression.Methods: This descriptive cross sectional study done among the doctors working in a tertiary teaching hospital. A total of 150 participants were included in this study. Simple random sampling method was used to identify the study participants.Results: Around 76% of the participants belongs to the age group of 20-30 years of age. 71.3% of the study population were junior residents. Nearly 64% were found to be depressed among which 8% were found to be on severely depressed. Statistical significant association was found between factors like designation and time spending with family with depression.Conclusions: Since stress and burnout became the leading mental health problems, and health care providers posing as a vulnerable group by virtue of their profession. Hence behavioral therapy sessions and stress management programs are to be conducted frequently to screen as well to relieve from the mental health issues. 

scholarly journals Attitude of Future Health Care Providers Regarding Treatment and Management of Mental Health Disorders

2020 ◽  
pp. 20-27
Author(s):  
Muhammad Shahid Iqbal ◽  
Salah-Ud-Din Khan ◽  
Muhammad Zahid Iqbal
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Health Care Providers ◽  
Mental Health Disorders ◽  
Cross Sectional Study ◽  
Care Providers ◽  
Future Health ◽  
Cross Sectional ◽  
Future Health Care ◽  
Health Disorders

Objective: The objective of the study was to determine the attitude of future health care providers regarding the treatment and management of mental health disorders (MHDs). Methods: A cross-sectional study was conducted using a convenience sampling method. A self-developed and pre-validated tool was used to collect data from students studying in three health care faculties of a university in Malaysia. The Statistical Package for Social Science (SPSS) Version 24.0 was used to analyze the data. Results: Out of the total study participants, males were 104 (36.6%) and females were 180 (63.4%) in the study. For the race variable the Malays students were 7 (2.5%), Chinese students 212 (74.6%), Indians students 60 (21.2%), and others 5 (1.7%). Conclusion: Overall positive attitude was observed among the studied cohort of future health care providers.

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