scholarly journals Disability Training for Health Care Workers: A Global Narrative Systematic Review

2021 ◽  
Author(s):  
Sara Rotenberg ◽  
Danae Rodriguez Gatta ◽  
Azizia Wahedi ◽  
Rachelle Loo ◽  
Emily McFadden ◽  
...  
Keyword(s):  
Systematic Review ◽  
Health Care ◽  
Health Care Workers ◽  
Self Efficacy ◽  
Health Workers ◽  
Continuing Professional Development ◽  
People With Disabilities ◽  
Care Workers ◽  
The World ◽  
Training Community

Objective: To conduct a systematic review of the literature on disability training to improve knowledge, confidence, self-efficacy and competence among health care workers around the world. Methods: We searched five databases for relevant peer-reviewed articles published between January 2012 and January 2021. Studies that focused on training health care workers to improve knowledge, confidence, self-efficacy, and competence to support people with physical, sensory, or intellectual impairments were included. Data about the details of the intervention (setting, participants, format, impact assessments, etc.) and its effects were extracted. Findings: There is an array of highly local tools to train health workers across stages of their training and careers (pre-service, in-service, and continuing professional development). Studies involving people with disabilities in the training, community placements, simulations, or interactive sessions were found to be most effective in improving knowledge, confidence, competency, and self-efficacy. Conclusion: As part of initiatives to build inclusive health systems and improve health outcomes for people with disabilities, health workers around the world need to receive appropriate and evidence-based training that combine multiple methods and involve people with disabilities.

Prevalence and causes of unreported needle stick injuries among health care workers: a systematic review and meta-analysis

2021 ◽  
Vol 0 (0) ◽  
Author(s):  
Razieh Behzadmehr ◽  
Abbas Balouchi ◽  
Mehran Hesaraki ◽  
Farshid Alazmani Noodeh ◽  
Hosein Rafiemanesh ◽  
...  
Keyword(s):  
Systematic Review ◽  
Health Care ◽  
Health Care Workers ◽  
Health Workers ◽  
Meta Analysis ◽  
Random Effect ◽  
Random Effect Model ◽  
Needle Stick ◽  
Care Workers ◽  
Needle Stick Injuries

Abstract Objectives Health care workers (HCWs) are exposed to needle needles daily. Despite individual studies, there is no statistics on the prevalence of unreported needle stick injuries (NSIs) have been reported. This study was performed to determine the prevalence and causes of unreported NSIs among HCWs. Content In present systematic review and meta-analysis study, three international databases (Web of Science, Scopus, PubMed) were searched from January 1, 2000 to December 31, 2018. The random model was used to determine the prevalence of unreported needle stick among HCWs. Summary and outlook Forty-one studies performed on 19,635 health care workers entered the final stage. Based-on random effect model, pooled prevalence of unreported needle stick injuries was 59.9% (95% CI: 52.0, 67.7; I2=98.9%). The most common cause of unreported NSIs was: They were not worried about NSIs (n=12). The high prevalence of unreported needle sticks injuries indicates the urgency and necessity of paying attention to strategies to improve reporting among health workers.

scholarly journals Cost Comparison Model: Blended eLearning versus traditional training of community health workers

2014 ◽  
Vol 6 (3) ◽  
Author(s):  
Mysha Sissine ◽  
Robert Segan ◽  
Mathew Taylor ◽  
Bobby Jefferson ◽  
Alice Borrelli ◽  
...  
Keyword(s):  
Health Care ◽  
Community Health ◽  
Community Health Workers ◽  
Health Care Workers ◽  
Health Workers ◽  
Cost Comparison ◽  
Community Health Care ◽  
Training Approach ◽  
Care Workers ◽  
Training Community

Objectives: Another one million community healthcare workers are needed to address the growing global population and increasing demand of health care services. This paper describes a cost comparison between two training approaches to better understand costs implications of training community health workers (CHWs) in Sub-Saharan Africa.Methods: Our team created a prospective model to forecast and compare the costs of two training methods as described in the Dalburge Report - (1) a traditional didactic training approach (“baseline”) and (2) a blended eLearning training approach (“blended”). After running the model for training 100,000 CHWs, we compared the results and scaled up those results to one million CHWs.Results: A substantial difference exists in total costs between the baseline and blended training programs. Results indicate that using a blended eLearning approach for training community health care workers will provide a total cost savings of 42%. Scaling the model to one million CHWs, the blended eLearning training approach reduces total costs by 25%.Discussion: The blended eLearning savings are a result of decreased classroom time, thereby reducing the costs associated with travel, trainers and classroom costs.  Additional savings can be achieved if the blended eLearning program elects to use a tablet or feature phone with Wi-Fi rather than a smartphone with data plan.Conclusion: The results of this cost analysis indicate significant savings through using a blended eLearning approach in comparison to a traditional didactic method for CHW training by as much as 67%. These results correspond to the Dalberg publication which indicates that using a blended eLearning approach is an opportunity for closing the gap in training community health care workers. 

scholarly journals Towards the Equality of People with Disabilities in the Health System: The Preparedness of Health Workers to Work with People with Hearing, Visual, Movement and Mental Disabilities

2021 ◽  
Author(s):  
Liudmila Rupšienė ◽  
◽  
Milda Ratkevičienė ◽  
Regina Saveljeva
Keyword(s):  
Health System ◽  
Health Care Workers ◽  
Health Professionals ◽  
Health Workers ◽  
People With Disabilities ◽  
Mental Disabilities ◽  
Specific Subject ◽  
Visual Movement ◽  
Care Workers ◽  
The World

Even though the recent decades have witnessed extensive attempts around the world to ensure the equality of people with disabilities in the health system, it has not been achieved yet. To some extent, the problem is related to the education of health workers to work with people with disabilities. In order to gain more understanding in this regard, this paper focuses on the preparedness of health workers to work with people with hearing, visual, movement and mental disabilities: Is there a link between the studies of the health care workers in higher schools and their preparedness to deal with the specific problems that arise when working with people with hearing, visual, movement and mental disabilities? How does a specific subject / module on working with people with disabilities relate to the preparedness of health workers to address these specific issues? How is it related to the integrated preparation during the study years to work with people with disabilities? A survey of 664 health workers (doctors, nurses, kinesiotherapists, and social workers) working in Lithuania has been conducted. The research revealed that a number of health workers were not properly prepared in higher schools to work with people with hearing, visual, movement and mental disabilities. The research has also revealed that while studying a specific subject / module about working with people with disabilities or studying it in an integrated way across a variety of study activities, health professionals become better prepared to deal with the specific problems of working with people with hearing, visual, movement and mental disabilities. The results of the study suggest the necessity to pay more attention to the particularity of working with people with disabilities in health workers education, so that they are more prepared to work with people with hearing, visual, movement and mental disabilities and ensure more equality and non-discrimination in the healthcare system.

scholarly journals Implementation of the PIERS on the Move mHealth Application From the Perspective of Community Health Workers and Nurses in Rural Mozambique

2021 ◽  
Vol 2 ◽  
Author(s):  
Helena Boene ◽  
Anifa Valá ◽  
Mai-Lei Woo Kinshella ◽  
Michelle La ◽  
Sumedha Sharma ◽  
...  
Keyword(s):  
Health Care ◽  
At Risk ◽  
Community Health ◽  
Community Health Workers ◽  
Health Care Workers ◽  
Self Efficacy ◽  
Health Workers ◽  
Perceived Usefulness ◽  
Care Workers ◽  
The Impact

Background:mHealth is increasingly regarded as having the potential to support service delivery by health workers in low-resource settings. PIERS on the Move (POM) is a mobile health application developed to support community health workers identification and management of women at risk of adverse outcomes from pre-eclampsia. The objective of this study was to evaluate the impact of using POM in Mozambique on community health care workers' knowledge and self-efficacy related to caring for women with pre-eclampsia, and their perception of usefulness of the tool to inform implementation.Method: An evaluation was conducted for health care workers in the Mozambique Community Level Intervention for Pre-eclampsia (CLIP) cluster randomized trial from 2014 to 2016 in Maputo and Gaza provinces (NCT01911494). A structured survey was designed using themes from the Technology Acceptance Model, which describes the likelihood of adopting the technology based on perceived usefulness and perceived ease of use. Surveys were conducted in Portuguese and translated verbatim to English for analysis. Preliminary analysis of open-ended responses was conducted to develop a coding framework for full qualitative analysis, which was completed using NVivo12 (QSR International, Melbourne, Australia).Results: Overall, 118 community health workers (44 intervention; 74 control) and 55 nurses (23 intervention; 32 control) were surveyed regarding their experiences. Many community health workers found the POM app easy to use (80%; 35/44), useful in guiding their activities (68%; 30/44) and pregnant women received their counseling more seriously because of the POM app (75%; 33/44). Almost a third CHWs reported some challenges using the POM app (30%; 13/44), including battery depletion after a full day's activity. Community health workers reported increases in knowledge about pre-eclampsia and other pregnancy complications and increases in confidence, comfort and capacity to advise women on health conditions and deliver services. Nurses recognized the increased capacity of community health workers and were more confident in their clinical and technological skills to identify women at risk of obstetric complications.Conclusions: Many of the community health workers reported that POM improved knowledge, self-efficacy and strengthened relationships with the communities they serve and local nurses. This helped to strengthen the link between community and health facility. However, findings highlight the need to consider program and systematic challenges to implementation.

scholarly journals A Systematic Review and Provisional Metanalysis on Psychopathologic Burden on Health Care Workers of Coronavirus Outbreaks

2020 ◽  
Vol 11 ◽  
Author(s):  
Federica Galli ◽  
Gino Pozzi ◽  
Fabiana Ruggiero ◽  
Francesca Mameli ◽  
Marco Cavicchioli ◽  
...  
Keyword(s):  
Systematic Review ◽  
Health Care ◽  
Health Care Workers ◽  
Care Workers

scholarly journals NSI: A major occupational hazards among the health care workers in Nepal

2013 ◽  
Vol 3 (1) ◽  
pp. 22-25 ◽  
Author(s):  
Jaita Mondal
Keyword(s):  
Health Care ◽  
Health Care Workers ◽  
Body Fluid ◽  
Occupational Safety ◽  
Assessment Tool ◽  
Health Workers ◽  
Needle Stick Injury ◽  
Safety And Health ◽  
Care Workers ◽  
B Virus

A percutaneous piercing wound as in needle stick injury is a typically set by a needle point, but possibly also by other sharp instruments or objects. These events are of concern because of the risk to transmit blood-borne diseases through the passage of the hepatitis B virus (HBV), the hepatitis C virus (HCV), and the Human Immunodeficiency Virus (HIV), the virus which causes AIDS. The present study was done to determine the risk status regarding NSI among health care workers of Private Hospitals, Pokhara, Nepal. Samples were selected through purposive sampling. Self administered questionnaire & risk assessment tool were used to collect data. Study revealed that majority of health care workers were females (93%) with mean age of 22.66 years (±3.1). Sixty eight percent had got NSI, among them 41% had NSI more than 2times in life. Maximum NSI cases happened either by recapping of the needle (18%) or during disposal of sharps (16%) or while transferring a body fluid (blood) to a specimen bottle (15%). The study concludes that majority of health workers had NSI more than two times which denotes NSI is a major occupational hazard. Cases happened either by recapping of the needle or during disposal of sharps or while transferring a body fluid to a specimen bottle. DOI: http://dx.doi.org/10.3126/ijosh.v3i1.9098   International Journal of Occupational Safety and Health, Vol 3 No 1 (2013) 22-25

scholarly journals Measuring the Quality of Rural-Based, Government Health Care Workers in Nepal

2010 ◽  
Author(s):  
Stephen Knoble ◽  
Anil Pandit ◽  
Bibek Koirala ◽  
Laxmi Ghimire
Keyword(s):  
Health Care ◽  
Health Care Workers ◽  
Clinical Training ◽  
Health Workers ◽  
Clinical Skills ◽  
Clinical Teacher ◽  
Government Health ◽  
Care Workers ◽  
Key Skills ◽  
Significant Difference

A representative, cross-sectional clinical skills assessment of 163 mid-level, rural-based, government health care workers was conducted in four districts of Nepal in June 2007. All Health Assistants and Auxiliary Healthcare Workers within the target districts were scored using checklists of standardized key skills in clinical encounters with model patients or clinical models. Participant scores were reported as a mean percentage in adult medicine 28(%), pediatric medicine 56(%), maternity medicine 35(%), orthopedic medicine 45(%), clinical procedures 59(%), and management 46(%). This was measured against the government’s 60(%) standard on clinical skills. There was little significant difference between categories of health workers by district of posting or years of experience. There was a minor difference in skills by level of facility - workers in higher level facilities scored better across the domains. Reasons for poor performance in clinical skills were attributed to a lack of clinical in-service training programs, training only focusing on prevention and public health, and poor on-sight supervision. Poor pre-service schooling factors included heavy theory concentration in pathophysiology and inadequate clinical exposure opportunities. Recommendations for the improvement of clinical skills and decision-making include the institution of in-service competency-based training with a high emphasis on real patient exposure. Pre-service recommendations include implementation of a national certification program and an expansion of the current government clinical training sites and clinical teacher development programs.

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