scholarly journals Healthy Workplaces for Health Workers in Canada: Knowledge Transfer and Uptake in Policy and Practice

2007 ◽  
Vol 7 (sp) ◽  
pp. 6-25 ◽  
Author(s):  
Judith Shamian ◽  
Fadi El-Jardali
Keyword(s):  
Knowledge Transfer ◽  
Health Workers ◽  
Policy And Practice

scholarly journals Outflow management of health professionals in Serbia: survey results from a tertiary-level hospital

2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
M Šantrić Milićević ◽  
N Vasilijevic ◽  
V Vasic
Keyword(s):  
Health Workforce ◽  
Organizational Support ◽  
Health Workers ◽  
Work Conditions ◽  
Medical Doctors ◽  
Policy And Practice ◽  
Retention Factors ◽  
Hospital Doctors ◽  
Almost All ◽  
Doctors And Nurses

Abstract Background Some rich countries are actively recruiting labour from abroad for lack of health workforce. A high-level tendency for emigration among health care personnel in Serbia has attracted the attention of policymakers. In the search for evidence that can support the interventions to manage the outflow of the health workforce, the objective of the study was to obtain the opinion of medical doctors and nurses about retention factors. Methods A 65-item questionnaire was distributed to 384 hospital physicians and nurses to explore their views on fourteen aspects for labour outflow management (recruitment, training, job, salary, benefits, managers' behaviour, career development, relationships, work conditions, institutional image, organizational support, and three types of organizational commitment). Any difference between physicians and nurses and their responses' scores was assessed with Pearson Chi-Square (p < 0.05) and Independent Samples t-test (p < 0.05). Results Few nurses (17.8%) and physicians (13.6%) are familiar with measures taken in the country to manage the migration of healthcare workers, but most would work abroad if given such opportunities (56.8% and 63.0%, respectively). The responses of physicians and nurses differ for many aspects of management; the best scored were managers' behaviour (11.9 v 10.4, respectively, p < 0.001) and organizational support (15.3 v 13.4, respectively, p < 0.001), while the least scored were job benefits (4.1 v 4.0, respectively p = 0.531), salary (5.9 v 5.8, respectively p = 0.459), relationships (5.3 v 5.3, respectively p = 0.911) and performance assessment (5.3 v 4.9, respectively p = 0.008). Conclusions The study has identified success and failure factors for the outflow management of health workers in Serbia. Hospital doctors scored higher than nurses almost all retention factors. There is a space to strengthen the policy and practice to retain hospital doctors and nurses in the country. Key messages Hospital nurses are in a worse position than hospital doctors in regard to almost all aspects of outflow management. Stakeholders should invest in retaining medical doctors and nurses in the hospital.

scholarly journals Peningkatan pengetahuan dan pemeriksaan skabies santri Pondok Pesantren Nurul Islam Sekarbela

2020 ◽  
Vol 16 (2) ◽  
pp. 213-222
Author(s):  
Lalu Husnul Hidayat ◽  
Siti Rahmatul Aini ◽  
Dedianto Hidajat ◽  
Iman Surya Pratama
Keyword(s):  
Knowledge Transfer ◽  
Community Service ◽  
Health Workers ◽  
Boarding Schools ◽  
Personal Hygiene ◽  
Skin Protection ◽  
Structured Interviews ◽  
Service Program ◽  
Hygiene Behavior ◽  
Physical Examinations

[Bahasa]: Angka prevalensi skabies di pondok pesantren di Indonesia adalah sebesar 3,9-6% termasuk di Provinsi Nusa Tenggara Barat. Alih pengetahuan oleh tenaga kesehatan terdidik pada santri diperlukan untuk mencapai pesantren bebas skabies. Program pengabdian kepada masyarakat (PKM) ini bertujuan untuk menentukan peningkatan pengetahuan, status perilaku kebersihan santri dan kesehatan kulit santri melalui penyuluhan dan pemeriksaan skabies pada santri Madrasah Aliyah Nurul Islam Sekarbela, Kota Mataram. Peningkatan pengetahuan ditentukan melalui pemberian kuesioner pretest dan posttest setelah penyuluhan. Status perilaku kebersihan santri ditentukan melalui wawancara semi terstruktur. Status dermatologis ditentukan melalui penemuan lesi skabies dengan pemeriksaan fisik dan teknik dermoskopi. Penyuluhan yang telah dilakukan meningkatkan pengetahuan santri terkait skabies sebesar 25-90%. Status perilaku kebersihan santri terkait skabies pada aspek kebersihan diri terkait penularan masih rendah dengan persentase lebih dari 50%. Berdasarkan pemeriksaan fisik, sebesar 21% santri terinfeksi skabies (n = 52 orang) dengan status dermatologikus berupa papula, erilematosa, skuama, dan erosi. Kata Kunci: alih pengetahuan, skabies, santri, madarasah [English]: The prevalence of scabies in Islamic boarding schools in Indonesia is 3,9-6%, including the province of West Nusa Tenggara. A knowledge transfer by educated health workers to madrasa students (santri) is needed to protect boarding schools from scabies. This community service program aimed to elevate the students’ knowledge of scabies, develop their hygiene behavior, and help them understand skin protection. It was done through counseling and physical examinations on students of MA Nurul Islam Sekarbela. The increase of knowledge was examined through the provision of pre and post counseling questionnaires. The personal hygiene status was determined through semi-structured interviews. Meanwhile, dermatological status was assessed through the scabies lesions by the physical examination and dermoscopy techniques. The counseling increased students’ knowledge of scabies at 72%-95%. The aspect of personal hygiene relating to transmissions is still low (> 50%). Based on the physical examinations, 21% of the students were infected with scabies (n = 52) in the form of papules, erythematous, squama, and erosion. Keywords: knowledge transfer, scabies, santri, madrasa

scholarly journals Addressing health workers’ exposure to violence at Lebanese emergency departments: What do the stakeholders think?

2013 ◽  
Vol 2 (4) ◽  
pp. 31 ◽  
Author(s):  
Mohamad Alameddine ◽  
Nasser Yassin
Keyword(s):  
Emergency Departments ◽  
Health Workers ◽  
Physical Violence ◽  
Care Facility ◽  
Health Care Facility ◽  
Policy And Practice ◽  
Healthcare Settings ◽  
Road Map ◽  
Occupational Violence ◽  
Multi Stakeholder

Healthcare settings are notorious for exposing their employees to high levels of verbal and physical violence. A recent study on occupational violence at Lebanese Emergency Departments (EDs) revealed that 70% of surveyed ED workers were exposed to at least one incidence of violence over the last twelve months. Acting on the findings of this study a multi-stakeholder policy forum was held with key ED stakeholders to discuss possible policy and practice changes to reduce health workers’ exposure to occupational violence. Stakeholder deliberations revealed that the root causes of violence in EDs could be classified under three main categories relating to the administration of EDs including the presence of antiviolence policies, the management of human resources, and balancing patient expectations. Stakeholders built a consensus on a number of remedial actions at the societal, health care facility and policy levels. Engaging with various stakeholders in an open forum was a unique initiative that contributed to building a consensus among key stakeholders on a road map to help protect health workers in EDs and beyond.

scholarly journals Large-scale data reporting of paediatric morbidity and mortality in developing countries: it can be done

2015 ◽  
Vol 101 (4) ◽  
pp. 392-397 ◽  
Author(s):  
Trevor Duke ◽  
Edilson Yano ◽  
Adrian Hutchinson ◽  
Ilomo Hwaihwanje ◽  
Jimmy Aipit ◽  
...  
Keyword(s):  
Large Scale ◽  
Health Workers ◽  
Lessons Learned ◽  
Morbidity And Mortality ◽  
Policy And Practice ◽  
Public Health Programme ◽  
Large Scale Data ◽  
Incidence And Mortality ◽  
Icd 10 ◽  
Scale Data

Although the WHO recommends all countries use International Classification of Diseases (ICD)-10 coding for reporting health data, accurate health facility data are rarely available in developing or low and middle income countries. Compliance with ICD-10 is extremely resource intensive, and the lack of real data seriously undermines evidence-based approaches to improving quality of care and to clinical and public health programme management. We developed a simple tool for the collection of accurate admission and outcome data and implemented it in 16 provincial hospitals in Papua New Guinea over 6 years. The programme was low cost and easy to use by ward clerks and nurses. Over 6 years, it gathered data on the causes of 96 998 admissions of children and 7128 deaths. National reports on child morbidity and mortality were produced each year summarising the incidence and mortality rates for 21 common conditions of children and newborns, and the lessons learned for policy and practice. These data informed the National Policy and Plan for Child Health, triggered the implementation of a process of clinical quality improvement and other interventions to reduce mortality in the neediest areas, focusing on diseases with the highest burdens. It is possible to collect large-scale data on paediatric morbidity and mortality, to be used locally by health workers who gather it, and nationally for improving policy and practice, even in very resource-limited settings where ICD-10 coding systems such as those that exist in some high-income countries are not feasible or affordable.

Listening to indigenous health workers

2011 ◽  
Vol 70 (4) ◽  
pp. 400-406 ◽  
Author(s):  
David Walker ◽  
Marc Tennant ◽  
Stephanie D Short
Keyword(s):  
Oral Health ◽  
Health Workers ◽  
Indigenous Health ◽  
National Policy ◽  
Indigenous Communities ◽  
Policy Support ◽  
Role Development ◽  
Structured Interviews ◽  
Policy And Practice

Objective: This research was undertaken to explore factors operating at the level of the clinic and the community which influence the development of the oral health role of Indigenous Health Workers. The research is a significant aspect of a wider study of the disconnect between the strong national policy support for the development of the oral health role of Indigenous Health Workers and the limited development of the role. Design: Semi-structured interviews were conducted with Indigenous Health Workers to explore their perceptions of the priority of the development of an oral health role and to identify facilitators and barriers to sustainable role development. Setting: The study was conducted in three remote Indigenous communities and two regional centres of the Cape York region in far north Australia. Method: Interviews were conducted with 21 Indigenous Health Workers through five group interviews and eight individual interviews. Results: The findings highlight the high priority given by Indigenous Health Workers to the development of their oral health role while also identifying significant barriers to the sustainable development of this role. Conclusion: The identification of barriers to role development operating at the level of the clinic and the community helps to explain the disconnect between policy and practice in the development of the oral health role of these community health personnel.

scholarly journals Structural distress: experiences of moral distress related to structural stigma during the COVID-19 pandemic

2021 ◽  
Author(s):  
Javeed Sukhera ◽  
Chetana Kulkarni ◽  
Taryn Taylor
Keyword(s):  
Health Equity ◽  
Teaching And Learning ◽  
Moral Distress ◽  
Health Workers ◽  
Well Being ◽  
Future Research ◽  
Structured Interviews ◽  
Policy And Practice ◽  
Resident Physicians ◽  
The Impact

Abstract Introduction The COVID-19 pandemic has taken a significant toll on the health of structurally vulnerable patient populations as well as healthcare workers. The concepts of structural stigma and moral distress are important and interrelated, yet rarely explored or researched in medical education. Structural stigma refers to how discrimination towards certain groups is enacted through policy and practice. Moral distress describes the tension and conflict that health workers experience when they are unable to fulfil their duties due to circumstances outside of their control. In this study, the authors explored how resident physicians perceive moral distress in relation to structural stigma. An improved understanding of such experiences may provide insights into how to prepare future physicians to improve health equity. Methods Utilizing constructivist grounded theory methodology, 22 participants from across Canada including 17 resident physicians from diverse specialties and 5 faculty members were recruited for semi-structured interviews from April–June 2020. Data were analyzed using constant comparative analysis. Results Results describe a distinctive form of moral distress called structural distress, which centers upon the experience of powerlessness leading resident physicians to go above and beyond the call of duty, potentially worsening their psychological well-being. Faculty play a buffering role in mitigating the impact of structural distress by role modeling vulnerability and involving residents in policy decisions. Conclusion These findings provide unique insights into teaching and learning about the care of structurally vulnerable populations and faculty’s role related to resident advocacy and decision-making. The concept of structural distress may provide the foundation for future research into the intersection between resident well-being and training related to health equity.

scholarly journals The constitutive effects of social investment evaluation

Evaluation ◽  
2020 ◽  
pp. 135638902096971
Author(s):  
Kettil Nordesjö
Keyword(s):  
Knowledge Transfer ◽  
Transfer Model ◽  
Evidence Based ◽  
Investment Fund ◽  
Social Investment ◽  
Policy And Practice ◽  
Investment Evaluation ◽  
Evidence Based Policy

Evaluation has different uses and impacts. This article aims to describe and analyse the constitutive effects – how evaluation forms and shapes different domains in an evaluation context – of evaluation related to an evidence-based policy and practice, by investigating how the evaluation of social investment fund initiatives in three Swedish municipalities is organized and implemented. Through interviews and evaluation reports, the findings show how this way of evaluating may contribute to constitutive effects by defining worldviews, content, timeframes and evaluation roles. The article discusses how social investment fund evaluation contributes to a linear knowledge transfer model, promotes a relation between costs and evidence and concentrates the power over evaluation at the top of organizations.

Knowledge transfer and the integration of research, policy and practice for patient benefit

2011 ◽  
Vol 16 (3) ◽  
pp. 254-270 ◽  
Author(s):  
Loretta Bellman ◽  
Jonathan Webster ◽  
Annette Jeanes
Keyword(s):  
Knowledge Transfer ◽  
Evidence Based Practice ◽  
Research Policy ◽  
Improve Patient Care ◽  
Evidence Based ◽  
Policy And Practice ◽  
Culture Of Evidence ◽  
Knowledge To Action ◽  
Multiple Routes ◽  
Research Findings

Multiple routes are proposed within the nursing and healthcare literature for implementing traditional and reflexive research evidence into practice. Knowledge transfer is a relatively new field of inquiry, which, as both a process and a strategy, can lead to the utilisation of research findings and improved outcomes for patients. Nurse leaders and the public have recognised the need to ensure that evidence-based practice is introduced expeditiously. Nurses working at an advanced level of practice, such as consultant nurses, use all forms of knowledge in sophisticated ways to lead the integration of research findings into diverse practice settings. Within healthcare organisations evidence-based practice is far more likely to occur when it is linked to implementing healthcare policy in practice. The current international, collaborative knowledge transfer research agenda includes the need to learn if knowledge transfer programmes, structures, frameworks and theories are working, and if not, why not. The knowledge transfer process is illustrated by consultant nurses using the knowledge-to-action framework to underpin two recent UK policy examples: safeguarding vulnerable adults and the prevention of Clostridium difficile. For the future, clinical academic partnerships are required to foster a culture of evidence-based practice through practical engagement, and the sharing of nursing knowledge and expertise in a systematic way, both to improve patient care and address the current research—practice gap.

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