scholarly journals Responsibly Including Survivors’ Voices in the Planning and Implementing of Educational Programmes for Healthcare Providers

2021 ◽  
pp. 148-153
Author(s):  
Preeti Panda ◽  
Annette Mango ◽  
Anjali Garg
Keyword(s):  
Human Trafficking ◽  
Healthcare Providers ◽  
Education Programme ◽  
Educational Programmes ◽  
Collaborative Initiative

Survivors’ experiences and input are essential for human trafficking education for healthcare providers yet they remain under-utilised. This article describes a collaborative initiative between two paediatric physicians and a survivor of trafficking, which led to the implementation of an anti-trafficking education programme for healthcare providers. It outlines the process of establishing the collaboration and the main principles of ensuring an equitable partnership. It shares the authors’ reflections of the process and their recommendations for others seeking to establish similar initiatives.

Impact of an Epilepsy Educational Programme on Coping Mechanism, Attitude, Knowledge and Awareness: A Rural Sabah Experience

2020 ◽  
Vol 18 (2) ◽  
pp. 1-14
Author(s):  
Sivaraj Raman ◽  
Chun Wai Chang ◽  
Jin Ee Heng ◽  
See Wan Wong
Keyword(s):  
Standard Of Care ◽  
Education Programme ◽  
Educational Programme ◽  
Health Concern ◽  
Coping Mechanism ◽  
Brief Cope ◽  
Educational Programmes ◽  
Knowledge And Attitude ◽  
And Coping ◽  
Programme Planning

Epilepsy is a disabling disease which has not been adequately emphasised as a public health concern. Patients are often left in the dark about their disease, affecting their ability to cope and live a normal life. This study aimed to explore and evaluate the effects of a structured epilepsy education programme (EEP) on awareness, knowledge and attitude (AKA) and coping mechanism of patients. Recruited participants were required to complete the modified Malay AKA epilepsy questionnaire and Malay brief coping orientation to problem experienced (Brief COPE)-27. Upon completion, they received a structured EEP conducted by trained personnel using validated materials. Participants were then followed up for a period of 6 months and reassessed at 1, 3 and 6 months to measure any changes in their AKA and coping mechanisms. Twenty-two participants were successfully recruited. Total AKA score of participants showed a significant increase (mean score difference = 16.3, p = 0.021, 95% CI: 3.0, 28.1) at 6 months post-EEP. This improvement was mostly contributed by the increase in both knowledge and attitude scores. Religion was the most preferred coping mechanism (82.5%), followed by instrumental support, emotional support, active coping and acceptance at 75.0%, respectively. Only three domains showed significant differences after the educational programme: planning: 62.5% versus 77.5%, p = 0.026; denial: 57.5% versus 37.5%, p = 0.004; venting: 62.5% versus 52.5%, p = 0.004. The EEP was effective in improving attitude and knowledge while bringing about changes in coping skills of patients over a period of time. Educational programmes should be part of epilepsy standard of care, especially as they are inexpensive and brief yet impactful

Does a comprehensive service user-led education programme effect more positive attitudes towards recovery and less stigmatising attitudes towards people with lived experience of mental distress in medical students? A comparative cohort study

2021 ◽  
pp. 000486742098788
Author(s):  
Giles Newton-Howes ◽  
Jessica Senior ◽  
Ben Beaglehole ◽  
Gordon L Purdie ◽  
Sarah E Gordon
Keyword(s):  
Cohort Study ◽  
Medical Students ◽  
Lived Experience ◽  
Service User ◽  
Mental Distress ◽  
Healthcare Providers ◽  
Education Programme ◽  
Positive Attitudes ◽  
Comprehensive Service ◽  
The Impact

Objective: This study sought to investigate the impact of a service user-led anti-stigma and discrimination education programme, encompassing numerous interventions focused on facilitating multiple forms of social contact, the promotion of recovery, and respect for human rights, on medical student attitudes. Method: A comparison cohort study was used to compare the attitudes of two cohorts of medical students who received this programme as part of their fifth (the fifth-year cohort) or sixth (the sixth-year cohort) year psychological medical education attachment (programme cohorts) with two cohorts of equivalent students who received a standard psychological medical attachment (control cohorts). Attitudes to recovery (using the Recovery Attitudes Questionnaire) and stigma (using the Opening Minds Scale for Healthcare Providers) were measured at the beginning and end of the attachments for each year and compared both within and between the cohorts using Wilcoxon signed-rank or Wilcoxon rank-sum tests. Results: With sample sizes ranging from 46 to 70 across all cohorts, after their psychological medicine attachment both the programme and control cohorts showed more positive attitudes towards recovery and less stigmatising attitudes towards people with lived experience of mental distress. Significant differences between the programme cohorts and the control cohorts were found for recovery attitudes (median difference of 2, p < 0.05 in both fifth and sixth year), with particularly large differences being found for the ‘recovery is possible and needs faith’ subdomain of the Recovery Attitudes Questionnaire. There were no significant between cohort differences in terms of stigmatising attitudes as measured by the Opening Minds Scale for Healthcare Providers. Conclusion: The introduction of a comprehensive service user-led anti-stigma and education programme resulted in significant improvements in recovery attitudes compared to a control cohort. However, it was not found to be similarly superior in facilitating less stigmatising attitudes. Various possible reasons for this are discussed.

Human Trafficking: Empowering Healthcare Providers and Community Partners as Advocates for Victims

2021 ◽  
pp. 089801012110455
Author(s):  
Marielle A. Combs ◽  
Tracy Arnold
Keyword(s):  
Human Trafficking ◽  
Sexual Exploitation ◽  
Healthcare Providers ◽  
Holistic Approach ◽  
Forced Labor ◽  
Holistic Nursing ◽  
Health Crisis ◽  
Community Volunteers ◽  
Modern Day Slavery ◽  
Human Caring

Human trafficking, also known as modern-day slavery, is a public health crisis and a growing worldwide crime exploiting approximately 40.3 million victims. A decade ago approximately 79% of human trafficking crimes were related to sexual exploitation and 18% were related to forced labor, but more recent reports show approximately 50% and 38%, respectively. Although sexual exploitation continues to make up the majority of human trafficking crimes, forced labor continues to grow at an alarming rate. The purpose of this paper is 2-fold. First, to empower healthcare providers and community volunteers serving potential victims of human trafficking in traditional and nontraditional settings with human trafficking identification training. This education should include the use of a validated human trafficking screening tool and the timely provision of resources. Second, to guide professional nurses in the holistic approach to caring for potential victims of human trafficking. The core values of holistic nursing practice and Watson's Theory of Human Caring are the pillars guiding mindful and authentic nursing care. Merging evidence-based practice with holistic care will boost victim identification and rescue.

Providing medical care for suspected human trafficking victims: Perceptions among a cohort of health care providers in Myanmar

2020 ◽  
Author(s):  
Sybil Zachariah ◽  
Ashish Sharma ◽  
Corey B Bills ◽  
Htoo Ma (Tony) Ohn ◽  
Rebecca Walker
Keyword(s):  
Health Care ◽  
Human Trafficking ◽  
Health Care Providers ◽  
Sex Trafficking ◽  
Healthcare Providers ◽  
Forced Labor ◽  
Care Providers ◽  
Physical And Mental Health ◽  
Convenience Sample ◽  
Trafficking Victims

Abstract Background: Myanmar is a source country for men, women, and children who are subject to human trafficking and forced labor. Given that human trafficking and forced labor victims frequently experience physical and mental health concerns, healthcare practitioners have a unique opportunity to identify and assist victims. This study aims to understand the attitudes, perspectives, and levels of comfort for healthcare providers in caring for victims of human trafficking. It also seeks to understand the types of additional educational resources that could better equip medical personnel to improve care for survivors of human trafficking.Methods: A 20-question survey collected data anonymously from a convenience sample of healthcare providers that attended a one-day emergency care conference in Yangon, Myanmar.Results: While a significant number (70%) of medical professionals surveyed reported that they feel the problem of abuses for labor or sex in the community was "serious" or "very serious", a majority of them felt neutral or uncomfortable about identifying patients that are currently being abused in some way. Only 2% of respondents felt comfortable identifying victims of abuse. Over half of the healthcare workers surveyed indicated they would be interested in attending conferences, symposia, or lectures specific to human trafficking and receiving training in identifying victims and assisting victims of exploitation.Conclusions: Health care providers in Myanmar consider labor and sex trafficking as a significant problem in their community, but do not feel adequately trained to identify and help victims of exploitation. Given that even brief educational interventions can increase providers knowledge and self-reported recognition of human trafficking victims, there is a window of opportunity in Myanmar to provide training to currently practicing health providers.

scholarly journals The Effect of a Tailored Health Education Programme on Medication Management in the Elderly

2020 ◽  
Vol 2020 ◽  
pp. 1-7
Author(s):  
Salma Mohamed Samir El Said ◽  
Ghada Essam El-Din Amin ◽  
Essam Mohamed Baumy Helal ◽  
Reham Salah Amin Radwan ◽  
Hoda MF Wahba
Keyword(s):  
Medication Management ◽  
The Elderly ◽  
Education Programme ◽  
Cross Sectional Study ◽  
Educational Programme ◽  
Cross Sectional ◽  
Medication Knowledge ◽  
Educational Programmes ◽  
Before And After ◽  
Health Education Programme

Background. Empowering the elderly by education programs can decrease medication problems, morbidity, and mortality. Methods. A cross-sectional study to identify trends and baseline medication management among the elderly in nursing homes followed by an interventional study (tailored educational programme) offered within the same population followed by reassessment of the same medication management domains. Results. There was no effect regarding nursing home participants’ medication knowledge before and after intervention, while there were variable degrees of significant statistical differences in how the participants obtain and take their medications as well as their total deficiency scores before and after intervention. Other domains were also variably affected. Conclusion. It is vital to ensure that patients have sufficient knowledge regarding their medications and how to handle and administer them. Different domains may variably be affected by educational programmes mainly due to preassessment deficits. Educational programmes need to be tailored according to the requirements of the population targeted.

Human Trafficking

2018 ◽  
Author(s):  
Nisha Verma ◽  
Celeste S Royce
Keyword(s):  
Human Trafficking ◽  
Partner Violence ◽  
Sex Trafficking ◽  
Healthcare Providers ◽  
Health Clinics ◽  
Trauma Informed Care ◽  
Trauma Informed ◽  
The Many ◽  
Modern Day Slavery

Human sex trafficking, often referred to as modern-day slavery, is a major global human rights problem with at least 4.5 million people trafficked for commercial sex annually. Many of these women interface with the medical system regularly, often in women’s health clinics and the emergency departments. Therefore, it is important for healthcare providers to be able to identify red flags for human trafficking, to be able to screen effectively, and to know how to connect patients with resources in the community. It is also important for healthcare providers to be aware of the many long-term health effects related to sexual trauma that victims of human trafficking may develop. OBGYNs are able to have long-lasting impacts on the many survivors of human sex trafficking by screening effectively and providing compassionate, trauma-informed care. This review contains 4 figures, and 3 tables, and 40 references. Keywords:  Sexual assault, sexual violence, Intimate partner violence, Human trafficking, Rape, Trauma-informed care, Women, Primary Care, Obstetrics and Gynecology.

scholarly journals Implementing case-based teaching strategies in a decentralised nursing management programme in South Africa

Curationis ◽  
2013 ◽  
Vol 36 (1) ◽  
Author(s):  
Zethu Nkosi ◽  
Padmini Pillay ◽  
Kathleen M. Nokes
Keyword(s):  
South Africa ◽  
Nursing Education ◽  
Nursing Faculty ◽  
Education Programme ◽  
Thinking Skills ◽  
Full Time ◽  
Nursing Management ◽  
Business Law ◽  
Educational Programmes ◽  
Case Based

Background: Case-based education has a long history in the disciplines of education, business, law and the health professions. Research suggests that students who learn via acase-based method have advanced critical thinking skills and a greater ability for application of knowledge in practice. In medical education, case-based methodology is widely used to facilitate knowledge transfer from theoretical knowledge to application in patient care. Nursing education has also adopted case-based methodology to enhance learner outcomes and critical thinking.Objectives: The objectives of the study was to describe a decentralised nursing management education programme located in Durban, South Africa and describe the perceptions of nursing faculty facilitators regarding implementation of this teaching method.Method: Data was collected through the use of one-on-one interviews and also focus groups amongst the fifteen facilitators who were using a case-based curriculum to teach the programme content. The average facilitator was female, between 41 and 50 years of age,working part-time, educated with a baccalaureate degree, working as a professional nurse for between 11 and 20 years; slightly more than half had worked as a facilitator for three or more years.Results: The facilitators identified themes related to the student learners, the learning environment, and strengths and challenges of using facilitation to teach the content through cases. Decentralised nursing management educational programmes can meet the needs of nurses who are located in remote areas which are characterised by poor transportation patterns and limited resources and have great need for quality healthcare services.Conclusion: Nursing faculty facilitators need knowledgeable and accessible contact with centrally based full-time nursing faculty in order to promote high quality educational programmes.

Lay-leds as Educators: A self-Management Educational Programme for Adolescents with Chronic Conditions

2017 ◽  
pp. 68-75
Author(s):  
Maria Isabel Dias Costa Malheiro
Keyword(s):  
Chronic Conditions ◽  
Emergency Services ◽  
Holistic Approach ◽  
The Elderly ◽  
Education Programme ◽  
Educational Programme ◽  
Social Needs ◽  
Self Management ◽  
Positive Health ◽  
Educational Programmes

Current health guidelines aim to increase the responsibility of people with chronic conditions to self-care. Literature studies highlight educational programmes for self-management of chronic conditions as a holistic approach, involving special health needs and emotional, psychological and social needs. Lorig and Holman (with adults and the elderly population) and Malheiro (with adolescent’s with spina bifida) have proposed self-management educational programmes, using ‘Lay-leds’, as mentors on programmes. These programmes have proven effective, with positive health outcomes, such as improvement on adherence to therapy, functionality and decrease of use of emergency services and hospitalisations and reducing health costs. Thus, we propose to adapt and implement this education programme for self-management of adolescents with diabetes type 1, using Lay-leds as educators, and evaluate their effectiveness on self-management competences, quality of life, self-efficacy, physical activity motivation, self-concept, HbA1c, variability in heart rate, blood pressure, body mass index and anthropometric profile. Keywords: Self-management programme, adolescents, chronic conditions, Lay-leds.

Caring for human trafficking victims: A description and rationale for the Medical Safe Haven model in family medicine residency clinics

2019 ◽  
Vol 54 (4-5) ◽  
pp. 344-351 ◽  
Author(s):  
Ronald Chambers
Keyword(s):  
Human Trafficking ◽  
Local Community ◽  
Healthcare Providers ◽  
Psychosocial Care ◽  
Public Health Issue ◽  
Safe Haven ◽  
Healthcare Needs ◽  
Barriers To Access ◽  
Trauma Informed ◽  
Trafficking Victims

Human trafficking is a growing public health issue. As we understand more about the prevalence of persons experiencing trafficking accessing clinical services and their unique healthcare needs, we recognize the need for programs dedicated to creating a safe environment to ensure victims and survivors have equitable, sustainable access to the physical, mental, and psychosocial care they require. Healthcare providers are often a first line of care for persons experiencing trafficking and represent a significant opportunity to positively impact outcomes in terms of health, overall quality of life, and reintegration into society. Here we discuss how persons experiencing trafficking present in the clinic, including survivors’ reported experiences with healthcare providers, how to identify victims, and why it is important to do so appropriately in a trauma-informed manner. We then describe key characteristics of a “Medical Safe Haven” clinic, an umbrella term used to describe clinics providing longitudinal care for patients who have been trafficked using validated victim-centered trauma-informed care techniques and incorporating survivor-informed practices. Medical Safe Haven clinics coordinate care with local community agencies, provide training for healthcare providers, and ensure longitudinal, comprehensive care by mitigating barriers to access, reducing risk of re-traumatization, and preventing failure of victim rehabilitation. We conclude with recommendations for next steps in evaluation and dissemination of this model of care.

scholarly journals Women Trading Sex in a U.S.-Mexico Border City: A Qualitative Study of the Barriers and Facilitators to Finding Community and Voice

Sexes ◽  
2020 ◽  
Vol 1 (1) ◽  
pp. 1-18
Author(s):  
Claudia Gonzalez ◽  
Kimberly C. Brouwer ◽  
Elizabeth Reed ◽  
Melanie J. Nicholls ◽  
Jessica Kim ◽  
...  
Keyword(s):  
Substance Use ◽  
Human Trafficking ◽  
Social Services ◽  
Partner Violence ◽  
Service Providers ◽  
Healthcare Providers ◽  
Structured Interviews ◽  
Or Education ◽  
Sex Trade ◽  
Structural Support

Poverty and income inequality can increase a woman’s decision to engage in risky transactional sex, and may lead to unimaginable harms, such as violence, substance use, and human trafficking. This study examines the facilitators and barriers to finding community and voice among women trading sex in Tijuana, Mexico, and what factors, such as socio-structural support, violence, and substance use, may impact their potential to engage with others, including human service providers. Sixty qualitative in-depth interviews were conducted with women trading sex in Tijuana, Mexico. Researchers met with participants for in-depth-face-to-face structured interviews. Data were coded using ATLAS.ti. Participants were aged 19–73 (mean: 37), 98% were of Mexican nationality, 90% reported trading sex independent of the control of others, with 58% identified as independent and street-based. Thirty percent of women trading sex reported substance use (excluding marijuana) and 20% reported injection drug use within 30 days. The majority reported no involvement in mobilization activities, but 85% expressed interest. However, barriers included stigma, cultural gender norms, partner violence, and privacy in regards to disclosure of sex trade involvement, moral conflict (revealing one’s involvement in sex trade), involvement in substance use, human trafficking, and feeling powerless. Facilitators were having a safe space to meet, peer support, self-esteem, feeling heard, knowledge of rights, economic need to support families, and staying healthy. Findings imply the potential to go beyond mobilizing limited groups of women in the sex trade and instead involve whole community mobilization; that is, to reach and include the more vulnerable women (substance use, trafficked) in supportive services (social services, exit strategies, better healthcare opportunities, and/or education for healthcare providers to help break societal stigmas regarding women in the sex trade) and to change the status of women in society in general.

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