scholarly journals Strategies for the evaluation of interventions for the control of tuberculosis: integrative review

2019 ◽  
Vol 72 (5) ◽  
pp. 1370-1377
Author(s):  
Sandy Yasmine Bezerra e Silva ◽  
Erika Simone Galvão Pinto ◽  
Eliabe Rodrigues de Medeiros ◽  
Danielle Gonçalves da Cruz Rebouças ◽  
Alany Carla de Sousa Paiva ◽  
...  
Keyword(s):  
Decision Making ◽  
Health Services ◽  
Health Professionals ◽  
Scientific Literature ◽  
Health Assessment ◽  
Integrative Review ◽  
Health Programs ◽  
Quantitative Character

ABSTRACT Objective: Identifying the available evidence in the scientific literature about the strategies used in the evaluations of interventions for the control of tuberculosis. Method: Integrative review with searches in databases Lilacs, CINAHL and PubMed in August 2017. Thirty-three articles were selected and the theoretical referential of health assessment was used for analysis. Results: The prevalent interventions were health programs (60.7%), 69.7% focusing on results and 81.9% having quantitative character (81.9%). Final considerations: The evaluation of interventions for the control of tuberculosis is beneficial for the health services’ users and aids in the decision making of managers and health professionals.

scholarly journals Safe and effective praxis without scientific evidence: is it possible?

2020 ◽  
Vol 19 (3) ◽  
pp. 178
Author(s):  
Jefferson Petto ◽  
Igor Macedo De Oliveira ◽  
Alice Miranda De Oliveira ◽  
Marvyn De Santana Do Sacramento
Keyword(s):  
Decision Making ◽  
Health Professionals ◽  
Scientific Literature ◽  
Evidence Based Practice ◽  
Scientific Evidence ◽  
Science And Technology ◽  
Evidence Based ◽  
Scientific Thought ◽  
Daily Lives

The earliest accounts of scientific thought date back to thousands of years BC, where problems in the daily lives of our predecessors led to the search for effective and replicable forms of resolution. Nowadays, in the advent of science and technology, health professionals' decision making has been organized based on the analysis of the diverse evidence available in the scientific literature. This process has been identified Evidence Based Practice (EBP)...

scholarly journals Educational technologies for health education on stroke: an integrative review

2018 ◽  
Vol 71 (suppl 4) ◽  
pp. 1724-1731 ◽  
Author(s):  
Samia Jardelle Costa de Freitas Maniva ◽  
Zuila Maria de Figueiredo Carvalho ◽  
Regina Kelly Guimarães Gomes ◽  
Rhanna Emanuela Fontenele Lima de Carvalho ◽  
Lorena Barbosa Ximenes ◽  
...  
Keyword(s):  
Decision Making ◽  
Health Education ◽  
General Public ◽  
Scientific Literature ◽  
Integrative Review ◽  
Educational Technologies ◽  
Eligibility Criteria ◽  
Emergency Decision Making ◽  
Emergency Decision ◽  
Education Process

ABSTRACT Objective: to identify in the scientific literature the educational technologies used in the health education process related to stroke. Method: integrative review, whose eligibility criteria of the articles were: match the keywords “health education” and “stroke”; be a research paper; be in Portuguese, English and Spanish; be available electronically in the databases LILACS, PubMed/Medline, Scopus and CINAHL; year of publication between 2000 and 2016. Results: 24 publications were found. The analysis was carried out by means of analytical and interpretive readings. There were many educational technologies used in the health education process for stroke. Final considerations: the printed material for general public stood out, aiming to the recognition of alert signs of the disease and the emergency decision-making before suspicious cases of the disease.

scholarly journals Escasa presencia de la mujer enfermera en puestos de poder

2019 ◽  
pp. 15-23
Author(s):  
Alicia Méndez-Salguero ◽  
José Eloy García-Garcí
Keyword(s):  
Decision Making ◽  
Health Services ◽  
Health Professionals ◽  
Professional Association ◽  
Regional Health ◽  
Gender Distribution ◽  
Female Nurse ◽  
Glass Escalator

Introduction: It's a fact that nursing is a profession where most of their components are women, nevertheless, responsibility and decision-making positions aremainly occupied bymale nurses, and this is like this in spite of that they only represent 16 % of the professional contingent. The tokenism explains well this reality. Objectives: To value if the female nurse suffers discrimination inside the own profession, in the nurses' union and in the professional association. To verify if in the responsibility positions inside the Regional Health Services, the nurse is still relegated to other health professionals or not. Methodology: Bibliography researches weremadein various databases using the keywords and selecting with the ten years filter articles in Spanish and English, and official databases were revised (INE, EPA, CGE, SATSE and websites of the Regional Health Services). Results: The 84 % of the professionals nurses are females, although in the 15 Regional Nurses Councils consulted, there are only 5 chairwomen. In the SATSE, 58 %of secretariats are occupied bywomen, percentage that is not appropriate with the gender distribution in this collective. It is also alleged that nurses are not present as managers of Health Services. Discussion: It has been shown that nursing, despite being a feminized profession, has to deal with the phenomenon of the token in their ownworld somen dominate positions of power as evidenced by the data. Conclusions:The female nurse is still in an inferior position both inside and outside the profession. Keywords: nurse, tokenism, glass escalator, feminization.

scholarly journals Opinions of Health Professionals on Tailoring Reproductive Health Services to the Needs of Adolescents

2018 ◽  
Vol 2018 ◽  
pp. 1-7
Author(s):  
Ellen Abrafi Boamah-Kaali ◽  
Seyram Kaali ◽  
Grace Manu ◽  
Stephaney Gyaase ◽  
Elisha Adeniji ◽  
...  
Keyword(s):  
Reproductive Health ◽  
Health Services ◽  
Health Professionals ◽  
Sexual And Reproductive Health ◽  
Service Providers ◽  
Unwanted Pregnancy ◽  
Health Programs ◽  
Reproductive Health Services ◽  
District Health ◽  
Sexually Transmitted

Introduction. Tailoring sexual and reproductive health programs and services to the needs of adolescents will help adolescents make informed decisions and choices regarding their sexual and reproductive health. Objective. To assess the opinions of service providers on tailoring sexual and reproductive health services to the needs of adolescents. Method. A qualitative study using indepth interviews was held among eight decision-makers and service providers in two hospitals within the Kintampo North Municipality and Kintampo South District as well as the Municipal and District Health Directorates in Kintampo North and South between April and May 2011. Results. All respondents expressed the opinion that it is a good idea to tailor sexual and reproductive health services to the needs of adolescents. They admitted that very limited sexual and reproductive health programs targeting adolescent needs were available in the study area. Service providers also reported very low levels of health facilities use by adolescents for sexual and reproductive health information and services. Health professionals attributed the poor sexual and reproductive health services utilization by adolescents to stigma from the society and attitudes of service providers. Conclusion. There are no targeted sexual and reproductive health programmes and services for adolescents. Services providers indicated that it is important to tailor sexual and reproductive health services to the needs of adolescents to prevent stigma, unwanted pregnancy, abortion, and sexually transmitted infections.

scholarly journals Decision making by health professionals during COVID-19: an integrative review

2022 ◽  
Vol 75 (suppl 1) ◽  
Author(s):  
Camila Oliveira Valente ◽  
Fernanda Rios da Silva ◽  
Fernanda Carneiro Mussi ◽  
Maria Ribeiro Lacerda ◽  
Kátia Santana Freitas ◽  
...  
Keyword(s):  
Decision Making ◽  
Health Professionals ◽  
Health Workers ◽  
Scientific Production ◽  
Integrative Review ◽  
Relational Autonomy ◽  
Inclusion Criteria ◽  
Clinical Prognosis ◽  
Personal Motivation

ABSTRACT Objective: To analyze the scientific production on the decision making of health workers during the COVID-19 pandemic. Methods: Integrative review in the databases CINAHL, MEDLINE, Scopus, ScienceDirect, WoS, and BVS. Inclusion criteria: original articles available in full, in any language, related to the object investigated. Results: During this pandemic, health workers have been making decisions based on ethical/bioethical principles (utility, beneficence, non-maleficence, autonomy, justice, proportionality, flexibility, clinical prognosis, duration of the need, and fair health attention), values (solidarity, equality, equity, utilitarianism, relational autonomy, reliability, reciprocity, maximization of the benefits and resources, and prioritization of those in worse conditions), beliefs and personal motivation, protocols, directives, tools, algorithms, recommendations, and criteria. Final considerations: Decision making has never been so necessary as in this pandemic. This article is not a recipe for the professionals, since decision making is based on numerous factors. However, it provides them with a foundation that can be helpful in this difficult process.

scholarly journals Vestimentas dos profissionais da saúde: riscos e cuidados necessários

2019 ◽  
Vol 19 (74) ◽  
Author(s):  
Thaisa Medeiros de Lima Silva ◽  
Rayssa Horacio Lopes ◽  
Kariny Kelly de Oliveira Maia
Keyword(s):  
Public Health ◽  
Health Services ◽  
Hand Hygiene ◽  
Health Professionals ◽  
Health Personnel ◽  
Hospital Infection ◽  
Integrative Review ◽  
Review Of The Literature ◽  
Health Area ◽  
Potential Risks

RESUMOA área da saúde possui riscos para os profissionais e usuários, dentre eles se destaca o biológico. As vestimentas dos profissionais de saúde, estão expostas ao ambiente dos serviços de saúde que a depender do local e atividade desenvolvida pode ser contaminado. Objetiva-se com este trabalho, identificar na literatura estudos que discorram sobre potenciais riscos de contaminação associados às vestimentas dos profissionais de saúde, bem como as recomendações para o cuidado com as mesmas. Trata-se de uma revisão integrativa da literatura, onde se pesquisou nas bases de dados LILACS, BIREME e SciElo, com os descritores cadastrados no DeCS. Após seu cruzamento e exposição aos critérios de inclusão e exclusão, foram selecionados 12 trabalhos. Nestes, identificou-se que as vestimentas podem se tornar contaminadas, bem como potenciais contaminantes. Para evitar a disseminação da cadeia de contaminação, é necessário que haja uma manipulação adequada da vestimenta após o seu uso, processamento da vestimenta de forma correta e também a adesão às práticas de biossegurança, como a higienização das mãos. Além disso, é preciso discutir com os profissionais da saúde, acerca da temática da biossegurança, pois, as IRAS são consideradas atualmente um problema de saúde pública.Descritores: risco biológico; vestuário; pessoal de saúde; infecção hospitalar. ABSTRACTThe health area has risks for professionals and users, among them the biological one. The clothing of health professionals is exposed to the environment of health services that depending on the location and activity developed can be contaminated. The objective of this work is to identify in the literature studies that discuss potential risks of contamination associated with the health professional’s dress, as well as recommendations for care with them. It is an integrative review of the literature, where the LILACS, BIREME and SciElo databases were searched, with the descriptors registered in the DeCS. After their research, 12 papers were selected. In these, it has been identified that clothing may become contaminated as well as potential contaminants. To avoid the spread of the contamination chain, it is necessary that there is adequate handling of the clothing after its use, processing of the clothes correctly and also adherence to biosafety practices, such as hand hygiene. In addition, it is necessary to discuss with the health professionals about the biosafety issue, because IRAS is considered a public health problem.Keywords: biological risk; clothing; health personnel; hospital infection.

The Association of Communitarian Health Services (ASECSA) and the Role of Religion and Health in Central America

2016 ◽  
Author(s):  
Susan Fitzpatrick-Behrens
Keyword(s):  
Health Services ◽  
International Development ◽  
Central America ◽  
Liberation Theology ◽  
Health Professionals ◽  
The United States ◽  
Health Programs ◽  
Religion And Health ◽  
1960S And 1970S ◽  
The 1960S

The Association of Communitarian Health Services (ASECSA) is a transnational, religiously influenced health program in Central America created during the Cold War. ASECSA was founded in 1978 by a small group of international health professionals with ties to programs started by Catholic and Protestant clergy and laity in Guatemala’s western highlands in the 1960s. It introduced a model of healthcare in which Maya health promoters and midwives became partners in healing rather than objects to be cured. Support for the health programs and ASECSA came from secular and religious international agencies, including the United States Agency for International Development (USAID), German Misereor, Catholic Relief Services, and the World Council of Churches. ASECSA was founded to disseminate knowledge of popular health education strategies used by health promoters and midwives to provide preventive and curative medical services to their communities. The education methods grew from Paulo Freire’s Pedagogy of the Oppressed and its use by religious agents influenced by liberation theology. Although it was founded in Guatemala, ASECSA’s publications and meetings attracted participation by health professionals and paraprofessionals from Mexico, Central America, and even the Caribbean. Ecumenical religious centers affiliated with liberation theology in the 1960s and 1970s facilitated the development of popular health programs that played a defining role in the region.

Analysis of Indicators used in the Annual Review Reports of DHS-Nepal

1970 ◽  
Vol 39 (135) ◽  
pp. 245-250
Author(s):  
B K Suvedi
Keyword(s):  
Health Services ◽  
Trend Analysis ◽  
Annual Report ◽  
Health Programs ◽  
Annual Review ◽  
Department Of Health ◽  
Review Reports

The indicators mentioned in the Annual Report of Department of Health Services of Nepal has beenreviewed and analyzed. The Annual Report mentions 74 indicators used by 12 different programs under theDepartment of Health Services. Out of 26 programs, Fourteen (54%) programs do not have any indicators.Of the total 74 indicators used by 12 programs, only 28 (38%) have been used in the annual report fordetailed description. Three categories of the indicators have been classified and their use in the report hasbeen analyzed. Questions are raised regarding the "silent" programs and the "silent" indicators for their usein monitoring of performance / trend analysis of various programs. Suggestions on the better use of theindicators has been made.Key Words: indicators, health, programs, Nepal, report.

Knowledge, Attitudes and associated factors to Use District Health Information System (DHIS2 data) for decision making among health professionals in a Resource limited settings: Cross-sectional Survey (Preprint)

2020 ◽  
Author(s):  
Shuma Gosha Kanfe ◽  
Nebyu Demeke Mengiste ◽  
Mohammedjud Hassen Ahmed ◽  
Gebiso Roba Debele ◽  
Berhanu Fikadie Endehabtu
Keyword(s):  
Decision Making ◽  
Health Professionals ◽  
Associated Factors ◽  
Good Knowledge ◽  
Cross Sectional Survey ◽  
District Health ◽  
Cross Sectional ◽  
Determinant Factors ◽  
Knowledge And Attitudes ◽  
Health Need

BACKGROUND Evidence based practice is a key to increase effectiveness and efficiency of quality health services. To achieve this, utilization of health facility data (DHIS2 data) is required which is determined by knowledge and attitudes of health professionals. Thus, this study aimed to assess knowledge and attitudes of health professionals to use DHIS2 data for decision making. OBJECTIVE This study aimed to assess the knowledge, attitudes and its associated factors among health professionals to use DHIS2 data for decision making at South west of Ethiopia 2020 METHODS Cross sectional quantitative study methods was conducted to assess Knowledge and Attitudes of health professionals to use DHIS2 data. A total of 264 participants were approached. SPSS version 22 software was used for data entry and analysis. Descriptive and analytical statistics including Bivariable and Multivariable analyses was done RESULTS Overall 130(49.2%) of the respondents had good knowledge to use DHIS2 data (95% CI: [43, 55.3]), whereas over 149 (56.4%) of the respondents had favorable attitudes towards the use of DHIS2 data for decision making purpose (95% CI: [53.2, 59.8]). Skills [AOR=2.20,95% CI:(1.16, 4.19)], Age [AOR= 1.92, 95% CI: (1.03, 3.59)] ,Resources[AOR=2.56, 95% CI:(1.35,4.86)], Staffing[AOR= 2.85, 95% CI : (1.49, 5.48)] and Experiences[AOR= 4.66, 95% CI: (1.94, 5.78)] were variables associated with knowledge to use DHIS2 data whereas Training [AOR= 5.59, 95% CI: (2.48, 5.42)], Feedback [AOR= 4.08, 95% CI: (1.87, 8.91)], Motivation [AOR=2.87, 95% CI: (1.36, 6.06)] and Health need [AOR=2.32, 95% CI: (1.10-4.92)] were variables associated with attitudes of health professionals to use DHIS2 data CONCLUSIONS In general, about half of the study participants had good knowledge of DHIS2 data utilization whereas more than half of respondents had favorable attitudes. Skills, resources, ages, staffing and experiences were the most determinant factors for the knowledge to use DHIS2 data whereas health need, motivation, feedback and training were determinant factors for attitudes to use DHIS2 data

Virtual Clinical and Precision Medicine Tumor Boards: A Cloud-based Platform-mediated Implementation of Multidisciplinary Reviews among Oncology Centers in the Covid-19 Era. (Preprint)

2020 ◽  
Author(s):  
Livio Blasi ◽  
Roberto Bordonaro ◽  
Vincenzo Serretta ◽  
Dario Piazza ◽  
Alberto Firenze ◽  
...  
Keyword(s):  
Decision Making ◽  
Health Professionals ◽  
Clinical Pathways ◽  
Prospective Trial ◽  
Banking System ◽  
Outcome Data ◽  
Tumor Board ◽  
Time Saving ◽  
Tumor Boards ◽  
Multidisciplinary Tumor Board

BACKGROUND Multidisciplinary tumor boards play a pivotal role in the patients -centered clinical management and in the decision-making process to provide best evidence -based, diagnostic and therapeutic care to cancer patients. Among the barriers to achieve an efficient multidisciplinary tumor board, lack of time and geographical distance play a major role. Therefore the elaboration of an efficient virtual multidisciplinary tumor board (VMTB) is a key-point to reach a successful oncology team and implement a network among health professionals and institutions. This need is stronger than ever in a Covid-19 pandemic scenario. OBJECTIVE This paper presents a research protocol for an observational study focused on exploring the structuring process and the implementation of a multi-institutional VMTB in Sicily. Other endpoints include analysis of cooperation between participants, adherence to guidelines, patients’ outcomes, and patients satisfaction METHODS This protocol encompasses a pragmatic, observational, multicenter, non-interventional, prospective trial. The study's programmed duration is five years, with a half-yearly analysis of the primary and secondary objectives' measurements. Oncology care health-professionals from various oncology subspecialties at oncology departments in multiple hospitals (academic and general hospitals as well as tertiary centers and community hospitals) are involved in a non-hierarchic fashion. VMTB employ an innovative, virtual, cloud-based platform to share anonymized medical data which are discussed via a videoconferencing system both satisfying security criteria and HIPAA compliance. RESULTS The protocol is part of a larger research project on communication and multidisciplinary collaboration in oncology units and departments spread in the Sicily region in Italy. Results of this study will particularly focus on the organization of VMTB involving oncology units present in different hospitals spread in the area and create a network to allow best patients care pathways and a hub and spoke relationship. Results will also include data concerning organization skills and pitfalls, barriers, efficiency, number and type con clinical cases, and customers’ satisfaction. CONCLUSIONS VMTB represents a unique opportunity to optimize patient’s management in a patient centered approach. An efficient virtualization and data banking system is potentially time-saving, a source for outcome data, and a detector of possible holes in the hull of clinical pathways. The observations and results from this VMTB study may hopefully useful to design nonclinical and organizational interventions that enhance multidisciplinary decision-making in oncology.

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