scholarly journals Management of the health workforce in facing COVID-19: disinformation and absences in Brazil’s Public Policies

2021 ◽  
Vol 26 (5) ◽  
pp. 1873-1884
Author(s):  
Silvana Nair Leite ◽  
Mirelle Finkler ◽  
Jussara Gue Martini ◽  
Ivonete Heidemann ◽  
Marta Verdi ◽  
...  
Keyword(s):  
Federal Government ◽  
Health Workers ◽  
Workforce Training ◽  
Federal Regulations ◽  
Inclusion Criteria ◽  
Government Interventions ◽  
Thematic Content Analysis ◽  
Academic Workforce ◽  
Epidemiological Situation ◽  
Work And Health

Abstract The objective of this research was to analyse federal government interventions in crisis management and the consequences for health professionals. This is a documentary-type qualitative research. Brazilian Federal regulations referring to work and health education produced during the pandemic emergency of COVID-19, published from January 28 to June 2, 2020, were identified. Of the total of 845 documents, 62 were selected in accordance with the inclusion criteria and were then submitted to Thematic Content Analysis. The results and discussions were grouped into four categories:workforce management, workforce protection, workforce training and academic-workforce relationship. Absence of a federal coordinating actions and policies for desinformation were identified. This lacking mechanisms for coordination contributed decisively to the tragic epidemiological situation still underway, especially in terms of the exposure of health workers to the risk of contamination, revealed in the extremely high rates of professionals infected or killed by COVID-19 in Brazil and the failure to control the pandemic in the population.

scholarly journals Factors influencing access to and utilisation of youth-friendly sexual and reproductive health services in sub-Saharan Africa: a systematic review

2021 ◽  
Vol 18 (1) ◽  
Author(s):  
Lesley Rose Ninsiima ◽  
Isabel Kazanga Chiumia ◽  
Rawlance Ndejjo
Keyword(s):  
Reproductive Health ◽  
Health Services ◽  
Sexual And Reproductive Health ◽  
Health Workers ◽  
Sub Saharan Africa ◽  
Inclusion Criteria ◽  
Reproductive Health Services ◽  
Factors Influencing ◽  
Sub Saharan ◽  
Youth Friendly

Abstract Background Despite the global agreements on adolescents’ sexual and reproductive health and rights, access to and utilisation of these services among the youth/adolescents remain unsatisfactory in low- and middle-income countries which are a significant barrier to progress in this area. This review established factors influencing access and utilisation of youth-friendly sexual and reproductive health services (YFSRHS) among the youth in sub-Saharan Africa to inform programmatic interventions. Methodology A systematic review of studies published between January 2009 and April 2019 using PubMed, Web of Science, EMBASE, Medline, and Cochrane Library, and Google Scholar databases was conducted. Studies were screened based on the inclusion criteria of barriers and facilitators of implementation of YFSRHS, existing national policies on provision of YFSRHS, and youth’s perspectives on these services. Findings A total of 23,400 studies were identified through database search and additional 5 studies from other sources. After the full-text screening, 20 studies from 7 countries met the inclusion criteria and were included in the final review. Structural barriers were the negative attitude of health workers and their being unskilled and individual barriers included lack of knowledge among youth regarding YFSRHS. Facilitators of utilisation of the services were mostly structural in nature which included community outreaches, health education, and policy recommendations to improve implementation of the quality of health services and clinics for adolescents/youth to fit their needs and preferences. Conclusion Stakeholder interventions focusing on implementing YFSRHS should aim at intensive training of health workers and put in place quality implementation standard guidelines in clinics to offer services according to youth’s needs and preferences. In addition, educating the youth through community outreaches and health education programs for those in schools can facilitate utilisation and scale up of the service.

scholarly journals Studi Literatur: Peran Caregiver Untuk Peningkatan Perawatan Kesehatan Pada Pasien Demensia

2020 ◽  
Vol 1 (2) ◽  
pp. 166-175
Author(s):  
Riskha Dora Candra Dewi ◽  
Kushariyadi
Keyword(s):  
Health Care ◽  
English Language ◽  
Health Workers ◽  
Dementia Patient ◽  
Inclusion Criteria ◽  
Improve Health Care ◽  
Dementia Patients ◽  
Psychological Pressure ◽  
Improve Health

The role of caregivers for dementia patients to improve health care is not yet optimal. Dementia patient care is an experience-based effort for complex dementia patients that can increase the psychological pressure of caregivers. The aim of the study was to determine the effectiveness of the caregiver's role in dementia patients to improve health care. Search strategies for English-language studies that are relevant to the topic are carried out using the ScienceDirect, SagePub, Springer databases limited from 2014 to 2020. The keywords used are "caregiver", "dementia", "health care", "role". Fulltext articles are reviewed to select studies that fit the criteria. The inclusion criteria in this review are  health workers, caregivers. A search using the keywords above with the ScienceDirect, SagePub, Springer database that met the inclusion criteria was only 22 articles. Research examined in this article uses a variety of methods, namely systematic literature review by 1 articles, RCT by 4 articles, interview by 1 articles, qualitative study by 5 articles, quasi-experimental study 2 article, participatory research of 1 article, bootstrapping methods of 1 article, scoping review of published literature by 1 articles, quantitative study by 1 articles, cohort study path analysis by 1, a survey to clarify the evaluation by 1, SEM by 1, standardized protocol by 1. Research using random techniques as much as 10 articles, while those using non-random techniques as many as 12 articles. The role of caregivers for dementia patients to improve health care is an effective experience-based effort and is the most appropriate activity for elderly patients with dementia. Enhance the role of the caregiver by changing the caregiver's perception of a more positive view of his role.

scholarly journals Peluang Psikoedukasi Keluarga untuk Pencegahan Kekambuhan Orang dengan Gangguan Jiwa di Papua

2020 ◽  
Vol 8 (2) ◽  
pp. 193
Author(s):  
Nasrah Halim ◽  
Achir Yani Syuhaimie Hamid
Keyword(s):  
Systematic Review ◽  
Relapse Prevention ◽  
Health Workers ◽  
Health Resources ◽  
Health Care Facilities ◽  
Inclusion Criteria ◽  
Family Psychoeducation ◽  
Care Facilities ◽  
Limited Health ◽  
Google Search

Psikoedukasi keluarga dapat digunakan sebagai alternatif pencegahan kekambuhan  Orang Dengan Gangguan Jiwa (ODGJ) khususnya di Papua yang memiliki keterbatasan sumberdaya kesehatan antara lain kemampuan mengakses fasilitas layanan kesehatan, dan keterbatasan tenaga kesehatan.  Kondisi ini diperberat dengan banyaknya jumlah ODGJ serta keadaan geografis yang sulit.  Artikel ini bertujuan menguraikan  peluang psikoedukasi keluarga dalam mengatasi keterbatasan sumberdaya kesehatan di Papua. Metode yang digunakan adalah review sistematis (systematic review)  pada artikel yang dipublikasikan di database elektronik nasional maupun internasional. Jurnal Lokal menggunakan pencarian google sedangkan jurnal internasional menggunakan database ProQuest, Sage Publications, Science Direct SpringerLink. Dan Wiley Online. Kriteria inklusi meliputi psikoedukasi keluarga yang berfokus dalam pencegahan kekambuhan dan pemulihan ODGJ baik di Indonesia dengan rentang tahun 2018-2020 sedangkan Internasional rentang tahun 2015-2020. Hasil didapatkan 1464 artikel ekstraksi 33 artikel yang relevan yang kemudian penulis mengidentifikasi 21 artikel yang menunjukkan efektivitas psikoedukasi keluarga dalam pencegahan kekambuhan ODGJ baik pada jurnal nasional maupun internasional. Kata kunci: pencegahan kekambuhan, psikoedukasi keluarga OPPORTUNITIES FOR FAMILY PSYCHEDUCATION FOR RELAPSE PREVENTION OF PEOPLE WITH THE MENTAL DISORDER  IN PAPUA ABSTRACTFamily psychoeducation can be used as an alternative relapse prevention of people with mental disorders (PWMD), especially in Papua, which has limited health resources both health care facilities, health workers, the number of ODGJ and geographical conditions. The purpose of this article is to identify opportunities for family psychoeducation in overcoming the limitations of health resources in Papua. The method used is a systematic review of articles published in national and international electronic databases. Local journals use Google search while international journals use ProQuest, Sage Publications, Science Direct SpringerLink databases. And Wiley Online. Inclusion criteria include family psychoeducation which focuses on relapse prevention and recovery of PWMD both in Indonesia in the range 2018-2020 while International ranges in 2015-2020. The results obtained were 1464 articles extracted 33 relevant articles which then the authors identified 21 articles that show the effectiveness of family psychoeducation in preventing PWMD recurrence in both national and international journals.  Keywords: family psychoeducation, relapse prevention

scholarly journals Brazilian legislation and the school inclusion of individuals with communication disorders

Revista CEFAC ◽  
2019 ◽  
Vol 21 (3) ◽  
Author(s):  
Vanessa Boldarini de Godoy ◽  
Lia Netto Vaz Faiad ◽  
Maria Aparecida Miranda de Paula Machado ◽  
Patrícia de Abreu Pinheiro Crenitte ◽  
Dionísia Aparecida Cusin Lamônica ◽  
...  
Keyword(s):  
Intellectual Disability ◽  
Federal Government ◽  
Hearing Impairment ◽  
Communication Disorders ◽  
The Other ◽  
Special Educational Needs ◽  
Inclusion Criteria ◽  
Effective School ◽  
National Education ◽  
Brazilian Legislation

ABSTRACT Objective: to verify if the current Brazilian Legislation assures the effective school inclusion of individuals with communication disorders. Methods: the present study is an integrative review. Legislation related to the topic was searched on public databases, such as the website of the Planalto Palace (Brazilian Federal government headquarters), the website of the Culture and Education Ministry (Ministério de Educação e Cultura - MEC) the website of the National Education Council from Federal Government. Brazilian laws, ordinances and guidelines regarding special education of individuals with autism, intellectual disability, hearing impairment and dyslexia were consulted, since the descriptor "Communication Disorders" did not show any results. Results: twenty-one (21) identified norms met the inclusion criteria. Among these, thirteen (13) address disabilities in a generalized manner. The other eight (8) regulations are specific in relation to autism, intellectual disability, hearing impairment and dyslexia. Conclusion: despite the significant number of norms, the current Brazilian legislation does not allow for real school inclusion. Individuals with communication disorders do not have a specific legislation that could guide the peculiarities of each disorder, as well as their special educational needs. Thus, it was concluded that these individuals need legal support respecting their specificities, to allow their effective school inclusion.

scholarly journals ANALYSIS OF MOTHER BEHAVIOR IN GIVING BASIC IMMUNIZATION AS AN IMPORTANT COMPONENT OF PREVENTION OF DEATH IN INFANTS

2020 ◽  
Vol 8 (12) ◽  
pp. 1069-1072
Author(s):  
Fika Lestari ◽  
◽  
Dina Andriani ◽  
Nuriah Arma ◽  
Novy Ramini ◽  
...  
Keyword(s):  
Health Workers ◽  
Immunization Coverage ◽  
Sampling Technique ◽  
Married Couples ◽  
Not Given ◽  
Inclusion Criteria ◽  
Immunization Program ◽  
Serious Infections ◽  
Study Population ◽  
The Right

Basic immunization is a means of preventing serious infections that result in death in infants. A successful immunization program can provide high immunization coverage. Basic immunization is related to maternal behavior. This study aims to analyze the behavior of mothers in providing basic immunization to infants during the Covid-19 pandemic. The design used in this research is descriptive analytic. The study population was all mothers who had babies. The sampling technique was total sampling, which means that the entire population was used as the research sample and met the inclusion criteria, namely 99 mothers. The results showed that the mothers behavior in giving basic immunization to infants in good category was 27.3%, 27.3% enough and 45.5% less. So it can be concluded that there are still mothers who have not given complete basic immunization to babies. Therefore it is important for health workers to provide counseling for married couples about basic immunization for babies. It is hoped that the support of the couple can take the right action to maintain the health of the baby.

scholarly journals Community stigma on the health care providers during COVID-19 Pandemic

2021 ◽  
Vol 3 (2) ◽  
pp. 66
Author(s):  
Arief Yanto ◽  
Muhammad Athfal Faroby ◽  
Tri Hartiti ◽  
Amin Samiasih
Keyword(s):  
Health Care ◽  
Research Design ◽  
Health Care Providers ◽  
Health Workers ◽  
Care Providers ◽  
Inclusion Criteria ◽  
Descriptive Research ◽  
Convenience Sampling ◽  
Quantitative Descriptive ◽  
Survey Approach

Stigma can be an obstacle in efforts to prevent, treat and treat COVID- 19 patients. Negative stigma can cause psychological problems for health workers during the COVID-19 pandemic. Stigma is often associated with health problems including COVID-19 which is caused by fear and lack of knowledge. This study aims to determine the image of the community's stigma against health workers during the COVID-19 pandemic. This study used a quantitative descriptive research design with a survey approach using a questionnaire filled out via google form. Sampling was done through convenience sampling. The sample of this study was 138 respondents who met the inclusion criteria. Most of the respondents did not give stigma labelling 82.6%, did not give stigma stereotype 81.9%, did not give stigma separation 89.9% and did not give stigma discrimination 77.5% to health workers. The results showed that the community did not give stigma of labelling, stereotype, separation and discrimination to health workers during the COVID-19 pandemic. It is hoped that this research can be used as input to prevent the emergence of a negative stigma against health workers during a pandemic.

scholarly journals Assessment of Healthcare Institutions and Socio-Economic Welfare: A Survey of Secondary and Tertiary Hospitals in Rivers State, Nigeria

2021 ◽  
pp. 11-21
Author(s):  
Dennis B. Ewubare ◽  
Kelechi C. Nnamdi
Keyword(s):  
Service Delivery ◽  
Federal Government ◽  
State Government ◽  
Health Workers ◽  
Sampling Technique ◽  
Public Hospitals ◽  
Quality Healthcare ◽  
Tertiary Hospitals ◽  
The Government ◽  
Rivers State

The purpose of this paper is to access healthcare institutions and the welfare experience of patients and workers in public Secondary and Tertiary Hospitals in Rivers State, with ownership across Federal Government, State Government and the Military. From a stratified sampling technique, a representative survey sample of 90 respondents was involved. Our findings shows that Tertiary hospitals in Rivers state relies on funding by Federal Government, State Government, internally generated funds and grants, in their decending order. Budgetary cut on health institution is perceived to reduce service delivery and health workers motivation, though a cut in funding is expected by few, as a result of the prevalent fall in global oil price. The analysis also shows that the price of health services and medicines have increased in recent times, but we could not establish the symptom of inflation on the prices of healthcare consumption. It was established that the level of qualified health workers without gainful employment has slightly increased, owing to low absorptive capacity of government owned hospital, low renumeration from non-public-owned hospitals. The study found that the populace prefers public hospitals over private hospitals, mainly because of affordability and availability of specialists. Although there is evidence of inadequate workforce, bureaucratic holdup and poor ambience. The study concludes that the government is the provider of very affordable and quality healthcare in Nigeria. It was therefore recommended that there should be proper accountability by the hospital management on the proceeds and expenses. Efforts should be made to strenghten internally generated revenue, while a public-private partnership, improved efficiency and quality of service delivery will attract funds.

scholarly journals FAMILY RESILIENCE IN CAREGIVING ELDERLY WITH DEMENTIA: A SYSTEMATIC REVIEW

2021 ◽  
Author(s):  
Anung Ahadi Pradana ◽  
Rohayati Rohayati
Keyword(s):  
Quality Of Life ◽  
Systematic Review ◽  
Health Workers ◽  
Family Resilience ◽  
Inclusion Criteria ◽  
Complex Needs ◽  
Formal Support ◽  
Dementia Patients ◽  
Positive Effect

Objective: Dementia patients have complex needs that may become a burden to those who caregive them. They are treated at home by family members due to financial limitations and lack of support from health services. Therefore, the measurement of self-resilience in caregivers needs special attention from professionals. Method: This study used a systematic review method from 4 databases consisting of the CINAHL, ProQuest, PubMed, and Google Scholar between 2015 till 2020; 17 articles were considered to meet the inclusion criteria. Results: Caregiver of elderly with dementia has a tendency to experience burdens that affect the quality of the care performed. The level of resilience that caregivers have can help reduce the level of burden they experience and improve their quality of life. Conclusions: Social support and formal support by health workers for caregivers have a significantly positive effect in increasing the level of resilience of caregivers.

scholarly journals Pengaruh Komunikasi Terapeutik Terhadap Tingkat Kecemasan Pada Anak Usia Sekolah yang Mengalami Hospitalisasi di Zaal Anak Rsud Bima

2019 ◽  
Vol 1 (1) ◽  
pp. 8
Author(s):  
Aniharyati Aniharyati ◽  
Ahmad Ahmad
Keyword(s):  
Nursing Care ◽  
Health Workers ◽  
Therapeutic Education ◽  
School Age Children ◽  
School Age ◽  
Pediatric Nurses ◽  
Inclusion Criteria ◽  
Therapeutic Communication ◽  
Post Test ◽  
Anxiety Levels

Hospitalization is a threatening experience for children. Anxiety is the most common form of response in children who are hospitalized, especially in school-age children who are trying hard to be independent and produce, this is caused by changes in their routine habits due to hospitalization and they are limited in dealing with it. The use of therapeutic communication approaches is believed can overcome the problems of children and the occurrence of crisis. To that end, the study aims to determine the effect of the implementation of therapeutic communication on anxiety levels in school-age children who are hospitalized at Zaal Anak Bima Regional General Hospital. The research design used was one group pre-test post-test village design. Population was 15 respondents who were taken accidentally according to inclusion criteria. Data were obtained through interviews with parents and direct observation of respondents. Data collected was then analyzed using t-tests. (different test) analyzed using SPSS. From the results of the analysis test it was found that the result of P <0.006 less than 0.05 means that therapeutic communication is influential and effective in reducing anxiety levels of school-age children who are hospitalized significantly. With these results, it can be said that the use of approaches through therapeutic communication very appropriate in overcoming the problems of children that can bring anxiety, for it is expected that all health workers, especially pediatric nurses to always do therapeutic education in providing nursing care to children

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