scholarly journals STANDARD PRECAUTION ADHERENCE BY NURSING WORKERS: A MIXED METHODS STUDY

2021 ◽  
Vol 30 ◽  
Author(s):  
Quézia Boeira da Cunha ◽  
Etiane de Oliveira Freitas ◽  
Camila Pinno ◽  
Karen Emanueli Petry ◽  
Rosângela Marion da Silva ◽  
...  
Keyword(s):  
Mixed Methods ◽  
Hiv Transmission ◽  
Organizational Factors ◽  
Structured Interview ◽  
University Hospital ◽  
Standard Precautions ◽  
Related Factors ◽  
Work Related ◽  
Standard Precaution ◽  
The Individual

ABSTRACT Objective: to analyze standard precaution adherence and associated factors of nursing workers at a university hospital. Method: this is a study of mixed methods of convergent parallel strategy, carried out in Southern Brazil. The quantitative stage had 602 participants, using the instrument of sociodemographic and professional variables and the Instrument of Variables Related to Standard Precautions, analyzed using descriptive statistics. In the qualitative stage, a semi-structured interview was conducted with 24 workers, analyzed through content analysis. Results: the data showed an intermediate standard precaution adherence. In the Individual Factors dimension, the Prevention Effectiveness Scale showed high scores and the Risk Personality, Risk Perception and Knowledge about Occupational HIV Transmission scales, intermediate scores. In the dimension Work-related factors, both in the Obstacles to Following Standard Precautions Scale and in the Workload Scale, the scores were intermediate. In the Organizational Factors dimension, low scores were found for Climate of Safety and Training in Prevention of Exposure to the Human Immunodeficiency Virus and intermediate for Personal Protective Equipment Availability. Qualitative data showed that workers often select patients who they think are at greatest risk for occupational transmission to use standard precautions. Conclusion: standard precaution adherence does not occur fully among participants. Data integration allowed to conclude that, among the main elements that influence this phenomenon, is the lack of clarity of participants as to the purpose, indication and principles of standard precautions.

scholarly journals Association between individual, work-related and organizational factors and adherence to standard precautions

2020 ◽  
Vol 41 ◽  
Author(s):  
Quézia Boeira da Cunha ◽  
Etiane de Oliveira Freitas ◽  
Tânia Solange Bosi de Souza Magnago ◽  
Maria Meimei Brevidelli ◽  
Mariana Pellegrini Cesar ◽  
...  
Keyword(s):  
Safety Climate ◽  
Organizational Factors ◽  
Cross Sectional Study ◽  
University Hospital ◽  
Standard Precautions ◽  
Cross Sectional ◽  
Work Related ◽  
Psychometric Scales ◽  
Individual Work ◽  
And Training

ABSTRACT Objective: To verify the association between individual, work-related and organizational factors with adherence to standard precautions. Method: Cross-sectional study, carried out from January to June 2016 with 602 nursing workers from a university hospital. Ten Likert-type psychometric scales were used, with 57 items, organized in three domains: individual, work-related and organizational factors. Data were analyzed with descriptive and inferential statistics. Results: The adherence to the standard precautions obtained a mean intermediate score (4.30 ± 1.03) and a positive correlation with the Risk Personality Scales (r = 0.136, p <0.0001), Prevention Efficacy (r = 0.109 , p <0.0001), Obstacles to follow the precautions (r = 0.394, p <0.0001), PPE availability (r = 0.189 p <0.0001), Safety Climate (r = 0.325, p <0 , 0001) and Training on Prevention of Occupational Exposure (r = + 0.308, p <0.0001). Conclusion: Adherence to standard precautions is associated with individual, work-related, and organizational factors.

scholarly journals Factors affecting retention in the Philippine National Rural Physician Deployment Program from 2012 to 2019: a mixed methods study

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Erika Louise L. Flores ◽  
Edric Matthew R. Manahan ◽  
Miguel Paulo B. Lacanilao ◽  
Isabella Ma. Beatriz T. Ladaw ◽  
Mico Martin B. Mallillin ◽  
...  
Keyword(s):  
Mixed Methods ◽  
Healthcare Providers ◽  
Well Being ◽  
The Philippines ◽  
Social Needs ◽  
Factors Affecting ◽  
Work Related ◽  
Universal Healthcare ◽  
The Individual ◽  
Rural Physician

Abstract Background To address the maldistribution of healthcare providers and the shortage of physicians in geographically isolated and disadvantaged areas of the Philippines, the Philippine National Rural Physician Deployment Program, or more commonly known as the Doctors to the Barrios (DTTB) program was established in 1993. However, as of 2011, only 18% of the DTTBs chose to stay in their assigned municipalities after their two-year deployment, termed retention. This study aims to identify the individual, local, work, national, and international factors affecting the retention of DTTBs in their assigned communities after their two-year deployment. Methods A descriptive, mixed-methods, explanatory design was used. For the quantitative part, the modified and updated Stayers Questionnaire was given to all current DTTBs present in a Continuing Medical Education session in the Development Academy of the Philippines. Descriptive statistics were then presented. For the qualitative part, individual, semi-structured key informant interviews were conducted in-person or via phone with current and alumni DTTBs from 2012 to 2019. Proceedings of the interviews were transcribed, translated, and analyzed thematically. Results 102 current DTTBs participated in the quantitative part of our study, while 10 current and former DTTBs participated in the interviews. Demographic factors and location, personal beliefs, well-being, friends and family dynamics, and perceptions about work were the individual factors identified to affect retention. Social working conditions, career development, and infrastructure, medical equipment, and supplies were among the work factors identified to affect retention. Geography, living conditions, local social needs, and technology were among the local factors identified to affect retention. Compensation, the recently signed Universal Healthcare Law, and Safety and Security were identified as national factors that could affect retention. International factors did not seem to discourage DTTBs from staying in their communities. Conclusions A host of individual, work-related, local, national, and international factors influence the DTTB’s decision to be retained in different, complex, interconnected, and dynamic ways. We also identified implementation issues in the DTTB program and suggested interventions to encourage retention.

scholarly journals Social- and healthcare managers' work wellbeing – literature review and key informant interviews

2020 ◽  
Vol 13 (6) ◽  
pp. 633-648
Author(s):  
Niina Herttuala ◽  
Lauri Kokkinen ◽  
Anne Konu
Keyword(s):  
Literature Review ◽  
Literature Search ◽  
Organizational Factors ◽  
International Studies ◽  
Systematic Literature Search ◽  
Healthcare Organizations ◽  
Related Factors ◽  
Content Type ◽  
Factors Affecting ◽  
Work Related

PurposeThe purpose of this study was to describe factors that support and prevent managers' work wellbeing by reviewing international studies and interviewing Finnish social- and healthcare managers.Design/methodology/approachTwenty-two studies were identified in the systematic literature search. Seven social care and healthcare managers were recruited to participate in thematic interviews. Data were analyzed by using content analysis.FindingsSupportive and preventive factors for managers' work wellbeing were identified in the literature review, including managerial position, decision latitude, job control, social support and ethical culture at the workplace. The interviews further suggested that the supportive and preventive factors affecting social and healthcare managers' work wellbeing could be divided into five broad categories: (1) Individual factors, (2) Social factors, (3) Professional support from one's own manager, (4) Work-related factors and (5) Organizational factors.Originality/valueWe conducted a systematic literature search together with expert interviews to find the factors most crucial to managers' work wellbeing. These findings can assist social and healthcare organizations and policymakers to pay attention to these factors as well as in policies guiding them.

scholarly journals PREVELENACE OF LOW BACK PAIN AMONG NURSES WORKING IN ELMAK NIMER UNIVERSITY HOSPITAL – SHENDI - SUDAN 2015

2015 ◽  
Vol 3 (9) ◽  
pp. 108-121
Author(s):  
MuaadhAbdulghaniGhaithan Al-samawi ◽  
Higazi Mohammed Ahmed Abdallah Awad
Keyword(s):  
Risk Factors ◽  
Low Back Pain ◽  
Back Pain ◽  
Demographic Data ◽  
Work Load ◽  
University Hospital ◽  
Low Back ◽  
Related Factors ◽  
Cross Sectional ◽  
Work Related

Globally, Low Back Pain (LBP) comprises a significant occupational hazard in nursing profession. Objectives: To estimate the incidence, to identify risk factors, and impact of illness of LBP among nurses in AL-MakNimer university Hospital at Shendi city. A cross-sectional study was applied including nurses in AL-MakNimer university Hospital at Shendi city, republic of Sudan throughout the period May -June, 2015. Sample was chosen by using total coverage sample. A predesigned questionnaire was used for data collection. The questionnaire included demographic data, work-related factors as well as effect and management of LBP data obtained were analyzed using manually and by used SPSS soft program. Results: The results revealed that the overall incidence of low back pain among nurses was (n=70, 87.5%) Female participants complaining of LBP were significantly more than male participants (85%) of the total female reported LBP. There were significantly relate between age and working hours (.015) it can be seen that about (40%) of the participants experienced LBP at least once a week or more frequently. 52.9% subjects rated their pain as moderate pain. 35.7% nurses' concept regarding factors contributing to their LBP were lifting as well as 28.6% working load,(52.9%) sleep disturbance, (64.3%) restrict activities were nurse comment regarding LBP effect. LBP is a common health problem among working nurse, lifting, work load, were the most perceived work-related risk factors for LBP, restrict activities, taking many days off, might be the most predisposed effect related to LBP. Recommendation: These findings suggest that hospitals should focus and attempt to improve the ergonomics of nursing activities. In addition, effective methods of implementing changes in work systems are needed.

Aanvragen van zorgverlof

2015 ◽  
Vol 31 (4) ◽  
Author(s):  
Zoltán Lippényi ◽  
Tanja van der Lippe
Keyword(s):  
Organizational Design ◽  
Labor Demand ◽  
Organizational Factors ◽  
Related Factors ◽  
Term Care ◽  
Cultural Planning ◽  
Employee Representation ◽  
Work Related ◽  
Works Council

Care leave applications in Dutch workplaces Care leave applications in Dutch workplaces A substantial number of people combine work and care in the Netherlands and Dutch law entitles employees to take short-term and long-term care leave if necessary. Although most employers are willing to honor care leave requests, workers make only limited use of this possibility. There is relatively little known in the literature about how organizational and work-related factors influence applying for care leave within organizations. To answer this question, we use the Labor Demand Panel [Arbeidsvraagpanel] 2011 by the Dutch Social and Cultural Planning Office [SCP]. Multiple regression analyses show that at the level of work autonomy and part-time work at the organization substitute the need for care leave. Care-friendly organizational culture and employee representation facilitate applying for care-leave, while possible barriers for applications (such as high workload and economic problems within the organization) have little impact on applying for care leave. Applying for long-term leave is scantly influenced by organizational factors, although having a works council facilitates applying for this leave option as well. We conclude emphasizing the importance of self-organization and care-friendly organizational design for informal caretakers.

scholarly journals Influences on GP coping and resilience: a qualitative study in primary care

2017 ◽  
Vol 67 (659) ◽  
pp. e428-e436 ◽  
Author(s):  
Anna Cheshire ◽  
Damien Ridge ◽  
John Hughes ◽  
David Peters ◽  
Maria Panagioti ◽  
...  
Keyword(s):  
Focus Groups ◽  
Structured Interview ◽  
Full Time ◽  
External Work ◽  
Workplace Change ◽  
Work Related ◽  
Telephone Interviews ◽  
One To One ◽  
The Individual ◽  
The Impact

Background‘Neoliberal’ work policies, austerity, NHS restructuring, and increased GP consultation rates provide the backdrop against increasing reports of GP burnout and an impending shortage of GPs.AimTo explore GPs’ experiences of workplace challenges and stresses, and their coping strategies, particularly focusing on understanding the impact of recent NHS workplace change.Design and settingStudy design was qualitative, with data collected from two focus groups and seven one-to-one telephone interviews.MethodFocus groups and one-to-one telephone interviews explored the experiences of GPs currently practising in England, recruited through convenience sampling. Data were collected using a semi-structured interview approach and analysed using thematic analysis.ResultsThere were 22 GP participants recruited: focus groups (n = 15) and interviews (n = 7). Interviewees understood GPs to be under intense and historically unprecedented pressures, which were tied to the contexts in which they work, with important moral implications for ‘good’ doctoring. Many reported that being a full-time GP was too stressful: work-related stress led to mood changes, sleep disruption, increases in anxiety, and tensions with loved ones. Some had subsequently sought ways to downsize their clinical workload. Workplace change resulted in little time for the things that helped GP resilience: a good work–life balance and better contact with colleagues. Although some GPs were coping better than others, GPs acknowledged that there was only so much an individual GP could do to manage their stress, given the external work issues they faced.ConclusionGPs experience their emotional lives and stresses as being meaningfully shaped by NHS factors. To support GPs to provide effective care, resilience building should move beyond the individual to include systemic work issues.

scholarly journals Factors influencing adherence to standard precautions among nursing professionals in psychiatric hospitals

2015 ◽  
Vol 49 (3) ◽  
pp. 473-480 ◽  
Author(s):  
Thaís Helena Piai-Morais ◽  
Fabiana de Souza Orlandi ◽  
Rosely Moralez de Figueiredo
Keyword(s):  
Assessment Tool ◽  
Psychiatric Hospitals ◽  
Organizational Factors ◽  
Cross Sectional Study ◽  
Standard Precautions ◽  
Cross Sectional ◽  
Work Related ◽  
Management Actions ◽  
Adherence Scale ◽  
Nursing Professionals

OBJECTIVE Evaluate and correlate individual, work-related and organizational factors that influence adherence to standard precautions among nursing professionals of psychiatric hospitals in São Paulo. METHOD An exploratory cross-sectional study conducted with 35 nursing professionals, using the assessment tool for adherence to standard precautions through the Likert scale, ranging from 1 to 5. RESULTS Knowledge of the precautions received a high score (4.69); adherence received (3.86) and obstacles (3.78), while intermediaries and the scales of organizational factors received low scores (2.61). There was a strong correlation between the magnitude adherence scale and the personal protective equipment availability (r = 0.643; p = 0.000). The training scale for prevention of HIV exposure (p = 0.007) was statistically different between the nurses and nursing assistants. CONCLUSION The organizational factors negatively contributed to adherence to standard precautions, indicating that psychiatric institutions lack safe working conditions, ongoing training and management actions to control infections.

scholarly journals Relationship between lifestyle pattern and blood pressure - Iranian national survey

2019 ◽  
Vol 9 (1) ◽  
Author(s):  
Samaneh Akbarpour ◽  
Davood Khalili ◽  
Hojjat Zeraati ◽  
Mohammad Ali Mansournia ◽  
Azra Ramezankhani ◽  
...  
Keyword(s):  
Physical Activity ◽  
Risk Factors ◽  
Blood Pressure ◽  
National Survey ◽  
Related Factors ◽  
Work Related ◽  
Sweetened Beverages ◽  
The Individual ◽  
High Level ◽  
The Relationship

Abstract We aimed to evaluate the relationship between different lifestyle patterns and blood pressure. This study is based on the national survey of the risk factors for non-communicable diseases in Iran in 2012. A total of 8244 people aged 25–70 years old have been enrolled in the survey. Clustering on the individual data of lifestyle factors (nutrition, physical activity, and smoking) were carried out using self-organizing neural network method. Multivariable regression models were used to determine the relationship between blood pressure and the clusters. This study revealed seven lifestyle clusters in the national survey. The first cluster had a healthier lifestyle (15%), and the rest of the clusters had at least one or more lifestyle-related risk factors. Among all the clusters, people in two clusters, i.e. one characterized by consumption of sugar-sweetened beverages, salt, and fast foods, and the other one characterized by physical inactivity, were more exposed to the risk of hypertension (odds ratios of 1.44 and 1.12, respectively). People in another cluster who were 100% smokers and had a very high level of work-related physical activity were about 30% less likely to experience elevated blood pressure. Although a lifestyle with cigarette smoking was associated with a reduction in blood pressure, this might be due to other related factors, such as work-related physical activity, which lower blood pressure. Of course, this hypothesis still needs to be further studied in the future.

scholarly journals Factors affecting retention in the Doctors to the Barrios Program (Philippines) from 2012 to 2019: A Mixed Methods Study

2021 ◽  
Author(s):  
Erika Louise Lapitan Flores ◽  
Edric Matthew Rivera Manahan ◽  
Miguel Paulo Bernardo Lacanilao ◽  
Isabella Ma. Beatriz Tinio Ladaw ◽  
Mico Martin Baligod Mallillin ◽  
...  
Keyword(s):  
Mixed Methods ◽  
Healthcare Providers ◽  
Well Being ◽  
The Philippines ◽  
Social Needs ◽  
Factors Affecting ◽  
Work Related ◽  
Universal Healthcare ◽  
Shortage Of Physicians ◽  
The Individual

Abstract BACKGROUND: To address the maldistribution of healthcare providers and the shortage of physicians in geographically isolated and disadvantaged areas of the Philippines, the Doctors to the Barrios (DTTB) program was established in 1993. However, as of 2011, only 18% of the DTTBs chose to stay in their assigned municipalities after their two-year deployment, termed retention. This study aims to identify the individual, local, work, national, and international factors affecting the retention of DTTBs in their assigned communities after their two-year deployment. METHODS: A descriptive, mixed-methods design was used. For the quantitative part, the modified and updated Stayers Questionnaire was given to all current DTTBs present in a Continuing Medical Education session in the Development Academy of the Philippines. Descriptive statistics were then presented. For the qualitative part, individual, semi-structured key informant interviews were conducted in-person or via phone with current and alumni DTTBs from 2012 to 2019. Proceedings of the interviews were transcribed, translated, and analyzed thematically. RESULTS: 102 current DTTBs participated in the quantitative part of our study, while 10 current and former DTTBs participated in the interviews. Demographic factors and location, personal beliefs, well-being, friends and family dynamics, and perceptions about work were the individual factors identified to affect retention. Social working conditions, career development, and infrastructure, medical equipment, and supplies were among the work factors identified to affect retention. Geography, living conditions, local social needs, and technology were among the local factors identified to affect retention. Compensation, the recently signed Universal Healthcare Law, and Safety and Security were identified as national factors that could affect retention. International factors did not seem to discourage DTTBs from staying in their communities. CONCLUSIONS: A host of individual, work-related, local, national, and international factors influence the DTTB’s decision to be retained in different, complex, interconnected, and dynamic ways. We also identified implementation issues in the DTTB program and suggested interventions to encourage retention.

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