scholarly journals Methodological justification of preparing medical workers of medical and preventive treatment institutions of the Republic of Tatarstan for providing medical care in the event of occurrence of centers of mass sanitary losses

2012 ◽  
Vol 93 (2) ◽  
pp. 326-329
Author(s):  
N N Apechkin ◽  
A N Galiullin ◽  
E G Nureyeva
Keyword(s):  
Medical Care ◽  
Health Professionals ◽  
Health Workers ◽  
New Technology ◽  
Postgraduate Education ◽  
Preventive Treatment ◽  
Medical Personnel ◽  
Nursing Personnel ◽  
Level Of Knowledge ◽  
Centers Of Mass

Aim. To optimize the training of medical personnel for providing emergency medical care to the general public. Methods. Socio-hygienic, statistical and experimental. A questionnaire-based survey was conducted among 450 medical doctors and 136 members of the nursing personnel in order to determine the subjective level of knowledge in the field of organizing medical evacuation procedures in the centers of mass sanitary losses. Conducted was an initial testing of 108 doctors and 106 members of the nursing personnel in order to objectively assess their level of knowledge followed by a final post-training test. A new technology for training health professionals has been developed and recommended for inclusion into the program of medical postgraduate education. Results. If the doctors prior to training had the level of preparedness to provide first medical care in centers of sanitary losses of 49.71%, then after training, this figure increased to 75.38% (p 0.001). Among the nursing staff the level of preparedness prior to training did not exceed 51.88% of the cases, while after the training it reached 74.28% (p 0.001). Thus, after training according to the proposed methodology the level of knowledge in organizing medical care to the affected casualties in centers of sanitary losses at the pre-hospital stage increased by 47.89% (p 0.001 for t=12.19). The survey of health professionals showed that 97.2% of health workers gave a positive evaluation of our proposed method of training. Conclusion. The proposed technology makes it possible to increase the level of training of medical personnel in organizing and delivering health care.

scholarly journals The Study of the Awareness of Healthcare Workers on Organizational Aspects of Vaccination

2021 ◽  
Vol 27 (1) ◽  
Author(s):  
Kateryna Bulavinova ◽  
Oryna Detsyk ◽  
Zoya Tsikhon
Keyword(s):  
Medical Care ◽  
Health Professionals ◽  
Primary Care Physicians ◽  
Healthcare Workers ◽  
Health Workers ◽  
Medical Personnel ◽  
Cold Chain ◽  
Health Care Managers ◽  
Knowledge And Beliefs ◽  
Care Managers

Aim. To analyze the awareness of healthcare workers on the organization of vaccination. Materials and Methods. In 2018 – 2019 sociological survey was conducted among 1384 healthcare workers from 4 Ukrainian regions: 353 primary care physicians, 233 specialized medical care doctors, 88 healthcare managers, 700 nurses, and 10 others. Results. Gaps in the knowledge and beliefs of health professionals associated with the organization of vaccination were founded: less than half of the surveyed health workers understand that vaccination is carried out with any certified vaccine, regardless of the country of origin; a significant part of respondents tend to prescribe drugs not recommended by international guidelines (53.6%), antihistamines (15.9%) and anti-inflammatory (8.0%) drugs before vaccination; do not know about the possibility of doing several vaccinations in one visit (47.3%) and that the cold chain breach affects the effectiveness of the vaccine (52.4%). It was found that the most knowledgeable about the organization of immunoprophylaxis of the population are the health care managers and medical personnel who have passed special training on vaccination vs the least informed specialized medical care doctors. Conclusions. It is necessary to develop a set of scientifically based measures to improve the awareness of health professionals about the organization of vaccination in order to improve the coverage of the population with immunoprophylaxis.

scholarly journals On the Concept of Criminological Ratios of Unintentional Crime in Medical Assistance Rendering

2020 ◽  
Vol 11 ◽  
pp. 31-34
Author(s):  
Polina G. Gabay ◽  
Keyword(s):  
Health Care ◽  
Medical Care ◽  
Health Workers ◽  
Medical Personnel ◽  
Practical Significance ◽  
Healthcare Sector ◽  
Legal Analysis ◽  
Medical Assistance ◽  
Personal Relations

Purpose. To study the indices of carelessness in the provision of medical care from a criminological standpoint. Methodology: it includes the following methods: historical and legal, comparative legal, analysis and forecasting. Conclusions. 1. Elements of everyday carelessness in health care can be distinguished only conditionally and only in the sphere of relations that are within the framework of personal relations between medical personnel and patients. 2. The structure of health crime includes three groups of crimes: professional crimes of health workers; malfeasance of employees of the studied area; crimes, the responsibility for which arises for these subjects along with other persons. Scientific and practical significance. The conclusions presented in the article are aimed at increasing the effectiveness of counteracting careless criminality in the healthcare sector in the provision of medical care.

Incidence of COVID-19 in outpatient healthcare workers

2021 ◽  
Vol 61 (8) ◽  
pp. 540-545
Author(s):  
Sergey A. Suslin ◽  
Maiia L. Sirotko ◽  
Marina N. Bochkareva ◽  
Sergey A. Babanov
Keyword(s):  
Medical Care ◽  
Health Workers ◽  
Medical Personnel ◽  
Expert Assessment ◽  
Outpatient Basis ◽  
Medical Organization ◽  
Occupational Infection ◽  
Increased Risk ◽  
Need Support ◽  
Coronavirus Infection

Currently, work in any medical organization carries a risk of coronavirus infection, and, first of all, this applies to medical organizations dealing with the treatment of patients infected with coronavirus. Medical workers are a group at increased risk of infection with the SARS-CoV-2 virus in the provision of medical care in modern conditions, which determines their incidence of COVID-19 [1-3]. The aim of the study is to explore the prevalence of cases of COVID-19 infection in medical workers providing medical care on an outpatient basis. Materials and methods. The analysis of the incidence of COVID-19 medical workers in one of the large medical organizations of the Samara region during the period of the pandemic was carried out. The medical staff of the medical organization includes 207 doctors. There are 11 subdivisions in the structure of the medical and prophylactic institution. Research methods: content analysis of the modern regulatory framework (2020-2021), statistical, expert. For the period from May 2020 to March 2021 71 cases of infection of medical workers on an outpatient basis with SARS-CoV-2 were identified, of which 32 doctors (45%) and 39 people (55%) nurses. Based on the results of the expert assessment, the insurance nature of the infection case was established in 50 people (70%). Among the medical and nursing categories of medical workers, the largest number of cases was made by doctors and nurses of primary contact - specialists of the district service: general practitioners (40%), pediatricians (32%), doctors - obstetricians-gynecologists (12%), nurses adults (76%) and children (20%) polyclinic departments. A third of health workers received inpatient treatment for severe COVID-19, an average of 60 days. Conclusion. Medical workers are a risk group of COVID-19 who need support measures, since the possibility of occupational infection has been sufficiently proven, and the risk probably depends on the work performed and the conditions of direct contact of medical personnel, which requires further study in the current persisting epidemic conditions.

Determination of ways of improving the system of medical provision of school-age children using swot-analysis

2021 ◽  
Vol 41 (1) ◽  
pp. 44-48
Author(s):  
T. V. Peresypkina ◽  
◽  
O. O. Holubnicha ◽  
A. M. Peresypkina ◽  
◽  
...  
Keyword(s):  
Medical Care ◽  
School Health ◽  
Swot Analysis ◽  
Health Workers ◽  
Medical Personnel ◽  
School Age Children ◽  
Educational Institutions ◽  
Medical Support ◽  
Medical Work

The search for ways to effectively provide medical care to the child population is an urgent issue of our time. With the participation of experts, a SWOT analysis of the organization of medical support for schoolchildren in modern conditions was carried out. The strengths and weaknesses, opportunities and threats of medical support for schoolchildren are identified, which contributes to the identification of promising directions for improving medical care for children in the conditions of general educational institutions. So, in the absence of an alternative system of medical support for schoolchildren, existing experience of medical personnel and institutions that have the practice of training school health workers, it is advisable to clearly build the vertical of the school health system, consolidate at the legislative level competencies of medical personnel and credentials, an algorithm for improving their skills in health matters and health-saved programs. The nearest threat is the turnover of medical personnel from educational institutions through a decrease in the attractiveness of medical work in schools, which will help to limit the preventive capabilities of the health care system for children in educational institutions. The directions determined by the results of the SWOT analysis will make it possible to make informed management decisions, to coordinate activities in a timely manner and to use the available opportunities most effectively in order to improve the system of medical support for children in the conditions of general secondary education.

scholarly journals Medical Encounters During the United States Army Special Forces Assessment and Selection Course

2019 ◽  
Vol 184 (7-8) ◽  
pp. e337-e343
Author(s):  
Joseph J Knapik ◽  
Emily K Farina ◽  
Christian B Ramirez ◽  
Stefan M Pasiakos ◽  
James P McClung ◽  
...  
Keyword(s):  
Contact Dermatitis ◽  
Medical Care ◽  
Health Workers ◽  
Respiratory Infections ◽  
Standard Form ◽  
Medical Personnel ◽  
The United States ◽  
Care Providers ◽  
Medical Problems ◽  
Special Forces

Abstract Introduction The Special Forces Assessment and Selection (SFAS) is an extremely physically and mentally demanding 19- to 20-day course designed to determine whether Soldiers are qualified to enter the Special Forces Qualification Course. As a first step to understand medical problems during SFAS, this study examined injuries, illnesses, and activities associated with injuries during the course. Materials and Methods Medical events during the SFAS course were compiled from Sick Call Trackers (a log of medical encounters maintained by medical personnel in the field) and Chronology of Medical Care (Standard Form 600). Descriptive statistics were calculated for each injury and illness and injuries were compiled by the activities performed when the injuries occurred. Results Of the 800 Soldiers who volunteered for the study, 38% (n = 307/800) and 12% (n = 97/800) experienced one or more injuries and/or illnesses, respectively. The most common injuries were blisters and abrasions/lacerations with incidences of 20% (n = 158/800) and 13% (104/800), respectively. The most common illnesses were respiratory infections, other infections, contact dermatitis, and allergies with incidences of 7% (n = 57/800), 2% (n = 14/800), 2% (n = 14/800), and 2% (n = 13/800), respectively. Among all injuries recorded (n = 573), the most common were blisters (46%), abrasions/lacerations (24%), pain (not otherwise specified) (19%), tendonitis (3%), and sprains (3%). Among all illnesses recorded (n = 133), the most common were respiratory infections (56%), allergies (11%), contact dermatitis (11%), and other infections (11%). Most injuries were experienced during land navigation (44%), team events (20%), and foot marching (11%), running (6%), and the obstacle course (5%), but when the estimated time involved for each event was considered, activities with the highest injury rates were the obstacle course (65 injuries/hr), running (27 injuries/hr), the Combat Readiness Assessment (activity involving combat-related tasks) (20 injuries/hr), and foot marching (16 injuries/hr). Conclusion The major limitations of this investigation were: 1) the low specificity with regard to many of the diagnoses/complaints; and 2) the fact that the medical problems reported here are only those seen by medical care providers and are likely an underestimate of the total morbidity in the SFAS course. Soldiers often self-treat and some may be reluctant to see medical personnel because of how it might affect their rating in the course. Nonetheless, this investigation alerts medical personnel to the injuries and illnesses to expect, and public health workers and leadership with activities to target for injury prevention measures during SFAS.

scholarly journals Health professionals’ over estimation of knowledge on snakebite management, a threat to survival of snake bite victims - A cross-sectional study in Ghana

2020 ◽  
Author(s):  
Evans Paul Kwame Ameade ◽  
Isaac Bonney ◽  
Evans Twumasi Boateng
Keyword(s):  
Social Sciences ◽  
Health Professionals ◽  
Health Workers ◽  
World Health ◽  
Knowledge Level ◽  
Medical Doctors ◽  
The Social ◽  
Service Training ◽  
Level Of Knowledge ◽  
Health Organization

AbstractBackgroundAccording to the World Health Organization, snakebites, a common occupational hazard in developing countries accounts an annual loss of between 81,000 and 139, 000 lives following 5 million of bites of which 2.7 million results in envenomation. Since snakebite associated morbidity and mortality is more prevalent in agriculture economies such as Ghana, health professionals should be optimally knowledgeable on how to manage incidence of snakebites. Lack of knowledge or overestimation of a professional’s knowledge can be affects heath delivery especially for emergency situations such as snakebites. The three (3) Tongu districts South Eastern Ghana which are rurally situated with agriculture as the major source of livelihood for their inhabitants are prone to snakebite incidence hence the need to assess whether the health professionals in these districts are well equipped by way of knowledge to handle such emergencies and whether they are able to rightly estimate their knowledge with regards to snakebite management.Methodology/Principal findingsData was collected using a de novo semi-structured questionnaire administered through google form whose link was sent via to 186 health workers made up of nurses, midwives, physician assistants, medical doctors, pharmacists, and pharmacy technicians. This data was analyzed using Statistical Package for the Social Sciences (SPSS) Version 25. Association between variables was determined using the appropriate tools where necessary, using a confidence interval of 95% and significance assumed when p ≤ 0.05. This study found male health workers significantly more knowledgeable about snakebite management (11.53±5.67 vrs 9.64±5.46; p = 0.022) but it was the females who overestimated their knowledge level (27.9% vrs 24.1%). The medical doctors exhibited the best knowledge on snakebite management with the registered general nurses least knowledgeable. Although most professionals overestimated their knowledge, the registered general nurses were the worst at that (53.7%). Overall knowledge of health care professionals on snakebite management was below average [10.60±5.62/22 (48.2%)] but previous in-service training and involvement in management of snakebite were associated with better knowledge. Respondents who had no previous training overestimated their knowledge level compared to those who had some post qualification training on snakebite management (7.5% vrs 38.1%). Greatest knowledge deficit of respondents was on the management of ASV associated adverse reactions.ConclusionHealth workers in rural Ghana overestimated their knowledge about snakebite management although their knowledge was low. Training schools therefore need to incorporate snakebite management in their curriculum and health authorities should also expose health workers to more in-service training on this neglected tropical disease.Author summaryWorld Health Organization estimates that every year between 81,000 and 139,000 die due snake bites across the world. Mismanagement of snakebites can result in increased disabilities and death if not handled by knowledgeable health workers. This study assessed if various categories of health workers made up of professionals from the medical, pharmaceutical and nursing categories in the three neighbouring Tongu districts in Ghana have the appropriate level of knowledge on snakebite management. Using a newly developed questionnaire, data was collected from the respondents using google forms sent to their WhatsApp platforms. Data was then analyzed using Statistical Package for the Social Sciences (SPSS) Version 25. Results were presented in the form of tables and association between the variables also determined. The level of knowledge of sampled health workers on snakebite was below average especially among the nursing professionals. However, those who had some previous post qualification training on snakebite management exhibited a significant superior knowledge and least overestimated their knowledge hence policy makers should through workshops equip health workers especially the nurses on snakebites so that rural dwellers whose health care needs are mainly attended to by nurses can be better managed when they suffer snakebites.

scholarly journals Knowledge about post-exposure proceedings of the operating block nurses

2020 ◽  
Vol 19 (2) ◽  
pp. 79-87
Author(s):  
Katarzyna Tomaszewska ◽  
Aleksandra Szpila
Keyword(s):  
Occupational Exposure ◽  
Rank Order ◽  
Postgraduate Education ◽  
Medical Personnel ◽  
Adaptation Period ◽  
Post Exposure ◽  
Statistical Verification ◽  
Level Of Knowledge ◽  
Level Of Significance ◽  
Prevention Methods

AbstractIntroduction. Occurrence of occupational exposure is a current problem among medical personnel. Nurses are considered to be a special occupational group exposed to risk of infection with pathogenic microorganisms. An important element of prevention is raising the workers’ knowledge and awareness in the field of occupational hazards and the possibilities of their reduction. Staff education, knowledge of infection prevention methods, and knowledge of safe procedures can reduce the number of exposures to biological material or, if they occur, limit the health consequences.Aim. The aim of the research was to assess the knowledge of nurses employed on the operating block on the risk of occupational exposure and post-exposure proceedings.Material and methods. The research after obtaining the consent of the Bioethical Commission was carried out at the turn of 2017 and 2018 in a group of 100 anesthesia nurses employed on operating blocks of two hospitals in the Podkarpackie Voivodeship. The author’s questionnaire was used for the research. Obtained results were subjected to statistical analysis, in which the Mann-Whitney U test, the Kruskal-Wallis test and the correlation of Spearman’s rank order were used. During the statistical verification of the collected material, p<0.05 was assumed as the level of significance of the obtained results.Results and conclusions. The examined anesthesia nurses had knowledge about post-exposure procedures at a very good level (the average number of correct answers in the conducted test of knowledge was 14.41 out of 18, which constituted 80.06% of correct answers). The level of knowledge of the examined nurses was not dependent on such factors as: seniority, education, postgraduate education, training during the adaptation period on the operating block, adherence to epidemiological procedures, work on the post in which the procedure for occupational exposure is implemented and followed. The age of the nurses significantly influenced their level of knowledge.

scholarly journals Organizational and Methodological Approaches to Improving Activities of Healthcare Workers in Colleges

2021 ◽  
pp. 5-11
Author(s):  
AV Kazantseva ◽  
EV Anufrieva
Keyword(s):  
Health Care ◽  
Medical Care ◽  
Healthcare Workers ◽  
National Level ◽  
Reproductive Potential ◽  
Medical Personnel ◽  
Special Importance ◽  
Level Of Knowledge ◽  
Methodological Approaches

Introduction. Attention to socio-economic challenges is increasing at the national level. Strategic plans of innovative development of the country can be implemented only through active involvement of adolescents, the nearest labor and reproductive potential, whose health acquires special importance. The objective of our study was to develop organizational and methodological approaches to improving health care services rendered by medical workers to students of secondary vocational schools. Materials and methods. We did a statistical analysis of health indices of adolescents in the Sverdlovsk Region for 2010–2019 and data of a sociological survey of medical workers in colleges. We also examined the system of providing medical care to students of vocational colleges and assessed its quality. Results. The prevalence of chronic diseases in adolescents of the Sverdlovsk is growing. College students are exposed to additional learning and work-related risk factors. At the same time, the quality of health care and the level of knowledge of medical workers in colleges are poor. In order to change the situation, an Organizational Standard for Medical Care in Colleges was developed. It orders managers to organize proper medical care for students and contains standard operating procedures for healthcare workers. In addition to that, interactive learning techniques have been developed and implemented in order to improve disease prevention in adolescents. Conclusion. The proposed set of measures aimed at regulating the work of medical personnel and increasing their level of knowledge will help improve the quality of medical care in colleges and raise awareness of health issues among students.

scholarly journals PERLINDUNGAN HUKUM DAN HAK MEMPEROLEH KESELAMATAN KERJA BAGI TENAGA KESEHATAN AKIBAT PANDEMI COVID-19

2021 ◽  
Vol 13 (2) ◽  
pp. 303
Author(s):  
Dwi Armeilia
Keyword(s):  
Health Professionals ◽  
Health Workers ◽  
Health Sector ◽  
Legal Protection ◽  
Medical Personnel ◽  
Legal Research ◽  
Legal Method ◽  
Safety Work ◽  
Legal Policies ◽  
The Right

Medical workers are a noble profession, especially amid the Covid-19. One of the aspects that have received the most impact from this pandemic is in the health sector. The problems in the health sector have become increasingly dangerous in the era of the Covid-19 Pandemic in Indonesia. The current condition is a concern for all people regarding efforts to control and overcome the Covid-19 Pandemic in Indonesia. This includes doctors and other health professionals. The number of deaths of medical personnel, especially doctors and nurses, is increasing. This research focuses on Indonesia's legal policies regulating protection and the fulfillment of safety work rights for health workers who are dealing with the pandemic. The legal method used in this research is normative legal research. The results show that legal protection and fulfillment of the right to safety for medical personnel have been regulated in legislation. However, these provisions do not specifically regulate the potential dangers of the spread of the Covid-19 virus.

Infectious safety of nursing staff in departments (offices) functional diagnostics in the context of the COVID-19 pandemic

2020 ◽  
pp. 30-33
Author(s):  
E. V. Panina ◽  
M. V. Pugachev ◽  
A. G. Shchesiu
Keyword(s):  
Medical Care ◽  
Nursing Staff ◽  
Personal Protective Equipment ◽  
Medical Personnel ◽  
Medical Waste ◽  
Daily Activities ◽  
Protective Equipment ◽  
Functional Diagnostics ◽  
Prevention Of Infections ◽  
Epidemiological Situation

The article shows that in the daily activities of nursing staff of functional diagnostics departments (offices), it is necessary to strictly observe the requirements and rules for the prevention of infections associated with medical care, especially during the COVID-19 pandemic. The types of personal protective equipment (PPE) of medical personnel (MP), as well as current effective methods of disinfection, rules for collecting medical waste in a complex epidemiological situation are presented.

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