scholarly journals A Phenomenological Experience of Trainer with COVID-19 Training: A Tertiary Level Institution Experience with Simulation

2021 ◽  
Author(s):  
Kusum K Rohilla ◽  
Arun Varghese ◽  
C Vasantha Kalyani ◽  
Neha Singh ◽  
Shalinee Rao
Keyword(s):  
Health Care ◽  
Training Program ◽  
Health Care Workers ◽  
Health Workers ◽  
Tertiary Care ◽  
Tertiary Level ◽  
Safety Skills ◽  
Care Services ◽  
Care Workers ◽  
Level Institution

Abstract Background: Highly infectious diseases like COVID-19, which are rapidly disseminating and exceedingly contagious, require vital safety skills to be followed by all health professionals. These safety skills need to be taught to all individuals working in the health care sector, by qualified trainers. The present study describes the experiences of COVID-19 trainers who were involved in providing this intensive training to health workers, in a tertiary level institution. The hospital was providing services to COVID positive patients, as well as emergency and tertiary care services during the COVID-19 pandemic. Most of the participants in the study were high risk groups who were in direct interaction with COVID positive patients.Methods: The COVID-19 training program was conducted for more than three months, with the aim of training all the health care workers at a tertiary care institute, during the Corona virus pandemic. Twenty trainers, who had completed at least 30 or more sessions of training more than 2700 health workers, were included in this study. These trainers were interviewed for an average of thirty minutes per participant and were asked 30 open ended questions each. Results: The mean age of the trainers was 28.9 years, and 75% of them were females. The interview of the COVID-19 trainers highlighted four important factors, which according to them were the pillars of this successful and effective training program. These factors included: The use of video demonstration and simulation for the training; Regular updating of the skill of the trainers in this program; Ease of communication to address the challenges faced by the trainers; and strong administrative support for the training. Conclusion: The results of this study reveal that if health workers are provided a conducive environment for training, as well as full support for updating their knowledge and skills, they can provide optimal health care services to their patients and fellow healthcare workers, even during a challenging time like the COVID-19 pandemic. The trainers in this study provided training to all the health care workers of the hospital, who were posted in COVID wards, even at a time when everyone had the fear of contracting the infection.

scholarly journals Breast Cancer Knowledge Assessment of Health Workers in Ibadan, Southwest Nigeria

2020 ◽  
pp. 387-394
Author(s):  
Liese C.C. Pruitt ◽  
Stella Odedina ◽  
Imaria Anetor ◽  
Tolulope Mumuni ◽  
Helen Oduntan ◽  
...  
Keyword(s):  
Breast Cancer ◽  
Health Care ◽  
Health Care Workers ◽  
Health Workers ◽  
Cultural Beliefs ◽  
Tertiary Care ◽  
Public Hospitals ◽  
Cancer Knowledge ◽  
Care Workers ◽  
Breast Cancer Knowledge

PURPOSE Breast cancer is the most common cancer among women, and in low- to middle-income countries late-stage diagnosis contributes to significant mortality. Previous research at the University College Hospital, a tertiary hospital in Ibadan, Nigeria, on social factors contributing to late diagnosis revealed that many patients received inappropriate initial treatment. METHODS The level of breast cancer knowledge among health practitioners at various levels of the health system was assessed. We developed a tool tailored to local needs to assess knowledge of symptoms, risk factors, treatments, and cultural beliefs. The recruitment included doctors, nurses, and pharmacists in public hospitals, physicians and pharmacists in private practice, nurses and health care workers from primary health care centers, community birth attendants, and students in a health care field from state schools. RESULTS A total of 1,061 questionnaires were distributed, and 725 providers responded (68%). Seventy-eight percent were female, and > 90% were Yoruba, the dominant local ethnic group. The majority were Christian, and 18% were Muslim. Median knowledge score was 31 out of 56, and the differences in scores between health care worker types were statistically significant ( P < .001). Nearly 60% of the participants believed breast cancer is always deadly. More than 40% of participants believed that keeping money in the bra causes breast cancer, and approximately 10% believed that breast cancer is caused by a spiritual attack. CONCLUSION Our questionnaire revealed that, even at the tertiary care level, significant gaps in knowledge exist, and knowledge of breast cancer is unacceptably low at the level of community providers. In addition to efforts aimed at strengthening health systems, greater knowledge among community health care workers has the potential to reduce delays in diagnosis for Nigerian patients with breast cancer.

scholarly journals A study on needle stick injuries among health care workers in a tertiary care hospital in India

2019 ◽  
Vol 7 (4) ◽  
pp. 1032 ◽  
Author(s):  
Humaira Bashir ◽  
Syed Shuja Qadri
Keyword(s):  
Health Care ◽  
Health Care Workers ◽  
Health Workers ◽  
Tertiary Care ◽  
Needle Stick Injury ◽  
Special Focus ◽  
Care Hospital ◽  
Needle Stick ◽  
Care Workers ◽  
Needle Stick Injuries

Background: Needle stick injury among health workers is regarded as an occupational hazard. Health care workers are at risk of having blood-borne diseases in case they are exposed to blood and other biological samples of the patients. Moreover, staff including doctors working in tertiary care hospitals has high work load which results in increased chances of getting these injuries. The aim and objectives of this study were to find out the prevalence of needle stick injury among different categories of health care workers. Authors also aimed to assess the knowledge, attitude and practices associated with it.Methods: A hospital based cross sectional study design to know the prevalence of needle stick injury among various health care workers of Karpagam Faculty of Medical Sciences and Research, a tertiary level care hospital in Coimbatore, Tamilnadu, India. A total of 250 health care workers were selected for the study purpose. A self-designed, semi-structured, pre-tested questionnaire was used to assess the prevalence of needle stick injuries and the factors associated with it.Results: A majority of health care workers (94%) knew about needle stick injury and 92% were aware that HIV can be transmitted through needle stick injury, 78.4% and 69.65% were aware of Hepatitis-B and Hepatitis-C transmission respectively. About 28.4% of subjects had encountered needle stick injury in their past. Furthermore, it was found that type of exposure and place of exposure was significantly associated with different categories of health care workers (p <0.001).Conclusions: Prevention of health workers against needle stick injury is the best possible way to prevent several bloods borne diseases. There should be a prevention programme which special focus on training of health care workers. Further strategies aiming at preventive measures and reporting of the Needle stick injuries accidents should be made compulsory among health care workers.

scholarly journals A study on knowledge, attitude, practice and prevalence of needle stick injuries among health care workers in a tertiary care hospital of Assam

2017 ◽  
Vol 4 (6) ◽  
pp. 2031
Author(s):  
Jurimoni Gogoi ◽  
Sultana Jesmin Ahmed ◽  
Hiranya Saikia ◽  
Ratna Sarma
Keyword(s):  
Health Care ◽  
Health Care Workers ◽  
Health Workers ◽  
Tertiary Care Hospital ◽  
Tertiary Care ◽  
Needle Stick Injury ◽  
Care Hospital ◽  
Needle Stick ◽  
Care Workers ◽  
Needle Stick Injuries

Background: The objective of study was to determine prevalence of needle stick injuries among health care workers in a tertiary care hospital of Assam and to assess the knowledge, attitude and practices on needle stick injuries among them.Methods: It was a cross-sectional study conducted from June 2016 to August 2016 amongst health care workers of a tertiary care centre of Assam. Sample size was calculated to be 90. A total of 10 departments were selected purposively based on their magnitude of risk exposure and the required sample size was allocated proportionally among these 10 departments. The required numbers of health workers from each of the ten departments were selected by using simple random sampling. A predesigned and pretested proforma was used to collect the data. Data were presented in terms of percentages and significance was tested using chi-square and Fisher’s exact test.Results: Prevalence of needle stick injury among the health workers was found to be 21.1%. Regarding spread of diseases after an accidental needle stick injury, 100% were aware of HIV, 98.9% were aware of Hepatitis B and 67.8% were aware of Hepatitis C. Regarding their attitude to report to in-charge medical officer, only 21.1% had reported about their injury. Around 58.9% of health care workers used gloves regularly for prevention of such injuries. Practice of recapping among the health care workers was 66.7% and out of total needle stick injuries, recapping contributed to 26.3%. While considering sharp waste disposal, 37.8% health care workers did not follow proper waste disposal guidelines. Only 26.3% of health care workers had done screening for HIV/AIDS and Hepatitis B after their injury.Conclusions: There is a need to have a pre-employment training to improve the knowledge, attitude and practice regarding accidental needle stick injuries among the health care workers. 

scholarly journals Depression, Anxiety and Stress among Healthcare Workers during COVID-19 Pandemic in a Tertiary Care Centre of Nepal: A Descriptive Cross-sectional Study

2021 ◽  
Vol 59 (235) ◽  
Author(s):  
Bikram Kafle ◽  
Yashoda Bagale ◽  
Sima Kafle ◽  
Aabishkar Parajuli ◽  
Samudra Pandey
Keyword(s):  
Health Care ◽  
Health Care Workers ◽  
Health Workers ◽  
Tertiary Care ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Cross Sectional ◽  
Care Workers ◽  
Increased Risk ◽  
Anxiety Depression

Introduction: Health personnel working in the frontline to deal with COVID 19 outbreak are at increased risk of developing psychological problems. This study aims to find out the prevalence of depression, anxiety and stress among Nepalese health care workers. Methods: This is a hospital based descriptive cross-sectional study conducted from July 10 2020 to September 10, 2020. All health care workers (total 280) were included in the study. HADS-14 item was used to measure anxiety and depression. Perceived stress scale was used to measure stress. Data was analyzed with Statistical Package for the Social Sciences software version 24.0. Statistical data was analyzed by percentage, mean and standard deviation. Results: Out of total 270 respondents the prevalence of anxiety, depression and stress was found to be 112 (41.4%), 65 (24.1%) and 203 (74%) respectively. Females accounted for 148 (54.8%) and males 122 (45.2%). More than one third 96 (35.6%) of the health workers were working in front line. Conclusions: Prevalence of anxiety, depression and stress is higher among health workers when compared to similar studies. Effective strategies toward improving the mental health like adequate rest, supply of protective equipments, frequent breaks, ensuring safety issues of their family members, training on management of stress might be helpful in reducing stress.

scholarly journals Do Justice and Trust Affect Acceptability of Indonesian Social Health Insurance Policy? A cross-sectional survey of laypeople and health care workers

2019 ◽  
Author(s):  
Rizqy Amelia Zein ◽  
Nuzulul Kusuma Putri ◽  
Ilham Akhsanu Ridlo
Keyword(s):  
Health Care ◽  
Health Insurance ◽  
Health System ◽  
Health Care Workers ◽  
Political Party ◽  
Health Care Services ◽  
Health Workers ◽  
Care Services ◽  
Care Workers ◽  
Party Support

Our research attempted to investigate whether justice, trust in health care services, the confidence level of the health system and institutions, political party support and evaluation of health care services post- Jaminan Kesehatan Nasional (JKN) affected policy acceptability in our health workers (N=95) and laypeople (N=308) sample. We performed a two-level linear mixed-effects model to test our hypothesis that trust, perceived justice, confidence in healthcare services, and national health system evaluation could impact policy acceptability in our health workers and laypeople sample. We calculated the effect sizes by comparing level-2 variances and residuals of the null model and the random-intercept model. Our findings suggested that health care workers with high concern on justice would be more likely to hold negative acceptability to JKN. The findings implied that health workers tend to associate JKN with unfairness. On the other hand, JKN acceptability in laypeople sample was found to be positively associated with the evaluation of health care service post-JKN, while justice or political party support did not affect JKN acceptability. It might indicate that laypeople motives for joining JKN scheme could be essentially pragmatic. We administered our questionnaire using an online platform and circulated it through social media and IMS, so that this research poses a problem of self-selection bias, which potentially leads to biased estimates. We also oversampled female participants, especially in laypeople samples. Aiming at a universal health coverage in 2019, JKN will cover almost 300 million Indonesians and be one of the biggest single-payer national health insurance scheme in the world. Our research might offer insight into how health workers and laypeople respond to the policy.

scholarly journals NSI: A major occupational hazards among the health care workers in Nepal

2013 ◽  
Vol 3 (1) ◽  
pp. 22-25 ◽  
Author(s):  
Jaita Mondal
Keyword(s):  
Health Care ◽  
Health Care Workers ◽  
Body Fluid ◽  
Occupational Safety ◽  
Assessment Tool ◽  
Health Workers ◽  
Needle Stick Injury ◽  
Safety And Health ◽  
Care Workers ◽  
B Virus

A percutaneous piercing wound as in needle stick injury is a typically set by a needle point, but possibly also by other sharp instruments or objects. These events are of concern because of the risk to transmit blood-borne diseases through the passage of the hepatitis B virus (HBV), the hepatitis C virus (HCV), and the Human Immunodeficiency Virus (HIV), the virus which causes AIDS. The present study was done to determine the risk status regarding NSI among health care workers of Private Hospitals, Pokhara, Nepal. Samples were selected through purposive sampling. Self administered questionnaire & risk assessment tool were used to collect data. Study revealed that majority of health care workers were females (93%) with mean age of 22.66 years (±3.1). Sixty eight percent had got NSI, among them 41% had NSI more than 2times in life. Maximum NSI cases happened either by recapping of the needle (18%) or during disposal of sharps (16%) or while transferring a body fluid (blood) to a specimen bottle (15%). The study concludes that majority of health workers had NSI more than two times which denotes NSI is a major occupational hazard. Cases happened either by recapping of the needle or during disposal of sharps or while transferring a body fluid to a specimen bottle. DOI: http://dx.doi.org/10.3126/ijosh.v3i1.9098   International Journal of Occupational Safety and Health, Vol 3 No 1 (2013) 22-25

scholarly journals Measuring the Quality of Rural-Based, Government Health Care Workers in Nepal

2010 ◽  
Author(s):  
Stephen Knoble ◽  
Anil Pandit ◽  
Bibek Koirala ◽  
Laxmi Ghimire
Keyword(s):  
Health Care ◽  
Health Care Workers ◽  
Clinical Training ◽  
Health Workers ◽  
Clinical Skills ◽  
Clinical Teacher ◽  
Government Health ◽  
Care Workers ◽  
Key Skills ◽  
Significant Difference

A representative, cross-sectional clinical skills assessment of 163 mid-level, rural-based, government health care workers was conducted in four districts of Nepal in June 2007. All Health Assistants and Auxiliary Healthcare Workers within the target districts were scored using checklists of standardized key skills in clinical encounters with model patients or clinical models. Participant scores were reported as a mean percentage in adult medicine 28(%), pediatric medicine 56(%), maternity medicine 35(%), orthopedic medicine 45(%), clinical procedures 59(%), and management 46(%). This was measured against the government’s 60(%) standard on clinical skills. There was little significant difference between categories of health workers by district of posting or years of experience. There was a minor difference in skills by level of facility - workers in higher level facilities scored better across the domains. Reasons for poor performance in clinical skills were attributed to a lack of clinical in-service training programs, training only focusing on prevention and public health, and poor on-sight supervision. Poor pre-service schooling factors included heavy theory concentration in pathophysiology and inadequate clinical exposure opportunities. Recommendations for the improvement of clinical skills and decision-making include the institution of in-service competency-based training with a high emphasis on real patient exposure. Pre-service recommendations include implementation of a national certification program and an expansion of the current government clinical training sites and clinical teacher development programs.

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