scholarly journals Towards the Equality of People with Disabilities in the Health System: The Preparedness of Health Workers to Work with People with Hearing, Visual, Movement and Mental Disabilities

2021 ◽  
Author(s):  
Liudmila Rupšienė ◽  
◽  
Milda Ratkevičienė ◽  
Regina Saveljeva

Even though the recent decades have witnessed extensive attempts around the world to ensure the equality of people with disabilities in the health system, it has not been achieved yet. To some extent, the problem is related to the education of health workers to work with people with disabilities. In order to gain more understanding in this regard, this paper focuses on the preparedness of health workers to work with people with hearing, visual, movement and mental disabilities: Is there a link between the studies of the health care workers in higher schools and their preparedness to deal with the specific problems that arise when working with people with hearing, visual, movement and mental disabilities? How does a specific subject / module on working with people with disabilities relate to the preparedness of health workers to address these specific issues? How is it related to the integrated preparation during the study years to work with people with disabilities? A survey of 664 health workers (doctors, nurses, kinesiotherapists, and social workers) working in Lithuania has been conducted. The research revealed that a number of health workers were not properly prepared in higher schools to work with people with hearing, visual, movement and mental disabilities. The research has also revealed that while studying a specific subject / module about working with people with disabilities or studying it in an integrated way across a variety of study activities, health professionals become better prepared to deal with the specific problems of working with people with hearing, visual, movement and mental disabilities. The results of the study suggest the necessity to pay more attention to the particularity of working with people with disabilities in health workers education, so that they are more prepared to work with people with hearing, visual, movement and mental disabilities and ensure more equality and non-discrimination in the healthcare system.

2021 ◽  
Author(s):  
Sara Rotenberg ◽  
Danae Rodriguez Gatta ◽  
Azizia Wahedi ◽  
Rachelle Loo ◽  
Emily McFadden ◽  
...  

Objective: To conduct a systematic review of the literature on disability training to improve knowledge, confidence, self-efficacy and competence among health care workers around the world. Methods: We searched five databases for relevant peer-reviewed articles published between January 2012 and January 2021. Studies that focused on training health care workers to improve knowledge, confidence, self-efficacy, and competence to support people with physical, sensory, or intellectual impairments were included. Data about the details of the intervention (setting, participants, format, impact assessments, etc.) and its effects were extracted. Findings: There is an array of highly local tools to train health workers across stages of their training and careers (pre-service, in-service, and continuing professional development). Studies involving people with disabilities in the training, community placements, simulations, or interactive sessions were found to be most effective in improving knowledge, confidence, competency, and self-efficacy. Conclusion: As part of initiatives to build inclusive health systems and improve health outcomes for people with disabilities, health workers around the world need to receive appropriate and evidence-based training that combine multiple methods and involve people with disabilities.


2014 ◽  
Vol 1 (2) ◽  
Author(s):  
Dewik AA

Abstract: Antenatal care is an examination conducted to prevent complications during pregnancy. Antenatal examination is very important during pregnancy, so that health professionals should have knowledge of antenatal care to improve maternal and child health. The aim of this descriptive study is to determine the knowledge of health workers about antenatal care at Ranomuut Health Centers in Manado City. Population in this research that all health professionals who work in the health center Ranomuut totaling 38 people. The number of respondents that health workers who know about antenatal care as many as 25 people. Data were collected through questionnaires. The results showed 25 respondents, all health care workers have had knowledge of antenatal care.Keywords: health workers, antenatal care, knowledge.Abstrak: Antenatal care merupakan pemeriksaan yang dilakukan untuk mencegah adanya komplikasi selama kehamilan. Pemeriksaan Antenatal sangat penting dilakukan selama masa kehamilan sehingga diharapkan tenaga kesehatan harus memiliki pengetahuan terhadap antenatal care sebagai upaya meningkatkan kesehatan ibu dan anak. Penelitian ini bertujuan untuk mengetahui pengetahuan tenaga kesehatan terhadap antenatal care di Puskesmas Ranomuut Kota Manado. Penelitian ini bersifat deskriptif. Populasi dalam penelitian ini yaitu seluruh tenaga kesehatan yang bekerja di Puskesmas Ranomuut yang berjumlah 38 orang. Jumlah responden yaitu tenaga kesehatan yang mengerti tentang antenatal care sebanyak 25 orang. Data penelitian dikumpulkan melalui kuesioner. Hasil penelitian menunjukkan dari 25 responden, semua petugas kesehatan telah memiliki pengetahuan tentang antenatal care.Kata kunci : tenaga kesehatan, antenatal care, pengetahuan.


2010 ◽  
Vol 16 (3) ◽  
pp. 231 ◽  
Author(s):  
Alice Wilkin ◽  
Pranee Liamputtong

This paper discusses the methodological framework and perspectives that were used in a larger study aiming at examining the experience of working life among female Aboriginal health care workers. Currently, the voice of Aboriginal women who work in the Australian health system has not received much attention. In comparison to other occupations and backgrounds, there is virtually no literature on Aboriginal woman health care workers despite 15% of health care and social service industry employees in Australia being Aboriginal. In this study, we selected female participants because of the fact that of these 15% of health workers in the Victorian health system, 76% of them are women. This paper outlines some of the barriers in researching Indigenous communities. These barriers were overcome in this study by framing the research in feminist theory, decolonising theory, empowerment and by employing the photovoice method. The photovoice method was used because it is relatively unobtrusive and has the capacity to be empowering. All data was extrapolated from the participants’ own narratives that were prompted by the photographs they had taken. The data produced were rich descriptions and narratives that were oral as well as visual. Finally, the article discusses the experience of using the photovoice method from the researcher and participants’ perspective.


2020 ◽  
Vol 16 (3) ◽  
Author(s):  
Eba Abdisa Golja

Infection control remains a key challenge for Tuberculosis control program with an increased risk of Tuberculosis transmission among health care workers. Poor knowledge, poor practice and poor attitude among health care workers and inadequate infection control practices may lead to the increased risk of nosocomial Tuberculosis transmission. People living in the same household, or who otherwise are in frequent contact with an infected patient have the greatest risk of being exposed to the bacilli. This study was aimed to assess knowledge, attitude and practice of health professionals towards tuberculosis infection control in Nekemte referral hospital, Nekemte, west Ethiopia, 2018. Institutional based cross sectional study design was conducted from December 2017 to January 2018 among 223 health professionals in Nekemte referral hospital. Data was collected by using self-administered structured questionnaires which has subdivided components, and finally the analysis was done by double entry of SPSS version 21. Two hundred study participants responded to our current study with response rate of 200(89.6%). In this study, majority of respondents, 54% were females and 55% of them are first degree holders. From 200 participants, 14 (7%) had poor knowledge. Majority, 157(78.5%) of health care workers, had positive attitudes towards Tuberculosis infection control. Sixty (30%) of participants had poor practice. This study found that significantly high proportion of health workers had good knowledge and practice towards tuberculosis infection control. More than half of health workers wrongly believed that surgical mask can protect health workers from inhaling mycobacterium containing aerosols.


2019 ◽  
Author(s):  
Rizqy Amelia Zein ◽  
Nuzulul Kusuma Putri ◽  
Ilham Akhsanu Ridlo

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.


2021 ◽  
Author(s):  
Zahra Zarei Jelyani ◽  
Sadra Valiee ◽  
Mohammad Kia ◽  
Ali jajarmizadeh ◽  
Sajad Delavari

Abstract Introduction: Generally, in Epidemics, such as COVID-19, health care workers (HCWs) faces many problems which lead to a shortage and weakening of human resources in the health system. Therefore, using effective strategies to retain human resources is one of the most important issues during outbreaks. This study aims to collect and classify the proposed interventions to strengthen human health resources and their sustainability during epidemics through scoping review.Methods: In this scoping review study, 2300 studies were retrieved through searching international databases –PubMed, Embase, Scopus and Web of Science. The retrieved studies were screened, and finally, 50 studies were included for analysis. The strategies were classified using inductive qualitative content analysis.Results: Most of the studies were conducted in the United States and the United Kingdom. The target population in 39 studies was all health workers; five studies were on physicians, five studies on nurses, and only one study on dentists. The proposed interventions were classified into five categories: preparation, protection, support, treatment, and feedback. Discussion: Most studies focused on providing interventions in one or two dimensions of human resources, but these interventions were summarized and categorized in this review. Therefore, this study has a holistic view of various dimensions of strengthening and maintaining human health resources during epidemics by providing a thematic map. Considering that human beings are multidimensional, policymakers and managers of the health system should use a set of interventions that simultaneously cover different aspects of their needs to strengthen and maintain HCWs.


2013 ◽  
Vol 3 (1) ◽  
pp. 22-25 ◽  
Author(s):  
Jaita Mondal

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


Author(s):  
Stephen Knoble ◽  
Anil Pandit ◽  
Bibek Koirala ◽  
Laxmi Ghimire

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.


2020 ◽  
Vol S.I. (1) ◽  
pp. 88-97
Author(s):  
Ana-Madalina Potcovaru ◽  

This article shows the impact of organizational stress on the human resources from the health system. The research wants to highlight the main stressors factors among the medical staff, physicians, and assistants from Târgoviște Emergency Hospital from Dâmbovița County and to determine if the organizational stress affects the personal life of the employees. Understanding the sources of stress and reducing them has a great impact on job satisfaction and on the relationship patient-physician. Also, the article presents the impact of the COVID-19 on the health care workers from a psychological point of view. Coronavirus disease 2019 (COVID-19) affected global mental health.


PLoS ONE ◽  
2021 ◽  
Vol 16 (2) ◽  
pp. e0247411
Author(s):  
Courtney M. Yuen ◽  
Ana Karina Millones ◽  
Daniela Puma ◽  
Judith Jimenez ◽  
Jerome T. Galea ◽  
...  

Background Targeted testing and treatment of TB infection to prevent disease is a pillar of TB elimination. Despite recent global commitments to greatly expand access to preventive treatment for TB infection, there remains a lack of research on how best to expand preventive treatment programs in settings with high TB burdens. Methods We conducted implementation research in Lima, Peru, around a multifaceted intervention to deliver TB preventive treatment to close contacts of all ages, health care workers, and people in congregate settings. Key interventions included use of the interferon gamma release assay (IGRA), specialist support for generalist physicians at primary-level health facilities, and treatment support by community health workers. We applied a convergent mixed methods approach to evaluate feasibility and acceptability based on a care cascade framework. Findings During April 2019-January 2020, we enrolled 1,002 household contacts, 148 non-household contacts, 107 residents and staff of congregate settings, and 357 health care workers. Cumulative completion of the TB preventive care cascade was 34% for contacts <5 years old, 28% for contacts 5–19 years old, 18% for contacts ≥20 years old, 0% for people in congregate settings, and 4% of health care workers. IGRA testing was acceptable to adults exposed to TB. Preventive treatment was acceptable to contacts, but less acceptable to physicians, who frequently had doubts about prescribing preventive treatment for adults. Community-based treatment support was both acceptable and feasible, and periodic home-visits or calls were identified as facilitators of adherence. Conclusions We attempted to close the gap in TB preventive treatment in Peru by expanding preventive services to adult contacts and other risk groups. While suboptimal, care cascade completion for adult contacts was consistent with what has been observed in high-income settings. The major losses in the care cascade occurred in completing evaluations and having doctors prescribe preventive treatment.


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