Occupational Risk Factors for Upper-limb and Neck Musculoskeletal Disorder among Health-care Staff in Nursing Homes for the Elderly in France

In recent decades low- and middle-income countries (LMICs) have been witnessing a significant shift toward raised blood pressure; yet in LMICs, only 1 in 3 are aware of their hypertension status, and ≈8% have their blood pressure controlled. This rising burden widens the inequality gap, contributes to massive economic hardships of patients and carers, and increases costs to the health system, facing challenges such as low physician-to-patient ratios and lack of access to medicines. Established risk factors include unhealthy diet (high salt and low fruit and vegetable intake), physical inactivity, tobacco and alcohol use, and obesity. Emerging risk factors include pollution (air, water, noise, and light), urbanization, and a loss of green space. Risk factors that require further in-depth research are low birth weight and social and commercial determinants of health. Global actions include the HEARTS technical package and the push for universal health care. Promising research efforts highlight that successful interventions are feasible in LMICs. These include creation of health-promoting environments by introducing salt-reduction policies and sugar and alcohol tax; implementing cost-effective screening and simplified treatment protocols to mitigate treatment inertia; pooled procurement of low-cost single-pill combination therapy to improve adherence; increasing access to telehealth and mHealth (mobile health); and training health care staff, including community health workers, to strengthen team-based care. As the blood pressure trajectory continues creeping upward in LMICs, contextual research on effective, safe, and cost-effective interventions is urgent. New emergent risk factors require novel solutions. Lowering blood pressure in LMICs requires urgent global political and scientific priority and action.

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Challenges when caring for end-of-life patients with advanced dementia and pain: A qualitative study in Swedish nursing homes

10.21203/rs.2.16091/v1 ◽

2019 ◽

Author(s):

Tove Godskesen ◽

Emma Lundin

Keyword(s):

Health Care ◽

Pain Management ◽

Nursing Homes ◽

End Of Life ◽

Care Staff ◽

Health Care Staff ◽

Common Symptom ◽

Advanced Dementia ◽

Good Communication ◽

Individual Interviews

Abstract Background Of Swedish people with advanced dementia, the majority dies in nursing homes. Pain is a common symptom in patients at the end-of-life, and patients with advanced dementia often experience suboptimal and inadequate pain management. Compared to cancer patients, they receive fewer palliative care interventions. Although being largely responsible for the care of these patients, few studies address the experiences of registered nurses. Therefore, this study aimed to describe nurses' experiences of caring for end-of-life patients with advanced dementia and pain. Methods This study had a descriptive and explorative design. Individual interviews with thirteen nurses from twelve nursing homes in Sweden were qualitative and semi-structured. The content was analysed through inductive content analysis. Results Nurses described communicative, relational and organisational challenges. A major issue was difficulties to communicate with the patient, resulting in uncertain pain assessments. Other difficulties were to separate pain from anxiety, to balance benefits and risks in morphine administration, and to create good relationships with health care personnel and relatives. Relatives could greatly influence the assessment and management of pain, both as interpreters of pain behaviour and by questioning the care given. Facilitators of good pain management were good communication and relations with health care staff and relatives, having extensive professional experience, and knowing the patient.Conclusions This study highlights the need for nursing homes to employ specialist-trained nurses, who have the appropriate knowledge and skills to deal with the challenges in caring for end-of-life patients with dementia and pain. Additionally, there should be resources and strategies available for providing information to patients’ family members and for involving them in the decisional process, as they are often unfamiliar with the multitude of considerations involved in decisions such as whether to administrative morphine or not.

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Nurses’ Occupational and Medical Risks Factors of Leaving the Profession in Nursing Homes

International Journal of Environmental Research and Public Health ◽

10.3390/ijerph15091850 ◽

2018 ◽

Vol 15 (9) ◽

pp. 1850 ◽

Cited By ~ 4

Author(s):

Carole Pélissier ◽

Barbara Charbotel ◽

Jean Fassier ◽

Emmanuel Fort ◽

Luc Fontana

Keyword(s):

Health Status ◽

Nursing Homes ◽

Registered Nurses ◽

Psychological Health ◽

Univariate Analysis ◽

Intention To Leave ◽

The Elderly ◽

Nursing Assistants ◽

Care Staff ◽

Homes For The Elderly

This study aimed to evaluate the association between intention to leave work, and working conditions and health status among female care-staff in nursing homes. A multicenter cross-sectional study included female care-staff in 105 nursing homes for the elderly. We used validated questionnaires to assess occupational, psychosocial and medical data in a multicenter transverse study. Univariate analysis on chi² test was performed with stratification according to job (nurse, nursing assistant), and variables found to be significant on each dimension were included on multivariate models. 1428 nursing assistants and 342 registered nurses were included. 391 nursing assistants and 85 registered nurses intended to leave their work with the elderly. The registered nurses’ intention to leave was associated with deteriorated care-team or residents relations, and with perceived elevated hardship due to the proximity of residents’ death. The nursing assistants’ intention to leave was associated with deteriorated management relation, with job insecurity and elevated hardship due to the residents’ intellectual deterioration. Impaired physical or psychological health status also correlated with this intention. Policy to reduce voluntary turnover of care-staff in nursing homes for the elderly could be based on multifactorial management, acting on work organization and reducing psychosocial stress.

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THERMAL ENVIRONMENT AT THE RESIDENTS' LIVING SPACE IN ROOMS OF NURSING HOMES FOR THE ELDERLY AND HEALTH CARE FACILITIES

AIJ Journal of Technology and Design ◽

10.3130/aijt.8.197 ◽

2002 ◽

Vol 8 (16) ◽

pp. 197-202 ◽

Cited By ~ 1

Author(s):

Yukari IINO ◽

Akinaru IINO ◽

Tsuyoshi UCHIYAMA

Keyword(s):

Health Care ◽

Nursing Homes ◽

Thermal Environment ◽

The Elderly ◽

Health Care Facilities ◽

Living Space ◽

Homes For The Elderly ◽

Care Facilities

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Pertussis Cases Show Threat To Infants, Health Care Staff

Internal Medicine News ◽

10.1016/s1097-8690(05)70316-4 ◽

2005 ◽

Vol 38 (7) ◽

pp. 64

Author(s):

MIRIAM E. TUCKER

Keyword(s):

Health Care ◽

Care Staff ◽

Health Care Staff

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H1N1-Infected Health Care Staff Report Poor Infection Control

Hospitalist News ◽

10.1016/s1875-9122(09)70162-2 ◽

2009 ◽

Vol 2 (7) ◽

pp. 6

Author(s):

HEIDI SPLETE

Keyword(s):

Health Care ◽

Infection Control ◽

Care Staff ◽

Health Care Staff

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ReCOV: recovery and rehabilitation during and after COVID-19 – a study protocol of a longitudinal observational study on patients, next of kin and health care staff

BMC Sports Science Medicine and Rehabilitation ◽

10.1186/s13102-021-00299-9 ◽

2021 ◽

Vol 13 (1) ◽

Author(s):

E. Rydwik ◽

L. Anmyr ◽

M. Regardt ◽

A. McAllister ◽

R. Zarenoe ◽

...

Keyword(s):

Health Care ◽

Psychosocial Support ◽

Care Staff ◽

Psychological Wellbeing ◽

Health Care Staff ◽

Post Traumatic Stress ◽

Next Of Kin ◽

Related Quality ◽

Long Term Consequences

Abstract Background The knowledge of the long-term consequences of covid-19 is limited. In patients, symptoms such as fatigue, decreased physical, psychological, and cognitive function, and nutritional problems have been reported. How the disease has affected next of kin, as well as staff involved in the care of patients with covid-19, is also largely unknown. The overall aim of this study is therefore three-fold: (1) to describe and evaluate predictors of patient recovery, the type of rehabilitation received and patients’ experiences of specialized rehabilitation following COVID-19 infection; (2) to study how next of kin experienced the hospital care of their relative and their experiences of the psychosocial support they received as well as their psychological wellbeing; (3) to describe experiences of caring for patients with COVID-19 and evaluate psychological wellbeing, coping mechanisms and predictors for development of psychological distress over time in health care staff. Methods This observational longitudinal study consists of three cohorts; patients, next of kin, and health care staff. The assessments for the patients consist of physical tests (lung function, muscle strength, physical capacity) and questionnaires (communication and swallowing, nutritional status, hearing, activities of daily living, physical activity, fatigue, cognition) longitudinally at 3, 6 and 12 months. Patient records auditing (care, rehabilitation) will be done retrospectively at 12 months. Patients (3, 6 and 12 months), next of kin (6 months) and health care staff (baseline, 3, 6, 9 and 12 months) will receive questionnaires regarding, health-related quality of life, depression, anxiety, sleeping disorders, and post-traumatic stress. Staff will also answer questionnaires about burnout and coping strategies. Interviews will be conducted in all three cohorts. Discussion This study will be able to answer different research questions from a quantitative and qualitative perspective, by describing and evaluating long-term consequences and their associations with recovery, as well as exploring patients’, next of kins’ and staffs’ views and experiences of the disease and its consequences. This will form a base for a deeper and better understanding of the consequences of the disease from different perspectives as well as helping the society to better prepare for a future pandemic.

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