Interventions Aimed at Improving Knowledge, Detection Practices and Management of Dementia among Health Professionals.

2020 ◽  
Vol 11 ◽  
pp. 147-159
Author(s):  
Pushkar Singh Raikhola ◽  
Krishna Prasad Pathak ◽  
Tara Gaire

The aim of this review was to synthesize the aggregated studies aimed at improving health care knowledge, detection practices and management of dementia among healthcare professionals (HPs). Healthcare professionals play a key role in the detection and management of dementia. However, there is a gap in the literature as to what represents best practice with regard to educating HPs in this area. We searched citation index Google scholar, Scopus and Pub Med, Medline, were searched for relevant articles from 2000-2019 without data limit. Inclusion criteria were (1) intervention studies aimed at improving HPs practices concerning dementia care (2) the educational intervention focused on knowledge, detection practice and management of dementia, and (3) peer-reviewed and written in English. Of 4968 articles identified, only 13 articles (six GPs, two clinical/organization care based, one nurse, one physician and affiliated staff and one with physician, manager and therapists based studies) were suitable for inclusion and these all were from developed countries. Seven studies were randomized controlled trials (RCTs), 1 prospective, 2 GPs and supervisors intervention, 1 cohort study, and 2 clinical /organizational care services clustered randomized study. Overall, the methodological quality of these studies was poor, particularly with regard to the methods utilized and sample sizes however, combined programs of, practice based workshops with community and multi-faced educational program were the most effective. The continuous educational intervention program can improve the health professionals’ diagnosis and management knowledge, confidents and negative perception of dementia. HPs should be Interventions Aimed at Improving Knowledge, Detection Practices and Management of Dementia among Health Professionals. Dr. Pushkar Singh Raikhola1 Dr. Krishna Prasad Pathak2 Tara Gaire3 1 Monitoring Directorate, Tribhuban University, Nepal 2 Nepal Open University, Nepal. Alzheimer Related Dementia Society Nepal. 3 Department of Nursing, Innovative health science college THE SAPTAGANDAKI JOURNAL 2055 B.S. Review Article148 The Saptagandaki Journal / Vol.Xi / Issue 11/ November 2020 / ISSN 2594-3243 (Print) supported to improve their knowledge, tackle behavioral problems associated with dementia, be made aware of services and be enabled to engage in more early diagnosis in primary care. Further intervention program should address the cultural change to facilitate long term improvements. Educational intervention program is crucial to the health professionals to get close to the diagnostic confidence.

Author(s):  
Daniel Carbone

Over the past 30 years the health framework in which doctors and other healthcare professionals practise has changed relatively little in comparison with the enormous changes seen in transport, manufacturing, and telecommunications (Yellowlees & Brooks, 1999). In Australia, the health system, like others in developed countries worldwide, is deteriorating quickly. Productivity commission reports, parliamentary inquiries, and numerous academic papers describe the current waste and lack of focus on outcomes in our health system (Weyden & Armstrong, 2004), at a time when communities and dedicated health professionals are screaming for the resources to provide acceptable care for their communities (Jackson, 2005).


2020 ◽  
Author(s):  
◽  
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BACKGROUND Health professionals (HPs) play a key role in dementia management and detection. However, there is a gap in the literature as to what represents best practice with regard to educating HPs to improve their dementia detection practices and management. The objective of this scoping review is to synthesize the aggregated studies aimed at improving health care knowledge, detection practices and management of dementia among HPs. OBJECTIVE To synthesize the aggregated studies aimed at improving health care knowledge, detection practices and management of dementia among HPs by the intervention program METHODS We searched electronically published relevant articles with inclusion criteria; (1) intervention studies aimed at improving HPs practices concerning dementia care and (2) educational interventions focused on nurses and doctors’ knowledge, detection practice and management of dementia. Twenty-five articles fit the inclusion criteria. RESULTS Collaborative programs of practice based workshops, interactive learning activities with community and multi-faced educational program were the most effective. CONCLUSIONS HPs should be supported to improve their knowledge, tackle behavioural problems associated with dementia, be made aware of services and be enabled to engage in more early diagnosis. CLINICALTRIAL none


Vaccines ◽  
2021 ◽  
Vol 9 (6) ◽  
pp. 644
Author(s):  
Pérez-Rivas Francisco Javier ◽  
Del Gallego-Lastra Ramón ◽  
Esteban-Garcimartín Ana ◽  
Marques-Vieira Cristina Maria Alves ◽  
Ajejas Bazán María Julia

Health science students are tomorrow’s health professionals, the duties of whom could include vaccination. This work examines the general attitude towards vaccination in students attending the Faculty of Nursing, Physiotherapy and Chiropody at a university in Madrid, Spain, using the ‘Attitudes and Behaviour With Regard To Vaccination Among Health Science Students Questionnaire’. The results were subjected to multivariate analysis to identify the influence of sex, the degree being pursued, and ‘course year’. The number of students vaccinated against influenza in the campaign preceding the present study was also recorded, as were the factors that influenced decision-making in this regard. A total of 934 students completed the questionnaire. Their beliefs regarding vaccination were positive (mean score 3.23 points out of 4), as was their behaviour (3.35/4). Their general attitude (all variables taken together) was therefore also good (3.27/4). Only 26.8% of the students had been vaccinated against influenza. Beliefs scores among the students of nursing in their more senior course years were significantly better than those recorded for all other groups. These students also showed the best general attitude towards vaccination and formed the largest group vaccinated against influenza. The results obtained are encouraging since nursing students are the most likely of future healthcare professionals to be involved in vaccination programmes.


2021 ◽  
Vol 8 (Supplement_1) ◽  
pp. S578-S579
Author(s):  
Natalia Rodriguez ◽  
Melanie Goebel ◽  
Sheena Bhushan ◽  
Shital Patel

Abstract Background During the global COVID-19 pandemic, the release of research and data particularly to guide clinical care evolved rapidly and highlights the critical need for timely, and equitable access to medical knowledge and best practices. Specialized medical knowledge has historically been confined to specialists in academic medical centers and disconnected from healthcare professionals in underserved areas. It is important to bridge this gap and democratize knowledge through a model that supports rapid dissemination of best practices to build capacity in areas of need. Methods A Project ECHO partnership was implemented between academic infectious diseases specialists and local healthcare professionals involved in COVID-19 screening, diagnosis and management serving an underserved population. BCM COVID-19 ECHO supported the Access2Health SmartPod COVID-19 clinical operations staffed by a charitable community organization. The SmartPod clinical team were engaged in weekly one-hour ECHO sessions with didactic presentations and case discussions on diverse COVID-19 topics. The program was evaluated at 6 months. COVID 19 ECHO Model BCM COVID-19 ECHO Telementoring Program with the United Health Partners in the community BCM COVID-19 ECHO Telementoring Session Topics Curriculum developed for the health professionals seeing patients in the SmartPOD and clinics in underserved communities. Results In Fall 2020, BCM COVID-19 ECHO facilitated 10 sessions with an average attendance of 8 healthcare professionals per session. Evaluation results indicated high levels of satisfaction with session content and telementoring partnerships, with 80% expressing intent to apply the knowledge and skills acquired from the sessions to their clinical practice. Conclusion The Project ECHO model successfully engaged healthcare professionals in a continuous learning loop. With the rapid and vast amount of information during the COVID-19 pandemic, it is important to ensure health professionals have equitable access to medical knowledge and feel empowered to implement best practice changes. Disclosures All Authors: No reported disclosures


2021 ◽  
Vol 76 (1) ◽  
pp. 42-45
Author(s):  
Thembelihle M Mtolo ◽  
Pagollang D Motloba ◽  
Neil H Wood

The recently detected South African variant, Covid-19, 501Y.V2 is more transmissible, though not virulent as the initial strain.1 The morbidity and mortality rates due to this variant have risen exponentially, putting huge pressure on the healthcare system, locally and globally. As a consequence the South African government imposed hard lockdown measures (level 3) as a means to curb the pandemic. Governments around the world are scrambling to obtain and roll-out Covid-19 vaccination programs to save lives and livelihoods. Most developed countries have initiated inoculations, amid widespread misinformation and hesitancy. Literature indicate that healthcare professionals (HCPs) are generally complacent and hesitant about vaccination. The COVID-19 uptake is likely to be suboptimal among HCPs and the general populations. The voluntary immunization program will commence in February 2021, and the Healthcare professionals will be among the first to be vaccinated. It remains to be seen if this cohort will achieve the desired vaccinations rates. Failure for this influential group to vaccinate could derail the program and lead to failure to achieve herd immunity. In the face of emerging vaccine hesitancy among HCPs, should oral health professionals be compelled to vaccinate? Will any refusal by OHPs to be immunized be morally justified? Oral health professionals in this context of this paper, represent all oral health professionals involved in the management dental patients. No singular ethical framework is held as sufficient to resolve these questions. This paper interrogates aspect of clinical ethics, including the Hippocratic Oath, principilism, public health ethics (Utilitarianism) and Kantian deontology, to tackle the questions raised. We conclude that OHPs have a moral duty to be vaccinated against Covid-19.


2020 ◽  
Vol 10 (31) ◽  
pp. 87-95
Author(s):  
Nicole Maria Miyamoto Bettini ◽  
Fabiana Tomé Ramos ◽  
Priscila Masquetto Vieira de Almeida

A Organização Mundial da Saúde - OMS confirmou a circulação internacional do novo Coronavírus em janeiro de 2020, nomeando-o como COVID-19 e, declarando uma pandemia. É de extrema importância que durante a pandemia, os profissionais de saúde tenham acesso e conhecimento sobre o uso correto dos Equipamentos de Proteção Individual (EPIs) e suas indicações, tomando assim, as devidas precauções na prevenção de infecções. O presente estudo buscou identificar a padronização mundial quanto ao uso dos EPIs utilizados no atendimento a pacientes suspeitos e/ou confirmados de COVID-19 no Brasil, EUA, China, Espanha, Itália e demais países europeus. Os guidelines apresentam a padronização quanto ao uso dos EPIs utilizados no atendimento a suspeitos e/ou confirmados de COVID-19, indo ao encontro das recomendações fornecidas pela OMS. Até o momento, o uso de EPIs é sem dúvida a estratégia mais importante e eficaz para proteger os profissionais de saúde durante a assistência ao paciente com COVID-19.Descritores: Infecções por Coronavírus, Equipamento de Proteção Individual, Pessoal de Saúde, Enfermagem. Recommendations for personal protective equipment to combat COVID-19Abstract: The World Health Organization - WHO confirmed the international circulation of the new Coronavirus in January 2020, naming it as COVID-19 and declaring a pandemic. It is extremely important that during the pandemic, health professionals have access and knowledge about the correct use of Personal Protective Equipment (PPE) and its indications, thus taking appropriate precautions to prevent infections. The present study sought to identify the worldwide standardization regarding the use of PPE utilized to take care of suspected and confirmed patients with COVID-19 in Brazil, USA, China, Spain, Italy and other European countries. The guidelines present a standardization regarding the use of PPE utilized to take care of suspected and confirmed with COVID-19, in line with the recommendations provided by WHO. To date, the use of PPE is undoubtedly the most important and effective strategy to protect healthcare professionals during care for patients with COVID-19.Descriptors: Coronavirus Infections, Personal Protective Equipment, Health Personnel, Nursing. Recomendaciones para el equipo de protección personal para combatir COVID-19Resumen: La Organización Mundial de la Salud - La OMS confirmó la circulación internacional del nuevo Coronavirus en enero de 2020, nombrándolo COVID-19 y declarando una pandemia. Es extremadamente importante que durante la pandemia, los profesionales de la salud tengan acceso y conocimiento sobre el uso correcto del Equipo de Protección Personal (EPP) y sus indicaciones, tomando así las precauciones adecuadas para prevenir infecciones. El presente estudio buscó identificar la estandarización mundial con respecto al uso de EPP utilizado para atender a pacientes sospechosos y/o confirmados con COVID-19 en Brasil, Estados Unidos, China, España, Italia y otros países europeos. Las pautas presentan la estandarización con respecto al uso de EPP utilizado para cuidar COVID-19 sospechoso y/o confirmado, de acuerdo con las recomendaciones proporcionadas por la OMS. Hasta la fecha, el uso de EPP es, sin duda, la estrategia más importante y efectiva para proteger a los profesionales de la salud durante la atención de pacientes con COVID-19.Descriptores: Infecciones por Coronavirus, Equipo de Protección Personal, Personal de Salud, Enfermería.


Author(s):  
Bernadus Gunawan Sudarsono ◽  
Sri Poedji Lestari

The use of internet technology in the government environment is known as electronic government or e-government. In simple terms, e-government or digital government is an activity carried out by the government by using information technology support in providing services to the community. In line with the spirit of bureaucratic reform in Indonesia, e-government has a role in improving the quality of public services and helping the process of delivering information more effectively to the public. Over time, the application of e-Government has turned out to have mixed results. In developed countries, the application of e-Government systems in the scope of government has produced various benefits ranging from the efficiency of administrative processes and various innovations in the field of public services. But on the contrary in the case of developing countries including Indonesia, the results are more alarming where many government institutions face obstacles and even fail to achieve significant improvements in the quality of public services despite having adequate information and communication technology. The paradigm of bureaucrats who wrongly considers that the success of e-Government is mainly determined by technology. Even though there are many factors outside of technology that are more dominant as causes of failure such as organizational management, ethics and work culture. This study aims to develop a model of success in the application of e-Government from several best practice models in the field of information technology that have been widely used so far using literature studies as research methods. The results of the study show that the conceptual model of the success of the implementation of e-Government developed consists of 17 determinants of success..Keywords: Model, Factor, Success, System, e-Government


Delirium is a common serious complication in dementia that is associated with poor prognosis and a high burden on caregivers and healthcare professionals. Appropriate care is therefore important at an early stage for patients with delirium superimposed on dementia To gain insight into the care of six patients with delirium superimposed on dementia, 19 semi-structured interviews were conducted focused on the experiences of caregivers and professionals. The interviews revealed four themes that appeared to play a role: 1. experiences with and views on behavioral problems of these patients, 2. recognition and diagnosis of delirium in dementia, 3. views on good care and 4. organizational aspects. Knowledge gaps about delirium in dementia, as well as ethical considerations, play an important role in organizing timely and adequate care for patients with delirium superimposed on dementia.


Author(s):  
Cynthia Kallás Bachur ◽  
Sarah Silva Candido ◽  
Gerlia Bernardes Silveira ◽  
Samantha Gurgel Oliveira Sousa ◽  
Joao Hercos ◽  
...  

2020 ◽  
Author(s):  
Krishna Krishna Prasad Pathak

BACKGROUND Health professionals (HPs) play a key role in dementia management and detection. However, there is a gap in the literature as to what represents best practice with regard to educating HPs to improve their dementia detection practices and management. OBJECTIVE The objective of this scoping review is to synthesize the aggregated studies aimed at improving health care knowledge, detection practices and management of dementia among HPs. METHODS We searched electronically published relevant articles with inclusion criteria; (1) intervention studies aimed at improving HPs practices concerning dementia care and (2) educational interventions focused on nurses and doctors’ knowledge, detection practice and management of dementia. Twenty-five articles fit the inclusion criteria. RESULTS Collaborative programs of practice based workshops, interactive learning activities with community and multi-faced educational program were the most effective. CONCLUSIONS HPs should be supported to improve their knowledge, tackle behavioural problems associated with dementia, be made aware of services and be enabled to engage in more early diagnosis. CLINICALTRIAL no applicable


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