The Importance of Fatigue Management for Healthcare Workers from Islamic Perspective

2019 ◽  
pp. 37
Author(s):  
Khairil Idham Ismail ◽  
Hanizah Mohd Yusof ◽  
Ahmad Faidhi MZ ◽  
Basri I
Keyword(s):  
Patient Safety ◽  
Healthcare Workers ◽  
Occupational Safety ◽  
Healthcare Delivery ◽  
Quality Of Healthcare ◽  
Related Factors ◽  
Islamic Perspective ◽  
Work Related ◽  
Fatigue Management ◽  
Harm To Others

Introduction: Fatigue is common among healthcare workers (HCWs). Long continuous duty hours, sleep loss with minimal recuperation and shift work are among work-related factors contributing to fatigue. Being fatigued will impair physical, cognitive, and emotional function. Substantially, it will impact the occupational and patient safety along with quality of healthcare delivery. Nevertheless, there are still paucity of Islamic perspective on the importance of fatigue management for HCWs.Objectives: Our aim is to outline the Islamic perspective of fatigue management for HCWs.Methods: Review of literature in relevance to fatigue among HCWs were carried out. Document analysis from Islamic jurisprudence (fiqh) references including literature from Maqasid Syariah (the Objective of Syariah) and Qawaid Fiqhiyyah (Islamic legal maxims) perspective. Interviews with expert from both Islamic scholars and clinicians are conducted.Results: Our findings provide Islamic perspective on the importance of fatigue manageme nt for healthcare workers. The consequences of fatigue such as slowed reaction time, reduced vigilance, reduced decision-making ability, poor judgment, distraction during complex task and loss of awareness in critical situations raise the issue on the integrity of patient safety and occupational safety. This is in contrary with the principle of Maqasid Syariah which highly emphasize protection of life (hifz an-Nafs) and intellect (hifz ‘Aql) of both group of HCWs and patients. While Qawaid Fiqhiyyah strongly against inflicting harm to themselves nor bring harm to others (La darar wa la dirar); which serve as basis to support this fatigue manageme nt framework in a holistic manner.Conclusion: This study may serve as an added perspective in the angle of Islamic view on the importance of fatigue management for healthcare workers.International Journal of Human and Health Sciences Supplementary Issue: 2019 Page: 37

scholarly journals A mixed-methods study of risk factors and experiences of healthcare workers tested for the novel coronavirus in Canada

2021 ◽  
Author(s):  
Arnold Ikedichi Okpani ◽  
Stephen Barker ◽  
Karen Lockhart ◽  
Jennifer Grant ◽  
Jorge Andrés Delgado-Ron ◽  
...  
Keyword(s):  
Healthcare Workers ◽  
Conditional Logistic Regression ◽  
Free Text ◽  
Prevention Measures ◽  
Related Factors ◽  
Licensed Practical Nurses ◽  
Work Related ◽  
Community Exposure ◽  
Using Data ◽  
Novel Coronavirus

ObjectivesWe aimed to investigate the contribution of occupational and non-work-related factors to the risk of novel coronavirus (SARS-CoV-2) infection among healthcare workers (HCWs) in Vancouver Coastal Health, British Columbia, Canada. We also aimed to examine how HCWs described their experiences.MethodsWe conducted a matched case-control study using data from online and phone questionnaires with optional open-ended questions completed by HCWs who sought SARS-CoV-2 testing between March 2020 and March 2021. Conditional logistic regression and thematic analysis were utilized.ResultsData from 1340 HCWs were included. Free-text responses were provided by 257 respondents. Adjusting for age, gender, race, occupation, and number of weeks since pandemic was declared, community exposure to a known COVID-19 case (adjusted odds ratio -aOR: 2.45; 95% CI 1.67-3.59), and difficulty accessing personal protective equipment -PPE- (aOR: 1.84; 95% CI 1.07-3.17) were associated with higher infection odds. Care-aides/licensed practical nurses had substantially higher risk (aOR: 2.92; 95% CI 1.49-5.70) than medical staff who had the lowest risk. Direct COVID-19 patient care was not associated with elevated risk. HCWs’ experiences reflected the phase of the pandemic when they were tested. Suboptimal communication, mental stress, and situations perceived as unsafe were common sources of dissatisfaction.ConclusionsCommunity exposures and occupation were important determinants of infection among HCWs in our study. The availability of PPE and clear communication enhanced a sense of safety. Varying levels of risk between occupational groups call for wider targeting of infection prevention measures. Strategies for mitigating community exposure and supporting HCW resilience are required.

scholarly journals Leveraging massive open online courses to expand quality of healthcare education to health practitioners in Rwanda

2019 ◽  
Vol 8 (4) ◽  
pp. e000532 ◽  
Author(s):  
Kirstin Woody Scott ◽  
Theophile Dushime ◽  
Vincent Rusanganwa ◽  
Liana Woskie ◽  
Clint Attebery ◽  
...  
Keyword(s):  
Patient Safety ◽  
Global Health ◽  
Healthcare Professionals ◽  
Healthcare Delivery ◽  
Quality Of Healthcare ◽  
Lessons Learned ◽  
Online Course ◽  
Massive Open Online ◽  
District Hospitals

Improving the quality of healthcare delivery is increasingly a global health priority. However, quality improvement training opportunities that provide theoretical foundations and basic skills for patient safety and other quality initiatives have been limited or historically out of reach, especially in low-and-middle income countries (LMICs). To address this gap, the Harvard Initiative on Global Health Quality (HIGHQ) created and launched a massive open online course (MOOC) in 2014 focused on patient safety and quality of care using the edX platform. More than 30 000 students from across 195 countries registered for the online course. This paper summarises an innovative educational partnership between the course team and one of these countries, Rwanda, to develop a blended-learning model to bolster participation in this new course among Rwandan healthcare professionals. Although a small country, Rwanda was among the top performing countries for attracting course registrants and was the leading country for the proportion of enrollees who ultimately completed the course. Further, half (21 of 42) of Rwanda’s district hospitals opted to appoint a PH555x course facilitator at their site to help lead regular meetings and discussions about the course content at their facility. The majority of Rwandan enrollees were health professionals (63%) and 81% reported that PH555x was their first experience taking an online course. Among those participating in the ‘flipped’ component at hospital sites, 94% reported that the course helped them to think of specific ways to improve healthcare quality at their facility. In this paper, we describe this innovative public–private educational model, challenges to implementation and lessons learned that may be helpful for future MOOC developers who wish to augment learning opportunities among healthcare professionals in LMICs.

scholarly journals Challenges, consequences, and lessons for way–outs to emergencies at hospitals: a systematic review study

2019 ◽  
Vol 19 (1) ◽  
Author(s):  
Hamid Reza Rasouli ◽  
Ali Aliakbar Esfahani ◽  
Mohsen Abbasi Farajzadeh
Keyword(s):  
Systematic Review ◽  
Data Extraction ◽  
Healthcare Delivery ◽  
Quality Of Healthcare ◽  
Original Research ◽  
Healthcare Outcomes ◽  
Senior Faculty ◽  
Related Factors ◽  
Ed Overcrowding ◽  
Review Study

Abstract Background Emergency Department (ED) overcrowding adversely affects patients’ health, accessibility, and quality of healthcare systems for communities. Several studies have addressed this issue. This study aimed to conduct a systematic review study concerning challenges, lessons and way outs of clinical emergencies at hospitals. Methods Original research articles on crowding of emergencies at hospitals published from 1st January 2007, and 1st August 2018 were utilized. Relevant studies from the PubMed and EMBASE databases were assessed using suitable keywords. Two reviewers independently screened the titles, abstracts and the methodological validity of the records using data extraction format before their inclusion in the final review. Discussions with the senior faculty member were used to resolve any disagreements among the reviewers during the assessment phase. Results Out of the total 117 articles in the final record, we excluded 11 of them because of poor quality. Thus, this systematic review synthesized the reports of 106 original articles. Overall 14, 55 and 29 of the reviewed refer to causes, effects, and solutions of ED crowding, respectively. The review also included four articles on both causes and effects and another four on causes and solutions. Multiple individual patients and healthcare system related challenges, experiences and responses to crowding and its consequences are comprehensively synthesized. Conclusion ED overcrowding is a multi-facet issue which affects by patient-related factors and emergency service delivery. Crowding of the EDs adversely affected individual patients, healthcare delivery systems and communities. The identified issues concern organizational managers, leadership, and operational level actions to reduce crowding and improve emergency healthcare outcomes efficiently.

scholarly journals Membangun Kesadaran Tenaga Kesehatan Dalam Keselamatan Pasien Di Rumah Sakit

2019 ◽  
Author(s):  
fadillahumaiyah
Keyword(s):  
Patient Safety ◽  
Nursing Students ◽  
Occupational Safety ◽  
Work Related ◽  
Descriptive Research ◽  
Safety And Health ◽  
Health Studies ◽  
Work Accidents ◽  
Improve Hospital ◽  
Insight Into

Abstract: Hospital is a service facility which is engaged in health services performed through the completeness of hospital facilities and infrastructure as well as reducing the number of work accidents in rs.Purpose: this paper regulates in relation to completing the task of Patient Safety and Occupational Health Safety in Nursing and also add insight into, how to increase health awareness specifically for Nursing students. Method: This study method which contains a variety of complex work with various problems regarding work-related problems according to the type of work so that it is obliged to support efforts to foster the occupational safety and health of hospitals. In an effort to improve hospital quality, it can be made based on descriptive research. The author suggests to provide a clear and precise description in accordance with the requirements submitted to the object of research using a questionnaire. Results: Based on the results obtained from various sources obtained from the results of health studies at the Hospital have requested patient safety.Keywords: Hospital, patient safety, nurses

scholarly journals Job Satisfaction and Quality of Healthcare Delivery: A Cross-Sectional Study in Ogun State Hospitals Management Board, Nigeria

2021 ◽  
Vol 9 (4) ◽  
pp. 1-12
Author(s):  
Ahmed Babatunde Jimoh
Keyword(s):  
Job Satisfaction ◽  
Healthcare Workers ◽  
Healthcare Professionals ◽  
Healthcare Delivery ◽  
Quality Of Healthcare ◽  
Cross Sectional ◽  
State Hospitals ◽  
Management Board ◽  
Ogun State

Job satisfaction is vitally necessary in the daily life of the workforce, and the essential elements, materials and mechanism that drives job satisfaction demand great attention. At present, the situation of healthcare workers in the employment of Ogun State Hospitals Management Board, Nigeria, seems to be less satisfied with the policies of the healthcare institutions. The study examined job satisfaction and the quality of healthcare delivery in Ogun State Hospitals Management Board (HMB) in Nigeria. This study adopted a cross-sectional design method and was conducted among the healthcare professionals in the study area. A total of 729 copies of a well-structured questionnaire were administered using a multi-staged sampling technique to obtain information from all the available healthcare professionals in the study area. Data collected were analysed using descriptive statistics. Findings of this study revealed that 12.5 % of healthcare professionals in Ogun State Hospitals strongly agreed, 21.9% moderately, and 32% slightly agreed with the level of satisfaction of the leadership and management styles. 25.7% of the healthcare professionals disagreed (7.4% strongly, 4.0% moderately and 14.3% slightly) that they would recommend employment in the study area. The results further revealed that 47.9% of healthcare workers had a low level of job satisfaction that could lead to many factors. In addendum, 43.6% of the respondents believed that the healthcare delivery was not low but with moderate quality. The study concluded that majority of the healthcare workers had low level of job satisfaction. The quality of healthcare delivery is of medium quality. Finally, this study recommends that there should be an establishment of health and life insurance for health workers; improved health infrastructures; conducive work environment and working conditions; job security; regular and continuous training of healthcare professionals; and attractive rewards and compensation.

scholarly journals Diagnosing occupational COVID-19 in Croatian healthcare workers

2021 ◽  
Vol 72 (4) ◽  
pp. 289-297
Author(s):  
Roko Žaja ◽  
Ivana Kerner ◽  
Milan Milošević ◽  
Jelena Macan
Keyword(s):  
Occupational Disease ◽  
Healthcare Workers ◽  
Occupational Safety ◽  
Close Contact ◽  
Polymerase Chain Reaction Test ◽  
Medical Documentation ◽  
Job Description ◽  
Work Related ◽  
Health Physician ◽  
Chain Reaction Test

Abstract Coronavirus disease 2019 (COVID-19) can be diagnosed as occupational disease by an occupational health physician (OHP), if supported by relevant work-related and medical documentation. The aim of this study was to analyse such documentation submitted by Croatian healthcare workers (HCWs) and discuss its relevance in view of European and Croatian guidelines. The study included 100 Croatian HCWs who were SARS-CoV-2-positive and requested that their infection be diagnosed as occupational disease by their OHPs from 1 May 2020 to 10 March 2021. As participants they were asked to fill out our online Occupational COVID-19 in Healthcare Workers Questionnaire. For the purpose of this study we analysed answers about the type of close contact at the workplace, COVID-19 symptoms, and enclosed work-related (job description, employer statement about exposure to SARS-CoV-2) and medical documentation (positive SARS-CoV-2 polymerase chain reaction test and patient history confirming the diagnosis of COVID-19). Most participants were working in hospitals (N=95), mostly nurses (N=75), who became infected by a patient (N=68) or colleague (N=31), and had at least one COVID-19 symptom (N=87). Eighty participants did not enclose obligatory documents, 41 of whom failed to submit job description and 31 both job description and employer statement. These findings confirm that the major risk of occupational COVID-19 in HCWs is close contact with patients and colleagues, and points out the need for better cooperation between OHPs, occupational safety experts, employers, and diseased workers.

scholarly journals Professional stress levels among healthcare workers of Nelamangala: a cross sectional study

2017 ◽  
Vol 4 (12) ◽  
pp. 4685
Author(s):  
Spoorthy Sagar ◽  
Ravish K. S. ◽  
Ranganath T. S. ◽  
Mohammed Tanveer Ahmed ◽  
Shanmugapriya D.
Keyword(s):  
Rural Areas ◽  
Life Stress ◽  
Healthcare Workers ◽  
Cross Sectional Study ◽  
Mild Stress ◽  
Sectional Study ◽  
Related Factors ◽  
Cross Sectional ◽  
Work Related ◽  
Stress Levels

Background: Occupational stress can impair one’s health and reduce the efficiency and productivity of work. Delivering health services in rural areas is a tedious job for healthcare workers due to various factors. Inadequate staffing of workers leading to overloaded work and many other factors make them less motivated and experience work stress. Methods: A cross sectional study done in Nelamangla, rural field practice area of BMCRI. A multi stage random sampling technique was applied for the study. 5 PHCs were randomly chosen. Healthcare workers (such as LHV, ANM, Health Assistants, ASHA workers and AWWs) were recruited by probability proportion to sample size. 140 study participants were interviewed using pre tested semi structured questionnaire to collect socio demographic details and work related details; validated professional life stress scale was used to assess stress levels. Descriptive statistics and chi square test were used. Results: 37.1% (52) had mild stress, 52.1% (73) were moderately stressed, 10.7% (15) were severely stressed and none of them were very severely stressed that needed immediate intervention. Working hours, job satisfaction, clarity about work, amount of work exceeding stipulated time, loss of interest at work, not being rewarded and valued for their work are few of the factors that are found to be associated with stress levels. Conclusions: Work related factors have been the main stressors and higher stress levels might impede the performance of the workers and hence addressing this is necessary. 

Reflections and Understanding of Quality Management in Healthcare

2018 ◽  
pp. 153-174
Author(s):  
T. Ray Ruffin
Keyword(s):  
Patient Safety ◽  
Quality Management ◽  
Quality Indicators ◽  
Healthcare Delivery ◽  
Quality Of Healthcare ◽  
Care Quality ◽  
Healthcare Organizations ◽  
Patient Centered ◽  
Government Mandates ◽  
Centered Care

Healthcare organizations (HCOs) leadership must be involved with patient safety inventiveness and healthcare strategy. Leadership is essential to implementing and sustaining continuous performance quality improvement for patient-centered care. Quality management is of extreme significance to the United States (U.S.) healthcare industry and patients. Included are an introduction and background of the U.S. healthcare systems as well as the joint commission and government mandates. One of the primary focuses of the chapter is to enhance health literacy by developing a robust lexicon of fundamental healthcare terms and concepts. Healthcare reforms such as Patient Protection and Affordable Care Act (PPACA) are explored. The quality of healthcare delivery, involuntary reporting, patient safety indicators (PSIs), prevention quality indicators (PQIs), and inpatient quality indicators (IQIs) are explained. The chapter culminates with a discussion focusing on transformational leadership and the strategies for quality management implementation, along with a conclusion.

Non-clinical rounds in hospital settings: a scoping review

2019 ◽  
Vol 33 (5) ◽  
pp. 605-616
Author(s):  
Paraskevi Angelopoulou ◽  
Efharis Panagopoulou
Keyword(s):  
Patient Safety ◽  
Scoping Review ◽  
Healthcare Delivery ◽  
Quality Of Healthcare ◽  
Clinical Settings ◽  
Organizational System ◽  
Content Type ◽  
Multidisciplinary Rounds ◽  
Enhance Patient Safety ◽  
Morbidity And Mortality Conferences

PurposeThe purpose of this paper is to systematically describe the types of non-clinical rounds implemented in hospital settings.Design/methodology/approachThis scoping review was conducted and reported in accordance with the PRISMA. The review followed the four stages of conducting scoping review as defined by Arskey and O’Malley (2005).FindingsInitially, 978 articles were identified through database search from which only 24 studies were considered relevant and included in the final review. Overall, eight types of non-clinical rounds were identified (death rounds, grand rounds, morbidity and mortality conferences, multidisciplinary rounds, patient safety rounds, patient safety huddles, walkarounds and Schwartz rounds) that independently of their format, goal, participants and type of outcomes aimed to enhance patient safety and improve quality of healthcare delivery in hospital settings, either by focusing on physician, patient or organizational system.Originality/valueTo the authors’ knowledge this is the first review that aims to provide a comprehensive summary to the types of non-clinical rounds that has been applied in clinical settings.

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