Effectiveness of Resuscitation Device when Intubating Suspected COVID-19 Patient at Emergency and Trauma Department

Introduction: The rapid spread of COVID-19 had expanded into a pandemic, and thousands of medical staff had been infected worldwide. Thus, the access to personal protective equipment (PPE) for health workers had become a key concern. PPE was essential in providing a physical barrier between microorganism and health care providers. In the case of cardiac arrest, the use of a resuscitation device as PPE had provoked various reactions and complaints from physicians.Objective: To determine the effectiveness of the use of an intubation box and ergonomic screening booth as a device during intubation procedures on positive COVID-19 patients in the Department of Emergency and Trauma at Taiping Public Hospital.Methods: The study was designed as a single-blind, prospective, randomized study and was approved by the committee at study location setting. Physicians selected had been given three days of training related to the use of the device as one of the PPE, before being used on patients. The procedure was carried out on three patients with unclear history of COVID-19who required intubation. The time given for each intubation procedure was 5 to10 seconds with a maximum of three attempts for each patient.Results: The results found that all three intubation procedures required longer time whereby all procedures took two attempts for each patient. The process of intubation took more than 30 seconds for the first attempt and failed but all cases took about 5 to 10 seconds for second attempts.Conclusion: This has proven that the use of an intubation box and ergonomic screening booth as a device during intubation procedures was not effective. It is suggested that this device should not be continued by paramedics and a proper management plan is needed to provide appropriate and suitable device innovations.International Journal of Human and Health Sciences Supplementary Issue: 2021 Page: S14

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Liptay Imréné - egy 20. századi magyar szülésznő története

Kaleidoscope History ◽

10.17107/kh.2021.22.123-137 ◽

2021 ◽

Vol 11 (22) ◽

pp. 123-137

Author(s):

Anikó H. Molnár ◽

Ibolya Lipienné Krémer ◽

János Rigó

Keyword(s):

Health Care ◽

20Th Century ◽

Health Care Providers ◽

Health Workers ◽

Health Care Facilities ◽

Care Providers ◽

Professional Career ◽

Important Health ◽

History Of ◽

The Town

Nowadays, in Hungary, midwives are classified as skilled health workers, and according to their qualifications and professionalism, they are important health care providers. Midwifery, as an ancient profession based on traditions and rituals, was gradually transformed into an in-patient nursing of the 20th-century health care facilities. This study was written on the basis of a diploma work “The Life and Working of Hungarian Midwives in the 20th Century” defended at the Faculty of Health Sciences of Semmelweis University in 2020, inspired by a memorial plaque in honour of the former midwife of Gyömrő. This review presents the professional career and life of the town midwife Liptay, born Ilona Hebrancz (1903-1990). It is based on her records and oral history of her descendants and acquaintances while focusing especially on changes of the traditional midwifery in Hungary.

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The Myth of the Perfect Pregnancy

10.1093/oso/9780190869816.001.0001 ◽

2019 ◽

Cited By ~ 1

Author(s):

Lara Freidenfelds

Keyword(s):

Twentieth Century ◽

Health Care Providers ◽

Maternal Education ◽

Colonial America ◽

Care Providers ◽

Early Nineteenth Century ◽

Unrealistic Expectation ◽

History Of ◽

Late Twentieth ◽

Late Twentieth Century

The Myth of the Perfect Pregnancy is a history of why Americans came to have the unrealistic expectation of perfect pregnancies and to mourn even very early miscarriages. The introduction explains that miscarriage is a common phenomenon and a natural part of healthy women’s childbearing: approximately 20 percent of confirmed pregnancies spontaneously miscarry, mostly in the first months of gestation. Eight topical chapters describe childbearing and pregnancy loss in colonial America; the rise of birth control from the late eighteenth century to the present; changes in parenting from the early nineteenth century to the present that increasingly focused attention on the emotional relationship between parent and child; the twentieth-century rise of prenatal care and maternal education about embryonic growth; the twentieth-century blossoming of a consumer culture that marketed baby items to pregnant women; the abortion debates from the mid-twentieth century to the present; the late twentieth-century introduction of obstetric ultrasound and its evolution into a pregnancy ritual of “meeting the baby” as early as eight weeks’ gestation; and the late twentieth-century introduction of home pregnancy testing and the identification of pregnancy as early as several days before a missed period. The conclusion offers suggestions for how women and their families, health-care providers, and the maternity care industry can better handle pregnancy and address miscarriage.

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Brazil’s Community Health Workers Practicing Narrative Medicine: Patients’ Perspectives

Journal of General Internal Medicine ◽

10.1007/s11606-021-06730-8 ◽

2021 ◽

Author(s):

Rogério Meireles Pinto ◽

Rahbel Rahman ◽

Margareth Santos Zanchetta ◽

W. Galhego-Garcia

Keyword(s):

Health Care ◽

Community Health ◽

Community Health Workers ◽

Health Care Providers ◽

Health Workers ◽

Hybrid Approach ◽

Narrative Medicine ◽

Structured Interview ◽

Patient Perspectives ◽

Care Providers

Abstract Background Narrative medicine (NM) encourages health care providers to draw on their personal experiences to establish therapeutic alliances with patients of prevention and care services. NM medicine practiced by nurses and physicians has been well documented, yet there is little understanding of how community health workers (CHWs) apply NM concepts in their day-to-day practices from patient perspectives. Objective To document how CHWs apply specific NM concepts in Brazil’s Family Health Strategy (FHS), the key component of Brazil’s Unified Health System. Design We used a semi-structured interview, grounded in Charon’s (2001) framework, including four types of NM relationships: provider–patient, provider–colleague, provider–society, and provider–self. A hybrid approach of thematic analysis was used to analyze data from 27 patients. Key Results Sample: 18 females; 13 White, 12 “Pardo” (mixed races), 12 Black. We found: (1) provider–patient relationship—CHWs offered health education through compassion, empathy, trustworthiness, patience, attentiveness, jargon-free communication, and altruism; (2) provider–colleague relationship—CHWs lacked credibility as perceived by physicians, impacting their effectiveness negatively; (3) provider–society relationship—CHWs mobilized patients civically and politically to advocate for and address emerging health care and prevention needs; (4) provider–self relationship—patients identified possible low self-esteem among CHWs and a need to engage in self-care practices to abate exhaustion from intense labor and lack of resources. Conclusion This study adds to patient perspectives on how CHWs apply NM concepts to build and sustain four types of relationships. Findings suggest the need to improve provider–colleague relationships by ongoing training to foster cooperation among FHS team members. More generous organizational supports (wellness initiatives and supervision) may facilitate the provider–self relationship. Public education on CHWs’ roles is needed to enhance the professional and societal credibility of their roles and responsibilities. Future research should investigate how CHWs’ personality traits may influence their ability to apply NM.

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A Qualitative Study Exploring the Experiences and Perspectives of Australian Aboriginal Women on Oral Health during Pregnancy

International Journal of Environmental Research and Public Health ◽

10.3390/ijerph18158061 ◽

2021 ◽

Vol 18 (15) ◽

pp. 8061

Author(s):

Ariana Kong ◽

Michelle Dickson ◽

Lucie Ramjan ◽

Mariana S. Sousa ◽

Joanne Goulding ◽

...

Keyword(s):

Oral Health ◽

Health Care Providers ◽

Torres Strait Islander ◽

Health Workers ◽

Healthcare Providers ◽

Aboriginal Health ◽

Health Staff ◽

Care Providers ◽

Aboriginal Women ◽

Torres Strait

The aim of this study was to explore whether oral health was an important consideration for Aboriginal and Torres Strait Islander women during pregnancy, whether oral health could be promoted by Aboriginal health staff, and strategies that would be appropriate to use in a new model of care. A qualitative descriptive methodology underpinned the study. All participants in this study identified as Aboriginal, with no Torres Strait Islander participants, and were from New South Wales, Australia. The interviews were analysed using inductive thematic analysis. From the data, two themes were constructed. The first theme identified that oral health was not always the first priority for participants as poor accessibility alongside other competing commitments were challenges to accessing oral health services. The second theme highlighted how relationships with personal networks and healthcare providers were essential and could be used to support maternal oral health during pregnancy. Effective strategies to promote oral health during pregnancy for Aboriginal and Torres Strait Islander women should involve key stakeholders and health care providers, like Aboriginal Health Workers, to facilitate culturally safe support and tailored oral health advice.

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Training health workers to provide person-centred maternal and newborn health care in Burkina Faso

The International Journal of Person Centered Medicine ◽

10.5750/ijpcm.v3i2.405 ◽

2013 ◽

Vol 3 (2) ◽

pp. 154-159

Author(s):

Janet Perkins ◽

Aminata Bargo ◽

Cecilia Capello ◽

Carlo Santarelli

Keyword(s):

Health Care ◽

Burkina Faso ◽

Health Care Providers ◽

Health Workers ◽

Healthcare Providers ◽

Newborn Health ◽

World Health ◽

Maternal And Newborn Health ◽

Care Providers ◽

Maternal And Newborn

Assuring the provision of person-centred care is critical in maternal and newborn health (MNH). As a component of the national strategy to improve MNH, Burkina Faso Ministry of Health, supported by Enfants du Monde, La Fondation pour le Développement Communautaire/Burkina Faso and UNFPA, is implementing the World Health Organization’s (WHO) framework for Working with Individuals, Families and Communities (IFC) to improve MNH. As a first step in district implementation, participatory community assessments were conducted. These assessments consistently revealed that poor interactions with healthcare providers posed one important barrier preventing women from seeking MNH services. In order to address this barrier, healthcare providers were trained to improve their interpersonal skills and in counselling women. During 2011-12 a total of 175 personnel were trained over a 5-day course developed using a WHO manual. The course was met with enthusiasm as providers expressed their need and desire for such training. Immediate post-test results revealed an impressive increase in knowledge and anecdotal evidence suggests that training has influenced provider’s behaviours in their interactions with women. In addition, health care providers are taking concrete action to build the capabilities of women to experience pregnancy and birth safely by engaging directly with communities. While early findings are promising, an evaluation will be necessary to measure how the training has influenced practices, whether this translates into a shift of perceptions at community level and ultimately its contribution toward promoting person-centred care in Burkina Faso.

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Factors Influencing Sustained Engagement with ECG Self-Monitoring: Perspectives from Patients and Health Care Providers

Applied Clinical Informatics ◽

10.1055/s-0038-1672138 ◽

2018 ◽

Vol 09 (04) ◽

pp. 772-781 ◽

Cited By ~ 8

Author(s):

Meghan Reading ◽

Dawon Baik ◽

Melissa Beauchemin ◽

Kathleen Hickey ◽

Jacqueline Merrill

Keyword(s):

Health Care ◽

Health Care Providers ◽

Ease Of Use ◽

Perceived Usefulness ◽

Care Providers ◽

Self Monitoring ◽

Major Barrier ◽

Utaut Model ◽

History Of ◽

Mhealth Technology

Background Patient-generated health data (PGHD) collected digitally with mobile health (mHealth) technology has garnered recent excitement for its potential to improve precision management of chronic conditions such as atrial fibrillation (AF), a common cardiac arrhythmia. However, sustained engagement is a major barrier to collection of PGHD. Little is known about barriers to sustained engagement or strategies to intervene upon engagement through application design. Objective This article investigates individual patient differences in sustained engagement among individuals with a history of AF who are self-monitoring using mHealth technology. Methods This qualitative study involved patients, health care providers, and research coordinators previously involved in a randomized, controlled trial involving electrocardiogram (ECG) self-monitoring of AF. Patients were adults with a history of AF randomized to the intervention arm of this trial who self-monitored using ECG mHealth technology for 6 months. Semistructured interviews and focus groups were conducted separately with health care providers and research coordinators, engaged patients, and unengaged patients. A validated model of sustained engagement, an adapted unified theory of acceptance and use of technology (UTAUT), guided data collection, and analysis through directed content analysis. Results We interviewed 13 patients (7 engaged, 6 unengaged), 6 providers, and 2 research coordinators. In addition to finding differences between engaged and unengaged patients within each predictor in the adapted UTAUT model (perceived ease of use, perceived usefulness, facilitating conditions), four additional factors were identified as being related to sustained engagement in this population. These are: (1) internal motivation to manage health, (2) relationship with health care provider, (3) supportive environments, and (4) feedback and guidance. Conclusion Although it required some modification, the adapted UTAUT model was useful in understanding of the parameters of sustained engagement. The findings of this study provide initial requirement specifications for the design of applications that engage patients in this unique population of adults with AF.

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Knowledge and attitudes of tuberculosis management in San Juan de Lurigancho district of Lima, Peru

The Journal of Infection in Developing Countries ◽

10.3855/jidc.335 ◽

2009 ◽

Vol 3 (10) ◽

pp. 783-788 ◽

Cited By ~ 18

Author(s):

Elizabeth M. Kiefer ◽

Theresa Shao ◽

Olveen Carrasquillo ◽

Pamela Nabeta ◽

Carlos Seas

Keyword(s):

Health Care ◽

Community Health ◽

Community Health Workers ◽

Health Care Providers ◽

Health Workers ◽

Knowledge Score ◽

San Juan ◽

Care Providers ◽

Knowledge Gaps ◽

Knowledge And Attitudes

Background: Expansion of the health care workforce in Peru to combat tuberculosis (TB) includes both professional health care providers (HCPs) such as doctors and nurses, and non-professional HCPs such as community health workers (CHWs). We describe the knowledge and attitudes of these HCPs, and identify modifiable barriers to appropriate anti-tuberculosis treatment. Methodology: We surveyed HCPs practicing in 30 clinical settings (hospitals, community health centers, and health posts) in the San Juan de Lurigancho district of Eastern Lima, Peru. Multiple-choice questions were used to assess knowledge of TB. A five-item Likert scale was created to assess attitudes toward the community, patients, and clinics. Linear regression was used to identify predictors of mean knowledge score, and analysis of variance was used to test differences in HCP score. Results: Of the 73 HCPs surveyed, 15% were professionals (doctors or nurses). The remaining 85% were health technicians, community health workers (CHWs) or students. The mean knowledge score was 10.0 ± 1.9 (maximum 14) with professional HCPs scoring higher than other HCPs (11.7 ± 1.1 vs. 9.7 ± 1.9), p < .01). Knowledge gaps included identification of patients at high risk for TB, assessment of treatment outcomes, and consequences of treatment failure. The most commonly cited modifiable barriers were structural, including laboratory facilities and staffing of TB clinics, with 52.1% and 62.5% of HCPs, respectively, citing these as problematic. Conclusions: Efforts to improve knowledge of TB HCPs in Peru should focus on the specific gaps we have identified. Further research is needed to evaluate whether these knowledge gaps correlate with TB control.

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Influencing Factors for Prevention of Postpartum Hemorrhage and Early Detection of Women at Risk in The Northern Province of Rwanda: Beneficiary and Health Worker Perspectives

10.21203/rs.3.rs-30568/v3 ◽

2020 ◽

Author(s):

Oliva Bazirete ◽

Manassé Nzayirambaho ◽

Aline Umubyeyi ◽

Marie Chantal Uwimana ◽

Evans Marilyn

Keyword(s):

Risk Factors ◽

Health Care ◽

Early Detection ◽

Focus Groups ◽

Health Care Providers ◽

Health Workers ◽

Northern Province ◽

Care Providers ◽

Factors Associated ◽

Childbearing Women

Abstract Background: Reduction of maternal mortality and morbidity is a major global health priority. However, much remains unknown regarding factors associated with postpartum hemorrhage (PPH) among childbearing women in the Rwandan context. The aim of this study is to explore the influencing factors for prevention of PPH and early detection of women at risk as perceived by beneficiaries and health workers in the Northern Province of Rwanda. Methods: A qualitative descriptive exploratory study was drawn from a larger sequential exploratory‐mixed methods study. Semi‐structured interviews were conducted with 11 women who experienced PPH within the 6 months prior to interview. In addition, focus group discussions were conducted with: women’s partners or close relatives (2 focus groups), community health workers (CHWs) in charge of maternal health (2 focus groups) and health care providers (3 focus groups). A socio ecological model was used to develop interview guides to describe factors related to early detection and prevention of PPH in consideration of individual attributes, interpersonal, family and peer influences, intermediary determinants of health and structural determinants. The research protocol was approved by the University of Rwanda, College of Medicine and Health Sciences Institutional Ethics Review Board. Results: We generated four interrelated themes: (1) Meaning of PPH: beliefs, knowledge and understanding of PPH: (2) Organizational factors; (3) Caring and family involvement and (4) Perceived risk factors and barriers to PPH prevention. The findings from this study indicate that PPH was poorly understood by women and their partners. Family members and CHWs feel that their role for the prevention of PPH is to get the woman to the health facility on time. The main factors associated with PPH as described by participants were multiparty and retained placenta. Low socioeconomic status and delays to access health care were identified as the main barriers for the prevention of PPH. Conclusions: Addressing the identified factors could enhance early prevention of PPH among childbearing women. Placing emphasis on developing strategies for early detection of women at higher risk of developing PPH, continuous professional development of health care providers, developing educational materials for CHWs and family members could improve the prevention of PPH. Involvement of all levels of the health system was recommended for a proactive prevention of PPH. Further quantitative research, using case control design is warranted to develop a screening tool for early detection of PPH risk factors for a proactive prevention.

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STUDI KUALITATIF: PERSEPSI REMAJA PENDERITA KANKER TERHADAP PELAYANAN KEPERAWATAN

Jurnal Ilmiah Kebidanan Imelda ◽

10.52943/jikebi.v6i1.384 ◽

2020 ◽

Vol 6 (1) ◽

pp. 45-49

Author(s):

Dirayati Sharfina ◽

Indria L. Gamayanti ◽

Fitri Haryanti ◽

Yulis Hati

Keyword(s):

Health Care Providers ◽

Nursing Care ◽

Health Workers ◽

Treatment Protocol ◽

Sampling Technique ◽

Complex Problem ◽

Developmental Phase ◽

Care Providers ◽

Research Subjects ◽

Structured Interviews

Adolescent with cancer have a complex problem. Adolescents with cancer at risk for developmental phase delay caused limitations in carrying out its role as adolescents, because of the side effects of medication and intensive relationships with health care providers. Nurses are health workers who have a frequency of more interaction to the teenagers who suffer from cancer. Form of nursing care provided by nurse will shape perceptions of teenagers. Adolescent perception of cancer patients with the care received does not match the hope will establish a nursing care desired by adolescents. This study to explore perception and hope of adolescents toward quality of nursing care in Adam Malik Hospital Medan. Qualitative research methods through a phenomenological approach. Adolescent with cancer as research subjects, aged 13-19 years who had been diagnosed with cancer and was undergoing treatment protocol. The sampling technique used the maximum variance. Data were collected through semi-structured interviews with tools interview, observation, field notes, and tools as well as the record will be analyzed by the method Colaizzi The themes that reflect the perceptions and hope of adolescents to nursing care include 1) an overview of nurses’ profile, 2) the ability and skills of nurses, 3) nurses’ attitude, 4) preparedness nurses, 5) the provision of social support. Adolescents also hope hospital’s management add room facilities in order to easy to access the health service especially service care for adolescents. Adolescents with cancer have a different impression at the beginning of the meeting and after getting care by nurses. Further researcher can choose suitable location to interview and research about hope of adolescent’s cancer and nurse’s role in adolescent’s cancer.

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FRONTLINE HEALTH PROVIDER'S PERSPECTIVE IN REDUCING CHILD DEATHS DUE TO MALNUTRITION IN A TRIBAL DISTRICT OF MAHARASHTRA: A QUALITATIVE STUDY

10.36106/paripex/8214880 ◽

2021 ◽

pp. 246-249

Author(s):

Lalit Sankhe ◽

Chhaya Rajguru ◽

Monali Kadam

Keyword(s):

Health Care ◽

Qualitative Study ◽

Health Care Providers ◽

Service Providers ◽

Health Workers ◽

Health Care Service ◽

Care Providers ◽

Child Deaths ◽

Primary Health ◽

Refresher Training

Background: Malnutrition is a complex problem with double burden of undernutrition and overweight. India is no exception to it but there is a higher level of malnutrition in tribal blocks and to curb this situation,various activities have been undertaken but the slow pace of decline in malnutrition is a concern.The role of frontline health workers is crucial in strengthening primary health care.They serve as the bridge between the formal government health-care system and the community.The present study helps to seek the perception of primary health care service providers and challenges faced by them in reducing child deaths due to malnutrition. Method: A descriptive cross sectional qualitative study was conducted during August 2019 - February 2020 in three talukas of a tribal district. Focus group discussions (FGD) for each service providers Auxiliary Nurse midwife (ANM), Anganwadi worker (AWW) and Accredited Social Health activist (ASHA) were conducted. All the FGDs were audio recorded and transcripts were prepared,a thematic analysis framework was used for doing the analysis. Results: Most of the service providers were aware regarding their roles and responsibilities in implementation of schemes/ services related to malnutrition. The important factors influencing their performance were superstitions, more reliance on health seeking from unqualified health care providers and faith healers, poor road connectivity, network issues,lack of refresher training,overburdening with work,poor incentives. Conclusion: Specific training programs to tackle malnutrition along with frequent refresher training of the service providers,better infrastructure and human resources will help in achieving the desired results in future in dealing with child malnutrition.

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