scholarly journals Evaluation of advanced infection and prevention technical training

2021 ◽  
Vol 3 (2) ◽  
pp. 321-330
Author(s):  
Ai Siti Sutilah

Evaluation of a technical education and training organization can provide positive outputs. This study aims to evaluate the implementation and understanding of the training participants regarding the knowledge of the training materials provided at the Advanced Infection and Prevention Technical Training for Health Workers at the Health Facilities during the COVID-19 Pandemic online, which was held at the Puslatkesda Provinsi DKI Jakarta. This study uses a quantitative description method using the Kirkpatrick Four Levels Evaluation Model, namely through four levels consisting of reaction, learning, behavior, and result. As for what was carried out in the study, it was evaluated at levels 1 and 2. This training was held in October 2020 Batch 1 with 40 participants. Instruments The instrument used is a questionnaire, and the results of the participants' assessment are in the form of pretest and posttestt. The source of data in this study is Puslatkesda data in 2020, namely primary data on the implementation of Advanced PPI Technical Training during the COVID-19 Pandemic. Following are the results of the research data analysis that of the seven evaluation categories at the reaction level to the implementation of the training. The results showed that as many as 18 respondents with a percentage of (45 percent) answered Very Satisfactory, then for reactions to resource persons an average, of 52.5-82.5 percent participants answered satisfactorily and very satisfactory. As for the evaluation of learning or learning, it appears that the average value of participants is 84.3, and there are 100 percent (40) training participants who have complete scores in the posttest stage. With all these descriptions, the Advanced Infection and Prevention Technical Training for Health Workers at Health Facilities during the COVID-19 Pandemic went well and satisfactorily.

2019 ◽  
Vol 26 (3) ◽  
pp. 50-57
Author(s):  
Dian Dwiana Maydinar ◽  
S. Effendi ◽  
Afifa Tusholehah

Depression in the elderly if not immediately dealt with quickly can cause brain shrinkage, so that the elderly will experience a decrease in quality of life, decreased social and physical function, disability, suicide risk and increased mortality in the elderly. This study aimed to determine the effect of reminscene group therapy on depression in the elderly at BPPLU Kota Bengkulu. This study used a pre-experimental one group pre test and post test design. The population in this study were 60 elderly at the BPPLU in Bengkulu City. The sampling technique used Purposive Sampling techniques as many as 14 elderly. The data used are primary data and secondary data. Data were analyzed using univariate and bivariate analysis with Shapiro Wilk data normality test and Paired T test. The results showed that the average depression before reminiscene therapy was 8.21 with a standard deviation of 1.626, the average value of depression after reminiscene therapy was 6.71 with a standard deviation of 2.234, there was an effect of reminiscene group therapy on depression in the BPPLU city Bengkulu. It is expected that health workers can routinely carry out group therapy in treating depression in the elderly. Keywords: depression, elderly, reminiscene group therapy


1982 ◽  
Author(s):  
Richard Braby ◽  
Cheryl J. Hamel ◽  
Alfred F. Smode

2021 ◽  
Vol 11 (3) ◽  
pp. 116
Author(s):  
Aljawharah Alsalamah ◽  
Carol Callinan

Training programmes are evaluated to verify their effectiveness, assess their ability to achieve their goals and identify the areas that require improvement. Therefore, the target of evaluators is to develop an appropriate framework for evaluating training programmes. This study adapted Kirkpatrick’s four-level model of training criteria published in 1959 to evaluate training programmes for head teachers according to their own perceptions and those of their supervisors. The adapted model may help evaluators to conceptualise the assessment of learning outcomes of training programmes with metrics and instruments. The model also helps to determine the strengths and weaknesses of the training process. The adaptation includes concrete metrics and instruments for each of the four levels in the model: reaction criteria, learning criteria, behaviour criteria and results criteria. The adapted model was applied to evaluate 12 training programmes for female head teachers in Saudi Arabia. The study sample comprised 250 trainee head teachers and 12 supervisors. The results indicated that the adapted Kirkpatrick evaluation model was very effective in evaluating educational training for head teachers.


2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Saiendhra Vasudevan Moodley ◽  
Muzimkhulu Zungu ◽  
Molebogeng Malotle ◽  
Kuku Voyi ◽  
Nico Claassen ◽  
...  

Abstract Background Health workers are crucial to the successful implementation of infection prevention and control strategies to limit the transmission of SARS-CoV-2 at healthcare facilities. The aim of our study was to determine SARS-CoV-2 infection prevention and control knowledge and attitudes of frontline health workers in four provinces of South Africa as well as explore some elements of health worker and health facility infection prevention and control practices. Methods A cross-sectional study design was utilised. The study population comprised both clinical and non-clinical staff working in casualty departments, outpatient departments, and entrance points of health facilities. A structured self-administered questionnaire was developed using the World Health Organization guidance as the basis for the knowledge questions. COVID-19 protocols were observed during data collection. Results A total of 286 health workers from 47 health facilities at different levels of care participated in the survey. The mean score on the 10 knowledge items was 6.3 (SD = 1.6). Approximately two-thirds of participants (67.4%) answered six or more questions correctly while less than a quarter of all participants (24.1%) managed to score eight or more. A knowledge score of 8 or more was significantly associated with occupational category (being either a medical doctor or nurse), age (< 40 years) and level of hospital (tertiary level). Only half of participants (50.7%) felt adequately prepared to deal with patients with COVD-19 at the time of the survey. The health workers displaying attitudes that would put themselves or others at risk were in the minority. Only 55.6% of participants had received infection prevention and control training. Some participants indicated they did not have access to medical masks (11.8%) and gloves (9.9%) in their departments. Conclusions The attitudes of participants reflected a willingness to engage in appropriate SARS-CoV-2 infection prevention and control practices as well as a commitment to be involved in COVID-19 patient care. Ensuring adequate infection prevention and control training for all staff and universal access to appropriate PPE were identified as key areas that needed to be addressed. Interim and final reports which identified key shortcomings that needed to be addressed were provided to the relevant provincial departments of health.


2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Elizeus Rutebemberwa ◽  
Kellen Nyamurungi ◽  
Surabhi Joshi ◽  
Yvonne Olando ◽  
Hadii M. Mamudu ◽  
...  

Abstract Background Tobacco use is associated with exacerbation of tuberculosis (TB) and poor TB treatment outcomes. Integrating tobacco use cessation within TB treatment could improve healing among TB patients. The aim was to explore perceptions of health workers on where and how to integrate tobacco use cessation services into TB treatment programs in Uganda. Methods Between March and April 2019, nine focus group discussions (FGDs) and eight key informant interviews were conducted among health workers attending to patients with tuberculosis on a routine basis in nine facilities from the central, eastern, northern and western parts of Uganda. These facilities were high volume health centres, general hospitals and referral hospitals. The FGD sessions and interviews were tape recorded, transcribed verbatim and analysed using content analysis and the Chronic Care Model as a framework. Results Respondents highlighted that just like TB prevention starts in the community and TB treatment goes beyond health facility stay, integration of tobacco cessation should be started when people are still healthy and extended to those who have been healed as they go back to communities. There was need to coordinate with different organizations like peers, the media and TB treatment supporters. TB patients needed regular follow up and self-management support for both TB and tobacco cessation. Patients needed to be empowered to know their condition and their caretakers needed to be involved. Effective referral between primary health facilities and specialist facilities was needed. Clinical information systems should identify relevant people for proactive care and follow up. In order to achieve effective integration, the health system needed to be strengthened especially health worker training and provision of more space in some of the facilities. Conclusions Tobacco cessation activities should be provided in a continuum starting in the community before the TB patients get to hospital, during the patients’ interface with hospital treatment and be given in the community after TB patients have been discharged. This requires collaboration between those who carry out health education in communities, the TB treatment supporters and the health workers who treat patients in health facilities.


2019 ◽  
Vol 29 (Supplement_4) ◽  
Author(s):  
S Hajian ◽  
M H Khoshnevisan ◽  
S h Yazdani ◽  
M P Jadidfard

Abstract Background Migration of skilled health workers could result in shortage of human resources and rising inequalities in service provision in source countries. To date, most of relevant papers are focused on rate and reasons of migration while the need for conducting studies on modelling of factors is more vividly felt. The aim of this review was to determine the factors influencing the migration decisions of medical and dental graduates migrating from developing countries and to introduce a practical conceptual framework for health worker migration. Methods Electronic databases PubMed, Google Scholar and relevant Journals were systematically searched for English language publications from January 2009 to April 2019. The inclusion criteria were: 1) article stated factors affecting migration decisions of medical doctors and/or dentists, 2) the source country in the study was a developing country, 3) participants’ primary qualification country was in a developing country,4) the study used primary data both qualitative or quantitative. Results The search identified 814 articles from which we included 23 full-text studies after applying eligibility checklist. Push and pull theory was the most popular model to describe the migration driving factors. Poor socio-economic situation, political instability, lack of professional and educational opportunities together with family concerns found as strong common push factors that perpetuate migration. The most influencing pull factors were desire for better quality of life, career and training opportunities and financial gain. Conclusions Despite the fact that health workers migrate for different reasons, they follow a same route for decision to stay or leave their own countries. Un-fulfillment of expectations in mother land in addition to media reconstructed reality of life in foreign land can develop a positive attitude for migration Which should be considered before weighing up the push and pull factors of both sides. Key messages A better understanding of the migration motives of health professionals will help health authorities to improve their workforce recruitment and retention strategies and health service planning. Our simple yet comprehensive framework can mainly identify the development of migration desire through combining different models and concepts of migration, behavioral change, values, needs and so on.


2021 ◽  
Vol 37 (2) ◽  
pp. 267-278
Author(s):  
Yue Wen ◽  
Zhenhua Wang ◽  
Li Guo ◽  
Wenhao Li

HighlightsRegulated deficit irrigation and fertilization ratio were used to test grapes in extremely arid areas.Physiology, yield, and quality indexes of drip irrigation grapes were analyzed accordingly in this study.Single and comprehensive evaluation models were used to evaluate the optimal water and fertilizer treatment.Abstract. Water shortage and chemical fertilizer abuse are important factors restricting grape industry development in Xinjiang. In this study, the physiology, yield and quality indexes of drip irrigation grapes were analyzed, and the water-fertilizer system was properly optimized by a model of combination of single evaluation methods and comprehensive evaluation methods. Five irrigation schemes and three fertilizer ratios were combined to form 15 treatments in Xinjiang, China. Results showed that irrigation and fertilization had different effects on physiology, yield, and quality indicators of grapes in different growth periods, and each index cannot reach its maximum value under the same treatment. Four single evaluation methods of Principal Component Analysis (PCA), Membership Function Analysis (MFA), Gray Correlation Analysis (GCA), and TOPSIS were used to evaluate grapes of 15 water and fertilizer treatments, but there were 9 treatments with a ranking standard deviation greater than 1.0, which was over 60% of all treatments. Through four comprehensive evaluation methods of Average Value, Borda, Copeland, and Fuzzy Borda, single evaluation results were analyzed, and the standard deviations of 13 treatments ranked 1.0 or below, more than 80% of all treatments, and Average Value comprehensive method had the highest compatibility. Therefore, the combination of Average Value method and four single evaluation methods is an appropriate evaluation model. It was determined that W4F2 was the optimal treatment which was performed regulated deficit irrigation in the berry mature period, the irrigation amount, nitrogen, phosphorus, and potassium fertilizers were sequentially controlled to 694 mm, 235.7, 235.7, and 353.6 kg·ha-1, and its ranking was ranked first under the four comprehensive evaluation methods. This study can provide theoretical guidance for the combined evaluation of water and fertilizer use of drip irrigation grapes in extremely arid regions. Keywords: Comprehensive model evaluation, Extremely arid regions, Drip irrigation grapes, Physiology-yield-quality effects, Single method evaluation.


2016 ◽  
Vol 1 (2) ◽  
pp. 61-70
Author(s):  
R.Oktaviance Simorangkir ◽  
Lilis Sumardiani

In the Working Area of Pancur Batu Puskesmas class, pregnant women begin to be implemented in 2016, but still found the low knowledge of pregnant women about the ideal pregnancy examination and there are pregnant women who show unimportant attitude checking pregnancy to health workers. Goals : The purpose of this research is to know the influence of maternal class on pregnant mother's knowledge and attitude about pregnancy examination and treatment. Methods : The study used a quantitative method with cross sectional design. The population of 151 pregnant women in Pancur Batu Community Health Center and 132 of them (63 pregnant women who had attended pregnant mother class and 69 pregnant women who never attended maternal class) were used as samples. Data analysis using independent t test at significance level α = 0,05. Result : The results showed the total range of knowledge scores of mothers who had followed the class of pregnant women is 7-13 with an average value of 10.08 ± 1.82, while the total range of scores of mothers who never follow the pregnant women's class is 1-9 with an average value 4,97,1,94. There is a maternal class effect on maternal knowledge of examination and treatment of pregnancy (p <3,82. There is a maternal class effect on maternal attitudes about examination and treatment of pregnancy (p3.13, while the total range of maternal scores that never follow the class of pregnant women is 27-47 with an average value of 35 , 410.001). The total score of attitudes of mothers who have attended the class of pregnant women is 41-56 with an average score of 48.24 <0.001). Conclution : It is expected that the Health Office to schedule Pancur Batu Puskesmas to carry out pregnant women's classes regularly and carried out 2 periods a year. Pancur Batu Puskesmas is expected to maintain the quality of pregnant women's classes and counseling invites all pregnant women to follow the class of pregnant women.


2021 ◽  
Vol 4 (2) ◽  
pp. 104-113
Author(s):  
Bagus Fadhilah Apriadi ◽  
Talitha Aurellia Alfiansyah ◽  
Zulfati Nur Izzah ◽  
Risca Tasya Qorina ◽  
Ade Tri Kencana ◽  
...  

Abstract - The COVID-19 pandemic in Indonesia has disrupted various community activities. Likewise in Surabaya, which was identified as a black zone in 2020. Therefore, a lockdown policy has been implemented to reduce the COVID-19’s spread such as PSBB Surabaya Raya I, II, and III; PPKM Surabaya; and PPKM Mikro Surabaya. The implementation of the lockdown has become trend on social media and created various assumptions. In addition, the spatial zoning regulations have not supported the pandemic so that the regulations are more siding of the economy and city development without reviewing its readiness facing the pandemic. This study uses secondary data collection methods through data mining also primary data through teleconference and distributing online questionnaires. So, from collecting data on social media and community aspirations, it is hoped that they can create spatial policies that are in accordance with community conditions and can also reduce the number of COVID-19 cases. The result shows that there are five topics becoming peoples’ perceptions and preferences, such as social, economy, mobility, environment, and health. Moreover, they state that PSBB Surabaya Jilid 1,2, and 3 aren’t the best policy and PPKM Micro are the best policy. Similar thing also experienced by 60% informant stating that PPKM Micro is the best policy. There are also state policy suggestions regarding to policy, such as implementation of policies, restoration of education, vaccinations, incentives for health workers, duration of dine in, provision of assistance to workers, government social assistance, optimization of traditional markets, dissemination of information, and operating companies. Abstrak - Surabaya merupakan salah satu kota yang teridentifikasi sebagai zona hitam pada Mei 2020. Oleh karena itu, kebijakan pembatasan telah diterapkan untuk menekan angka penyebaran COVID-19 seperti PSBB Surabaya Raya Jilid 1, 2, dan 3; PPKM Surabaya; serta PPKM Mikro Surabaya. Penerapan kebijakan pembatasan menjadi isu hangat di media sosial dan menimbulkan anggapan positif dan negatif. Selain itu, pada aspek keruangan, peraturan zonasi tata ruang belum menunjang urgensitas pandemi sehingga peraturannya lebih berpihak pada sektor ekonomi dan pembangunan kota tanpa meninjau kesiapan kotanya dalam menghadapi pandemi. Penelitian ini menggunakan metode pengumpulan data sekunder melalui mining data serta data primer melalui wawancara telekonferensi. Sehingga, dari pengumpulan data pada media sosial dan aspirasi masyarakat diharapkan dapat menciptakan kebijakan keruangan yang sesuai dengan kondisi masyarakat dan juga dapat menekan angka kasus COVID-19. Hasil menunjukkan bahwa terdapat lima topik yang cenderung menjadi persepsi dan preferensi para pengguna media sosial, yaitu sosial, ekonomi, mobilitas, lingkungan, dan kesehatan. Selain itu, mereka juga menyatakan bahwa PSBB Surabaya Jilid 1, 2, dan 3 merupakan kebijakan yang tidak diminati dan PPKM Mikro merupakan kebijakan yang paling diminati. Hal serupa juga dialami oleh para narasumber yang menyatakan bahwa 60% narasumber menyatakan PPKM Mikro merupakan kebijakan paling efektif. Terdapat beberapa saran kebijakan menurut narasumber, terkait pelaksanaan kebijakan, pemulihan pendidikan, vaksinasi, insentif tenaga kesehatan, durasi makan di tempat, pemberian bantuan kepada buruh, bantuan sosial pemerintah, optimalisasi pasar tradisional, penyebaran informasi, dan perusahaan yang beroperasi.


2021 ◽  
Vol 10 (1) ◽  
pp. 65-71
Author(s):  
Dwi Putri Sulistiya Ningsih ◽  
Ida Rahmawati

Background: Fishermen are a high risk group for developing pterygium. The high frequency of exposure to UV, wind, dust and sand when working makes the prevalence of pterygium among fishermen quite high. The city of Bengkulu, which is geographically located on the west coast of Sumatra Island which is directly facing the Indonesian Ocean, makes the majority of its population work as fishermen. Objectives: This study aims to determine the relationship between duration of being a fisherman, distance to health facilities and smoking with pterygium disease in a group of fishermen in, Bengkulu. Methods: Analytical observational research with case control design. The sample of 120 fishermen consisted of 40 cases and 80 controls, because researchers used a case-control ratio of 1:2. Sampling using purposive sampling method. The dependent variable was pterygium disease. Independent variables of duration as a fisherman, distance of health facilities and smoking. The research instrument uses a structured questionnaire that has been tested for validity and reliability with Alpha Cronbach value (0.996) > r table. Data were analyzed by Chi Square. Results: Based on the research results, it was found that there was a significant relationship with duration as a fisherman (≥ 21 years) (OR = 3.980; 95%CI = 1.404-11.284; p = 0.006) with pterygium disease. There is no relationship between smoking (OR = 1.246; 95%CI = 0.559-2.778; p = 0.590) with pterygium disease. There is a significant relationship between the distance of health facilities (OR = 5.133; 95%CI = 2.249-11.715; p = 0.000) with pterygium disease. Conclusion: The length of time working as a fisherman increases the risk of developing pterygium disease as the frequency of exposure to UV, dust, wind and sand increases. It is necessary to use personal protective equipment to reduce the risk of exposure and education from health workers so that the public can take good preventive measures.   Keywords: Duration as a fisherman, distance health facilities, smoking, pterygium.


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