Organizational model in first AID

The reason why we have undertaken this type of work comes from having become aware of the profound state of discomfort experienced, and therefore it is possible to find the strength to take the real path, overcoming the current patterns, which unfortunately, still see the profession . for homework. The multicentre study, carried out on the topic of Nursing Records, significantly accelerates the timing of this historic step, so that the culture of innovation, creativity and change is enhanced and embraced. Analyzing the nursing work situation, I noted the need together with a group of colleagues and a coordinator, belonging to the same Hospital, to propose the inclusion of an innovative Nursing Record, so that a professional contribution was formed by the staff nursing and, from this, the activation of multidisciplinarity and, at the same time, the recognition of the usefulness of the role of the nursing figure and of the valid collaboration within the health team took off. The working group was formed on a specific project, focused on the design and drafting of the Nursing Record, an operational tool designed and managed by the nurse (in collaboration with the coordinator), used to collect useful information regarding each patient individually. This tool was indispensable for the elaboration of an assistance plan that takes into account the social, cultural and welfare context in which it is developed, guaranteeing the continuity of services. Since it appears necessary for a Nursing Record to be built by the team , the need arises to have common indications regarding its design and drafting.

Short-term functional outcome in psychotic patients: results of the Turku early psychosis study (TEPS)

Background Functional recovery of patients with clinical and subclinical psychosis is associated with clinical, neuropsychological and developmental factors. Less is known about how these factors predict functional outcomes in the same models. We investigated functional outcomes and their predictors in patients with first-episode psychosis (FEP) or a confirmed or nonconfirmed clinical high risk of psychosis (CHR-P vs. CHR-N). Methods Altogether, 130 patients with FEP, 60 patients with CHR-P and 47 patients with CHR-N were recruited and extensively examined at baseline (T0) and 9 (T1) and 18 (T2) months later. Global Assessment of Functioning (GAF) at T0, T1 and T2 and psychotic, depression, and anxiety symptoms at T1 and T2 were assessed. Functional outcomes were predicted using multivariate repeated ANOVA. Results During follow-up, the GAF score improved significantly in patients with FEP and CHR-P but not in patients with CHR-N. A single marital status, low basic education level, poor work situation, disorganization symptoms, perceptual deficits, and poor premorbid adjustment in patients with FEP, disorganization symptoms and poor premorbid adjustment in patients with CHR-P, and a low basic education level, poor work situation and general symptoms in patients with CHR-N predicted poor functional outcomes. Psychotic symptoms at T1 in patients with FEP and psychotic and depression symptoms at T1 and anxiety symptoms at T2 in patients with CHR-P were associated with poor functioning. Conclusions In patients with FEP and CHR-P, poor premorbid adjustment and disorganization symptomatology are common predictors of the functional outcome, while a low education level and poor work situation predict worse functional outcomes in patients with FEP and CHR-N. Interventions aimed at improving the ability to work and study are most important in improving the functioning of patients with clinical or subclinical psychosis.

Perceived work situation and work ability among persons who are working one year after stroke

Objective: To explore how persons who have returned to work perceive their work situation and work ability one year after stroke. Design: Cross-sectional design. Subjects: A total of 88 persons of working age (mean age 52 (standard deviation; SD 8) years, 36% women), with mild to moderate disabilities following stroke, who had returned to work after one year [AQ14] participated in the study. Methods: A survey including a questionnaire regarding psychological and social factors at work (QPS Nordic) and 4 questions from the Work Ability Index (WAI) was posted to the participants. Results: According to the QPS Nordic survey, 69–94% of respondents perceived their work duties as well defined, and were content with their work performance. Most participants had good social support at work and at home. Between 51% and 64% of respondents reported that they seldom felt stressed at work, seldom had to work overtime, or that work demands interfered [AQ15] with family life. According to the WAI ≥75% of respondents perceived their work ability as sufficient, and they were rather [AQ3] sure that they would still be working 2 years hence. Conclusion: Persons who have returned to [AQ4] work one year after stroke appear to be content with their work situation and work ability. Appreciation at work, well-defined and meaningful work duties and support seem to be important for a sustainable work situation.

Pengaruh Absensi Sidik Jari (Fingerprint) Terhadap Disiplin Aparatur Sipil Negara pada Dinas Pendidikan dan Kebudayaan Kota Lhokseumawe

One of the tasks that need to be considered in enforcing a disciplined and conducive work situation in a government agency is the frequency of the presence of State Civil Apparatus. The frequency of attendance is now controlled through the FingerPrint Attendance system. This study aims to explore the effect of Fingerprint Attendance on the Discipline of the State Civil Apparatus at the Education and Culture Office of Lhokseumawe City. The research method employed was quantitative with a saturated sampling technique (census) and the sample participants were all respondents who are all State Civil Apparatuses within the Education and Culture Office of Lhokseumawe City. The data analysis method used was simple linear regression analysis. The results of this study indicated that Fingerprint Attendance has a positive and significant effect on the discipline of the State Civil Apparatus, this is evidenced by the results of the t-test (partial test) obtained by comparing the significant value in the t-test table with a significance level of 0.05 obtained (0.000 < 0.05); the result was that the H1 was accepted. Based on the results of the coefficient of determination test (R2), the coefficient of determination (R2) is 0.280 (28%).

From chaos to control – experiences of healthcare workers during the early phase of the COVID-19 pandemic: a focus group study

Background The Coronavirus disease 2019 (COVID-19) pandemic has caused overwhelming challenges to healthcare systems worldwide. Healthcare workers (HCWs) have faced particular challenges: being exposed to the coronavirus SARS-CoV-2 and caring for patients having a new and potentially life-threatening disease. The aim of this study was to explore how HCWs in the Swedish healthcare system perceived their work situation during the first phase of the COVID-19 pandemic in 2020. Methods Focus group discussions and interviews with HCWs were performed from June to October 2020 in one Swedish healthcare region. A purposeful sampling approach was used to select a variety of professions (physicians, nurses, nurse aides and cleaners) and workplaces (hospital inpatient wards, emergency department, nursing home and home care service). Qualitative content analysis was used for data analysis. Results In total, 51 HCWs participated in eight focus group discussions and one HCW participated in an individual interview. The content analysis identified two main categories: ‘Concerns about the risk of infection and transmission of infection to others’, and ‘Transition from chaos to managing in a new and challenging work situation’. The findings revealed how HCWs perceived working conditions, including experiences of fear for personal health, confusion and uncertainty regarding personal protective equipment and infection prevention and control (PPE/IPC), and fear of infecting others. Both fearful and appreciating attitudes were achieved from the surrounding community. Helpful strategies for transition from chaos to control were lifted i.e. present and supportive leadership, and finding comfort and strength in the working team. Both helplessness and meaningfulness were described when caring for COVID-19 patients. Conclusions This study provides unique insights into HCWs experiences of an extremely challenging work situation during the first phase of the COVID-19 pandemic, including feelings of stress and insecurity in a chaotic and hazardous working environment. But there is also mitigation of these challenges and even positive experiences including feelings of safety and meaningfulness. To enhance safety among HCWs in healthcare crises such as the COVID-19 pandemic, the findings highlight the importance of avoiding confusion about PPE/IPC, having a supportive healthcare leadership and ensuring accurate information provision about virus transmission to the public.

Changes in substance use and other reinforcing behaviours during the COVID-19 crisis in a general population cohort study of young Swiss men

Background and Aims There are concerns about the potential impact of the coronavirus disease (COVID-19) pandemic on substance use (SU) and other reinforcing behaviours (ORB). This paper investigates changes in SU and ORB among young men during the COVID-19 crisis (i.e. March–June 2020). Methods Before and during the COVID-19 crisis, 2,344 young Swiss men completed questionnaires covering SU (i.e. alcohol, cigarettes, illegal cannabis), ORB (i.e. gaming, watching TV series, internet pornography) and sociodemographic and work-related characteristics (i.e. deterioration in the work situation, change in working hours, change in working hours from home, healthcare workers’ and other professionals’ contacts with potentially infected people, linguistic region, call up to military or civil protection unit, living situation, age). Results Latent-change score models showed significant decreases of 17% for drinking volume and frequency of heavy episodic drinking, and a significant increase of 75% for time spent gaming and watching TV series. Subgroups showed greater relative increases. French-speaking participants, those who experienced a deterioration in their work situation and healthcare workers in contact with potentially infected people reported increased cigarette use. Those without children increased gaming, whereas those who worked fewer hours, experienced a deterioration in their work situation or were French-speaking did more gaming and watched more TV series. Those who lived alone or were German-speaking watched more internet pornography. Conclusion During the COVID-19 crisis, young Swiss men drank less alcohol and spent more time gaming and watching TV series. Changes in SU and ORB were not homogenous in the young Swiss men population.

Manifestations and Preconditions of Child Rights Protection—Specialists’ Aggression towards Caregivers and Child in the Situation of Child Removal from the Family

Numerous studies have focused on the issue of client aggression against various help professionals. Much less attention has been paid to the opposite phenomenon—the aggression of help professionals towards clients, especially aggression of child rights protection specialists (CRPS). Comparative analysis of four perspectives (CRPS, parents, children, and police officers) was performed in order to reveal the manifestations and preconditions of CRPS aggression towards parents and children during the process of removing a child from a family. The manifestations of psychological and physical CRPS aggression were alluded to by all groups of research participants. The preconditions can be classified as being related to the behavior of the child and parents, the employee’s personality traits, competencies and psychological states related to a specific work situation, and institutional, inter-institutional, social, and political contexts. Based on our research results, suggestions can be made on how the procedure of removing a child from an unsafe family environment can be improved, such as by making it less harmful for children, more constructive for the whole family, and making the CRP system operate in such a manner that it does not create preconditions for CRPS to transgress the boundaries of professional relations.

Perceptions About Flow and Boredom in the Information Technology Profession

This article aims to identify evidence of propensity for boredom and flow states among information technology (IT) professionals. A survey using the boredom proneness scale, Lee job boredom scale, and short flow scale resulted in 175 responses from professionals working in diverse IT activities. The main findings offer empirical evidence on the perception of IT professionals regarding (1) the occurrence of boredom and flow (even simultaneously), (2) highest occurrence of flow and boredom in the public sector, and (3) highest occurrence of boredom among younger IT professionals. This article offers relevant interpretations and contributions for theory and practice as it points out an emergent issue: IT professionals must also learn to deal with the routine and protocols of a maturing profession in order to meet industry standards, which interposes an unusual work situation for these professionals and their managers, since still prevail in the field the notions of a propensity for concentration to enjoy the task of coding and a willingness to face challenges, in a relaxed and funny way.

Non-Preferred Work and the Incidence of Spinal Pain and Psychological Distress—A Prospective Cohort Study

Mental illness and psychological distress are global concerns. This study aimed to investigate the association between having non-preferred work and the incidence of spinal pain, psychological distress, and spinal pain with concurrent psychological distress, and if associations are modified by sleep disturbance. A prospective study of 4285 participants 23–62 years old was conducted, from years 2007 to 2010. Participants reported their work situation as preferred/non-preferred regarding profession/workplace with a high/low possibility to change. Psychological distress was measured with the General Health Questionnaire 12 and spinal pain with questions about neck/back pain. Binominal regression analyses calculated relative risk (RR) with 95% confidence interval (CI). Non-preferred work with a low possibility to change was associated with a higher incidence of spinal pain (RR 1.8; 95% CI 1.2–2.6) and psychological distress (RR 1.8; 95% CI 1.4–2.4) compared to preferred work. The RR was 1.4 (95% CI 0.9–2.1) for spinal pain and 1.3 (95% CI 1.0–1.7) for psychological distress among those with a high possibility to change. Non-preferred work yielded a higher incidence of spinal pain with concurrent psychological distress (RR 1.9; 95% CI 1.0–3.7). Sleep disturbance did not modify associations. A replication based on newer data is needed to confirm the results. In conclusion, non-preferred work is associated with a higher incidence of spinal pain and psychological distress, especially if the possibility to change job is low.