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Author(s):  
GABRIELLA RÁCZKEVY-DEÁK

Povzetek Namen te presečne kvantitativne raziskave je ugotoviti, katera oblika nasilja je v madžarskih zdravstvenih ustanovah najpogostejša. Z njo želimo oceniti, ali se v teh ustanovah izvaja usposabljanje za komunikacijo, simulacijo in samoobrambo. Cilj je ugotoviti, ali bi se zaposleni udeležili takega usposabljanja, ter oceniti povezanost med usposobljenostjo (komunikacija, simulacija, samoobramba) in stopnjo samozavesti. Žrtve večine nasilnih dejanj pacientov so zdravstveni delavci. Najpogostejša oblika agresije pacientov in njihovih svojcev je verbalna agresija, vključno z zbadanjem, verbalno zlorabo in grožnjami z zlorabo. Podatki kažejo, da zgolj usposabljanje v komunikaciji ni dovolj za dvig samozavesti pri zdravstvenih delavcih. Treba jim je zagotoviti orodje, kot so na primer praktične vaje po usposabljanju iz samoobrambe ali simulacija, saj to olajša komunikacijo zaposlenega. Ključne besede Agresija, zdravstvo, preventiva, usposabljanje, samoobramba, samozavest. Abstract The present cross-sectional quantitative research aims to gain a sense of which form of violence is the most common in Hungarian healthcare institutions. It aims to assess whether communication, simulation, and self-defence training is provided in institutions, to find out whether workers would participate in such training, and to assess the relationship between training (communication, simulation, self-defence) and confidence. Healthcare workers are affected by most acts of violence coming from patients. The most common type of aggression on the part of patients and relatives is verbal aggression, including teasing, verbal abuse, and threats of abuse. The data show that communication training alone is not enough to make health workers confident. They should have a tool in their hands, e.g., practice after self-defence education, simulation practice, as this makes it easier for the employee to communicate. Key words Aggression, healthcare, prevention, training, self-defence, confidence.


2022 ◽  
Vol 75 (suppl 3) ◽  
Author(s):  
Luana Cristina Bellini Cardoso ◽  
Sonia Silva Marcon ◽  
Thamires Fernandes Cardoso da Silva Rodrigues ◽  
Marcelle Paiano ◽  
Hellen Emília Peruzzo ◽  
...  

ABSTRACT Objective: To learn about the perceptions of the professionals who work in Primary Health Care about mental health care. Methods: Descriptive and qualitative study, carried out with 29 health workers through open and individual interviews. The IRaMuTeQ® software was used to organize the data which, then, was submitted to a content analysis process in the thematic modality. Results: Three classes emerged from the content analysis: “Perceptions about the mental health care provided in the city”, “The biomedical paradigm in mental healthcare”, and “Elements for the construction of a new way for professionals to act in mental health”. Final considerations: It was found that, despite the good infrastructure of the services and the elements pointed at by the professionals to create a new way to act, they do not do so, and the responsibility falls, mostly, on the psychologist to carry out these activities.


Author(s):  
Ari Fahrial Syam

Burnout in health workers causes physical and emotional fatigue; it is a condition of a long-term affective state and is an outcome of cumulative and chronic exposure to stress, particularly work stress. Burnout was especially evident in hospitals with limited availability of medical staff. Mental burdens are higher because they face more patients infected by the coronavirus, followed by the trauma of witnessing deaths among patients. These conditions may weaken the immune system, increasing vulnerability to COVID-19 and higher risk of severe symptoms that can cause death. When talking out of context of the pandemic, burnout can also be associated with various other diseases, including IBS.4 Burnout was associated with a 2.41-fold elevated prevalence of IBS after adjusting for potential confounding variables, including job strain.


2021 ◽  
Vol 19 (1) ◽  
Author(s):  
Lakshmi Gopalakrishnan ◽  
Nadia Diamond-Smith ◽  
Rasmi Avula ◽  
Purnima Menon ◽  
Lia Fernald ◽  
...  

Abstract Introduction Community health workers (CHWs) deliver services at-scale to reduce maternal and child undernutrition, but often face inadequate support from the health system to perform their job well. Supportive supervision is a promising intervention that strengthens the health system and can enable CHWs to offer quality services. Objectives We examined if greater intensity of supportive supervision as defined by monitoring visits to Anganwadi Centre, CHW-supervisor meetings, and training provided by supervisors to CHWs in the context of Integrated Child Services Development (ICDS), a national nutrition program in India, is associated with higher performance of CHWs. Per program guidelines, we develop the performance of CHWs measure by using an additive score of nutrition services delivered by CHWs. We also tested to see if supportive supervision is indirectly associated with CHW performance through CHW knowledge. Methods We used longitudinal survey data of CHWs from an impact evaluation of an at-scale technology intervention in Madhya Pradesh and Bihar. Since the inception of ICDS, CHWs have received supportive supervision from their supervisors to provide services in the communities they serve. Mixed-effects logistic regression models were used to test if higher intensity supportive supervision was associated with improved CHW performance. The model included district fixed effects and random intercepts for the sectors to which supervisors belong. Results Among 809 CHWs, the baseline proportion of better performers was 45%. Compared to CHWs who received lower intensity of supportive supervision, CHWs who received greater intensity of supportive supervision had 70% higher odds (AOR 1.70, 95% CI 1.16, 2.49) of better performance after controlling for their baseline performance, CHW characteristics such as age, education, experience, caste, timely payment of salaries, Anganwadi Centre facility index, motivation, and population served in their catchment area. A test of mediation indicated that supportive supervision is associated indirectly with CHW performance through improvement in CHW knowledge. Conclusion Higher intensity of supportive supervision is associated with improved CHW performance directly and through knowledge of CHWs. Leveraging institutional mechanisms such as supportive supervision could be important in improving service delivery to reach beneficiaries and potentially better infant and young child feeding practices and nutritional outcomes. Trial registration : Trial registration number: https://doi.org/10.1186/ISRCTN83902145


Author(s):  
Rita I Wijaya ◽  
Muhammad Ilyas

Background: One of the health problems that can be caused by glutaralaldehyde is allergic contact dermatitis (ACD). However, the causal relationship between glutaraldehyde and DKA is still unclear, so it is necessary to look for some evidence regarding this relationship. The search for evidence is also equipped with a seven-step assessment of occupational diseases therefore it can assist occupational medicine doctors who find patients with ACD and have a history of exposure to glutaraldehyde. Methods: Literature search using Pubmed, Scopus and JSTOR databases. The keywords used are ‘healthcare worker OR healthcare personnel’, ‘glutaraldehyde’ and ‘allergic contact dermatitis. Article selection was performed using the defined inclusion and exclusion criteria. Selected articles will be critically reviewed based on etiological studies from the Oxford Center of Evidence-Based Medicine. Result: It was in six selected articles that met the inclusion and exclusion criteria. The main finding after a critical review was that glutaraldehyde may increase the risk of ACD. Conclusion: There is a relationship between 1% glutaraldehyde exposure and the incidence of ACD in health workers. To establish the diagnosis of occupational diseases in health workers who are exposed to glutaraldehyde, seven steps of diagnosis of occupational diseases are used.


Author(s):  
Spadini Putri ◽  
Muhammad Ilyas

Background: One of the health problems that can be caused by Perfluorooctanoic acid (PFOA) is Diabetes mellitus (DM). However, the causal relationship between Perfluorooctanoic acid and DM is still unclear, so it is necessary to look for some evidence regarding this relationship. The search for evidence is also equipped with a seven-step assessment of occupational diseases therefore it can assist occupational health doctors who find patients with DM and have a history of exposure to glutaraldehyde. Methods: Literature search using Pubmed, Cochrane and JSTOR databases. The keywords used are “PFOA” OR “perfluoroalkyl substances” OR “perfluorooctanoic acid” AND “diabetes mellitus”. Article selection was performed using the defined inclusion and exclusion criteria. Selected articles will be critically reviewed based on etiological studies from the Oxford Center of Evidence-Based Medicine. Result: It was in 5 selected articles that met the inclusion and exclusion criteria. The main finding after a critical review was that PFOA may increase the risk of DM. Conclusion: There is a relationship between PFOA and the incidence of DM in health workers. To establish the diagnosis of occupational diseases in health workers who are exposed to PFOA, seven steps of diagnosis of occupational diseases are used.


2021 ◽  
Author(s):  
Christiane Correa Rodrigues Cimini ◽  
Junia Xavier Maia ◽  
Magda Carvalho Pires ◽  
Leonardo Bonisson Ribeiro ◽  
Vânia Soares de Oliveira e Almeida Pinto ◽  
...  

BACKGROUND The restrictions imposed by the COVID-19 pandemic reduced the access of patients with chronic diseases to health services. The discontinuity of care is a cause of great concern, mainly in vulnerable regions. OBJECTIVE To assess the impact of the COVID-19 pandemic on the frequency of consultations and control of people with hypertension and diabetes (DM) and to develop and implement a digital solution to improve monitoring at home. METHODS This is a multi-methodological study. A quasi-experimental evaluation assessed the impact of the pandemic on the frequency of consultations and control of patients with hypertension and DM in 34 primary healthcare centers in 10 municipalities. Then, an implementation study developed an app with a decision support system (DSS) for community health workers (CHW) to identify and address patients with uncontrolled hypertension or DM at risk. An expert panel assessment evaluated feasibility, usability and utility of the software. RESULTS From 5070 patients, 4810 had hypertension (94.87%), 1371 had DM (27.4%) and 1111 (23.1%) had both diseases. There was a significant reduction in the weekly number of consultations (107 [IQR 60.0, 153.0] before vs 20.0 [IQR 7.0, 29.0] after social restriction, P<.001). Only 15.2% of all patients returned for consultation during the pandemic. Individuals with hypertension had lower systolic (120.0 [IQR 120.0-140.0] and diastolic blood pressure (80.0 [IQR 80.0-80]) than the ones that did not return (130.0 [IQR 120.0-140.0] and (80.0 [IQR 80.0-90.0]), P<.001. Also, those who returned had a higher proportion of controlled hypertension (64.3% vs 52.8%). For DM, there were no differences in glycohemoglobin levels. Concerning the DSS, the experts agreed that the CHWs can easily incorporate it into their routines and the app can identify patients at risk and improve the treatment. CONCLUSIONS The COVID-19 pandemic caused a significant drop in the number of consultations for patients with hypertension and DM in primary care. A DSS for CHW has proved to be feasible, useful and easily incorporated into their routines.


2021 ◽  
Vol 20 (1) ◽  
Author(s):  
Monnaphat Jongdeepaisal ◽  
Mom Ean ◽  
Chhoeun Heng ◽  
Thoek Buntau ◽  
Rupam Tripura ◽  
...  

Abstract Background In the Greater Mekong Subregion, adults are at highest risk for malaria, particularly those who visit forests. The absence of effective vector control strategies and limited periods of exposure during forest visits suggest that chemoprophylaxis could be an appropriate strategy to protect forest goers against malaria. Methods Alongside a clinical trial of anti-malarial chemoprophylaxis in northern Cambodia, qualitative research was conducted, including in-depth interviews and observation, to explore the acceptability of malaria prophylaxis for forest goers, the implementation opportunities, and challenges of this strategy. Results Prophylaxis with artemether–lumefantrine for forest goers was found to be acceptable under trial conditions. Three factors played a major role: the community’s awareness and perception of the effectiveness of prophylaxis, their trust in the provider, and malaria as a local health concern. The findings highlight how uptake and adherence to prophylaxis are influenced by the perceived balance between benefits and burden of anti-malarials which are modulated by the seasonality of forest visits and its influence on malaria risk. Conclusions The implementation of anti-malarial prophylaxis needs to consider how the preventive medication can be incorporated into existing vector-control measures, malaria testing and treatment services. The next step in the roll out of anti-malarial prophylaxis for forest visitors will require support from local health workers.


Author(s):  
Inge Dhamanti ◽  
Diansanto Prayoga ◽  
Syifa’ul Lailiyah ◽  
Elida Zairina

AbstractProviding safe services is important in the implementation of health services. Medication errors are a failure of the treatment process that has the potential to cause harm to patients. The incidence of treatment errors can be prevented through increased understanding of health workers and the community regarding the safety of treatment. The active role of patients and their families during treatment process can minimize harm that may happened. This program aims to increase the knowledge of health workers and community as an important element of health services in order to prevent the occurrence of medication error. Efforts to increase knowledge are carried out through the holding of webinars for the community related to 5 moments for medication safety and treatment safety training activities for health workers. Knowledge change was measured using a pre and posttest questionnaires. The target of activities amounted to 37 people and 15 health workers. The results of the analysis showed positive changes in average knowledge with an increase in community knowledge (97.3%) and health workers (100%). The results of this activity become the provision of the community or health workers to increase their role in the safety of treatment with knowledge that has been obtained during community service activities.Keywords: Medication safety, health workers, community, medication error AbstrakPenyediaan layanan yang aman penting dalam penyelenggaraan pelayanan kesehatan. Kesalahan pengobatan merupakan kegagalan proses pengobatan yang berpotensi menimbulkan bahaya bagi pasien. Insiden kesalahan pengobatan dapat dicegah melalui peningkatan pemahaman tenaga kesehatan dan masyarakat terkait keamanan pengobatan. Peran aktif pasien dan keluarganya dalam pelayanan kesehatan dapat meminimalisir bahaya yang mungkin timbul pada proses pengobatan. Tujuan pengabdian masyarakat ini adalah meningkatkan pengetahuan tenaga kesehatan dan masyarakat sebagai unsur penting pelayanan kesehatan agar dapat mencegah terjadinya kejadian medication error. Upaya peningkatan pengetahuan dilakukan melalui penyelenggaraan webinar bagi masyarakat umum terkait 5 moments for medication safety dan kegiatan pelatihan keamanan pengobatan bagi tenaga kesehatan. Perubahan pengetahuan diukur menggunakan kuesioner pre dan post test. Sasaran kegiatan berjumlah 37 masyarakat dan 15 tenaga kesehatan. Hasil analisis menunjukkan adanya perubahan positif rata-rata pengetahuan dengan peningkatan pengetahuan masyarakat (97,3%) dan tenaga kesehatan (100%). Hasil kegiatan ini menjadi bekal masyarakat ataupun tenaga kesehatan untuk meningkatkan perannya dalam keamanan pengobatan dengan pengetahuan yang telah diperoleh selama kegiatan pengabdian masyarakat dilakukan.Kata kunci: Keamanan pengobatan, tenaga kesehatan, masyarakat, kesalahan pengobatan


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