Manajemen Pengelolaan Makanan Sehat dan Bergizi di PAUD Plus Darussalam Bojonegoro

The management of healthy and nutritious food at PAUD Plus Darussalam has been going well. The stages of healthy food management at PAUD Plus Darussalam consist of planning, organizing, implementing, and supervising. Planning, consisting of budget planning and preparation of various menus for lunch and cakes, changing the food menu once a month with the menus that students like the most. Organizing, consisting of healthy food management personnel at PAUD Plus Darussalam. The workforce is divided into three groups, namely: the management staff group, the implementing staff group, and the implementing assistant staff group. Implementation consists of purchasing food ingredients, processing food ingredients, and distributing food. The purchase of food ingredients is the responsibility of the implementing assistant. Food processing is carried out by the implementing staff. The distribution of food is carried out by the implementing staff and the students themselves according to the picket pick-up schedule. Supervision, carried out by school principals and cooks. This type of research is field research, with a qualitative research approach. Data collection techniques using observation techniques, interviews and documentation. data analysis using Miles and Huberman models. The analytical steps carried out by the researchers include: reducing data, presenting data and drawing conclusions

Staffing levels and hospital mortality in England: a national panel study using routinely collected data

BackgroundMost studies investigating the association between hospital staff levels and mortality have focused on single professional groups, in particular nursing. However, single staff group studies might overestimate effects or neglect important contributions to patient safety from other staff groups. We aimed to examine the association between multiple clinical staff levels and case-mix adjusted patient mortality in English hospitals.Methods and FindingsThis retrospective observational study used routinely available data from all 138 National Health Service hospital trusts that provided general acute adult services in England between 2015 and 2019. Standardised mortality rates were derived from the Summary Hospital level Mortality Indicator dataset. Estimates for the effect of clinical staffing from the single staff models were generally higher than estimates from models with multiple staff groups. Using a multilevel negative binomial random effects model, hospitals with higher levels of medical and allied healthcare professional (AHP) staff had significantly lower mortality rates (1.04, 95%CI 1.02 to 1.06, and 1.04, 95%CI 1.02 to 1.06, respectively), while those with higher support staff had higher mortality rates (0.85, 95%CI 0.79 to 0.91 for nurse support, and 1.00, 95%CI 0.99 to 1.00 for AHP support), after adjusting for multiple staff groups and hospital characteristics. Estimates of staffing levels on mortality were higher in magnitude between- than within-hospitals, which were not statistically significant in a within-between random effects model.ConclusionsWe showed the importance of considering multiple staff groups simultaneously when examining the association between hospital mortality and clinical staffing levels. Despite not being included in previous workforce studies, AHP and AHP support levels have a significant impact on hospital mortality. As the main variation was seen between-as opposed to within-hospitals, structural recruitment and retention difficulties coupled with financial constraints could contribute to the effect of staffing levels on hospital mortality.

Uro-oncologic patient management during the COVID-19 pandemic: survey findings from an Italian oncologic hub

Aim: Patient and worker satisfaction at an oncologic hub during the COVID-19 pandemic has never been reported. We addressed this topic. Methods: We conducted a survey to test the views of patients (n = 64) and healthcare professionals (n = 52) involved with our operative protocol. Results: A moderate/severe grade of concern due to the COVID-19 emergency was recorded in 63% of patients versus 75% of hospital staff. High/very high versus low satisfaction grade about preventive strategies to reduce the risk of SARS-CoV-2 contagion was identified in the patients compared with the hospital staff group. Conclusion: Surgical treatment at a hub center of uro-oncologic patients coming from spoke centers is well accepted and should, therefore, be recommended. Preventive strategies to reduce the risk of SARS-CoV-2 contagion in hospital staff members should be implemented.

Reablement professionals’ perspectives on client characteristics and factors associated with successful home-based reablement: a qualitative study

Background To understand what is needed to achieve a successful Danish home-based reablement service from the perspective of reablement professionals. Methods Semi-structured interviews and observations were conducted with nine professionals within a municipal visitation unit in the Northern Denmark Region. Thematic analysis was used to analyze the interviews. Results Four major themes emerged during this study: “Heterogeneity of clients and mixed attitudes towards the reablement intervention”, “Shared understanding and acknowledging the need for help as the first step in reablement”, “Commitment and motivation are essential for successful reablement”, and “Homecare helpers as most important team players”. The findings indicate that the clients had both mixed characteristics and attitudes about participating in the reablement intervention. Essential factors for successful reablement included a shared understanding of the reablement intervention, commitment, and motivation in terms of client involvement and staff group collaboration. Conclusions Shared understanding of the reablement intervention, commitment, and motivation was found to be essential factors and the driving forces in relation to successful reablement.