Work Place Violence in the Health Care Facility

The article's abstract is not available.

Kegiatan Pemantauan Kasus Covid 19

ABSTRAKCOVID-19 adalah penyakit yang disebabkan Novel Coronavirus 2019. Gejalanya bergejala mirip dengan flu biasa, namun COVID-19 sampai saat ini memiliki fatalitas lebih tinggi dan virus ini juga menyebar dengan sangat cepat karena bisa pindah dari orang ke orang bahkan sebelum orang tersebut menunjukkan gejala. Cara isolasi mandiri dirumah yaitu selalu memakai masker dan membuang masker bekas ditempat yang ditentukan, jika sakit (ada gejala demam, flu dan batuk) maka tetap di rumah. Jangan pergi bekerja, sekolah, ke pasar atau ke ruang publik untuk mencegah penularan masyarakat, manfaatkan fasilitas telemedicine atau sosial media kesehatan dan hindari transportasi publik. Beritahu dokter dan perawat tentang keluhan dan gejala, serta riwayat bekerja ke daerah terjangkit atau kontak dengan pasien COVID-19, selama dirumah, bisa bekerja di rumah. Gunakan kamar terpisah dari anggota keluarga lainya, dan jaga jarak 1 meter dari anggota keluarga, tentukan pengecekan suhu harian, amati batuk dan sesak nafas. Hindari pemakaian bersama peralatan makan dan mandi dan tempat tidur, terapkan perilaku hidup sehat dan bersih, serta konsumsi makanan bergizi, mencuci tangan dengan sabun dan air mengalir dan lakukan etika batuk dan bersin, jaga kebersihan dan kesehatan rumah dengan cairan desinfektan. Selalu berada di ruang terbuka dan berjemur di bawah sinar matahari setiap pagi (±15-30 menit), Hubungi segera fasilitas pelayanan kesehatan jika sakit berlanjut seperti sesak nafas dan demam tinggi, untuk mendapatkan perawatan lebih lanjut. Tujuan pengabdian masyarakat ini adalah untuk melakukan pemantauan kasus covid 19 di Kota Bandung. Kegiatan pengabdian masyarakat ini memberikan pelayanan dengan melakukan pemantauan agar mengetahui keadaan, kondisi dan perkembangan yang dialami oleh warga yang terpapar covid 19 di Kota Bandung. Hasil pengabdian masyarakat diperoleh seluruh warga yang terpapar covid 19 sudah dalam keadaan sehat dan pulih seperti sedia kala. Kata Kunci: Pemantauan kasus covid 19. ABSTRACT COVID-19 is a disease caused by the 2019 Novel Coronavirus. The symptoms are similar to the common cold, but COVID-19 has so far had a higher fatality and this virus also spreads very quickly because it can move from person to person even before the person shows symptoms. . The way to self-isolate at home is to always wear a mask and throw away used masks in the designated place, if you are sick (symptoms of fever, flu and cough) then stay at home. Do not go to work, school, to the market or to public spaces to prevent community transmission, take advantage of telemedicine facilities or health social media and avoid public transportation. Tell doctors and nurses about complaints and symptoms, as well as a history of working in infected areas or in contact with COVID-19 patients, while at home, you can work at home. Use a separate room from other family members, and keep a distance of 1 meter from family members, determine daily temperature checks, observe coughs and shortness of breath. Avoid sharing eating and bathing utensils and bedding, apply healthy and clean living habits, and consume nutritious food, wash hands with soap and running water and practice coughing and sneezing etiquette, keep your home clean and healthy with disinfectant liquid. Always be in an open space and bask in the sun every morning (±15-30 minutes), Contact the health care facility immediately if the illness persists such as shortness of breath and high fever, to get further treatment. The purpose of this community service is to monitor COVID-19 cases in the city of Bandung. This community service activity provides services by monitoring to find out the conditions, conditions, and developments experienced by residents exposed to COVID-19 in the city of Bandung. The results of community service were obtained that all residents who were exposed to COVID-19 were in good health and recovered as usual. Keywords: Monitoring cases of covid 19.

The impact of socioeconomic and demographic factors on individuals’ behaviour towards their health and general well-being in rural Sindh, Pakistan

Background: Health and general well-being might sound like a mundane concept for most developed nations; however, it is not perceived similarly in underdeveloped areas of the developing nations. In Pakistan, the concept becomes even more foreign and muddled with certain stubborn biases which needs to be accessed. Therefore, we conducted a study to identify the impact of socioeconomic and demographic factors associated with behaviors regarding health and general well-being.Methods: A cross-sectional study was conducted in rural health centers (RHCs) of five districts of Sindh, Pakistan, from October 2020 to December 2020. A survey questionnaire was designed to collect data on socio-economic and demographic factors and their impacts on behavior towards health and general well-being. Statistical analysis was performed using STATA Version 16.0. Chi-square test and logistic regression analysis were used to determine the extent of association between predictor variables and outcome variables.Results: A total of 969 respondents participated in the study. The mean age of the respondents was 35.70 (±13.17) years. Majority of the participants (82.77%) had limited access to the required health care facility and only (3.61%) of respondents reported that they regularly consult with disease specialists. Multivariable logistic regression revealed the ability to bear disease expenses (OR=0.55, p=0.009), level of education (OR=1.81, p=0.026), female gender (OR=0.30, p=0.048), access to required health facilities (OR=0.58, p=0.012) were significantly associated with positive behavior towards health and general well-being.Conclusions: The study shows that ease of access to healthcare facilities would encourage the population to seek more healthy behaviors. Resources for promoting healthy lifestyle choices in the general population should be more comprehensive for encompassing cognitive beliefs that target psychological and physical health outcomes.

Facility Managers’ Perceptions of Support and Supervision of Ward Based Primary Health Care Outreach Teams in National Health Insurance Pilot Districts in KwaZulu-Natal, South Africa. A Qualitative Study

Introduction: Evidence from many countries suggests that provision of home and community-based health services, linked to care at fixed primary health care facilities, is critical to good health outcomes. In South Africa, the Ward-Based Primary Health Care Outreach Teams are well placed to provide these services. The teams report to a primary health care facility through their outreach team leader. The facility manager/operational manager provides guidance and support to the outreach team leader. Aim: The aim of the study was to explore and describe the perceptions of facility managers regarding support and supervision of ward-based outreach teams in the National Health Insurance pilot sites in Kwa Zulu-Natal. Setting: The study was carried out in three National Health Insurance pilot districts in KwaZulu- Natal. Methods: An exploratory qualitative design was used to interview 12 primary health care facility managers at a sub-district (municipal) level. The researchers conducted thematic analysis of data. Findings: Some gaps in the supervisory and managerial relationships between ward based primary health care outreach teams and primary health care facility managers were identified. High workload at clinics may undermine the capacity of PHC facility managers to support and supervise the teams. Field supervision seems to take place only rarely and for those teams living far away from the clinic, communication with the clinic manager may be difficult. The study further highlights issues around the training and preparation of the teams. Conclusions: Ward based primary health care outreach teams have a positive impact in preventive and promotive health in rural communities. Furthermore, these teams have also made impact in improving facility indicators. However, their work does not happen without challenges.

Benefits and Drawbacks of Using Hotels as Shelters After a Landslide

Objectives: On July 3, 2021, a landslide occurred in part of Atami City, Shizuoka, Japan. Methods: The government of Shizuoka Prefecture requested the dispatch of Shizuoka Disaster Medical Assistance Teams (S-DMATs). Results: On day 2, the evacuees were evacuated into 2 hotels (A and B). Hotel A accommodated over 570 independent and dependent evacuees. Hotel B accommodated 44 dependent aged individuals, who lived in the same long-term health-care facility, together with their 11 caregivers. The evacuees in hotel B returned to the previous facility on day 10 without any specific medical problems. The evacuees in hotel A were managed in the guest rooms as family units. Individuals requiring care in guest rooms in hotel A became isolated because they could not call for help or walk. Furthermore, hotel guest rooms were not barrier-free. The S-DMATs supported the evacuees. Conclusions: Independent evacuees received the maximum benefits from the use of a hotel as a shelter. In contrast, it was difficult for dependent evacuees to benefit from the hotel as it is as a shelter when living alone in the hotel. Dependent evacuees required appropriate support to eat, walk, use the toilet, and keep themselves clean when using a hotel as a shelter.

Rationing of Nursing Care on Example of Selected Health Care Facility

Contemporary health determinants require nurses to develop new competencies and skills while performing complex tasks in all forms of health care. The problem of rationing of care is present all over the world and usually occurs when available resources are too low to provide adequate care to all patients. The most common reasons for loss of care are shortages of nurses, use of modern treatment methods, increased demand for care by a large number of patients, and greater knowledge of patients about their rights. A questionnaire survey was conducted among 295 nurses employed in hospital wards. The survey was conducted from September to December 2020 using the standardized BERNCA (The Basel Extent of Rationing of Nursing Care) questionnaire to measure the level of rationing of nursing care. The research was hampered by the sanitation regime associated with the SARS CoV-2 pandemic. Nursing care rationing is dependent on seniority and place of work. The mean total BERNCA score of the degree of rationing of nursing care was 2.58 ± 0.96 on a scale of 0 to 4 (where 0 means “no need for it” and 4 means “often”. The median score was 2.69. The higher frequency of rationing nursing care was characteristic of those working on surgical wards. The mean score obtained by them was 2.72 ± 0.86, with the median equal to 2.88. In the case of nurses employed in non-surgical wards, the scores were 2.08 ± 1.07 and 2.28, respectively. Rationing of nursing care is dependent on seniority and work location, with a higher degree of rationing of care occurring in surgical units.

Prevalence of Otolaryngology Diseases in an Urban Homeless Population

Objective Otolaryngology diseases are common among people experiencing homelessness; however, they are seldom evaluated in a specialist setting, and investigations on their prevalence have rarely been conducted. The aim of this retrospective study was to evaluate the prevalence of otolaryngology conditions in an urban homeless population. Study Design Retrospective study. Setting Primary health care facility. Methods The clinical records of patients referred to the medical facilities of the Primary Care Services of the Eleemosynaria Apostolica, Vatican City, between October 1, 2019, and July 31, 2021, were retrospectively reviewed; those reporting at least 1 otolaryngology disease were included in the study. Results A total of 2516 records were retrospectively reviewed, and 484 (19.24%) were included in the study. The most common otolaryngology disease was pharyngotonsillitis (n = 118, 24.13%), followed by rhinitis with nasal obstruction (n = 107, 21.88%), hearing loss (n = 93, 19.01%), otitis (n = 81, 16.56%), abscess (n = 46, 9.40%), and sinusitis (n = 33, 6.74%). Head and neck cancer or precancerous lesions were reported in 34 subjects (7.02%). More than 1 simultaneous otolaryngology disorder was found in nearly 50% of our sample. A wide range of comorbidities was also reported. Conclusions Our results confirm an elevated otolaryngology demand in the homeless population and encourage the development of more efficient and effective strategies for a population-tailored diagnosis and treatment of these conditions.

Linkage to TB care: A qualitative study to understand linkage from the patients’ perspective in the Western Cape Province, South Africa

Background Delayed linkage to tuberculosis (TB) treatment leads to poor patient outcomes and increased onward transmission. Between 12% and 25% of people diagnosed with TB are never linked to a primary health care facility for continued care. The TB health program is for creating processes that promote and facilitates easy access to care. We explored how TB patients experience TB services and how this influenced their choices around linkage to TB care and treatment. Methods We enrolled 20 participants routinely diagnosed with TB in hospital or at primary health care facilities (PHC) in a high TB/HIV burdened peri-urban community in South Africa. Using the Western Cape Provincial Health Data centre (PHDC) which consolidates person-level clinical data, we used dates of diagnosis and treatment initiation to select participants who had been linked (immediately, after a delay, or never). Between June 2019 and January 2020, we facilitated in-depth discussions to explore both the participants’ experience of their TB diagnosis and their journey around linking to TB care at a primary health care facility. We analysed the data using case descriptions. Results Twelve of twenty (12/20) participants interviewed who experienced a delay linking were diagnosed at the hospital. Participants who experienced delays in linking or never linked explained this as a result of lack of information and support from health care providers. Unpleasant previous TB treatment episodes made it difficult to ‘face’ TB again and being uncertain of their TB diagnosis. In contrast, participants said the main motivator for linking was a personal will to get better. Conclusion The health care system, especially in hospitals, should focus on strengthening patient-centred care. Communication and clear messaging on TB processes is key, to prepare patients in transitioning from a hospital setting to PHC facilities for continuation of care. This should not just include a thorough explanation of their TB diagnosis but ensure that patients understand treatment processes. Former TB patients may require additional counselling and support to re-engage in care.