Correlation Between Age, Work Period, Knowledge, and Attitude’s Workers With Behavior on The Use of PPE

PG. Poerwodadie is one of the white crystal sugar factories left by the Dutch East Indies. In the production process with a fairly high risk of work accidents, the company provides Personal Protective Equipment (PPE). However, most workers have not complied with the use of PPE in the work area. Therefore, it is necessary to research factors related to non-compliance with the use of PPE. The purpose of the study was to determine the relationship between age, years of service, education, and attitudes with workers who were not obedient in using PPE. This research uses quantitative with the cross-sectional approach. The population in this study were all workers at the PG. Poerwodadie manufacturing station totals 80 people. The study concludes that there was a relationship between the age of workers and non-compliance with the use of PPE with the value of Phi and Cramer's V = 0.337. There was a relationship between the working period and non-compliance with the use of PPE with a value of 0.329. There was a relationship between worker knowledge and non-compliance with the use of PPE with the value = 0.279. There was no relationship between worker attitudes and non-compliance with the use of PPE

Perceived satisfaction with HIV care and its association with adherence to antiretroviral therapy and viral suppression in the African Cohort Study

Background Increased availability of HIV care over the past decade has dramatically reduced morbidity and mortality among people living with HIV (PLWH) in sub-Saharan Africa. However, perceived and experienced barriers to care, including dissatisfaction with services, may impact adherence and viral suppression. We examined the associations between satisfaction with HIV care and antiretroviral therapy (ART) adherence and viral load suppression. Methods The African Cohort Study (AFRICOS) is a prospective observational study conducted at PEPFAR-supported clinics in four African countries. At enrollment and twice-yearly study visits, participants received a clinical assessment and a socio-behavioral questionnaire was administered. Participants were classified as dissatisfied with care if they reported dissatisfaction with any of the following: waiting time, health care worker skills, health care worker attitudes, quality of clinic building, or overall quality of care received. Robust Poisson regression was used to estimate prevalence ratios and 95% confidence intervals (CIs) for associations between satisfaction with care and ART adherence and between satisfaction with care and viral suppression (viral load < 1000 copies/mL). Results As of 1 March 2020, 2928 PLWH were enrolled and 2311 had a year of follow-up visits. At the first annual follow-up visit, 2309 participants responded to questions regarding satisfaction with quality of care, and 2069 (89.6%) reported satisfaction with care. Dissatisfaction with waiting time was reported by 177 (7.6%), building quality by 59 (2.6%), overall quality of care by 18 (0.8%), health care worker attitudes by 16 (0.7%), and health care worker skills by 15 (0.7%). After adjusting for age and site, there was no significant difference in viral suppression between those who were satisfied with care and those who were dissatisfied (aPR: 1.03, 95% CI 0.97–1.09). Satisfaction with HIV care was moderately associated with ART adherence among AFRICOS participants (aPR: 1.09; 95% CI 1.00–1.16). Conclusions While patient satisfaction in AFRICOS was high and the association between perceived quality of care and adherence to ART was marginal, we did identify potential target areas for HIV care improvement, including reducing clinic waiting times.

Utøvelse av ledelse i kommunale sykehjem – handlingsrommets betydning

Leaders of municipal nursing homes face challenges when they seek to secure a balance between the quality demands of authorities and the services they provide. In this chapter, we present a qualitative study on the leadership challenges in the municipal nursing homes. The aim is to develop knowledge on leadership challenges and the managerial discretions leaders employ to address the challenges. We interviewed seven middle-level leaders in five nursing homes in three medium-sized Norwegian municipalities using semi-structured interviews. The study revealed challenges connected to temporal nursing home placements made permanent, the time-consuming nature of the search for substitute workers, and the need to improve worker attitudes towards substitute workers’ experience-based knowledge. Attitude change is necessary because different forms of knowledge have different statuses in the nursing homes. The study shows that the leaders seek to meet the challenges connected to nursing home placements by establishing teams of professionals, while they try to persuade the Specialist Health Services to take over the responsibilities for the patients in transition. To meet the substitute worker challenge, the leaders use subjective managerial discretions to develop different strategies, including establishing substitute worker bases, substitute worker lists and delegation of substitute worker search. The leaders promote attitude change by stressing the importance of the substitute workers’ experience-based knowledge in both formal and informal contexts and implementing concrete competence measures. The study indicates that leaders who use subjective managerial discretions save time that they employ to create a balance between different leadership functions. The use of managerial discretions by leaders may affect the learning and organizational changes in nursing homes.

Implementing trauma-informed care through social innovation in child welfare residential treatment centres serving elementary school children

Objectives: This article presents the theoretical basis, initial deployment strategies, and resulting preliminary findings of a program implemented in residential treatment centres (RCs) in child welfare. “Program Penguin” aimed to help workers develop trauma-informed attitudes and implement trauma-informed practices, make the workplace more responsive to the well-being of RC workers, and reduce the use of restraints and seclusion among school-aged children in RCs. Methods: Informed by the theories of complex trauma (National Child Traumatic Stress Network Complex Trauma Task Force, 2003), polyvicitimization (Finkelhor et al., 2007), Attachment, Self-Regulation and Competency (ARC; Blaustein & Kinniburgh, 2018) and Positive Behavioural Interventions and Supports (PBIS; Sugai & Horner, 2002), Program Penguin was developed and deployed using the social innovation approach (Fixsen et al. 2005). The key stages of social innovation will here be used to describe the implementation process. Results: Changes in practices were observed, RC worker attitudes towards trauma-informed care were assessed and showed strong effects between multiple covariables. RC worker support needs were identified, and a reduction in the use of restraints and seclusions was shown. Key strategies towards the development and maintenance of buy-in and meaningful change in practices are also described. Implications: Changes observed at all levels of this implementation suggest Programme Penguin is a promising approach, despite local issues that arose and the challenges inherent to program deployment within child protection settings. It appears a trauma-informed program using positive behavioural approaches and leveraging existing organizational strengths may impact intervention strategies, worker attitudes, and the use of restraints and seclusions against children in RCs.

Impacts of child welfare worker and clientele characteristics on attitudes toward trauma informed-care

Background: There is increasing recognition of the need to integrate trauma-informed care (TIC) into child welfare practices, given the high rates of trauma experiences among children and youth across these settings. The implementation of TIC is facilitated by various elements, including worker attitudes, yet further research is needed to illuminate the factors that influence child welfare workers’ positive regard for TIC. Objectives: This study aims to explore the relationship between child welfare worker attitudes regarding TIC with workers’ and clients’ individual characteristics. Methods: N = 418 child welfare workers from 11 agencies completed two measures: a demographic questionnaire as well as the French translated version of the ARTIC-35 questionnaire comprised of five subscales. Linear mixed effects models were run for each ARTIC subscale, examining how child and worker factors affect attitudes toward TIC. Results: Participants indicated relatively positive attitudes toward TIC. Managerial staff in offender units scored higher on the subscale regarding their beliefs about the causes underlying child behaviors and on the subscale regarding beliefs about the secondary effects of trauma, than their counterparts in protection units serving boys. Managers scored higher than frontline staff on worker self-efficacy, response to problem behavior, and on-the-job behavior subscales. Workers with a community college degree—and not a university degree–indicated greater sense of self-efficacy. Conclusions: This study points to the importance of paying attention to the characteristics of both workers and clients that may influence inclination toward TIC principles, as a means to build effective integration of this approach in child-serving settings.

Gambaran Keselamatan Pekerja Menggunakan Teknologi Pemantauan Drone pada Proyek Konstruksi PT. X Makassar

Safety and Health of Construction work are activities to ensure and protect the safety and health of workers through accidents in the workplace. This study is to find out the description of the safety of workers using drone monitoring technology in construction activities at PT. X. This research is a type of descriptive research in a quantitative approach aimed to determine the safety of workers using drone monitoring technology in the construction project of PT. X Makassar 2020. The research will be conducted in November with a workforce of 108 people. The sample in this study was taken by purposive sampling technique so that the sample of 55 people. Data were collected using a questionnaire, Rapid Entry Body Assessment (REBA), analysis using SPSS software and drone. Data is presented in tabular form and narrated. This study shows the Knowledge variable at PT. X that out of 55 respondents (60%) respondents said that it was good. Based on the use of PPE, most respondents were classified as not compliant, namely as many as (67.3%), while the least were classified as compliant, as many as (32.7%). The most dominant work attitude of the respondents was Very High Risk Level (as much as 80%). While the least is the Medium Risk Level (3.6%). The results of the mapping in the rector's building, library and mosque using drones. The description of worker safety based on the variables of knowledge, PPE compliance, worker attitudes and hazards can be classified in part as good, but on variables.

A Meta-Analysis Integrating 25 Years of Diversity Climate Research

Extant diversity climate research has been based primarily upon the Interactional Model of Cultural Diversity (IMCD). While prior research has supported the beneficial effects of prodiversity climates (i.e., work environments that employees view as fair and socially integrative of all personnel) on worker attitudes and behaviors, less is known about the potential boundary conditions of diversity climate-outcome relationships. To address this concern, we conducted a meta-analysis of diversity climate using 109 independent samples from 94 studies. Meta-analytic results indicate that diversity climate–outcome relationships are moderated by climate measure type, outcome type, demographic diversity, climate strength, and measurement source. These findings show that diversity climate is more strongly related to outcomes when measured as inclusion climate (vs. diversity climate), for attitudinal outcomes compared to performance and withdrawal criteria, when work contexts are more racially and ethnically diverse, when personnel exhibit stronger versus weaker agreement in their diversity climate perceptions, and when diversity climate and outcome data are collected from the same source versus different sources. The theoretical and practical implications of our findings are noted and discussed.

Hazard Identification, Risk Assessment and Risk Control in Chemical Industry

This study was aimed at identifying hazards through risk assessment and risk control by using HIRARC method in the warehouse of Company XYZ (a pharmaceutical company). Data was collected through direct observations, documentations, and interviews. The study found that Company XYZ identified 104 hazards in the year 2017, which were caused by poor working environment, worker attitudes, manual work, tools and machinery. This study revealed 57% of the total risks fall in medium category, 38% high, 5% low, and none of them are categorized under extreme risk. To control the risk, the company has been taking proactive actions through the elimination of risks, engineering, administration and Personal Protective Equipment (PPE).