1345. Patient Perspectives and Journey with Influenza and Seeking Care from US National Survey

Background In the 2017-2018 influenza season, 49 million people in the US presented with influenza symptoms, resulting in substantial morbidity, mortality, and a significant humanistic and economic burden. Although there are currently four FDA-approved antivirals for influenza, such treatments continue to be widely underutilized. The aim of this study was to better understand the patients’ perspective and experience with a flu episode and seeking care during the 2019-2020 influenza season. Methods Data were obtained from an online quantitative survey of influenza patients. Participants were recruited from two data sources: A pool of respondents who previously completed the National Health and Wellness Survey (NHWS) (N=74,977) or from Lightspeed M3 Global online “General Panel” (N=500,000+) in the US from January 2020 through May 2020. The sample included patients >18 years of age and having a self-reported diagnosis of influenza by a healthcare professional within the last 90 days. Outcomes related to patient demographics, health-related characteristics and perspectives on the influenza episode were collected. Results 1,005 patients were included. Of those, 30.2% visited their primary health care professional (HCP) in person, 20.2% visited urgent care walk-in facility and 19.2% called their HCP. Important aspects of flu treatment included: feeling better quickly (69.5%), not transmitting to others (51.5%), and ease of administration (40.7%); 375 patients were treated with an antiviral. Of those, it took~4.6 days to feel generally better and ~8.8 days to feeling totally better. About 73% of patients took all of their antiviral medication, 9% took “some”. 43.9% of respondents considered themselves to be more likely to get serious flu-related complications, 52.5% reported that they were told by an HCP that they belong to a high-risk group that may be more likely to get flu-related complications. 41.3% reported they did not experience any high risk factors while experiencing influenza. Conclusion Influenza patients reported different attitudes and treatment approaches to handling their infection. It is critical to understand what matters most to patients regarding both influenza and treatment to optimally provide outreach and care. Disclosures Nate Way, PhD, Genentech, Inc. (Grant/Research Support)Kantar Health (Employee) Ashley Martin, PhD, Genentech, Inc. (Grant/Research Support)Kantar Health (Employee) Chris Wallick, PharmD, MS, Genentech, Inc. (Employee, Shareholder) Edward Neuberger, PharmD, MBA, MS, Genentech, Inc. (Employee, Shareholder) Mitra Corral, MS, MPH, Genentech, Inc. (Employee, Shareholder)

A formação do terapeuta ocupacional para atuação na Ateção Primária em Saúde: uma revisão da literatura/The formation of occupational therapist for primary health care: a literature review

Nos últimos anos, obteve-se maior inserção de terapeutas ocupacionais em serviços que compõe a Atenção Primária em Saúde (APS). O objetivo deste estudo é analisar a produção científica brasileira acerca da formação do terapeuta ocupacional para a atuação na APS. Realizou-se uma busca nas bibliotecas e bases de dados CAPES, SCIELO, LILACS e em periódicos da profissão no país, resultando em 16 artigos a serem revisados e discutidos através de análise temática. A partir da leitura do material foi identificado a repetição de núcleos de sentido sendo definido a organização do conteúdo nos seguintes temas: 1) Princípios, diretrizes e ferramentas da APS na formação do terapeuta ocupacional; 2) Diferentes cenários e estratégias de ensino na formação do terapeuta ocupacional e; 3) Principais desafios vivenciados na formação em terapia ocupacional para atuação na APS. Observou-se que na formação foram discutidas a importância da longitudinalidade do cuidado, a ordenação da rede, e a relevância do aprendizado das principais ferramentas, como o acolhimento, o vínculo, a clínica ampliada, o apoio matricial e o Projeto Terapêutico Singular. Esses conceitos da prática na APS são vivenciados desde a graduação até a formação continuada. Considera-se que o aprendizado vem se dando em consonância com as Diretrizes Curriculares Nacionais do curso, através de experiências teórico-práticas e sob a luz dos principais conceitos, princípios e diretrizes das principais políticas públicas voltadas ao estabelecimento e organização da APS, independente dos obstáculos encontrados. AbstractIn recent years, it was obtained greater insertion of occupational therapists in services that compose the Primary Health Care (PHC). The purpose of this study is to analyze the Brazilian scientific production about the formation of the occupational therapist to work in PHC. A search was performed in the libraries and databases CAPES, SCIELO, LILACS and in professional journals in the country, resulting in 16 articles to be reviewed and discussed through thematic analysis. From the reading of the material was identified the repetition of center of meaning being defined the organization of content in the following themes: 1) Principles, guidelines and tools of PHC in the training of occupational therapist; 2) Different scenarios and teaching strategies in occupational therapist training and; 3) Main challenges experienced in occupational therapy training for PHC. It was observed that the experiences are based on the main guidelines, recognizing the importance of longitudinality of care and ordering of the network, and the relevance of learning the main tools such as welcoming, bonding, expanded clinic, matrix support and the Singular Therapeutic Project. These concepts of practice in PHC are experienced since graduation until the spaces of continuing education as multidisciplinary residences and graduate programs. Learning is considered to be in line with the National Curriculum Guidelines of the course, through theoretical and practical experiences and in the light of the main concepts, principles and guidelines of the main public policies aimed at establishing and organizing PHC regardless of obstacles encountered.Key words: Occupational Therapy; Primary Health Care; Professional Qualification. ResumenEn los últimos años, se logró una mayor inserción de terapeutas ocupacionales en los servicios que componen la Atención Primaria de Salud (APS). El objetivo de este estudio es analizar la producción científica brasileña sobre la formación del terapeuta ocupacional para trabajar en APS. Se realizó una búsqueda en las bibliotecas y bases de datos periódicas de CAPES, SCIELO, LILACS y en revistas profesionales del país, lo que resultó en 16 artículos para ser revisados y discutidos mediante análisis temático. A partir de la lectura se identificó la repetición de núcleos de significado definiéndose la organización del contenido en los siguientes temas: 1) Principios, pautas y herramientas de APS en la formación del terapeuta ocupacional; 2) Diferentes escenarios y estrategias de enseñanza en la formación del professional y; 3) Principales desafíos experimentados en la capacitación en TO para la APS. Se observó que las experiencias se guían por las pautas principales, reconociendo la importancia de la longitudinalidad de la atención, el orden de la red, y la relevancia de aprender las herramientas principales como la bienvenida, el vínculo, la clínica ampliada, el apoyo matricial y el Proyecto Singular Terapéutico. Estos conceptos de práctica en APS se experimentan desde espacios de pregrado hasta educación continua. Se considera que el aprendizaje está en línea con las Directrices Curriculares Nacionales del curso, a través de experiencias teóricas y prácticas y a la luz de los principales conceptos, principios y directrices de las principales políticas públicas destinadas a establecer y organizar la APS independientemente de los obstáculos encontrados.Palabras clave: Terapia ocupacional; Atención primaria de salud; Formación Profesional.

Professional safety constructs in the context of Primary Health Care

ABSTRACT Objectives: to identify scientific production on safety-related aspects/characteristics in the performance of Primary Health Care professionals for professional safety constructs. Methods: integrative literature review in the BDENF, IBECS, LILACS, MEDLINE databases. Results: the corpus of this review refers to 16 articles that highlighted work overload, work process, insufficient human resources, precarious work environment conditions, lack of continuing education, team relationship and with users, evidencing that they are factors that possibly compromise health care and professional safety for best practices. Final Considerations: to know the factors that impact in the scope of professional safety allows to subsidize interventions that guarantee best practices. This study originally contributes to the formulation of Primary Health Care professional safety constructs.

A Cross-Sectional Survey of the Prevalence and Determinants of Overweight and Obesity Among Primary Healthcare Professional Nurses In Eastern Cape, South Africa

There is a paucity of data on the burden of obesity among primary Health care professional nurses in Eastern Cape Province of South Africa. This study examines the prevalence and determinants of overweight and obesity among Primary Healthcare Professional nurses in Eastern Cape Province of South Africa. This workplace cross-sectional study was conducted among 203 Primary Health Care Professional nurses selected conveniently across 41 primary healthcare facilities in Eastern Cape, South Africa following a the WHO STEPwise approach and using the WHO STEPwise questionnaire for data collection. Data were expressed as mean, counts and proportions, as appropriate. We compared percentages using chi-square test. Descriptive and inferential statistics were conducted. Seventy six percent of the nurses were obese and 18% were overweight. Age, gender, marital status, duration of practice, alcohol use and smoking were significantly associated with obesity. Only age >30 years and not using alcohol were independent predictors of obesity, after adjusting for confounders. We found a high prevalence of obesity among primary healthcare professional nurses in this setting. This constitute future risk for an increased prevalence of chronic diseases among the healthcare workforce in this setting. There is a need for measures to promote healthy lifestyle behaviours and weight management among nurses in this setting.

Prevalence and factors associated with abdominal obesity among primary health care professional nurses in Eastern Cape, South Africa

Background: Nurses are key stakeholders in health promotion and obesity management, yet a high-risk group for obesity development. This study examined the prevalence and correlates of abdominal obesity among primary health care professional nurses (PHCPNs) in Eastern Cape, South Africa.Methods: This cross-sectional study involved 203 PHCPNs conveniently selected across 41 primary health care facilities in Eastern Cape, South Africa. The WHO STEPwise questionnaire was used for data collection. Abdominal obesity was defined according to the WHO criteria as a waist circumference ≥ 94 cm for men and ≥ 80 cm for women or waist-to-hip ratio ≥ 0.90 in men and ≥ 0.85 in women; and a waist-to-height ratio of 0.50.Results: The prevalence of abdominal obesity ranged from 50%, to 87% to 90%, using waist-to-hip ratio, waist circumference and waist-to-height ratio, respectively. Age, gender and duration of practice were significantly associated with abdominal obesity. After adjusting for potential confounders, only age 30 years (OR = 6.7; 95% CI = 2.4–18.7; p 0.001) and female sex (AOR = 7.9; 95% CI = 2.4–18.7; p 0.001) were independent predictors of obesity.Conclusion: There is a high prevalence of abdominal obesity among PHCPNs in Eastern Cape, South Africa, which was associated with female sex and ageing. This constitutes a potential risk for the healthcare workforce of the province and might be an impediment to adequate conveyance to patients of health education on healthy weight management by the affected nurses. There is an urgent need for appropriate workplace health policies targeted towards the promotion of physical activities, healthy lifestyle and ultimately weight reduction among this group.