Awareness Of Health Workers Research Articles

Awareness of Health Workers in Premature Units At Kirkuk City Hospitals Concerning Neonatal Jaundice

Objective: this study aimed to assess the awareness of the health workers in premature units regardingneonatal jaundice at Kirkuk city hospitals, as well as to find out the socio demographic characteristics of thestudy sampleMethodology: A descriptive study was carried out at premature units of Azadi Teaching Hospital, KirkukGeneral Hospital and Pediatric Hospital of Kirkuk city, for a period from the 1st February and up to the 15thof May, 2019 and to achieve the objectives of the study. A non-probability (purposive) sample of (62) healthworkers working at premature unit were recruited. Developed questionnaire was constructed for the purposeof the study which consisted of two parts: the demographic characteristics; awareness part (knowledge andpractices). The data were collected through the use of self- administered technique. They were analyzedthrough the application of descriptive statistical analysis (Frequency, Percentage % and mean score) dataanalysis.Results: The findings of the study indicated that (45.2%) of the staff were from pediatric hospital. (40.3%)were graduated from Nursing Institute, (43.5%) had experience from 1<5 years and (74.2%) had participatedin a training course mostly inside the country. The total grand mean score for the staff awareness (knowledgeand practices) were adequate (1.73).Conclusions and Recommendations: Assessment for the study sample awareness was adequate.Educational programs should be designed to increase the health workers awareness working at pediatricdepartments regarding management of neonatal jaundice especially those with less than 5 years’ experience.

Upper Extremity Thrombosis Associated with Overactivity: A Comprehensive review article on Paget-Schroetter Syndrome

Paget–Schroetter disease, is a form of deep vein thrombosis (DVT) in upper extremity, in which bloodclots occurs in the deep veins of the arms. Paget–Schroetter disease syndrome is accounts for 30–40%of spontaneous axillary-subclavian vein thrombosis (ASVT) and for 10–20% of all upper extremity deepvenous thrombosis (UEDVT). Important predisposing factors for UEDVT include indwelling hardware,occult or overt malignancy and other thrombophilic states. Clinical manifestations include heaviness,cyanosis, redness, and dilated, visible veins across the upper arm and shoulder. It is diagnosed by compressionultrasonography with the help of colour Doppler. Thrombosis was managed conservatively with limbelevation and anticoagulation therapy. Hence, there is a need for increasing health workers awareness aboutrisk factors, etiology and the management of this unique and relatively uncommon disorder.

Assessment of Knowledge of Essential Supply Chain Functions among HIV/AIDS Supply Chain Workforce in Nigeria

Effective and efficient biomedical wastes management is vital in the health care delivery system, safe environment and public health could possibly be achieved through the standard practices of the biomedical waste procedures with safety measures in place. The study was aimed to evaluate the practices and the level of awareness of health workers towards biomedical waste management in selected hospitals in Abuja. Data were collected by structured questionnaire and on- the-spot observation. Three private and three public hospitals that provided health care services in Abuja were surveyed. Descriptive and inferential statistical analysis were used in the analysis of the data. Chi-square (χ2) test was used to determine the level of significance set at p&lt;0.05. The male health workers were 220 (55.00%) and the female were 180 (45.00%) in the survey. The nurses were the highest number of respondents in the study with frequency percentage of 117(28.75%) followed by the laboratory scientists 96 (24.00%), Pharmacists 71 (17.75%, Doctors 64(16.00%) and other health care workers 54 (13.50%). The practices of handling biomedical waste among health workers was a significant factor of biomedical waste management (p&lt;0.05). The awareness on safety measures among health workers was a significant factor of biomedical waste management (p&lt;0.05). Improvement in the aspects of training retraining of health workers will go a long way to fill the lapses in the biomedical waste’s management practices. Government should establish policies and laws to enforce strict compliance in accordance with WHO stipulations.

Medical Tourism Awareness of Health Workers

Medical Tourism Awareness of Health Workers

Digital transformation of healthcare: a competency-based approach

The article substantiates the relevance of the study of the essence, tools and mechanisms of digital transformation of the health sector. A comparative assessment of the current health care system in the cities of the world is presented, trends in the use of end-to-end technologies for improving the health care system in Russia are revealed. The development of the health sector in modern conditions is based on the introduction of new information and communication technologies, for the proactive use of which, it is necessary to increase the digital skills and awareness of health workers and the population. The national projects of the Russian Federation «Health care» and «Digital economy» speak about the need to implement design solutions for the formation of competence models of personnel in the conditions of global digitalization. The formation of the digital contour of the health sector should be based on a clear understanding of the competence profile, its inclusion in the innovative health care system and the preservation of human capital. The use of competence approach to the digital transformation of healthcare contributes to improving the adaptability of the existing system of health organization to the new technological order provides the possibility of introducing cross-cutting technologies in the processes of decision-making to improve the accessibility and quality of care.

Assessment of Hospital Wastes Management Practices in Lagos, Nigeria, using Two Health Care Centres as Case Studies

Hospital wastes are highly infectious and can pose serious threat to human health. As the rate at which these wastes are generated is getting rapidly higher because of rapid urbanization and population growth, also the problem of disposal of these wastes is becoming more serious. It is of utmost importance that these wastes receive specialized treatment and management prior to their final disposal. Some of these wastes are mixed with household wastes, and the entire pile becomes a great public health hazard. Scavengers search through the piles for salable items, which they wash, repack and resell to the public, endangering their lives, and that of the entire public. Until recently, the management of medical wastes has received little attention despite their potential environmental hazards and public health risks. The collection, storage and disposal of medical wastes in Lagos are of growing environmental problem which needs immediate attention. This study was carried out to assess the current waste management practices in terms of type of wastes and quantities of waste generated in the healthcare facilities and the waste handling and disposal practices; also, to assess the level of awareness of health workers regarding hospital and clinical waste management. Two health care facilities in Lagos state were used as case studies. These hospitals are secondary facilities providing emergency, surgical, material and child health services. The methodology design was mainly of qualitative and involved physical observation, questionnaire administration, quantitative data collection procedures and manipulation, data analysis and interpretation. The findings showed that there was almost no knowledge of hospital waste management policy in the two health care facilities among the management staff, which seemed to confirm the premium on hospital wastes and their poor management.

Ovarian abscess caused by Salmonella enterica serovar Typhi: a case report

BackgroundTyphoid fever is a human-specific disease caused by a bacterium, Salmonella enterica subspecies enterica serovar Typhi. It is transmitted through ingestion of contaminated food or water. It is mostly diagnosed by blood culture. Salmonella Typhi usually manifests as a febrile illness with bacteremia after initial entry through the gastrointestinal route, but it can occasionally cause significant disease in extraintestinal sites. We report a case of a girl in Fiji with a right ovarian abscess infected by Salmonella Typhi.Case presentationA 14-year-old iTaukei (indigenous Fijian) girl presented to our hospital with abdominal pain of 1 month’s duration. Two days prior to her admission, she developed high-grade fever and nausea and had one episode of vomiting. On presentation, she appeared unwell; she was tachycardic (116 beats per minute) and febrile (38.8 °C). Her abdominal examination revealed generalized tenderness. Other examination findings were normal. The provisional diagnosis of abdominal sepsis led to an emergency laparotomy during which an enlarged right ovary was found to be spontaneously discharging pus. The ovary was incised and drained, and the patient was commenced on intravenous ceftriaxone 1 g twice daily, cloxacillin 1 g four times daily, and metronidazole 500 mg three times daily. She recovered promptly and was discharged to home on the sixth postoperative day. The purulent material from the ovary grew Salmonella Typhi.ConclusionExtraintestinal infections caused by Salmonella Typhi are rare but can cause severe and life-threatening disease. Our patient had a prolonged history of abdominal pain and was found to have a ruptured right ovarian abscess due to Salmonella Typhi. Ovarian abscesses in girls who are not sexually active are not associated with pelvic inflammatory disease and suggest local or hematogenous spread. This case report may increase health workers awareness to include common and endemic infections in the differential diagnosis of unusual clinical presentations to help the initiation of appropriate investigation and management as quickly as possible.

INVESTIGATION AND ANALYSIS OF THE AWARENESS OF MEDICAL WORKERS ON QUESTIONS OF HEALTH PROTECTION REFORM

Objective - to study and analyze the awareness and attitude to the health protectionreform among medical workers of the Chernivtsi region.Material and methods. A questionnaire on the awareness of health workers on healthcare reform has been developed. When analyzing the data obtained, medical-statisticaland sociological research methods were applied.Results. The state of awareness and attitude of health workers of the Chernivtsi region tothe health care reform has been analyzed.Conclusions. The issue of health care reform requires correcting, sufficient funding andinforming doctors and the inhabitants as a whole about medical service alterations whenthe reform is implemented.

Cost awareness analysis on acute appendicitis treatment with social security agency for health (BPJS in health sector) at Budi Kemuliaan Hospital Batam

Background: Financial costs are recognized as one of the causes of lack of access to adequate health services, not least in the treatment of Acute Appendicitis with Social Security Agency for Health (BPJS in Health) in Budi Kemuliaan Hospital, Batam. Data describing health workers' awareness of costs is still limited. Increasing awareness of health workers can encourage increased treatment efficacy and reduce wasteful spending costs. This research aims to analyze the cost awareness of health workers' in the efficiency of Acute Appendicitis treatment.Methods: This research was a qualitative descriptive study accompanied by direct observation on the implementation of clinical pathways and SOP in cases of Appendicitis Acute in Budi Kemuliaan Hospital, Batam. In this study also conducted interviews involving nine main informants and three triangulation informants.Results: The average loss value Budi Kemuliaan Hospital in 2017 was Rp. 3,898,635, - and increased in 2018 to Rp.5,597,241,-. Low knowledge of health workers about case-mix which causes low cost awareness behavior. There was a low awareness of costs identified in the implementation of clinical pathways and SOP in cases of Appendicitis Acute in general surgeons, resulting in high financing. There was also low management monitoring. This has the potential to be a source of financial loss for hospitals.Conclusion: The lack of cost efficiency for Appendicitis Acute due to lack of cost awareness and monitoring of hospital management, so that it is necessary to carry out periodic monitoring related to the Cost awareness behavior of health workers. Keywords: cost awareness, Appendicitis Acute, Social Security Agency for Health, BPJS in Health, cost efficiencyReceived: 7 February 2019; Reviewed: 29 April 2019; Revised: 29 June 2019; Accepted: 29 June 2019 DOI: 10.35898/ghmj-32543

Cost awareness analysis on acute appendicitis treatment with BPJS Healthcare at Budi Kemuliaan Hospital, Batam

Background: Financial costs are recognized as one of the causes of lack access to adequate health services, not least in the treatment of Acute Appendicitis with BPJS Healthcare in Budi Kemuliaan Hospital, Batam. Data describing health workers' awareness of costs is still limited. Increasing awareness of health workers can encourage to increase treatment efficacy and reduce wasteful spending costs. Aims: This study objective was to analyze the cost awareness of health workers' in the efficiency of Acute Appendicitis treatment. Methods: This research was a qualitative descriptive study accompanied by direct observation on the implementation of clinical pathways and SOP in cases of Acute Appendicitis in Budi Kemuliaan Hospital, Batam. In this study also conducted interviews involving nine main informants and three triangulation informants. Result: There was a low awareness of costs identified in the implementation of clinical pathways and SOP in cases of Acute Appendicitis in general surgeons, resulting in high financing. There was also low management monitoring that could be seen in the incomplete TXT data. This had the potential to be a source of financial loss for hospitals. Conclusion: The lack of cost efficiency for Acute Appendicitis occurred due to lack of cost awareness and monitoring of hospital management. Efficiency could be seen in disposable materials components, but the incompleteness of TXT data could affect the calculation.

The attitude of health workers to vaccination at the present stage

Aim. Evaluation of the awareness of health workers of vaccine prevention at the present stage.&#x0D; Methods. To achieve the aim, survey of health workers of the Republic of Tatarstan was conducted using the developed questionnaire. The coverage of survey was 3 250 people. Statistical processing of the results was carried out using Microsoft Excel 2010 programs.&#x0D; Results. The conducted study revealed that a significant proportion (95 %) of health workers were positive about vaccine prevention, were vaccinated themselves and vaccinated their children. The most prevalent forms of informing parents of vaccinated children about adverse reactions after vaccination are oral recommendations by the doctor and information sheets about adverse reactions. The majority of interviewed health workers (89.9 %) support the initiative to cancel the right of citizens to refuse vaccination. In the opinion of health workers, the main components of successful organization of vaccine prevention in the medical organization are availability and diversity of vaccines, the level of qualification of medical personnel, and equipment of the vaccination room. Less than half of health workers were trained in specialized training on immunoprevention. The majority of health workers (86.3 %) consider it necessary to expand the national schedule of preventive vaccinations of the Russian Federation.&#x0D; Conclusion. Organizational measures to inform health workers in various areas of vaccine prevention are needed to be taken; promising directions are organizing specialized courses on immunoprevention and discussion of relevant aspects of immunization of the population and adverse reactions in post-vaccination period.

Health Workers Awareness and Knowledge of Glaucoma in Tertiary Hospital in Birnin Kebbi, Nigeria

Health Workers Awareness and Knowledge of Glaucoma in Tertiary Hospital in Birnin Kebbi, Nigeria

Description of Hand Hygiene’s Compliance on Nurse of Hemodialysis at Haji Hospital Surabaya

Thousands patients around the world die every day because of infections when they get treatment. This is because the transmission of microbacteria from the hands of health workers. Hand hygiene is the most important aspect to prevent the transmission of microbacteria and preventing HAIs. Hand hygiene awareness of health workers is a fundamental behavior to prevent cross-infection. The purpose of this study was to evaluate the hand hygiene compliance of nurse in Unit Hemodialysis of Hajj General Hospital Surabaya. Type of this research is descriptive research and observations by using a qualitative approach. Data retrieval on the research is an interview with nurse and audit hand hygiene. Research instrument using a questionnaire of hand hygiene and BSI knowledge, and hand hygiene audit form made by WHO. The population in this research was all nurses in Hemodialysis Unit General Hospital Surabaya Hajj that add up to 11 people. The results of this research obtained that compliance with hand hygiene Unit Hemodialysis nurse is 35%. The compliance were still less and has not reached the standards established by the PPI Hajj General Hospital Surabaya that is 100% and still has not reach compliance standards of WHO that is 40%. Hand hygiene compliance was low caused by the low participation of PPI base training and the lack of availability of hand hygiene facility in the Hemodialysis Unit General Hospital Surabaya Hajj. Advice from research were conducting on job training about how to perform hand hygiene and improve hand hygiene facilities in Hemodialysis Units. Keywords: hand hygiene, compliance, nurse

P.085 Spinal cord stimulator for chronic pain syndromes: a national awareness survey

Background: The expansion of neuromodulation intervention for complex pain syndromes has been signifcant in the last few decades. Considering the increased load of patients, we thought about evaluating the level of awareness among different medical experts to help assessing their familiarity with spinal cord stimulator (SCS). Methods: Survey has been sent to general practitioners, family physicians, pain specialists and spine surgeons. The main outlets of the survey aims to assess the followings:The main source of their knowledge about SCFamiliarity with candidates who may benefit from SCIntroducing the concept of SC to their patients as an adjunctive treatmentFrequency of patients’ referral for SCMain reason for referring their patientsFamiliarity with centres providing SCSResults: EResults will be provided upon analysing the data from the collected surveys. Conclusions: The expansion in neurmodulation is expected to help patients with intractable pain syndromes. Hence, the survey would potentially help to explore the deficiencies in health workers awareness about SCS and outline future directions toward proper patients counseling and optimising their referral to neuromodulation centres.

Bacterial contamination of stethoscopes at a tertiary care hospital in southwestern Nigeria

Hospital acquired infections are a recognized cause of morbidity and mortality all over the world. They are frequently caused by organisms residing in healthcare environment, including contaminated medical equipment like stethoscopes. There is limited awareness of health workers of the contribution of contaminated hospital equipment to nosocomial infections. Hence we aimed to determine the level of bacterial contamination and bacterial profile of the isolates from stethoscopes at our centre- a tertiary care hospital in Abeokuta, Southwest Nigeria. To achieve this, 2 stethoscopes were selected from each of the clinical care units in the hospital and studied. Specimens were collected using moistened sterile cotton swab from the ear pieces and diaphragms of each stethoscope and processed following standard microbiological techniques. In all, 26 stethoscopes were studied. 46.2% (12) of the diaphragms cultured yielded growth of bacteria while only 11.5% (3) of the ear pieces cultured yielded a growth of bacteria. Staphylococcus aureus (58.3%) was the most commonly cultured organism. Other organisms cultured included: Diphtheroids, Proteus species and Escherichia coli . 83.3% of the isolated organisms were gram positive while 16.7% were gram negative organisms.In conclusion,the study shows that there is a high level of contamination of stethoscopes in use by health care workers. Disinfection of stethoscopes before and after use is advocated to reduce the spread of infections. Keywords: Stethoscopes, Contaminated medical equipment, Disinfection, Hospital acquired infections, Health care workers, Bacterial profile

Knowledge assessment regarding poliomyelitis among the caregivers of children who received oral polio vaccine reveals lack of awareness of the vaccine vial monitor (VVM): Implications extending beyond polio eradication.

Vaccine vial monitor (VVM) is now commonly used for vaccines that are included in the National Immunization Schedule in India. It helps to indicate the viability of the vaccine and of the proper functioning of the cold chain. This is useful as it prevents health personnel from administering damaged vaccine. Studies have shown a lack of awareness of health workers regarding the use and interpretation of a VVM. The current study, undertaken among the caregivers of children who were immunized, showed that this lack of information about the VVM also exists among the caregivers. This deficiency in knowledge, both in the health workers and the caregivers, can affect the health of the child and needs urgent attention.

Awareness and attitude of healthcare workers to cosmetic surgery in osogbo, Nigeria.

This study aimed at understanding the level of awareness and elucidates the attitude and disposition of healthcare workers to cosmetic surgery in Osogbo, Nigeria. A questionnaire-based survey was done at LAUTECH Teaching Hospital, Osogbo, in 2012. Questionnaires were administered to 213 workers and students in the hospital. These were then analysed using SPSS version 16.0 with frequencies, means, and so forth. Respondents were 33 doctors, 32 nurses, 79 medical students, 60 nursing students, 4 administrative staff, 1 pharmacist, and 4 ward maids. There is fair awareness about cosmetic surgery generally with 94.5% and its availability in Nigeria with 67.0%. A fewer proportion of the respondents (44.5%) were aware of the facility for cosmetic surgery in their locality. A large percentage (86.5%) favorably considers facilities outside Nigeria when making choice of facility to have cosmetic surgery done. 85.5% considered the information about cosmetic surgery reliable while 19.0% objected going for cosmetic surgery of their choice even if done free. Only 34.0% consider cosmetic surgery socially acceptable. Although the awareness of health workers about cosmetic surgery is high, their disposition to it is low. There is a need to increase the awareness in order to increase cosmetic surgery practice in Nigeria.

ETPOD (European Training Program on Organ Donation): a successful training program to improve organ donation

Advanced training of healthcare professionals active in organ donation is highlighted as a major means to overcome organ shortage. The objective of this study was to improve donation rates in the selected European target areas (TAs) by providing an advanced training program. A prospective intervention study was conducted in 25 TAs with active donor programs from 17 European countries, between 2007 and 2009. A training program based on collaborative methodology was designed at three different professional levels (health workers awareness, junior transplant coordinators, managers). Courses evaluation scores and donation figures in each TA were collected and compared before and after intervention. Courses with new developed training tools were implemented reaching out 3286 healthcare professionals. Feed-back questionnaires revealed a high degree of satisfaction among participants (average of 4.35 on a 1-5 scale). The number of utilized donors in the TAs increased from 15.7±14.3 (95% CI: 9.8-21.6) to 20.0±17.1 (95% CI: 13-27.1) (P=0.014) and the number of organs recovered increased from 49.7±48.5 (95% CI: 29.6-69.7) to 59.3±52.1 (95% CI: 37.8-80.8) (P=0.044). The European Training Program on Organ Donation is a successful training program, achieving a significant increase in organ donation figures.

A fresh look at the risks of artificial infant feeding.

Declining breastfeeding rates and the aggressive marketing of breastmilk substitutes has blurred the distinction between breastmilk and formula. Claims that infant formula is safe, economical, easy to use, and nutritionally complete are challenged in this article, the intent of which is to raise the awareness of health workers to the non-publicized side of infant formula. Non-proprietary, referenced data is provided to illustrate that formula and breastmilk are not the same thing, and that health outcomes of infants who consume each may be different. Guilt is often cited by health workers as a reason to avoid informing parents about the risks of artificial feeding. Suggestions are offered for addressing this reasoning.

"Abandoned" Parents

Maternal incompetence in childrearing is described in three widely different cultural settings in the southern Negev area of Israel. It is suggested that this incompetence stems from "abandonment" of the parents by traditional family support systems and is reinforced by the inability or lack of readiness of the health system to supply the missing support mechanisms. This picture of parental "abandonment" in widely different cultural settings in Israel may represent an end result of cultural and social upheaval common to other communities in the world. Techniques for prevention include improving awareness of health workers to this problem, teaching appropriate strategies for improving parental confidence and competence, and ensuring that maternal and infant care focuses appropriately on issues of infant behavior and parental concerns.