Busy Work Schedules Research Articles

Competency building in a busy working day for librarians and for libraries

Medical librarians know very well that they must build new competencies to offer relevant services and develop new library services. In a workshop at the EAHIL conference 2023, suggestions for competency building, and how libraries can build competency, were discussed. Positive and enthusiastic participants came up with many ideas: different types of clubs, webinars and courses, knowledge sharing with colleagues, regularly block out time, or just solve your tasks in a new way. The experiences showed that competency building in a busy work schedule is possible. The initiatives have in common that they portray an attitude to learn more, but also the willingness to organise activities and share competency with colleagues.

Staff's experiences of a culturally specific DEmentia Competence Education for Nursing home Taskforce (DECENT) programme: A qualitative process evaluation.

To understand participants' experiences with a culturally specific DEmentia Competence Education for Nursing home Taskforce programme within the contexts which was delivered. An exploratory descriptive qualitative approach. Semi-structured individual interviews were conducted within one week with the participants upon their completion of the programme from July 2020 to January 2021. A purposive sample of participants with different demographic characteristics in five nursing homes was recruited to maximize the sample variation. Interviews were audiotaped and transcribed verbatim for qualitative content analysis. Participation was on voluntary and anonymous basis. Four major themes were identified, including perceived benefits of the programme (i.e., enhanced sensitivity to the needs of residents with dementia, increased communication with families of residents with dementia, facilitated guidance on care for residents with dementia), facilitators (i.e., comprehensive content, active learning, qualified trainer, intrinsic motivation and organizational support), barriers (i.e., busy working schedules, discrimination against care assistants' learning capability) and suggestions for improvement. The results suggested the acceptability of the programme. The participants positively appraised the programme in enhancing their dementia-care competence. The facilitators, barriers and suggestions identified provide insights on improving programme implementation. The qualitative findings from the process evaluation are pertinent to support the sustainability of dementia competence programme in nursing home setting. Future studies could address the modifiable barriers to enhance its effectiveness. This study was reported in adherence to the Consolidated criteria for reporting qualitatve studies (COREQ) checklist. Nursing-home staff was involved in intervention development and delivery. The educational programme could be integrated into the routine practice in nursing homes to improve staff's dementia-care competence. More attention should be paid on the educational needs of the taskforce when implementing the educational programme in nursing homes. Organizational support is the precondition for the educational programme and cultivates a culture for practice change.

Why do teachers participate in technology-focused online language teacher communities on Facebook?

The study sets out to examine why language teachers from 78 different countries are utilizing technology-focused online language teacher communities on Facebook. The findings which were collected via a questionnaire (n = 482) and in-depth interviews (n = 31) illustrated how these online communities are being used in a multitude of ways—to explore ideas, keep abreast with the latest educational technologies, ask for techno-pedagogical help, experience a sense of belonging, to name a few. The study’s diverse dataset offers much-needed answers for understanding how technology-focused online language teacher communities on Facebook are valuable for supporting technology-using teachers, especially those who are on a tight budget, have a busy work schedule, or have unsupportive coworkers at their workplace.

“If your mother does not teach you, the world will…”: a qualitative study of parent-adolescent communication on sexual and reproductive health issues in Border districts of eastern Uganda

BackgroundAdolescents experience a host of sexual and reproductive health (SRH) challenges, with detrimental SRH and socio-economic consequences. These include early sexual debut, sexually transmitted infections including HIV/AIDS, teenage pregnancy, and early childbearing. Parent-adolescent communication about SRH has significant potential to reduce adolescents’ risky sexual behaviors. However, communication between parents and adolescents is limited. This study explored the facilitators and barriers to parent-adolescent communication about sexual and reproductive health.MethodsWe conducted a qualitative study in the border districts of Busia and Tororo in Eastern Uganda. Data collection entailed 8 Focus Group Discussions comprising of parents, adolescents (10–17 years), and 25 key informants. Interviews were audio-recorded, transcribed, and translated into English. Thematic analysis was conducted with the aid of NVIVO 12 software.ResultsParticipants acknowledged the key role parents play in communicating SRH matters; however, only a few parents engage in such discussions. Facilitators of parent-adolescent communication were: having a good parent-child relationship which makes parents approachable and motivates children to discuss issues openly, a closer bond between mothers and children which is partly attributed to gender roles and expectations eases communication, and having parents with high education making them more knowledgeable and confident when discussing SRH issues with children. However, the discussions are limited by cultural norms that treat parent-child conversations on SRH as a taboo, parents’ lack of knowledge, and parents busy work schedules made them unavailable to address pertinent SRH issues.ConclusionParents’ ability to communicate with their children is hindered by cultural barriers, busy work schedules, and a lack of knowledge. Engaging all stakeholders including parents to deconstruct sociocultural norms around adolescent SRH, developing the capacity of parents to confidently initiate and convey accurate SRH information, initiation of SRH discussions at early ages, and integrating parent-adolescent communication into parenting interventions, are potential strategies to improve SRH communication between parents and adolescents in high-risk settings such as borders.

Formation of the information and methodological competence of students in the process of distance learning

The article discusses the issues of distance learning, which has become popular with the advent of the Internet, opening up new development opportunities for residents of remote communities and business people with busy work schedules, is perceived only as an additional way to gain knowledge or prepare for exams, provides an opportunity full-fledged distance courses and advanced training programs at prestigious universities, commercial and non-profit companies from different countries, anywhere in the world, at a convenient time and pacing. Thus, distance education was an important problem for Kazakhstan even before the pandemic, which made the issue even more pressing. The authors also discuss the differences and provide examples of distance and online learning. The essence of online learning and distance learning concepts is revealed. Ways of providing students with information and methodological materials in distance learning are considered. The authors carried out a theoretical and methodological analysis of distance learning, distance education concepts. The paper identifies and analyzes the mechanisms of establishment of distance education. The types of international and national online platforms are shown. For illustrative examples of the resources used, the authors describe “on-screen” copies of the lectures of the online conference program zoom.us and idl.ksu.kz — platforms for distance learning of Karaganda University of the name of academician E.A. Buketov. The paper summarizes the problems of distance education, including the organization of distance learning of the University, outlines the prospects for further scientific developments.

“Accepting ‘Eternity’ of Antiretroviral Drugs”: A Pillar in Improving Adherence to Antiretroviral Drugs among a Selected Population of HIV Positive Patients in a Semi-Urban Region in Kenya - A Qualitative Analytic Study

Purpose: The objective of this research was to ascertain perspectives on suboptimal adherence and ways to improve optimal adherence to antiretroviral drugs (ARVs) among Human Immunodeficiency Virus (HIV) positive patients attending selected HIV Care Centres in Kibwezi West Sub-county, Makueni County, Kenya.
 Methodology: Six Focused Group Discussions (FGD) homogeneously stratified by age and gender and four Key Informant Interviews (KII) were conducted. Each FGD consisted of 8 study participants recruited by purposive sampling technique.
 Findings: Focus group discussions identified fear, stigma, defiance, ignorance on reasons for medication, not believing in oneself, participating in activities that hinder adherence such as drinking alcohol, retrogressive religious beliefs, lack of self-love and denial as the main causes of sub optimal adherence to ARVs. However the discussions also identified one-on-one educational counselling sessions, seeking advice, group education with similar infected people, adherence counselling support by health workers, acceptance of one’s status, social and family support as means to improve adherence to ARVs. It also identified knowing one’s status, acceptance, personal discipline on adherence and reminders such as clock alarms or a trusted person as means to improve adherence to ARVs. However, the discussions revealed gender and age differences, attributed to different life’s challenges and perspectives in the different cohorts thus interventions should be targeted rather than lump sum. Key informant interviews identified ignorance, stigma, busy work schedule and lack of social support as patient level factors that would hinder adherence to ARVs. They also noted long waiting time, distance, poor attitude by health service providers and drug stock outs contributing to poor adherence to ARVs at the facility level. However, they identified community dispensing, support groups, health talks with mentors, psychosocial support, drug availability, outreach, encouraging disclosure, distribution of patients to nearest satellite clinics and directly observed therapy (DOT) by a trusted relative as ways to improve adherence to ARVs.
 Unique Contribution to Theory, Practice and Policy: interventions need to be tailored to the specific population and individual needs; thus, adopting better and informed strategies. The study adds to the pool of knowledge that factors affecting adherence are dependent on populations under investigation due to varied socio-demographic, socio-cultural and socio-economic factors locally, regionally and globally. The findings of the study will inform the local county government of Makueni and Kibwezi West Sub-county administrators in formulating local economic and health policies and by-laws that would aid in improving optimal adherence to ARVs.

Healthcare workers' acceptance of and adherence to latent tuberculosis treatment.

Healthcare workers (HCWs) with latent tuberculosis infection (LTBI) have a high risk of active tuberculosis and need systematic LTBI screening and treatment. However, acceptance and adherence rates of LTBI treatment are low. To examine the specific reasons for the loss at each LTBI treatment-cascade stage: acceptance, continuation and completion of LTBI treatment in HCWs. This retrospective descriptive study was conducted among 61 HCWs with an interferon-gamma release assay-confirmed LTBI diagnosis who were prescribed LTBI treatment at a tertiary hospital in the Republic of Korea. Data were analysed using Pearson's chi-square, Fisher's exact, independent t-test and Mann-Whitney U-test. A word cloud analysis was used to describe the perceived meaning of LTBI in HCWs. HCWs who refused or discontinued LTBI treatment perceived LTBI as 'not a big deal', whereas HCWs who completed LTBI treatment had a high-risk perception of the LTBI prognosis, such as 'frightened about adverse prognosis'. Determinants of non-adherence to the recommended LTBI treatment included a busy work schedule, side effects of anti-tuberculosis agents and the inconvenience of regularly taking anti-tuberculosis agents. To ensure LTBI treatment adherence in HCWs, effective interventions that are customized to each stage of the LTBI treatment should be developed, with due consideration of the stage-specific perceived facilitators and barriers in the LTBI treatment cascade.

CONCEPTUAL OVERVIEW OF EFFICACY OF VIRECHANA KARMA IN MADHUMEHA WITH SPECIAL REFERENCE TO DIABETES MELLITUS TYPE 2

The lifestyle of human beings in the present era is full of stress and strain due to busy work schedules and changes in dietary habits. This leads to various lifestyle disorders, out of which Madhumeha (Diabetes mellitus) is the burning one. Diabetes has become the leading cause of death nowadays because it is the single most important metabolic disease that affects nearly every organ/system of the body. So, its treatment is crucial. The word Madhumeha combines two words, “Madhu” and “Meha”, which means sweet and excessive urine flow. In Ayurvedic classics, 20 types of Prameha are described, and Madhumeha has been described as a subtype of Vatik Prameha. There are two types of Prameha rogi according to Charaka Samhita, i.e., sthula pramehi and krisha pramehi. In sthula pramehi, kapha and pitta are predominant and in krisha pramehi, vata is predominant. So, for krisha pramehi, brahmana chikitsa is indicated, and for stuhla pramehi, samshodhan chikitsa is indicated to expel out vitiated doshas. In the former type, patients are usually asthenic and can be correlated with Diabetes Mellitus type I and in the latter type, patients are obese and can be equated with type II Diabetes Mellitus. Virechana karma, by its mode of action, not only works on pitta dosha but also on vata and kapha dosha and hence helps regulate high blood sugar levels.

Expedited editorial decision in COVID-19 pandemic.

The COVID-19 pandemic and its resultant lockdowns have interrupted the way scientists live and work. This nevertheless caused an unforeseen impact of COVID-19: the pandemic substantially increased editorial speed. Here, we causally identify the impact of the pandemic on the editorial decision time, based on a quasi-experimental regression discontinuity (RD) design that compares (N=339,199) papers submitted in the lead-up to and aftermath of the COVID-19 pandemic. We find that editors make acceptance decisions significantly quicker after the pandemic, reducing the editorial decision time of revised papers by 8.9 days on average. The pandemic, however, has unequal impacts on editors. The results reveal a larger reduction in editorial decision time for editors of high-tier journals, in the field of social science, or with busy work schedules. Finally, our findings also allude to the potential for the increase of editorial speed, and will stimulate policy changes in scientific enterprises that strive for accelerated publishing.

Malaysian Women's Viewpoint on HPV Screening and Vaccination: A Study on Barriers.

Cervical cancer is the second most common cancer in low-income countries and the third most common cancer in Malaysia among women aged 15 to 44. This is a huge concern because of the high mortality rate compared to other countries. Cervical cancer is caused by a common sexually transmitted human papillomavirus (HPV). Of cervical cancer cases, 80% are attributed to serotypes 16 and 18; therefore, early detection of premalignant lesions and infections from these viruses is important. Diagnosis can be carried out by polymerase chain reaction (PCR)-based HPV DNA analysis and Pap smear, which act as a viable preventive strategy. (1) Background: This study determined the adoption of the human papillomavirus (HPV) vaccine and the willingness to get vaccinated in Malaysian women. (2) Methods: An online survey was conducted with women from across Malaysia to gather their views on the barriers that prevent them from accessing HPV services. Sentiment analysis was performed to detect and classify the comments into three groups (positive, neutral, and negative). (3) Results: A total of 449 opinions were received, and the findings revealed that 41.3% were not afraid to be diagnosed early, and were prepared to accept positive or negative screening results. In addition, 18.6% of those surveyed indicated that they feared a Pap smear and were very concerned that they would not get good results. Of the respondents, 36% believed in vaccination and preferred to know more about it; 43.24% claimed that their family members were very supportive towards screening and vaccination; and 21.3% felt embarrassed and were afraid to undergo the screening procedure, as they had no prior experience and were unsure of how the procedure was conducted. In addition, 40.5% indicated that they had no concerns about HPV testing and related procedures, as this information is widely available. Only a few respondents (8.1%) talked about the time constraints and busy work schedules that prevented them from going to medical appointments. The survey also revealed that women are prevented from participating in cervical cancer screening and vaccination programs due to a lack of knowledge, shyness, personal rumors, privacy issues, financial issues, a lack of access to medical services, and ignorance and beliefs about rumors spreading online. (4) Conclusion: Results indicate that awareness of HPV and related prevention measures among women is vague and that negative perceptions continue to exist. It is strongly advised to develop a well-designed and knowledge-based application on the efficacy of screening and vaccination among Malaysian women.

Analysis of Completeness Filling in the Informed Consent Formulir at Bhakti Husada General Hospital, Krikilan, Banyuwangi, East Java

Background: The quality and success of medical record unit services can be seen from the management of the units that have been carried out by professional staff. The minimum service standard for the medical record unit for completing informed consent is 100%. Completeness of filling out informed consent at the Bhakti Husada Krikilan Banyuwangi General Hospital from April to June is still not in accordance with the SPM, namely 79.33%. The aim of this research is to analyze the completeness of filling out informed consent at Bhakti Husada Krikilan Banyuwangi General Hospital. Subjects and Method: This research is a qualitative research with a case study approach conducted at Bhakti Husada Krikilan General Hospital, Banyuwangi, East Java. The sampling technique used was purposive sampling. Data collection techniques using interviews, observation, documentation and questionnaires. Test the validity of the data using triangulation. Results: The percentage of completeness of filling out the informed consent sheet at the Bhakti Husada Hospital from May to July 2022 is 15.28%. The lowest percentage lies in the content and authentication section. Management elements that affect the incomplete filling of informed consent include man factors (knowledge and years of service), machine (availability of office stationery, monitoring and evaluation), method (standard operating procedures) and money (rewards and salaries). In addition, it was also found that busy work schedules and emergency cases could affect the incomplete filling of informed consent. Conclusion: The percentage of completeness of filling out informed consent at Bhakti Husada Krikilan Hospital is low. Elements of management that influence are man factors (knowledge and years of service), machine (availability of office stationery, monitoring and evaluation), method (standard operating procedures) and money (rewards and salaries). Keywords: Medical Records, Completeness of Informed Consent, Quality of Medical Record Units Correspondence: Muhammad Dudayev Caesar Putra. Masters Program in Public Health, Universitas Sebelas Maret, Jl. Ir. Sutami 36A, Surakarta 57126, Jawa Tengah. Email: muhammadnewduda-yev@gmail.com. Mobile: 085706450991. Journal of Health Policy and Management (2023) https://doi.org/10.26911/thejhpm.2023.08.01.08

Bottlenecks and opportunities towards achieving the targeted 95-95-95 HIV services in a rural district in Eastern Uganda

Background: Uganda has made progress in reducing its HIV prevalence from 7.3% in 2011 to 6% in 2017, however, more needs to be done to meet the World Health Organization (WHO) target of 95% of the population knowing their HIV status, 95% enrolled on treatment and 95% achieving viral suppression. This study aimed to assess the bottlenecks and opportunities towards achieving the 95 95 95 targeted HIV services in the Bukedea district. Methods: A mixed-methods cross-sectional study was conducted in the Bukedea district covering males and females aged 18-65 years who had consented to participate in the study. We used a purposive sampling procedure to select our study participants. Qualitative data was collected through focus group discussions, key informant interviews, and document reviews for quantitative data. Quantitative data were analyzed using STATA v 14 whereas qualitative data were analyzed using the thematic analysis approach. Results: The challenges were grouped as patient-related, medication-related, and facility-related. The patient-related challenges were stigma, fear of taking the medication, poor nutrition, long distances, alcoholism, busy working schedules, and domestic violence. The medication-related challenges were side effects and pill burden. The facility-related challenges were inadequate pretest counseling and stock-outs. The use of anti-retroviral drugs (ART) was common in piggery and poultry and the sources of these drugs were reported to be the people on ART and the health workers. The opportunities included home-based counseling, organizing more outreaches, counseling and health education, targeted testing, and strengthening the Village Health Teams (VHT) networks. Conclusions: The study revealed that the major challenges towards achieving the targeted 95-95-95 HIV services were stigma, inadequate pre-test counseling, fear of disclosure, and poor adherence due to alcoholism, sharing of drugs with animals and partners. The use of anti-retroviral drugs in animal husbandry was common in the Bukedea District.

How to convince a patient refusing colonoscopy - a qualitative study.

The available literature suggests that the most significant barriers to undergoing colonoscopy in general include “fear of pain and discomfort”, “fear of bowel preparation”, as well as directly unrelated influences such as “lack of support from family and friends”, “busy family and work schedules”, “other health problems” and the current “fear of getting COVID-19 in hospital”. A marital union may play a positive role, previous cancer a negative one. Another important factor is that patients are not used to talking about their barriers spontaneously; a guided conversation is a useful tool. Respondents in this qualitative study addressed these barriers as significant in their answers.

Adapting and pretesting the World Health Organization’s Caregiver Skills Training Program for children with autism and developmental disorders or delays in Hong Kong

The World Health Organization Caregiver Skills Training Program (WHO-CST) was developed to strengthen caregivers’ skills in supporting children with developmental delays and the caregivers’ well-being. The WHO-CST Hong Kong (HK) was adapted, and pre-pilot tested to support families with children suspected of having developmental delays and autism spectrum disorder and to empower the caregivers to foster their children’s learning, social communication, and adaptive behavior. A sequential mixed-methods research methodology was undertaken to examine the adaptation process and initial implementation experiences. The acceptability, feasibility, and perceived benefits of the WHO-CST were assessed using stakeholders’ and caregivers’ qualitative and caregivers’ quantitative pre- and post-intervention feedback. The data included materials generated from (1) three consultation meetings with stakeholders; (2) detailed reviews of the translated and adapted WHO-CST materials by master trainees (n = 10) trained by the WHO-CST representatives; (3) needs assessment focus group interviews with caregivers (n = 15) of children with autism spectrum disorder; and (4) pre- and post-CST program qualitative focus group interviews and quantitative evaluation. Consultation with stakeholders suggested that the program was acceptable for the local community, but the home visit and fidelity components were initially considered to be challenges towards the feasibility and sustainability of the program. Caregivers in the needs assessment focus groups gave widely diverse views about the program’s uniqueness, length, delivery mode, and the inclusion of videotaping in-home visits. Post-intervention comments by caregivers about the program were mainly positive, while the MTs were critical of the content and length of the training and fidelity process. As one of the first high-income locations to adopt the WHO-CST, the evaluation findings of the WHO-CST-HK indicate that it is feasible and acceptable to implement the program in a metropolitan area where families have busy work schedules and are very conscious of privacy issues. The study results suggest that the WHO-CST program in HK and other high-income countries require scaling up and further evaluation of its implementation in real community settings. This involves systemic and contextual changes to allow task-sharing between professionals and non-specialists at the macro level. Furthermore, technology should be used to support the supervision of non-specialists. In addition, easier access to the WHO-CST materials at the micro level is required to ensure equity, equality, diversity, and inclusion of diversified families of children with developmental delays.

The Effect of Ashwagandhadi Granules on Physical Performance in Healthy Individuals

Introduction: Physical fitness is a state of health and well-being and more specifically, the ability to perform the aspects of sports, occupations, and daily activities. A higher fitness level indicates a better long-term effect of health. Physical fitness is generally achieved through a proper nutrition, moderate physical exercise, hygiene, and sufficient rest. Considering the nutritional aspect of physical fitness, supplements are required to bridge the nutritional gap due to busy work schedule and faulty food habits. Hence, a health supplement is the need for the hour which is tasty, will meet the daily requirements, and provide optimum nutrients for improving the physical fitness. Materials and Methods: Ashwagandhadi granules, formulated with a combination of food and Rasayana dravyas, consisting of Ashwagandha (Withania somnifera), Shatavari (Asparagus racemosus), Ragi (Eleusine coracana), Mudga (Vigna radiata), Jeeraka (E. coracana), and Shunti (Zingiber officinale), can be a promising health supplement. An open-label double-arm control clinical study with convenient sampling and modified wait-listed crossover design was conducted among 23 individuals. While in the study group, they were administered with 20 g of Ashwagandhadi granules with 150 ml milk for a month. Results: The result revealed a statistically significant change in the Harvard Step Score and VO2 max (z = 3.83, P < 0.001). Conclusion: The administration of Ashwagandhadi granules has a statistically significant effect on physical fitness.

Providers’ perspectives on implementing resilience coaching for healthcare workers during the COVID-19 pandemic

BackgroundThe COVID-19 pandemic severely exacerbated workplace stress for healthcare workers (HCWs) worldwide. The pandemic also magnified the need for mechanisms to support the psychological wellbeing of HCWs. This study is a qualitative inquiry into the implementation of a HCW support program called Resilience Coaching at a general hospital. Resilience Coaching was delivered by an interdisciplinary team, including: psychiatrists, mental health nurses allied health and a senior bioethicist. The study focuses specifically on the experiences of those who provided the intervention.MethodsResilience Coaching was implemented at, an academic hospital in Toronto, Canada in April 2020 and is ongoing. As part of a larger qualitative evaluation, 13 Resilience Coaches were interviewed about their experiences providing psychosocial support to colleagues. Interviews were recorded, transcribed, and analyzed for themes by the research team. Interviews were conducted between February and June 2021.ResultsCoaches were motivated by opportunities to support colleagues and contribute to the overall health system response to COVID-19. Challenges included finding time within busy work schedules, balancing role tensions and working while experiencing burnout.ConclusionsHospital-based mental health professionals are well-positioned to support colleagues’ wellness during acute crises and can find this work meaningful, but note important challenges to the role. Paired-coaches and peer support among the coaching group may mitigate some of these challenges. Perspectives from those providing support to HCWs are an important consideration in developing support programs that leverage internal teams.

The influence of occupational stress on the subjective attitude of rescuers of international humanitarian missions to the conditions of individual and groups

The article considers the psychological features of the activities of specialists of the consolidated rescue units of the International Humanitarian Missions (IHM) and rescue operations (RO). Identify the main mechanisms of occupational stress, and the peculiarities of their subjective attitude to activities under the influence of stressors of high efficiency. It is established that the conditions of professional activity of IHM rescuers are most influenced by two groups of stressors of high intensity: external stressors and the actual stressors of the professional activity, and the result of their work depends largely on a number of external factors. involved in the activities of the mission, weather and climatic conditions, serviceability of equipment, decisions of the head, etc.) than from the rescuer as an individual subject of labor. In such conditions, an international-class lifeguard may feel like a passive object of other people and external circumstances, rather than an active subject of his own professional activity. The main features of their way of life in the IHM rescuers international class consider: long separation from home and family, no weekends and holidays, busy work schedule, confined space during the IHM, lack of free time, spending most of the time in terms of tasks. appointment. According to the results of the analysis, rescuers of international class operate under conditions where the result of their work depends more on a number of external factors (joint efforts of all specialists involved in IHM, weather and climatic conditions, equipment, managerial decisions, etc.) than from the rescuer himself as an individual subject of labor. In such conditions, an international-class lifeguard may feel like a passive object of other people's actions and external circumstances, rather than an active subject of his own professional activity. The main features of their way of life in the conditions of MHM rescuers of international class consider: long separation from home and family, lack of weekends and holidays, busy work schedule, closed space during the MHM, lack of free time, spending most of the time appointment.

ANALISIS PENGEMBANGAN APLIKASI PSYCHOMOTOR VIGILANCE TASK (PVT) SEBAGAI ALAT UJI KESIAPAN BERTUGAS PENGEMUDI KENDARAAN TEMPUR

Fatigue has been stated as one of the main factors causing accidents in various countries. One of the efforts that can be made to prevent the risk of an accident is to detect as early as possible the driver's condition before starting the trip. One example of a driving profession is the driver of a combat vehicle. Busy work schedules and changing service schedules can result in combat vehicle drivers experiencing a decrease in the quality and quantity of sleep associated with increased fatigue at work. Therefore, this study aims to evaluate the level of fitness for the duty of soldiers. The research was held at the TNI Soldier Education Center using a type of Tank fighting vehicle. This study used the Psychomotor Vigilance Task (PVT) application as a measuring tool for data collection, with a total of 8 respondents. Data processing using Wilcoxon's non-parametric statistical test. The results showed that there was no significant difference in the average value of response time and drowsiness, but the number of misses showed a significant difference in conditions after driving for 2 hours, and after driving for a total of 3 hours.

PROFESSIONAL ACTIVITY PECULIARITIES OF THE FAMILY PHYSICIANS IN THE PRIMARY HEALTH CARE SYSTEM, CONSIDERING THE COVID-19 PANDEMIC SITUATION

The study aimed to determine the specificity of a family physician's professional practice in the primary health care system under the COVID-19 pandemic conditions.The study found that: the job of a family physician belongs to a group of tense and stressful professions; qualifications of a family doctor can be considered the following: busy work schedule, a large number of patient visits during the working day, variety of problems to be solved; personal and professional responsibility; A family doctor's stressful working environment has a negative impact on their health and increases the risk of developing diseases such as high blood pressure and diabetes, which is also facilitated by bad eating time schedule. Cases of diseases (diabetes and arterial hypertension) detected among family physicians can be considered as work-related diseases.

The effect of learning management system on ICU nurses' sustained learning about safe blood transfusion: A quasi-experimental study.

Background and AimsTransfusion of blood products is an important part of the health care system. Since one of the significant challenges in nursing education is using an effective method that provides depth and stability of learning, this study aimed to assess using a learning management system (LMS) for intensive care unit (ICU) nurses' sustained learning about safe blood transfusion in southeast Iran.MethodsThis was a quasi‐experimental study in southeast of Iran in 2021 in two groups, control and intervention. Two ICUs received lecture training and two ICUs received LMS. The samples 80 nurses were selected by random convenience sampling. In the LMS group, the educational content was presented using Edmodo software. The control group received no intervention except for traditional education (lecture). The questionnaires were completed immediately, 1 month, and 3 months after the intervention.ResultsThe mean score of knowledge immediately, 1 month and 3 months after the intervention were 9.53 ± 1.82, 9.46 ± 1.85, and 8 ± 2.94, in the lecture group and 8.91 ± 1.59, 9.47 ± 2.46, and 8.09 ± 1.94 in the LMS group, respectively. The mean score of practice immediately, 1 and 3 months after the intervention were 59.69 ± 39.6, 70.63 ± 7.4, and 83.70 ± 43.6 in the lecture group and 45.68 ± 55.5, 67.69 ± 4.56, and 35.70 ± 46.4 in the LMS group, respectively. The mean score of knowledge and practice in the two groups significantly increased immediately and 1 month and 3 months after intervention (p < 0.001). No significant difference was observed between the two groups (p > 0.05).ConclusionsLMS method has a significant effect on improving the sustained learning of ICU nurses, and no significant difference was observed between the two educational methods. Hence, considering the busy work schedule of nurses, lack of staff, and the impossibility of physical attendance in lecture classes, it seems that LMS‐based methods are appropriate alternatives to traditional learning methods.