Staff Communication Research Articles

Community based integrated wound care: Results of a pilot formative research conducted in Benin and Côte d’Ivoire, West Africa

Appropriate treatment of chronic wounds is priority in the management of Neglected Tropical Skin Diseases (NTSDs) and non-communicable diseases. We describe an integrated, community-based wound care pilot project carried out in Benin and Cote d’Ivoire that entailed both outreach education and evidence based wound care training for nurses staffing rural clinics. This research was carried out by a transdisciplinary research. Following the collection of baseline data on wound care at home and in clinics, an innovative pilot project was developed based on a critical assessment of baseline data in three parts: a pragmatic nurse training program; mass community cultural sensitive outreach programs and a mobile consultation. It came out from our investigation that several dangerous homecare and inappropriate wound treatment practices in clinics, gaps in knowledge about Neglected Tropical Skin Diseases (NTSDs), and little health staff communication with patients about appropriate wound care. Nurse training covered 11 modules including general principles of wound management and advice specific to endemic NTSDs. Nurse pre-post training knowledge scores increased substantially. Eight mass community outreach programs were conducted, followed by mobile clinics at which 850 people with skin conditions were screened. Three hundred and three (35.65%) of these people presented with wounds of which 64% were simple, 20% moderate, and 16% severe cases. Patients were followed for ten weeks to assess adherence with wound hygiene messages presented in outreach programs and repeated by nurses during screening. Over 90% of simple and moderate cases were managed appropriately at home and 98% of wounds were healed. Of the 47 cases referred to the health center, 87% came for and adhered to wound care advice. In 90% of cases, wounds healed. This pilot study provides a model for introducing integrated community based wound care in Africa.

Key informants perspectives on creating a high impact research department in family and community medicine: a qualitative project.

Primary care is integral to the health system and population health. Primary care research is still in development and most academic departments lack effective research investments. High impact primary care research programs are needed to advance the field to ensure a robust primary care system for the future. The project objective was to understand key informants' views of structures, functions, and processes required to create a high impact research program in an academic primary care department. A descriptive qualitative project with key informants from research programs in primary care. Participants included international research leaders in primary care (n = 10), department of family and community researchers (n = 37) and staff (n = 9) in an academic primary care department, other university leaders (n = 3) and members of the departmental executive leadership team (1 department; 25 members). Semi-structured interviews (n = 27), and focus groups (n = 6) were audio recorded, transcribed, and analyzed using thematic analysis. We used a socioecological framework which described micro, meso, macro levels of influence. At the micro level despite barriers with respect to funding, protected time and lack of formal mentorship, personal motivation was a key factor. At the meso level, the organizational structure that promoted collaboration and a sense of connection emerged as a key factor. Specifically research leaders identified a research faculty development pipeline based on equity, diversity, inclusion, indigeneity, and accessibility principles with thematic areas of focus as key enablers. Lastly, at the macro level, an overarching culture and policies that promoted funding and primary care research was associated with high impact programs. The alignment/complementarity of micro, meso, and macro level factors influenced the creation of a high impact research department in primary care. High impact research in primary care is facilitated by the development of researchers through formalized and structured mentorship/sponsorship and a department culture that promote primary care research.

Acceptability and Feasibility of Maternal Mental Health Assessment When Managing Small, Nutritionally At-Risk Infants Aged < 6 Months: A Key Informant Interview Study.

Maternal mental health (MMH) conditions and infant malnutrition are both major global public health concerns. Despite a well-established link between the two, many nutrition programmes do not routinely consider MMH. New World Health Organization (WHO) malnutrition guidelines do, however, emphasise MMH. To inform guideline rollout, we aimed to assess the feasibility and acceptability of MMH assessments in nutrition programmes in low-resource settings. Ten semi-structured interviews were conducted with international key informants who work on nutrition programmes or MMH research. Interview transcripts were coded using subthemes derived from the key points discussed. The benefits and risks were highlighted. These included ethical dilemmas of asking about MMH if local treatment services are suboptimal. Commonly reported challenges included governance, staff training and finance. Community and programme staff perceptions of MMH were primarily negative across the different settings. Many points were raised for improvements and innovations in practice, but fundamental developments were related to governance, care pathways, advocacy, training, funding and using existing community networks. Future implementation research is needed to understand whether assessment is safe/beneficial (as it is in other settings) to promote MMH screening. Current service providers in low-resource settings can undertake several steps, as recommended in this paper, to improve the care offered to mothers and infants.

How well are US communities planning for resilience, climate adaptation, and sustainability—and what’s missing? Results of a national survey of local staff and officials

Community resilience, climate adaptation, and sustainability planning are increasingly used by communities in the United States to prepare for the effects of natural hazards and climate change. Existing studies have examined the theoretical intersections of these planning initiatives, but knowledge remains limited about practitioner perceptions and needs. We surveyed local community staff conducting resilience, climate adaptation, and sustainability planning to understand their experiences and views about prioritization and effectiveness, barriers to success, and external information and support for these approaches. Respondents generally reported success in their planning efforts across all three areas, and with respect to navigating the growing array of available information and support options. The latter suggests that technical limitations are no longer a serious impediment. However, securing funding and implementing plans remain important barriers to effective resilience, adaptation, and sustainability planning. Yet, observed conceptual and practical overlaps between these related concepts may signal a way forward.

Assessing the Disruption Impact on Healthcare Delivery.

Health emergency outbreaks such as the COVID-19 pandemic make it challenging for healthcare systems to ration medical resources and patient care. Such disastrous events have been increasing over the past years and are becoming inevitable, necessitating the need for healthcare to be well-prepared and resilient to unpredictable rises in demand. Quantitative and qualitative based decision support systems increase the effectiveness of planning, alleviating uncertainties associated with the crisis. This study aims to understand how the COVID-19 pandemic has affected the performance of healthcare systems in different areas and to address the associated disruption. A cross-sectional online survey was conducted in the Kingdom of Saudi Arabia and the United Arab Emirates among healthcare workers who worked during the pandemic. The pandemic-related disruption and its psychometric properties were assessed using Structural Equations Modeling (SEM) with 5 latent factors: Staff Mental Health, Communication Level, Planning and Readiness, Healthcare Supply Chain, and Telehealth. Responses from highly qualified participants with many years of experience in hospital settings were collected and analyzed. Results show that the model satisfactorily fits the data with a CLI of 0.91 and TLI of 0.88. The model indicates that enhancing supply chain management, planning, telehealth usage, and communication level across the healthcare system can mitigate the disruption. However, the lack of mental health management for healthcare workers can significantly disrupt the quality of delivered care. Staff mental health and healthcare supply chain, respectively, are the highest contributors to varying degrees of disruption in healthcare delivery. This study provides a direction for more research focusing on determinants of healthcare efficiency. It also provides decision-makers insights into the main factors leading to disruptions in healthcare systems, allowing them to shape their outbreak response and better prepare for future health emergencies.

Indigenous art-themed personalised theatre caps improve patient perioperative experience and perceived staff communication in the operating theatre: a quality improvement project at Royal Darwin Hospital in Australia

BackgroundPersonalised theatre caps have been shown to improve staff communication in the operating theatre. The impact of these caps on the patient perioperative experience, particularly in Indigenous Australian patients, has not been well established.MethodologySurgical patients and operating theatre staff at Royal Darwin Hospital in Australia were surveyed before and after the introduction of Indigenous art-themed personalised (name and role) theatre caps in October 2021 and January 2022. Staff name and role visibility in operating theatres was also audited.ResultsA total of 223 staff and patients completed surveys. Most patients reported the theatre caps to be helpful (90%, 95% confidence interval [CI] 81–99) and felt more comfortable because staff were wearing them (91%, 95% CI 82–100). These results were consistent across Indigenous and non-Indigenous patients. The majority of staff agreed that personalised name and role theatre caps improved staff communication (89%, 95% CI 81–97), improved the staff-patient interaction (77%, 95% CI 67–87), and made it easier to use staff names (100%). Staff name and role visibility increased from 8 to 51% (p < 0.001) after the introduction of personalised theatre caps.ConclusionsThe introduction of Indigenous art-themed personalised theatre caps for operating theatre staff at Royal Darwin Hospital improved perceived staff communication and the patient perioperative experience.

Impact of Implementation of NABH Standards on Patient Experience and Feedback about Hospital Services

Background: Health care is one of the most important service industry where quality standards need to be maintained for patient treatment and satisfaction. National accreditation boards for hospitals and health care providers (NABH) standards focus on quality, infection control and patient safety. The impact of these standards on patient feedback about hospital services needs to be studied.Objective: To observe the impact of NABH standards on patient feedback and experiences and patient satisfaction.Methods: Patient feedback and experience data collected by Quality department of the hospital for the months of October 2018 (before implementation of NABH standards) was compared with data of October 2023 (5 years of implementation of NABH standards) and the data was analysed using statistical tools. The data was analysed and compared separately for Outpatient department (OPD) and In Patient department (IPD) patients.Results: The data was collected through questionnaire from 400 patients and their relatives (for less than 18 years age patients) each for both months. There was improvement in feedback and experiences for all elements of the questionnaire for both OPD and IPD patients, more significantly for staff behaviour and communication skills of staff. The feedback and experiences for IPD patients were more satisfactory than OPD patients in our study.Conclusion: NABH standards implementation has a positive impact on patient feedback and experiences leading to greater patient satisfaction. IPD patients are more satisfied with hospital services as compared to OPD patients.International Journal of Human and Health Sciences Vol. 08 No. 01 Jan’24 Page: 44-48

Review Paper- “Detail Evolution of RTE Food”

Biospark-healthcare Private Limited is a Private incorporated on 05 July 2021. It is classified as Non-govt companyand is registered at Registrar of Companies, Mumbai. Its authorized share capital is Rs. 150,000 and its paid up capital is Rs. 150,000. It is inolved in Manufacture of other food products Biospark-healthcare Private Limited's Annual General Meeting (AGM) was last held on N/A and as per records fromMinistry of Corporate Affairs (MCA), its balance sheet was last filed on 31 March 2022. Directors of Biospark-healthcare Private Limited are Jaiprakash Khanchand Vasdani, Neelkumar Rewachand Sujan,Vijay Jeevan Sujan and Prashant Kothari. Biospark-healthcare Private Limited's Corporate Identification Number is (CIN) U24290MH2021PTC363325 and its registration number is 363325.Its Email address is vijay.sujan@jnvgroup.co and its registered address is 4-A, 4TH FLOOR, 898 NOTAN PLAZA TURNER ROAD, BANDRA (WEST) MUMBAI Mumbai City MH 400050 IN. Current status of Biospark-healthcare Private Limited is - Active. The initial project proposal outlined a simple system of using a concept called “networked hypertext” to transmit documents and to communicate among staff in the high-energy physics community. Keywords – SUPPLY, SUPPLY CHAIN, SUPPLY CHAIN MANAGMENT, INDIRECT SUPPLY, TAX TRANSPORT COMPLIANCE, TRANSPORTATION

Review Paper- “E-COMMERCE GROWTH IN INTERNATIONAL MARKET IMPACT ON SUPPLY CHAIN MANAGEMENT”

This research paper provides a comprehensive review of logistic and supply chain models, aiming to enhance the understanding of the intricate frameworks that govern the movement of goods and information within global business networks. The logistics and supply chain management (SCM) landscape has evolved significantly in recent years, driven by technological advancements, globalization, and the increasing complexity of business operations. This paper explores various models employed in logistics and supply chain management, focusing on their theoretical foundations, practical applications, and the impact of emerging trends on their effectiveness. The initial project proposal outlined a simple system of using a concept called “networked hypertext” to transmit documents and to communicate among staff in the high-energy physics community. Keywords – SUPPLY, SUPPLY CHAIN, SUPPLY CHAIN MANAGMENT, INDIRECT SUPPLY, TAX TRANSPORT COMPLIANCE, TRANSPORTATION

Strong Born-A First of Its Kind National FASD Prevention Campaign in Australia Led by the National Aboriginal Community Controlled Health Organisation (NACCHO) in Collaboration with the Aboriginal Community Controlled Health Organisations (ACCHOs).

The Strong Born Campaign (2022-2025) was launched by the National Aboriginal Community Controlled Health Organisation (NACCHO) in 2023. Strong Born is the first of its kind national Aboriginal and Torres Strait Islander health promotion campaign to address Fetal Alcohol Spectrum Disorder (FASD) within Australia. Strong Born was developed to address a longstanding, significant gap in health promotion and sector knowledge on FASD, a lifelong disability that can result from alcohol use during pregnancy. Utilizing a strengths-based and culturally sound approach, NACCHO worked closely with the Aboriginal Community Controlled Health Organisations (ACCHOs) to develop the campaign through co-design, as described in this paper. Since its inception, the ACCHOs have continually invested in driving change towards improvements in Aboriginal health determinants and health promotion. The Strong Born Campaign developed culturally safe health promotion tool kits designed for the community and health sector staff and also offered communities the opportunity to apply for FASD Communications and Engagement Grants to engage in local campaign promotion. The tool kits have been disseminated to 92 ACCHOs across Australia. This paper describes the development of the Strong Born Campaign and activities following its launch in February 2023 from an Indigenous context within Australia, as described by NACCHO.

Many hops, many stops: care-seeking "loops" for diabetes and hypertension in three urban informal settlements in the Mumbai Metropolitan Region.

The burden of Non-Communicable Diseases (NCDs) in urban informal settlements across Lower and Middle Income Countries is increasing. In recognition, there has been interest in fine-tuning policies on NCDs to meet the unique needs of people living in these settlements. To inform such policy efforts, we studied the care-seeking journeys of people living in urban informal settlements for two NCDs-diabetes and hypertension. The study was done in the Mumbai Metropolitan Region, India. This qualitative study was based on interviews with patients having diabetes and hypertension, supplemented by interactions with the general community, private doctors, and public sector staff. We conducted a total of 47 interviews and 6 Focus Group Discussions. We synthesized data thematically and used the qualitative software NVivo Version 10.3 to aid the process. In this paper, we report on themes that we, as a team, interpreted as striking and policy-relevant features of peoples' journeys. People recounted having long and convoluted care-seeking journeys for the two NCDs we studied. There were several delays in diagnosis and treatment initiation. Most people's first point of contact for medical care were local physicians with a non-allopathic degree, who were not always able to diagnose the two NCDs. People reported seeking care from a multitude of healthcare providers (public and private), and repeatedly switched providers. Their stories often comprised multiple points of diagnosis, re-diagnosis, treatment initiation, and treatment adjustments. Advice from neighbors, friends, and family played an essential role in shaping the care-seeking process. Trade-offs between saving costs and obtaining relief from symptoms were made constantly. Our paper attempts to bring the voices of people to the forefront of policies on NCDs. People's convoluted journeys with numerous switches between providers indicate the need for trusted "first-contact" points for NCD care. Integrating care across providers-public and private-in urban informal settlements-can go a long way in streamlining the NCD care-seeking process and making care more affordable for people. Educating the community on NCD prevention, screening, and treatment adherence; and establishing local support mechanisms (such as patient groups) may also help optimize people's care-seeking pathways.

Navigating Challenges and Opportunities in Community-Based Interventions for Promoting Active Aging: A Systematic Review of the Roles of Technology.

Researchers from different fields are increasingly interested in incorporating technology into community-based interventions that promote active aging. Yet, there lacks a comprehensive understanding of technology roles, posing challenges for designers seeking to maximize the intended impacts of such interventions. This systematic review aims to fill the gap by examining existing community-based interventions that integrate digital technologies to promote active aging. Thirteen studies were screened, with a total of 14 interventions examined, following the PRISMA Guideline. The challenges in designing and operating community-based interventions, the roles of technology in the interventions, and the caveats of utilizing technology during the process were identified. The review emphasizes the importance of overcoming challenges in community-based interventions and leveraging technology to enhance the intended impacts. The findings underscore the need to understand technology's nuanced roles in community-based interventions for active aging. The article provides a starting point for accumulating knowledge and practice in utilizing technology to navigate the challenges and opportunities encountered in such interventions. It also sheds light on a notable gap: the lack of innovative and strategic approaches that harness digital interventions appropriately in community-based interventions. This emphasizes a crucial requirement for guidelines to assist designers, policymakers, and community staff in integrating technology appropriately into community-based interventions or implementing interventions that incorporate digital technologies at the community level.

Can hotels be used as alternative care sites in disasters and public health emergencies-A narrative review.

Managing disasters and public health emergencies poses a complex challenge, particularly in maintaining the crucial elements of surge capacity, often referred to as the 4S: staff, stuff, space, and system. While discussions surrounding the management of these emergencies typically emphasize their impact on emergency healthcare services, resources, and capabilities, it is essential to recognize the inherent limitations of these resources. Therefore, integrating non-medical resources such as community staff, supplies, and spaces into the response chain is equally important. Among community facilities, hotels are particularly intriguing due to their organizational and structural capabilities to serve as alternative care sites for lightly injured or non-injured emergency victims. This narrative review explored the potential use of hotels as alternative care sites and the legal implications associated with such utilization. The results confirmed a high potential for using hotels as alternate care sites. However, data concerning its practical and legal implications are insufficient. This paper suggests further research to investigate the criteria for utilizing hotels in this capacity, including admission guidelines for disaster victims and relevant ethical and legal considerations.

Quality of Communication Between Professors and University Students in the Process of Learning.

Teaching requires the incorporation of communication skills, and these potentials may affect the outcomes of the learning process. This study evaluated the quality of communication between professors and students during the process of learning Dentistry. A questionnaire was developed and applied to evaluate their perceptions about their communications in an undergraduate Dentistry course. The questionnaire had ten items to analyze professors' self-perception and ten for students' perceptions, using a Likert-like scale and a final open question. During its construction, it was sent to five specialists to analyze content validity. The open question gathered suggestions to improve and intensify communications effectively and to identify vulnerabilities. Total scores ranged from 10 to 50, with 10 as the worst perception, and 50, as the best. The scores were calculated by adding all answers and then dividing that sum by the total number of items. Cronbach's alpha was calculated to evaluate the instrument's internal consistency. The level of significance was set at 0.05%. The Student t-test was used to determine differences between groups. Professors' self-perceptions and students' perceptions of the quality of communication of the university teaching staff during the student's learning process had statistically significant differences. Professors classified their ability to communicate when emitting and receiving information as satisfactory. Students, however, did not fully agree with them, particularly on the items about receiving information. The perceptions identified in this study may lead to a new direction in the communicative behavior of professors and students.

Validity of questionnaire regarding job satisfaction among the workers in Misurata medical center: as important research tool in healthcare management and community medicine.

Background and aim: Having a high level of job satisfaction may increase the productivity and enhance the quality of healthcare services. The aim of this study was to assess the content validity and reliability of questionnaire regarding job satisfaction among healthcare workers in Misurata medical center. Methodology: A Cross-sectional study was conducted among 234 randomly selected healthcare workers working in Misurata medical center, Misurata, Libya. This study used a self-administrated questionnaire that takes approximately 15 minutes to complete and was generally well received by the respondent’s. The validation involved content validity and internal consistency for reliability. Results: A total of 300 questionnaires were distributed, returned 234 with 78% response rate. No items had an I-ICV score of ≤ 0. 6, therefore all the items for all the components in the questionnaire were considered eligible and retained. The universal agreement rates all the all items in the questionnaire was 0.66.Cronbach’s alpha coefficient, used to assess internal consistency. The total Cronbach’s alpha coefficient was 0.831; for staff relation, work factors, management, supervision and communication was 0.802, 0.845, 0.796, 0.834 and 0.742; respectively.Conclusions: The questionnaire on job satisfaction was valid and reliable with good items that enable its use for assessing job satisfaction among healthcare providers.

Evaluation of a new patient safety educational programme to reduce adverse events by encouraging staff to speak up: application of the trigger tool methodology

BackgroundPoor communication contributes to adverse events (AEs). In our hospital, following an experience of a fatal incident in 2014, we developed an educational programme aimed at improving communication for better...

Development and Validation of the Companion's Satisfaction Questionnaire of Patient's Hospitalized in Intensive Care Units.

The current study aimed to develop and validate of companions' satisfaction questionnaire of patients hospitalized in ICUs. This is a methodological study that was performed in three phases: In the first phase, the concept of companion's satisfaction of patients hospitalized in ICUs was defined through qualitative content analysis method. In the second phase, early items of questionnaire were generated based on findings of the first phase. In the third and final phase, validation of the questionnaire was evaluated using face, content and construct validity as well as reliability. In exploratory factor analysis, three subscales including: satisfaction with nursing staff communication (5 items), satisfaction with nursing care (12 items), and satisfaction with decision making (5 items) were extracted by Eigen value above one and factor load above 0.5. Internal consistency and stability of the developed questionnaire confirmed with 0.94 and 0.95 respectively that indicated acceptable reliability. The 22-item developed questionnaire is valid and reliable for measurement of levels of companion's satisfaction of Iranian patients hospitalized in ICUs.

Causes of maternal deaths in Sierra Leone from 2016 to 2019: analysis of districts’ maternal death surveillance and response data

IntroductionSierra Leone is among the top countries with the highest maternal mortality rates. Although progress has been made in reducing maternal mortality, challenges remain, including limited access to skilled care...

Chất lượng dịch vụ khám bệnh, chữa bệnh và một số yếu tố ảnh hưởng tại khoa khám bệnh tại trung tâm y tế huyện Khánh Sơn, tỉnh Khánh Hoà năm 2023

A cross-sectional study was conducted from 11/2022 to 06/2023 to describe the quality of medical examination and treatment services (MET) and analyze some influencing factors at the Department of Examination at the District Health Center. Khanh Son Khanh Hoa province. Quantitative research method on 200 patients was conveniently selected, using SERVPERF questionnaire combined with qualitative through in-depth interviews with leaders, managers and patients. The results showed that the percentage of patients who rated the quality of service as good was 89.0%, the highest in the aspect of trust (89.5%), the lowest in the aspect of assurance (84.5%), sympathy and tangibles reached 86.0%, responsiveness reached 87.0%. Factors that positively affect service quality: Applying information technology in MET; good attitude, communication and behavior of medical staff; simple MET process and investment policy to improve hospital quality; Negative factors: Limited investment funds; degraded and narrow facilities; lack of immunoassay machines; professional capacity of medical doctors is not high; lack of specialists; training; policy is not appropriate. Positive factors need to be maintained, negative factors need to be overcome to improve service quality.

Measuring Lessons Learned from Durham Community Hub Model during COVID-19: A Support Solution for the Homeless and other Vulnerable Populations

Introduction/background: The COVID-19 pandemic significantly impacted the availability of community support and resources to vulnerable populations, including persons experiencing homeless within the Regional Municipality of Durham, Ontario, Canada. In response, the Region developed pilot community hubs to address escalating unmet housing, healthcare and support needs.&#x0D; Why did you do it? The community hub evaluation project is a community-based research co-created by a research team from Ontario Tech University and community stakeholders to measure the community hubs' effectiveness in addressing service users' unmet needs during the COVID-19 pandemic.&#x0D; Who is it for? The project is relevant to healthcare and social service policymakers and service providers, service users, researchers, and community organizers involved in researching, funding, designing and delivering healthcare and social services for vulnerable populations.&#x0D; Who did you involve and engage with? The project collaborators comprised a research team from Ontario Tech University and an advisory committee of community hub staff members and service users convened by the research team. All aspects of the project’s design and implementation, including creating the data collection tools, participant recruitment, data collection, data analysis and developing the knowledge translation products, were completed in collaboration with the research advisory committee that met monthly. Service users on the advisory committee were compensated for their time and contribution.&#x0D; What did you do? A mixed-methods research design was used to explore the experiences of the community hub service users, staff members and subject matter experts. Service users were recruited from the community hubs. Staff members were recruited through virtual staff meetings. Face-to-face surveys were administered to 75 service users at the community hubs. Staff online surveys were self-administered by 15 direct service staff. Virtual interviews were conducted with five community hub managerial staff and two subject matter experts. Quantitative data were calculated using the SPSS statistical software. Qualitative data were analyzed using thematic analysis.&#x0D; &#x0D; What results did you get? What impact did you have? The integrated service model was described as saving service users’ lives. Adequate, core funding is required for the sustainability of the community hubs. Results from the evaluation provided the regional government with data to help inform its strategic priorities for vulnerable populations.&#x0D; What is the learning for the international audience? The needs of vulnerable populations including persons experiencing homelessness are deep and entrenched. Community hubs integrate a range of healthcare and social support services, including the social determinants of health that respond to service users’ immediate and emerging needs.&#x0D; What are the next steps? Knowledge translation through conferences, symposiums, presentations at regional sector tables and peer-reviewed publications. Collaborating with the community hubs to utilize the research findings to support improvement in future service design and delivery.