Group Of Health Workers Research Articles

Investigation of the Efficiency of Psychological Support Videos as an Approach to the Protection of Mental Health of Medics During the Pandemic Process.

The aim of this study is to evaluate whether providing psychological support to healthcare professionals who are actively involved in the pandemic process will reduce the psychological risk factors created by the pandemic on healthcare professionals. A total of 440 healthcare professionals working in different positions in 2 state hospitals, which are considered pandemic hospitals, were included in the study. Sociodemographic Data Form, Hospital Anxiety and Depression Inventory, and Psychological Resilience Scale were used in the study, which was carried out with the experimental design pre-test-post-test model before the experiment. Participants were made to watch 4 videos prepared by expert psychologists on anxiety, depression, and psychological resilience. The data obtained from the sample before and after watching the videos were analyzed with the paired sample t-test. Accordingly, there was a significant difference between the groups of health workers who participated in the survey before and after watching the psychological support videos (P < .001). After watching the psychological support videos, the anxiety scores of the health workers decreased. In addition, anxiety scores created a significant difference in demographic variables (gender, age, marital status, not having a child, having a high education level, smoking and alcohol use, having a physiological disease, and working year). Depression scores decreased in those who use alcohol and those who have 1-3 shifts per month. In disasters such as epidemics that bring psychosocial difficulties, psychotherapeutic support to those who fight in the first place is important in protecting their mental health.

Identifying challenges in implementing child rights instruments in Nigeria: A nationwide survey of knowledge, perception, and practice of child rights among doctors and nurses.

After thirty years of ratifying the child rights convention and nineteen years of the Child Rights Act, implementing child rights instruments remains challenging in Nigeria. Healthcare providers are well positioned to change the current paradigm. To examine the knowledge, perception, and practice of child rights and the influence of demographics among Nigerian doctors and nurses. A descriptive, cross-sectional online survey was done using nonprobability sampling. Pretested multiple-choice questionnaire was disseminated across Nigeria's six geopolitical zones. Performance was measured on the frequency and ratio scales. Mean scores were compared with 50% and 75% thresholds. A total of 821 practitioners were analyzed (doctors, 49.8%; nurses, 50.2%). Female-to-male ratio was 2:1 (doctors, 1.2:1; nurses, 3.6:1). Overall, knowledge score was 45.1%; both groups of health workers had similar scores. Most knowledgeable were holders of fellowship qualification (53.2%, P = 0.000) and pediatric practitioners (50.6%, P = 0.000). Perception score was 58.4% overall, and performances were also similar in both groups; females and southerners performed better (59.2%, P = 0.014 and 59.6%, P = 0.000, respectively). Practice score was 67.0% overall; nurses performed better (68.3% vs. 65.6%, P = 0.005) and postbasic nurses had the best score (70.9%, P = 0.000). Overall, our respondents' knowledge of child rights was poor. Their performances in perception and practice were good but not sufficient. Even though our findings may not apply to all health workers in Nigeria, we believe teaching child rights at various levels of medical and nursing education will be beneficial. Stakeholder engagements involving medical practitioners are crucial.

Factors inhibiting adaptation to nursing care, the neglected loop in the mental health of intensive care unit nurses: A qualitative study.

As intensive care unit (ICU) nurses mainly care for critically ill patients, they face many professional challenges, including communicating with patients and working with various devices. Therefore, they need to adapt to the existing conditions, thereby providing high-quality care. Explaining factors inhibiting adaptation to nursing care among ICU nurses. This is a qualitative study conducted using a conventional content analysis approach in a health center affiliated to Shahroud University of Medical Sciences, Iran. This hospital was equipped with an air ambulance and four ICUs and was also considered as the regional trauma center in the Northeast of Iran. Data were collected using semi-structured face-to-face interviews (from January 2020 to April 2021) and then analyzed using Graneheim and Lundman's (2004) qualitative content analysis method. It was shown that factors inhibiting adaptation to nursing care among ICU nurses consist of three main categories including "personal barriers to adaptation", "dominant management", and "educational concerns". To adapt more and as a result to improve the mental health of nurses, it is important to know the barriers to adaptation. Efficient management, paying attention to nurses' issues, and practical training constitute key elements affecting the adaptation to critical nursing care. Therefore, it is necessary to take measures to ensure adaptation in this group of health workers. Thus, an environmental approach of health promotion has social experience and organizational development.

One Health Initiative: Delusional Parasitosis Needs Assessment, Tennessee 2022

Abstract Delusional parasitosis (DP) is a false, persistent belief that an individual is infested with organisms, especially arthropods, of a parasitic nature. It is a complex and challenging problem that impacts healthcare, the pest management industry, state-led agriculture and health agencies, Extension professionals, and academia because of time burdens and frustration associated with interactions. To address the handling of suspected DP cases, we assembled a University of Tennessee One Health Initiative Working Group with individuals representing diverse disciplines and professions. The Working Group developed and conducted an online needs assessment of pest management, Extension, and health professionals to (i) understand their interactions with suspected DP cases and (ii) determine the educational resources used and needed. Of the pest management professionals and Extension personnel, 72.7% (n = 112) of the respondents indicated they had encountered someone with suspected DP within the last year. Those responding to suspected DP cases spent significantly more time and interactions than what was required for general inquiries. Seventy-three percent of respondents received specimens of which more were human derived (54.4%) than nonhuman derived (41.5%), potentially putting these nonhealthcare professionals at risk of potential contagion. We confirmed a lack of available resources, including protocols, training materials, and resources for expert medical referrals. Additionally, the staff responsible for handling these cases were concerned for their safety. After identifying the most pressing needs, the One Health Working Group members collaborated to produce comprehensive resources to assist professionals in identifying DP cases more quickly and efficiently routing them to essential care.

Climate change and the public health imperative for supporting migration as adaptation

In an era of accelerating global climate change, human mobility has reached unprecedented levels. While it is acknowledged that many cases of human migration in the context of climate change are forced or involuntary, particularly where adaptation measures have failed to achieve sufficient resiliency of communities against impending slow- and sudden-onset disasters. There are also many cases where migration is, itself, a voluntary adaptive measure to secure otherwise unattainable physical safety and life-sustaining resources. It is in these cases that migration can be viewed as adaptation. Under the right policy conditions, it is possible for such adaptive migration to save countless lives. Moreover, it can achieve remarkable health and well-being gains for otherwise vulnerable communities residing on environmentally degrading lands and disproportionately suffering from the health impacts of climate change. While several activists have spoken loudly on the topic of climate migration, emphasizing the human rights imperative for supportive global policy action, the public health community has not been equally vocal nor unanimous in its stance. This paper, a product of the World Federation of Public Health Associations (WFPHA) Environmental Health Working Group, aims to rectify this gap, by analyzing adaptive climate migration through a public health lens. In doing so, it argues that creating an enabling environment for adaptive climate migration is not just a human rights imperative, but also a public health one. This argument is supported by evidence demonstrating how creating such an enabling environment can synergistically support the fulfillment of key public health services and functions, as outlined under the internationally endorsed Global Charter for the Public's Health of the WFPHA.

Comparison of the Psychological Impact of COVID-19 on Self-Employed Private Healthcare Workers with Respect to Employed Public Healthcare Workers: Three-Wave Study during the COVID-19 Pandemic in Spain

(1) Background: Coronavirus disease, also called COVID-19, is a worldwide pandemic with a major impact on all aspects of the individual (health status, psychological, and economic aspects, among others). The perception of health professionals in this situation has been influenced by their economic and psychosocial situations. On the economic level, self-employed workers have no state subsidies, with the added disadvantage of not having sufficient means to cope with contagion. This could potentially have an impact on their health and indirectly on their family members, creating additional stress. The aim of this study was to determine whether there are differences in the level of anxiety of health professionals working in private practice compared to healthcare workers working in public institutions during the first three waves of COVID-19. (2) Methods: A cohort study on 517 subjects comparing anxiety between a group of health workers and a group of health professionals working in the public sector at three key moments during the pandemic was performed. (3) Results: Statistically significant differences were found between self-employed private health professionals compared to those working as public health workers. The perception of impact was worse in the self-employed; however, a higher level of anxiety was evident in public employees in all assessed domains (cognitive, physiological, and motor, p = 0.001). (4) Conclusions: There were significant changes when comparing the first phase between both groups; employed public healthcare workers manifested a sense of lower risk of COVID-19 contagion than privately employed professionals, who had a higher level of anxiety. In the second and third waves, negative feelings improved for both groups, and the fear of showing anxiety to the patient decreased over the course of the waves.

Assessment of Utilization of Standing Order in the Management of Patients by Community Health Extension Workers in Ekiti State, Nigeria

Engagement and training of community health extension workers was the strategy adopted by Nigeria to solve the problem of the dearth of skilled health workers at the primary health care level. This group of health workers were trained to use standing orders in the management of the patient at this level of care. The purpose of this study is to investigate the extent of utilization of standing order among community health extension workers. The research was cross-sectional in nature, and it used a self-applied structured questionnaire. The questionnaire was distributed between March and April 2022. There were 265 respondents with age ranges between 23 and 58 years, and the majority (86.7%) were females. 98.1% possessed a copy of the standing order, and 88.5% and 9.9% kept their standing orders in health facilities and home, respectively. 62.3% used it regularly, 19.6% occasionally, 8.3% sometimes and 9.8% rarely used it. Reasons given for not using standing orders included- waste of time, patients who think I am not competent, and not containing new drugs. Regular utilization of standing order is low, and there is a need to educate the community extension workers on the importance of standing order at the primary health care level. Keywords: Standing order, Standardization, Utilization.

Education and Training based on Experiential Learning in Increasing Competency of Health Workers in Public Health Center of South Sulawesi

Introduction: The quality of the results of education and training of health workers in general is still inadequate. Ineffective training activities can be seen in the number of complaints from trainees and learning outcomes that are not optimal. The aimed to find out the influence of Experimental Strategy-based training on the Coordination of Health Training Participants. Materials/Methods: This study used qualitative methods. The informants were 12 trainees. Data collection used in-depth interviews. The tools used were tape recorders, and camcorders. Results: his study found that the Experiential Learning method is relevant for use in increasing Competency Based Training in a group of health workers (Doctors, Nurses, Midwives, and SKM (Bachelor of Public Health) who come from different functional health positions) at the South Sulawesi Community Health Center. Conclusion: Competency Based Training for health workers can be done using one method, namely Experimental Learning.

Lessons Learned in Centering Youth Voices in HIV Prevention: The Adolescent Health Working Group.

There remains critical need for community-based approaches to HIV prevention which center youth voices and needs. We established an adolescent health working group (AHWG) to convene youth, parents, providers, and advocates in agenda-setting for interventions to increase pre-exposure prophylaxis uptake in Durham. Our three study phases included six AHWG meetings from 2019 to 2020, youth-only meetings guided by a participatory engagement framework (Youth Generate and Organize), and interviews (n=13) and surveys with youth in the community (N=87). We also developed materials such as an AHWG mission statement, a list of themes and informational needs, and documented strategies about pivoting the project during the onset of the COVID-19 global pandemic.Lessons Learned/Conclusions: Engaging adults in youth-focused HIV prevention differs greatly to engaging youth themselves. Creating spaces to promote adolescent sexual Health requires trust building, breaking down sensitivities and stigma to, and flexibility to navigate both virtual and in-person spaces to do so.

LEGAL PROTECTION OF OCCUPATIONAL SAFETY AND HEALTH FOR PHARMACISTS OF CLINICS IN SEMARANG

Every worker has the rights to receive occupational health and safety guarantees. Occupational safety and health are not only a worker's rights, but it is also the employer's responsibility to provide. Protection of norms for pharmaceutical workers, who are included in the group of health workers, includes wages, working time, rest time, and leave. Meanwhile, norms of social security for workers who manage the clinic by ensuring participation in the national health insurance (JKN) are held through the JKN-BPJS Health program and work accident insurance and death benefits are held through the BPJS employment program. In practice, employers have not made this a priority that must be received by every employee. This is felt by several pharmacists at clinics in Semarang. Based on the problems above, it is necessary to conduct the research about the legal protection of occupational safety and health for pharmacists at clinics in Semarang Regency. Research Objectives to optimize the implementation of occupational safety and health legal protection for pharmacy staff at clinics in Semarang. This study used a descriptive method with a qualitative approach and a case study design. The Implementation of Occupational Safety and Health Legal Protection for Pharmacy Personnel at Clinics in Semarang Regency has not been carried out in accordance with the applicable laws and regulations. There are some clinics do not have complete personal protective equipment (PPE) according to standards, and the rights to health and safety that should be given by employers. the pharmacist clinics is not guaranteed yet. Occupational safety and health legal protection for pharmacists at clinics in Semarang has not been implemented in accordance with the applicable laws and regulations.

Validation of the French version of the ICHOM adult oral health standard set.

The ICHOM Adult Oral Health Standard Set (AOHSS) recently developed by the ICHOM Oral Adult Health Working Group is a standard set of outcomes designed for its collection in clinical practice in dental health. The outcome standard set is made up of clinical-reported outcome measures (CROMs) and patient-reported outcome measures (PROMs). The purpose of this study was to translate and cross-culturally adapt the PROM section of the Standard Set in French for France to enable comprehensive evaluation of the patients' oral health quality of life in a French population. The questionnaire was translated following the guidelines of the International Society for Pharmacoeconomics and Outcome Research (ISPOR). We included patients consulting in a dentistry clinic (n = 127) and seeking dental care. The PROM and CROM data were collected from all patients. Both reliability and the internal consistency were evaluated. The ICHOM AOHSS was successfully translated into French. We sampled and surveyed 126 patients in a dentistry clinic in France using the French translation of the ICHOM AOHSS. Cronbach's α was calculated to measure the internal consistency. The resulting Cronbach's α was 0.8, indicating acceptable homogeneity. The French version of the ICHOM AOHSS shows acceptable psychometric properties in terms of reliability and internal consistency. This translation is suitable for its implementation in a French-speaking patient population.

Recommendations for Improving Women's Bone Health Throughout the Lifespan.

Osteoporosis is a common condition in which deteriorating bone tissue results in an increased risk of low trauma fracture. Influenced by the role of estrogen in building and maintaining bone mineral density, women have different patterns of bone accrual and loss compared with men, resulting in a lower peak bone mass and a greater lifetime fracture risk. Moreover, fracture risk increases significantly in postmenopausal women who have depleted estrogen levels. Osteoporotic fractures pose serious consequences-ranging from an inability to perform basic tasks and an increased risk of repeat fracture to the need for assisted living and even death. There is also a large economic toll associated with the health care costs required for post-fracture care. The Society for Women's Health Research (SWHR) convened an interdisciplinary Bone Health Working Group to review the current state of science and practice concerning women's bone health and osteoporosis care and to explore strategies to address gaps in screening, diagnosis, and treatment of bone disease in women. Women's bone health care must shift its paradigm from one of postmenopausal and post-fracture care to a preventive model that engages touchpoints throughout the lifespan. To achieve this paradigm shift, the Working Group recommends prioritizing efforts to build public awareness and clinical education of preventive bone health care for women, increase access to screening tools, improve patient-provider communication, and treat osteoporosis using a broader risk stratification approach.

Measuring Bachelor of Science in Nursing competencies in public/population health.

Nurses have a long history of practice in public health. More recently basic population health knowledge and skills are being required across all nursing practice settings. To prepare nurses for this practice nursing education has long included public or community health nursing (PHN) content and skills as part of prelicensure education at the baccalaureate level and above. However, little work has been done to document student competency in these areas. Competency-based education is a process whereby students are held accountable for the mastery of knowledge and skills deemed critical for an area of study. The AACN Public/Population Health Workgroup addressed the challenge of measuring baccalaureate student nursing competencies in population health by developing an unfolding case study, with embedded questions assessing selected competencies. Lacking established population health competencies in nursing curriculum at the time of this work but wanting to assess students' basic competencies across the care continuum, the Workgroup selected relevant competencies from the Council of Public Health Nursing Organizations (formerly called the Quad Council) Competencies for Public Health Nurses. Utilizing these selected competencies, the Workgroup devised the unfolding case study and piloted it with 275 baccalaureate nursing education programs across the country. The findings from the Pilot demonstrated nursing student competency achievement and how this achievement changed as students progressed through the curriculum. The authors report implications and recommendations for competency measurement in population health based on the results of the pilot.

The German national public health institute’s journey to becoming a Key Climate Actor: The Robert Koch Institute’s strategy development process

Abstract The Robert Koch Institute (RKI) is Germany's national public health institute. It has been working for a number of years on One Health topics such as zoonotic diseases and antimicrobial resistance, as well as wider areas relevant to climate change such as environmental health. Climate change has, however, only been a specific area of focus since 2019. This was signalled through the creation of a coordination role called One Health Climate Change (OHCC). In addition, a number of projects on climate change have been initiated independently of one another during this time across the RKI. Since summer 2021, RKI has been more active in its strategic development and set up a climate change and health working group of over 50 members of staff representing all departments. This offers a hub structure for pulling the relevant work and activities together under one umbrella, thereby promoting exchange, cooperation and cohesion across RKI. The RKI is currently at an early and dynamic phase in its journey as a key Climate Actor. It is developing a strategy on the topic, guided by the “IANPHI Roadmap for Action on Health and Climate Change” in order to further strengthen its contribution in this area. This presentation will share how RKI has developed its strategy and its action plan for implementation, as well as some of the successes and challenges in their development. The presentation aims to: • promote shared learning between national public health institutes on climate change and health strategy development; • provide an opportunity for shaping future planning at RKI through audience input; • stimulate thinking on how national public health institutes can remain in exchange with key stakeholder groups and open to learning and adaptation of their strategies in order to be effective Key Climate Actors over the long term.

Public Health Workforce training Laboratorium: Pilot e-Learning course on CBE and PBL models

Abstract Background The National Institute of health (ISS), within the G20 Health Working Group, launched at March 2021 an innovative training Laboratorium, to strengthen the capacity and competencies of the Public Health Workforce (PHW) on prevention, preparedness and response to health crises. It was recognised in the G20 Declarations of Ministers of Health and Leaders and it was aimed to the development of training tools suitable for distance learning. ISS proposed the design of e-Learning courses based on an integration of WHO’s Competency-Based Education (CBE) and Problem Based Learning (PBL) models. Objectives Describe the design of a pilot e-Learning course based on CBE- PBL models, focused on Epidemic Intelligence (EI). Results The pilot e-Learning course “Use of Epidemic Intelligence systems with a particular focus on event-based surveillance for pandemic preparedness” will be delivered by ISS e-Learning platform https://www.eduiss.it. By the end of the course participants will be able to evaluate the potential use/applicability of EI systems, focusing on event-based surveillance for preparedness and early warning at country/institutional level. CBE is the basis for articulating the outcomes and identifying the required competencies and PBL for creating learning activities associated to learning outcomes. Interactive tools (exercise, web pages, quiz and other activities) are associated to learning objectives. The course is offered to public health professionals free of charge, in English language. About 16 hours are required to complete all the activities and receive attendance certification. Conclusions Continuously updated training of PHW is a hallmark to better face health challenges. In our proposal, the learning methodology integrates CBE vision with PBL approach, adapting both to e-Learning context. Aknowledement Pietro Carbone, Debora Guerrera, Federica Regini, Licia Bacciocchi, Stefania Bocci, Silvia Stacchini, Giovanna Failla - ISS, Rome Italy Key messages • Design an innovative e-learning course through synergic integration of two educational models crucial in public health, CBE and PBL. • Adapt e valorize CBE and PBL models in the context of e-Learning.

Understanding dengue solution and larval indices surveillance system among village health volunteers in high- and low-risk dengue villages in southern Thailand

BackgroundSuccessful dengue solutions require community collaboration between agencies engaged in human health, vector control and the environment. In Thailand, village health volunteers emphasize the need for a health working group to interact, collaborate, and coordinate actions. The objectives of this study were to acquire an understanding of dengue solutions, as well as the larval indices surveillance system of village health volunteers in high- and low-risk dengue villages. MethodsAfter 12 months of training in dengue prevention and setting larval indices surveillance systems, an analytical cross-sectional survey was conducted. A total of 117 villages were included in the 18 primary care facilities within one district in southern Thailand, and they were divided into 71 high-risk and 46 low-risk dengue villages. Sample size was determined using the G*power formula. The content validity index and reliability values of Cronbach's alpha coefficient for the questionnaires were 0.91 and 0.83, respectively. A random sampling approach was used to acquire data. The chi-square test, t-test, and odds ratio were used to assess the sample's level of understanding. ResultsThe study included 1302 village health volunteers, including 895 and 407 from high- and low-risk dengue communities, respectively. In total, 87.9% were female, 51.6% were 20–35 years old, 48.8% had worked as a village health volunteer for 11–20 years, 27.1% had an upper elementary education, and 59.1% had dengue in the previous 12 months. Understanding of the dengue solution and larval indices surveillance system varied across high- and low-risk dengue villages. Village health volunteers with a high level of understanding of the dengue solution and larval indies surveillance system were 1.064 and 1.504 times more likely to stay in high-risk dengue villages, respectively (odds ratio [OR] = 1.064, 95% confidence interval [CI]:0.798–1.419, p = 0.672 and OR = 1.504, 95% CI:1.044–2.167, p = 0.028). ConclusionsVillage health volunteers require ongoing training to understand the prevention and control of dengue and larval indices surveillance systems, promote awareness, and monitor dengue in both high- and low-risk dengue villages.

A planetary health-organ system map to integrate climate change and health content into medical curricula.

A planetary health-organ system map to integrate climate change and health content into medical curricula.

Mental Health Patient-Reported Outcomes and Experiences Assessment in Portugal.

Mental ill-health is increasingly recognized by policymakers for its significant human and economic toll. The main objective of this study is to capture patient-reported outcomes and experiences on mental health care in Portugal using methods developed for international benchmarking purposes, such as the OECD Patient-reported Indicators Surveys. The study included 397 participants, 247 (62.2%) women, divided into four age groups: ages 16–24 years, ages 25–44 years, ages 45–65 years, and ages 66 years or older. The data collection procedure and analysis followed the OECD PaRIS Mental Health Working Group 2021 protocol allowing subsequent comparability with data from other OECD member countries. Findings on the WHO-5 Well-Being Index showed that women manifest a lower score in well-being following mental health care services use. This finding may be, at least in part, explained by the study population (mental health services users), including individuals with clinical depression which is more frequently observed in women. In terms of the level of satisfaction with treatment (provided by nurses, doctors, phycologists, etc.) the response “Yes, definitely” varied from 67% of answers regarding “time spent by care providers”, 76.3% “involvement in decisions” to 79.7% regarding “clarity of explanations” and 84.4% regarding the item courtesy and respect. This study shows the feasibility of implementing and using patient-reported metrics (PROM and PREM) in mental health services in Portugal. The study results generate useful clinical information to help meet the expectations and needs of patients, contributing to a continuous improvement of mental health community services.

Peter Waiswa: building better health systems in Africa and beyond

Growing up in Iganga, a rural town in Uganda, Peter Waiswa was influenced by his late father, who instilled a love for education in him, and by the newborn deaths he saw in his large family. Waiswa now leads the Makerere University Centre of Excellence for Maternal, Newborn and Child Health in Kampala, Uganda, and the INDEPTH Network's Maternal, Newborn and Child Health Working Group. His work involves paving the way locally, nationally, and globally to develop health systems and health policy in maternal, newborn, and child health, development, and health services.

FAKTOR-FAKTOR YANG BERHUBUNGAN DENGAN KEPATUHAN PENGGUNAAN ALAT PELINDUNG DIRI PADA PETUGAS KESEHATAN DALAM MASA PANDEMIK COVID 19 DI RSUD BAHTERAMAS PROVINSI SULAWESI TENGGARA TAHUN 2021

Coronaviruses are a large family of viruses that cause illness ranging from mild to severe symptoms. Coronaviruses are known to cause diseases that cause severe symptoms such as Middle East Respiratory Syndrome (MERS) and Severe Acute Respiratory Syndrome (SARS). This study aims to determine the factors related to compliance with the use of personal protective equipment by health workers during the COVID-19 pandemic at Bahteramas Hospital, Southeast Sulawesi province in 2021. This study used a case control design. The population in this study were health workers at Bahtermas Hospital totaling 640 health workers. The sample in this study amounted to 234 respondents consisting of 8 groups of health workers. Sampling using the Lemeshow formula. The results showed that based on the results of the chis square test, the P-value of the knowledge variable was 0.003, the Attitude variable, a P-Value of 0.01 was obtained and the PPE availability variable was a P-Value of 0.02. From the 234 research samples used, it can be concluded that the Knowledge, Attitude and availability of PPE are related to compliance with the use of PPE by health workes during the COVID-19 pandemic at Bahteramas Hospital, Southeast Sulawesi Province.