Health Professionals In Hospitals Research Articles

Study of Knowledge, Attitudes and Practices Related to Smoking Among Health Professionals in Public Hospitals in the Department of Dakar in 2021

Introduction: In Senegal, previous studies showed a prevalence of smoking among health professionals of between 11.6 and 12.8%. The general objective was to study smoking among health professionals in public hospitals in the department of Dakar. This was a cross-sectional study with a descriptive and analytical aim, the data collection phase of which took place from October 11 to November 23, 2021. The study population consisted of medical and paramedical staff. We collected 262 cases, i.e. a non-participation rate of 12.67%. Results: The average age of the health workers surveyed was 28.19 %. There were 148 men and women with a sex ratio of 1.30. Thus, 68.3% were single. During our study, the health workers at Abass NDAO Hospital were 110 (42%), 80 (30.5%) at the Principal Hospital in Dakar and 72 (27.5%) at HOGGY. The majority of the workers surveyed (69 cases, 26.3%) were DES or 7th year medical students. The least represented professional category was that of nursing assistants. Thus, 3.4% of the health workers surveyed were current tobacco users compared to 10.2% (26 health workers) who were former users. The average age at which these workers first used tobacco was 16.5 ± 2.5 years. Within the study population, 86% (225 workers) had never used tobacco. Smoked tobacco was the only form used by the subjects surveyed. The average consumption of smoked tobacco was 3.5 ± 0.51 times per day. However, the last attempt to quit was more than a year ago for the majority (5/7) of consumer health workers. The main reason for this attempt (failed) was awareness of the dangers of tobacco consumption (5/7). The main reason (05/07) that justified their tobacco consumption was stress management. All the workers surveyed were unanimous on the dangers of tobacco consumption on health. The consequences of tobacco most cited by the health workers surveyed were lung cancer (224 responses or 85.5% of respondents), COPD (205 or 78.24%) and strokes (165 or 62.98%). Male health workers were more likely to have good knowledge about smoking than female health workers. The agents thus surveyed had for 73.7% (i.e. 193 people) of them an insufficient or weak attitude towards smoking. Conclusion: At the end of our study and in light of the conclusions reached, we make the following suggestions to the health authorities: To organize communication-education sessions during World Tobacco Day.

HUBUNGAN AUTHENTIC LEADERSHIP DENGAN KEPUASAN KERJA PERAWAT DI RUMAH SAKIT AKADEMIK UNIVERSITAS GADJAH MADA

Background: The low level of satisfaction of health professionals in hospitals is one of the most common problems in various parts of the world, including in Indonesia. Health care organizations are increasingly relying on the nursing profession to manage dynamic and complex health care by providing effective leadership. Authentic leadership gained considerable recognition as a new form of leadership style. Authentic leadership able to increase trust and encourage employees to follow the directions needed to achieve the vision and mission of the organization. This also leads to a significant positive influence on the commitment of subordinates to their superiors so that employees feel satisfied with the organization where they belong. Objective: Analyze relationships of authentic leadership with job satisfaction of nurses at RSA UGM. Method: This research is a mixed method sequential explanatory which aims to use qualitative results to assist in explaining and interpreting quantitative research findings. The design of this research is a cross sectional survey. The quantitative research population consisted of 205 nurses working at the UGM RSA and the qualitative research population consisted of the management of the UGM RSA with four people. Quantitative research measuring tool using Authentic Leadership Questionnaire (ALQ) and McCloskey/Mueller Satisfaction Scale (MMSS). Qualitative research uses in-depth interviews. Results: Research produces a relationship between authentic leadership with job satisfaction of nurses at RSA UGM. Level Authentic leadership UGM RSA nurses are classified into three namely very low, low and high. While the job satisfaction of nurses at RSA UGM is at moderate and high levels. Conclusion: There is a relationship between authentic leadership and job satisfaction of nurses at RSA UGM. The dimensions of Authentic leadership that is dominant is balanced processing. The most influential factor in nurse job satisfaction is nurse colleagues. Keywords: Authentic Leadership, Nurse Job Satisfaction, Authentic Leadership Questionnaire (ALQ), McCloskey/Mueller Satisfaction Scale (MMSS).

The implementation and impacts of the Comprehensive Care Standard in Australian acute care hospitals: a survey study

BackgroundComprehensive care (CC) is becoming a widely acknowledged standard for modern healthcare as it has the potential to improve health service delivery impacting both patient-centred care and clinical outcomes. In 2019, the Australian Commission on Safety and Quality in Health Care mandated the implementation of the Comprehensive Care Standard (CCS). However, little is known about the implementation and impacts of the CCS in acute care hospitals. Our study aimed to explore care professionals’ self-reported knowledge, experiences, and perceptions about the implementation and impacts of the CCS in Australian acute care hospitals.MethodsAn online survey using a cross-sectional design that included Australian doctors, nurses, and allied health professionals in acute care hospitals was distributed through our research team and organisation, healthcare organisations, and clinical networks using various methods, including websites, newsletters, emails, and social media platforms. The survey items covered self-reported knowledge of the CCS and confidence in performing CC, experiences in consumer involvement and CC plans, and perceptions of organisational support and impacts of CCS on patient care and health outcomes. Quantitative data were analysed using Rstudio, and qualitative data were analysed thematically using Nvivo.Results864 responses were received and 649 were deemed valid responses. On average, care professionals self-reported a moderate level of knowledge of the CCS (median = 3/5) and a high level of confidence in performing CC (median = 4/5), but they self-reported receiving only a moderate level of organisational support (median = 3/5). Only 4% (n = 17) of respondents believed that all patients in their unit had CCS-compliant care plans, which was attributed to lack of knowledge, motivation, teamwork, and resources, documentation issues, system and process limitations, and environment-specific challenges. Most participants believed the CCS introduction improved many aspects of patient care and health outcomes, but also raised healthcare costs.ConclusionCare professionals are confident in performing CC but need more organisational support. Further education and training, resources, multidisciplinary collaboration, and systems and processes that support CC are needed to improve the implementation of the CCS. Perceived increased costs may hinder the sustainability of the CCS. Future research is needed to examine the cost-effectiveness of the implementation of the CCS.

Work autonomy and its associated factors among health professionals in public hospitals of North East Ethiopia

A low level of work autonomy is the bottleneck for the health service delivery and the quality of the service. Although work autonomy is the pillar of organizational commitment and a means of employee retention mechanism, information about the magnitude of work autonomy among health professionals is limited in Ethiopia. Therefore, this study aimed to assess work autonomy and its predictors among health professionals working in public hospitals of Northeast Ethiopia. Institution-based cross-sectional study was conducted from March 24 to April 24, 2021, among health professionals using a stratified sampling technique. Variables with a p-value of < 0.25 in bivariable analysis were included in the multivariable analysis and variables with a p-value of < 0.05 in multivariable analysis were regarded as significantly associated factors. The overall good work autonomy in public hospitals (Dessie and Boru Meda Hospital) of North East Ethiopia was 54.5% (95% CI 54.48–54.53). Satisfaction with organizational policy and strategy (AOR 2.34, 95% CI 1.29–4.25), satisfaction with supervisor support (AOR 7.20, 95% CI 3.97–13.07), good health service delivery planning practice (AOR 1.88, 95%CI: 1.13–3.13), being married (AOR 4.26, 95%CI: 2.06–8.82) being pharmacy professionals (AOR 0.44, 95% CI 0.19–0.98), and being anesthesia and radiology professionals (AOR 4.66, 95% CI 1.65–13.19) were significantly associated with work autonomy of health professionals. More than half of the health professionals working in public hospitals in Northeast Ethiopia are autonomous in their work. Satisfaction with organizational policy and strategy, satisfaction with supervisor support, having good health service delivery planning practice, being married, and type of profession were significantly associated factors in public hospitals. Thus, strengthening strategies aimed at shaping poor health service delivery planning practices and dissatisfaction of employees concerning supervisor support and organizational policy might have a substantial contribution to improving the work autonomy of health professionals.

Time management practice and associated factors among health professionals working in public and private hospitals in Dessie City, Northeast Ethiopia: a comparative cross-sectional study.

Time management is a widely ignored concern in all types of organizations, including the healthcare system, despite its crucial role in the achievement of personal and organizational goals. Therefore, determining the practice of time management and its associated factors among health professionals is of paramount importance. We aimed to assess time management practice and associated factors among health professionals working in public and private hospitals in Dessie City, Northeast Ethiopia. A comparative cross-sectional study was conducted from 24 March to 24 April 24 2021 among 660 health professionals (220 from private hospitals and 440 from public hospitals), who were randomly selected using a stratified sampling technique. A self-administered questionnaire was used to collect data. A multivariable binary logistic regression model was run separately for public and private hospitals. A p-value of < 0.05 and a 95% confidence interval were reported to be statistically significant. A total of 615 participants responded to the survey, which resulted in a response rate of 93.2%. The magnitude of good time management practice among health professionals in both public and private hospitals was reported to be 57.1% (95% CI: 53.5-60.8%). However, the magnitude differed between public [50.1% (95% CI:45.5-54.7%)] and private hospitals [70.9% (95% CI: 63.5-76.7%)]. Living with families (AOR: 5.39, 95% CI: 1.84-15.77), satisfaction with compensation and benefits (AOR: 7.83, 95% CI: 1.97-31.16), satisfaction with work autonomy (AOR: 7.10, 95% CI: 1.94-25.95), and having a good plan (AOR: 3.42, 95% CI: 1.15-10.13) were statistically significant predictors of time management practice in private hospitals. Satisfaction with an organizational policy and strategy (AOR: 2.34, 95% CI: 1.25-4.36), performance appraisal (AOR: 1.95, 95% CI: 1.13-3.36), work autonomy (AOR: 1.92, 95% CI: 1.12-3.27), and the good approach of employees toward time (AOR: 2.12, 95% CI: 1.26-3.58) were statistically significant predictors of time management practice in public hospitals. The magnitude of a good time management practice in public and private hospitals in the study area was low. The practice was observed to be higher in private hospitals than in public hospitals. The study revealed that the magnitude and associated factors of time management practice vary between hospitals, indicating the need for targeted intervention.

Affective Commitment, Organizational Culture and Turnover Intention among Health Professionals in National Referral Hospitals in Kenya

The study aimed to assess the influence of affective commitment on turnover intention among health professionals in public national referral hospitals in Kenya. It also examined whether organizational culture mediates the effect of affective commitment on the turnover intention of health professionals in public national referral hospitals in Kenya. Theories anchoring this study included Social exchange theory and Theory Z. Descriptive and correlational research designs were used in the study. The research designs were to assess: &#x0D; &#x0D; The relationship, effect and mediation between variables. &#x0D; The influence of affective commitment on turnover intention and organizational culture mediation of affective commitment effect on turnover intention. &#x0D; The Target population was all health professionals in public national referral hospitals in Kenya. &#x0D; &#x0D; The study used SPSS version 25 for scale accuracy. The study findings showed that the relationship between affective commitment and turnover intention was significant, that of affective commitment and organizational culture was moderate and significant, and that the organizational culture turnover intention was significant. Further, the study found that organizational culture did not mediate the effect of affective commitment on turnover intention. Based on the study findings, the study concluded that affective commitment influences the turnover intention of health professionals in public national referral hospitals in Kenya and that affective commitment effect on turnover intention is not mediated by organizational culture. The study recommended that human resource practitioners use the study to come up with policies and guidelines that improve service delivery in referral hospitals. Board members of public national referral hospitals should borrow ideas from competing values frameworks to enhance a culture of high performance in their hospitals.

Value Commitment Influence on Turnover Intention, Mediated by Organizational Culture among Health Professionals in National Referral Hospitals in Kenya

The study aimed to determine the influence of value commitment on turnover intention among health professionals of public national referral hospitals in Kenya. Further, the study examined whether organizational culture mediates the effect of value commitment on the turnover intention of health professionals in public national referral hospitals in Kenya. The research designs used were descriptive and correlation. The designs assessed the relationship, effect, and mediation, where value commitment's influence on turnover intention and organizational culture mediation of value commitment's effect on turnover intention was tested. Theories that anchored this study included organizational support theory and theory Z. The Target population was all health professionals in public national referral hospitals in Kenya. The study used SPSS version 25 for scale accuracy. The findings of the study indicated that the value commitment relationship was significant. Value commitment and organizational culture relationships were also significant. The study found that organizational culture-mediated value commitment affects turnover intention. The study concluded that value commitment influences turnover intention among Kenya's health professionals in public national referral hospitals. It was also concluded that the effect of value commitment on turnover intention was mediated by organizational culture. The study recommended that boards of management in public national referral hospitals set standard operating policy that improves value commitment goals. Human resource managers should come up with practices that enhance the attitude change of employees to see that organizations succeed in achieving their goals. National Assembly should come up with a curriculum that trains health professionals on value commitment tenets that improve the performance of long-serving employees.

A Secondary Data Study of Frontline Nurses’ and Nursing Managers’ Assessed Stress Levels during the Second COVID‐19 Wave

Background. Nursing managers were often required to take on dual roles as managers and staff nurses due to nurse shortages during the COVID‐19 pandemic. The purpose of this study was to compare the perceived stress levels among frontline nursing staff and nursing managers. Methods. This secondary data analysis relied upon 1643 data extracted from two online surveys between November 2020 and March 2021. A convenience sample of Austrian frontline nurses and managers from hospitals and nursing homes was used. In addition to demographics, we collected data using the German version of the Perceived Stress Scale. Results. Frontline nurses of both settings experienced statistically significant higher levels of stress and higher levels of helplessness as well as self‐efficacy than their respective managers. Most participants perceived moderate to high stress levels during the second wave of the COVID‐19 pandemic in Austria. Conclusions. These findings underline the urgency for stress‐reducing interventions as well as for fostering emergency trainings/response strategies for frontline nurses and nursing managers. Moreover, our findings provide hospital managers and health professionals with specific evidence to increase awareness of the dual tasks of nursing managers and to enable them to prepare strategies for future pandemics.

Medication Errors Related to Look Alike and Sound Alike Medications: About a Moroccan City University Hospital and Community Pharmacies Experience

Medication errors are a problem that has always threatened the well-being of patients, in our study we will highlight one of the most common causes, it is the Look Alike and Sound Alike medications that can contribute to up to 25% of all medication errors and harm about 250,000 people a year. Also causes several difficulties for health professionals, either in hospitals or in pharmacies. This is a descriptive and analytical cross-sectional study with health professionals in pharmacies and hospitals, which took place between 2022/02/22 and 2022/08/11, in the form of an anonymous questionnaire, The statistical study was carried out with the Jamovi software and Microsoft Excel. One hundred and thirty four responses were received, divided between 71 for pharmacies and 63 for hospitals, targeting services with a high workload. A percentage of 87% of participants from pharmacies confirm that they are already confronted with medicines with similarities either at the level of packaging or at the nomenclature, 71% of hospital participants also confirm it, and among all participants 58% are already facing medication errors caused by these types of drugs. Our study can confirm that the problem of Look Alike and Sound Alike drugs is as always a serious problem, which needs more vigilance at the different levels of drug use, there are also international recommendations issued to minimize the risk of these medications.

Association Between Vocal Symptoms, Communication, Work Environment, and Sense of Coherence in Hospital Health Professionals

This study aimed to associate the presence of vocal symptoms with sociodemographic and occupational data, work environment self-perception, oral communication wearing a face mask, and the sense of coherence (SOC). This cross-sectional analytical observational study included 66 health professionals from a Brazilian hospital. They answered an online questionnaire on sociodemographic aspects, self-perception of the physical work environment, and oral communication at work. The Voice Symptom Scale (VoiSS) and Sense of Coherence Scale (SOC-13) were also applied. The significance level was set at 5% for the statistical analysis. The self-perception of vocal symptoms was 62%. Professionals who considered the noise in their work environment unsatisfactory had more vocal symptoms (P=0.005), especially in the limitation (P=0.013) and physical (P=0.028) domains of the VoiSS. Professionals with higher self-perceived vocal symptoms also reported incoordination between breathing, speech, and articulation (P=0.041) and self-perceived difficulty being heard with a protective mask (P=0.033). Professionals with a higher self-perceived score in the limitation domain of the VoiSS also had a higher self-perceived effort to speak with a mask (P=0.035) and a higher self-perception that other people find it difficult to hear them with a face mask (P=0.050). There was a weak negative correlation between VoiSS and SOC (P<0.05) and between its domains (P<0.05). Self-perception of voice symptoms is high among health professionals in a Brazilian public hospital. The presence of these symptoms is related to the perception of a noisy work environment and communication difficulties due to the use of a face mask. The lower the ability to cope with stressful situations, the larger the presence of voice symptoms among health professionals.

Experiences of hospital health professionals in the care of deaf patients

Objective This study aimed to describe the experience of hospital health professionals in the care of deaf patients. Methods We explored primary qualitative data from the experience of hospital health professionals in caring for deaf patients. A qualitative study with a descriptive phenomenological approach was carried using face-to-face semi-structured qualitative interviews (N=8). We evaluated the perspective and experience healthcare professionals caring for a deaf patient through semi-structured interviews (supported by field notes) which were audio recorded, transcribed, and analyzed using the Colaizzi Method. Results Ninety-four significant statements emerged and were grouped into two themes: “professional-patient interaction” and “conditioners of care”, each with three categories. The interactions were influenced by factors such as the tools and strategies used by the health professional, their emotions, and the patient’s conditions; on the other hand, within the conditioning factors, the professionals described the procedural aspects, environmental and structural factors linked to care and access. Conclusions The health professionals’ experience impacts both themself and the quality of patient care. This impact is associated with different barriers, such as interpersonal, interaction, cultural and language or communicational, which generates inequality in access to health for deaf people and a challenging situation for health professionals.

Maternity care experiences and breastfeeding at discharge among Maryland WIC participants: A qualitative analysis.

Breastfeeding imparts numerous health and social benefits for families. Barriers deter some individuals from breastfeeding. Rates are lower among certain populations, including participants of the federally funded Women, Infants, and Children's Program (WIC). Women, Infants, and Children's Program provides low-income pregnant and postpartum women and children under 5 with nutrition education, supplemental foods, breastfeeding education and support, and resource linkages. Investigation of WIC participants' hospital experiences and breastfeeding decisions is limited. We explore qualitative themes associated with breastfeeding-related hospital maternity care practices experienced by WIC participants. Thirty pregnant individuals intending to breastfeed were recruited at WIC clinics to complete in-depth interviews at 2 weeks, 3 months, and 6 months of postpartum. Using the Thematic Framework methodology, we analyzed data from the two-week interviews of 29 participants with respect to hospital breastfeeding experiences. Fourteen participants were exclusively breastfeeding at discharge (EBFD). Fifteen were partially breastfeeding at discharge (PBFD). Differences between groups were found in hospital breastfeeding experiences, particularly in staff support. All participants EBFD reported positive breastfeeding-related staff experiences. Most participants PBFD reported limited and ineffective staff interaction, leading to formula introduction. Individuals EBFD and those PBFD reported about the same rate of hospital breastfeeding difficulties, yet half introduced formula within the first few days postpartum. Results reiterate the importance of hospital staff support to breastfeeding exclusivity at 2-3 days postpartum. The challenges that these individuals faced may have been resolved through available, responsive, and effective intervention. Data-driven breastfeeding education programs for hospital health professionals are critical to affect patient breastfeeding outcomes.

Life beyond life: Perceptions of post-mortem organ donation and consent to donate-A focus group study in Italy.

Many factors such as personal and cultural beliefs, misinformation, fear of death and inadequate will registering procedures can influence post-mortem organ donation. The present study aimed to explore the perceptions, beliefs and information around post-mortem donation and will expression in different groups of the Italian population, to orient future interventions and raise awareness. Qualitative research with focus groups. A total of 38 focus groups involving 353 participants including the general population (young adults: 18-39, mature adults: 40-70), local and hospital health professionals, critical area health professionals (emergency room and intensive care), registry office employees and opinion leaders, were conducted in six regions from different parts of Italy between June and November 2021. Thematic analysis was conducted with the use of Atlas.ti9. Five overarching themes were identified: dilemmas regarding donation, resistance to donation, facilitators of donation, difficulties in terms of will expression and proposals to encourage will expression. Possible facilitators were having personal and professional experiences with organ donation, feeling useful for society, having reliable information and trust in the health care system. Potential barriers to donation were doubts and fears about brain death, bodily integrity concerns, religious beliefs, misinformation and distrust in the health care system. These results highlighted the significance of a bottom-up perspective with regard to identifying the personal perceptions and beliefs with regard to donation, underlining the urgency of creating tailored interventions to sensitize different groups of the population in terms of promoting an informed choice and a culture of donation.

Adaptation, validity, and reliability of the Resilience Scale SV-RES in hospital health professionals in Mexico

Introduction. Resilience is the capacity in which the qualities and resources of the individual help in the successful coping of adverse situations. Studying the construct of resilience requires seeing it as a process and not only a characteristic of the individual. Saavedra's resilient response is a model that fits this idea and explains resilience satisfactorily. Having a measuring instrument for health personnel working in hospitals would allow discovering its benefits as a protective factor in the workplace. Objective. Adapt and validate the Resilience Scale SV-RES in hospital health professionals in Mexico. Method. Based on recent research literature, including response models and modified and adapted items from the Resilience Scale SV-RES, a total of 909 health professionals responded. Distribution, factor analysis, and internal consistency tests were performed. Results. The process led to a scale of 28 items grouped into six factors with an overall internal consistency of (α = .908) and 50.5% of explained variance. Discussion and conclusion. The Resilience Scale SV-RES has adequate psychometric properties that make it appropriate to measure the resilience capacity of hospital health professionals in Mexico.

Implementation of a referral pathway for cancer survivors to access allied health services in the community

BackgroundThe growing demands for multidisciplinary cancer survivorship care require new approaches to address the needs of people living after a cancer diagnosis. Good Life–Cancer Survivorship is a self-management support survivorship program delivered by community allied health (AH) services for people diagnosed with cancer. A pilot study established the benefits of Good Life–Cancer Survivorship to help survivors manage their health and wellbeing in the community health setting. This study expanded the program to four community health services and evaluated the implementation outcomes of the referral pathway to the survivorship program.MethodsEligible cancer survivors attending hospital oncology services were referred to the survivorship program. Data was collected between 19/02/2021-22/02/2022 and included allied health service utilisation, consumer surveys, and interviews to understand consumer experience with the referral pathway. Interviews and focus groups with hospital and community health professionals explored factors influencing the referral uptake. Implementation outcomes included Adoption, Acceptability, Appropriateness, Feasibility, and Sustainability.ResultsOf 35 eligible survivors (mean age 65.5 years, SD = 11.0; 56% women), 31 (89%) accepted the referral. Most survivors had two (n = 14/31; 45%) or more (n = 11/31; 35%) allied health needs. Of 162 AH appointments (median appointment per survivor = 4; range = 1–15; IQR:5), 142/162 (88%) were scheduled within the study period and 126/142 (89%) were attended. Consumers’ interviews (n = 5) discussed the referral pathway; continuation of survivorship care in community health settings; opportunities for improvement of the survivorship program. Interviews with community health professionals (n = 5) highlighted the impact of the survivorship program; cancer survivorship care in community health; sustainability of the survivorship program. Interviews (n = 3) and focus groups (n = 7) with hospital health professionals emphasised the importance of a trusted referral process; a holistic and complementary model of care; a person-driven process; the need for promoting the survivorship program. All evaluations favourably upheld the five implementation outcomes.ConclusionsThe referral pathway provided access to a survivorship program that supported survivors in self-management strategies through tailored community allied health services. The referral pathway was well adopted and demonstrated acceptability, appropriateness, and feasibility. This innovative care model supports cancer survivorship care delivery in community health settings, with clinicians recommending sustaining the referral pathway.

Antibiogram and MDR Pattern of the Bacterial Isolates from German Cockroaches (&lt;i&gt;Blattella germanica&lt;/i&gt; L.) at RMCH, Rajshahi, Bangladesh

German cockroaches, Blattella germanica L. are the most dangerous pests in hospital environments which cause diseases like food poisoning, dysentery, and diarrhea. Antibiogram and multidrug resistance (MDR) patterns of the bacterial isolates from the cockroaches inhabiting three Wards of Rajshahi Medical College Hospital, Rajshahi, Bangladesh, were determined. A total of 52 bacterial isolates, 26 from the cuticle and 26 from the gut, comprising 20 (38.5 %) from the Neuromedicine ward, 18 (34.6 %) from the Orthopaedic ward, and 14 (26.9 %) from the Surgery ward, were used for biochemical assays and diagnostic characteristics, where seven Gram-negative rod species were identified. E. coli (n=8 or 40 %), Klebsiella spp. (n=5 or 28 %) and Klebsiella spp. (5 or 35 %) constituted the most dominant bacteria from the three wards respectively. Antibiogram of the bacterial isolates against 18 commonly used antibiotics revealed that Serratia, Klebsiella, Escherichia, and Pseudomonas were resistant to Ceftazidime, whereas Salmonella, Enterobacter, and Proteus were sensitive to the drug. Results of the present study suggest that the German cockroaches might serve as reservoirs for pathogenic and MDR bacteria, which in turn could be responsible for the spread of common food-borne diseases in hospital patients, their attendants, and health professionals.

Promotion of physical activity by health professionals in a sample of six public hospitals: A cross sectional study.

Despite strong evidence of physical and mental health benefits from physical activity, participation is low. Physical activity promotion by health professionals can effectively increase physical activity participation. This study aimed to explore the frequency of physical activity promotion by health professionals in public hospitals with a focus on community-based structured exercise; and facilitators and barriers to such promotion. We surveyed health professionals (n = 100) from physiotherapy, rheumatology and rehabilitation departments at six public hospitals in Sydney, Australia. Most common respondent characteristics were physiotherapist (84%), female (68%), aged 25-34 years (45%) and treating older adults (45%). Almost all health professionals (94%) considered themselves physical activity role-models. Half (53%) reported promoting physical activity frequently/often to their clients. Those working with children with a physical disability (23%) were more likely to promote physical activity (Relative Risk 1.69, 95% CI 1.13-2.51, p = .03), than those working with adults or older adults. Half the physiotherapists (52%) reported providing tailored advice about increasing physical activity frequently/often, but only 20% provided advice about structured physical activity. Barriers reported by physiotherapists were lack of time (51%) and client's access to transport (61%). Only half the health professionals surveyed offered tailored physical activity advice to clients, and advice on structured physical activity was less common. SO WHAT?: Some promotion of physical activity by health professionals is occurring in hospital settings but more work is needed to embed this within clinical care.

Mothers’ Knowledge of Infants' Fever Management: A National Prospective Study

The aim of this study was to describe mothers' knowledge of infant fever management after birth and six months later and its association with sociodemographic characteristics, perceived support, sources of consultation and health education; and to assess determinants of change in mother's knowledge from birth to six months. Mothers (n = 2804) answered a self-reporting questionnaire after giving birth in maternity wards in six hospitals in Israel; six months later follow- up interviews were conducted by telephone. The mothers' knowledge level of infant fever management was low after birth (mean = 50.5, range 0-100, SD = 16.1), and rose to a moderate level six months later (mean = 65.2, SD = 15.0). Mothers having their first born, with lower household income or education were less knowledgeable about infant fever management after birth. However, these mothers showed the largest improvement after six months. Mothers' perceived support or sources of consultation and health education (partner, family, friends, nurses, and physicians) were not associated with their knowledge at either time. Moreover, mothers stated self-learning from internet and other media as often as receiving health education by health professionals. Public health policy for health professionals in hospitals and community clinics is essential to promote clinical interventions promoting mothers' knowledge of infant fever management. Efforts should focus at first time mothers, those with non-academic education, and those with a moderate or low household income. Public health policy enhancing communication with mothers regarding fever management in hospitals and community health settings, as well as accessible means of self-learning is warranted.

Family Members’ Experiences in a Psychiatric Hospital During the COVID-19 Pandemic: Implications for Family-Centered Work in Mental Health Systems

IntroductionRestricted visitations of family members of persons with mental illness in psychiatric hospitals which may occur during times of public health crises such as the COVID-19 pandemic can have potential adverse consequences on the family members and on their ability to fulfill the caregiving role. Therefore, mental health professionals may encounter difficulties implementing a family centered-care model during such periods.ObjectivesDue to the limited knowledge about the effects of the restrictions during the pandemic a study was conducted in Israel. It examined the difficulties which family members experienced as a result of the restricted visitations and the effects of the restrictions on advancing a family-centered care model,MethodsA semi-structured questionnaire was distributed via digital means to 75 family members who had a family member who was hospitalized in psychiatric hospitals during the pandemic.ResultsThe findings indicate that family members had limited opportunities in the following areas during the COVID-19 area: Developing relationships with the professional staff, being involved in the therapeutic process during the hospitalization, communicating with the hospitalized family member, and receiving help for themselves.ConclusionsMental health professionals in psychiatric hospitals should adapt family-centric procedures to circumvent restrictions on physical presence and maintain the involvement of family members during psychiatric hospitalization.Disclosure of InterestNone Declared

Organizational Learning—Continuous Improvement for Patients’ Safety Climate: A PLS-SEM Analysis

ABSTRACT The same awareness and perception of health professionals in hospitals regarding a patient-centered safetyclimate is very likely to be found to be non-uniform. Indeed, this will have an impact on organizational learning—continuous improvement, which is also linked to management support. Using these two aspects, this study intendsto investigate the determinants of organizational learning—continuous improvement. This is a quantitative studythat used a randomized survey of 48 health professionals working in hospitals throughout Indonesia. Data wascollected using a questionnaire as a research instrument, and the analysis tool in this study was structuralequation modeling—partial least squares with SmartPLS. The findings of this study support that safety climatehas a significant impact on organizational learning—continuous improvement (p = 0.007). This study's nextfinding explains that management support has a significant effect on organizational learning—continuousimprovement (p = 0.003). In this study, management support had no moderating effect (p = 0.127). According tothis study, 70.4 percent of organizations use safety climate and management support to measure organizationallearning and continuous improvement. Keywords: Safety Climate, Safety Management, Patient Safety, Organizational Learning, Health Professionals