Health Training Research Articles

War and peace in public health education and training: a scoping review

BackgroundArmed conflict and war are public health disasters. Public health action has a crucial role in conflict-related emergencies and rehabilitation but also in war prevention and peace promotion. Translating this into public health training and competencies has just started to emerge, especially in Europe.MethodsWe conducted a Scoping Review to map and identify the role of public health education and training of public health workforce relating to the prevention of war and promoting peace, as reflected in the scientific literature. We searched in PubMed, CINAHL, PsycINFO, Embase, Web of Science Core Collections as well as the reference list of included material in English, German and Polish. Focusing initially on the European region, we later expanded the search outside of Europe.ResultsWe included 7 publications from opinion pieces to an empirical assessment of curricula and training. The educational programs were predominantly short-term and extra-curricular in postgraduate courses addressing both public health professionals in conflict-affected countries as well as countries not directly affected by war. Publications focused on public health action in times of war, without specifying the context and type of war or armed conflict. Competencies taught focused on emergency response and multi-disciplinary collaboration during emergencies, frequently drawing on experience and examples from natural disaster and disease outbreak management.ConclusionsThe scientific discourse on competences in public health education for times of war and for the promotion of peace, predominately focuses on immediate emergency response actions. The prevention of war and the promotion of peace are missing foci, that need to feature more prominently in public health training. Public Health Education and training should ensure that war prevention and peace promotion, as well as public health action in times of war, are included in their competencies for public health professionals.

Factors Affecting Outcome in Surgically Clipped Ruptured Anterior Circulation Aneurysms – A Retrospective Analysis

Abstract Introduction: Ruptured cerebral aneurysm is a life-threatening condition that requires urgent medical attention. Failure to diagnose, delay in admission to a neurosurgical centre and lack of facilities could lead to poor surgical outcomes. Aim: The purpose of this study was to identify the factors that predict the outcome of patients undergoing a surgical clipping of ruptured anterior circulation aneurysms. Materials and Methods: This was a single-centre retrospective study with review of medical records of 306 patients, who were surgically treated for ruptured intracranial aneurysms in a tertiary care centre from January 2011 to June 2018. Information collected were the patient demographic data, Glasgow Coma Scale prior to surgery, World Federation of Neurosurgical Societies Scale and timing between subarachnoid haemorrhage (SAH) ictus and surgery. The outcomes at discharge and 6 months post-surgery were assessed using the modified Rankin Scale (mRS). Only cases of proven ruptured aneurysmal SAH involving anterior circulation that underwent surgical clipping were included in the study. The data collected were analysed statistically. Results: The mean duration between ictus and time of surgery was found to be 9.89 days, maximum being 43 days. Patients with persisting disabilities (according to mRS) at the 1st month and 3rd month post-surgery had a mean duration of 16.69 and 16.95 days, from ictus to surgery. Conclusions: Delay in surgical clipping of anterior circulation aneurysms and poor grade at presentation were found to have unfavourable outcomes. Health education and training should be incorporated in primary healthcare setups regarding the identification of probable aneurysm rupture in early stage, so that prompt referral to higher centre can be carried out and delay in intervention be curtailed.

The effects of geriatric oral dental health training to dental students on their elderly attitudes.

To measure the effect of geriatric oral health education on the attitude of dentistry students towards the elderly. The interventional study was conducted in December 2022 at Sivas, and comprised students of the Faculty of Dentistry, Sivas Cumhuriyet University, Turkiye in their 4th and 5th academic year. A 20-hour training course was delivered over 3 days by faculty members. Baseline and post-intervention difference was assessed using the Kogan's Attitudes Towards Old People Scale. Data was analysed using SPSS 22. Of the 30 students, 18(60%) were females and 12(40%) were males. The overall mean age was 22.93±1.63 years. Besides, 18(60%) students belonged to 5th year and 12(40%) to the 4th year. The mean Kogan Elderly Attitude Scale score at baseline was 184.13±25.55, while post-intervention it was 195.36±22.36. (p<0.05). Relevant training was found to have a significant impact on the attitude of dentistry students towards the elderly.

Answering a Call to Action: Reducing Fetal Alcohol Spectrum Disorders Using a Healthcare Champion Model.

Prenatal alcohol exposure and fetal alcohol spectrum disorders (FASDs) remain critical public health issues. Alcohol use in pregnancy is a leading preventable cause of birth defects, developmental disabilities, and learning disabilities. Alcohol screening and brief intervention (SBI) is effective at reducing excessive alcohol use. However, this clinical preventive service remains critically underutilized in primary care. In 2014, the Centers for Disease Control and Prevention called for the creation of FASD Champion programs to promote clinician education about FASDs. Six professional health organizations and groups providing reproductive and child health services set out to create FASD Champion programs. The American College of Obstetricians and Gynecologists FASDs Prevention Program was created to focus on reducing alcohol-exposed pregnancies. The American Academy of Pediatrics' Champion program maintains the goal of improving health outcomes for children with FASDs by improving pediatricians' diagnostic capacity. The American Academy of Family Physicians has prioritized training family physician champions to improve the delivery of alcohol SBI among adult patients. The University of Alaska Anchorage has partnered with the National Association of Nurse Practitioners in Women's Health, the American College of Nurse-Midwives, and the Association of Women's Health, Obstetric, and Neonatal Nurses to assure advanced practice registered nurses and midwives have the knowledge and skills to prevent alcohol-exposed pregnancies and FASDs. The American Association of Medical Assistants has prioritized expanding the knowledge and skills of medical assistants related to promoting alcohol-free pregnancies. Finally, the Champions program at the University of Texas at Austin was established to train health social workers in alcohol SBI. Through the advocacy, education, and mission of these 6 health sectors in collaboration with national organizations and educational institutions, the evidence-based approach of alcohol SBI is being disseminated throughout the United States to reduce the harmful effects of prenatal alcohol exposure.

Promoting sleep and rest in hospitalized children: a best practice implementation project.

The objective of this project was to implement scientific evidence to promote sleep and rest in pediatric patients during hospitalization. Hospitals are not conducive to quality sleep, as external factors such as light, noise, and interruptions from health care staff can disturb patients. Being hospitalized has a detrimental impact on children's sleep because it reduces how much sleep they get and the quality of that sleep. It has been reported that up to 20% to 30% of hospitalized children experience sleep problems. This project was conducted at the Marqués de Valdecilla University Hospital in Cantabria, northern Spain. The project used the JBI Evidence Implementation Framework, which is grounded in an audit, feedback, and re-audit process, together with a structured approach to identifying and managing barriers to change. The study subjects were 100 children aged 2 to 16 years, who were admitted to the hospital's pediatric unit from November to December 2021, and 27 multi-disciplinary health care staff. Implementing the evidence-based strategies improved our care practices, with the follow-up audit results showing a marked improvement in compliance. Thus, training health care staff on pediatric sleep increased from 4% to 80%; using a multi-faceted approach to sleep promotion increased from 21% to 87%; and promoting relaxation techniques to promote sleep increased from 0% to 80%. The project met its objectives. Areas for improving children's sleep and rest during hospitalization were identified. To avoid resistance to change, it was necessary to involve the entire team and maintain training. We recommend follow-up audits once a year, to ensure the sustainability of the project. http://links.lww.com/IJEBH/A252.

Impact of Live Tissue Training on Provider Confidence for Operative Trauma Management.

Readiness of military health care providers is essential to maintain a prepared fighting force and remains a central issue for today's military. Maintaining skills regarding operative management of trauma is becoming more difficult if not located at an urban trauma center. Live tissue training may be used to practice skills in a facility that does not have exposure to high acuity trauma. The goal of our live tissue skills course is to train health care providers and ancillary staff in the management of various injury complexes and improve confidence and familiarity with management using a porcine model. A live tissue skills course using a porcine model was offered to surgical residents, attendings, and operating room technicians. Before completing the course, each participant completed a survey assessing comfort level, previous training experiences, and deployments. Operative management was simulated with a standardized sequence of abdominal and thoracic injuries. After the course, each participant then completed a survey assessing comfort level, benefit of the course, and comparison to inanimate simulation training. Survey information was obtained via participant completion of a multiple-choice confidential questionnaire. Responses were collected from 34 participants at our institution. Average abdominal trauma comfort increased from 2.79 to 3.73, with no participants reporting feeling not comfortable at all post-lab. Average thoracic trauma comfort increased from 2.47 to 3.48, with one participant reporting feeling not comfortable at all post-lab. Overall, 85% of participants reported the course to be very beneficial in improving their knowledge, 83% reported the course to be very beneficial compared to inanimate simulators, and 92% reported high fidelity of the live tissue training course. Perceived as highly beneficial, live tissue training increased comfort with operative trauma management by surgical residents, attendings, and technicians supporting continued utilization. Further evaluation of live tissue courses would be advantageous in assessing surgical skill improvement, including comparison with simulation training.

Task-shifting of prolonged exposure for primary care (PE-PC) for PTSD in a semirural setting in South Africa: A pilot implementation study.

Implementation science (IS) has received increased attention as it provides a means to bridge the know-do gap to implement evidence-based interventions in real-world settings. Against this backdrop, posttraumatic stress disorder (PTSD) is a global mental health concern (Koenen et al., 2017), especially in low- and middle-income countries characterized by limited trained health professionals, infrastructure, and limited access to evidence-based mental health care (Chen et al., 2017). Over the last 3 decades, effective trauma-focused psychotherapies (TFPs) for PTSD have been developed (Hamblen et al., 2019). Prolonged exposure therapy (PE) is a first-line TFP for PTSD (Hamblen et al., 2019), yet the dissemination and implementation of PE have been limited to specialty care settings in developed or industrialized countries (Booysen & Kagee, 2020). Implementation science provides an opportunity for disseminating and implementing TFPs like PE in low- and middle-income countries. This article describes mixed-method data from a pilot implementation study of an abbreviated version of PE, known as prolonged exposure for primary care (S. A. M. Rauch, Kim, et al., 2023), in a semirural city in the Eastern Cape of South Africa. Importantly, prolonged exposure for primary care shows a significant reduction in PTSD when provided by lay counselors and good feasibility and acceptability. In addition, we reflect on the barriers and facilitators related to implementation research within a low-resourced community, namely, (a) training lay counselors, (b) cultural diversity, and (c) mental health literacy. Mental health literacy is proposed as an essential component to consider in implementation science, especially in low-resourced communities. (PsycInfo Database Record (c) 2024 APA, all rights reserved).

Research on the Construction and Practice of Health and Physical Fitness Training Courses for College Students Guided by Occupational Characteristics

With the rapid development of the social economy, the demand for talents is also constantly increasing, especially the demand for healthy physical fitness of college students. However, there are certain problems in the current curriculum of health and physical fitness training for college students, such as a lack of specificity and weak practicality. Therefore, this study is guided by professional characteristics and explores the construction and practice of health and physical fitness training courses for college students, in order to provide theoretical basis and practical reference for the reform of physical education courses in vocational colleges. This study conducted in-depth analysis of the physical fitness needs of different occupational groups through literature review, expert interviews, and other methods, in order to determine the goals and content of the health and physical fitness training course for college students. On this basis, a curriculum system for healthy physical fitness training for college students has been constructed, including aerobic exercise, strength training, flexibility training, balance training, and speed and agility training, among other aspects. This course system aims to comprehensively improve the health and physical fitness level of college students, enhance their career adaptation ability. A college student health and physical fitness training course guided by career characteristics can significantly improve the physical fitness level of college students, enhance their health status, and enhance their career adaptation ability. In addition, the curriculum system also has high practicality and pertinence, which can meet the needs of different occupational groups for health and physical fitness training. This study also puts forward some suggestions for the reform of physical education courses in vocational colleges. Strengthen the construction of the curriculum system, pay attention to the practicality and pertinence of the course content; Pay attention to the construction of the teaching team, improve the professional competence and teaching ability of teachers; Strengthen school enterprise cooperation, fully utilize enterprise resources, and improve the practicality of the curriculum. This study, guided by professional characteristics, explores the construction and practice of health and physical fitness training courses for college students, providing a certain theoretical basis and practical reference for the reform of physical education courses in vocational colleges. In future education and teaching work, we should continue to deepen curriculum reform, improve the quality of talent cultivation, and meet the demand of society for high-quality talents.

Bringing Positive Self-Talk Practices into the Dance Class

Dance integrates both body and mind, yet dance students continue to struggle with loneliness and mental health. Although many dance departments teach the physical components of wellness, such as anatomy or nutrition, most departments do not incorporate the skills or training for mental health and well-being. In this article, I offer several examples for how to incorporate positive self-talk practices into a dance class, focusing on journal prompts and other assignments to integrate mental skills training into dance class curriculum. My hope is that these exercises and activities can serve as a framework adaptable to different wellness topics allowing teachers to serve the mind, body, and heart of each student. This holistic approach gives them the necessary tools to develop self-awareness, resilience, and positive habits.

Internet of Things Heart Rate Monitoring Based on Wireless Sensor Networks in Swimming Training Health Prevention Simulation

Internet of Things Heart Rate Monitoring Based on Wireless Sensor Networks in Swimming Training Health Prevention Simulation

Fostering healthy outcomes in hotels: The effects of healthy organizational resources on employees’ stress reduction, resilience, and task performance

This study aims to learn from past global health crises, encouraging industry leaders worldwide to take proactive steps in implementing extra health and safety measures for future potential crises. The research employs a quantitative approach to investigate a proposed model suggesting that hotel employees’ adherence to health and safety regulations is contingent on the availability of supportive organizational resources. An electronic questionnaire was administered to hotel employees in Egypt, resulting in 213 valid responses. The data was analyzed using SPSS 25 and AMOS 24. The findings indicate a strong connection between health and safety training, health and safety resources, and health and safety compliance. Additionally, the results reveal direct and significant links between health and safety compliance, stress reduction, improved employee resilience, and enhanced task performance. Moreover, significant indirect effects were found between health and safety training, health and safety resources, and healthy organizational outcomes, with health and safety compliance serving as a mediator. The current study provides a valuable theoretical and practical contribution on employee motivation to comply with health standards, employee-organization interactions, resilience, and crisis management to better prepare for future health crises.

Assessment of Navy Provider Knowledge of Women's Mental Health Services, Treatment Practices, and Training.

As female active duty populations increase in all military environments, it is critical that women's health be addressed in a comprehensive manner. The study's results will be utilized to assist Navy health care leaders in addressing female force readiness policies, treatment gaps, and training specific to women's mental health. In total, 212 active duty participants were recruited from the Navy's mental health specialties. The survey was hosted on the U.S. Government's MAX.gov survey website and received Institutional Review Board and Survey Review Board approval per Navy and Defense Health Agency requirements. Participants recorded their experiences with various patient presentations using Likert scale assessments, indicated their comfort in prescribing medication to patients with 11 distinct presenting concerns, and responded to six questions regarding their training and clinical experience in the field of women's mental health. Differences were noted for provider gender, treatment setting, patient sex, provider rank, and years of independent practice. Female providers were more likely than males to report that their female patients presented with 15 of the 21 measured issues. Providers located at MTFs were significantly more likely than providers in operational billets to report female patients presenting with certain conditions and reported being more comfortable prescribing medication. Eighty percent of respondents authorized to prescribe medicine rated themselves as very or extremely comfortable prescribing medications to their patients for all specified conditions except two: women who are breastfeeding and women who are pregnant. Senior officers reported the most comfort prescribing medication to women who are planning to become pregnant and women who have experienced perinatal loss. Only a minority of providers (20%, female; 33%, males) reported receiving women's mental health education during their training. Of those who did receive training, it was limited to post-partum and pregnancy. Most participants (93%) agreed that women's mental health should be incorporated into training programs for military providers. This exploratory study highlights that provider variables impact assessment and treatment of and for patients. The study highlights the interplay of gender, treatment setting, experiences, and level of comfort are associated with provider assessment of presenting concerns. The authors hope this study will help in prioritizing women's mental health practices, mental health training, and research, and in informing policy and decision-making.

The Effects of Platoon Leader Mental Health and Resilience Training on Soldier Problematic Anger.

The DoD has prioritized programs to optimize readiness by enhancing resilience of its service members. Problematic anger in the military is an issue that impacts psychological well-being and resilience. Leader support is a potential tactic for reducing anger and its effects. Currently military resilience training is focused on individual level resilience. A gap exists in such training and there is a need to train leaders to provide mental health and resilience support to their subordinates. The present study developed and tested a theory-based training aimed at platoon leaders that focused on how to engage in proactive and responsive mental health and resilience-supportive behaviors through guided discussion, scenarios, and computer-based training with embedded quizzes. We conducted an Institutional Review Board-approved cluster randomized controlled trial to test the effects of a leadership training with Army platoon leaders (n = 99) and soldiers (n = 276) in 2 brigades at an active duty military installation in the USA. Training was conducted in person with a computer-based component. Soldiers completed online surveys 1 month prior and again 3 months after the leader training. Post-training results demonstrated significant leader learning effects (Cohen's d = 1.56) and leader positive reactions to the training information, with leaders reporting the information as useful and relevant to their work. Service members in the treatment group reported significantly lower levels of anger at time 2 (b = -0.18, SE = 0.06, P = .002, pseudo ΔR2 = 0.01; d = 0.27) compared to the control group. We also found an indirect effect of the intervention on increased life satisfaction at time 2 via decreased anger (b = 0.035, SE = 0.023, 95% CI = [0.004-0.24]). This study provides an initial evaluation of training for platoon leaders that educates them on proactive and responsive behavioral strategies to support the mental health and resilience of their service members via decreased problematic anger and increased well-being. Further adaptations and evaluations should be conducted with other military branches and civilian occupations, as the benefits of the relatively brief and noninvasive training could be widespread.

The nature and validity of implicit bias training for health care providers and trainees: A systematic review.

The number of health care educational institutions/organizations adopting implicit bias training is growing. Our systematic review of 77 studies (published 1 January 2003 through 21 September 2022) investigated how implicit bias training in health care is designed/delivered and whether gaps in knowledge translation compromised the reliability and validity of the training. The primary training target was race/ethnicity (49.3%); trainings commonly lack specificity on addressing implicit prejudice or stereotyping (67.5%). They involved a combination of hands-on and didactic approaches, lasting an average of 343.15 min, often delivered in a single day (53.2%). Trainings also exhibit translational gaps, diverging from current literature (10 to 67.5%), and lack internal (99.9%), face (93.5%), and external (100%) validity. Implicit bias trainings in health care are characterized by bias in methodological quality and translational gaps, potentially compromising their impacts.

Public health capacity development in Africa: The case of advanced public health education and training in Cabo Verde.

Public health capacity development in Africa: The case of advanced public health education and training in Cabo Verde.

Youth With Specific Learning Disorders: Attitudes and Clinical Decision-Making Among Mental Health Trainees

Individuals with disabilities often face discrimination due to negative attitudes from others around them. This is true for youth with specific learning disorders (SLD), whose experiences of discrimination can increase the risk for developing mental health concerns. The current study explored whether the presence of an SLD comorbid with mental health concerns and attitudes toward SLD may have an association with clinical decision-making in counselor trainees. The study additionally investigated the role of contact and experience in attitudes and decision-making patterns. Seventy graduate students enrolled in mental health-related programs at a public university in the southern United States participated in the survey study. Findings showed that SLD had an association with clinical decision-making, with counselor trainees rating a vignette depicting a youth with SLD as having more severe mental health concerns than a vignette without an SLD.

Mental health training for physicians supervising resident physicians: a cluster randomised controlled trial.

To evaluate an online training program for physician supervisors with the aim of promoting a mentally healthy workplace by improving their use of both responsive and preventive mental health support strategies. Cluster randomised, waitlist-controlled trial. Royal Australasian College of Physicians fellows who were supervising at least one resident physician in any of the 31 primary health networks in Australia and 20 district health boards in New Zealand (health network clusters). A brief online skills-based mental health training program, comprising twelve modules grouped into three topics: common mental illnesses; helping trainees you are concerned about (responsive strategies); and minimising mental health risks at work (preventive strategies). Change between baseline and the 3-month assessment in self-reported recommended supervisor behaviours; differences between intervention and control groups in recommended behaviour scores three weeks, three months, and six months after the program. Ninety physicians from 20 health network clusters were allocated to the intervention group, 88 physicians from 22 clusters to the control group. Intervention group participants reported greater positive change in behaviour across the study period than those in the control group (mixed model repeated measures analysis, group × time interaction: P < 0.001). The mean change in self-reported supervisory behaviour score was higher for the intervention than the control group at the 3-week (mean difference in score, 1.6; 95% confidence interval [CI], 0.8-2.4), 3-month (0.9; 95% CI, 0.2-1.6), and 6-month assessments (1.9; 95% CI, 1.1-2.7). The mean change in self-reported responsive behaviour score was also greater for the intervention group at the 3-week (mean difference, 2.3; 95% CI, 1.5-3.1), 3-month (1.0; 95% CI, 0.2-1.9), and 6-month assessments (2.0; 95% CI, 1.1-2.9); differences in the mean change in preventive behaviour scores were statistically significant at the 3-week (mean difference, 1.1; 95% CI, 0.1-2.2) and 6-month assessments (1.8; 95% CI, 0.8-2.8), but not the 3-month assessment (0.8; 95% CI, -0.1 to 1.7). Brief online mental health training for senior physicians can lead to changes in their self-reported behaviour for supporting the mental health needs of resident physicians. Whether this leads to better mental health for resident physicians should be investigated. Australian New Zealand Clinical Trials Registry, ACTRN12619001496101 (prospective).

Transforming medical students’ speaking-up behaviors in medical errors: The impact of simulation and personalized debriefing

Introduction Sharing mental models is essential for high-performance teams, and speaking up is key for exchanging critical insights, especially during medical errors. Understanding how health providers and trainees voice their concerns is crucial for improving speaking-up behavior. This study aims to fill a gap in the literature by examining how medical students speak up when they encounter medical errors and assessing the impact of training on their speaking-up patterns. Method A quasi-experimental study involving 146 students, who were divided into two groups, was conducted in Northern Taiwan. One group of students encountered life-threatening scenario before intervention, followed by a faculty-led personalized debriefing session, then a non-life-threatening scenario after the intervention. Another group of students underwent these sessions in the reverse order. Students’ Speaking-up patterns, including expression style, form and attitude, and their speaking-up confidence were assessed at pre- and post-intervention scenarios. Results During pre-intervention scenario, in expression style, 50 students (34.5%) addressed their concerns to medical errors with direct expression and 14 students (9.7%) utilized indirect hint to express their concerns. In expression form, 31 students (21.4%) addressed their concerns to medical errors with affirmative sentences and 33 students (22.8%) asked questions to express their concerns. In speaking-up attitude, 47 students (32.4%) used unoffensive words, while 17 students (11.7%) used offensive words. After intervention, significantly change of speaking-up styles, forms, and attitude were observed along with their speaking-up confidence (p < 0.001). Discussion Medical students are inclined to speak up in the event of medical errors using more direct expression and affirmative sentences, along with increased speaking-up confidence after simulation scenario learning and faculty-led personalized debriefing. Healthcare educators can focus more on discussing with students the advantages and disadvantages of various approaches of speaking-up in medical errors, helping them to develop effective speaking-up behaviors in a variety of medical contexts.

Prevalence of Work Related Musculoskeletal Disorders and Associated Factors Among Coffee Processing Factory Workers in Addis Ababa and Gelan City in Ethiopia, 2023

&amp;lt;i&amp;gt;Background&amp;lt;/i&amp;gt;: Globally, work-related musculoskeletal disorders (WRMSDs) account for around 40% of the total compensated cost of occupational diseases and injuries. It has a huge impact on the public health problems and economic loss of the society. There was few information about prevalence and risk factors for musculoskeletal diseases associated with job among coffee processors in Ethiopia. &amp;lt;i&amp;gt;Objective&amp;lt;/i&amp;gt;: The study aimed to assess the prevalence and associated factors of work-related musculoskeletal disorders among coffee processing factory workers. &amp;lt;i&amp;gt;Methods&amp;lt;/i&amp;gt;: A cross-sectional study was utilized to assess the prevalence of work-related musculoskeletal disorders from March to June-2023. Data were collected by face-to-face interview using a standardized Nordic questionnaire. Simple random sampling method was used to select 633 of study participants. EPInfo version 7.1 was used to enter and cleaned up the data and exported into SPSS version 23 software for further statistical analysis. Bivariable and multivariable logistic regression analysis were used to determine potential predictors of MSDs. &amp;lt;i&amp;gt;Results&amp;lt;/i&amp;gt;: The prevalence of work-related musculoskeletal disorders over the course of a year was 529 (83.6%). The limbs (64.5%) and shoulders (64.5%) were most commonly affected, followed by the neck (61.8%), upper back (60.2%), lower back (54.0%), and hands (51.2%). The final multivariate logistic regression analysis revealed that male [AOR: 1.8, 95%CI: 1.1, 2.9], married [AOR: 2.2, 95%CI: 1.3, 3.8], physical activity habit [AOR: 2.2, 95%CI: 1.1, 4.2], work-related stress [AOR: 2.0, 95%CI: 1.3, 3.4], health and safety training [AOR: 2.6, 95%CI: 1.1, 5.9], working hours [AOR: 3.0, 95%CI: 1.2, 7.5] and repetitive work [AOR: 2.0, 95%CI: 1.1, 3.5] were found to be statistically significant associating factors with work-related musculoskeletal disorders. &amp;lt;i&amp;gt;Conclusion&amp;lt;/i&amp;gt;: In this study the prevalence of work related musculoskeletal disorder was high. Sex, marital status, habit of doing physical exercise, job related stress, work hours, health and safety training work place were statistically significant factors to work related musculoskeletal disorder.

Supporting Timor-Leste midwives and nurses through an educational program: An evaluative study

Little is currently known about the impacts of participation in a five-week Australian maternal and newborn health training program for Timorese midwives and nurses. BackgroundThe maternal mortality rate in Timor-Leste is estimated to be around 204 per 100,000 live births, and there is a correlation between safe and quality maternal and newborn health services. Hence, there is a need to develop the nation’s maternity workforce. Whilst numerous training programs have been geared towards improving the knowledge and skills of Timorese midwives and nurses, to date, no published study has evaluated their impact on participants. AimTo describe satisfaction of an Australian maternal and newborn health training program for Timorese midwives and nurses and its impact based upon the participants survey and qualitative evaluations. MethodsAn evaluative study was conducted using a survey to explore the impacts of a five-week Australian residential training program on 12 Timorese midwives and one nurse. FindingsThe survey data demonstrated an increase in the participants knowledge and skills required to provide enhanced maternal and newborn care; post-training, most participants demonstrated increased knowledge of obstetric emergencies. The participants showed the most pronounced increase in Advanced Clinical Skills in the subjects of fetal assessment, neonatal resuscitation and obstetric emergencies.The qualitative data identified two main themes and six subthemes related to professionalism, communication, and connections. ConclusionAn Australian residential training program, provided in collaboration with local Rotary clubs can enhance the development of maternal and newborn healthcare skills for midwives and nurses from Timor-Leste.