Lack Of Personnel Training Research Articles

Prediction of the Behavior of a Power System Using Root Cause Failure Analysis

The thermo-economic performance of a gas turbine is simulated using a fish bone technique to characterize the major equipment failure causes. Moreover a fault tree analysis and a Pareto technique are implemented to identify the related failure modes, and the percentage and frequency of failures, respectively. A pump 101 and drier 301 belonging to the Tabriz Petrochemical Company are considered for such analysis, which is complemented with a regression method to determine a behavioral model of this equipment over a twenty-year period. Research findings indicate that 81% of major failure factors in production equipment are related to the executive procedures (24%), human error (22%), poor quality of materials and parts (20%), and lack of personnel training (15%).

Perceptions of barriers to patient financial hardship screening differ by provider role within gynecologic oncology outpatient care.

317 Background: Although approximately half of patients with gynecologic malignancy experience financial hardship (FH) during treatment, best practices to identify and assist patients with FH are lacking. To develop such practices, we assessed oncology provider and staff perspectives about FH screening and provision of assistance. Methods: An anonymous survey was conducted electronically within the Gynecologic Oncology outpatient office at a Comprehensive Cancer Center. Potential barriers to patient FH screening and follow-up were assessed within 2 domains: 1) logistic barriers to incorporating FH screening and follow-up into outpatient workflow and 2) perceived patient barriers to FH screening. Responses were elicited on a 5-point Likert scale from ‘very’ to ‘not at all’ significant and dichotomized into significant and not significant barriers. Results: Of 43 providers approached, 37 responded (86% response rate) of which 14 were physicians (MD)/nurse practitioners (NP) and 23 were other staff members (i.e., clinical and research nurses, social workers, pharmacists, care coordinators, lay navigators, and financial counselors). Altogether, 38% worked in their current position for >5 years (n=14), 11% for 3-5 years (n=4), and 51% for <3 years (n=19). For logistic barriers to implementing FH screening and follow-up, the most frequently reported significant barriers included lack of personnel training (69%) and lack of available staff (62%), training regarding follow-up (72%), and case tracking infrastructure (67%). The most frequent significant perceived patient barriers were lack of knowledge of whom to contact (72%), concerns about impact on treatment if FH needs were identified (72%), and lack of patient readiness to discuss financial needs (62%.) Compared to MD/NP, staff members more often indicated the following as significant barriers: difficulty incorporating FH screening into initial visit workflow (31 % vs. 57%, p=0.03), overstretched personnel (29% vs 73%, p=0.005), and patient concerns about influence on treatment (62% vs 86%, p=0.01). Conclusions: Care team members identified barriers to patient FH screening across logistic and patient-centered domains, although MD/NP less so than other staff possibly reflecting different exposures to patient financial needs during clinical encounters or burden of workflow. Implementation of universal FH screening, dedicated personnel, convenient tracking mechanisms, and multi-disciplinary provider and staff training may improve recognition of patient FH and facilitate its integration into oncology care plans.

Research on Key Technologies of Intelligent Operation and Maintenance of Communication Network

Based on the analysis of the challenges faced by the operation and maintenance of communication network, this paper studies the intelligent operation and maintenance architecture of communication network. Using the accumulated massive communication network operation and maintenance data, the research explores the high-speed calculation of intelligent algorithm, rapid splicing of demand components, multi-dimensional visual interaction and other technical methods to effectively deal with the problems such as the surge of business volume, the difficulty of event handling, and the lack of personnel training. Research on key Technologies can ensure the safe and stable operation of information and communication network.

Conhecimento da Oximetria de Pulso na Triagem da Cardiopatia Congênita

Objetivo: Fazer um levantamento sobre o conhecimento dos profissionais da saúde, nos hospitais, e graduandos dos cursos de Medicina e Enfermagem, relacionados com a aplicação da oximetria de pulso na triagem neonatal de cardiopatia congênita no Noroeste Paulista. Material e Método: Trata-se de um estudo transversal, de campo, quantitativo, no perí­odo de março a dezembro/2017. A amostra contou com 90 participantes distribuí­dos em três grupos: 55 graduandos de Medicina; 28 graduandos de Enfermagem e sete Profissionais/Hospitais e participação de sete hospitais. A coleta de dados deu-se por meio de um questionário com treze questões, respondido pelos voluntários. Os dados foram planilhados por meio dos programas Microsoft Office Excel, Word e o Statistical Package for Social Sciences (SPSS) versão/24.0 e utilizado a estatí­stica descritiva. Resultados: Foi constatado que somente 63% dos hospitais participantes realizam a triagem neonatal. Com relação ao treinamento, 49% dos graduandos de Medicina e nenhum de Enfermagem passaram por treinamento. Entre os Profissionais que atendem nos hospitais, somente 28% receberam treinamento. Conclusão: Constatou-se a baixa adesão na realização da oximetria de pulso pelos hospitais públicos, com maternidade, dessa região; bem como o déficit de treinamento ofertado aos seus profissionais. Há necessidade de ampliar o conhecimento da oximetria de pulso para a comunidade acadêmica dos cursos de Medicina e Enfermagem, e ofertar treinamentos aos profissionais que atendem os recém-nascidos nos berçários.

Facilitators and barriers to education for chiropractic students with visual impairment.

The purpose of this study was to document the academic experiences of students with visual impairment in a doctor of chiropractic program. Ten participants were recruited, including 3 students who are "legally blind," 2 student notetakers, 3 faculty members who taught students with visual impairment, and 2 staff members from the Disability Services Office. For this qualitative study, the students were recruited through the Disability Services Office. The participants were audiotaped during approximately 1-hour interviews conducted in a semistructured manner within a private setting (a quiet office) on the campus during office hours. Thematic analysis was conducted using a deductive method for codes and an inductive method for themes. We identified facilitators and barriers to the education of students with visual impairment. Notable facilitators were planning for accessible educational materials, accessibility of workable space, and support systems, such as notetakers and close interaction with faculty. Notable barriers were attitudes of students with visual impairment toward their education, lack of personnel training, and lack of disability awareness in the campus community. Meticulous planning of resources and communication are key to enriching academic experiences of students with visual impairment.

Recurring Issues in Historic Building Conservation

Historic building conservation is often challenged by a number of issues in its process. This paper reviews past studies about challenges of heritage building conservation, then goes on to describe a small pilot study carried out in Malaysia to measure the number of significant issues faced among local conservators. A total of 46 issues were identified from literature and classified into five themes of technical, environmental, organisational, financial and human issues. Tentative findings showed that technical issues such as limited availability of specialists, availability of original components, labour and skill shortages, and lack of personnel training, were the biggest challenges in conservation projects.

Difficulties and barriers for the implementing of HACCP and food safety systems in food businesses in Turkey

The purpose of this study was to determine barriers for HACCP and food safety programs in food businesses in Turkey. A lack of understanding of HACCP was identified as one of the main barriers to its implementation 63.5% reported that they did not really know what HACCP was while 23.5% reported that it was too complicated. Only 33.0% of managers said they had a food safety management system. About 31% of the employees in food businesses had received basic food hygiene training. The majority of managers (91.3%) identified improved customer confidence as a benefit of implementing a food safety management system. Lack of prerequisite programs (92.2%) was the key barrier identified for all food businesses. While lack of knowledge about HACCP (83.5%), lack of time (88.7%), staff turnover (80.9%), lack of employee motivation (83.5%), complicated terminology (87.0%) and lack of personnel training (91.3) was the other most common barriers in food businesses. As a conclusion, lack of knowledge about HACCP and other food safety programs were identified as the main barriers for food safety in food businesses. Lack of prerequisite programs and inadequate physical condition of the facility were also identified as other barriers. Training programs, both basic food safety and HACCP to support implementation of prerequisite programs and HACCP in food businesses were suggested.

Conducting an Inventory of Informal Community-Based Resources for Children with Physical Disabilities

This article describes the process involved in conducting a sample inventory of community-based sports, recreation/leisure, and arts resources that include children with physical disabilities in Monroe County, New York. The inventory instrument, Community Resource Inventory for Children with Physical Disabilities, was designed to examine organizational or group capacity to provide activities for children with physical disabilities. The inventory was administered by phone to organizations and groups identified as meeting the definition of a community-based resource. One hundred and six CBR informants were interviewed, each reporting one or two recreational activities provided at their site. The activities included arts, sports, or leisure offerings, with a total of 127 activities identified in the sample. The results of the study support the premise that community-based resources are receptive to providing activities for children with physical disabilities and to potential collaboration with therapists. Numerous barriers exist, however, including environmental inaccessibility, lack of personnel training, and costs of participation. The results suggest several educational and system-based changes that may promote future collaborative efforts between therapists and community-based organizations.

Conducting an Inventory of Informal Community-Based Resources for Children with Physical Disabilities

This article describes the process involved in conducting a sample inventory of community-based sports, recreation/leisure, and arts resources that include children with physical disabilities in Monroe County, New York. The inventory instrument, Community Resource Inventory for Children with Physical Disabilities, was designed to examine organizational or group capacity to provide activities for children with physical disabilities. The inventory was administered by phone to organizations and groups identified as meeting the definition of a community-based resource. One hundred and six CBR informants were interviewed, each reporting one or two recreational activities provided at their site. The activities included arts, sports, or leisure offerings, with a total of 127 activities identified in the sample. The results of the study support the premise that community-based resources are receptive to providing activities for children with physical disabilities and to potential collaboration with therapists. Numerous barriers exist, however, including environmental inaccessibility, lack of personnel training, and costs of participation. The results suggest several educational and system-based changes that may promote future collaborative efforts between therapists and community-based organizations.

Increasing Regulatory Flexibility of Special Education Programs: Problems and Promising Strategies

This study investigated the perceptions of federal, state, and local program administrators related to increasing regulatory flexibility. Open-ended interviews were conducted with 58 individuals representing 8 states, 11 local school districts, the U.S. Department of Education, and selected national organizations. Individuals were asked to respond to a number of questions regarding how their state or local district is attempting to increase flexibility in implementing the Indiviual with Disabilities Education Act (IDEA), Title I of the Improving America's Schools Act (IASA), and bilingual education and to identify barriers to increasing the consolidation of resources across these programs. Strategies for consolidating programs and services were also identified. Interviewees generally perceived a number of benefits in consolidation, including more efficient use of resources, enhanced collaboration, and more inclusive education. They also identified a number of policy and organizational barriers including fear of audits, lack of leadership, and lack of personnel training or support. Challenges included the dilution of services, lack of targeting, and loss of special protections to special populations.