Department Personnel Research Articles

Delays in Diagnosis, Treatment, and Surgery: Root Causes, Actions Taken, and Recommendations for Healthcare Improvement.

Although patient safety continues to be a priority in the U.S. healthcare system, delays in diagnosis, treatment, or surgery still led to adverse events for patients. The purpose of this study was to review root cause analysis (RCA) reports in the Veterans Health Administration to identify the root causes and contributing factors of delays in diagnosis, treatment, or surgery in an effort to prevent avoidable delays in future care. The RCA reports from Veterans Health Administration hospitals from October 2016 through September 2019 were reviewed and the root causes and contributory factors were identified. These elements were coded by consensus and analyzed using descriptive statistics. During the 3-year study period, 206 RCAs were identified and 163 were analyzed that were specific to delays in diagnosis, treatment, and surgery. The reports identified 24 delays in diagnosis, 117 delays in treatment, and 22 delays in surgery. Delays occurred most often in outpatient settings. Results supported the need for standardization of care processes and procedures, improved communication between and within department personnel, and improved policies and procedures that will be followed as intended. By reviewing adverse events, root causes, and contributing factors identified by local RCA teams, strategies can be developed to reduce delays in diagnosis and treatment of patients and lead to safer care.

Impact of digitalization on work life balance of employees in police department in Chennai

Using digitalization in law and enforcement has certainly been a path breaking development and literally transformed their approach of work life balance. These technologies are emerging has a boon for reducing workload through which employees can spend more time with their families. Digitalization gives freedom of work from home mode as well as reporting to department whenever called for so it is mandatory to study the importance of digitalization and its effects on police employees work life balance. The purpose of this research is to analyze the impact of digitalization on work-life-balance of employees in police department. Digitalization as an independent variable with sub factors online communication, safety apps and work/life balance as a dependent variable with sub factors flexible working arrangement and workload. The researcher believe that digitalization boosts the work-life balance of employees of police department. Research design: The data for this survey were obtained from a sample of 106 police department personnel and analyzed using correlation and regression techniques to determine the effect of independent variables on dependent variable. Practical Implications: The study's findings will assist the police department in analyzing the impact of digitalization on the work-life balance of employees in the Chennai police department.

Угроза утечки данных из-за недостаточного внимания к информационной безопасности

The article discusses the main problems of data leakage in firms, formulates the basic principles of rationalization, including in the context of vectors of awareness development in the field of information security. The importance of expanding the budget allocated for the development of information security, interaction with employees responsible for information security at the facility, employees of the personnel department was noted. Emphasis is placed on the need to develop indicators of insider data compromise in order to develop a data traceability system. At the conclusion of the work, conclusions are drawn and proposals are formulated for the modernization of the information security system.

Enforcement of low-level warrants in the City of St. Louis: Officer decision making and implications for policy and practice

Abstract Warrants are commonplace in the USA, especially bench warrants issued for non-compliance with court orders. Although warrants compel arrest, in practice, officers exercise discretion when enforcing low-level warrants; yet, this discretion goes undocumented and data on warrant enforcement are limited. This collaboration between St. Louis Metropolitan Police Department and the University of Missouri—St. Louis addresses these gaps. Using arrest data, we find that warrant arrests in St. Louis declined from 2002 to 2019. One-third of arrests involve a bench warrant, primarily stemming from traffic violations, and many involve no new charges. Racial disparities in warrant enforcement exist, but data are needed to uncover why. Informal focus groups and meetings with St. Louis Metropolitan Police Department personnel held from 2018 to 2021 provide insight into the role of warrants in officer decision making. We argue that reducing resources devoted to warrant enforcement and racial disparities requires collaboration between police and other stakeholders.

Digital-skills of building economists in the era of VUCA and BANI-WORLD

This article is devoted to the formation and use of digital-skills by construction economists at the turn of the era of VUCA-world and BANI-world concepts.
 Especially given the current realities of globalization of socio-economic institutions and institutions, challenges related to climate change, pandemics, military conflicts and cataclysms, digital skills will replace the "soft" skills needed by construction economists, both in training and continuing education. for life.
 The treacherous, inhuman aggression of the Russian Federation has caused large-scale destruction of housing, industrial buildings and infrastructure. Restoration of damaged and lost objects is associated with considerable costs, the amount of which is currently almost impossible to estimate. Despite the unprecedented steps of the Government of Ukraine, first of all, the simplification of procedures for the import of construction materials, to avoid the problem of rising construction costs, unfortunately, will not succeed. First of all, in order to rebuild Ukraine as soon as possible, there will be an increase in demand for construction materials, products and kits in most international markets. At the same time, world prices will definitely grow. In turn, the cost of construction and the need to increase investment will increase. This problem will be most acute for all participants in housing construction, as in the post-war conditions such projects will be deprived of a commercial component.
 According to the Network Readiness Index, Ukraine is relatively well developed in such areas as technology, human capital, economy, living standards and contribution to the UN Sustainable Development Goals. The harmonious development of digital skills of construction economists at the turn of the VUCA and BANI epochs on the basis of market organizational and economic mechanisms and public e-government will enable the sectors and economies of construction companies and construction economists to make a digital leap.
 BANI is a way to better understand the current state of the world and somehow respond to it. Some of the changes in society, the environment and technology are familiar to us - they are stressful, but we have encountered them before. But so many changes are taking place now that are unfamiliar, incomprehensible and disorienting. They increase the stress we feel and increase it. As in the acronym VUCA, each letter BANI has a special meaning that affects the concept.
 The paper simulates, taking into account the BANI concept, using a factor-criterion qualimetric model to assess the level of professional motivation of the Kovalska Group on the example of construction economists and communicative interaction on the example of the personnel department during martial law in Ukraine.
 The use of these models will help eliminate bias in the evaluation process, help manage motivation, inform employees and managers about development reserves (growth), increase the level of positive communicative interaction with the environment, ie purposefully manage productive activities with digital-skills in VUCA and BANI-world.

Daytime sleepiness and work ability index in health care workers

Introduction: Hospital personnel are susceptible to sleep disorders due to their occupational nature, which has a negative impact on their behavioral and cognitive function and can decrease their ability to work. The aim of this study was to investigate the relationship between daytime sleepiness and its affecting factors and work ability index.
 Methods: This cross-sectional study was performed on 384 personnel of different departments of Al-Zahra hospital in Isfahan who were selected by quota sampling based on the ratio of number of staff of each job title to the total number of hospital personnel. For participants a checklist of demographic and occupational variables and two questionnaires: ESS (Epworth sleepiness scale) and WAI (Work Ability Index) were completed. Scores 13 and more for ESS questionnaire were considered as daytime sleepiness, and scores 28 and less for the WAI questionnaire were considered as poor performance.
 Result: 48% of participants were male and 52% were female. The mean age of the participants was 35.79±7.65 years and their mean working experience was 10.48±7.24 years. The results showed that there is a significant relationship between daytime sleepiness and demographic and occupational variables other than gender and educational level. Regarding the work ability index a significant relationship was seen with the above variables except gender, educational level and job title. A strong reverse and significant relationship was observed between daily drowsiness and the work ability index.
 Conclusion: The relationship between WAI and ESS in hospital personnel indicates that the ability to work can be increased by improving sleep status and controlling the factors that lead to daytime sleepiness.

Prevention and Control of COVID-19 after Resuming General Hospital Functions.

During the COVID-19 pandemic, many general hospitals have been transformed into designated infectious disease care facilities, where a large number of patients with COVID-19 infections have been treated and discharged. With declines in the number of hospitalizations, a major question for our healthcare systems, especially for these designated facilities, is how to safely resume hospital function after these patients have been discharged. Here, we take a designated COVID-19-care facility in Wuhan, China, as an example to share our experience in resuming hospital function while ensuring the safety of patients and medical workers. After more than 1200 patients with COVID-19 infections were discharged in late March, 2020, our hospital resumed function by setting up a three-level hospital infection management system with four grades of risk of exposure. Moreover, we also took measures to ensure the safety of medical personnel in different departments including clinics, wards, and operation rooms. After all patients with COVID-19 infections were discharged, during the five months of regular function from April to September in 2020, no positive cases have been found among more than 40,000 people in our hospital, including hospital staff and patients.

Developing Complex, Cross-Cutting Skills in the Public Health Workforce: Using a Crosswalk Analysis to Map Public Health Competencies to Strategic Skills for the Governmental Public Health Workforce.

In recent years, many public health organizations have used 2 frameworks for workforce development planning and action: the Core Competencies for Public Health Professionals (Core Competencies) and the Strategic Skills for the Governmental Public Health Workforce (Strategic Skills). A third framework is also available for organizations emphasizing population health: the Competencies for Population Health Professionals (Population Health Competencies). This crosswalk analysis-conducted by the Public Health Foundation with input from the Region 2 Public Health Training Center and the de Beaumont Foundation-harmonizes these 3 schemas by systematically mapping the 2014 version of the Core Competencies and the 2019 Population Health Competencies with the 2017 version of the Strategic Skills to produce a comprehensive matrix depicting their relationships. When developing training and curricula, health department personnel and academic faculty can use the results to identify competencies public health professionals may wish to master to build the Strategic Skills. Organizations can also replicate the analytic methodology to align the Core Competencies with other sets of strategic priorities.

IMPROVEMENT OF PERSONNEL POLICY IN PUBLIC SERVICE

The relevance of the topic is due to the fact that there is a need to transform the personnel policy and personnel technologies in the public service. At this, it is necessary to revise the elements of personnel policy for the public sector. To improve the efficiency of personnel technologies in the state civil service of the Chuvash Republic, we propose to use the experience of the civil service and personnel department of other regions. The purpose is a detailed analysis of modern state personnel policy in the public service. The scientific novelty of the work represents proposals for improving the personnel policy in the public service, taking into account other regional practices. The author studied the practice of compliance with the legislation on the civil service in various areas, compiled a table on the problems of personnel policy in the civil service and measures to solve them. At this, the database "Best personnel practices in the state civil and municipal service" (2015–2019) was reviewed. The experience of organizing complex work on personnel management in Leningrad region is interesting. To develop the personnel policy in the public service, it was proposed to introduce the sector of corporate culture and social and labor relations not only in the public service in the Chuvash Republic, but in other regions as well. Currently, the approach to personnel policy in the public service is too formal. There is a tendency to change the approach to personnel policy in the public service in terms of its flexibility and there is a need to improve it. This is evidenced by the various practices of implementing the personnel policy in the public service at the regional levels. Thus, the approach to personnel policy may be different, one of which is proposed in this article.

Improving Perioperative Communication During the COVID-19 Pandemic.

ABSTRACTPerioperative communication can be ineffective and result in delays or adverse events. Coronavirus disease 2019 (COVID‐19) has placed demands on health care leaders and personnel to integrate information quickly and accurately. When caring for patients diagnosed with COVID‐19 or whose infection status was unknown, perioperative personnel at one facility discovered communication gaps associated with the environmental cleaning process and hand‐over reports. A project team comprising perioperative nurses created five tools to provide critical information to help diverse team members share the same mental model. The project team created one tool in English and Spanish to meet the needs of environmental services personnel whose primary language was Spanish. The team created another tool to support communication with central processing department personnel and facilitate prioritization of case cart cleaning when needed. The development and implementation of the communication tools helped to provide a safe working environment during the COVID‐19 pandemic.

THE ROLE OF HR ANALYTICS IN THE PERSONNEL CONTROL SYSTEM AND HR MANAGEMENT OF THE ENTERPRISE IN MODERN BUSINESS PROCESSES

The article specifies the concepts of “personnel control” and “HR-analytics”, defines the object and subject of personnel control, outlines the main directions and tasks of controlling. The article proposes the stages of formation of the controlling service at the enterprise. The study of the step-by-step implementation of the controlling service revealed that information flows play an important role in the functioning of personnel controlling, because it is the availability of valid, up-to-date information about personnel that is the key to the successful functioning of the controlling service. It was determined that HR analytics is a tool that greatly facilitates the work of the controlling service and brings it to a qualitatively new level. HR-analytics is able not only to form an information field, but also to provide analytical material that will form the basis of personnel controlling. Based on data from the HR department, HR analytics provides objective information about the real state of HR management at the company, determines what is working well and what is not, so that business entities can make the necessary adjustments in time and plan the future more effectively. In general, at enterprises, the function of collecting and processing information in most cases falls under the responsibilities of the personnel department, but the personnel department only ensures the proper processing of information, its storage, i.e., accumulates information in accordance with the requirements of current legislation. At the same time, the personnel department does not use the available information for the purpose of thorough analysis, decision-making on improving the efficiency of the use of the company’s personnel, etc. The process of implementing HR analytics consists in the implementation of a certain algorithm of actions. First of all, all the necessary data is collected, then the information obtained is compared with normative indicators, which helps to determine trends or patterns, the information obtained is analyzed, and insights are then applied to organizational decisions.

Spatio-temporal analysis identifies marine mammal stranding hotspots along the Indian coastline

Marine mammal strandings provide vital information on species’ life histories, population health and status of marine ecosystems. Opportunistic reporting of strandings also serve as a powerful low-cost tool for monitoring these elusive mammals. We collated data over ~ 270 years available through various open access databases, reports and publications. Annual strandings along the Indian coast (mean = 11.25 ± SE 9.1) increased in the last two years of the study (2015–2017, mean = 27.66 ± SE 8.5 strandings /year). We found that stranding events spike during June—September along the west coast and during December–January along the east coast. We identified several sections of the coastline, such as Mumbai (0.38 strandings/km), Kozhikode (0.28 strandings/km), Tuticorin (0.4 strandings/km), Rameswaram (1.82 strandings/km), Chennai (0.32 strandings/km) and Bhubaneshwar (0.26 strandings/km) with a higher number of stranded animals reported. Emerging Hotspot Analysis located new and consecutive hotspots along the north-west coast, and sporadic hotspots along the south-east coast. We recommend establishing regional stranding response centres at the identified hotspots coordinated by a National Stranding Centre with adequately trained personnel and central funding support. Regular stranding response training programs for field veterinarians, and frontline personnel of State Forest Departments near stranding hotspots would provide an improved understanding of marine mammal health and threats in Indian waters. Further, the suggested National Stranding Centre needs to maintain a ‘National Stranding Database’ for long-term marine mammal conservation planning in India.

Safety and Efficacy of External Nasal Dilator Strips with N95 Respirator Masks by Emergency Department Personnel.

INTRODUCTIONThe coronavirus disease 2019 (COVID-19) pandemic has prompted increased use of personal protective equipment (PPE) to maintain the health and safety of caregivers. This study was conducted in 2020 to evaluate the safety and efficacy of external nasal dilator strips (ENDS) coupled with N95 respirators in a sample of community hospital emergency department personnel.METHODSAfter obtaining written consent, the authors tested participants’ response to exercise (i.e., walking up 10 flights of stairs) while wearing an N95 respirator, both with and without an ENDS. The authors measured participants’ heart rate and respiratory effort responses over four minutes following their exercise trial. A convenience sample of these personnel also repeated their respirator fit testing while wearing an ENDS with the N95 style they had previously been fitted for.RESULTSA total of N = 50 participants were enrolled. Peak heart rate while wearing an ENDS was 125 beats per minute (BPM) with the ENDS versus 130 BPM without (p = 0.21). The Borg Exertion Score while wearing an ENDS peaked at 13 with the ENDS versus 14 without (p = 0.08). However, when subjects were surveyed before and after the trial upon whether they would consider using an ENDS beneath their N95 using a scale of 1-5, their interest in this significantly increased (p = 0.004). Four of the 13 (31%) participants who completed repeated fit testing while wearing the ENDS beneath their N95 respirator failed the repeat testing.CONCLUSIONSThese results first suggest that a sizable proportion of ED personnel may fail N95 fit testing while wearing an ENDS beneath the N95 mask for which they had been previously fitted. Although providers’ subjective interest in use of ENDS increased, these results also demonstrate that use of an ENDS beneath an N95 respirator may not significantly increase exercise tolerance.

Burnout and Health Issues among Prehospital Personnel in Taiwan Fire Departments during a Sudden Spike in Community COVID-19 Cases: A Cross-Sectional Study.

A spike in COVID-19 cases in Taiwan’s communities caused a significant increase in workload and infection concerns among prehospital personnel working in Taiwan fire departments. The present study was aimed at investigating their health status during this period. The target population was prehospital personnel who are from Taiwan fire departments, and who responded to COVID-19 patients during the community outbreak period. A questionnaire was employed to assess their physical and mental health status. The results showed that prehospital personnel suffered from moderate to severe degrees of burnout. Workload, body burden, and perceived pressure increased significantly during this period. Participants received more support from friends, family, and colleagues than they did from authorities. The paramedics reported higher scores for personal burnout than the emergency medical technicians (EMTs). Compared to non-COVID-19 response units, special COVID-19 response units reported higher scores for workload, body burden, and supportive environment. The results suggested that personal and work-related burnout were associated with higher perceived pressure. This study is the first investigation of physical and mental health burdens among prehospital personnel in Taiwan fire departments during the COVID-19 pandemic. The physical and mental health status of these personnel should be continuously monitored, and intervention provided as necessary.

Public Service Motivation of Street- Level Bureaucrats Amidst the COVID-19 Pandemic: An Analysis of Experiences in Implementation of an at-Home Vaccination Program

This article details public service motivation of emergency medical services (EMS) personnel within a local fire department in Texas, as they implemented an at-home vaccination program, amidst the COVID-19 pandemic. EMS personnel were surveyed and interviewed to learn more about their professional experiences. Using mixed methods, this work finds that EMS personnel in the local department exhibit high levels of public service motivation in both deciding to participate in the at-home vaccination program and throughout their experience in administering the vaccine to community members. This research offers insight local public servants’ motives during a time of crisis and while working in a new, innovative capacity.

Knowledge and practice of cervical cancer screening in general population and medical personnel: A gap to be bridged

Background: Carcinoma cervix is a leading cause of morbidity and mortality among women worldwide. Early diagnosis is quite beneficial as it has a long precancerous state. It is important to have a knowledge regarding the natural course of the disease and the screening methods. Aims and Objectives: This study was conducted to evaluate the knowledge, attitude, and practice among women attending the outpatient department (OPD) and medical personnel. Materials and Methods: The present cross-sectional study was carried out on 240 women, out of which 120 women were taken randomly from the OPD and 120 women were the medical personnel (doctors and nurses) of the hospital. After obtaining written informed consent from the women, a structured questionnaire was administered to collect the information. Results: The knowledge and awareness of carcinoma cervix and its screening was 32.5% in the women of general population and 100% in the medical personnel, whereas the percentage of women undergoing the actual screening was 25% in general population and 17.5% in medical personnel. The hindrance of practice in general population was lack of knowledge, but in medical personnel, it was due to hesitation, embarrassment, lack of time, and lack of positive motivation. Conclusion: There was a wide discrepancy in the knowledge of cervical cancer and the actual screening practices, not only in the general population but also among the medical personnel. To bridge this gap, effective information, education and communication strategies are required in both the groups to alleviate the morbidity and mortality of this grim disease.

Прогностический потенциал измерения мотивационной готовности к службе в органах внутренних дел Российской Федерации

The article studies the components of the structure of the motivational sphere of the personality of employees of the internal affairs bodies of the Russian Federation. A theoretical and methodological analysis of the currently existing approaches to the study of the motivational sphere of a person's life is carried out and only those that are focused, to a greater extent, on the search and description of the dispositional (trait-like) foundations of motivation and the assessment of individual differences in the degree of their severity among employees are highlighted. ATS, to identify their deep motives and values that determine professional behavior and are able to predict it. One of the goals of the work was to create an original psychodiagnostic toolkit aimed at identifying the psychological characteristics of the professional motivation of candidates to enter the service in the internal affairs bodies, employees to be appointed to other positions in the internal affairs bodies and the choice of a certain direction of professional service by them. The novelty of the results lies in the fact that on the basis of the proposed structure and known methods and tests - questionnaires, a «Methodology for studying the professional motivation of candidates to enter the service in the internal affairs bodies, employees for appointment to other positions in the internal affairs bodies and the choice of a certain areas of professional service», which includes 12 basic scales: the need for achievement; the need for power; the need for security; the need for ownership; locus of control; hedonism / altruism; ambition; behavioral regulation; corruption resistance; conscientiousness; professional identity «I am a policeman» and a mandatory scale of «social desirability» and atypical responses. The developed methodology can be used in the activities of personnel departments to improve the professional psychological selection of candidates for entering the service in the internal affairs bodies, employees for appointment to other positions in the internal affairs bodies and the choice by them of a certain direction of professional service activity.

Проблемы формирования конфликтологической компетентности муниципальных служащих (по материалам социологического исследования)

The article introduces a sociological survey that featured the development of conflict management skills in municipal employees of the Belgorod region. The methods involved a questionnaire survey and a semi-structured interview of Belgorod municipal authorities, teaching staff of the Higher School of Management of the Belgorod State University, and employees of the Institute of Regional Personnel Policy of Belgorod. The reasons behind the conflicts were divided into those caused by the specifics of the municipal service, the peculiarities of team relations, and the individual characteristics of a municipal employee. The results of the study can improve the practical work of municipal personnel departments or be used in teaching sociological disciplines. Further study is required to develop diagnostic methods to identify the conflict management skills in municipal officials, collect information, define conditions and patterns of development, draft resolution procedures, etc.

Bank of industry micro, small and medium enterprises financing and poverty reduction in north-central Nigeria

The purpose of this study was to investigate the effect of diversity management on the performance of employees in selected banks across Delta State. The study was anchored on social identity theory of exclusion in the workplace.  A descriptive survey research design was used for the study. Data was sourced using the primary source. A population of 900 employees from selected banks in Delta State was used for the study. A sample size of 173 employees derived through Borg and Gall was used for the study. The instrument used for data collection was a structured questionnaire. The instrument was subjected to both face and content validity.  A reliability co-efficient of 0.79 was obtained through the test-retest method.  The data collected was analyzed using frequency count and percentages while ANOVA was used to test the hypotheses. The findings of the study revealed that gender, age, ethnicity, and educational diversity had significant positive effects on employees’ performance. The study recommended that in setting up teams in the workplace, personnel department in line with top managers must ensure that there is a proper representation of members of various ethnic groups, age and gender so as to create room for effective succession planning. Management should choose the most qualified in terms of academics to ensure that appropriate guides to thinking are done to formulate policies on diversity management and firm performance.

Операционализация атрибутивного стиля как инвариантного свойства атрибутивных технологий деятельности сотрудников полиции на транспорте

<p>The study is devoted to the problem of attributive technologies for the cognition of dangerous phenomena in the activities of police officers in transport The operationalization of technologies is implemented through the attributive style of activity as an invariant quality, which is based on the experience of employees, characterized by a shortage of decision-making time, the presence of situations of uncertainty, and a method of cognitive visualization of a complex of threatened phenomena. The study involved 231 police officers of the departments of the Ministry of Internal Affairs of the Russian Federation for the Northwestern Federal District, the average age of the surveyed was 31 years. The results made it possible to empirically substantiate the main provisions of the concept, to prove the validity of the content of the “social-perceptual”, “cognitive”, “activity”, “motivational” styles, to present the advantages of the attributive style of employees’ activity. The obtained data are recommended to be taken into account by the management of line departments and personnel departments when carrying out complex work with employees.</p>