Protection Of Health Workers Research Articles

Lessons from the COVID-19 pandemic to strengthen NCD care and policy in humanitarian settings: a mixed methods study exploring humanitarian actors’ experiences

BackgroundThe COVID-19 pandemic and response severely impacted people living with non-communicable diseases (PLWNCDs) globally. It exacerbated pre-existing health inequalities, severely disrupted access to care, and worsened clinical outcomes for PLWNCDs, who were at higher risk of morbidity and mortality from the virus. The pandemic’s effects were likely magnified in humanitarian settings, where there were pre-existing gaps in continuity of care for non-communicable diseases (NCDs). We sought to explore factors affecting implementation of NCD care in crisis settings during the COVID-19 pandemic and the adaptations made to support implementation.MethodsGuided by the Consolidated Framework for Implementation Research, we undertook an online survey of 98 humanitarian actors from multiple regions and organization types (March-July 2021), followed by in-depth interviews with 13 purposively selected survey respondents (October-December 2021). Survey data were analysed using descriptive statistics, while interview data were analysed thematically, using both deductive and inductive approaches.ResultsInitially, humanitarian actors faced challenges influenced by external actors’ priorities, such as de-prioritisation of NCD care by governments, travel restrictions and supply chain interruptions. With each infection wave and lockdown, humanitarian actors were better able to adapt and maintain NCD services. The availability of COVID-19 vaccines was a positive turning point, especially for the risk management of people with NCDs and protection of health workers. Key findings include that, despite pre-existing challenges, humanitarian actors largely continued NCD services during the crisis. Enabling factors that supported continuity of NCD services included the ability to quickly pivot to remote means of communication with PLWNCDs, flexibility in medicine dispensing, and successful advocacy to prioritize NCD management within health systems. Key lessons learned included the importance of partnerships and cooperation with other health actors, and the mobilisation or repurposing of community health workers/volunteer networks.ConclusionsThe COVID-19 experience should prompt national and global health stakeholders to strengthen inclusion of NCDs in emergency preparedness, response, and resilience planning. Key lessons were learned around remote care provision, including adapting to NCD severity, integrating community health workers, providing context-adapted patient information, combating misinformation, and strengthening cross-sectoral partnerships.

Analysis of The Influence of Leadership Attitude of Health Center Personnel with Protection of Health Education on Communities in The Klender III Area

Healthcare worker is a job that requires anyone in this profession to have a great responsibility, especially towards their patients in the healthcare institution. This research was guided by our concern regarding the increasing low level of public satisfaction with health services in Indonesia several years ago. This issue is connected with the leadership possessed by healthcare workers along with the responses of the head of healthcare institution, so the primary aim of our research is to correlate the influence and impact of leadership with the level of public satisfaction with the service and protection of health workers. In this research, healthcare workers that acted as our object of research are healthcare workers of Puskesmas Pembantu of Klender III District

Identify Self-Efficacy and Self-Intention on The Impact of Preventing Covid 19

Corona virus disease 2019 is still developing with various new variants. Protection of health workers from the risk of infection is very important. Preventing the transmission of Covid-19 to health workers while carrying out their duties starts from themselves through a good work culture, self-efficacy and commitment to health protocols that have been established by the government. The research objective is to identify the relationship between self-efficacy and self-intention of health workers in sustainable prevention of Covid-19 in NTT. The quantitative research method uses a cross sectional study design, the population of health center health workers is 2233 people with a sample of 300 people. The research results showed that there was an influence of work culture on Covid 19 prevention behavior (p=0.001). Self-efficacy influences Covid-19 prevention behavior and self-intention influences Covid-19 prevention behavior in health workers. The conclusion is that work culture, self-efficacy and self-intention (intention) influence the Covid 19 prevention behavior of health workers. Suggestions for variables that influence Covid 19 prevention behavior to receive attention from the government

Perceptions and feelings of nursing professionals in a hospital in Northern Brazil in coping with the COVID-19 pandemic

The covid-19 pandemic had a significant impact on nursing care processes in hospitals, due to the high transmissibility of the virus and the congestion of health care networks. This study sought to assess the perception and feelings of the nursing team in relation to coping with the covid-19 pandemic in a rear hospital in Boa Vista, Roraima, between March 2020 and March 2021. a sample of employees who worked in the care ward for patients with covid-19, using semi-structured questionnaires. The results showed that nursing professionals faced negative and challenging feelings at the beginning of the covid-19 pandemic, such as insecurity, fear, sadness and uncertainty. The lack of favorable investments in nursing care, especially PPE, was a major reported problem. It was found that the hospital's infrastructure and the underestimation of the risk of contagion by the new virus permeated the feelings of the evaluated employees. It is concluded that it is of vital importance to guarantee the safety and well-being of nursing professionals, through investments in protective equipment and adequate hospital infrastructure, thus offering greater quality in the assistance and protection of health workers. In addition, it is necessary to take care of workers' health in all circumstances, recognizing their importance in society and ensuring that they are prepared to face future challenges.

KOPIDShield: Safety Partitions as a Novel Approach for Health-Worker's Protection during the Covid-19 Pandemic

Several tests have been developed for Covid-19 diagnosis. One of these tests is a PCR examination with a swab sample. The infection transmission risk to health workers during swab sampling is very high so an adequate protection standard is paramount. A special PPE for Covid-19 specimens’ collection that is safer and can be used for a long time needs to be developed. The study aims to develop a prototype safe facility for collecting Covid-19 specimens with a high level of biosafety standard to prevent infection transmission, ergonomic, and can be used for an extended time. Applied research methods were used to produce a safety partition for Covid-19 specimen collection. The result was a safety partition prototype named KOPIDShield. It is completely impermeable to prevent the transmission of infectious agents from patients to health workers. It is equipped with supporting equipment that allows accurate specimen collection.
 Keywords: biosafety, Covid-19, health_ worker_protection, personal_ protection_equipment, transmission_prevention

24. Health worker protection - An innovative approach to respiratory protection to accommodate cultural or religious observance in clinical practice

24. Health worker protection - An innovative approach to respiratory protection to accommodate cultural or religious observance in clinical practice

Violence towards health workers in the workplace: exploratory findings in secondary healthcare facilities in Kaduna metropolis, Northern Nigeria

Objective: To determine the prevalence of workplace violence and associated factors in secondary health facilities in Kaduna Metropolis. Methods: This was a cross-sectional study where a semi-structured questionnaire was used to obtain data from 177 health workers who were selected by multistage sampling. The Data was analyzed using SPSS version 23 and results were presented using frequency tables. The Chi-square test was used to test for association between independent and dependent variables. Fisher’s Exact Test was used where more than 20% of the cells had a value less than 5. The level of statistical significance was set at a p-value of <0.05. Results: The results showed that 114 (64.4%) of the respondents had experienced workplace violence; the form which was experienced by most of the respondents was verbal abuse 100 (87.7%). Most (92; 80.7%) of the respondents did nothing following the incident. Most of the respondents believed that lack of bed space 89 (50.3%) and long waiting time 119 (67.3%) are largely responsible for violent situations. There was a statistically significant relationship between the experience of workplace violence and respondents’ age (p=0.001); sex (p=0.00146); cadre (p=0.0012) and work experience (p=0.00483). Conclusion: Most of the respondents had experienced violence in the workplace but did not pursue further action. Training health workers on the means to identify volatile situations and address workplace violence is crucial to ensuring the reduction in the prevalence of harmful incidents. The safety and protection of health workers are integral to the adequate functioning of health systems.

Legal protection of medical personnel during the COVID-19 pandemic in Indonesia

The purpose of this research is to investigate the legal protection of medical staff in Indonesia during the Covid-19 outbreak. This study is a descriptive qualitative study that examines the legal protection of medical staff in Indonesia using positive law. Secondary legal materials, such as books, journals, articles, and other written works, as well as field phenomena, are used to write the article. According to the study's findings, the Covid-19 outbreak in Indonesia has placed a significant strain on the country's healthcare system, especially on healthcare employees. The most evident issue is the safety of medical staff at the frontline, who are extremely vulnerable to being exposed to Covid-19, risking their lives. Furthermore, issues of mental health, such as the danger of burnout syndrome, pose significant concerns. Unfortunately, there are no guidelines or practices in place to protect their mental health. Legal protection for health workers during the Covid-19 pandemic consists of preventive protection efforts and repressive protection efforts. The government provides preventive protection through a vaccination program. Repressive protection is given by the Government by imposing sanctions for perpetrators of violence and discrimination against health workers who are on duty. Besides, the Government has provided incentives and death benefits.

On the Provision of Health Services and Protection of Health Workers in War: A Review of Leonard Rubenstein's Perilous Medicine.

This review critiques Johns Hopkins professor Leonard Rubenstein's Perilous Medicine: The Struggle to Protect Health Care from the Violence of War, and offers the reader a military medical officer's perspective on these important concepts. Rubenstein's tome is essential reading for military officers who must understand how the laws of armed conflict and the ideals of humanitarian protection apply in twenty-first-century conflict. This review adds that military officers may, at times, need to also consider a less ideal but more consequential framework.

Respiratory Protection Perceptions among Malian Health Workers: Insights from the Health Belief Model.

Reusable respiratory protective devices called elastomeric respirators have demonstrated their effectiveness and acceptability in well-resourced healthcare settings. Using standard qualitative research methods, we explored the feasibility of elastomeric respirator use in low- and middle-income countries (LMIC). We conducted interviews and focus groups with a convenience sample of health workers at one clinical center in Mali. Participants were users of elastomeric and/or traditional N95 respirators, their supervisors, and program leaders. Interview transcripts of participants were analyzed using a priori constructs from the Health Belief Model (HBM) and a previous study about healthcare respirator use. In addition to HBM constructs, the team identified two additional constructs impacting uptake of respirator use (system-level factors and cultural factors). Together, these framed the perceptions of Malian health workers and highlighted both facilitators of and barriers to respirator use uptake. As needs for respiratory protection from airborne infectious hazards become more commonly recognized, elastomeric respirators may be a sustainable and economic solution for health worker protection in LMIC.

The urgency of legal protection for medical workers in combating COVID-19 in Indonesia

Purpose This paper explores the reasons why Indonesia must have legal regulations to provide protection and guarantees for health workers in carrying out the profession in overcoming corona virus disease (COVID-19). This paper also explains the legal regulations as the foundation for today’s medical workers’ protection. This paper also aims at providing an ideal legal construction that safeguards the rights and obligations of health workers in overcoming COVID-19. Design/methodology/approach In this paper, the author used qualitative research methods with a socio-legal approach. The data were obtained through literature study and analysis of laws and regulations through the socio-legal method. Findings Various challenges and professional risks taken by health workers in dealing with COVID-19 derive from several factors, such as shortage of personal protective equipment, ineffective implementation of informed consent from the patients and the negative stigma spreading in the community. Moreover, the current legal regulation has not particularly modulated the protection of health workers, relying only on available articles that are actually irrelevant to be applied in the COVID-19 pandemic. Research limitations/implications This research is focused on problems faced by health workers in combating COVID-19 and law concessions to ensure their protection. Practical implications The final results of this research will be useful for The House of Representatives (DPR), the Ministry of Health of the Republic of Indonesia (Kemenkes RI) and the Indonesian Medical Association (IDI) in establishing legal and regulatory construction for the protection of health workers in tackling COVID-19. Social implications This research aims at strengthening legal protections for the health workers so that their rights and obligations are well guaranteed. Originality/value This paper proposes an ideal legal construction for the protection of health workers during the COVID-19 pandemic, which is currently still not specifically and rigidly regulated, to realize a guaranteed and sustainable life for health workers.

Legal Protection for Health Workers Towards the Implementation of Government Regulation No. 33 of 2012 concerning Exclusive Breastfeeding on Infants with Post Sectio Caesarea Mothers

Introduction: Articles 6 and 7 of Government Regulation No. 33 of 2012 on Exclusive Breastfeeding stated that every mother who gives birth must give exclusive breast milk to the newborn, unless there is a medical indication, the mother is not present or the mother is separated from the baby. The purpose of this study was to determine the legal protection for health workers towards the implementation of government regulation concerning exclusive breastfeeding on infants with Post Sectio Caesarea mothers.
 Methods: This research method is empirical juridical research (field research). The author uses a statutory approach in accordance with the studied legal materials, analyzed qualitatively. The sample in this study is all 2 ObsGyn, 2 pediatrician, 9 midwives, 1 breast milk counselor, 60 post SC mothers and 60 newborns at RSUD Tarutung, RSUD Porsea, and RSUD Doloksanggul when researchers conducted research.
 Results: Exclusive Breastfeeding is a government program and has been outlined in Government Regulation No. 33 of 2014 on Exclusive Breastfeeding. The government is actually aggressively promoting exclusive breastfeeding through seminars, workshops and advertisements in print, electronic and social media. But this does not make exclusive breastfeeding successful as expected. The number of obstacles both external factors and internal factors of the mother. Especially on the mother of the Post Sectio Caesarea.
 Conclusion: Implementation of Government Regulation No.33 of 2012 on Exclusive Breastfeeding of Post Sectio Caesarea Mothers in hospitals has still not been realized.

Issues of Implementation of Government Programs Related to Social Protection of Medical Workers During the Spread of the Covid-19 Pandemic

The purpose of this study is to identify existing policies related to social protection of healthcare workers during the spread of a pandemic. The study is based on the assumption that it is mainly developing countries that resort to extensive government programs. Using the method of political and legal analysis the research considers the initiatives of government bodies aimed at increasing the level of social protection of health workers and determining effective incentive measures for medical workers. The study notes that to date incentive measures and government programs are mostly implemented by developing countries. At the same time, it seems premature today to make a final conclusion about the direct relationship between incentive measures and the standard of living in the country or similar indicators. The research results can be used by the subjects of legislative initiative to improve existing policies in the field of social protection.

Organizational factors associated with health worker protection during the COVID-19 pandemic in four provinces of South Africa

BackgroundHealth workers, in short supply in many low-and-middle-income countries, are at increased risk of SARS-CoV-2 infection. This study aimed to assess how South Africa, prepared to protect its health workers from SARS-CoV-2 infection.MethodsThis was a cross-sectional study design applying participatory action research in four provinces of South Africa. A semi-structured questionnaire and a qualitative observational HealthWISE walkthrough risk assessment was carried out to collect data on occupational safety and health (OSH) systems in 45 hospitals across four provinces to identify factors associated with health worker protection. Adapting the International Labour Organization (ILO) and World Health Organization (WHO) HealthWISE tool, we compiled compliance scores through walkthrough surveys. We used logistic regression to analyze the relationship between readiness indicators and the actual implementation of protective measures.ResultsWe found that health facilities in all four provinces had SARS-CoV-2 plans for the general population but no comprehensive OHS plan for health workers. Provincial Departments of Health (PDoH) varied in how they were organized to respond: Provinces A and D had an OSH SARS-CoV-2 provincial coordinating team and a dedicated budget for occupational health; Province A had an occupational health doctor and nurse; while Province B had an occupational health nurse; Province A and D PDoHs had functional OSH committees; and Province D had conducted some health risk assessments specific to SARS-CoV-2. However, none of the assessed health facilities had an acceptable HealthWISE compliance score (≥ 75%) due to poor ventilation and inadequate administrative control measures. While the supply of personal protective equipment was adequate, it was often not worn properly. Our study found that having an OSH SARS-CoV-2 policy was significantly associated with higher personal protective equipment and ventilation scores. In addition, our analysis showed that hospitals with higher compliancescores had significantly lower infection rates (IRR 0.98; 95% CI: 0.97, 0.98).ConclusionsDespite some initial preparedness, greater effort to protect health workers is still warranted. Low-and-middle-income countries may need to pay more attention to OSH systems and consider using tools, such as ILO/WHO HealthWISE tool, to protect health workers’ health.

Ordinance on the Safety and Security of Health Workers and Health Institutions in Nepal: A Critical Analysis.

Violence against health workers has been considered a common issue throughout the world. The protection of health workers in low and middle-income countries such as Nepal has not been considered a serious issue by the government. But due to the surge of COVID-19 pandemic and increasing violence against health workers, commendable steps have been taken by the Government of Nepal to protect the safety and security of health workers and health institutions in Nepal. However, the question mark on effective implementation of the ordinance exits suggesting for the appropriate action from concerned authorities and strong collaboration among these sectors. Keywords: Health worker; Nepal; ordinance; safety.

JURIDICAL REVIEW OF HEALTH PERSONEL PROTECTION AS A LEADING GUARD IN EFFORTS TO ACCELERATE THE HANDLING OF COVID-19: A NARRATIVE REVIEW

Health workers who are handling patient of SARS-CoV-2 (Severe Acute Respiratory Syndrome Corona Virus 2) or better known as the Coronavirus are legal subjects who carry out their obligations properly at their leader command, ruled accordance with the legal corridors, obtained the law right and protected from positive legal norms. This narrative research aims juridical review for protection the health workers during coronavirus pandemic. Using literature that obtained by looking materials and sources that match the theme and related them. Protection of health workers as the frontline in efforts to accelerate the handling of the coronavirus pandemic. Civil Servants who served during the Covid-19 pandemic will get a promotion one level higher. The incentive budget for medical personnel comes from a budget reallocation that has been set by Mr. President Joko Widodo for 16.63 trillion in 2020. This award is in the form of compensation and for health workers who fail, the government awards “Bintang Jasa Pratama” and “Bintang Jasa Nararya”. The government provides protection by issuing various policies to protect health workers as the frontline in efforts to accelerate the handling of coronavirus disease 2019.
 
 Keywords: Health workers, legal protection, Covid-19.

Impact of the carbon dioxide on the health care workers during the use of respirators

Relevance of the problem. The incidence of infectious diseases among health care workers is higher than the population. Better protection of workers from inhalation of bioaerosols will reduce the risk of their disease. The purpose of the study.The goal is to establish how and to what extent the use of personal respiratory protection equipment (PPE) worsens the gas exchange during breathing, and preventing their timely and proper use in the polluted atmosphere. Materials and methods. Available publications from NIOSH, Taylor & Francis, Oxford University Press and other sourceshave been used. Results. The respirator’s usage increases the «dead space», reducing the concentration of oxygen and increasing the concentration of carbon dioxide in the inhaled air. The concentration of CO2may exceed the Occupational Exposure Limits many times. The degree of exposure depends on the type of RPD and the tidal volume; in case of a light work the exposure increases. The requirements for certification of respirators cover only the case of heavy work. Therefore, meeting these requirements does not allow for an adequate assessment of the impact of the respirator on the employee when performing light work. Excessive exposure to carbon dioxide, combined with reduced oxygen concentration in the inhaled air, discomfort and skin irritation, prevents the use of the respirator and can lead to disability. Conclusion. The article gives recommendations on how to improve the protection of medical workers from inhalation of bioaerosols: reducing air pollution with the medical masks and ventilation; use the filtering Powered Air Purifying Respirators (PAPR); changing requirements to respiratory containment. There are recommendations to improve the protection of health workers from inhalation of bioaerosols — reduction of air pollution by masks and ventilation; use of PPE with air supply to the front part; changing requirements for certification of respirators.

Current COVID-19 guidelines for respiratory protection of health care workers are inadequate.

Current COVID-19 guidelines for respiratory protection of health care workers are inadequate.

Protection of Health Workers From Tuberculosis

: Tuberculosis is an infection caused by bacillus-type bacteria (Mycobacterium tuberculosis), primarily affecting the lungs in countless individuals on a daily basis. Healthcare professionals are the most significantly affected group by this infection, especially at the points where healthcare is provided to infected individuals. In order to protect healthcare professionals from tuberculosis, it is very important to eliminate the lack of knowledge and to provide the necessary personal protective equipment. In this context, there are important tasks for both healthcare system managers and employees for protection from tuberculosis. Specifically, there are administrative, environmental, and respiratory tract measures.

Preparing to Perform Trauma and Orthopaedic Surgery on Patients with COVID-19.

Preparing to Perform Trauma and Orthopaedic Surgery on Patients with COVID-19.