Role Of Staff Research Articles

Assessment of Training Needs of the Office staff (Management assistants and Development Officers) in the National Hospital of Sri Lanka

Introduction: In the dynamic landscape of healthcare administration, the role of hospital office staff is pivotal for maintaining the seamless functioning of the hospital. Training Needs Assessment is a proactive approach to aligning the skills of hospital office staff with the evolving demands of the healthcare landscape, ensuring compliance and promoting excellence in administrative practices and, consequently, contributing to improved patient outcomes.Objective: This study aims to identify the training needs of hospital office staff in the National Hospital of Sri Lanka (NHSL).Methodology: A descriptive cross-sectional study was conducted in NHSL with the office staff from June to August 2023. The total population was 181. Among them, 123 people were selected from simple random sampling proportionately to the category. The self-administered questionnaire was used to collect the data. The questionnaire assessed the activities and capabilities of office staff necessary for their daily tasks. Participants were asked to score these activities based on their importance and current performance level. Mean scores for the importance of the training areas and current performances were calculated, and gaps were identified by subtracting. Training needs with the highest gaps (gap equal or more than 2) were prioritized as training needs for office staff in NHSL.Results: Procurement for the public sector, handling audit inquiries, file management including personal file management, salary conversion, pension management, gathering, organizing, analyzing statistically, & disseminating data and information were prioritized as training needs for next year.Conclusions and recommendations: Those prioritized training needs were included in the next year's (2024) annual action plan with the permission of the Deputy Director General -NHSL.

Policy rhetoric, realities, and burdens: Using critical policy analysis to center at-promise student success in the McNair program

Educational policies designed to benefit students from first-generation, low-income, and racially minoritized backgrounds do not always consider the realities these students experience during college. Instead, students participating in compensatory education programs can endure further marginalization. Using critical policy analysis’ core tenets as guiding principles to frame our study and guide our analysis, we conducted a three-phase qualitative analytic study. We examined interviews with students and McNair program policy documents to interrogate policymakers’ hidden assumptions and the (de)centering of minoritized student perspectives in the McNair program policy. Students in the program discussed varied and conflicting definitions of success, such as learning they did not want to attend graduate school—a primary goal and measure of success for the federal government. They also highlighted advisors as a source of support. By centering the experiences of students, our findings highlight this critical gap and draw attention to the administrative burdens placed on at-promise students, emphasize the need for holistic socio-emotional support in federal policy, and underscore the powerful role of supportive faculty and staff.

Partisan political staff at the local level: A self‐assessment of the policymaking role of the chief of cabinet

AbstractThis study explores the policymaking role of the chief of cabinet, as head of the partisan political staff and a central actor within politico‐administrative relations. We focus on the local government level, where the role of political staff is understudied. While the added value of partisan political staff can be diverse and comprise advisory and non‐advisory activities, we do assume an active policymaking role for the chiefs of cabinet within the local policy advisory system. The research question is: “How do chiefs of cabinet conceive their own policymaking role at the local government level?” Adopting an actor‐centered approach, this research studies 20 chiefs of cabinet in cities in the Belgian region Flanders, where the amount of political staff has risen sharply. Q methodology is used for self‐assessment of the policymaking role (Van Exel & De Graaf, 2005), with statements based on Maley's three arenas (Maley, 2015). The results show that multiple types of chief of cabinet exist, revealing variation within one single institutional system. The resulting taxonomy consists of three types of chiefs of cabinet, each with a different role and impact on both policymaking and the civil service: “The Whip,” “The Negotiator,” and “The Streamliner.”

A multilevel modeling analysis of community-based mental health and psychosocial support group intervention for refugee newcomers in the United States.

A growing number of resettlement agencies adopt and implement interventions and programs to promote community-based mental health and psychosocial support (CB-MHPSS) among refugees and asylum seekers in the United States. However, few studies examine how multilevel factors either facilitate or interfere with mental health and other associated outcomes. Adopting a realist evaluation approach, this study examines the effects of multilevel (i.e., community, group and individual) factors on mental health coping and emotional well-being (EW) among asylum seekers and refugee newcomers in CB-MHPSS group interventions. A total of 235 adult refugees and asylum seekers participated in 31 CB-MHPSS intervention groups implemented by 11 HIAS affiliate agencies in 2021. A series of bi-/multivariate and multilevel modeling analyses were conducted to investigate the impacts of individual, group or agency, and community-level factors on competency for coping and EW among intervention participants. Mental health and psychosocial support (MHPSS) interventions grounded to the local community help facilitate individual-level improvement in competencies for mental health care and EW. Multilevel modeling analyses attested to multilevel effects of individual, group, and community settings on MHPSS outcomes, highlighting the impacts of intervention facilitator types and group composition, as well as community's unemployment rates. This study sheds light on the value of community-based, participatory approaches to psychosocial interventions; focusing on the role of refugee community leaders and bicultural staff who deliver MHPSS activities, which was a key feature that enhanced the well-being and coping of refugee newcomers across various settings. (PsycInfo Database Record (c) 2024 APA, all rights reserved).

The Organisational Characteristics That Enable Successful Employment Transition for People With Intellectual Disabilities.

Social enterprises have the potential to address some of the current barriers that people with an intellectual disability experience in transitioning to open employment opportunities. However, it is unknown in detail how social enterprises are able to facilitate this transition, which limits ability to scale-up these organisational characteristics and strategies. Twenty-seven in-depth interviews were conducted with staff, supported employees and partner organisations of a social enterprise to understand the organisational characteristics that enables successful transitions. The organisational characteristics of the social enterprise that enabled transitions included offering a variety of roles and workplace environments for people with intellectual disabilities. Organisational characteristics also included having dedicated staff roles to support people with intellectual disabilities to develop skills to transition and for these support staff to network with open employers to facilitate the transition. The results provide an adaptable model for other social enterprises in how to structure their organisation to facilitate transition to open employment opportunities.

Providing emotional care for early pregnancy loss: development and evaluation of a new training module for healthcare providers

BackgroundMiscarriage is a common life event that frequently causes significant grief and distress. The emotional impact of miscarriage has been shown to be strongly influenced by patients’ and partners’ experiences interacting with healthcare providers during the miscarriage diagnosis and treatment: positive experiences are associated with reduced perinatal grief, whereas negative interactions can aggravate the traumatic impact of the loss. Unfortunately, healthcare providers frequently report feeling ill-equipped and unprepared to provide adequate emotional care for miscarriage. As such, there is an urgent need for effective training material to support healthcare providers in this important care. MethodHere, we report a quasi-experimental study evaluating the effectiveness of a new training module that we recently developed to empower healthcare providers when providing emotional care for miscarriage. ResultsUsing the previously-validated Perinatal Bereavement Care Confidence Scale, we show that this module is highly effective, achieving significant increases in healthcare providers’ knowledge, bereavement support skills, and awareness after completing training. Importantly, the module was effective for each of five different staff roles (anaesthetists, midwives, nurses, obstetricians and receptionists) and for both junior and more experienced staff. Furthermore, at six-week follow-up, HCPs reported using many of the module's recommendations in their ongoing practice. ConclusionAltogether, this new training module is therefore an important step towards empowering healthcare providers (in all roles) in providing essential emotional care for this common and frequently highly-distressing life event.

Implementing universal maternal depression screening in head start: A convergent mixed methods study

AimsImplementing maternal depression screening in child-serving programs can help ensure that more mothers receive mental health services. This study examined the implementation of universal maternal depression screening in community-based Head Start programs. MethodsQuantitative and qualitative data were merged in a convergent mixed method design to assess four domains from the RE-AIM implementation science framework (Reach, Adoption, Implementation, and Maintenance). Qualitative data included interviews with stakeholders and meeting minutes from the implementation period. Quantitative data included intervention outcomes and administrative data. ResultsIn terms of reach, 85% of eligible Head Start mothers were screened for depression, and English-speaking mothers were more likely to refuse screening than Spanish-speaking or bilingual mothers. Barriers to screening included lack of availability, stigma, privacy concerns, lack of interest, and lack of trust. In terms of adoption, all sites and staff adopted screening due to organizational mandates. In terms of implementation, there was wide variation in rates of positive screenings across staff completing the screening (ranging from 0% to 46%), and barriers included concerns about staff role and lack of training. In terms of maintenance, screening was not sustained after the study period due to organizational priorities and lack of buy-in from staff. ConclusionUniversal maternal depression screening has the potential to reach low-income Head Start mothers, but additional efforts should be made to build staff capacity to engage mothers in screening.

Theoretically informed codesign of a tailored intervention to support pressure ulcer prevention behaviours by older people living in their own homes in the UK and their lay carers: an intervention codesign study (C-PrUP)

ObjectiveTo codesign a theoretically underpinned, healthcare practitioner-mediated, tailored intervention to support housebound older patients and their lay carers to adopt pressure ulcer prevention behaviours.DesignTheoretical domains framework informed codesign.SettingOne geographical area...

Identifying Levers for Change in Healthcare Coordination Between the Emergency Youth Shelter and Health Systems in Toronto, Canada Through Stakeholder Engagement: A Qualitative Study

Background: Healthcare coordination involves supporting youth experiencing homelessness (YEH) with accessing appropriate healthcare; synchronizing delivery of their healthcare across multiple systems; sharing healthcare and discharge plans with youth and providers who fall under their ‘circle of care;’ and coordinating post-care follow-up as necessary. Challenges with coordinating healthcare within and between the emergency youth shelter (EYS) and health systems include poor accountability for healthcare coordination across systems; information-sharing and privacy policies inhibiting communication between sectoral staff; inconsistencies in system-based and organizational norms, operations, and funding; and each system’s historically fragmented structure. Methods: We used a system thinking framework to identify levers for change in healthcare coordination within and between the EYS and health systems in Toronto, Canada. Six stakeholders who work at various levels of each system participated in online breakout room discussions as part of a two-hour forum facilitated by our research team. A series of four questions were asked to identify levers for change in system parts and system patterns in healthcare coordination within and between the EYS and health systems. Breakout room discussions were recorded, transcribed, and co-analyzed by the research team using reflexive thematic analysis for each question. Results: Organizational and system-wide goals discussed to strengthen healthcare coordination include clarifying accountability in staff roles, revisiting discharge policies to improve continuity of care, prioritizing funding for programs evaluated to be effective, establishing more opportunities for system cross over, enhancing accessibility for YEH, integrating social medicine into healthcare approaches, and streamlining health communication across both systems. When asked about what is realistically possible, stakeholders were optimistic about enhancing information-sharing through digital health platforms, adapting organizational policies to consider the holistic needs of YEH, and dispersing funds more intentionally to support coordination initiatives. Furthermore, poor staff-youth relations, harmful discharge policies and the Toronto housing crisis were noted as patterns impeding meaningful change in coordinating healthcare. Finally, stakeholders identified systems integration and alignment of well-defined healthcare coordination processes across systems to harmonize efforts in achieving healthcare coordination goals. Conclusions: Stakeholder forum participants discussed promising levers for change that are recommended to strengthen parts of the EYS and health systems along with patterns that influence healthcare coordination between them.

Having to ‘go beyond’: Staff perspectives on activity programs for older people living in nursing homes

Activity programs are run by many nursing homes (also known as residential aged care facilities or long-term care facilities) however little is known about how activities are chosen or how well they meet the needs of residents. The aim of this study was to learn more about activity programs currently offered to older people living in nursing homes in Victoria, Australia. Interviews were undertaken with 13 activities/lifestyle staff working across six nursing homes. Staff were asked about their role and training; how activities were chosen, run, and evaluated; and barriers to providing social participation opportunities for residents. Thematic analysis of interview transcripts revealed six main themes: the role of the activities staff is to make people happy and meet their needs; activities staff largely choose (group based) activities; evaluation of activity programs is mostly informal; activity programs are poorly resourced; staff are often required to ‘go beyond’; and catering to the unique needs of residents is challenging. Given the established importance of social interaction to physical and psychosocial health, it is essential that activity programs and staff are viewed as integral to resident wellbeing; that staff are trained and supported; and that programs are funded and resourced adequately to deliver programs that are person-centred and meet the needs and preferences of residents.

The Role of ward Police staff in Enhancing Rural Human Security: Evidence from Moshi District Council

Rural districts in Tanzania face significant challenges in maintaining human security, with crime rates often exacerbated by limited law enforcement resources and community disengagement. This study addresses the critical role of Ward Police Staff (WPS) in mitigating these issues, focusing on their impact within the Moshi District Council. The primary aim is to examine the role of Ward Police Staff in Moshi District Council, Tanzania. A pragmatic research philosophy was adopted, allowing for the use of both quantitative and qualitative methods to gain a comprehensive understanding of the complex dynamics involved. Moshi District was selected for this study due to its unique human security challenges, including a higher crime rate compared to neighboring districts, making it an ideal case for exploring the effectiveness of community-police collaboration. The research involved 188 participants, including Ward Executive Officers (WEOs), victims, and community members, and data were collected through questionnaires, interviews, group discussions, and documentary reviews. A concurrent triangulation nested explanatory research design was employed, with quantitative data analyzed using SPSS software 26 version and qualitative data subjected to thematic analysis. The findings reveal the critical role of WPS in fostering community engagement and promoting security. The study provides valuable insights for policymakers and local authorities in developing strategies to enhance human security in similar rural contexts. Recommendations include strengthening community engagement, customizing security initiatives, and providing continuous training for WPS to adapt to community needs effectively.

Assessing the Inner Setting among Massachusetts Community Health Centers: Opportunities for Multilevel Investigation and Expansion of Influences on Health Equity.

Background Implementation science increasingly aims to improve equity in delivery of evidence-based interventions. It is important to expand the conceptualization of the inner setting, organizations like community health centers where interventions are put into place, accordingly. Taking a comprehensive, partnered approach to measuring the inner setting among a network of community health centers engaged in implementation research ensures assessment of the variability among sites and generates centralized contextual data that can be applied across studies. Methods We conducted a cross-sectional survey among staff (n = 63) from 12 community health centers in Massachusetts engaged in research at the Implementation Science Center for Cancer Control Equity. The survey assessed inner setting constructs from the Consolidated Framework for Implementation Research, including learning climate, leadership engagement, available resources, and implementation demands/stress using validated measures. Additional equity-focused inner setting items included structural characteristics of the work infrastructure and language access services. Descriptive statistics examined differences by staff role and health center. Results Staff rated learning climate (mean = 3.98) and leadership engagement (mean = 3.67) positively, while available resources (mean = 2.78) had the lowest rating, particularly staffing resources. Clinical staff rated the inner context lowest compared to other roles. Most centers provided tuition assistance and all reported supportive human resources benefits for caregiving, while fewer offered formal mentorship or affinity groups. Most community health centers reported written materials are routinely provided to patients in languages other than English and interpreter services were most common in Spanish, Vietnamese, and Portuguese. Conclusions This study provides a baseline assessment of the inner setting within Massachusetts community health centers. Periodic follow-up surveys will monitor changes over time. Data can be used in future analyses to explore how inner setting characteristics influence implementation outcomes and impact equitable translation of evidence-based interventions into practice.

An observational study on menstrual hygiene practices among adolescents girls attending zilla parishad high school at Kommadi village in Visakhapatnam

Under RMNCH+A strategy, adolescent health program is relatively a new concept, particularly for female gender, and has been considered to be a continuum of health services up to adolescent age. The priority interventions among adolescent girls are, nutrition, Adolescent Friendly Health clinics (AFHCs), Counselling, Menstrual hygiene and preventive health checkups. Menstrual hygiene component has been taken for the present study among the adolescent girls in a Zilla Parishad High School aged 10 to 19 years. Rastriya Kishora Swastya Karyakram (RKSK) is broader one including both gender for distinct health services in India. : To study the association of various socio- economic and cultural practices influencing the usage of sanitary napkins by menstruating adolescent school girls. : Cross sectional study among menstruating adolescent girls in a Zilla Parishad High School at Kommadi village. 198 adolescent girls were randomly selected for study using semi structured questionnaire. Each menstruating girl is questioned categorically (yes/no) as per the structured questionnaire covering socio economic status, literacy of mother, awareness about ASHA etc. Appropriate statistical tests like frequencies, percentages and chi-square tests are applied to analyse and interpret the collected data.Socio-demographic factors of the target population in the community from where the adolescent girls attending zilla Parishad High school were subjected to study and found that 19(22%) adolescent girls having white ration card are using sanitary napkin. 46% of sanitary napkin users in our study are aware of using cloth available in the house during menstruation. 39 (52%) adolescent girls using sanitary napkin are aware of ASHA worker visiting their colony. One of the family members, either mother or elder sister being a member in Self Help Group in the colony is influencing the usage of sanitary napkin 46 (50.5%). Habit of Over-the-Counter drugs usage in the family has significantly (55%) influenced the adolescent school girls in using sanitary napkin. School drop-outs 51(62.9%) are also observed among sanitary napkin users during menstruation.: The usage of sanitary napkin replacing the traditional home-made cloth is highly essential for proper menstrual hygiene management among adolescent girls attending the school regularly without drop out. The role of ASHA workers and other paramedical staff in the community cannot be undermined.

<span><strong>Faculties</strong> <strong>on </strong><strong>activities </strong><strong>of training </strong><strong>highly </strong><strong>qualified </strong><strong>human </strong><strong>resources</strong><strong>:</strong> <strong>Research </strong><strong>in the </strong><strong>Mekong </strong><strong>Delta</strong></span>

The Mekong Delta region currently lacks a high-quality labor force. Many universities have opened postgraduate training programs to provide high-quality labor for this region. On the systematic approach to development and practical activities, this study on the teaching staff with high-quality human resource training activities is to answer two research questions: (1) What are the researches on the teaching staff role in human resource training at the higher education focusing on? and (2) What are the gaps in this line of research on training highly qualified human resources? From there, this study assesses the current strengths and weaknesses of the teaching staff of universities in the Mekong Delta, identifies opportunities and challenges in human resource training in the new context; at the same time, it orients the activities of linking the teaching staff universities​ Open approach, increased autonomy, self-responsibility in the field of training high-quality human resources to meet the requirements of fundamental and comprehensive educational innovation.

Organizational readiness to implement bundled interventions to increase HIV linkage and retention in care and treatment: results from the Black Women First (BWF) initiative

BackgroundEvidence-based and evidence-informed interventions designed to address gaps in the HIV care continuum have the potential to improve HIV care and treatment. However, inadequate organizational readiness can derail intervention uptake, prevent the integration of interventions, and contribute to suboptimal HIV treatment outcomes. This study sought to understand organizational readiness to implement bundled interventions for Black women with HIV and inform facilitators and barriers to implementation.MethodsWe conducted a mixed methods readiness assessment across 12 sites participating in the Black Women First (BWF) initiative to gauge preparedness to implement bundled interventions. Readiness was assessed using the organizational readiness for implementing change (ORIC) scale, and two open-ended questions examined facilitators and barriers. Associations between participant and organizational level factors were evaluated using linear models with clustering by site at baseline, 6- and 12-months. Pre-implementation interviews were conducted with staff virtually and transcripts were managed in NVivo. Directed content analysis was used to explore implementation barriers and facilitators.FindingsSites demonstrated high levels of organizational readiness at baseline; overall organizational readiness for implementing change (ORIC) (mean 56.4, median 59, interquartile range [IQR] 5) and subscales of the ORIC change efficacy (mean 32.4, median 35, IQR 4), change commitment (mean 24, median 25, IQR 1), which is consistent with willingness and capability to implement bundled interventions for Black women with HIV. Organizational readiness remained high at 6- and 12-month follow-up periods. Staff role was significantly associated with organizational readiness (p = 0.007), change efficacy (p = 0.006), and change commitment (p = 0.020) at 6 months. Qualitative analysis indicated strategic planning and assessment (e.g., team coordination and the development of workflows to support implementation); organizational change through network weaving across silos within the organization, and communications systems that engage external partners, as well as resources available for hiring and training, supported readiness. Collaborative leadership and organizational buy-in, staff motivation, and partnerships facilitated implementation processes.ConclusionsOrganizations in the BWF initiative have high levels of organizational readiness reflecting willingness and capability to implement bundled interventions for Black women with HIV. Future research should examine the relationship between readiness and clinical outcomes.

EVALUATION OF THE ROLE OF THE ACUTE MEDICAL REGISTRAR IN ORTHOPAEDICS

This project hoped to evaluate a new role, encompassing an in-hours registrar physician being based on the orthopaedic wards for advice, patient reviews, and patient journey optimisation. This service aimed to provide input for all patients who required them outwith the already established ortho-geriatric service.The success of this role was assessed through feedback questionnaires, as well as through the auditing of functional indicators such as the burden on the on-call orthopaedic registrar and other departments for advice from junior doctors, plus the number of medical emergencies.The survey received a total of 42 responses from various staff roles. All respondents thought the role had improved patient care or the functioning of the department. Respondents thought the role primarily enhanced patient care and safety and led to increased support for junior doctors and nursing staff. Data showed a 44% reduction in medical emergency calls since the role began. Total calls outwith the department for medical support reduced by 100% in hours and 50% out of hours when analysed over 22 days. Over a 14 day period, calls to the on-call orthopaedic registrar also reduced by 100% in hours, with no significant difference out of hours.This role has improved patient care and safety and allowed faster medical support with reduced impact on orthopaedic and general medical services. Feedback has been very positive from all staff. The major limitation is lack of 24 hour support. Next steps will include expanding the role, as well as introduction of framework for professional development.

The Role of Staffing and Safety in Improving Teachers’ Job Satisfaction in Nsukka Education Zone Enugu State

This study was conducted on the role of staffing and safety in improving teachers’ job satisfaction. The study was guided by three research questions and three hypotheses. The study was carried out in Nsukka Education Zone of Enugu State. A correlation research design was adopted for the study. The population of the study comprised of 193 (6 principals and 187 teachers) the population served as sample because the population is manageable and accessible. The study adopted three instruments for data collection which include staffing questionnaire (SFQ), safety Questionnaire (STQ) and teachers’ job satisfaction questionnaire (TJSQ). The internal consistency reliability indices of SFQ, STQ and TJSQ were determined to be 0.72, 0.76 using Cronbach alpha. Pearson product moment correlation and multiple regression were adopted to answer the research questions and test the hypotheses at 0.05 level of significance. The result shows that task persistence and students’ engagement significantly predict students’ academic achievement in Economics. From these findings, it was recommended among others that, Teachers should make sure that students are actively involved in teaching and learning process by so doing, the academic achievement of the students will be improved.

Developing Digital Skills in Students through Blended Learning

The conditions that provoked changes in the system of education and its receiving by students are mentioned. Traditional, distance and hybrid forms of education their features, advantages and disadvantages are considered from the point of view of modern education. The pandemic of COVID-19 necessitated the search for conditions for further implementation of education with minimal omissions. Solving that problem remote learning was invented for the quarantine period, while providing this format, some organizations had to develop a system of educational resources and online platforms for interaction between teachers and students in a short time. There was also a need for technical support for both students and teachers in need of mastering new technologies and competencies. Despite the difficulties encountered, the conditions of the pandemic made it possible to open up new online education opportunities that could not be ignored after all restrictions were lifted. Returning to the traditional form of education there is a crucial question how can the developed online resources and platforms be used in teaching students. Hybrid form of education has been recognized as an effective innovation with a number of conditions and requirements that act as an obstacle to the organization of the educational process, including for teachers, the role of the teaching staff in this system is changing and expanding. The information and technical resources and conditions that allow for the implementation of blended learning, and some of its types, are indicated. In conclusion, the effectiveness of hybrid education is outlined, as well as the basic requirements for students studying in this form.

How NGO Staff Understand Maslow's Hierarchy of Needs and MHPSS Pyramid in Iraq: A Pilot Descriptive Study.

The Maslow's hierarchy of needs (Maslow's pyramid) and the Mental Health and Psychosocial Support (MHPSS) pyramid are integral frameworks in humanitarian settings whose aim is to address individual and community needs. However, confusion often arises among non-governmental organization (NGO) workers about the application and differentiation of these models. This study aims to investigate the extent of confusion among NGO workers in Iraq as regards the Maslow's and MHPSS pyramids, identify the causes of this confusion, and explore its implications in the context of humanitarian mental health support. A pilot descriptive study was conducted in December 2023 through an online survey involving 61 local NGO workers from MHPSS components in Iraq. We created a measure to assess the participants' familiarity with both models, their perceived differences, and their views on the models' applicability in humanitarian contexts. Male participants represented 55.7% (n=34) of the sample, while females accounted for 44.3% (n=27). Most participants were aged 25-34 (57%, n=35) and 35-44 (34%, n=21). A majority held bachelor's degrees (67.2%, n=41), with 21.3% (n=13) holding master's degrees. In terms of occupation, 49.2% (n=30) were engaged in the protection sector (gender-based violence and child protection), followed by health (19.7%, n=12), education (4.9%, n=3), and MHPSS staff roles in other sectors (26.2%, n=16). The study revealed that 54.1% (n=33) of the participants struggled to understand or differentiate between Maslow's and MHPSS pyramids. The causes of this confusion were related to perceived structural similarities (18.03%, n=11), lack of awareness and knowledge about the MHPSS pyramid (63.93%, n=39), and a combination of both (18.03%, n=11). The study underscores the importance of better training and education for NGO workers to improve their understanding of the Maslow's and MHPSS pyramids. Addressing this knowledge gap can increase efficacy in humanitarian aid provision, ensuring that individual and community needs are adequately met in crisis situations.

Use of real-time respiratory function monitor improves neonatal face mask ventilation: Cross-over simulation study.

Neonatal resuscitation airway training can be difficult as there is no feedback on the face mask technique. "JUNO" is a training respiratory function monitor that provides feedback on mask leak, ventilatory rate, and tidal volume. To evaluate whether the use of the JUNO improves face mask ventilation techniques in manikin models. We conducted an observational cross-over study with our unit staff. Following instructions, each participant performed a single-person technique, followed by a two-person technique with no JUNO feedback. This was repeated with JUNO feedback visible. A similar sequence was performed both in term and preterm manikins, giving a total of 8 sequences. Each participant was instructed to perform 1 min of positive pressure ventilation providing 30 inflations/minute for all of the simulations. Each of the simulation data underwent a data cleaning process. Thirty-eight subjects provided a total of 304 sequences of positive pressure ventilation. A total of 13 354 inflations were analyzed. The feedback group had significantly lower rates of inflations with leak >60%, lower rates of excessive tidal volumes, lower mean leak percentage, and a lower mean inspiratory tidal volumes. When analyzed based on the technique (single person and two-person), similar positive results were noted in the "feedback group", across all the strata of staff. All of the staff reported that JUNO improved their ventilation technique and would recommend it for staff training. The use of JUNO significantly improved mask ventilation consistently across manikin types, staff roles, and techniques (either single- or two-person).