Support Personnel Research Articles

Examining biomedical waste management knowledge and training level among health care professionals in Saudi Arabia

The rapid development of medical care innovations and the use of newer technologies have resulted in a significant rise in the quantity of waste produced per patient within health care facilities. Biomedical waste in particular has emerged as a pressing concern due to its inherent propensity to pose health hazards and cause environmental harm. The World Health Organization has identified a lack of knowledge and training as primary factors contributing to the failure of Biomedical waste management (BMWM). Thus, our study sought to examine the relationship between BMWM level of knowledge and prior training among health care professionals (HCPs) in 4 different regions in Saudi Arabia. Our study used a cross-sectional design to investigate the BMWM level of knowledge and prior training among HCPs in 4 different regions in Saudi Arabia. Multiple linear and logistic regression was used to assess if Biomedical waste management (MBWM) knowledge and prior tanning are significantly associated with the demographics and professional characteristics of HCPs. 501 HCPs participated in the study. More than half were male, the majority fell within the age range of 24 to 36 years and held a bachelor's degree. The level of BMWM knowledge among HCPs was moderate (M=31.14, SD=4.89) and positively associated with HCPs' prior training in BMWM, workplace environment, and overall experience in the field. Only 26% of the HCPs had received prior BMWM training, and it varied considerably by sex, geographic location, and professional experience. Our study demonstrates a moderate knowledge and lack of training in BMWM among HCPs in Saudi Arabia. Thus, we recommend a national strategy for incorporating infection prevention and control methods associated with BMWM into all health care programs. Furthermore, it is imperative for health officials to enact prompt and efficient surveillance measures, as well as conduct frequent training sessions for HCPs and support personnel.

What we learned from the infection control and what we need in the future: A quantitative and qualitative study on hospital infection prevention and control practitioners (HIPCPs) in Tianjin, China

In December 2022, the epidemic prevention and control policy was upgraded, and China entered a different stage of epidemic control. This study aims to identify implications for better infection control and health care supply during the epidemic. A longitudinal quantitative and qualitative study was performed based on 2 comprehensive questionnaire surveys among 497 hospital infection prevention and control practitioners (HIPCPs) before and during the epidemic peak in Tianjin, China. The workload (8.2hours vs 10.14hours, P=0) and self-reported mental health problems (23.5% vs61.8%, P<.05) among the HIPCPs increased significantly in the peak period. Ward reconstruction and resource coordination were the most needed jobs in hospital infection control, and rapidly increased medical waste during the epidemic needs to be considered in advance. Community support for healthcare personnel and their families, maintaining full PPE to reduce simultaneous infection of medical staff, and clinical training of infectious diseases for medical staff, especially doctors, in advance are the most important things we learned. Although it has been 4 years since the first outbreak of coronavirus disease 2019, more improvements should be made to prepare for the next epidemic of potential diseases.

The Study of the need for support with Independent life for the working youth with Developmental Disabilities in One-person household: Focusing on persons with disabilities, parents, and support personnel

The Study of the need for support with Independent life for the working youth with Developmental Disabilities in One-person household: Focusing on persons with disabilities, parents, and support personnel

ORGANIZATIONAL AND INNOVATION MANAGEMENT OF FINANCIAL AND PERSONNEL SUPPORT FOR THE INTELLECTUAL POTENTIAL OF HIGHER EDUCATION INSTITUTIONS

At this historical stage of development, Ukraine is going through the most difficult times since the period of gaining its independence. The logic of state administration, financial and credit relations, social guidelines and the foreign policy of our country in general has changed. The sectors of education and science, in which not always positive changes are taking place, were also affected by such changes. Rather, on the contrary, there is a trend of stagnation in education caused by weak institutional support, and imperfect personnel and financial policies. The aggressive policy of the Russian Federation in relation to our country caused a powerful surge of internal and external migration of the population, including highly professional and narrowly qualified workers who were involved in educational and scientific processes and proved their effectiveness. In such conditions, it becomes necessary to determine the orientations of the organizational and innovative management of financial and personnel support of academies, institutes, universities and other educational institutions in the conditions of the restoration of intellectual potential. It is especially important to develop a methodology for its assessment and forecasting. In this context, the article proposes ways of evaluating, forecasting and improving the organizational and innovative management of financial and personnel support of higher education institutions. In the process of writing the article, economic and mathematical methods, tools and models were used, in particular two-factor regression models, Farrar-Glober tools, the method of least squares, and Fisher's F-criterion analysis. Taking into account the trends of forecasting financial and personnel support in order to improve the management of higher education institutions, managers should pay attention to the need to attract investments to improve the quality of scientific research.

Problems of digital transformation of agricultural production

The main provisions for the implementation of digital transformation processes in the domestic economy, including agricultural sectors, have been studied. The key problems of digitalization of agricultural production, including its technical, organizational, and personnel support, are considered. Particular attention is paid to the problem of the quality of specialist training in the field of digitalization of agricultural production.

Correlation between Scientific and Technological Achievements of Universities and Regional Innovation System in Ensuring Sustainable Economic Development at the Meso Level

The transformation of scientific and technological achievements of universities is of great importance for regional economic development and the development of scientific and technological innovation. Based on three aspects — the input of innovative resources, the output of scientific and technological achievements and the transformation of scientific and technological achievements — this study selected 13 indicators, such as scientific and technical expenditures, the number of scientific and technical personnel, the results of publication activities, intellectual activity, patents, contracts and income from the transformation of scientific and technological achievements, to build an indicator system for the transformation of scientific and technological achievements of colleges and universities; at the same time 7 indicators were selected, such as the number of scientific and technological personnel, funding, the number of patents and scientific and technological business-incubators, to build a regional system for assessing scientific and technical potential, a system for assessing regional scientific and technical innovation potential. Based on the factor analysis method, the transformation scores of scientific and technological achievements of universities and regional scientific and technological innovations in each region of China in 2019–2021 were calculated; secondly, using the Coupling coordination degree model, the degree of relationship and coordination between the university system of transformation of scientific and technological achievements and the regional scientific and technological innovation system in different regions of China was calculated. The study showed that the level of scientific and technological achievements is uneven and not high; points of innovative development of Chinese regions have been identified. Thus, the transformation of scientific and technological achievements of universities is a necessary path for the scientific, technological and economic development of regions, when it is necessary to combine the needs of regional development, take measures to strengthen support for scientific and technological personnel, create platforms for sharing resources, and improve policies in the field of intellectual property in order to promote the industrialization of scientific and technological achievements, promote regional scientific and technological innovations and develop regional industry.

Prioritization of maternal and newborn health policies and their implementation in the eastern conflict affected areas of the Democratic Republic of Congo: a political economy analysis.

Maternal and neonatal mortality remains a major concern in the Democratic Republic of Congo (DRC), and the country's protracted crisis context exacerbates the problem. This political economy analysis examines the maternal and newborn health (MNH) prioritization in the DRC, focussing specifically on the conflict-affected regions of North and South Kivu. The aim is to understand the factors that facilitate or hinder the prioritization of MNH policy development and implementation by the Congolese government and other key actors at national level and in the provinces of North and South Kivu. Using a health policy triangle framework, data collection consisted of in-depth interviews with key actors at different levels of the health system, combined with a desk review. Qualitative data were analysed using inductive and then deductive approaches, exploring the content, process, actor dynamics, contextual factors and gender-related factors influencing MNH policy development and implementation. The study highlighted the challenges of prioritizing policies in the face of competing health and security emergencies, limited resources and governance issues. The universal health coverage policy seems to offer hope for improving access to MNH services. Results also revealed the importance of international partnerships and global financial mechanisms in the development of MNH strategies. They reveal huge gender disparities in the MNH sector at all levels, and the need to consider cultural factors that can positively or negatively impact the success of MNH policies in crisis zones. MNH is a high priority in DRC, yet implementation faces hurdles due to financial constraints, political influences, conflicts and gender disparities. Addressing these challenges requires tailored community-based strategies, political engagement, support for health personnel and empowerment of women in crisis areas for better MNH outcomes.

노인 대상 비대면 사회서비스 제공 경험 및 효과적 제공 방안에 관한 연구: 종사자 FGI 분석을 중심으로

In response to the COVID-19 pandemic, a surge in the adoption of non-face-to-face services within the social services sector has been observed. Despite these advancements, the accessibility and effectiveness of non-face-to-face services for older adults, a significant beneficiary group of social services, remain constrained due to factors such as low digital literacy and insufficient physical environments. This research aimed to explore more effective ways of delivering non-face-to-face social services to older adults who continue to rely on such services. The study conducted focus group interviews (FGI) with staff from major institutions providing social services to older adults, aiming to comprehend the overall status of non-face-to-face social service provision and to explore factors influencing the level of service provision and effective delivery. The analysis results prompted the formulation of specific recommendations for the effective provision of non-face-to-face social services for older adults, organized according to influential factors. Firstly, it is imperative that the purpose of non-face-to-face services prioritizes interpersonal communication, with effectiveness contingent upon the activation of communication. Secondly, at the institutional level, flexibility in service provision, strategic decision-making in service delivery methods, resident education initiatives, enhancement of digital capabilities among institutional staff, deployment of support personnel, encouragement of experiential learning, and the provision of non-face-to-face services for physical health were identified as crucial elements. Lastly, at the policy level, there is a pressing need for support in physical environments for both service providers and users, the development of user guides and user-friendly devices to enhance convenience, and flexibility in budget utilization. These recommendations collectively contribute to the enhancement of non-face-to-face social services, ensuring their efficacy and accessibility for the older adult population.

Arranging internal financial control in public institutions: Obstacles and strategies to mitigate them

Subject. This article discusses the issues of arranging effective internal financial control in government institutions of the Russian Federation. Objectives. The article aims to identify the key problems of arranging internal control in government institutions and develop recommendations for its improvement. Methods. For the study, I used the methods of comprehensive and statistical analyses, and comparison. Results. The article finds that preliminary control has significant advantages in preventing budget violations. An analysis of the performance indicators of institutions demonstrates the availability of reserves for improving the quality of internal control. Conclusions. Based on the results of a comprehensive study, the article concludes that it is necessary to solve a number of problems in the field of personnel, technological and methodological support for arranging an effective system of internal financial control in public institutions. The implementation of the proposed measures will contribute to improving the effectiveness of the use of budget funds.

Development and Application of Control Concepts for Twin-Screw Wet Granulation in the ConsiGmaTM-25: Part 1 Granule Composition

Continuous manufacturing of pharmaceuticals offers several benefits, such as increased production efficiency, enhanced product quality control, and lower environmental footprint. To fully exploit these benefits, standard operation mode (production processes with no or minimal disturbance mitigation measures) should be supported by adopting novel quality-by-control (QbC) methodologies. The paper at hand is the first part of a study focused on developing QbC algorithms for optimizing twin-screw wet granulation in the industrial manufacturing line ConsiGmaTM-25, specifically addressing granule composition.This work relies on previously established process-analytical-technology (PAT) equipment for real-time monitoring of the granule composition, i.e., the active pharmaceutical ingredient (API) and liquid content in wet granules. The developed control platform integrates model-based process control algorithms that aim to keep the API- and liquid content at target values through real-time adjustments of the process parameters. Furthermore, the platform integrates a digital operator assistant, which aims to detect and classify granulation disturbances and provides messages and instructions for the plant operator.The present manuscript systematically outlines all design steps from the development phase in the simulation environment to the final real system application and validation. The control platform’s performance is demonstrated through selected test scenarios on the ConsiGmaTM-25 manufacturing line. The obtained results indicate improved disturbance robustness and an increase in intermediate/final product quality (compared to conventional operating modes): The process control algorithms successfully maintained the API- and liquid content at target values despite process disturbances. Furthermore, realistic disturbances (feeder, pump, and material) were accurately detected and classified by the digital assistant algorithm. The information was provided through a user interface, offering real-time support for plant personnel.

Fathering at a distance in the military: Techniques for presence and emotion work among Canadian Armed Forces fathers

LAY SUMMARY Many men aspire to involved parenting, but careers that require high mobility, such as military service, make this difficult. This study explored how military men father while deployed. Through interviews with Canadian Armed Forces personnel and spouses, techniques for fathering at a distance were identified, and implications for how military fathers maintain presence with their families were explored. Emotion work undertaken by fathers is also discussed. Understanding how fathering is accomplished at a distance can improve support for personnel, addressing concerns related to work-life balance that are a source of significant tension.

학교교육과정 운영에 대한 질적 사례연구

Purpose: This study analyzed the case of a school curriculum implementation from the theoretical perspective of communities of practice. A community of practice is a group of people who share the same interests, set of problems, and passion for a particular topic and expand their knowledge and expertise in a field through continuous interaction. This study analyzed the case of a unit school as a community of practice and suggested policy measures to enhance the practice.&#x0D; Methods: For this purpose, an interpretive case study was conducted to analyze the curriculum management of a school that is a typical example of a community of practice that has formed over a decade. Various materials such as literature, interviews, photos, and videos were analyzed and validated through triangulation and member checks.&#x0D; Results: The study found that, first, the teachers had a shared educational vision of students' happy lives and sought to create a school for joyful growth; second, the school members were engaged in collaborative practices in all aspects of curriculum management; and third, the school was creating a democratic management system to overcome the constraints of the bureaucratic organization and its own curriculum document style.&#x0D; Conclusion: Policy suggestions for improving the effectiveness of unit schools as an educational community include improving school administration so that teachers can immerse themselves in curriculum management, establishing a customized educational support system for unit schools, allocating differential support personnel and an educational budget based on the educational needs of unit schools.

Optimizing the quality of training for agriculture: priorities, mechanisms

The goal is to show special importance of improving the qualifications of teaching staff, who are faced with the task of training personnel for agricultural industry. Methods – comparative analysis, sociological survey, online survey, observation, use of statistical information. Results - the authors note the increased demand for specialists with modern knowledge and innovative technologies, who play a key role in shaping the next generation of leaders and innovators in agricultural production. The need for a high degree of teaching skills and deep understanding of industry trends, including peculiarities of the practice of developing agricultural sector, mastery of interdisciplinary sciences and effective teaching methodologies, and the ability to integrate them into educational programs has been proven. It should be pointed out that the ties between educational institutions and agricultural enterprises are not strong enough and that the content of education does not fully meet the requirements currently set by employers for the level of professional competence of graduates. The main task is to raise the level and quality of life of the Kazakh village and make it more attractive. Among the initial measures are scientific and personnel support for rural areas. Based on the study, it is substantiated that agricultural universities require not only structural changes, but also a deep modernization of agricultural education in order to meet the realities of today. Competent personnel are the key to effective work and, as a result, additional profit and stability of the enterprise. Conclusions - the creation of a model of interaction between agricultural educational institutions, business and the state will make it possible to supplement the innovative component in research activities with the development of direct ties with subjects of agro-industrial complex.

Male Intimate Partner Violence Victims’ Experiences With Seeking Help From Legal System Services Over Time and Across Countries

Fifty years of evidence documents that men represent a substantial portion of victims of intimate partner violence (IPV). However, studies show that there are few services available to them, and qualitative studies from Western countries worldwide show that male IPV victims report uniformly negative experiences when seeking help from various legal professionals, including police, judges, lawyers, other court personnel, and victim advocates. The current study is a quantitative investigation of male IPV victims’ experiences with legal service systems across several English-speaking countries and over time. Using cross-sectional data from two samples—594 self-identified male IPV victims and 1,380 men from a crowdsourcing platform (Prolific) who reported at least one act of physical and/or sexual IPV victimization from a romantic partner—we found that men from the United States were significantly less likely to seek help from the police or legal support personnel than men from other countries, but they rated these resources’ helpfulness significantly higher. Moreover, the helpfulness of these resources increased over time. On average, across countries and time periods, ratings were consistent with unhelpfulness, with the majority of men reporting that they were not provided with appropriate resources or support. Discussion focuses on explanations for these findings, implications for practice, and suggestions for future research.

Dukungan Keluarga untuk Kepatuhan Pengobatan Tuberkulosis Paru

This study aims to investigate family support for compliance with pulmonary tuberculosis treatment. The method used in this research is systematic observation. The research results showed that out of 1,870 articles, 15 articles in this study found that the implementation of family support was not optimal in relation to four important points in family support such as support (informational, instrumental, emotional, and assessment). In conclusion, when the family always provides support in the form of information, emotions, appreciation, and also plays a role for tuberculosis patients, then this encouragement will influence their psychology, so that it will encourage them physically to take medication regularly and adopt a healthy lifestyle as an effort to achieve successful treatment. Apart from that, it is necessary to pay attention to policies, health programs, support for medical and paramedical personnel. Keywords: Family Support, Compliance, Pulmonary Tuberculosis

The Systematic Construction of Emergency Medical Security System in Long-Distance Walking Movement on Urban Paved Roads

Objective To explore the scope of building emergency medical security mechanism in urban paved road environment, and to provide reference, sample data and improvement suggestions for building emergency medical security mechanism in such specific environment. Methods The data of rescue personnel deployment, rescue materials allocation, rescue force monitoring, actual rescue situation, emergency plan and relevant regulations setting, training and other aspects of the emergency medical security mechanism in March and April 2023 were collected, and the data were analyzed. Results (1) The hiking distance was 40km and the road conditions were urban paved roads. There were 1150 official trekkers and 65 people were treated medically. (2) The most common symptoms of outdoor hiking included skeletal muscle injury (19.48%), foot skin and soft tissue injury (18.17%), fever (2.61%) and diarrhea (0.61%). (3) In March, 18.36% of the core medical team members and 20.41% of the first aid volunteers who underwent systematic training took up the task of supporting hiking activities. In April, the core medical team personnel who undertook the task of supporting hiking activities accounted for 1.23% of the total number of the security team, and the first aid volunteers who underwent systematic training accounted for 37.04%. (4) According to local conditions, the multi-vehicle rescue and transport mode was adopted, which was combined with the modified commercial rescue vehicle (42.86%) with the on-board emergency medical unit (EMU) and the ordinary ambulance (28.57%). (5) More than 700 pieces of 34 kinds of medical materials and 40 sets of mobile communication equipment, which were put into use after the feasibility study of the expert group and the technical group, guaranteed the competition from the hardware level. Conclusion The construction of emergency medical support mechanism in outdoor walking sports needs to pay attention to environmental characteristics, operation mode of support team, personnel and adaptability training, equipment and deployment of medical support materials, deployment and cooperation of communication and transport capacity, reasonable support plan and other factors. Medical volunteers who have been systematically trained can undertake part of outdoor medical rescue work. Pre-activity training and regular re-training of medical volunteers can ensure the safety of outdoor activities.

Outcomes of Best-Practice Guided Digital Mental Health Interventions for Youth and Young Adults with Emerging Symptoms: Part I. A Systematic Review of Socioemotional Outcomes and Recommendations

Youth-specific digital mental health interventions (DMHI) represent an emerging field of study, and aim to increase access, improve socioemotional outcomes, and, where required, support triage to targeted interventions. However, prior reviews have reported inconsistent findings on the clinical effectiveness of such interventions in young adults (12–25 years). Further, shortfalls remain for the impact of guided interventions based on the mode of delivery and the type of human support personnel (e.g., professional or peer) guiding the intervention. In response, this systematic review, co-designed with Australia’s leading mental health organization, aims to assess the effectiveness of guided digital programs in improving youth socioemotional outcomes. Included studies involve young people experiencing mental ill-health, receiving brief (i.e., 1–12 sessions), digitally delivered (at least partially) psychological interventions that were guided or partially guided, tested in a type of experimental study, with a socioemotional outcome. Specific socioemotional outcomes examined were depression, anxiety, stress, wellbeing, mindfulness, and quality of life. A systematic search of the contemporary published and grey literature identified 22,482 records with 32 relevant records published between 2018 and 2023. A narrative synthesis guided integration of findings. Results demonstrated strong evidence for the effectiveness of guided interventions on socioemotional outcomes (i.e., depression, anxiety, stress) yet these effects were short-lived. When factoring in the use of different control groups (i.e., active vs. inactive), inconsistent effects were observed for the socioemotional outcomes of depression, anxiety, and stress. The mode of delivery (i.e., asynchronous, synchronous, combined) and the type of human support personnel did not appear to impact socioemotional outcomes. Results indicate efficacious brief digital interventions for depression and anxiety include refresher/follow-up content, goal setting content, and relapse prevention content. In contrast, poor efficacy is associated with interventions that include homework tasks, self-monitoring, and log-keeping content.PROSPERO, ID CRD42023405812.

The Wearable Activity Tracker Checklist for Healthcare (WATCH): a 12-point guide for the implementation of wearable activity trackers in healthcare

Increasing physical activity in patients offers dual benefits, fostering improved patient health and recovery, while also bolstering healthcare system efficiency by minimizing costs related to extended hospital stays, complications, and readmissions. Wearable activity trackers offer valuable opportunities to enhance physical activity across various healthcare settings and among different patient groups. However, their integration into healthcare faces multiple implementation challenges related to the devices themselves, patients, clinicians, and systemic factors. This article presents the Wearable Activity Tracker Checklist for Healthcare (WATCH), which was recently developed through an international Delphi study. The WATCH provides a comprehensive framework for implementation and evaluation of wearable activity trackers in healthcare. It covers the purpose and setting for usage; patient, provider, and support personnel roles; selection of relevant metrics; device specifications; procedural steps for issuance and maintenance; data management; timelines; necessary adaptations for specific scenarios; and essential resources (such as education and training) for effective implementation. The WATCH is designed to support the implementation of wearable activity trackers across a wide range of healthcare populations and settings, and in those with varied levels of experience. The overarching goal is to support broader, sustained, and systematic use of wearable activity trackers in healthcare, therefore fostering enhanced physical activity promotion and improved patient outcomes.

Military shipbuilding in the Volga region (XVIII-early XX centuries) in Russian historiography

The article is devoted to the problem of the emergence and development of the industrial base of military shipbuilding in pre-revolutionary Russia in the Volga region. Its purpose is to analyze the work of domestic researchers on this problem, to identify on this basis the features of the shipbuilding industry in the region, to create a complete picture of its formation and development. The study was conducted within the framework of the individual periods proposed by the author, the grounds for which were both fluctuations in Russia's foreign policy in the Caspian Sea region and changes in the technical and technological aspects of shipbuilding itself. Special attention is paid to the emergence and activities of two major centers of Volga shipbuilding – the admiralty in Kazan and Astrakhan, attention is paid to the development of their production infrastructure, as well as their personnel and logistical support. The research uses both general philosophical methods of analysis and ascent from the concrete to the abstract, as well as special historical methods: chronological, periodization and comparative historical. It is revealed that organized state military shipbuilding in the Volga region arose both to implement the goals of Russia's eastern policy and to meet the needs for shipbuilding materials of the fleet being built on the Baltic Sea. The limited foreign policy goals in the Caspian Sea region predetermined the specific appearance of the shipbuilding industry formed in the Volga region. The conclusion is made about the commensurate development of the shipbuilding base in the Volga region to the level of threats to Russia's national security that existed in the Caspian Sea region during the period under study. It is emphasized that a specific feature of the shipbuilding industry's production and logistics infrastructure in the Volga region was its focus on providing strategic materials to other shipbuilding centers in Russia, primarily those working in the interests of the Baltic Fleet. The problems and issues of the history of military shipbuilding in the Volga region that require further study are shown.

A Peer-to-Peer Approach to Increasing Staff Competency and Engagement in Wound and Ostomy Care: A Quality Improvement Project.

The purpose of this quality improvement (QI) project was to provide an innovative, participatory approach to the education of staff nurses and nursing support personnel to improve skills and competencies in wound and ostomy care while enhancing staff engagement and empowerment. Project planning occurred between January and October 2020 and implementation began in November 2020. The project was implemented in 1 intensive care unit and 6 adult medical-surgical units of a 288-bed community hospital in the northeastern United States (Bronxville, New York). Participants included RNs and nursing support staff working in intensive care and medical-surgical units. A postimplementation survey was conducted in May 2021. The Plan-Do-Study-Act (PDSA) model was used as a framework for this QI intervention. A peer-to-peer approach to staff education addressing different learning styles was used to improve knowledge and competencies of staff nurses pertaining to wound and ostomy care. There were 72 participants; 68% (n = 49) exhibited knowledge retention 5 months after initial participation; 85% (n = 61) reported a high level of engagement; and 97.5% (n = 70) reported a high level of satisfaction 5 months after project implementation. An emerging need exists for educational innovation regarding wound and ostomy care to improve quality of care, nursing care outcomes, and staff engagement. Through a peer-to-peer approach to wound and ostomy care education, enhanced clinical knowledge and competencies can result in improved patient safety and increase care outcomes.