Facility Workers Research Articles

A cluster randomized controlled trial to assess the impact of the ‘Caring for Providers to Improve Patient Experience’ (CPIPE) intervention in Kenya and Ghana: study protocol

BackgroundPoor person-centered maternal care (PCMC) contributes to high maternal mortality and morbidity, directly and indirectly, through lack of, delayed, inadequate, unnecessary, or harmful care. While evidence on poor PCMC prevalence, as well as inequities, expanded in the last decade, there is still a significant gap in evidence-based interventions to address PCMC. We describe the protocol for a trial to test the effectiveness of the “Caring for Providers to Improve Patient Experience” (CPIPE) intervention, which includes five strategies, targeting provider stress and bias as intermediate factors to improve PCMC and address inequities.MethodsThe trial will assess the effect of CPIPE on PCMC, as well as on intermediate and distal outcomes, using a two-arm cluster randomized controlled trial in 40 health facilities in Migori and Homa Bay Counties in Kenya and Upper East and Northeast Regions in Ghana. Twenty facilities in each country will be randomized to 10 intervention and 10 control sites. The primary intervention targets are all healthcare workers who provide maternal health services. The intervention impact will be assessed among healthcare workers in the study health facilities and among women who give birth in the study health facilities. The primary outcome is PCMC measured with the PCMC scale, via multiple cross-sectional surveys of mothers who gave birth in the preceding 12 weeks in study facilities at baseline (prior to the intervention), midline (6 months after intervention start), and endline (12 months post-baseline) (N = 2000 across both countries at each time point). Additionally, 400 providers in the study facilities across both countries will be followed longitudinally at baseline, midline, and endline, to assess intermediate outcomes. The trial incorporates a mixed-methods design; survey data alongside in-depth interviews (IDIs) with healthcare facility leaders, providers, and mothers to qualitatively explore factors influencing the outcomes. Finally, we will collect process and cost data to assess intervention fidelity and cost-effectiveness.DiscussionThis trial will be the first to rigorously assess an intervention to improve PCMC that addresses both provider stress and bias and will advance the evidence base for interventions to improve PCMC and contribute to equity in maternal and neonatal health.Trial registrationClinicalTrials.gov: NCT06085105. Protocol version and date: v2-11-07-23

Effectiveness of Using Online Single Submission Applications

Effectiveness refers to how an organization successfully achieves its goals by measuring and assessing performance in carrying out tasks or activities. This study aims to evaluate how effective the use of the Online Single Submission Application is at the Office of the Investment and One-Stop Integrated Service of South Sulawesi Province. This study is important to identify factors that support or hinder the effectiveness of the use of the OSS application. The research method used is descriptive with a qualitative approach, which describes how the use of the OSS application takes place in the office. Data were collected through observation, interviews, and documentation. The study shows that the implementation of the Online Single Submission Application at the Office of the Investment and One-Stop Integrated Service of South Sulawesi Province was considered successful. Informants were satisfied with the clarity of the strategy for achieving goals, the quality of policy analysis, careful planning, the preparation of appropriate programs, and adequate work facilities. Good implementation, an effective monitoring system, and strict control also play a role in maintaining information security and preventing unauthorized access.

Expansion of Digital Technology Use in the Korean Social Work Field

This study aims to examine the status of digital technology utilization in diverse social work facilities and to understand practitioners’ perceptions of digitalization in the social work field in South Korea. To achieve this, focus group interviews were conducted with a total of 32 social work practitioners from various social welfare organizations in South Korea. The results of thematic analysis revealed that there are four main factors affecting the usage of digital technology, five main types of digital technologies, four principal outcomes, and five challenges. To gain a more comprehensive understanding of the digital transformation that has occurred in social work, it is suggested that future in-depth studies should be conducted from the client’s perspective and that future quantitative research should include more cases. Altogether, this study contributes to establishing a foundation for future research to determine the directions of and challenges involved in social work practice in the digital age.

Influence of workload, work facilities and competence on the performance of medical support staff with job satisfaction as an intervening variable at RSUD Raja Ahmad Tabib

influence of workload, work facilities and competence on the performance of medical support staff with job satisfaction as an intervening variable at RSUD Raja Ahmad Tabib

Training Nurses in Trauma-Informed Care to Address Workplace Violence in Inpatient Settings.

Frontline workers in psychiatric facilities are exposed to considerable risks of verbal and physical assaults, with 40% to 65% of mental health nurses experiencing violence in the workplace. The goal of this pilot study was to assess the readiness and motivation for adopting trauma-informed care (TIC) to address workplace violence in an acute care psychiatric hospital. A pre-post quality improvement study was conducted in two pilot units of a 274-bed acute care psychiatric hospital, involving a discussion-based seminar and a practical exercise. Surveys assessed participants' readiness and motivation posttraining. Sixty-eight staff members completed part 1 training, with 63 (92.6%) reporting being prepared to use TIC principles afterward. All 14 staff members (100%) who completed part 1 and part 2 training reported being motivated to apply the TIC model after the intervention. The results show that TIC training may impact self-reported strategies for reducing workplace violence. Education in trauma-informed care may prove to be beneficial in providing nurses with the necessary skills to effectively implement TIC principles in their daily practices. [J Contin Educ Nurs. 2024;55(10):472-478.].

Strengthening the effectiveness of community health system: Assessing the factors that enhance or constrain the delivery of health services within communities in Nigeria

IntroductionSub-optimal community health service delivery (CHSD) has been a challenge constraining community health systems (CHS) globally, especially in developing countries such as Nigeria. This paper examined the key factors that either enhance or constrain CHSD in Nigeria at the individual, community/facility and governmental levels while recommending evidence-based solutions for sustaining and improving CHSD within the framework of CHS.MethodsData were collected through a qualitative study undertaken in three states (Anambra, Akwa-Ibom and Kano) in Nigeria. Respondents were formal/informal health providers, community leaders and representatives of civil society organizations all purposively sampled. There were 90 in-depth interviews and 12 focus group discussions, which were audio-recorded, transcribed verbatim and analysed thematically using codes to identify key themes.ResultsFactors constraining community health service delivery at the individual level were poor health-seeking behaviour, preference for quacks and male dominance of service delivery; at the community/facility level were superstitious/cultural beliefs and poor attitude of facility workers; at the governmental level were inadequate financial support, embezzlement of funds and inadequate social amenities. Conversely, the enabling factors at the individual level were community members’ participation and the compassionate attitude of informal providers. At the community and facility levels, the factors that enhanced service delivery were synergy between formal and informal providers and support from community-based organizations and structures. At the governmental level, the enhancing factors were the government’s support of community-based formal/informal providers and a clear line of communication.ConclusionsCommunity health service delivery through a functional community-health system can improve overall health systems strengthening and lead to improved community health. Policy-makers should integrate community health service delivery in all program implementation and ultimately work with the community health system as a veritable platform for effective community health service delivery.

Influence of work facilities, competency, communication on business participants' satisfaction through service quality as a variable intervening at investment and one door opening service of the province of the Riau Island Government

Influence of work facilities, competency, communication on business participants' satisfaction through service quality as a variable intervening at investment and one door opening service of the province of the Riau Island Government

Optimalisasi Kinerja Karyawan Melalui Kualitas Pelayanan, Fasilitas Kerja dan Kepuasan Kerja

This study aims to evaluate how job satisfaction, work environment, and service quality affect employees' performance at the Puskesmas Kalikajar II Wonosobo. The participants of this research consist of 38 personnel from the Kalikajar II Wonosobo Community Health Centre. This research used multiple linear regression analysis on a sample size of 38 individuals. The saturation sampling method was the sample strategy employed in this study. The questionnaire survey method was employed as the data collection strategy in this study. The study's findings indicate that service quality has a beneficial impact on employee performance, albeit this effect is not statistically significant. Therefore, hypothesis 1 is rejected. Consequently, the performance of workers is unaffected by the kind of service they deliver. The presence of work facilities has a beneficial impact on the facilities. Hypothesis 3 is rejected since job satisfaction has a favorable influence on employee performance, albeit this effect is not statistically significant. This implies that fluctuations in employee work satisfaction do not impact performance of employees, hence supporting hypothesis 2. This implies that enhanced work amenities have the potential to enhance employee productivity, and conversely, improved employee performance may lead to better work employee performance

The Effectiveness of Group Interpersonal Therapy on Burnout Among Long-Term Care Workers.

Burnout syndrome can have a negative impact on people who work in occupations that require close interaction with others, contributing to a decline in their psychological well-being. This study aimed to examine the effectiveness of Group Interpersonal Therapy (IPT-G) in reducing burnout among care workers for older adults in a Turkish long-term care facility. The study employed a pretest-post-test randomised experimental design. Fifty care workers scoring 27 or above on emotional exhaustion and 10 or above on depersonalisation subscales of the Maslach Burnout Inventory (MBI) were randomly assigned to the intervention or control group for 8 weeks. The study utilised the World Health Organization (WHO) Group Interpersonal Therapy for Depression manual as a guide. The post-test was conducted immediately after the last session of the intervention. In comparing pre- and post-test scores of the intervention group, a statistically significant difference was found in overall burnout scores (pretest M = 74.10, post-test M = 63.08, p < 0.001; d = 1.12). Additionally, emotional exhaustion scores (pretest M = 30.99, post-test M = 24.89, p < 0.001; d = 1.11) and depersonalisation scores (pretest M = 12.76, post-test M = 8.53, p < 0.001; d = 1.69) exhibited significant differences. However, no significant difference was observed in personal accomplishment scores (p > 0.05). The control group had no significant differences concerning the overall burnout scores and all three subscales (p > 0.05). The IPT-G used in this study effectively decreased burnout among care workers in a long-term care facility in Türkiye. In addition, the participants reported high satisfaction with the IPT-G program. Our results support the usefulness of the IPT-G program for care workers in long-term care facilities considering adding it to their occupational health management. This research aimed to determine whether IPT-G successfully decreased care worker burnout. Future research focusing on various types of healthcare workers in long-term care facilities and examining factors such as burnout, job satisfaction and self-efficacy could provide more information on the effects of IPT-G.

Barriers and Facilitators of Using Standardized Outcome Measures in Stroke Rehabilitation in Saudi Arabia: A Cross-Sectional Study of Practice Among Neurophysiotherapists.

Clinical guidelines emphasize the use of standardized outcome measures (SOMs) in post-stroke rehabilitation. However, the extent of SOM utilization among physiotherapists in this context in Saudi Arabia remains unclear. 1) assess the current use of SOMs by physiotherapists involved in stroke rehabilitation in Saudi Arabia and 2) identify facilitators and barriers influencing the use of SOMs. An online survey was administered using a three-section questionnaire designed for this study. The first section collected demographic data, the second evaluated the use of SOMs recommended by the American Physical Therapy Association, and the third explored factors facilitating or hindering SOM use in clinical practice. Only highly recommended outcome measures capturing the three levels of the International Classification of Functioning, and Disability (ICF) model were considered: body structure and function, activities, and participation. Poisson regression analysis was used to investigate the association between SOMs utilization and educational level, work experience, type of work facility, and the number of patients treated per week. A total of 138 physiotherapists responded. Most participants (98.5%) used at least one outcome measure in clinical practice. Regression analysis showed that number of strokes treated per week and facility type were associated with the likelihood of using higher number of SOMs. Physiotherapists managing more than 10 stroke patients per week and working in private sector had significantly higher odds of using a greater number of SOMs. The most pronounced barriers were time restrictions and limited resources. Physiotherapists working with stroke patients in Saudi Arabia demonstrate a high awareness and positive attitude toward SOM utilization. Addressing barriers such as time management and resource allocation is crucial to enhancing SOM integration in clinical practice. Organizational support in terms of adequate time and resources is needed to enhance the use of SOMs among physiotherapists.

A holistic approach to different regulations for acoustic improvements in industrial facilities

With the developing technology and mechanization, the number of industrial facilities has increased. It is important for the worker’s physical and mental health to be in suitable working conditions. This paper analyses the regulations applied in the examination and evaluation of the acoustic environment in industrial facilities. The European Parliament and Council Directive, the United States, Singapore, Canada, Australia, Mexico, Japan, and WHO principles were analysed in detail. Simultaneously, analyses were conducted on the auditory perception of the workers in industrial facilities. As a result of the study, 85, 87, and 90 dBA noise exposure levels were determined for 8 h in different regulations examined. It has been determined that the regulative systems for the auditory perception of the workers in industrial facilities are insufficient. It was found necessary to develop regulation systems for evaluating noise exposure levels and the auditory perception of the workers together. It is important for the occupational health and safety of workers to develop a holistic approach in the update and revision of international regulation and to evaluate the control mechanisms within this scope. The protection of mental and physical health of the workers is presented as the most fundamental requirement. Moreover, it should be ensured that the noise control measures that can be taken (at the source, at the transmission path, and at the receiver) are formed by reducing the noise exposure and increasing the auditory perception of the workers in a positive view.

The Influence of Competence and Work Facilities on Employee Performance with Work Motivation as An Intervening Variable (Study at The Airnav Indonesia Branch Office in Merauke)

The performance of Airnav Indonesia Office Branch Merauke, which has the task of providing flight navigation services in the South Papua region, is still less than optimal, as seen from the inconsistency in sending aircraft movement data every month.The purpose of the research conducted was to analyze the effect of competence, work facilitation on employee performance with work motivation as an intervening variable at the Airnav Indonesia Merauke Office. This research is quantitative research and uses a questionnaire as a research instrument. The sample for this research is the entire population, namely 50 employees at the Airnav Indonesia office Branch Merauke. Descriptive analysis test is used to analyze data by utilizing the help of SEM PLS software. The results of this study indicate that there is a significant influence between competence and performance, there is no significant influence between facilities and performance, and there is a significant influence between motivation and performance, there is a significant influence on competence on work motivation, there is a significant influence on facilities on motivation, there is a significant influence on competence on performance through work motivation, there is an influence related to work facilities on performance through work motivation, competence is the most dominant factor that has an influence on employee performance at the Airnav Indonesia Office in Merauke.

Effects of human rights sensitivity and perception of elder abuse on intention to intervene in elder abuse by workers in home welfare facilities and medical welfare facilities for older adults: A cross-sectional correlation study

Effects of human rights sensitivity and perception of elder abuse on intention to intervene in elder abuse by workers in home welfare facilities and medical welfare facilities for older adults: A cross-sectional correlation study

Solid health care waste management practice in Ethiopia, a convergent mixed method study

IntroductionHealthcare waste is any waste generated by healthcare facilities that is considered potentially hazardous to health. Solid healthcare waste is categorized into infectious and non-infectious wastes. Infectious waste is material suspected of containing pathogens and potentially causing disease. Non-infectious waste includes wastes that have not been in contact with infectious agents, hazardous chemicals, or radioactive substances, similar to household waste, i.e. plastic, papers and leftover foods.This study aimed to investigate solid healthcare waste management practices and develop guidelines to improve solid healthcare waste management practices in Ethiopia. The setting was all health facilities found in Hossaena town.MethodA mixed-method study design was used. For the qualitative phase of this study, eight FGDs were conducted from 4 government health facilities, one FGD from each private health facility (which is 37 in number), and forty-five FGDs were conducted. Four FGDs were executed with cleaners; another four were only health care providers because using homogeneous groups promotes discussion. The remaining 37 FGDs in private health facilities were mixed from health professionals and cleaners because of the number of workers in the private facilities. For the quantitative phase, all health facilities and health facility workers who have direct contact with healthcare waste management practice participated in this study. Both qualitative and quantitative study participants were taken from the health facilities found in Hossaena town.ResultSeventeen (3.1%) health facility workers have hand washing facilities. Three hundred ninety-two (72.6%) of the participants agree on the availability of one or more personal protective equipment (PPE) in the facility ‘‘the reason for the absence of some of the PPEs, like boots and goggles, and the shortage of disposable gloves owes to cost inflation from time to time and sometimes absent from the market’’. The observational finding shows that colour-coded waste bins are available in 23 (9.6%) rooms. 90% of the sharp containers were reusable, and 100% of the waste storage bins were plastic buckets that were easily cleanable. In 40 (97.56%) health facilities, infectious wastes were collected daily from the waste generation areas to the final disposal points. Two hundred seventy-one (50.2%) of the respondents were satisfied or agreed that satisfactory procedures are available in case of an accident. Only 220 (40.8%) respondents were vaccinated for the Hepatitis B virus.ConclusionHand washing facilities, personal protective equipment and preventive vaccinations are not readily available for health workers. Solid waste segregation practices are poor and showed that solid waste management practices (SWMP) are below the acceptable level.

COVID-19 infection prevention and control program for aged care providers: a quasi-experimental study of Telegram-based training

ABSTRACT Given the high turnover of care workers in residential aged care facilities, continuous training on infection prevention and control (IPC) remains essential even after the COVID-19 pandemic. This study examined the impact of a Telegram-based training on aged care providers’ IPC knowledge, attitudes, self-efficacy. A two-arm, pre-post quasi-experimental study with repeated measures at week 2 (T1) and week 4 (T2) was conducted for seventy-two (72) participants from 14 residential aged care facilities in Malaysia, with 60 completing the study (30 per arm). All instructional activities and data collection for both groups were delivered through Telegram. The intervention group received a 2-day synchronous workshop (3 h/day) alongside e-materials for a 10-unit IPC module. Primary outcomes were measured using a knowledge test, COVID-19 Elderly Caregiver Questionnaire (attitude component), and an adapted General Self-Efficacy Scale. Telegram’s acceptability was also assessed using an adapted Technology Acceptance Model questionnaire. Results showed that the intervention group had a faster knowledge transfer (91.3%–93.5%; T0-T2 = ∆22.9; p ≤ .002;), higher knowledge scores (∆7.2–16; p ≤ .002; large effect sizes 0.9–1.7), and a small-to-modest increments in self-efficacy (∆13.2; p = .002) and attitude (∆5.2; p = .045). Integrating synchronous sessions into an online program improved knowledge transfer, enhanced self-efficacy and promoted positive attitudes by enabling real-time interpersonal communication and instant feedback. Telegram proved effective for mobile learning in aged care settings with limited resources.

Factors Affecting Employee Performance

This study investigates the factors that influence employee performance, namely personal factors, leadership, co-worker factors, work facilities, and work environment. This study uses a quantitative explanatory approach with primary data obtained from a survey with a questionnaire. The population in this study were all employees in North Maluku Province. The sample in the study came from two agencies, namely the Communication, Informatics, and Code Agency and the Transportation Agency of North Maluku Province, totaling 103 people. The data analysis technique used multiple regression with the help of SPSS software. The findings indicate that personal factors and leadership positively influence employee performance, with improved individual attributes and effective leadership leading to enhanced performance outcomes. Conversely, the presence of a larger number of co-workers was found to negatively affect performance, potentially due to role ambiguity and reduced accountability. Additionally, work facilities and the work environment did not significantly impact employee performance. The results emphasize the importance of focusing on personal and leadership development to boost employee effectiveness while addressing co-worker dynamics to maintain clear roles and responsibilities. Future research should further investigate these relationships to refine strategies for organizational performance improvement

The Influence Of Workload, Work Environment, And Facilities On The Performance Of Healthcare Workers At The Bintuni Public Health Center In Bintuni District, Teluk Bintuni

This study aimed to determine, analyze, and describe the influence of workload, work environment, and facilities on the performance of health workers at Bintuni Health Center, Teluk Bintuni Regency, using multiple linear regression analysis techniques. This research was quantitative in nature, employing a questionnaire as the data collection instrument. The study involved 97 respondents comprising health workers at Bintuni Community Health Center. The results indicated that workload had a significant negative influence on the performance of health workers with P = 0.000 &lt; 0.05 and a coefficient value of -0.340. The work environment had a significant positive influence on performance with P = 0.000 &lt; 0.05 and a coefficient value of 0.243, while facilities had a significant positive influence with P = 0.000 &lt; 0.05 and a coefficient value of 0.406. Therefore, higher workload could decrease the performance of health workers, where as a good work environment and facilities would enhance the performance of health workers at Bintuni Community Health Center.

Awareness, knowledge, attitude, and practice of adverse drug reaction reporting among health workers in primary health centres participating in seasonal malaria chemoprevention campaign in Nigeria in 2022: a cross-sectional survey

BackgroundEvaluating health workers’ knowledge and practice of adverse drug reaction (ADR) reporting is an important step in identifying gaps in quality ADR reporting during public health interventions like the seasonal malaria chemoprevention (SMC) campaign. Pharmacovigilance (PV) monitoring is vital in SMC due to the number of children exposed to malaria medicines for a period of 4 or 5 months during the campaign. In Nigeria more than 10 million children are exposed to SMC medicines every year. The scale of this intervention emphasised the need for efficient and effective safety monitoring during the campaign. Thus, the objective of this study was to evaluate healthcare workers’ (HCW) awareness, knowledge, attitude and practice (KAP) of ADR reporting in health facilities participating in SMC campaign to identify pharmacovigilance gaps which may suggest possible ways to ensure safety during the campaign.MethodsWorld Health Organization’s service availability and readiness assessment (SARA) recommendations were used to sample 2,598 out of 5,195 used as supervising health facilities (HFs) during the 2022 SMC campaign across nine states of the country. Out of the sampled HFs, 2,144 eligible and consented health facility workers (HFWs) were assessed for awareness, and KAP of ADR using the validated 45-item self-administered questionnaire. The data was analysed using descriptive statistics and correlation analysis at p < 0.05.ResultsThe majority of the respondents are males (n = 1,333, 62.2%). The HFWs showed good awareness (n = 2,037, 95.0%) of pharmacovigilance (PV). However, only 809 (37.7%) of them had good knowledge scores. The mean ADR reporting attitude score (85.0 ± 15.3%) was good with many of the respondents (n = 1,548, 72.2%) having a good score. However, the respondents’ ADR practice was suboptimal, only 1,356 (63.2%) of them had encounters with ADR, and a lot of negative perceived barriers to ADR reporting were identified in the study. For example, 493 (23%) believed that ADRs were not reported because they were not serious and life-threatening while 248 (11.6%) reported a fear of liability. Correlation analysis revealed female gender (r = 0.163, p < 0.001), older age (r = 0.207, p < 0.001) and years of practice (r = 0.050, p = 0.021) as factors significantly associated with ADR knowledge and attitude scores.ConclusionThe study indicated that HCWs across health facilities participating in SMC campaigns have ADR reporting knowledge and practice gaps. The study suggest training alone may not be effective in addressing gaps in ADR reporting. In addition to PV training, implementers can include continuous mentoring of health care workers or other similar interventions as part of strategy to improve ADR reporting. Also, context specific strategies to improve ADR reporting among health care worker needs to be implemented to address under-reporting of ADRs during SMC campaigns and other malaria public health interventions.

Competency level and determinants among infection prevention and control staff in the Middle East and North Africa region

BackgroundCompetency of the staff working in infection prevention and control (IPC) is the cornerstone of successful IPC programs. The objective was to assess competency level and associated factors among IPC staff working in the Middle East and North Africa (MENA) region.MethodsA cross-sectional study was carried out in 2019 among active IPC staff who were members of the Arab Countries Infection Control Network. The questionnaire covered demographic and professional characteristics of IPC staff and characteristics of work facilities and IPC programs. A competency score was created from self-perceived responses to 8 competency domains. The competency score was then transformed into 100-scale and categorized into two groups (≥ median and < median).ResultsA total of 176 participants completed the survey. Participants were mostly female (65.7%), and the mean age was 40.2 ± 8.3 years. The mean competency score was 61.4%. It was slightly variable between domains, being highest with preventing transmission of infection (65%) and lowest with sterilization and disinfection (59%). Higher (≥ median) competency score was associated with having CBIC certification (p < 0.001). It was also associated with facilities having IPC plan (p = 0.005), IPC committee (p = 0.049), regular meetings of IPC committee (p < 0.001), and IPC plan included communications with healthcare workers (p < 0.001). Domain-specific competency scores were significantly associated with receiving same domain-specific training (p < 0.05 for all).ConclusionsThe competency levels of IPC staff in the MENA region is still suboptimal. The current finding calls for more regional and national investment in IPC staff by providing up-to-date customized educational and training opportunities.

The Influence of Spatial Planning and Work Facilities on the Work Effectiveness of Radio Republic of Indonesia (RRI) Medan Employees

Finding out how office design and amenities affect productivity is the primary goal of this study. This study makes use of quantitative research methods. Questionnaires were used as a means of gathering information for this study. The data processing in this research was carried out using the SPSS 22 program, and the sample size was 30 respondents. Findings from the study's multiple linear regression analysis revealed that, while the spatial layout variable (x1) had no effect on RRI Medan employees' work effectiveness (-0.047), the facility variable work (x2) had a positive effect (0.494). Coefficient of determination (R square) findings show that spatial planning and work facilities affect work effectiveness by 0.618, or 61.8%, whereas other factors, not addressed in this study, impact it by 38.2%.