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Oakerlund, Vicki W., Paul B. Jackson und Robert J. Parsons. „Recruitment and Retention of Allied Health Personnel“. Journal of Ambulatory Care Marketing 5, Nr. 2 (31.01.1995): 115–36. http://dx.doi.org/10.1300/j273v05n02_10.
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Braveman, Paula A., und Milton I. Roemer. „Health Personnel Training in the Nicaraguan Health System“. International Journal of Health Services 15, Nr. 4 (Oktober 1985): 699–705. http://dx.doi.org/10.2190/c0nm-t69a-1ub8-yfq1.
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The “Unified National Health System” of Nicaragua was established in 1979, in an attempt to transform some of Latin America's worst health indices. This system, based on the stated principles of planning, regionalization, public participation, and primary care, has prioritized the development of health professions training programs appropriate to its special needs and principles. Public Health and Epidemiology training was inaugurated in 1982. A new campus of the School of Medicine was opened in 1981, increasing the number of medical students by a factor of five. Formal residency training (never before available within the country) in primary care specialties has been established. Training for allied health personnel has been formalized in several fields, with the establishment of the Polytechnical Institute of Health. The rapid increase in number and size of training programs has created a tremendous need for educational resources both human and material. This article reviews the status of health personnel training in Nicaragua today, the integration of these programs into planning for the health system, and problems arising from their rapid appearance.
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Astle, William F., Sherif El-Defrawy, G. Robert LaRoche, Marc D. Lafontaine, Lynn D. Anderson, Margaret Dukes, Inika Anderson und Nicholas Weirens. „Survey on allied health personnel in Canadian ophthalmology: the scalpel for change“. Canadian Journal of Ophthalmology 46, Nr. 1 (Februar 2011): 28–34. http://dx.doi.org/10.3129/i10-126.
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Herdman, Michael J. „Cardiopulmonary Pharmacology: A Handbook for Respiratory Practitioners and Other Allied Health Personnel“. Respiratory Medicine 87, Nr. 1 (Januar 1993): 77. http://dx.doi.org/10.1016/s0954-6111(05)80323-3.
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Sosis, Mitchel B. „Cardiopulmonary pharmacology. A handbook for respiratory practitioners and other Allied Health Personnel“. Journal of Cardiothoracic and Vascular Anesthesia 8, Nr. 2 (April 1994): 248. http://dx.doi.org/10.1016/1053-0770(94)90084-1.
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VanSickle, D., K. Grossman, A. Sy, S. Bernstein und G. Sanders. „Education of Allied Health Personnel Key in Improving Provider Practice in a Large Health System“. Journal of Allergy and Clinical Immunology 125, Nr. 2 (Februar 2010): AB63. http://dx.doi.org/10.1016/j.jaci.2009.12.970.
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Adamson, Barbara J., und Lynne Harris. „Health personnel: Perceived differences in professional relationships and work role“. Australian Health Review 19, Nr. 3 (1996): 66. http://dx.doi.org/10.1071/ah960066.
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This study questions the validity of the assumption that the workplace culture andexperiences of health personnel are largely similar. The study compares nurses,occupational therapists, physiotherapists and speech therapists concerning theirperceptions of professional issues within their own profession, and their perceptionsof professional issues within the medical profession. Respondents completed aquestionnaire containing 55 items referring to their own profession, and 55 itemsreferring to the medical profession. Six scales were derived from the large surveyinstrument addressing issues regarding status/cohesiveness of the profession, professionalrelationships, and the role of the patient in health delivery in the respondent?sprofession, and in the medical profession. Nurses emerged as different to other healthpersonnel on most dimensions. Few differences emerged among allied healthprofessionals. Physiotherapists were more positive than occupational therapists aboutthe status/cohesiveness of their profession, and regarded the contribution of the patientto health delivery as less important. Speech therapists did not differ significantly fromoccupational therapists on any dimension.
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Heyman, Joni. „Dramatic Strides Alleviate Personnel Shortages: Success Stories of the Allied Health Projects Grant Program“. Laboratory Medicine 25, Nr. 6 (01.06.1994): 359. http://dx.doi.org/10.1093/labmed/25.6.359.
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Duray, Mehmet, und Nesrin Yağcı. „Determining the factors affecting muscoloskeletal pain of the allied health personnel at Pamukkale University Hospital“. Pamukkale Medical Journal 10, Nr. 2 (2017): 144–51. http://dx.doi.org/10.5505/ptd.2017.40326.
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Saluja, Inderpal, Karl D. Theakston und Janusz Kaczorowski. „Influenza vaccination rate among emergency department personnel: a survey of four teaching hospitals“. CJEM 7, Nr. 01 (Januar 2005): 17–21. http://dx.doi.org/10.1017/s1481803500012884.
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ABSTRACT Objectives: To determine influenza vaccination rates and attitudes toward vaccination among emergency department health care workers at 4 Ontario teaching hospitals. Methods: During the influenza season of 1999–2000 a confidential 28-item survey was distributed to emergency physicians and residents, nurses, respiratory therapists, and other allied health care workers at the emergency departments of 4 London, Ontario teaching hospitals. Results: Of 426 surveys distributed, 343 were returned, for an overall response rate of 80.5%. The mean age of respondents was 38.5 years (standard deviation = 8.3), 74.3% were female, and 86.6% were non-smokers. The overall vaccination rate was 37.0% (95% confidence interval, 31.9%–42.4%). Vaccination rates were 45.9% for respiratory therapists, 35.3% for emergency physicians and residents, 34.5% for nurses and 27.1% for other allied health care workers (p = 0.083). Multivariate logistic regression analysis revealed that age ≥41 and a chronic medical condition were positively associated with influenza vaccination (p < 0.05). Close to one-third of respondents (28.3%) believed that adverse affects were common, 51.6% believed vaccination was effective, 52% would support a program to improve vaccination rates among emergency department staff, and 24.4% would support mandatory vaccination for this population. Only 26.8% believed that patients were at increased risk of contracting influenza from emergency department staff, but 58.3% perceived that emergency department staff were at increased risk of contracting influenza through exposure to patients. Conclusions: In this study, only 37% of emergency department health care workers were immunized against influenza, with chronic illness and older age being the only 2 significant correlates. Strategies to improve emergency department health care worker attitudes toward influenza vaccination for themselves and to increase vaccination rates for this population should be developed.
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Mead, Jean Suzanne. „Supervision: Differences in the Required Supervision for Allied Health Care Support Personnel: COTAs, PTAs, and SLPAs“. Perspectives on Administration and Supervision 9, Nr. 3 (Oktober 1999): 13–14. http://dx.doi.org/10.1044/aas9.3.13.
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Sataloff, Robert Thayer. „The Council for Accreditation in Occupational Hearing Conservation: A Good Model for Training Allied Health Personnel“. Ear, Nose & Throat Journal 85, Nr. 5 (Mai 2006): 294–95. http://dx.doi.org/10.1177/014556130608500501.
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Okulate, G. T., und C. Oguine. „Homicidal violence during foreign military missions - prevention and legal issues“. South African Journal of Psychiatry 12, Nr. 1 (01.03.2006): 5. http://dx.doi.org/10.4102/sajpsychiatry.v12i1.52.
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<p><strong>Objectives.</strong> The study involved Nigerian soldiers engaged in peacekeeping missions in Liberia and Yugoslavia. Using case illustrations, the study sought to describe patterns of homicidal violence among soldiers from the same country or soldiers from allied forces, and to suggest possible reasons for the attacks.<strong> </strong></p><p><strong>Design and setting.</strong> Nigeria was actively involved in peacekeeping missions in Liberia between 1990 and 1996. During this period, intentional homicidal attacks occurred among the Nigerian military personnel. Post- homicidal interviews conducted among the perpetrators were combined with evidence obtained at military courts to produce the case studies.</p><p><strong>Subjects.</strong> Six Nigerian military personnel who attacked other Nigerians or soldiers from allied forces, with homicidal intent.</p><p><strong>Results.</strong> Possible predisposing and precipitating factors for these attacks were highlighted. The possibility of recognising these factors before embarking on overseas missions was discussed, so that preventive measures could be instituted as far as possible. Finally, medico-legal implications of homicide in the military were discussed.</p><p><strong>Conclusions.</strong> A certain degree of pre-combat selection is essential to exclude soldiers with definite severe psychopathology. A clearly defined length of duty in the mission areas and adequate communication with home could reduce maladjustment. Health personnel deployed to mission areas should be very conversant with mental health issues so that early recognition of psychological maladjustment is possible.</p>
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Görkem, Ümit, Cihan Toğrul, Hasan Ali İnal, Burçin Salman Özgü und Tayfun Güngör. „Knowledge and attitudes of allied health personnel in university hospital related to Human Papilloma Virus and the vaccine“. Turkish Bulletin of Hygiene and Experimental Biology 72, Nr. 4 (2015): 303–10. http://dx.doi.org/10.5505/turkhijyen.2015.35556.
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Alruways, Naif Hezam Fahad, Geza Abdulah AlAlwey, Ahmad Rayan Alfuraydi, Suliman Ali Alhussain, Nasser Ibrahim Aleidi, Adel Abdulah Aldukhil, Mohammed Nasser algdairy, Talal Saad Almutoua, Moteb Khaled Aldhwyan und Satam awed al harbi. „The Future of Healthcare Quality and Safety“. International Journal Of Pharmaceutical And Bio-Medical Science 02, Nr. 12 (16.12.2022): 646–51. http://dx.doi.org/10.47191/ijpbms/v2-i12-11.
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A Health Care Organization (HCO) is by definition a complex organization due to the intangible outcome of service and a mix of diverse professional personnel. Healthcare quality management is a critical requirement in the health sector. Quality principles have always been present in health care. However, quality is not a physical characteristic of a service. The use of the term "Health Care Service" rather than "Medical Care" further defines the field and positions it as an entity that can be assessed, monitored, and improved. A quality healthcare system is "accessible, appropriate, available, affordable, effective, efficient, integrated, safe, and patient-centered." Practitioners in allied health services, dentistry, midwifery, obstetrics, medicine, nursing, optometry, pharmacy, psychology, and other care providers provide health care. Quality management in health care is a broad concept. It was initially perceived as directing healthcare personnel on what to do. However, its current meaning is to manage the care process. It refers to viewing organizational functions as a jumble of procedures and processes that can be addressed both individually and collectively. Despite the fact that various models have been proposed, Donabedian's concept of the triad of structure, process, and outcome remains the foundation of quality assessment today. Quality management has emerged as a more pressing need than ever before, owing to the new definition of quality, which includes patient satisfaction as an outcome of service. The quality of services provided to patients is critical. The traditional view of quality control focused on defect detection, whereas the current concept focuses on defect prevention, continuous process improvement, and an outcome-driven system guided by the needs of the patients. As a result, there is an urgent need to effect a paradigm shift in the quality of health care delivery. The authorities must take the initiative to become involved in quality. Currently, quality is being addressed more in the medical field than in allied fields such as dentistry and nursing, as well as in developing countries.
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Lee, Charlotte T., Katrina Arellano, Lauren Lovold, Vanessa Mesaglio und Sanne Kaas-Mason. „A student-led interprofessional workshop on conflict management style“. Journal of Nursing Education and Practice 8, Nr. 7 (30.01.2018): 38. http://dx.doi.org/10.5430/jnep.v8n7p38.
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Student leadership in interprofessional education is known to bring positive influences to learning collaborative skills for nursing and other health professional trainees. Yet a scarce number of student-led interprofessional activities are described in the literature. This report describes one student-led interprofessional education workshop that is facilitated by personnel from a faculty interprofessional education program. Undergraduate students (N = 23) from nursing, allied health and social service training programs at one university in Toronto, Canada, participated in a one-time workshop regarding conflict management style. Findings from our evaluation survey showed that the workshop was well-received by participants and demonstrated utility and feasibility. Such outcomes provide supportive evidence for fostering student leadership in designing and implementing interprofessional teaching.
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Senior, Emma, Amanda Clarke und Gemma Wilson-Menzfeld. „The military spouse experience of living alongside their serving/veteran partner with a mental health issue: A systematic review and narrative synthesis“. PLOS ONE 18, Nr. 5 (18.05.2023): e0285714. http://dx.doi.org/10.1371/journal.pone.0285714.
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Introduction Military healthcare studies have reported a wide range of mental health issues amongst military personnel. Globally, mental health issues are one of the main causes of ill health. Military personnel have a greater prevalence of mental health issues than that of the general population. The impact of mental health issues can be wide and far reaching for family and carers. This systematic narrative review explores the military spouse experience of living alongside their serving or veteran partner with a mental health issue. Methods The systematic review performed was based on the PRISMA guide for searching, screening, selecting papers for data extraction and evaluation. Studies were identified from CINHAL, ASSIA, Proquest Psychology, Proquest Nursing & Allied Health source, Proquest Dissertations & Theses, ETHOS, PsychArticles, Hospital collection, Medline, Science Direct Freedom Collection and hand searching of citations and reference lists. Results Twenty-seven studies were included in the narrative synthesis. Five overarching themes from the experiences of military spouses’ living alongside their serving/veteran partners mental health issue were identified: caregiver burden, intimate relationships, psychological/psychosocial effects on the spouse, mental health service provision and spouse’s knowledge and management of symptoms. Conclusions The systematic review and narrative synthesis identified that the majority of studies focused on spouses of veterans, very few were specific to serving military personnel, but similarities were noted. Findings suggest that care burden and a negative impact on the intimate relationship is evident, therefore highlight a need to support and protect the military spouse and their serving partner. Likewise, there is a need for greater knowledge, access and inclusion of the military spouse, in the care and treatment provision of their serving partner’s mental health issue.
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Brooks, Damian, und Rachel Brooks. „A systematic review: what factors predict Post-Traumatic Stress Symptoms in ambulance personnel?“ British Paramedic Journal 5, Nr. 4 (01.03.2021): 18–24. http://dx.doi.org/10.29045/14784726.2021.3.5.4.18.
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<sec id="s1"> Background: Ambulance personnel are frequently exposed to traumatic accidents, which makes them a high risk for poor mental health. High rates of Post-Traumatic Stress Symptoms (PTSS) have been found within ambulance personnel samples but no review has been completed to examine the factors that may be implicated in the development of these symptoms. This literature review provides an overview of the factors that predict PTSS in ambulance personnel. </sec> <sec id="s2"> Methods: A systematic search strategy was conducted in April 2020 across the following four databases: PsycINFO, PsycARTICLES, MEDLINE and Cumulative Index to Nursing and Allied Health Literature (CINAHL). </sec> <sec id="s3"> Results: Eighteen papers were included in this review, and the predictive factors examined were grouped into four categories: coping style, personal factors, environmental factors and organisational factors. </sec> <sec id="s4"> Conclusions: An array of factors across the four categories were implicated in the development of PTSS, but these tended to be indicated in only one or two papers. Evidence was found to suggest that dysfunctional coping styles, reduced levels of some personality traits, proximity and nature of the critical incident and high levels of organisation stress can all lead to PTSS. Further research is needed to support the reliability of findings. </sec>
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Reilly, Michael, und David S. Markenson. „Education and Training of Hospital Workers: Who Are Essential Personnel during a Disaster?“ Prehospital and Disaster Medicine 24, Nr. 3 (Juni 2009): 239–45. http://dx.doi.org/10.1017/s1049023x00006877.
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AbstractHospital plans often vary when it comes to the specific functional roles that are included in emergency and incident management positions.Bioterrorism coordinators and emergency managers for 31 hospitals in a seven-county region outside of a major metropolitan area, with urban, suburban, and rural demographics were surveyed to determine which specific functional roles were considered “essential” to their hospital's emergency operations plans. Furthermore, they were asked to estimate the percentage of their “essential” staff trained to perform the functional roles delineated in the hospital's plan. Responses were entered into a database and descriptive statistical computations were performed. Only three categories of hospital personnel were reported to be “essential” by all hospitals to their emergency preparedness plans: emergency department physicians, nurse, and support staff. Training for overall “essential” staff ranged by hospital 73.6–83.3%. Some hospitals reported that these staff members have received no training in their anticipated role based on the hospital emergency response plan. Allied health professionals and emergency medical technicians/paramedics (that are employed by hospitals) had the least amount of training on their role in the hospital preparedness and response plan, 33.3% and 22.2% respectively.Without improved guidance on benchmarks for preparedness from regulators and professional organizations, hospitals will continue to lack the capacity to effectively respond to disasters and public health emergencies.
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Pretto, Carolina Renz, Karen Cristiane Pereira de Morais, Valentine Cogo Mendes, Adilaeti Lopes Paiva, Rosângela Marion da Silva und Carmem Lúcia Colomé Beck. „The Impact of COVID-19 on the Physical Well-being of Nursing and Medical Personnel: An Integrative Review“. Aquichan 22, Nr. 2 (08.06.2022): 1–19. http://dx.doi.org/10.5294/aqui.2022.22.2.5.
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Objective: To highlight the impact of responding to COVID-19 on the physical well-being of nursing and medical personnel. Method: This integrative literature review includes Spanish, English, and Portuguese articles. From July 10 to 16, 2020, the search was carried out in the Cumulative Index to Nursing and Allied Health Literature, Latin American and Caribbean Health Sciences Literature, Web of Science, SciVerse Scopus, and National Library of Medicine databases. Twenty-five studies were analyzed, and the results are presented descriptively and in tables. Results: Of the total number of articles, 52 % addressed coronavirus infection and related factors as an impact on nursing and medical personnel’s physical well-being resulting from responding to COVID-19, 28 % addressed sleep quality and predictors, and 20 % addressed damage stemming from the use of personal protective equipment or other preventive measures. Conclusions: Responding to COVID-19 has been conducive to coronavirus infection among personnel due to the work process and prevention measures, poor sleep quality due to mental disorders and lack of social support, and physical harm, such as headaches and skin injuries, due to the use of protective equipment and hand disinfection.
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Abdo, Molly, und Annette Schlösser. „A systematic review of post-traumatic growth in ambulance personnel: facilitators and prevalence rates“. British Paramedic Journal 9, Nr. 1 (01.06.2024): 34–46. http://dx.doi.org/10.29045/14784726.2024.6.9.1.34.
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Introduction: Ambulance personnel are exposed to traumatic and stressful situations, which can increase the risk of mental health conditions, such as post-traumatic stress disorder (PTSD). High rates of PTSD have been found in ambulance personnel (Petrie et al., 2018), but no review is available to examine post-traumatic growth (PTG - positive psychological change following a trauma) in this population. This literature review provides an overview of the prevalence rates and facilitators that may contribute to PTG in ambulance personnel.Methods: A systematic search was conducted on EBSCOhost in January 2024 across the following six databases: Academic Search Ultimate, PsycINFO, PsycARTICLES, MEDLINE, ERIC and Cumulative Index to Nursing and Allied Health Literature (CINAHL) Ultimate.Results: Eleven papers were identified for this review. Pooled prevalence of PTG was moderate (52%), and facilitators for PTG were grouped into five categories: coping style/strategies, resilience, personality traits, gender and incident characteristics.Conclusions: Numerous facilitators contributed to the development of PTG, although these did not arise in all papers. The quality of research ranged from satisfactory to excellent. Evidence suggested that adaptive coping style, high levels of resilience, the absence of a personality trait (neuroticism) and being female may facilitate PTG. Further research is needed to support the reliability of findings.
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Valliyate, M., NG Robinson und JR Goodman. „ Current concepts in simulation and other alternatives for veterinary education: a review“. Veterinární Medicína 57, No. 7 (07.08.2012): 325–37. http://dx.doi.org/10.17221/6261-vetmed.
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Driven by a combination of pedagogical, ethical and economic factors, the use of simulation technology and other alternatives to traditional training methods has become increasingly common in veterinary education as a means to teach basic and advanced concepts along with technical skills. When paired with well-structured and supervised clinical training on animal patients, these modern methodologies help educators fill gaps left by conventional methods, reduce and replace the consumptive use of live animals, and ultimately result in the graduation of more confident and proficient veterinarians, veterinary technicians, and allied health personnel. This article surveys an array of the simulation methods currently available for veterinary education and how they integrate with and enhance standard curricula.
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Hay, Ian, und Monica Cuskelly. „School Counsellors and Young People in Care“. Australian Journal of Guidance and Counselling 16, Nr. 1 (01.07.2006): 106–18. http://dx.doi.org/10.1375/ajgc.16.1.106.
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AbstractProtocols recently introduced by state education authorities require guidance and school counsellors to collaborate with other school personnel to developIndividual Education Support Plansfor students in the care of the state. Of the more than 20,000 young people in care in Australia, the majority are in foster home placements due to previous maltreatment or neglect by their parents. Young people in care are a diverse, vulnerable and, at times, challenging cohort of students who typically have academic, psychological, behavioural, social, and friendship difficulties — and for some, ongoing mental health issues. This article reviews the characteristics allied with young people in care as well as procedures and strategies school counsellors can consider that facilitate more positive outcomes for these students.
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Zaheer, Dania, Arooj Munawar und Sarwat Ali. „Relation of sleep and musculoskeletal disorders among workers: a systematic review“. Journal of the Pakistan Medical Association 73, Nr. 7 (15.06.2023): 1468–74. http://dx.doi.org/10.47391/jpma.6716.
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Objective: To systematically review literature on the relationship of sleep with musculoskeletal disorders. Method: The systematic review was conducted after approval from the ethics review board of the University of Lahore, Lahore, Pakistan, and comprised search of relevant literature published from 2012 to 2020 on Web of Science, Latin America and the Caribbean Literature on Health Sciences and PakMedinet electronic databases. The key words used during the search included workers, musculoskeletal pain, insomnia, musculoskeletal diseases, pain and sleep disorders. outcome measures were the Nordic Musculoskeletal Questionnaire, Numerical Rating Scale, Musculoskeletal Complaint Severity Index, Epworth Sleepiness Scale, Bergen Insomnia Scale, Karolinska Sleepiness Questionnaire and the National Institute for Occupational Safety and Health score. PROSPERO CRD42021281084 Results: Of the 1,538 studies found, 13(0.8%) were reviewed. The relationship between pain and sleep was not found among studies but, sleep disturbances were found to be linked to MSK pain in various parts of the body among workers. Conclusion: Healthy lifestyle contributing to improvement in sleep quality and prevention of musculoskeletal pain should be considered in order to enhance the quality of life among workers. Systematic review registration: PROSPERO CRD42021281084 Key Words: Allied health personnel, Insomnia, Musculoskeletal pain, Musculoskeletal diseases, Pain, Sleep disorders.
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Bogunjoko, Tayo J., Adekunle O. Hassan, Ogugua Okonkwo, Toyin Akanbi, Mildred Ulaikere, Ayodele Akinye, Halima Bogunjoko und Monsurat Y. Lawal-Sebioniga. „Impact of middle level eye care personnel on the delivery of eye care services in South-western Nigeria“. International Journal Of Community Medicine And Public Health 5, Nr. 3 (24.02.2018): 871. http://dx.doi.org/10.18203/2394-6040.ijcmph20180740.
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Background: The objectives of the study were to review the training and assess the impact of middle level eye care personnel (community ophthalmic technician) with skills to complement the services of the ophthalmologist for efficient eye care system and fulfilling vision 2020 goals.Methods: The collaboration between 2010 and 2015 was reviewed with an institutional questionnaire for both Eye Foundation Centre and College of Health Technology in Ijebu, Nigeria: structure of 2 year training Programme and one year internship, community ophthalmic technicians (COT) as assistants to ophthalmologists, hierarchy/career options and challenges and ensuring clinical quality and their strength in the Eye Foundation Eye Health System were appraised.Results: From 2010 to 2015, a total of 72 COTs have graduated, 41(57%) of them employed by the Eye Foundation Hospital Group. Apart from this, 28 did their internship in 2015, 19 (68%) out of this at Eye Foundation establishments in southwestern and north central Nigeria. Others are employed by other government or nongovernmental agencies. From 2010 to 2015, outpatients’ visits have increased from 42,962 to 104,239 at its peak, surgical volume from 3,999 to 18,350 at the Eye Foundation Hospital Group. The COT programme has been accredited by International Joint Commission on Allied health personnel in Ophthalmology (IJCAHPO).Conclusions: COTs with skills are required in large numbers to complement the services of ophthalmologists for efficient eye health system. Their contribution is very important to meet the vision 2020 human resources objectives for Sub-Saharan Africa.
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Leduc, S., Z. Cantor, P. Kelly, V. Thiruganasambandamoorthy, G. Wells und C. Vaillancourt. „LO15: Paramedic and allied health professional interventions at long-term care facilities to reduce emergency department visits: systematic review“. CJEM 22, S1 (Mai 2020): S12. http://dx.doi.org/10.1017/cem.2020.71.
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Introduction: Emergency department (ED) crowding, long waits for care, and paramedic offload delay are of increasing concern. Older adults living in long-term care (LTC) are more likely to utilize the ED and are vulnerable to adverse events. We sought to identify existing programs that seek to avoid ED visits from LTC facilities where allied health professionals are the primary providers of the intervention and, to evaluate their efficacy and safety. Methods: We completed this systematic review based on a protocol we published apriori and following the Preferred Reporting Items for Systematic Reviews and Meta-Analysis (PRISMA) statement. We systematically searched Medline, CINAHL and EMBASE with terms relating to long-term care, emergency services, hospitalization and allied health personnel. Two investigators independently selected studies and extracted data using a piloted standardized form and evaluated the risk of bias of included studies. We report a narrative synthesis grouped by intervention categories. Results: We reviewed 11,176 abstracts and included 22 studies. Most studies were observational and few assessed patient safety. We found five categories of interventions including: 1) use of advanced practice nursing; 2) a program called Interventions to Reduce Acute Care Transfers (INTERACT); 3) end-of-life care; 4) condition specific interventions; and 5) use of extended care paramedics. Of the 13 studies that reported ED visits, all (100%) reported a decrease, and of the 16/17 that reported hospitalization, 94.1% reported a decrease. Patient adverse events such as functional status and relapse were seldom reported (6/22) as were measures of emergency system function such as crowding/inability of paramedics to transfer care to the ED (1/22). Only 4/22 studies evaluated patient mortality and 3/4 found a non-statistically significant worsening. When measured, studies reported decreased hospital length of stay, more time spent with patients by allied health professionals and cost savings. Conclusion: We found five types of programs/interventions which all demonstrated a decrease in ED visits or hospitalization. Many identified programs focused on improved primary care for patients. Interventions addressing acute care issues such as those provided by community paramedics, patient preferences, and quality of life indicators all deserve more study.
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Zahid, Zeshan, Suleman Atique, Muhammad Hammad Saghir, Iftikhar Ali, Amna Shahid und Rehan Ali Malik. „A Commentary on Telerehabilitation Services in Pakistan: Current Trends and Future Possibilities“. International Journal of Telerehabilitation 9, Nr. 1 (29.06.2017): 71–76. http://dx.doi.org/10.5195/ijt.2017.6224.
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A 2014 World Health Organization (WHO) study reported that almost 27 million people with disability live in Pakistan with fewer than one allied rehabilitation professional per 10,000 people. The current study sought to determine the attitudes toward telerehabilitation via a survey administered to 329 Pakistani rehabilitation professionals. Study results indicate that rehabilitation professionals in Pakistan are knowledgeable about telerehabilitation and Information and Communication Technology (ICT), and are receptive to employing telerehabilitation programs and applications. Therefore, we can infer that the future of telerehabilitation can be bright in Pakistan but requires the attention of policy makers and non-government organizations to launch an appropriate program nationwide. The authors suggest that a range of telerehabilitation services (e.g., consultation, assessment, and therapy) could alleviate the shortage of rehabilitation personnel in Pakistan.
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Erhahiemen, Paul, Catherine A. O'Donnell, Katie Gallacher und Barbara I. Nicholl. „A systematic review of the experience of treatment burden of digital health for military personnel in primary healthcare.“ Health Open Research 6 (08.03.2024): 9. http://dx.doi.org/10.12688/healthopenres.13599.1.
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Background Digital Health (DH) integrates digital technologies into healthcare to increase efficiency and improve patient experiences, benefiting both primary care and military healthcare systems. However, it raises concerns about the potential shift of healthcare responsibilities onto patients, creating workloads or treatment burdens that affect care, adherence, equity, and resource allocation. It is critical to assess this in the military context to enhance patient-centred care and outcomes. Objective To understand military personnel’s experience of treatment burden of DH in primary care, to understand the barriers and facilitators of the use of DH, and to map barriers identified to the Burden of Treatment Theory (BOTT). Design A systematic literature review. MEDLINE, Psych INFO, EMBASE, and Cumulative Index to Nursing and Allied Health Literature (CINAHL) and Google Scholar will be searched. Two independent reviewers will screen papers using inclusion and exclusion criteria, with conflicts decided by a third reviewer. Any retrieved study that meets the inclusion and exclusion criteria will be quality appraised using the appropriate Critical Appraisal Skills Programme (CASP) checklist. The findings will be analysed using thematic synthesis and evaluated in the context of the Burden of Treatment Theory. The Preferred Reporting Items for Systematic Reviews and Meta-Analyses Protocol (PRISMA) guidelines have been adhered to in the production of this protocol. Conclusions Understanding the experience of treatment burden whilst using DH in the military has the potential to influence health policy, the commissioning of services and interventions, and most importantly, improve patient experience and health outcomes. PROSPERO registration number: CRD42023494297.
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Dunne, Mary. „Barriers and Facilitators to Research Use Among Allied Health Practitioners: A Mixed-Method Approach to Assessment“. Evidence Based Library and Information Practice 6, Nr. 4 (15.12.2011): 41. http://dx.doi.org/10.18438/b8kw4h.
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Objectives – The disparity between what is known to be effective and what is done in practice points to barriers to research use among health practitioners. Library and information services (LIS) collect, organize and disseminate published research findings so they may be uniquely positioned to be of influence. This study aimed to identify barriers and facilitators to research use among allied health practitioners working in the alcohol and other drugs (AOD) field in Ireland, and to explore the services, strategies, and resources that may help alleviate these issues.
Methods – Three focus groups were held with AOD practitioners. A survey questionnaire was then sent by post to 175 counsellors. The survey included the Barriers to Research Utilization Scale (Barriers Scale) (Funk et al. 1991), which assessed potential barriers from four factors: practitioner, setting, qualities of the research, and communication.
Results – The number of responses was 71 (41%). All communication-related Barriers Scale items, and some items associated with the setting and practitioner, were perceived to be a moderate or great barrier by the majority of survey respondents. Similar issues were also raised in focus groups, where language, presentation, and time to engage with research were considered significant influences. Qualitative aspects of the study also revealed scepticism about research application and relevance. All proposed LIS were rated as moderate or great facilitators by the majority of respondents who expressed an opinion (those who choose “no opinion” or did not respond, 6–8%, were excluded).
Conclusions – The high incidence of communication-related issues among top barriers and the enthusiasm expressed about proposed library services and training reveals the key role that LIS personnel can play in enabling practitioners to use research in practice. The addition of setting and practitioner factors indicates that a holistic, collaborative approach to promoting the effective use of research collections and resources is required. Mixed-method data collection (focus group and survey) provided a rich source of information, and may offer a useful approach for future study.
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Palocaren, Jeeji, Renjith Raj Puthuparampil und Celine Mathew Thalappillil. „Two monologues do not make a dialogue: the need for medical specialty–specific communication workshops: population-based study“. BMJ Leader 3, Nr. 1 (21.01.2019): 15–18. http://dx.doi.org/10.1136/leader-2018-000083.
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AimIncreasing attacks on healthcare personnel in India have highlighted the need for improved communication between staff and patients. Currently, communication skill workshops target doctors and nurses, overlooking a key player relevant to patient satisfaction—allied health professionals (henceforth, AHPs). This study evaluates the impact of communication skills training for diagnostic laboratory and blood bank personnel on patient satisfaction scores.MethodThe impact of communication workshop for AHPs was tested through pre-workshop and post-workshop questionnaires to participants that tested how they handle communication with patients. Additionally, participants were also administered the questionnaire 4 months after the workshop to test knowledge retention. In parallel, the change in patient satisfaction towards AHPs was assessed by a pre-workshop and post-workshop patient survey.ResultsParticipants experienced a statistically significant improvement in communication skills, as measured by the pre-workshop and post-workshop questionnaires. This coincided with a significant increase in patient satisfaction scores after the workshop, as indicated by the patient satisfaction survey. The difference in communication skills scores between experienced and inexperienced personnel showed a marked decrease after the workshop, suggesting that such workshops can help inexperienced workers ‘catch up’ with more experienced workers. However, scores of all participants showed a statistically significant decrease after 4 months, suggesting that the use of such workshops can be enhanced through periodic refresher courses.ConclusionCommunication workshops for AHPs can play a crucial role in improving patient–hospital relations. These workshops can also help standardise services by bridging communication skill differences between experienced and inexperienced staff.
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Fager, Susan, Jenna LeDoux und David Beukelman. „Evaluating Preferred Augmentative and Alternative Communication Strategies for Patients in Long-Term Health Care Hospitals“. Perspectives on Augmentative and Alternative Communication 23, Nr. 2 (April 2014): 99–103. http://dx.doi.org/10.1044/aac23.2.99.
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Long-term acute medical care hospital (LTACH) units serve a wide range of individuals, with serious medical problems requiring intense, special treatment for an extended period of time. Some of LTACH patients are unable to meet all of their communication needs using their natural speech, either temporarily or permanently. The purpose of this investigation was to survey personnel groups who routinely work in LTACH units regarding their preferences related to 3 communication options containing 27 representative communication boards, that were supported by mobile technology including an iPad only, an iPad with a flat screen that mirrored the iPad screen, and an iPad with a projected image that mirrored the iPad screen. Participants from 3 groups, (1) registered nurses and nursing assistants; (2) allied health professionals including respiratory, physical, and occupational therapists; and (3) speech-language pathologists, ranked the iPad-only AAC choice highest for patients in LTACH units followed by the iPad with screen, and iPad with projector. For the ease of use items by patients, families, and staff, all participant groups rated the iPad alone higher than the iPad with flat screen or the iPad with projector.
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Ahmed, Usama, und Gauhar Afshan. „Pain treatment services; a national survey of tertiary care hospitals in Pakistan“. Journal of the Pakistan Medical Association 73, Nr. 7 (15.06.2023): 1447–51. http://dx.doi.org/10.47391/jpma.7862.
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Objective: To quantify pain services in Pakistan and classify them according to the International Association for the Study of Pain guidelines. Method: The study was conducted at the Aga Khan University, Karachi, from January to June 2022, and comprised data of all public and private tertiary care hospitals anywhere in Pakistan that were registered with the Pakistan Medical Council till November 25, 2021. Data was collected using a predesigned Google form. Data was obtained primarily via email and secondarily by a phone call in a structured format. The facilities providing dedicated pain management services were classified according to the International Association for the Study of Pain guidelines. Results: Of 118 hospitals, 45(38.1%) were in the public sector and 73(61.8%) were in the private sector. Overall, 78(65.2%) had no pain treatment services, while 40(34.2%) had such services. Of these 40(34.2%) facilities, 25(62.5%) were classified as pain centres, 11(27.5%) were pain clinics and 4(10%) were pain practices. In terms of per 100,000 population, there were 0.0193 pain services, 0.0351 pain physicians, 0.025 nursing staff and 0.02 administrative staff in the country. Physiotherapy was present in 37(92.5%) hospitals, psychiatry and psychology as allied services were used in 38(95%), acupuncture was integrated into the practice in 25(62.5%), while 39(97.5%) hospitals offered interventional procedures. Also, 9(22.5%) hospitals offered advanced training in pain medicine. Conclusion: A severe shortage of chronic pain services in Pakistan was found. Key Words: Chronic pain, Health resources, Multidisciplinary pain centres, Surveys and questionnaires, Allied health personnel.
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Bdaiwi, Yamama, Ammar Sabouni, Preeti Patel, Abdulkarim Ekzayez, Safwan Alchalati, Omer Abdrabbuh, Aula Abbara und Margaret Glogowska. „Impact of armed conflict on health professionals’ education and training in Syria: a systematic review“. BMJ Open 13, Nr. 7 (Juli 2023): e064851. http://dx.doi.org/10.1136/bmjopen-2022-064851.
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ObjectivesTo provide an overview of the holistic impact of the armed conflict on medical education and health professionals’ training (MEHPT) in Syria.SettingSyria is a country which underwent an armed conflict for 10 years and suffered from the weaponisation of health.MethodsA mixed-methods systematic review including quantitative, qualitative, mixed-methods and textual literature between 2011 and 2021 including papers on the Syrian MEHPT undergraduate and postgraduate education and training personnel (including medicine, dentistry, pharmacy, nursing, midwifery and allied health professionals). The electronic search was conducted in October 2018 in Embase, Global Health, Medline, PsycINFO, Web of Science, PubMed, Scopus, CINAHL and grey literature. And an update to the search was conducted in August 2021 in PubMed, Google Scholar and Trip database.OutcomesThe impact of conflict on the MEHPT system, personnel, experiences, challenges and channels of support.ResultsOf the 5710 citations screened, 70 met the inclusion criteria (34 quantitative, 3 qualitative, 1 mixed-method, and 32 reports and opinion papers). The two major cross-cutting themes were attacks on MEHPT and innovations (present in 41% and 44% of the papers, respectively), followed by challenges facing the MEHPT sector and attitudes and knowledge of trainees and students, and lastly health system and policy issues, and narrating experiences.ConclusionConflict in Syria has politicised all aspects of MEHPT. Influenced by political control, the MEHPT system has been divided into two distinguished geopolitical contexts; government-controlled areas (GCAs) and non-GCAs (NGCAs), each having its characteristics and level of war impact. International and regional academic institutes collaboration and coordination efforts are needed to formulate educational platforms using innovative approaches (such as online/blended/store-and-forward/peer-training/online tutoring) to strengthen and build the capacity of the health workforce in conflict-affected areas.
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Jaeger, Jenifer L., Minal Patel, Nila Dharan, Kathy Hancock, Elissa Meites, Christine Mattson, Matt Gladden et al. „Transmission of 2009 Pandemic Influenza A (H1N1) Virus among Healthcare Personnel—Southern California, 2009“. Infection Control & Hospital Epidemiology 32, Nr. 12 (Dezember 2011): 1149–57. http://dx.doi.org/10.1086/662709.
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Objective.In April 2009, 2009 pandemic influenza A (H1N1) (hereafter, pH1N1) virus was identified in California, which caused widespread illness throughout the United States. We evaluated pH1N1 transmission among exposed healthcare personnel (HCP) and assessed the use and effectiveness of personal protective equipment (PPE) early in the outbreak.Design.Cohort study.Setting.Two hospitals and 1 outpatient clinic in Southern California during March 28-April 24, 2009.Participants.Sixty-three HCP exposed to 6 of the first 8 cases of laboratory-confirmed pH1N1 in the United States.Methods.Baseline and follow-up questionnaires were used to collect demographic, epidemiologic, and clinical data. Paired serum samples were obtained to test for pH1N1-specific antibodies by microneutralization and hemagglutination-inhibition assays. Serology results were compared with HCP work setting, role, and self-reported PPE use.Results.Possible healthcare-associated pH1N1 transmission was identified in 9 (14%) of 63 exposed HCP; 6 (67%) of 9 seropositive HCP had asymptomatic infection. The highest attack rates occurred among outpatient HCP (6/19 [32%]) and among allied health staff (eg, technicians; 8/33 [24%]). Use of mask or N95 respirator was associated with remaining seronegative (P = .047). Adherence to PPE recommendations for preventing transmission of influenza virus and other respiratory pathogens was inadequate, particularly in outpatient settings.Conclusions.pH1N1 transmission likely occurred in healthcare settings early in the pandemic associated with inadequate PPE use. Organizational support for a comprehensive approach to infectious hazards, including infection prevention training for inpatient- and outpatient-based HCP, is essential to improve HCP and patient safety.
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Ferreira, Milene Dias, Vivian Stefani Godoy, Luiza Tayar Facchin, Renata Cristina de Campos Pereira Silveira, Helena Megumi Sonobe, Elucir Gir und Silvia Rita Marin da Silva Canini. „Adesão dos profissionais de saúde ás precauções-padrão: uma revisão integretiva da literatura“. Revista de Enfermagem UFPE on line 3, Nr. 4 (20.09.2009): 1042. http://dx.doi.org/10.5205/reuol.581-3802-1-rv.0304200932.
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Objective: to identify and assess the available evidences in the literature about factors that interfere with the adherence of the health workers to standard precautions. Methods: this is an integrative literature review, conducted through electronic search of articles in the following databases: PubMed, digital archive produced by the National Library of Medicine (MEDLINE), Cumulative Index to Nursing and Allied Health Literature (CINAHL), Latin American and Caribbean Center on Health Sciences Information (LILACS), EMBASE and COCHRANE Library, published between 1999 and 2008. In total, 14 articles were analyzed. Results: the analysis of articles identified a variety of factors that can interfere positively or negatively with the adherence of health workers to standard precautions. Most (13/14) were classified as evidence level 6, since they were descriptive articles. Reasons were grouped in three categories: factors related to individuals, to institutions and to the process of work. Conclusion: although the present study does not provide strong scientific evidences, it permitted the identification of a group of variables that should be better researched in analytical and experimental studies, which can support in a more concrete way the improvement of the levels of adherence of health workers to standard precautions. Descriptors: health personnel; guideline adherence; universal precautions.
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Goei, Anne, See Ming Lim, Suzanna S. K. Tay, Choon Teck Ng und Eileen Chew. „O-103 WORKPLACE-BASED STAFF HEALTH SCREENING: AN EFFECTIVE NURSE-LED PROGRAM TO INCREASE PREVENTATIVE HEALTH SCREENING AND PROMOTE HEALTH AMONG HEALTHCARE WORKERS IN A TERTIARY HOSPITAL IN SINGAPORE“. Occupational Medicine 74, Supplement_1 (01.07.2024): 0. http://dx.doi.org/10.1093/occmed/kqae023.0698.
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Abstract Introduction Chronic disease burden is increasing in Singapore, with earlier onset -- among those with diabetes, hypertension and hyperlipidemia (DHL), between 14.5% and 31.6% are aged 18-39 years. Chronic diseases result in disability and absenteeism, reducing income and work productivity. Screening is a valuable tool to (i) detect pre-clinical disease, allowing early interventions, and (ii) treat clinical disease early, reducing morbidity and mortality. Workplaces are a useful setting to encourage screening. Methods Collaborating with Human Resources (HR) and Operations, the Staff Clinic held a screening exercise among hospital workers from April-July 2023. Staff signed up online and registered under a separate queue at staggered times. Investigations were done within 10 minutes. Results were reflected online within 3 days. Those with borderline abnormalities were advised lifestyle modifications, while gross abnormalities warranted doctor’s consultation. HR bore screening and consultation costs. Results 36% (n=1763) of eligible staff attended screening. Mean age was 31.03 years (±4.77 years). Staff were primarily nursing (36%), allied health (38%) and administrative (20%) personnel. 30% (n=537) had never undergone screening for DHL. 84% (n=1479) had no pre-existing DHL; of these, 12% had abnormalities. 15% (n=262) required follow-up consultations. Discussion Screening uptake and DHL disease detection increased. Total costs to HR were $57,344. Using an average of 1.9 days absent-from-work per chronic condition, potential lost wages among this population totaled $181,924, with projected cost-savings of $124,580. Conclusion Workplace-based screening programs can improve screening uptake, allowing earlier detection of pre-clinical and clinical DHL. Averted productivity loss was almost 3:1 that of expended screening costs, suggesting cost-effectiveness.
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Deahl, Martin P. „Doctors at war: psychiatry in the Gulf“. Psychiatric Bulletin 16, Nr. 4 (April 1992): 220–22. http://dx.doi.org/10.1192/pb.16.4.220.
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When Britain committed an armoured division to the Gulf in the autumn of 1990, it was inevitable that psychiatrists and other mental health personnel would be required. Battleshock, or combat stress, is important to the Army – it not only accounts for significant numbers of casualties in any land war, but, unlike other casualties, represents a potentially avoidable loss of manpower and important source of reinforcement. Based largely on the experience of Arab-Israeli conflicts it is believed that, with appropriate management, up to 90% of battleshock cases can be returned to duty within seven days. Moreover, it is thought that early recognition and intervention may reduce the incidence of PTSD and other long-term psychiatric sequelae (Foy et al 1987; Solomon & Benbenishty, 1986). Fortunately, Battleshock claimed few victims in the Gulf, due mainly to the brevity of the land war and the high state of motivation and morale of the allied force. The effectiveness of the Army's policy of early recognition of battleshock cases with minimal medical intervention on the battlefield and rapid return to duty remains uncertain and untested (Dunning, 1990).
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Sianipar, Candra Parningotan, und Abdul Rahman Maulana Siregar. „Legal Analysis of the Patient-Nurse Relationship Regarding Nursing Administration in Accordance with Health Law Number 17 of 2023“. International Journal of Research and Review 11, Nr. 3 (20.03.2024): 164–71. http://dx.doi.org/10.52403/ijrr.20240322.
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Human rights within the realm of healthcare demand tangible realization through Health Development initiatives aimed at enhancing the well-being of individuals, families, and society by instilling robust health practices. Positioned as a fundamental national objective, underscored in the preamble of the 1945 Constitution of the Republic of Indonesia, the pursuit of Public Welfare necessitates the enactment of Health Development measures. Such endeavors find manifestation through the facilitation of healthcare services, inclusive of nursing care. Within the evolving landscape of scientific inquiry, concerted efforts have been made to optimize nursing services, leveraging the pivotal role of educational institutions and allied stakeholders. The advent of Law Number 17 of 2023 concerning Health, heralded on August 8, 2023, stands as a watershed moment, furnishing nurses with a blueprint for elevating service standards. The purview of this discourse encompasses an exploration into the Legal Safeguards for Nurses in Nursing Administration and a Legal Analysis of Patient-Nurse Relations vis-à-vis Nursing Administration, as delineated in Law Number 17 of 2023 concerning Health. Adopting a juridical normative research approach, which draws upon legal precepts enshrined in statutes, judicial pronouncements, and societal legal norms, this study relies on library research methodology to unearth theoretical underpinnings and research imperatives. With regard to the rights and obligations delineated for nurses and patients in nursing administration, a deeper exploration reveals intricate regulations embedded within Article 273 of Law Number 17 of 2023 concerning Health, specifically articulated in Part Nine, addressing the rights and obligations of medical and health personnel. Further elaboration is provided in Paragraph 1, which expounds upon the rights and duties incumbent upon medical practitioners and health professionals, including nurses. Meanwhile, the responsibilities incumbent upon medical and health personnel in the execution of their professional duties are codified in Articles 274 and 275. Delving into patient entitlements, Article 276 elucidates the rights of patients within the ambit of healthcare legislation, while delineating corresponding obligations in Article 277. Keywords: Patient, Nurse, Nursing Administration, Health Law
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Baragona, Jamilah C., und Pedrito Jose V. Bermudo. „Knowledge, skills, and performance in biorisk management among allied health educators in the University of Perpetual Help System Jonelta“. Technium Social Sciences Journal 44 (09.06.2023): 332–51. http://dx.doi.org/10.47577/tssj.v44i1.8956.
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This descriptive-correlational study determined the relationship between the health educators’ knowledge, skills, and performance in biorisk management in the University of Perpetual help System Jonelta. The study probed the predictive ability of knowledge and skills of the health educators’ performance in biorisk management. The results of the study served as basis in developing a training program on biorisk management that was common and applicable to all allied health educators. The study, which was conducted from November 2022 to April 2023, involved 199 health educators of the University as respondents. The study results revealed that the respondents’ level of knowledge on biorisk management was very high (x̅ = 3.27); level of skills was high (x̅ = 2.93), and level of performance was high (x̅ = 3.08). Significant relationships were found between the respondents’ level of knowledge and level of skills; between level of knowledge and level of performance; and between level of skills and performance in biorisk management along principles and policies, assessment, safety measures, waste management, and personnel protective equipment (p<0.01). Further, knowledge along safety measures (p=.007<.05), waste management (p=.0071<.05), and level of skills along personal protective equipment(p=.029<.05), and the combination of all skills (p=.007<.05) were found to be significant predictors of performance in biorisk management. It was concluded that the allied faculty members of UPHSL are highly cognizant of the effective management of risks posed by working with infectious agents and toxins; they are competent, trained, and experienced in various aspects of biorisk management in health education settings; and they enforce the use of personal protective equipment (PPE) in a health education setting and are skilled in managing the proper disposal of biological waste, among others. Likewise, the higher is their level of knowledge, the higher the level of skills on biorisk management and level of performance in biorisk management; and the higher their level of skills, the higher is the level of performance in biorisk management. Moreover, knowledge on safety measures and waste management; and skills on personal protective equipment and the combination of all the skills on principles and policies, assessment, safety measures, waste management, and personal protective equipment are predictors of performance in biorisk management
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McKelvey, Robert S., David L. Sang und Hoang Cam Tu. „Is There a Role for Child Psychiatry in Vietnam?“ Australian & New Zealand Journal of Psychiatry 31, Nr. 1 (Februar 1997): 114–19. http://dx.doi.org/10.3109/00048679709073807.
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Objectives:(i) To describe the need for child psychiatric services in Vietnam; (ii) to review child psychiatry's present role within the Vietnamese health care system; (iii) to identify cultural, economic and manpower obstacles to the development of child mental health services; and (iv) to recommend a course for the future development of child psychiatry in Vietnam. Method:The existing literature relevant to the Vietnamese health and mental health care systems, traditional practices and beliefs regarding health and mental health, and the current status of psychiatry and child psychiatry in Vietnam was reviewed. In addition, discussions regarding these topics, and the future of child psychiatry in Vietnam, were held with leading Vietnamese health and mental health professionals. Results:The current role of child psychiatry in Vietnam is limited by the health care system's focus on infectious diseases and malnutrition, and by cultural, economic and manpower factors. Treatment is reserved for the most severely afflicted, especially patients with epilepsy and mental retardation. Specialised care is available in only a few urban centres. In rural areas treatment is provided by allied health personnel, paraprofessionals and community organisations. Conclusions:While the present role of child psychiatry in Vietnam is limited, it can still make important contributions. These include:research defining the need for child and adolescent mental health services, identifying priority child psychiatric disorders and assessing the effectiveness of priority disease treatment; and training to enhance the skills of primary health care providers in the treatment of priority disorders.
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Balasubramanian, Madhan, Aliya Hasan, Suruchi Ganbavale, Anfal Alolayah und Jennifer Gallagher. „Planning the Future Oral Health Workforce: A Rapid Review of Supply, Demand and Need Models, Data Sources and Skill Mix Considerations“. International Journal of Environmental Research and Public Health 18, Nr. 6 (12.03.2021): 2891. http://dx.doi.org/10.3390/ijerph18062891.
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Over the last decade, there has been a renewed interest in oral health workforce planning. The purpose of this review is to examine oral health workforce planning models on supply, demand and needs, mainly in respect to their data sources, modelling technique and use of skill mix. A limited search was carried out on PubMed and Web of Science for published scientific articles on oral health workforce planning models between 2010 to 2020. No restrictions were placed on the type of modelling philosophy, and all studies including supply, demand or needs based models were included. Rapid review methods guided the review process. Twenty-three studies from 15 countries were included in the review. A majority were from high-income countries (n = 17). Dentists were the sole oral health workforce group modelled in 13 studies; only five studies included skill mix (allied dental personnel) considerations. The most common application of modelling was a workforce to population ratio or a needs-based demand weighted variant. Nearly all studies presented weaknesses in modelling process due to the limitations in data sources and/or non-availability of the necessary data to inform oral health workforce planning. Skill mix considerations in planning models were also limited to horizontal integration within oral health professionals. Planning for the future oral health workforce is heavily reliant on quality data being available for supply, demand and needs models. Integrated methodologies that expand skill mix considerations and account for uncertainty are essential for future planning exercises.
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Santos, Maria Renata da Silva, Kayllane Kelssiney da Silva, Ewerton Henrique da Conceição, Danielly Alves Mendes Barbosa und Ana Lisa do Vale Gomes. „Revisão integrativa: Impacto da Long Covid na qualidade de vida e estado de saúde de profissionais da saúde, o que a literatura nos diz?“ Research, Society and Development 13, Nr. 2 (02.03.2024): e13413245129. http://dx.doi.org/10.33448/rsd-v13i2.45129.
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A pandemia de Covid-19 trouxe grandes impactos para a qualidade de vida e estado de saúde da população mundial, destacando os profissionais da saúde que estavam à frente dos cuidados da população. Após a infecção inicial, um quadro caracterizado pela persistência de sintomas por semanas que pode se instalar é a Long Covid. Diante disso, o objetivo da pesquisa com a metodologia de revisão integrativa é avaliar os impactos da Long Covid na qualidade de vida e estado de saúde nestes profissionais. A busca foi realizada nas bases de dados PubMed, Periódicos Capes e Biblioteca Virtual de Saúde utilizando os descritores: Post-Acute Covid-19 Syndrome AND quality of life AND health status AND allied health personnel, para artigos em inglês e português entre os anos de 2020 a 2023. Foram analisados 7 artigos e como resultado observou-se que nenhum destes abordaram os impactos da Long Covid na qualidade de vida e estado de saúde nos profissionais da saúde. Conclui-se que é necessário a realização de pesquisas com este público em específico, visto o grau de exposição e infecção durante a pandemia.
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Francis, Erica, Kara Shifler Bowers, Glenn Buchberger, Sheryl Ryan, William Milchak und Jennifer Kraschnewski. „Reducing Alcohol and Opioid Use Among Youth in Rural Counties: An Innovative Training Protocol for Primary Health Care Providers and School Personnel“. JMIR Research Protocols 9, Nr. 11 (06.11.2020): e21015. http://dx.doi.org/10.2196/21015.
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Background Given that youth alcohol use is more common in rural communities, such communities can play a key role in preventing alcohol use among adolescents. Guidelines recommend primary care providers incorporate screening, brief intervention, and referral to treatment (SBIRT) into routine care. Objective The aim is to train primary care providers and school nurses within a rural 10-county catchment area in Pennsylvania to use SBIRT and facilitate collaboration with community organizations to better coordinate substance use prevention efforts. Methods To build capacity to address underage drinking and opioid use among youth aged 9-20 years, this project uses telehealth, specifically Project ECHO (Extension for Community Healthcare Outcomes), to train primary care providers and school nurses to address substance use with SBIRT. Our project will provide 120 primary care providers and allied health professionals as well as 20 school nurses with SBIRT training. Community-based providers will participate in weekly virtual ECHO sessions with a multidisciplinary team from Penn State College of Medicine that will provide SBIRT training and facilitate case discussions among participants. Results To date, we have launched one SBIRT ECHO project with school personnel, enrolling 34 participants. ECHO participants are from both rural (n=17) and urban (n=17) counties and include school nurses (n=15), school counselors (n=8), teachers (n=5), administrators (n=3), and social workers (n=3). Before the study began, only 2/13 (15.5%) of schools were screening for alcohol use. Conclusions This project teaches primary care clinics and schools to use SBIRT to prevent the onset and reduce the progression of substance use disorders, reduce problems associated with substance use disorders, and strengthen communities’ prevention capacity. Ours is an innovative model to improve rural adolescent health by reducing alcohol and opioid use. International Registered Report Identifier (IRRID) DERR1-10.2196/21015
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Ram, Anumala, und Zac Morse. „Migration of oral health professionals: a scoping review protocol“. BMJ Open 13, Nr. 4 (April 2023): e069954. http://dx.doi.org/10.1136/bmjopen-2022-069954.
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IntroductionEach year, many dental professionals are trained; however, many low-income and middle-income countries face a scarcity of dental professionals. This trend has been observed because of the migration of oral health professionals from developing to developed countries for various reasons such as professional, economic or personal. This negatively impacts the healthcare system by causing critical shortages of trained personnel to support the oral healthcare needs of the countries where the oral health professionals migrate from (source countries). The key objectives of this scoping review are to assess the intentions behind the migrations, identify the countries the graduates migrate to and from, examine the barriers to and facilitators of integrating oral health professionals, as well as the challenges they face post migration.Methods and analysisA scoping review will be reported according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses Extension for Scoping Review (PRISMA-ScR) and the Joanna Briggs Institute guidelines. Scientific databases such as Dentistry and Oral Sciences Source, Cumulative Index to Nursing and Allied Health Literature, MEDLINE and Scopus will be systematically searched to identify potential articles. In addition, grey literature will be searched to identify unpublished materials relevant to the topic using Google Scholar and Google. The reviewers will assess the retrieved sources in a three-step search strategy, and a PRISMA-ScR flowchart will document the numbers of identified, screened and excluded sources. The scoping review will collate and present the findings as a descriptive analysis. Finally, the narrative descriptions will be presented in a thematic form based on the findings of the scoping review.Ethics and disseminationThis scoping review is based on a secondary analysis of published data; hence, ethical approval is not required. The findings of this study will be disseminated through publication in a peer-reviewed journal, professional networks and conferences.
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Scott, Lancer A., Layne A. Madden, Amy E. Wahlquist und Daniel W. Fisher. „Preparing for the Surge: A Half-Day Emergency Preparedness Training Course for the “Second Front”“. Disaster Medicine and Public Health Preparedness 12, Nr. 1 (01.08.2017): 121–26. http://dx.doi.org/10.1017/dmp.2017.30.
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AbstractPurposeClinical disaster medicine requires providers working collaboratively to care for multiple patients, yet many clinicians lack competency-based training. A 5-hour emergency preparedness training (EPT) curriculum was created using didactics, small group discussion, and scenario-based learning. The goal was to evaluate the effect of a short course on improving clinical-provider knowledge, confidence and skill.MethodsParticipants were enrolled in a medical university between 2011 and 2014. The course consisted of didactic lectures, small group exercises, and live mass-casualty training scenarios. Core competencies and performance objectives were developed by a task force and assessed via facilitator observation, pre- and posttesting, and a course evaluation.ResultsA total of 708 participants were trained, including 49.9% physicians, 31.9% medical students, 7.2% nurses, and 11% allied health personnel. The average percentage of correct answers increased from 39% to 60% (P<0.01). Following didactics, trainees met 73% and 96% of small group performance objectives. Trainees also met 68.5% and 61.1% of the mass-casualty performance objectives. Average trainee self-assessment of disaster-preparedness skill improved from 36 to 73 points out of 100.ConclusionA brief, intensive EPT course can improve the disaster knowledge and comfort level of a diverse group of clinical providers as well as foster disaster-performance skills. (Disaster Med Public Health Preparedness. 2018;12:121–126)
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Irineu, Carlos Henrique Moraes, Priscila Alencar Mendes Reis, Huana Carolina Cândido Morais, Samira Rocha Magalhães de Alencar, Juliana Alencar Moreira Borges, Letícia Pereira Felipe und Ricardo Matheus Mota Sousa. „Resgate aéreo e os danos ocupacionais para os profissionais de saúde: uma revisão integrativa“. Research, Society and Development 11, Nr. 12 (13.09.2022): e262111233823. http://dx.doi.org/10.33448/rsd-v11i12.33823.
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Esse estudo teve como objetivo identificar os danos ocupacionais para os profissionais de saúde que atuam no resgate aéreo. Foi realizada uma revisão integrativa por meio de pesquisa nas fontes de dados: Web of Science, National Library of Medicine, Cumulative Index to Nursing and Allied Health Literature, Scientific Electronic Library Online, Scopus e Biblioteca Virtual em Saúde. Foram utilizados descritores controlados em inglês e português, indexados nos Descritores em Ciências da Saúde, sendo eles: “Air Ambulances / Resgate aéreo”; “Health Personnel / Profissionais de Saúde”; “Occupational Health / Saúde Ocupacional”, realizada durante os meses de setembro e outubro de 2021. O operador booleano associado utilizado foi o “AND”. Foram encontradas 111 publicações, destas, 83 foram excluídas após a aplicação dos critérios de exclusão, permanecendo 28 publicações. Após a leitura de títulos e resumos, 18 publicações foram excluídas, destas, 3 foram excluídas após leitura na íntegra, restando 7. Destaca-se que, como principais danos ocupacionais para profissionais de saúde que atuam no resgate aéreo a susceptibilidade ao estresse, que por sua vez, relaciona-se à síndrome de burnout, atrelado a poucas horas de sono, sobrecarga de trabalho, uso excessivo e prolongado de equipamentos de proteção individual, exposição a ruídos acima do permitido. Dessa forma, é notório a necessidade de desenvolvimento de mais estudos voltados para a temática em questão, perante as informações corroboradas pela literatura apresentada.
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JABBO, Mubarak Abdulkareem, Fawziyya Temitope OSHO, Abdullahi Abba HABIB, Kabir Mohammed ABDULLAHI und Usman ABBA. „PREVALENCE AND PATTERN OF SELF MEDICATION AMONG HEALTHCARE WORKERS IN A TERTIARY HOSPITAL IN NORTHEAST NIGERIA“. Cognizance Journal of Multidisciplinary Studies 3, Nr. 7 (30.07.2023): 588–94. http://dx.doi.org/10.47760/cognizance.2023.v03i07.035.
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Self-medication is common among health care professionals due to their professional exposure to drugs and knowledge of treatment of their disease. This study was undertaken to determine the prevalence and pattern of self-medication practice among healthcare workers in a tertiary health facility in Northeast Nigeria. It was a descriptive cross-sectional study. Stratified sampling technique was employed to select eligible participants from the groups of various healthcare professionals. Thereafter simple probability sampling by balloting was used to select the required number of from for each stratum of healthcare workers. A self-administered semi-structured pretested questionnaire was used to gather the necessary information. Data was analysed using SPSS version 20. The mean age of the respondents was 33.1 ± 2.3 years. The prevalence of self-medication was found to be high at 84.6%. The largest group of the healthcare workers practising self-medication were the allied health workers 37.5% comprising Pharmacists, Laboratory Scientists, and Health Record Personnel. The commonest reason given for self-medicating was being familiar with treatment options for their medical conditions 45.5%. Analgesics were the most common medications taken as self-medication, 68.2%. Among the respondents who engage in self-medication, 6.3% had experienced side effects, of which the commonest side effect was acute exacerbation of peptic ulcer disease 46.1%. Conclusion: There was high prevalence of self-medication among the healthcare workers. Familiarization with treatment options for medical conditions accounted for most reason why the respondents self-medicate.
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Seung, Hye-Bin, Jungtae Leem, Hui-Yong Kwak, Chan-Young Kwon und Sang-Ho Kim. „Acupuncture for military veterans with posttraumatic stress disorder and related symptoms after combat exposure: Protocol for a scoping review of clinical studies“. PLOS ONE 18, Nr. 4 (21.04.2023): e0273131. http://dx.doi.org/10.1371/journal.pone.0273131.
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Posttraumatic stress disorder is caused by traumatic events such as death, serious injury, and sexual violence. Military personnel and veterans are at high risk for posttraumatic stress disorder. Conventional posttraumatic stress disorder treatments have certain limitations. Complementary and integrative medicine treatments, especially acupuncture, are potential novel first-line treatments that may overcome these limitations. We aim to investigate the current status of the available clinical evidence related to acupuncture treatment for posttraumatic stress disorder in war veterans. We will follow the scoping review process as previously described. The study question is as follows: "Which types of clinical research designs, study types, study durations, adverse events, and clinical outcomes have been reported regarding acupuncture therapy for posttraumatic stress disorder in military veterans?" We will perform a comprehensive search of Medline, Excerpta Medica dataBASE, Cochrane Central Register of Controlled Trials, Web of Science, Scopus databases, Allied and Complementary Medicine Database, Cumulative Index to Nursing and Allied Health Literature, and PsycArticles databases, as well as Chinese, Korean, and Japanese databases, from inception to June 2022. Data from the included studies will be collected and descriptively analyzed in relation to our research question. The extracted data will be collated, synthesized, and summarized according to the analytical framework of a scoping review. The protocol of this study adheres to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses Extension for Scoping Reviews to ensure the clarity and completeness of our reporting in all phases of this scoping review (Protocol registration: https://osf.io/t723f/). The findings of this scoping review will provide fundamental data that will help researchers identify appropriate research questions and design further studies on the use of acupuncture for PTSD management in military veterans. These results will be helpful for developing disaster site-specific research protocols for future clinical trials on this topic.
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Ogunniyi, Adedamola, Melissa Clark und Ross Donaldson. „Analysis of Trauma Care Education in the South Sudan Community Health Worker Training Curriculum“. Prehospital and Disaster Medicine 30, Nr. 2 (27.02.2015): 167–74. http://dx.doi.org/10.1017/s1049023x15000175.
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AbstractIntroductionTrauma is a leading cause of morbidity and mortality worldwide, with the majority occurring in low- and middle-income countries (LMICs). Allied health workers are often on the front lines of caring for trauma patients; this is the case in South Sudan, where a system of community health workers (CHWs) and clinical officers (COs) form an essential part of the health care structure. However, curricula for these workers vary, and it is unclear how much these training programs include trauma education.Hypothesis/MethodsThe CHW training curriculum in South Sudan was reviewed to evaluate the degree to which it incorporates trauma education, according to established guidelines from the World Health Organization (WHO). To the authors’ knowledge, this is the first formal comparison of a CHW curriculum with established WHO trauma guidelines.ResultsThe curriculum incorporated a number of essential components of the WHO guidelines; however, the concepts taught were limited in scope. The curriculum only covered about 50% of the content required for basic providers, with major deficiencies being in the management of head and spinal injuries, safety protocols for health care personnel, and in the management of pediatric patients.Discussion/ConclusionThe CHW training curriculum lacks the requisite content to provide adequately a basic level of trauma care and requires amending to ensure that all South Sudan citizens receive appropriate treatment. It is recommended that other LMICs review their existing training curricula in order to improve their ability to provide adequate trauma care and to ensure they meet the basic WHO guidelines.OgunniyiA, ClarkM, DonaldsonR. Analysis of trauma care education in the South Sudan community health worker training curriculum. Prehosp Disaster Med. 2015; 30(2): 18
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Holmen, Heidi, Kirsti Riiser und Anette Winger. „Home-Based Pediatric Palliative Care and Electronic Health: Systematic Mixed Methods Review“. Journal of Medical Internet Research 22, Nr. 2 (28.02.2020): e16248. http://dx.doi.org/10.2196/16248.
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Background Children and families in pediatric palliative care depend on close contact with health care personnel, and electronic health (eHealth) is suggested to support care at home by facilitating their remote interactions. Objective This study aimed to identify and review the use of eHealth to communicate and support home-based pediatric palliative care and appraise the methodological quality of the published research. Methods We conducted a convergent, systematic mixed methods review and searched Medical Literature Analysis and Retrieval System Online (Medline), EMBASE, PsycINFO, Cochrane Library, Cumulative Index to Nursing and Allied Health Literature (CINAHL), Web of Science, and Scopus for eligible papers. Studies evaluating 2-way communication technology for palliative care for children aged ≤18 years and applying quantitative, qualitative, or mixed methods from 2012 to 2018 were eligible for inclusion. Quantitative and qualitative studies were equally valued during the search, screening, extraction, and analysis. Quantitative data were transformed into qualitative data and analyzed using a thematic analysis. Overall, 2 independent researchers methodologically appraised all included studies. Results We identified 1277 citations. Only 7 papers were eligible for review. Evaluating eHealth interventions in pediatric palliative care poses specific methodological and ethical challenges. eHealth to facilitate remote pediatric palliative care was acknowledged both as an intrusion and as a support at home. Reluctance toward eHealth was mainly identified among professionals. Conclusions The strengths of the conclusions are limited by the studies’ methodological challenges. Despite the limitless possibilities held by new technologies, research on eHealth in home-based pediatric palliative care is scarce. The affected children and families appeared to hold positive attitudes toward eHealth, although their views were less apparent compared with those of the professionals. Trial Registration PROSPERO CRD42018119051; https://tinyurl.com/rtsw5ky