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Статті в журналах з теми "Hospitals Staff Health and hygiene"
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Tantum, Lucy K., John R. Gilstad, Fatorma K. Bolay, Lily M. Horng, Alpha D. Simpson, Andrew G. Letizia, Ashley R. Styczynski, Stephen P. Luby, and Ronan F. Arthur. "Barriers and Opportunities for Sustainable Hand Hygiene Interventions in Rural Liberian Hospitals." International Journal of Environmental Research and Public Health 18, no. 16 (August 14, 2021): 8588. http://dx.doi.org/10.3390/ijerph18168588.
Повний текст джерелаАнотація:
Hand hygiene is central to hospital infection control. During the 2014–2016 West Africa Ebola virus disease epidemic in Liberia, gaps in hand hygiene infrastructure and health worker training contributed to hospital-based Ebola transmission. Hand hygiene interventions were undertaken post-Ebola, but many improvements were not sustainable. This study characterizes barriers to, and facilitators of, hand hygiene in rural Liberian hospitals and evaluates readiness for sustainable, locally derived interventions to improve hand hygiene. Research enumerators collected data at all hospitals in Bong and Lofa counties, Liberia, in the period March–May 2020. Enumerators performed standardized spot checks of hand hygiene infrastructure and supplies, structured observations of hand hygiene behavior, and semi-structured key informant interviews for thematic analysis. During spot checks, hospital staff reported that handwashing container water was always available in 89% (n = 42) of hospital wards, piped running water in 23% (n = 11), and soap in 62% (n = 29). Enumerators observed 5% of wall-mounted hand sanitizer dispensers (n = 8) and 95% of pocket-size dispensers (n = 53) to be working. In interviews, hospital staff described willingness to purchase personal hand sanitizer dispensers when hospital-provided supplies were unavailable. Low-cost, sustainable interventions should address supply and infrastructure-related obstacles to hospital hand hygiene improvement.
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Umulisa, Solange, Angele Musabyimana, Rex Wong, Eva Adomako, April Budd, and Theoneste Ntakirutimana. "Improvement of hand hygiene compliance among health professional staff of Neonatology Department in Nyamata Hospital." On the Horizon 24, no. 4 (September 12, 2016): 349–56. http://dx.doi.org/10.1108/oth-07-2016-0038.
Повний текст джерелаАнотація:
Purpose The purpose of this study is to improve the hand hygiene compliance in a hospital in Rwanda. Hand hygiene is a fundamental routine practice that can greatly reduce risk of hospital-acquired infections; however, hand hygiene compliance in the hospital was low. Design/methodology/approach A multiple-strategy intervention was implemented with a focus on ensuring stable water supply was available through installing mobile hand hygiene facilities. Findings The intervention significantly increased the overall hand hygiene compliance rate by 35 per cent. The compliance for all of the five hand hygiene moments and all professions also significantly increased. Practical implications By implementing an intervention that involved multiple strategies to address the root causes of the problem, this quality improvement project successfully created an enabling environment to increase hand hygiene compliance. The hospital should encourage using the strategic problem-solving method to conduct more quality improvement projects in other departments. Originality/value Findings from this study may be useful for hospitals in similar settings seeking to improve hand hygiene compliance.
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Waheed, Mehwish Saba, Naeem Ullah, Nadia Qazi, Bushra Ijaz, Zahid Khan, Nizam Muhammad Darwesh, and Muhammad Ishtiaq. "Assessment of Hygiene Status of Medical and Surgical Units Among Hospitals of Nowshera Swat & Peshawar Districts of Khyber Pakhtunkhwa Pakistan." Pakistan Journal of Medical and Health Sciences 16, no. 4 (April 30, 2022): 984–87. http://dx.doi.org/10.53350/pjmhs22164984.
Повний текст джерелаАнотація:
Objectives: Hygiene practices helps a lot in the prevention of infection among the admitted patients and an important component of infection prevention and patient safety. The aim of this study was to assess the hygiene status of medical and surgical units of selected hospitals in District Nowshera, Swat and Peshawar Districts, Pakistan. Material and Methods: It was a cross-sectional descriptive study, carried out in hospitals of Nowshera, Swat and Peshawar Districts, from August 2021 to February 2022. Data was collected from 60 medical and surgical units. A structured questionnaire was used to collect data, and face-to- face interviews were conducted with healthcare workers and patients. Finally results were presented in form of tables. Results: 64.66% of health care staff practice hand hygiene measures; and most of the surgeons (81.67%) were not satisfied with provided scrubbing materials. 46.67% of patients were satisfied with the prevailing hygiene status; 96.67% with health services. Moreover, 56.67% of patients wash hands before eating; 31.67% of sweepers satisfied with provision of materials, and surgical site infection rate was 13.33%. Furthermore, 63.33% of units collect waste daily; whereas only 18.33% had waste separation. 68.33% had isolation chamber for infectious cases; 36.67% screened patients for HIV/AIDS; and only 11.67% didn’t change fomites on daily basis. Conclusion: It was concluded that the hygiene status of selected hospitals was satisfactory. Moreover, the hygienic status showed strong relationship with type of unit; number of sweepers; waste collection frequency and frequency of fomites change and thus needs strategies to increase awareness and motivation of health care staff with an aim to reduce the incidence of hospital infections. Keywords: Hygiene Status, Infection, Medical, Surgical, Hospital
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Pham, Ba, та Thi Tuyet Tran. "Thực trạng tuân thủ vệ sinh tay thường quy của nhân viên y tế trung tâm y tế Cư Jút, Đắk Nông và một số yếu tố ảnh hưởng năm 2020". Journal of Health and Development Studies 05, № 01 (20 лютого 2021): 37–46. http://dx.doi.org/10.38148/jhds.0501skpt20-118.
Повний текст джерелаАнотація:
Background: Hand hygiene is a great way to ensure safety for health staff and prevent infections in hospital. Objective: The study aimed to determine the rate of compliance with routine hand hygiene and to analyze some factors affecting hand hygiene compliance routine of medical staff. Method: A study that describes a cross-sectional study, a study that combines both quantitative and qualitative methods through the observation by a checklist of 92 health-care workers who perform a procedure on 368 hand-hygiene opportunities and gather information through burns. interviewed 92 medical staff, conducted 04 in-depth interviews and 02 group discussions, and collected from March to the end of June 2020. Research Using Epidata 3.1 software to input data and manage data; Stata 14.0 software for data analysis. Results show that the percentage of health staffs who complied with routine hand hygiene was 14.13%, and the knowledge and attitudes of hospital staffs were related to routine hand hygiene compliance, with p<0.05. Inspection and supervision, regulations on emulation and commendation; training and accessibility solutions were related withhand hygiene of health staffs. Conclusion: Hospital staffs' hand hygiene compliance rate was relatively low, which was related to knowledge and attitudes. Keywords: Routine hand hygiene, medical staff, influencing factors.
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Neumark, Yehuda, Adina Bar-Lev, David Barashi, and Shmuel Benenson. "A feasibility study of the use of medical clowns as hand-hygiene promoters in hospitals." PLOS ONE 17, no. 12 (December 22, 2022): e0279361. http://dx.doi.org/10.1371/journal.pone.0279361.
Повний текст джерелаАнотація:
Healthcare-acquired infections (HAI) pose vast health and economic burdens. Proper hand-hygiene is effective for reducing healthcare-acquired infections (HAI) incidence, yet staff compliance is generally low. This study assessed the feasibility, acceptability and preliminary effect of employing medical clowns to enhance hand-hygiene among physicians and nurses. Staff perception of the intervention and its impact on hand-hygiene was assessed via self-report questionnaires. Nearly 1,500 hand-hygiene compliance observations were conducted in accordance with WHO guidelines before, during and after the intervention. In each of three hospitals in Israel, two departments were selected—one in which medical clowns routinely operate and one clown-naive department. Professional medical clowns acted as hand-hygiene promoters employing humorous tactics to encourage hand-sanitizing based on the WHO "5 Moments" model. The clown appeared in each department seven times during the 2-week intervention phase. Pre-intervention hand-hygiene compliance ranged from just over 50% to 80% across hospitals and departments. Overall, about 70% of nurses (N = 132) and 80% of physicians (N = 49) felt the intervention improved personal and departmental hand-hygiene, with large inter-department variation. Pre- to post-intervention hand-hygiene compliance increased by 4% -25% (3.5–14.8 percentage points) in four departments, three of which had low baseline compliance levels. Results of this feasibility study suggest that employing medical clowns as hand-hygiene promoters as a novel approach toward HAI prevention is feasible and welcome by hospital staff.
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Sritharan, Tishani. "Hand hygiene." Health Science Inquiry 11, no. 1 (August 10, 2020): 136–39. http://dx.doi.org/10.29173/hsi301.
Повний текст джерелаАнотація:
Abstract: The World Health Organization (WHO) defines Health Care-Associated Infection (HCAI) as an infection a patient acquired in health care settings. In Canada, more than 220,000 patients are infected by HCAIs annually, with 8,500 to 12,000 of these patients resulting in death, thus becoming the fourth leading cause of death for Canadians. Hand hygiene practice is the most critical measure to prevent HCAIs, however, research indicates that in hospitals worldwide, just 40% of health care workers abide by the advised hand hygiene guidelines. A new effective HCAI control and prevention program is needed to sustain benefits, building on prior interventions such as including hand hygiene education that stresses the necessity of this practice in the protocol, providing factual proof of the effectiveness of hand hygiene, the acknowledgment by senior staff of their responsibility as role models for all staff, innovative technological methods, and regular auditing/feedback. With the current outbreak of coronavirus disease (COVID-19) that has infected millions around the world, a new HCAI control and prevention program can increase the compliance rate of handwashing with alcohol-based hand rub/sanitizer amongst healthcare professionals thus aiding in prevention and control of spread within the community.
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Seyedin, Hesam, Rafat Bagherzadeh, and Mohsen Dowlati. "Hospital Management in Infectious Disease Outbreak: Lessons Learned From COVID-19 Epidemic." Health in Emergencies & Disasters Quarterly 7, no. 3 (April 1, 2022): 161–66. http://dx.doi.org/10.32598/hdq.7.3.167.5.
Повний текст джерелаАнотація:
Background: Biological events, including epidemics, pandemics, and emerging and reemerging infectious diseases, have significant adverse consequences on human health. Hospitals have a major role in the management of outbreaks and mitigation of their consequences. During pandemics, health systems, especially hospitals, are affected. The current study aims to collect and analyze hospital lessons learned during the COVID-19 epidemic in Iran. Materials and Methods: The study data were collected through document analysis, direct observation, and taking the opinions of an expert panel (including hospital chiefs, hospital managers, disaster committee managers, matrons, and other hospital staff) at hospitals involved with coronavirus patients. Results: The practical measures performed in Iran hospitals included the development of the hospital incident command system, screening and triage, establishing a call center, patient and family management, personnel management, volunteers management, education, planning, safety, environmental health, dead patients management, sampling, food hygiene of staff and patients, coordination and cooperation, sharing information, home treatment and care, infection prevention, and control and isolation. Conclusion: COVID-19 pandemic has significant adverse consequences on human health, hospital, and medical staff. During COVID-19, hospitals will face a high surge in suspected and confirmed patients. Therefore, hospitals should perform the proper measures to manage an emergency.
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Zoutman, Dick E., and B. Douglas Ford. "Quality improvement in hospitals: barriers and facilitators." International Journal of Health Care Quality Assurance 30, no. 1 (February 13, 2017): 16–24. http://dx.doi.org/10.1108/ijhcqa-12-2015-0144.
Повний текст джерелаАнотація:
Purpose The purpose of this paper is to examine quality improvement (QI) initiatives in acute care hospitals, the factors associated with success, and the impacts on patient care and safety. Design/methodology/approach An extensive online survey was completed by senior managers responsible for QI. The survey assessed QI project types, QI methods, staff engagement, and barriers and factors in the success of QI initiatives. Findings The response rate was 37 percent, 46 surveys were completed from 125 acute care hospitals. QI initiatives had positive impacts on patient safety and care. Staff in all hospitals reported conducting past or present hand-hygiene QI projects and C. difficile and surgical site infection were the next most frequent foci. Hospital staff not having time and problems with staff prioritizing QI with other duties were identified as important QI barriers. All respondents reported hospital leadership support, data utilization and internal champions as important QI facilitators. Multiple regression models identified nurses’ active involvement and medical staff engagement in QI with improved patient care and physicians’ active involvement and medical staff engagement with greater patient safety. Practical implications There is the need to study how best to support and encourage physicians and nurses to become more engaged in QI. Originality/value QI initiatives were shown to have positive impacts on patient safety and patient care and barriers and facilitating factors were identified. The results indicated patient care and safety would benefit from increased physician and nurse engagement in QI initiatives.
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Maina, Michuki, Olga Tosas-Auguet, Mike English, Constance Schultsz, and Jacob McKnight. "Infection prevention and control during the COVID-19 pandemic: challenges and opportunities for Kenyan public hospitals." Wellcome Open Research 5 (September 10, 2020): 211. http://dx.doi.org/10.12688/wellcomeopenres.16222.1.
Повний текст джерелаАнотація:
Background: Infection prevention and control, and water sanitation and hygiene have an essential role in ensuring the quality of care and patient outcomes in hospitals. Using a modification of the World Health Organization’s water sanitation and hygiene facility improvement tool, we undertook assessments in 14 public hospitals in Kenya in 2018. The hospitals received written feedback on areas where they could make improvements. Following the first confirmed cases of COVID-19 in Kenya, we were drawn to ask whether the results of our pre-pandemic survey had led to action, and whether or not the threat of COVID-19 had focused more attention on infection prevention and control and water sanitation and hygiene. Methods: Using a semi-structured interview guide, we carried out phone interviews with key hospital leaders in 11 of the 14 hospitals. The data were transcribed and coded into thematic areas. We draw on these interviews to describe the status and awareness of infection prevention and control. Results: The infection prevention and control committee members are training health workers on infection prevention and control procedures and proper use of personal protective equipment and in addition, providing technical support to hospital managers. While some hospitals have also accessed additional funds to improve infection prevention and control, they tended to be small amounts of money. Long-standing challenges with supplies of infection prevention and control materials and low staff morale persist. Crucially, the reduced supply of personal protective equipment has led to fear and anxiety among health care personnel. Conclusions: As funds are mobilised to support care for COVID-19, we ask that funds prioritise infection prevention and control measures. This would have a profoundly positive effect on within hospital virus transmission, patient and staff safety but also lasting benefits beyond the COVID-19 pandemic.
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Alwatifi, Mohammed Hindi, and Wafaa Abd Ali Hattab. "Attitudes to Hand Hygiene Performance among Nursing Staff during Covid-19 Pandemic." Pakistan Journal of Medical and Health Sciences 16, no. 3 (March 31, 2022): 909–11. http://dx.doi.org/10.53350/pjmhs22163909.
Повний текст джерелаАнотація:
Background: Proper hand hygiene was identified as one of the simplest most cost-effective Covid-19 prevention measures. However, there is no available evidence indicating that hand hygiene is fully practiced by health care workers Objectives: This study aimed to fill this gap by assessing the attitudes regarding hand hygiene practice among nursing staff during the Covid-19 pandemic Methodology: A descriptive cross-sectional design was carried out in three hospitals' Intensive Care Units from the period (20th December 2021 to 30th January 2022). A non-probability sampling method consists of (130) nurses who were selected purposively based on the study criteria Results: The majority of the study participants (73.1%) had negative attitudes towards hand hygiene. Conclusion: There were an overall high proportion of participants with negative attitudes level toward hand hygiene. Keyword: Attitudes, Hand Hygiene, Nurse, Covid-19
Дисертації з теми "Hospitals Staff Health and hygiene"
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Al-Mohaithef, Mohammed. "Food hygiene in hospitals : evaluating food safety knowledge, attitudes and practices of foodservice staff and prerequisite programs in Riyadh's hospitals, Saudi Arabia." Thesis, University of Birmingham, 2014. http://etheses.bham.ac.uk//id/eprint/5194/.
Повний текст джерелаАнотація:
In global terms, Saudi Arabia is a rapidly developing country. As such, its food industries have yet to fully implement the food safety management systems common in the EU. In the hospitals sector, the Ministry of Health intends to implement Hazard Analysis Critical Control Points (HACCP) system to provide safe meals for patients, staff and hospital visitors. The aim of this study was to evaluate the readiness of the Saudi Arabian hospitals to implement HACCP by assessing the pre-requisites programmes in their foodservices departments. An audit form was used in four hospitals in Riyadh. Questionnaires were also used to assess self-reported behaviour, knowledge and attitudes of 300 foodservices staff. Lack of training was known to be a major omission in the pre-requisite programs (PRP’s) of all hospitals. Therefore a bespoke food safety training program was developed and delivered to food handlers in the participating hospitals. An assessment was then made to determine whether this intervention had any effect on their knowledge, attitude to food safety and self-reported behaviour. The results show that, the prerequisite programs were not implemented properly in the participating hospitals. Also, foodservices staff had a poor knowledge with regard to food safety. However, staff knowledge was significantly improved following the training (p. value < 0.05) and their level of knowledge remained stable after six months. Participants’ behaviours and attitudes also improved after the training. This indicates that, training has a positive impact on food handlers knowledge, practices and attitude.
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Harris, John. "Unravelling the epidemiology of norovirus outbreaks in hospitals." Thesis, University of Liverpool, 2014. http://livrepository.liverpool.ac.uk/17973/.
Повний текст джерелаАнотація:
Norovirus is the commonest cause of outbreaks of gastrointestinal disease in the U.K. Most reported outbreaks occur in health care settings, such as hospitals and nursing homes, and can cause severe disruption through ward closures, cancelled operations and staff sickness. Previous studies estimated these outbreaks cost the NHS around £115 million a year. Despite previous studies some questions remain. What is the burden of norovirus in hospitals - how many outbreaks occur and how many people are hospitalised each year as a result of norovirus infection? Do published reports of outbreaks provide evidence of what works in infection control? Can the factors facilitating norovirus transmission during outbreaks in hospitals be identified? These questions were answered through a series of inter-linked studies that explored mortality, morbidity, transmission pathways and aspects of infection control. The introduction of a new surveillance system provided greater insights into the heavy burden that norovirus imposes on English hospitals. In the years 2009-2011, 3,980 reports of outbreaks of suspected and confirmed norovirus were received. There was little difference in the epidemiology of outbreaks from one season to the next. On average outbreaks were associated with 13,000 patients and 3,400 staff becoming ill, 8,900 days of ward closure and the loss of over 15,500 bed-days annually. Analysis of mortality data demonstrated a clear association between norovirus infection and mortality in the elderly (65 years and over) with an estimated 80 deaths per year in this age group. The number of deaths increased in years where norovirus activity was higher but this was not associated with increased pathogenicity of the virus. Norovirus was the only pathogen that had a significant association with mortality in the regression models. Modeling of routine hospital admission data demonstrates that norovirus accounted for around 3,000 norovirus admissions a year to English hospitals, two thirds of which were in the elderly. A review of published papers did not provide clear evidence for the effectiveness of infection control measures. However, this was largely because the reporting of outbreaks was poor and that the introduction of more rigorous reporting protocols would improve this. Analysis of 3,500 outbreaks of norovirus demonstrated that closing a ward or bay promptly (within three days of the first person becoming ill) is beneficial. The duration of outbreak, the total duration of disruption were shorter, and fewer patients overall were affected, if closure occurred promptly. When closure occurred 7 or more days after the first onset date outbreaks were twice as long as those where closure was prompt. The duration of outbreak was also increased by ward size and in outbreaks occurring in winter time. Outbreaks were longer if they occurred on care of the elderly wards. A strategy of prompt closure is beneficial, particularly in larger wards and during winter time. The time between the first two cases of each outbreak was used to estimate the serial interval for norovirus in a hospital setting and was estimated to be 1.86 days. This distribution and dates of illness onset were used to calculate epidemic trees for each outbreak. A permutation test found strong evidence that proximity was a significant driver of outbreaks (p < 0.001). Patients occupying the same bay as patients with symptomatic norovirus infection are at increased risk of becoming infected by these patients compared with patients elsewhere in the same ward. In summary, there is a demonstrable association with mortality in older people, and around 3,000 admissions to hospital each year. Over 3,900 outbreaks were reported in three years (2009-2011). On average 13,000 patients were affected each year leading to 8,900 days of ward closures. Vomiting appears to be an important driver of outbreaks. Acting quickly by closing affected areas appears to be beneficial in controlling outbreaks caused by norovirus. This is especially the case in larger wards during the winter.
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Guzman, Castillo M. "Modelling patient length of stay in public hospitals in Mexico." Thesis, University of Southampton, 2012. https://eprints.soton.ac.uk/345554/.
Повний текст джерелаАнотація:
This thesis is concerned with the modelling of patient length of stay in public hospitals in Mexico. Patient length of stay is the most commonly worldwide employed outcome measure for hospital resource consumption and performance monitoring. Most of the hospitals around the world use average length of stay as starting point for resource planning. However average estimates frequently gives non-accurate results due to the high variability of the length of stay data. The reason for such high variability may be attributable to the diversity in the patient population and the environment where the patient is treated. Through a systematic review of the literature on methods and models in the field of calculating and predicting patient length of stay, this research highlights the areas of opportunity and research gap from previous studies and practices, and proposes the use of finite mixture models to approximate the distribution of length of stay. Also, these models are proposed as the foundation of more sophisticated models designed to include the internal and external factors associated with LoS. In this context, the thesis proposes three different approaches to explore such factors: individual-based approach, group-based approach and multilevel group-based approach. These interrelated approaches allow a better understanding of the diversity in the patient population and enable length of stay predictions for individual patients, and for cohorts of patients within and between hospitals. In addition, this research is built and evaluated using data from all types of patients treated at two public hospitals operating in Mexico. It is the consideration of the full case-mix of these healthcare facilities that gives this research its unique nature.
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Johnson, Kimberly Lynn. "The Structure and Implementation of Respiratory Therapy Orientation for Clinical Staff in Acute Care Hospitals." The Ohio State University, 2011. http://rave.ohiolink.edu/etdc/view?acc_num=osu1316123707.
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Cole, Mark. "Social construction of hand hygiene as a simple measure to prevent health care associated infection." Thesis, University of Nottingham, 2014. http://eprints.nottingham.ac.uk/14426/.
Повний текст джерелаАнотація:
The incidence of Heath Care Associated Infection is a major patient safety concern in the United Kingdom and reducing the morbidity and mortality associated with this has become a National Health Service priority. It is generally accepted that this objective will require a multi-factorial approach where infection prevention and control is seen as everybody’s business. However, some strategies receive greater exposure than others and hand hygiene is widely touted as a common sense solution to a complex problem. This discourse based study combined the techniques of Corpus Linguistics with Critical Discourse Analysis to explore the Textual, Discursive and Sociocultural features of hand hygiene discourse. This took place across three language domains, the Academy, the Newspaper Media and Organisational Policy Makers. These three cultural elites take a consistent account of the problem and the solution. Broadly hand hygiene is portrayed as effective, compliance is basic, performance is poor and Health Care Workers should be held to account through zero tolerance policies and if necessary disciplinary action. However, not only does this background the messy, contextual factors of implementing a hand hygiene policy it imposes a one size fits all approach and measurement programme on compliance that hides the true nature of performance and this ultimately impacts on patient care. This study calls for junior clinicians for whom policy has the greatest impact to become more engaged in the policy making process. In a spirit of openness trusts should adopt linguistic devices that recognise the dynamic nature of practice and a more educational, sophisticated approach to audit.
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Kerrigan, Anita Cimino. "The relationship of hardiness and health behavior practices among university faculty and staff." Virtual Press, 1990. http://liblink.bsu.edu/uhtbin/catkey/722457.
Повний текст джерелаАнотація:
The purpose of this correlational study was to investigate the relationship of-hardiness, a personality characteristic composed of the elements control, challenge, and commitment, to health behavior practices among a midwestern university faculty and staff. The hypothesis of the study was there is a negative correlation between scores on the Health Related Hardiness Scale (HRHS) and the HealthPromoting Lifestyle Profile (HPLP) among university faculty and staff. Prior to conducting the study, approval of the university internal review board was obtained. Using a random numbers table and the university faculty and staff phone directory, a random sample of 100 participants was obtained. The participants were sent the Health Related Hardiness Scale (HRHS) to measure hardiness, the HealthPromoting Lifestyle Profile (HPLP) to measure health behaviors, a demographic questionnaire, and an addressed return envelope. Confidentiality of the participants was assured. Returned questionnaires implied consent to participate. The completed forms were returned to the researcher by campus mail in the envelope provided. Seventy-three questionnaires were returned; 50 could be used for analysis. The Pearson's r was used to analyze the data and tested at the 0.05 level of significance. Results revealed r = - 0.5473 with.R<0.001. The hypothesis of the study was supported. Post hoc analysis using the Pearson's r revealed negative correlations with varying degrees of significance between the three subscales of the HRHS and the six subscales of the HPLP. The information obtained from the study is valuable to nursing in planning educational and supportive strategies for a variety of clients in various settings.School of Nursing
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Hanyinda, Kelvin. "The availability and adequacy of water, sanitation and hygiene (wash) infrastructure in 13 mission hospitals in rural Zambia." University of the Western Cape, 2019. http://hdl.handle.net/11394/6939.
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Magister Public Health - MPHBackground and Rationale The World Health Organization (WHO) has shown that the provision of Water Sanitation and Hygiene (WASH) in Health Care Facilities (HCFs) of many low and middle-income countries is poor. This is compounded by the lack of national plans and consolidated data on WASH in HCFs. This study assessed the availability and adequacy of Water Sanitation and Hygiene (WASH) infrastructure in 13 mission hospitals spanning 13 districts in Zambia. The objectives of this study were to identify the different kinds of WASH infrastructure available, and their adequacy, and factors influencing the status of WASH infrastructure and services in the selected hospitals. Methodology This study had a mixed methods design with semi-quantitative, descriptive and qualitative components. Assessments were conducted of the WASH infrastructure on the hospital property, and specifically in the male medical wards and outpatient facilities as two tracer areas, using a WHO checklist adapted and administered by the researcher. Checklist items were assigned scores (0=absent/bad to 2=on target/good) and total WASH scores for each facility compiled. For the qualitative component, individual semi-structured interviews using an interview guide were conducted, also by the researcher, with the facility managers and the head staff of the male medical wards. Results Overall coverage with an improved water source was reasonably good with 11 of the 13 hospitals reporting availability of improved water sources within the facilities. Hand washing basin coverage was similarly good. In contrast, coverage by well-functioning toilets was not as high, with 5 hospitals reporting toilets that were either broken, blocked, or having no running water and no toilet paper. Facility WASH scores varied from 22 (38%) to 57 (97%) out of a possible total of 58 points. Most of the Facility Managers indicated that the hospital WASH infrastructure was old, and with frequent breakdowns. This was worsened by lack of readily available spares and materials for repairing once there was a fault. Conclusion This study reveals an uneven coverage of WASH across facilities and elements, with poor sanitation a challenge across facilities. This is compounded by ongoing challenges in WASH infrastructure maintenance. Moving forward, there is need for government to develop a clear policy on WASH in HCFs. A national plan with resources and a monitoring framework need to be in place for streamlined support and tracking of progress by all stakeholders.
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Ilkiw-Lavalle, Olga. "Enhancing mental health staff confidence and skills in response to aggression and violence a longitudinal study of aggression minimisation training /." Access electronically, 2006. http://www.library.uow.edu.au/adt-NWU/public/adt-NWU20060712.143008/index.html.
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Fender, Hannah Elizabeth. "Exploring the Knowledge and Perceptions of Elementary and Middle School Staff with Regard to the Utilization of a Dental Hygienist in a School Setting." Digital Commons @ East Tennessee State University, 2017. https://dc.etsu.edu/honors/489.
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Abstract:
Background: Dental hygienists can be utilized to provide care to adolescents and young adults in a school-based setting. These dental health care professionals work to improve upon public oral health through educational practices, preventative methods, and referrals. The purpose of this study was to explore the knowledge and perceptions of elementary and middle school staff with regard to the utilization of a dental hygienist in a school setting. Methods: The international review board at approved the following study. A total of eight faculty and staff members from Unicoi County Elementary School and Unicoi County Middle School completed a 14-question survey. Participants included each school’s principal, nurse, physical education/wellness teacher and science teacher or K-6. All surveys were distributed by hand to each school. Results: All eight participants saw a need for their students and would be in support of having a hygienist assigned to their school. Questions in the survey revealed that the facility believed a hygienist would be beneficial, but a full-time nurse was the major care provider in their institution. The schools that had interactions with a dental hygienist could not give the correct answer for how frequently they were coming, what services they were providing, and who was sending the dental hygienists. Discussion: The Northeast Regional Health Office supply dental hygienist for student dental health centered care and application of preventative services. However, there are only three hygienists working with the Northeast Regional Health Office to provide care for seven counties in this region.
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Anthony, Mary Kathleen. "The relationship between decentralization and expertise to participation in decision-making among staff nurses working in acute care hospitals." Case Western Reserve University School of Graduate Studies / OhioLINK, 1995. http://rave.ohiolink.edu/etdc/view?acc_num=case1062525361.
Повний текст джерелаКниги з теми "Hospitals Staff Health and hygiene"
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Neely, Joan. The identification and control of health hazards for hospital workers. [Edmonton, Alta.]: The Division, 1986.
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Smulders, P. G. W. Arbeidssituaties en bedrijfsgezondheidszorg in ziekenhuizen: De visie van zesendertig sleutelinformanten in tien algemene ziekenhuizen : een verkenning. Voorburg: Directoraat-Generaal van de Arbeid, 1986.
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1947-, Charney William, and Schirmer Joseph, eds. Essentials of modern hospital safety. Chelsea, Mich: Lewis Publishers, 1990.
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Seibert, Philip. Safety issues for the veterinary hospital staff. 5th ed. Calhoun, TN: Veterinary Practice Consultants, 2003.
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B, Jara Gail, and Kessenick Laurence W, eds. The disabled physician: Problem-solving strategies for the medical staff. Chicago, Ill: American Hospital Pub., 1989.
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United States. Congress. House. Committee on Government Operations. Need for immediate OSHA regulations to protect health care workers from AIDS: Hearing before a subcommittee of the Committee on Government Operations, House of Representatives, One Hundredth Congress, first session, July 23, 1987. Washington: U.S. G.P.O., 1987.
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1947-, Charney William, ed. Handbook of modern hospital safety. Boca Raton, Fla: Lewis, 1999.
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International, AVSC. Infection prevention curriculum: A training course for health care providers and other staff of hospitals and clinics : trainer's manual. New York, NY, USA: AVSC International, 1999.
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Workers' health, workers' democracy: The western miners' struggle, 1891-1925. Ithaca: Cornell University Press, 1988.
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Illinois. Dept. of Employment Security. Health services: Hospitals & clinics. Springfield, Ill.]: Illinois Dept. of Employment Security, 2001.
Знайти повний текст джерелаЧастини книг з теми "Hospitals Staff Health and hygiene"
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Gilbert, Gwendolyn L., and Ian Kerridge. "Hospital Infection Prevention and Control (IPC) and Antimicrobial Stewardship (AMS): Dual Strategies to Reduce Antibiotic Resistance (ABR) in Hospitals." In Ethics and Drug Resistance: Collective Responsibility for Global Public Health, 89–108. Cham: Springer International Publishing, 2020. http://dx.doi.org/10.1007/978-3-030-27874-8_6.
Повний текст джерелаАнотація:
Abstract In this chapter we review the development of hospital infection prevention and control (IPC) since the nineteenth century and its increasingly important role in reducing the spread of antibiotic resistance (ABR). Excessive rates of hospital-acquired infection (HAI) fell dramatically, towards the end of the nineteenth century, because of improved hygiene and surgical antisepsis, but treatment remained rudimentary until effective antibiotics became widely available in the mid-twentieth century. While antibiotics had profound clinical benefits, their widespread appropriate and inappropriate use in humans and animals inevitably led to the emergence of antibiotic resistance (ABR). Within 50 years, this could no longer be offset by a reliable supply of new drugs, which slowed to a trickle in the 1980s. In hospitals, particularly, high rates of (often unnecessary) antibiotic use and ABR are exacerbated by person-to-person transmission of multi-drug resistant organisms (MDRO), which have, so far, largely resisted the introduction of antimicrobial stewardship (AMS) programs and repeated campaigns to improve infection prevention and control (IPC). Despite clear evidence of efficacy in research settings, both AMS and IPC programs are often ineffective, in practice, because of, inter alia, insufficient resourcing, poor implementation, lack of ongoing evaluation and failure to consult frontline staff. In this chapter we review reasons for the relatively low priority given to preventive programs despite the ethical obligation of healthcare organisations to protect current and future patients from preventable harm. The imminent threat of untreatable infections may provide an impetus for a shared organisational and professional commitment to promoting the cultural and behavioural changes needed to successfully reduce the burdens of ABR and drug-resistant HAIs.
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Dietscher, Christina, Ulrike Winter, and Jürgen M. Pelikan. "The Application of Salutogenesis in Hospitals." In The Handbook of Salutogenesis, 397–418. Cham: Springer International Publishing, 2022. http://dx.doi.org/10.1007/978-3-030-79515-3_37.
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AbstractHospitals, in developed countries the center of curative health care in practice, research, and education, still have a dominantly pathogenic orientation. Therefore, salutogenic principles definitely have to offer quality improvement of cure and care in hospitals. But salutogenesis also is a considerable challenge to be implemented in hospitals, and hospitals are challenging for health and salutogenesis promoters. In this chapter, the authors first demonstrate how salutogenesis, if understood as a specific dimension of hospital quality, could considerably contribute to better health gain for patients and hospital staff. Second, drawing on a comprehensive literature search, it is highlighted which aspects of salutogenesis in relation to hospitals already are covered in descriptive and intervention research focusing on patients (and family members), staff, and the hospital as an organization.
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Guru, Ramratan, Anupam Kumar, and Rohit Kumar. "Healthcare and Hygiene Products Application in Medical Textile." In Next-Generation Textiles [Working Title]. IntechOpen, 2022. http://dx.doi.org/10.5772/intechopen.103662.
Повний текст джерелаАнотація:
Healthcare and hygiene products are usually available over the counter and normally used for hygienic purposes to prevent infection and transmission of diseases, provide hygiene, and enhance care in the hospital ward and operating room. Nowadays it is a scientific research approach to big growing part in medical textiles, in healthcare and hygiene products. The day by day increase in demand of medical textile in different sectors like wipe to operating rooms are more advanced fabrics used with anti-fungal and anti-microbial applications. In this sector, new concepts of low-cost effective techniques are developing day by dayfor both patient and hospital staff to protect them from the effect of virus infection and other bacteria. This paper basically discusses the main role of hygiene and health care sectors application in medical textile.
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MODI, RAI BAHADUR JAISING P. "HOSPITALS." In Elements of Hygiene and Public Health, 112–22. Elsevier, 2013. http://dx.doi.org/10.1016/b978-1-4831-9734-0.50015-4.
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"The attitude of washing hands among the health staff." In Occupational Safety and Hygiene II, 123–28. CRC Press, 2014. http://dx.doi.org/10.1201/b16490-22.
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Chakraborty, Anirban, Sonal G. Rawat, and Susheel Chhabra. "Enhancing Service Quality in Hospitals." In Human Development and Global Advancements through Information Communication Technologies, 299–312. IGI Global, 2011. http://dx.doi.org/10.4018/978-1-60960-497-4.ch018.
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Large organizations use multiple data sources, centralize processing in these organizations require analysis of huge database originating from various locations. Data mining association rules help perform exploration and analysis of large amounts of data to discover meaningful patterns which can facilitate effective decision-making. The objective of this article is to enhance service quality in a hospital using data mining. The improvement in service quality will help to create hygienic environment and enhance technical competence among staff members which will generate value to patients. A weighting model is proposed to identify valid rules among large number of forwarded rules from various data sources. This model is applied to rank the rules based on patient perceived service parameters in a hospital. Results show that this weighting model is efficient. The proposed model can be used effectively for determining the patient’s perspective on hospital services like technical competence, reliability and hygiene conditions under a distributed environment.
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Tornbjerg, Kristina, and Anne Marie Kanstrup. "How Socio-Technical Factors Can Undermine Expectations of Human-Robot Cooperation in Hospitals." In Studies in Health Technology and Informatics. IOS Press, 2021. http://dx.doi.org/10.3233/shti210639.
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This research analysed human–robot cooperation and interaction in the basement of a Danish hospital, where kitchen staff and porters conducted their daily routines in an environment shared with mobile service robots. The robots were installed to ease the everyday routines of kitchen staff and carry out physically demanding tasks, such as transporting heavy cargo between destinations in the hospital basement. The cooperation and interaction were studied through ethnographic inspired fieldwork and the results highlighted how robots affect the real-life environments into which they are gradually moving. The analysis revealed how the great human expectations of robots clashed with reality and identified three key elements that influence human–robot cooperation in hospitals: 1) environmental factors, 2) behavioural factors and 3) factors related to human reliance on robots. We emphasise the importance of considering socio-technical factors when deploying robots to cooperate with humans in hospital environments.
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Smith, Stephanie J., and Martina N. Cummins. "Tools in Infection Prevention and Control." In Tutorial Topics in Infection for the Combined Infection Training Programme. Oxford University Press, 2019. http://dx.doi.org/10.1093/oso/9780198801740.003.0029.
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The Health Act (2008) Code of Practice on the Prevention and Control of Infections and Related Guidance provides a legal statutory requirement to which all hospital trusts in England should abide to ensure the safety of patients and healthcare workers. There are similar laws in both Scotland and Wales. Prevention and control of healthcare- associated infections (HCAI) remains integral to provide safe, quality patient care and requires an effective management team to implement the Act. In July 2015, a revised Code of Practice was introduced for the prevention and control of HCAI. The Code of Practice is also referred to as the ‘Hygiene Code’ and is regulated by the Care Quality Commission (CQC). A requirement of this Act is that the board of directors receive an annual report from the Director of Infection Prevention & Control (DIPC), with acknowledgement of the report and approval of a proposed programme of delivery prior to public release and implementation. All trusts must register with the CQC, whose role is to regulate and inspect care services in the public, private, and voluntary sectors in England. Part of the CQC assessment against the Act includes Outcome 8: Cleanliness and Infection Control. Under this outcome the trust is required to demonstrate compliance. The DIPC within an organization will assume responsibility to provide assurances that criteria are met by ensuring regular committee meetings to discuss compliance with standards, monitoring of trends, and provide strategies to reduce HCAI. The trust has to be made accountable for any infection control issues for their staff and patients and have evidence of a clear framework to provide assurances that safety has been met. The IPC Team will implement a plan across their trust that requires quarterly and annual reports to ensure implementation and remedial actions listed and acted on as appropriate. A care bundle is a set of evidence-based interventions that are grouped together to ensure that patients receive optimal management consistently. Ideally, each part of the bundle should be based on evidence from at least one systematic review composed of multiple randomized control trials. Care bundles have been implemented in England since June 2005.
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Hutchinson, Dale L. "Hospital Reformation and Redirection." In American Health and Wellness in Archaeology and History, 130–46. University Press of Florida, 2022. http://dx.doi.org/10.5744/florida/9780813069142.003.0009.
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By 1850, half a century of declining funds for hospitals left the institutional care of the infirmed insufficient for most people. Though the Civil War fueled many needed reforms, there were still issues of funding, support, and causation of illness. With the sanitation movement came the change in sanitation of hospitals and the growing realization that some health and wellness conditions required long term, specialized care, such as tuberculosis and insanity. Hospital reformation intersected with movements in hygiene, and with the acceptance of germs and specific pathogens.
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"Health care staff perception of noise in Neonatal Intensive Care Units: A questionnaire survey from NeoNoise project." In Occupational Safety and Hygiene IV, 579–84. CRC Press, 2016. http://dx.doi.org/10.1201/b21172-109.
Повний текст джерелаТези доповідей конференцій з теми "Hospitals Staff Health and hygiene"
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Repanovici, A., D. Cotoros, M. Haineala, C. Nemet, and E. Dinu. "Systems for Monitoring Hands Hygiene of Medical Staff in Hospitals." In 2020 International Conference on e-Health and Bioengineering (EHB). IEEE, 2020. http://dx.doi.org/10.1109/ehb50910.2020.9280101.
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Sidabalok, Jhonferi. "The Effect of Infection Prevention and Control Link Nurse Supervision and Resource Availability on Paramedic Hand Hygiene at Hanau Hospital, Seruyan District, Central Kalimantan." In The 7th International Conference on Public Health 2020. Masters Program in Public Health, Universitas Sebelas Maret, 2020. http://dx.doi.org/10.26911/the7thicph.01.19.
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ABSTRACT Background: Hand hygiene was the most straightforward and most effective behavior to prevent nosocomial infection. Doing hand-hygiene in 5 moments must be endeavored to improve the quality of service in the hospital. Hospitals must have a PPI team where the Infection Prevention and Control Link Nurse (IPCLN) is part of the structure. The availability of facilities in the hospital is needed to support hand hygiene behavior. This study aimed to know the effect of IPCLN supervision and facilities’ availability on paramedical hand hygiene behavior at Hanau Hospital. Subjects and Method: This was a cross-sectional conducted at Hanau Hospital, Seruyan District, Central Kalimantan. A sample of 83 paramedics at Hanau Hospital was selected for this study by total sampling. The dependent variable was the behavior of hand hygiene paramedic. The independent variable was IPCLN supervision and the availability of facilities. The data were collected by questionnaire. The data was analyzed by Chi Square. Results: The respondents in this study were 67.5% women, 72.3% were under 30 years old, 74.7% had a Diploma-III education, and 69.9% worked less than 5 years. The supervision carried out by IPCLN (OR = 35.25; CI: 4.36 to 258.22), and the availability of facilities (OR = 24.35; CI: 5.10 to 116.26) was statistically significant (p <0.001). Variables that influence the behavior of paramedic hand hygiene at Hanau Hospital are supervision of the IPCLN towards paramedics (B = 2.86; OR = 17.42; 95% CI= 1.94 to 156.78; p= 0.011) together with the variable availability of facilities (B = 2.62; OR = 13.69; 95% CI= 2.62 to 71.49; p= 0.002). Conclusion: The supervision of IPCN and the availability of facilities affect the hand hygiene behavior of paramedics at Hanau Hospital. Keywords: hand hygiene, IPCLN, Supervision, Facilities, PPI Correspondence: Jhonferi Sidabalok, Hospital Administration Studies Master Program, Faculty of Public Health, Indonesia University. Email: jfs.usu98@gmail.com. Mobile 082154643424 DOI: https://doi.org/10.26911/the7thicph.01.19
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Fauziyah, Nida Faradisa, and Kusbaryanto Kusbaryanto. "The Association of Knowledge and Attitude with Hand Hygiene Compliance among Health Personnel at the Emergency Department in Private Hospitals, Surakarta." In The 6th International Conference on Public Health 2019. Masters Program in Public Health, Graduate School, Universitas Sebelas Maret, 2019. http://dx.doi.org/10.26911/the6thicph.04.67.
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Koch, Peter, and Albert Nienhaus. "1300 Working conditions in german hospitals- prevention for young physicians and nursing staff in germany." In 32nd Triennial Congress of the International Commission on Occupational Health (ICOH), Dublin, Ireland, 29th April to 4th May 2018. BMJ Publishing Group Ltd, 2018. http://dx.doi.org/10.1136/oemed-2018-icohabstracts.446.
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PONEA (RADU), Ioana Antoaneta, Ion STEGAROIU, Maria Georgiana PONEA, and Bogdan ŞTEFĂNESCU. "MOTIVATION OF HEALTH PERSONNEL IN PUBLIC SECTOR HOSPITALS IN THE CONTEXT OF THE COVID-19 PANDEMIC." In International Management Conference. Editura ASE, 2022. http://dx.doi.org/10.24818/imc/2021/03.11.
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The medical staff represented the first line of intervention in the fight against the new severe acute respiratory syndrome coronavirus from the beginning of the pandemic until now. In addition to the major risks health personnel face, it is necessary to find solutions in managing the psychological impact to which they are subjected. The digital revolution, the globalized economy and the increasing demand upon limited resources are developing a culture of stress within organizations. The employees’ flexibility and commitment are reduced to the parameters of an equation whose result is none other than profit maximization. In this context, the study of burnout makes perfect sense. Therefore, we decided to perform an analysis in a county public sector emergency hospital, to establish strategies for human resources motivation, the key element in providing workers who are committed to their full capacity in achieving the objectives of an entire organization, in particular to those that take care of patients infected with SARS-CoV2. An employee who identifies himself/herself with the organizational objectives is a satisfied employee, with a job that provides fulfillment considered important at the individual level and from the managerial function perspective, such an employee is a well-performing employee. In this article, we aim to analyze the burnout syndrome, which is becoming more present among medical staff, in the context of the current pandemic with Covid-19. This research is based on the responses of 40 employees operating in a public sector hospital and analyzes what is the psychological impact of medical staff dedicated to the care of patients infected with SARS-CoV2. Although the sample is represented by employees in the health system, the results can be useful to all the managers interested in the level of satisfaction or burnout of his / her direct subordinates.
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Lestari, Marselli Widya, and Dewi Puspitosari H.D. "Problems at a Hospital Concerning Covid-19 Pandemic." In The 7th International Conference on Public Health 2020. Masters Program in Public Health, Universitas Sebelas Maret, 2020. http://dx.doi.org/10.26911/the7thicph.04.28.
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ABSTRACT Background: Many hospitals are challenged with various problems regarding infrastructure and management in providing services during COVID-19 pandemic. Effective hospital management strategy plays an important role in confronting COVID-19. This study aimed to determine the problems faced by a hospital in the time of COVID-19. Subjects and Method: This was a qualitative study conducted at second-line COVID-19 referral hospital, Central Java from May to July 2020. Several health professionals and staff were selected as informants of the study. The data were collected by in-depth interview and document review. The data were analyzed using urgency, seriousness, and growth (USG) method to determine the priority of the problems. Root cause of the problems was analyzed with the aspects of man, method, and material using fishbone diagram. Results: The priority problem in the hospital under study was some of the staff infected with COVID-19. The possible root causes were (1) man: staff behaviors; (2) method: loss to follow-up patients to uptake screening and lack of personal protective equipment (PPE) doffing procedure; and (3) material: lack of disinfectant chambers. Conclusion: Some of the staff infected with COVID-19 is the main problem affecting the hospital under study. Comprehensive and responsiveness of hospital strategic management in line with WHO and CDC guidelines are required to contain the disease transmission. Keywords: hospital problems, COVID-19, strategic management Correspondence: Marselli Widya Lestari. Universitas Nahdlatul Ulama Surabaya. Jl. Raya Jemursari No. 57, Surabaya, East Java, 60237. Email: marselliwidya@gmail.com. Mobile: +6281703341579. DOI: https://doi.org/10.26911/the7thicph.04.28
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Patnaik, Debasis, Shashi L. Yadav, and Nilay Pradeep Rajderkar. "Use of Principal Components Analysis to Identify Relevant Health Care Parameters Among Nursing Staff on Satisfaction Perception of Health Care Services in Selected Hospitals of Goa." In 2022 Interdisciplinary Research in Technology and Management (IRTM). IEEE, 2022. http://dx.doi.org/10.1109/irtm54583.2022.9791597.
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Voevodina, Svetlana, and Evgeny Barinov. "The daily load on the staff as the cause of diagnostic and medical-tactical defects in the work of ambulance." In Issues of determining the severity of harm caused to human health as a result of the impact of a biological factor. ru: Publishing Center RIOR, 2020. http://dx.doi.org/10.29039/conferencearticle_5fdcb03a50d2d2.14051834.
Повний текст джерелаАнотація:
The urgency of the problem is because work on the prehospital stage, especially on the ambulance, implies the difficulty of diagnosing various diseases. This is because in patients who call an ambulance, as a rule, there is a huge range of various diseases and their complications, as well as injuries. Therefore, the purpose of this study was to identify patterns of increase in the main diagnostic and therapeutic tactical defects in the work of ambulance in the conditions of daily workload. The materials of the study were the coupons to the accompanying sheet, since they reflect the continuity in the work of the ambulance and hospitals. Based on the obtained results, conclusions are formulated and goals for further research are indicated.
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Amin Zada, Sayamak. "COVID-19 Health Management and Business Continuity." In SPE Annual Caspian Technical Conference. SPE, 2021. http://dx.doi.org/10.2118/207050-ms.
Повний текст джерелаАнотація:
Abstract Considering the world faces an unprecedented challenge with economies everywhere affected by the COVID-19 pandemic there was an extreme need for coming together to combat the COVID-19 pandemic bringing governments, organizations from across industries and individuals together to manage this global outbreak. From the early stages of pandemic escalation, SOCAR AQS realized that only diversified measures would minimize risks, fulfil the duty of care responsibilities and promote workforce resilience. The establishment of the COVID-19 crisis management team ensured the continuous application of a proactive risk-based approach aligned with governmental regulations on the ground of the most up to date local and international information including the industry best practices. Access to the offices for all relevant staff and visitors was minimized, and the specific procedure for work from home was developed. A combination of preventive measures at all worksites and transportation facilities is held through regular effective disinfection, health checks, continuous access to the required personal protection and hygiene facilities, maintaining social distancing, and careful tracing close contacts for all suspected cases. Health promotion to all staff is conducted through various communication means. Two-stage pre-mobilization COVID-19 screening was implemented through a comprehensive health questionnaire prior to commuting at the entrance of quarantine facilities. There was a week of individual isolation in the designated controlled quarantine facilities with optimal detectability of the virus by the fifth day followed by highly-specific PCR testing before entering operational worksites enables early revealing of an infection prior to its manifestation in the human body. Specific post-illness medical assessment is a key for individual healthy return to work is carried out. Considering vaccines as a critical new tool in the battle against COVID-19, vaccination of all offshore personnel is implemented. As an outcome, the entire process provided a prudent way to ensure the continuation of uninterrupted operations resulted in zero COVID-19 detection at the quarantine worksites by follow-up of suspected cases during first eight months of the pandemic fight in Azerbaijan. In conclusion, the abovementioned statement provides the guidelines for the workforce working on worksites or in offices, and clear expectations of the measures to be taken to ensure COVID-19 health management and smooth business continuity are maintained.
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Amin Zada, Sayamak. "COVID-19 Health Management and Business Continuity." In SPE Annual Caspian Technical Conference. SPE, 2021. http://dx.doi.org/10.2118/207050-ms.
Повний текст джерелаАнотація:
Abstract Considering the world faces an unprecedented challenge with economies everywhere affected by the COVID-19 pandemic there was an extreme need for coming together to combat the COVID-19 pandemic bringing governments, organizations from across industries and individuals together to manage this global outbreak. From the early stages of pandemic escalation, SOCAR AQS realized that only diversified measures would minimize risks, fulfil the duty of care responsibilities and promote workforce resilience. The establishment of the COVID-19 crisis management team ensured the continuous application of a proactive risk-based approach aligned with governmental regulations on the ground of the most up to date local and international information including the industry best practices. Access to the offices for all relevant staff and visitors was minimized, and the specific procedure for work from home was developed. A combination of preventive measures at all worksites and transportation facilities is held through regular effective disinfection, health checks, continuous access to the required personal protection and hygiene facilities, maintaining social distancing, and careful tracing close contacts for all suspected cases. Health promotion to all staff is conducted through various communication means. Two-stage pre-mobilization COVID-19 screening was implemented through a comprehensive health questionnaire prior to commuting at the entrance of quarantine facilities. There was a week of individual isolation in the designated controlled quarantine facilities with optimal detectability of the virus by the fifth day followed by highly-specific PCR testing before entering operational worksites enables early revealing of an infection prior to its manifestation in the human body. Specific post-illness medical assessment is a key for individual healthy return to work is carried out. Considering vaccines as a critical new tool in the battle against COVID-19, vaccination of all offshore personnel is implemented. As an outcome, the entire process provided a prudent way to ensure the continuation of uninterrupted operations resulted in zero COVID-19 detection at the quarantine worksites by follow-up of suspected cases during first eight months of the pandemic fight in Azerbaijan. In conclusion, the abovementioned statement provides the guidelines for the workforce working on worksites or in offices, and clear expectations of the measures to be taken to ensure COVID-19 health management and smooth business continuity are maintained.
Звіти організацій з теми "Hospitals Staff Health and hygiene"
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Carpenter, Jo. Monitoring Inclusion in Crises. Institute of Development Studies, September 2022. http://dx.doi.org/10.19088/k4d.2022.103.
Повний текст джерелаАнотація:
This Briefing Note responds to key challenges articulated by Foreign, Commonwealth & Development (FCDO) staff in monitoring how, and the extent to which, programming, policy and humanitarian interventions in crisis contexts support inclusion. It provides an overview of how to monitor inclusion, focusing on ongoing monitoring during the implementation of interventions. However, there is some crossover with evaluation and learning processes, especially in complex crisis contexts. The information provided is relevant to people working within and across a range of sectors that seek to address the diverse needs that emerge during crises, including social protection; climate resilience and food security; health; water, sanitation and hygiene (WASH); education; livelihoods; infrastructure and economic growth; mental health and psychosocial support; protection; and governance or peacebuilding initiatives.
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Totten, Annette, Dana M. Womack, Marian S. McDonagh, Cynthia Davis-O’Reilly, Jessica C. Griffin, Ian Blazina, Sara Grusing, and Nancy Elder. Improving Rural Health Through Telehealth-Guided Provider-to-Provider Communication. Agency for Healthcare Research and Quality, December 2022. http://dx.doi.org/10.23970/ahrqepccer254.
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Objectives. To assess the use, effectiveness, and implementation of telehealth-supported provider-to-provider communication and collaboration for the provision of healthcare services to rural populations and to inform a scientific workshop convened by the National Institutes of Health Office of Disease Prevention on October 12–14, 2021. Data sources. We conducted a comprehensive literature search of Ovid MEDLINE®, CINAHL®, Embase®, and Cochrane CENTRAL. We searched for articles published from January 1, 2015, to October 12, 2021, to identify data on use of rural provider-to-provider telehealth (Key Question 1) and the same databases for articles published January 1, 2010, to October 12, 2021, for studies of effectiveness and implementation (Key Questions 2 and 3) and to identify methodological weaknesses in the research (Key Question 4). Additional sources were identified through reference lists, stakeholder suggestions, and responses to a Federal Register notice. Review methods. Our methods followed the Agency for Healthcare Research and Quality Methods Guide (available at https://effectivehealthcare.ahrq.gov/topics/cer-methods-guide/overview) and the PRISMA reporting guidelines. We used predefined criteria and dual review of abstracts and full-text articles to identify research results on (1) regional or national use, (2) effectiveness, (3) barriers and facilitators to implementation, and (4) methodological weakness in studies of provider-to-provider telehealth for rural populations. We assessed the risk of bias of the effectiveness studies using criteria specific to the different study designs and evaluated strength of evidence (SOE) for studies of similar telehealth interventions with similar outcomes. We categorized barriers and facilitators to implementation using the Consolidated Framework for Implementation Research (CFIR) and summarized methodological weaknesses of studies. Results. We included 166 studies reported in 179 publications. Studies on the degree of uptake of provider-to-provider telehealth were limited to specific clinical uses (pharmacy, psychiatry, emergency care, and stroke management) in seven studies using national or regional surveys and claims data. They reported variability across States and regions, but increasing uptake over time. Ninety-seven studies (20 trials and 77 observational studies) evaluated the effectiveness of provider-to-provider telehealth in rural settings, finding that there may be similar rates of transfers and lengths of stay with telehealth for inpatient consultations; similar mortality rates for remote intensive care unit care; similar clinical outcomes and transfer rates for neonates; improvements in medication adherence and treatment response in outpatient care for depression; improvements in some clinical monitoring measures for diabetes with endocrinology or pharmacy outpatient consultations; similar mortality or time to treatment when used to support emergency assessment and management of stroke, heart attack, or chest pain at rural hospitals; and similar rates of appropriate versus inappropriate transfers of critical care and trauma patients with specialist telehealth consultations for rural emergency departments (SOE: low). Studies of telehealth for education and mentoring of rural healthcare providers may result in intended changes in provider behavior and increases in provider knowledge, confidence, and self-efficacy (SOE: low). Patient outcomes were not frequently reported for telehealth provider education, but two studies reported improvement (SOE: low). Evidence for telehealth interventions for other clinical uses and outcomes was insufficient. We identified 67 program evaluations and qualitative studies that identified barriers and facilitators to rural provider-to-provider telehealth. Success was linked to well-functioning technology; sufficient resources, including time, staff, leadership, and equipment; and adequate payment or reimbursement. Some considerations may be unique to implementation of provider-to-provider telehealth in rural areas. These include the need for consultants to better understand the rural context; regional initiatives that pool resources among rural organizations that may not be able to support telehealth individually; and programs that can support care for infrequent as well as frequent clinical situations in rural practices. An assessment of methodological weaknesses found that studies were limited by less rigorous study designs, small sample sizes, and lack of analyses that address risks for bias. A key weakness was that studies did not assess or attempt to adjust for the risk that temporal changes may impact the results in studies that compared outcomes before and after telehealth implementation. Conclusions. While the evidence base is limited, what is available suggests that telehealth supporting provider-to-provider communications and collaboration may be beneficial. Telehealth studies report better patient outcomes in some clinical scenarios (e.g., outpatient care for depression or diabetes, education/mentoring) where telehealth interventions increase access to expertise and high-quality care. In other applications (e.g., inpatient care, emergency care), telehealth results in patient outcomes that are similar to usual care, which may be interpreted as a benefit when the purpose of telehealth is to make equivalent services available locally to rural residents. Most barriers to implementation are common to practice change efforts. Methodological weaknesses stem from weaker study designs, such as before-after studies, and small numbers of participants. The rapid increase in the use of telehealth in response to the Coronavirus disease 2019 (COVID-19) pandemic is likely to produce more data and offer opportunities for more rigorous studies.
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Fatehifar, Mohsen, Josef Schlittenlacher, David Wong, and Kevin Munro. Applications Of Automatic Speech Recognition And Text-To-Speech Models To Detect Hearing Loss: A Scoping Review Protocol. INPLASY - International Platform of Registered Systematic Review and Meta-analysis Protocols, January 2023. http://dx.doi.org/10.37766/inplasy2023.1.0029.
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Review question / Objective: This scoping review aims to identify published methods that have used automatic speech recognition or text-to-speech recognition technologies to detect hearing loss and report on their accuracy and limitations. Condition being studied: Hearing enables us to communicate with the surrounding world. According to reports by the World Health Organization, 1.5 billion suffer from some degree of hearing loss of which 430 million require medical attention. It is estimated that by 2050, 1 in every 4 people will experience some sort of hearing disability. Hearing loss can significantly impact people’s ability to communicate and makes social interactions a challenge. In addition, it can result in anxiety, isolation, depression, hindrance of learning, and a decrease in general quality of life. A hearing assessment is usually done in hospitals and clinics with special equipment and trained staff. However, these services are not always available in less developed countries. Even in developed countries, like the UK, access to these facilities can be a challenge in rural areas. Moreover, during a crisis like the Covid-19 pandemic, accessing the required healthcare can become dangerous and challenging even in large cities.
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Health Education Materials for the Workplace: Tools. Population Council, 2017. http://dx.doi.org/10.31899/sbsr2017.1007.
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Companies can derive many benefits from educating workers on health. Yet workplaces in many lower income countries have a need for easy-to-access, on-demand health education materials. The Evidence Project/Meridian in partnership with Bayer has developed a set of health education materials for these industrial and agricultural workplaces. The materials cover important health issues facing women and men workers: - Family Planning - Engaged Fathers and Health - Healthy Timing and Spacing of Pregnancy - Menstrual Hygiene - Handwashing These materials are designed to be printed at the workplace on desktop printers, making the materials easy to access and available on demand. They are available in English, Bengali (approved by the Ministry of Health), and Arabic. The materials, in color and black and white (to save on printing costs), come in three types: - Mini-Posters (MP), to be posted in public areas - Handouts (HO), for workers to take home and containing a bit more information - Supplemental materials (QA) to reinforce learning. Each workplace can determine how best to use these materials. The Implementation Guide gives workplace health staff and managers ideas for fitting the materials into their health promotion activities. There is also a User’s Guide for Brands/Retailers, NGOs and other interested parties explaining how the materials can be used in their workplace programs in global supply chains.
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Honduras: Postpartum and postabortion patients want family planning. Population Council, 2001. http://dx.doi.org/10.31899/rh2001.1014.
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Approximately half of deliveries in Honduras take place in hospitals, however hospitals rarely offer family planning (FP) services to postpartum or postabortion patients. In 1999, the Honduran Ministry of Health and the Population Council began a two-year project to expand access to FP counseling and methods following childbirth or treatment for incomplete abortion. The intervention built upon a previous Population Council project that showed that 30 percent of women hospitalized for a delivery or an abortion-related complication were interested in adopting an FP method prior to discharge. In all five hospitals participating in the study, delivery was the principal reason for admission. Admission for abortion complications was also relatively common. The intervention consisted of training all staff members assisting postpartum and postabortion women in FP service promotion and counseling; training 65 physicians and nurses in contraceptive methodology; providing FP methods, equipment, and educational aids; and supervising activities. As detailed in this brief, when providers were trained to provide FP counseling and methods to postpartum and postabortion women, the proportion of women receiving this information doubled and the proportion who received a method tripled.
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Burkina Faso: Upgrading postabortion care benefits patients and providers. Frontiers in Reproductive Health, 2000. http://dx.doi.org/10.31899/rh2000.1002.
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At the request of the Family Health Directorate of the Ministry of Health in Burkina Faso, the Reproductive Health Research Network (CRESAR) conducted a study during 1996–98 to introduce emergency care for women with complications from miscarriage or unsafe abortion. With technical assistance from the Population Council and JHPIEGO, CRESAR trained staff at two large hospitals in Ouagadougou and Bobo-Dioulasso to provide postabortion care (PAC). Training for physicians, nurses, and midwives covered manual vacuum aspiration, family planning methods, infection prevention, and communication with patients. Staff also participated in the development of policies and standards for PAC services. To measure changes in knowledge and behavior, CRESAR interviewed 330 patients with abortion complications and 78 providers before the intervention, and 456 patients and 41 providers after the intervention. This brief states that training hospital staff to improve emergency medical care for women with miscarriage and unsafe abortion leads to better patient care, shorter hospital stays, lower costs, and increased contraceptive use, and that local anesthesia is essential for pain control.
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Experience with clinical training in postabortion care in Egypt: Improving medical and interpersonal skills. Population Council, 1997. http://dx.doi.org/10.31899/rh1997.1019.
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The Population Council’s Asia and Near East Operations Research and Technical Assistance (ANE OR/TA) Project is collaborating with AVSC International to incorporate the addition of improved postabortion care procedures into the ongoing Safe Reproductive Health Care project. An element in the next phase of the program’s evolution was a two-day seminar held in Alexandria, Egypt. This seminar provided an opportunity for staff from ten hospitals that participated in the 1996–97 expansion program to present their own experience and impressions of the postabortion case-management procedures, and to discuss their strengths and weaknesses. This report presents an overview of this meeting’s presentations and discussions.
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Monetary Policy Report - July 2022. Banco de la República, October 2022. http://dx.doi.org/10.32468/inf-pol-mont-eng.tr3-2022.
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In the second quarter, annual inflation (9.67%), the technical staff’s projections and its expectations continued to increase, remaining above the target. International cost shocks, accentuated by Russia's invasion of Ukraine, have been more persistent than projected, thus contributing to higher inflation. The effects of indexation, higher than estimated excess demand, a tighter labor market, inflation expectations that continue to rise and currently exceed 3%, and the exchange rate pressures add to those described above. High core inflation measures as well as in the producer price index (PPI) across all baskets confirm a significant spread in price increases. Compared to estimates presented in April, the new forecast trajectory for headline and core inflation increased. This was partly the result of greater exchange rate pressure on prices, and a larger output gap, which is expected to remain positive for the remainder of 2022 and which is estimated to close towards yearend 2023. In addition, these trends take into account higher inflation rate indexation, more persistent above-target inflation expectations, a quickening of domestic fuel price increases due to the correction of lags versus the parity price and higher international oil price forecasts. The forecast supposes a good domestic supply of perishable foods, although it also considers that international prices of processed foods will remain high. In terms of the goods sub-basket, the end of the national health emergency implies a reversal of the value-added tax (VAT) refund applied to health and personal hygiene products, resulting in increases in the prices of these goods. Alternatively, the monetary policy adjustment process and the moderation of external shocks would help inflation and its expectations to begin to decrease over time and resume their alignment with the target. Thus, the new projection suggests that inflation could remain high for the second half of 2022, closing at 9.7%. However, it would begin to fall during 2023, closing the year at 5.7%. These forecasts are subject to significant uncertainty, especially regarding the future behavior of external cost shocks, the degree of indexation of nominal contracts and decisions made regarding the domestic price of fuels. Economic activity continues to outperform expectations, and the technical staff’s growth projections for 2022 have been revised upwards from 5% to 6.9%. The new forecasts suggest higher output levels that would continue to exceed the economy’s productive capacity for the remainder of 2022. Economic growth during the first quarter was above that estimated in April, while economic activity indicators for the second quarter suggest that the GDP could be expected to remain high, potentially above that of the first quarter. Domestic demand is expected to maintain a positive dynamic, in particular, due to the household consumption quarterly growth, as suggested by vehicle registrations, retail sales, credit card purchases and consumer loan disbursement figures. A slowdown in the machinery and equipment imports from the levels observed in March contrasts with the positive performance of sales and housing construction licenses, which indicates an investment level similar to that registered for the first three months of the year. International trade data suggests the trade deficit would be reduced as a consequence of import levels that would be lesser than those observed in the first quarter, and stable export levels. For the remainder of the year and 2023, a deceleration in consumption is expected from the high levels seen during the first half of the year, partially as a result of lower repressed demand, tighter domestic financial conditions and household available income deterioration due to increased inflation. Investment is expected to continue its slow recovery while remaining below pre-pandemic levels. The trade deficit is expected to tighten due to projected lower domestic demand dynamics, and high prices of oil and other basic goods exported by the country. Given the above, economic growth in the second quarter of 2022 would be 11.5%, and for 2022 and 2023 an annual growth of 6.9% and 1.1% is expected, respectively. Currently, and for the remainder of 2022, the output gap would be positive and greater than that estimated in April, and prices would be affected by demand pressures. These projections continue to be affected by significant uncertainty associated with global political tensions, the expected adjustment of monetary policy in developed countries, external demand behavior, changes in country risk outlook, and the future developments in domestic fiscal policy, among others. The high inflation levels and respective expectations, which exceed the target of the world's main central banks, largely explain the observed and anticipated increase in their monetary policy interest rates. This environment has tempered the growth forecast for external demand. Disruptions in value chains, rising international food and energy prices, and expansionary monetary and fiscal policies have contributed to the rise in inflation and above-target expectations seen by several of Colombia’s main trading partners. These cost and price shocks, heightened by the effects of Russia's invasion of Ukraine, have been more prevalent than expected and have taken place within a set of output and employment recovery, variables that in some countries currently equal or exceed their projected long-term levels. In response, the U.S. Federal Reserve accelerated the pace of the benchmark interest rate increase and rapidly reduced liquidity levels in the money market. Financial market actors expect this behavior to continue and, consequently, significantly increase their expectations of the average path of the Fed's benchmark interest rate. In this setting, the U.S. dollar appreciated versus the peso in the second quarter and emerging market risk measures increased, a behavior that intensified for Colombia. Given the aforementioned, for the remainder of 2022 and 2023, the Bank's technical staff increased the forecast trajectory for the Fed's interest rate and reduced the country's external demand growth forecast. The projected oil price was revised upward over the forecast horizon, specifically due to greater supply restrictions and the interruption of hydrocarbon trade between the European Union and Russia. Global geopolitical tensions, a tightening of monetary policy in developed economies, the increase in risk perception for emerging markets and the macroeconomic imbalances in the country explain the increase in the projected trajectory of the risk premium, its trend level and the neutral real interest rate1. Uncertainty about external forecasts and their consequent impact on the country's macroeconomic scenario remains high, given the unpredictable evolution of the conflict between Russia and Ukraine, geopolitical tensions, the degree of the global economic slowdown and the effect the response to recent outbreaks of the pandemic in some Asian countries may have on the world economy. This macroeconomic scenario that includes high inflation, inflation forecasts, and expectations above 3% and a positive output gap suggests the need for a contractionary monetary policy that mitigates the risk of the persistent unanchoring of inflation expectations. In contrast to the forecasts of the April report, the increase in the risk premium trend implies a higher neutral real interest rate and a greater prevailing monetary stimulus than previously estimated. For its part, domestic demand has been more dynamic, with a higher observed and expected output level that exceeds the economy’s productive capacity. The surprising accelerations in the headline and core inflation reflect stronger and more persistent external shocks, which, in combination with the strength of aggregate demand, indexation, higher inflation expectations and exchange rate pressures, explain the upward projected inflation trajectory at levels that exceed the target over the next two years. This is corroborated by the inflation expectations of economic analysts and those derived from the public debt market, which continued to climb and currently exceed 3%. All of the above increase the risk of unanchoring inflation expectations and could generate widespread indexation processes that may push inflation away from the target for longer. This new macroeconomic scenario suggests that the interest rate adjustment should continue towards a contractionary monetary policy landscape. 1.2. Monetary policy decision Banco de la República’s Board of Directors (BDBR), at its meetings in June and July 2022, decided to continue adjusting its monetary policy. At its June meeting, the BDBR decided to increase the monetary policy rate by 150 basis points (b.p.) and its July meeting by majority vote, on a 150 b.p. increase thereof at its July meeting. Consequently, the monetary policy interest rate currently stands at 9.0% . 1 The neutral real interest rate refers to the real interest rate level that is neither stimulative nor contractionary for aggregate demand and, therefore, does not generate pressures that lead to the close of the output gap. In a small, open economy like Colombia, this rate depends on the external neutral real interest rate, medium-term components of the country risk premium, and expected depreciation. Box 1: A Weekly Indicator of Economic Activity for Colombia Juan Pablo Cote Carlos Daniel Rojas Nicol Rodriguez Box 2: Common Inflationary Trends in Colombia Carlos D. Rojas-Martínez Nicolás Martínez-Cortés Franky Juliano Galeano-Ramírez Box 3: Shock Decomposition of 2021 Forecast Errors Nicolás Moreno Arias