Your browser doesn't support javascript.
loading
Show: 20 | 50 | 100
Results 1 - 20 de 67.591
Filter
1.
Rural Remote Health ; 22(1): 7050, 2022 02.
Article in English | MEDLINE | ID: mdl-35119906

ABSTRACT

INTRODUCTION: Past studies examined factors associated with rural practice, but none employed newer machine learning (ML) methods to explore potential predictors. The primary aim of this study was to identify factors related to practice in a rural area. Secondary aims were to capture a more precise understanding of the demographic characteristics of the healthcare professions workforce in Utah (USA) and to assess the viability of ML as a predictive tool. METHODS: This study incorporated four datasets - the 2017 dental workforce, the 2016 physician workforce, the 2014 nursing workforce and the 2017 pharmacy workforce - collected by the Utah Medical Education Council. Supervised ML techniques were used to identify factors associated with practice location, the outcome variable of interest. RESULTS: The study sample consisted of 11 259 healthcare professionals with an average age of 46.6 years, of which 36.6% were males and 94.5% Caucasian. Four ML methods were applied to assess model performance by comparing accuracy, sensitivity, specificity and area under the receiver operating characteristic (ROC) curve. Of the methods used, support vector machine performed the best (accuracy 99.7%, precision 100%, sensitivity 100%, specificity 99.4% and ROC 0.997). The models identified income and rural upbringing as the top factors associated with rural practice. CONCLUSION: By far, income emerged as the most important factor associated with rural practice, suggesting that attractive income offers might help rural communities address health professional shortages. Rural upbringing was the next most important predictive factor, validating and updating earlier research. The performance of the ML algorithms suggests their usefulness as a tool to model other databases for individualized prediction.


Subject(s)
Rural Health Services , Delivery of Health Care , Health Personnel , Humans , Machine Learning , Male , Middle Aged , Professional Practice Location , Workforce
2.
J Man Manip Ther ; 30(2): 105-115, 2022 Apr.
Article in English | MEDLINE | ID: mdl-34678129

ABSTRACT

INTRODUCTION: Low back pain (LBP) is ranked as the first musculoskeletal disorder considering years lived with disability worldwide. Despite numerous guidelines promoting a bio-psycho-social (BPS) approach in the management of patients with LBP, many health care professionals (HCPs) still manage LBP patients mainly from a biomedical point of view. OBJECTIVE: The purpose of this pilot study was to evaluate the feasibility of implementing an interactive e-learning module on the management of LBP in HCPs. METHODS: n total 22 HCPs evaluated the feasibility of the e-learning module with a questionnaire and open questions. Participants filled in the Back Pain Attitude Questionnaire (Back-PAQ) before and after completing the module to evaluate their attitudes and beliefs about LBP. RESULTS: The module was structured and easy to complete (91%) and met the expectations of the participants (86%). A majority agreed that the module improved their knowledge (69%). Some participants (77%) identified specific topics that might be discussed in more detail in the module. HCPs knowledge, beliefs and attitudes about LBP significantly improved following module completion (t = -7.63, P < .001) with a very large effect size (ds = -1.63). CONCLUSION: I The module seems promising to change knowledge, attitudes and beliefs of the participants. There is an urgent need to develop and investigate the effect of educational interventions to favor best practice in LBP management and this type of e-learning support could promote the transition from a biomedical to a bio-psycho-social management of LBP in HCPs.


Subject(s)
Computer-Assisted Instruction , Low Back Pain , Health Knowledge, Attitudes, Practice , Health Personnel , Humans , Low Back Pain/therapy , Pilot Projects
3.
Multimedia | Multimedia Resources | ID: multimedia-9759

ABSTRACT

Clip de apresentação do Curso de Pós Graduação (Latu Sensu) Especialização em Homeopatia, que acontece no auditório da APH - Associação Paulista de Homeopatia, com realização da Alpha Educacional.


Subject(s)
Homeopathy/education , Health Personnel/education , Health Human Resource Training
4.
Multimedia | Multimedia Resources | ID: multimedia-9742

ABSTRACT

No segundo episódio do podcast da Secreta Municipal da Saúde de São Paulo, recebemos o psiquiatra Flávio José Gosling para responder a seguinte questão: qual o impacto da pandemia da Covid-19 na saúde do profissional?


Subject(s)
COVID-19 , Health Personnel
5.
Multimedia | Multimedia Resources | ID: multimedia-9685

ABSTRACT

O webinário abordará a importância, as possibilidades e as oportunidades para o breve aconselhamento sobre diferentes comportamentos, por parte de diferentes profissionais, na rotina de serviço das UBS. Também se pretende refletir sobre os obstáculos para o breve aconselhamento e os resultados observados a partir da sua prática. As UBS e suas equipes são responsáveis por cuidar dos indivíduos e de suas famílias, por meio de consultas de rotina, visitas domiciliares e acompanhamento de condições como diabetes mellitus e hipertensão arterial sistêmica, entre outros serviços. Dessa forma, todo e qualquer contato das equipes com os usuários, na rotina do serviço, deve ser considerado uma oportunidade para a promoção da saúde. Nesse sentido, o breve aconselhamento em saúde será debatido enquanto estratégia relativamente simples e com grande potencial de promoção de saúde, principalmente por envolver linguagem acessível e objetiva. Breve aconselhamento em Atenção Primária à Saúde. Considerado pela Organização Mundial da Saúde (OMS) como uma importante ferramenta no contexto da prevenção e controle das doenças crônicas, o breve aconselhamento é uma ação educativa, e qualquer profissional de saúde pode oferecê-lo. Com duração média de 10 minutos, é uma abordagem feita durante a consulta clínica, para a modificação de diferentes comportamentos associados ao estilo de vida (alimentação, atividade física, consumo de álcool e tabagismo), no contexto dos cuidados primários de saúde. A padronização dessa abordagem permite mais eficiência no funcionamento dos serviços de saúde, garantindo uma base de intervenção e facilitando o monitoramento das ações. Além disso, a implementação do breve aconselhamento e a identificação precoce de doenças aumentam as oportunidades de acompanhamento e uma melhor articulação entre os profissionais de saúde. A prática é uma medida de prevenção e deve ser realizada durante as consultas nos serviços de APS, considerando adicionalmente a necessidade de referenciar de acordo com os fluxos para o cuidado integral em saúde. A abordagem pode contribuir para a diminuição de doenças como diabetes e obesidade, para o melhor controle após a sua instalação, para o menor risco de complicações associadas e, consequentemente, para a menor necessidade de utilização de serviços de saúde especializados futuramente.


Subject(s)
Primary Health Care/standards , Food Guide , Diet, Healthy , Healthy Lifestyle , Whole Foods , Feeding Behavior , Food Security , Industrialized Foods , Exercise , Quality of Life , Brazil , Tobacco Use Disorder/prevention & control , Health Promotion , Health Personnel
6.
Multimedia | Multimedia Resources | ID: multimedia-9691

ABSTRACT

O II Seminário Internacional de Alimentação e Nutrição na Atenção Primária à Saúde teve como objetivo disseminar informações técnico-científicas e promover trocas de experiências a partir de espaços de discussão e proposição de ações em conjunto com coordenadores estaduais e municipais de alimentação e nutrição, gestores e profissionais envolvidos no desenvolvimento destas ações nos territórios, além de pesquisadores, estudantes e demais interessados no tema. Esse contou com um público de 5 mil pessoas, residentes em mais de 50 países. Houve o lançamento de duas importantes publicações: Recomendações para o Fortalecimento da Atenção Nutricional na Atenção Primária à Saúde no Brasil e Matriz para Organização dos Cuidados em Alimentação e Nutrição na Atenção Primária à Saúde. Esses materiais foram desenvolvidos para dar apoio técnico aos gestores e profissionais na organização da atenção nutricional e na formulação de estratégias de cuidado nos territórios cobertos pela APS no Brasil, buscando reverter cenários de má nutrição.


Subject(s)
Nutrition Policy , Food Security , Diet, Healthy , Noncommunicable Diseases/prevention & control , Food Insecurity , Local Health Systems , Sustainable Development , Malnutrition/prevention & control , Primary Health Care , Intersectoral Collaboration , Nutritional Surveillance , Policy Making , Industrialized Foods , Health Promotion , Prisoners , Feeding Behavior , Family Health , COVID-19/epidemiology , Community Health Workers , Health Care Rationing/economics , Health Personnel/education , Healthy Lifestyle , Quality of Life , Food and Nutrition Education , Whole Foods
7.
Multimedia | Multimedia Resources | ID: multimedia-9693

ABSTRACT

O II Seminário Internacional de Alimentação e Nutrição na Atenção Primária à Saúde teve como objetivo disseminar informações técnico-científicas e promover trocas de experiências a partir de espaços de discussão e proposição de ações em conjunto com coordenadores estaduais e municipais de alimentação e nutrição, gestores e profissionais envolvidos no desenvolvimento destas ações nos territórios, além de pesquisadores, estudantes e demais interessados no tema. Esse contou com um público de 5 mil pessoas, residentes em mais de 50 países. Houve o lançamento de duas importantes publicações: Recomendações para o Fortalecimento da Atenção Nutricional na Atenção Primária à Saúde no Brasil e Matriz para Organização dos Cuidados em Alimentação e Nutrição na Atenção Primária à Saúde. Esses materiais foram desenvolvidos para dar apoio técnico aos gestores e profissionais na organização da atenção nutricional e na formulação de estratégias de cuidado nos territórios cobertos pela APS no Brasil, buscando reverter cenários de má nutrição.


Subject(s)
Primary Health Care , Nutrition Policy , Food Security , Food Insecurity , Health Personnel/education , Food and Nutrition Education , Health Promotion , Local Health Systems , Healthy Lifestyle , Quality of Life , Diet, Healthy , School Health Services , Nutritional Surveillance , COVID-19/epidemiology , Child Nutrition/education , Industrialized Foods , Noncommunicable Diseases/prevention & control , Food Publicity , Exercise , Feeding Behavior
9.
Turk J Gastroenterol ; 33(5): 427-433, 2022 05.
Article in English | MEDLINE | ID: mdl-35678801

ABSTRACT

BACKGROUND: The hepatitis B vaccination has been strongly recommended by regulatory bodies. However, there are great discrepan- cies between routine practices and the recommendations of regulatory agencies in many countries. We aimed to identify the barriers against Hepatitis B Vaccination (HBV) for high-risk patients by comparing the awareness, attitude, and knowledge among vaccinated and unvaccinated patients. METHODS: A 34-item questionnaire was applied to 156 patients, consisting of renal transplant recipients, allogeneic hematopoietic stem cell transplant recipients, and patients with chronic hepatitis C. Multiple logistic regression analysis was employed to identify indepen- dent predictors for patients receiving the hepatitis B virus vaccination. RESULTS: The multiple logistic regression analysis revealed that the independent risk factors against the HBV vaccination were a require- ment of a separate appointment for hepatitis B virus vaccination (aOR: 3.35, 95% CI, 1.18-9.47), and fear of severe side effects that can be related with hepatitis B virus vaccination (aOR: 3.67, 95% CI, 1.18-9.47). However, taking a recommendation for hepatitis B virus vaccination at least once from a health care provider (aOR: 0.04, 95% CI, 0.01-0.11), and having a health insurance (aOR: 0.09, 95% CI, 0.01-0.55) were independent protective factors for being vaccinated. In further analysis among patients with at least a single dose of vaccine, the lack of recommendation from a health care provider for hepatitis B virus vaccination and the absence of a healthcare pro- vider who is responsible for monitoring the completion of the 3-dose vaccination were identified as independent risk factors for failure to complete the 3-dose hepatitis B virus vaccination. CONCLUSION: In high-risk adults, the barriers against hepatitis B virus vaccination should be handled by a comprehensive action plan to achieve the WHO 2030 hepatitis elimination target.


Subject(s)
Hepatitis B , Adult , Cross-Sectional Studies , Fear , Health Personnel , Hepatitis B/prevention & control , Hepatitis B Vaccines/adverse effects , Hepatitis B virus/immunology , Humans , Vaccination
10.
Article in English | MEDLINE | ID: mdl-35682394

ABSTRACT

INTRODUCTION: The SARS-CoV-2 pandemic has involved healthcare workers (HCWs) both as caregivers and as patients. This study is a retrospective cross-sectional analysis of the HCWs working in a third-level hospital in Central Italy who were infected with COVID-19 from March 2020 to April 2021. This research aims at identifying the physical and mental health outcomes of HCWs infected with COVID-19 who returned to work after the infection, the determinants of those outcomes, such as age and sex, and the identification of possible vulnerable professional groups. METHODS: A questionnaire about the acute illness, the experience of returning to work, and health perceptions after the disease was administered to 427 healthcare workers 3 months after recovering from the SARS-CoV-2 infection. RESULTS: The majority interviewed (84.5%) reported symptoms at the time of the positive test, with no significant differences regarding age or sex, while a significant difference in the mean age was found regarding hospitalization (p < 0.001). At 3 months after the infection, females (p = 0.001), older workers (p < 0.001), and healthcare assistants (p < 0.001) were more likely to report persistent symptoms. Sex (p = 0.02) and age (p = 0.006) influenced the quality of sleep after the infection. At work, the nurses group reported increase in workload (p = 0.03) and worse relationships (p = 0.028). At 3 months after the infection, female workers perceived worse physical (p = 0.002) and mental (p < 0.001) health status according to the SF-12. A negative correlation was found between age and PCS score (p < 0.001) but not MCS score (p = 0.86). A significant difference in PCS score was found between nurses and physicians (p = 0.04) and between residents and all other groups (p < 0.001). Finally, the group of workers reporting sleep alterations showed lower PCS and MCS scores (p < 0.001) and working relationships had an impact on MCS scores (p < 0.001). CONCLUSIONS: Age, sex, and type of job had an impact on physical and mental outcomes. Organizing specific interventions, also tailored to professional sub-groups, should be a target for healthcare systems to protect and boost the physical and mental health of their workers.


Subject(s)
COVID-19 , COVID-19/epidemiology , Cross-Sectional Studies , Female , Health Personnel/psychology , Humans , Mental Health , Retrospective Studies , Return to Work , SARS-CoV-2
11.
Intensive Crit Care Nurs ; 72: 103266, 2022 Oct.
Article in English | MEDLINE | ID: mdl-35688751

ABSTRACT

INTRODUCTION: Mobile phones have become indispensable accessories of both our social and professional lives. They increase the quality of healthcare by providing fast communication, and easy access to laboratory results, imaging and patients' files. Simultaneously however, they may act as vectors for potentially pathogenic micro-organisms and as such hold a potential risk for nosocomial infection. OBJECTIVES: To assess the risk of mobile phones as vectors for nosocomial infection and the impact of disinfecting mobile phones on infection risks. METHODS: The MEDLINE and Embase database were searched from January 2000 - January 2019 for a systematic review according to PRISMA guidelines. Eligible studies of any design were critically appraised by two independent reviewers. RESULTS: We identified 50 studies, of which 12 were interventional. Data for a total of 5425 microbiological samples resulted in a prevalence of potentially pathogenic micro-organisms from 0% to 100%. The 2 most commonly found micro-organisms were coagulase-negative staphylococci (most commonly found in 30 studies) and Staphylococcus aureus (most commonly found in 10 studies). The frequency of microbial growth varied across studies. CONCLUSIONS: The use of mobile phones by healthcare workers without proper disinfection may imply a risk for nosocomial infection. A direct relationship however, remains unproven. Healthcare workers are recommended to include proper handling of mobile phones in their 'classic' hand hygiene routine as proposed by the World Health Organisation.


Subject(s)
Cell Phone , Cross Infection , Hand Hygiene , Cross Infection/microbiology , Cross Infection/prevention & control , Delivery of Health Care , Health Personnel , Humans
13.
Mult Scler Relat Disord ; 63: 103930, 2022 Jul.
Article in English | MEDLINE | ID: mdl-35700672

ABSTRACT

Cognitive difficulties in MS are widely acknowledged to have a major negative impact on the lives of people with MS (PwMS). However they are viewed as "invisible" symptoms, sometimes overlooked or ignored by health professionals. DL and CAY are in the process of writing a cognition handbook for MS clinics, summarising practical information to help the MS multidisciplinary team improve care for PwMS who have cognitive difficulties. We convened a stakeholder panel and offered a survey at a major MS professional education conference, to understand what content would be most helpful for our clinic handbook. The survey showed that health professionals think that cognition is not generally addressed well by clinics and that infrastructure and resources, education and information for both PwMS and professionals, and technologies to assess and treat cognition are all required to deliver better cognition services in MS clinics.


Subject(s)
Delivery of Health Care , Multiple Sclerosis , Cognition , Health Personnel , Humans , Multiple Sclerosis/complications , Multiple Sclerosis/therapy , Surveys and Questionnaires
14.
BMC Health Serv Res ; 22(1): 808, 2022 Jun 22.
Article in English | MEDLINE | ID: mdl-35733211

ABSTRACT

BACKGROUND: Investigations of implementation factors (e.g., collegial support and sense of coherence) are recommended to better understand and address inadequate implementation outcomes. Little is known about the relationship between implementation factors and outcomes, especially in later phases of an implementation effort. The aims of this study were to assess the association between implementation success (measured by programme fidelity) and care providers' perceptions of implementation factors during an implementation process and to investigate whether these perceptions are affected by systematic implementation support. METHODS: Using a cluster-randomized design, mental health clinics were drawn to receive implementation support for one (intervention) and not for another (control) of four evidence-based practices. Programme fidelity and care providers' perceptions (Implementation Process Assessment Tool questionnaire) were scored for both intervention and control groups at baseline, 6-, 12- and 18-months. Associations and group differences were tested by means of descriptive statistics (mean, standard deviation and confidence interval) and linear mixed effect analysis. RESULTS: Including 33 mental health centres or wards, we found care providers' perceptions of a set of implementation factors to be associated with fidelity but not at baseline. After 18 months of implementation effort, fidelity and care providers' perceptions were strongly correlated (B (95% CI) = .7 (.2, 1.1), p = .004). Care providers perceived implementation factors more positively when implementation support was provided than when it was not (t (140) = 2.22, p = .028). CONCLUSIONS: Implementation support can facilitate positive perceptions among care providers, which is associated with higher programme fidelity. To improve implementation success, we should pay more attention to how care providers constantly perceive implementation factors during all phases of the implementation effort. Further research is needed to investigate the validity of our findings in other settings and to improve our understanding of ongoing decision-making among care providers, i.e., the mechanisms of sustaining the high fidelity of recommended practices. TRIAL REGISTRATION: ClinicalTrials.gov Identifier: NCT03271242 (registration date: 05.09.2017).


Subject(s)
Health Personnel , Health Plan Implementation/standards , Mental Health Services/standards , Mental Health , Quality Improvement , Evidence-Based Practice , Health Personnel/psychology , Humans , Process Assessment, Health Care , Surveys and Questionnaires
16.
J Pak Med Assoc ; 72(6): 1232-1234, 2022 Jun.
Article in English | MEDLINE | ID: mdl-35751345

ABSTRACT

Faith healing has been prevalent in the South Asian society since time immemorial. This is often coupled with alternative and complementary systems of medicine and attract a large proportion of people belonging to different sects, religions, and organizations. Though based on blinded trust, it does address the psychosomatic component of chronic disorders and hence does make the patient feel better. In this article the authors highlight the significant role of modern medicine in patients with certain endocrine and systemic disorders but also explore futuristic options to utilize these different systems in amalgamation for the better control and treatment of endocrine disorders like diabetes.


Subject(s)
Diabetes Mellitus , Faith Healing , Asia/epidemiology , Diabetes Mellitus/epidemiology , Diabetes Mellitus/therapy , Health Personnel , Humans , Religion
17.
J Pak Med Assoc ; 72(6): 1243-1245, 2022 Jun.
Article in English | MEDLINE | ID: mdl-35751350

ABSTRACT

Medical profession is demanding and requires long working hours, lengthy procedures, and constant posturing. Musculoskeletal disorders are common among health care professionals (HCP). The commonest musculoskeletal disorders reported include pain in the neck, back, shoulders, elbows, wrists, repetitive strain disorders, nerve injuries and chronic pain disorders. It can result in reduced performance, poor quality of life and significant disability. Ergonomics is the science of adapting the job, equipment, and the humans to each other for optimal safety and productivity. If workplace of a HCP is ergonomically inadequate it will lead to musculoskeletal disorders. The main ergonomic issues include sustained postures, repetitive tasks, forceful hand exertions, use of equipment and precision requirement. In order to prevent ergonomic related injuries, there is a need to increase awareness among HCPs regarding physical fitness, correct posturing, ergonomic adjustments in equipment and environment, and early recognition of problems specific to field.


Subject(s)
Musculoskeletal Diseases , Occupational Diseases , Ergonomics/methods , Health Personnel , Humans , Musculoskeletal Diseases/epidemiology , Musculoskeletal Diseases/prevention & control , Occupational Diseases/prevention & control , Quality of Life
18.
Int J Prison Health ; ahead-of-print(ahead-of-print)2022 Jun 28.
Article in English | MEDLINE | ID: mdl-35751659

ABSTRACT

PURPOSE: The purpose of this study was to systematically review literature to investigate trends in compassionate release policies, facility implementation, barriers at both the incarcerated individual and institutional levels, as well as gaps in the literature. The absence of uniform and appropriate policies to address suitable interventions at the end-of-life has aggravated the challenges and issues facing health-care systems within a correctional facility. A response to address and alleviate these barriers is policies related to compassionate release, a complex route that grants eligible inmates the opportunity to die in their community. Despite the existence of compassionate release policies, only 4% of requests to the Federal Bureau of Prisons are granted, with evidence demonstrating similarly low rates among numerous state prison systems, signifying the underuse of these procedures as a vital approach to decarceration. DESIGN/METHODOLOGY/APPROACH: A systematic review was completed using preferred reporting items for systematic reviews and meta-analyses guidelines. Centre for Agriculture and Biosciences International Abstracts, Cumulative Index to Nursing and Allied Health Literature, Cochrane Library, Education Resources Information Center, Google Scholar, MEDLINE, PsycINFO, PubMed, Social Services Abstracts and Social Work Abstracts were searched from inception to March 2021. Inclusion criteria included: the compassionate release policy (or related policy) is implemented in the USA; reported qualitative and/or quantitative outcomes; and reported original data. FINDINGS: Twenty studies formed the final data set. Data analysis revealed four main themes: language barriers, complexities of eligibility criteria, over-reliance on prognostication and social stigma. Barriers to inmates' access to compassionate release policies include unclear or technical language used in policy documents. Eligibility criteria appear to vary across the country, including disease prognoses and the ability to predict terminal declines in health, creating confusion amongst inmates, lawyers and review boards. Stigmas surrounding the rights of incarcerated individuals frequently influence policymakers who experience pressure to maintain a punitive stance to appease constituents, thus discouraging policies and interventions that promote the release of incarcerated individuals. RESEARCH LIMITATIONS/IMPLICATIONS: Further research is vital to strengthen the understanding of compassionate release policies and related barriers associated with accessing various types of early parole. To promote social justice for this marginalized population, end-of-life interventions in corrections need to be consistently evaluated with outcomes that improve care for dying inmates. PRACTICAL IMPLICATIONS: Within correctional facilities, correctional health-care workers should play an integral role in influencing prison and medical staff attitudes toward dying inmates by providing an understanding of how to effectively support this vulnerable population. Social workers should participate in research that focuses on effective guidelines for correctional facilities to provide compassionate end-of-life care for inmates. SOCIAL IMPLICATIONS: Racial disparities in the US criminal justice system are prevalent and well documented, as individuals of color are arrested far out of proportion to their share of all individuals in the USA. This particular population is thus challenged with poor access to and quality of health care in corrections. Correctional health-care workers can play an integral role in influencing policymakers, as well as prison and medical staff attitudes toward dying inmates by providing an understanding of how to effectively support this vulnerable population. ORIGINALITY/VALUE: Currently, there are no published research articles that provide a systematic review of compassionate release policies in the USA.


Subject(s)
Health Personnel , Prisons , Attitude of Health Personnel , Death , Humans , Policy
19.
BMC Health Serv Res ; 22(1): 823, 2022 Jun 25.
Article in English | MEDLINE | ID: mdl-35752784

ABSTRACT

BACKGROUND: Health care workers have been facing difficulties in coping with the COVID-19 infection from the beginning. The study aimed to compare Quality of Life (QOL) among health care workers (HCWs) with and without prior COVID-19 disease. METHODS: This study was conducted from July 2020 to January 2021 among 444 HCWs. We randomly interviewed 3244 participants for our earlier nationwide survey from a list of COVID-19 positive cases after their recovery, and we found 222 HCWs among the respondents. We randomly chose 222 HCWs unaffected by COVID as a comparison group from our selected hospitals. We measured QOL using World Health Organization's WHOQOL-BREF tool. Physical, psychological, environmental, and social ties were the four areas assessed on a 5-point Likert scale where a higher score suggests better QOL. Due to pandemic restrictions, we used telephonic interviews for data collection. RESULTS: A higher QOL score was observed in HCWs with prior COVID-19 infection in all four domains than HCWs without previous COVID-19 conditions. Comorbidity was negatively associated with QOL scores of the physical (p = 0.001) and (p < 0.001) and psychological (p = 0.05, and (p < 0.05) domains for non-COVID and COVID-affected groups, respectively. Current smoking was significantly associated with lower psychological (p = 0.019) and environmental (p = 0.007) QOL scores among HCWs with prior COVID-19 infection. Hospitalization history due to COVID infection was a contributing factor for lower physical QOL scores (p = 0.048). Environmental (p = 0.016) QOL scores were significantly associated with the monthly income in the prior COVID-19 infection group, and physical scores were significantly associated (p = 0.05) with a monthly income in the non-COVID group. CONCLUSION: Governmental and non-governmental stakeholders should focus on potentially modifiable factors to improve health care workers' quality of life.


Subject(s)
COVID-19 , Bangladesh/epidemiology , COVID-19/epidemiology , Health Personnel/psychology , Humans , Pandemics , Quality of Life
20.
BMC Health Serv Res ; 22(1): 825, 2022 Jun 25.
Article in English | MEDLINE | ID: mdl-35752801

ABSTRACT

BACKGROUND AND OBJECTIVES: The progressive character of dementia usually leads to a continuously increasing need for support. There is some evidence of late use of professional support during the disease course. We aim to provide an overview of aspects influencing access and use of formal care in dementia from the perspective of health and social care professionals. Additionally, the perspectives of professionals and people with dementia/informal carers will be compared. METHODS: We conducted a scoping review with a systematic literature search in Medline via Ovid in January 2019 and updated this in April 2020 and in May 2021. Publications were considered eligible when focusing on influencing aspects of the use of formal care or support for people with dementia in an outpatient setting from the perspective of health professionals. Included publications were critically appraised using the Mixed Method Appraisal Tool. We identified aspects of access to and use of formal care and support services. A consultation exercise with three specialised trained dementia care nurses was conducted to validate our results. RESULTS: We included 29 studies: n = 20 qualitative, n = 6 quantitative-descriptive, n = 3 mixed-methods. Various support services were identified, but a focus was on services for diagnostic and treatment of dementia. A wide range of influencing aspects (n = 15) describe the access to and use of formal care services. Aspects related to the complexity and structure of the healthcare system and the competence of professionals were frequently addressed. Second, attitudes and expectations of professionals, and experiences with people with dementia and their informal carers were identified. The dementia care nurses highlighted the importance of coordinated care to enhance dementia-specific competencies. CONCLUSIONS: Health and social care professionals still describe barriers in accessing and using formal care due to various influences. Ways to improve access to and use of professional support in dementia should consider individual and system-level activities, as well as overarching aspects. Important topics are therefore education and training of professionals and coordinated dementia-specific care to provide adequate support for people with dementia and their relatives. Several professions may be involved in this increasingly important field, e.g., nurses with a dementia-specific training like dementia care nurses.


Subject(s)
Dementia , Attitude , Caregivers , Dementia/diagnosis , Dementia/therapy , Health Personnel , Humans , Social Support
SELECTION OF CITATIONS
SEARCH DETAIL
...