Can specially trained community care workers effectively support patients and their families in the home setting at the end of life?

2017 ◽  
Vol 26 (2) ◽  
Author(s):  
Roslyn G. Poulos ◽  
Damian Harkin ◽  
Christopher J. Poulos ◽  
Andrew Cole ◽  
Rod MacLeod
Author(s):  
Ethelwynn Stellenberg ◽  
Marjorie Van Zyl ◽  
Johanna Eygelaar

Background: Interventions by community care workers within the context of communitybased integrated management of childhood illness (CIMCI) may have a positive effect on child health if the health workers have adequate knowledge about key family practices.Setting: The study was conducted in rural areas of the West Coast district in the Western Cape, South Africa.Objectives: The objective of this study was to determine the knowledge of community care workers about five of the 16 key family practices of CIMCI.Methods: A descriptive survey collected a self-administered questionnaire from 257 community care workers out of a possible total of 270 (95.2% response rate). Descriptive and inferential statistical analysis was applied.Results: Only 25 of the respondents (10%) obtained a score higher than 70% on the knowledgebased items of the questionnaire. Less than 25% of respondents answered questions in these key areas correctly (pneumonia [17%], tuberculosis [13%], HIV/AIDS [9%] immunisation [3%] and recommendations for a child with fever [21%]). Statistically significant correlations were found between the total score a respondent achieved and the highest level of education obtained (p < 0.01), the level of in-service training (p < 0.01), attendance of a CIMCI five-day training course (p < 0.01), and completing a subsequent refresher course (p < 0.01).Conclusion: The knowledge of CCWs was inadequate to provide safe, quality CIMCI. CIMCI refresher courses should be offered annually to improve CCWs’ knowledge and the quality of care that they render. Regular update courses could contribute to building competence.


2018 ◽  
Vol Volume 13 ◽  
pp. 485-495 ◽  
Author(s):  
Elissa Burton ◽  
Gill Lewin ◽  
Hilary O'Connell ◽  
Mark Petrich ◽  
Eileen Boyle ◽  
...  

2011 ◽  
Vol 26 (S1) ◽  
pp. s142-s142
Author(s):  
Y. Rofe ◽  
Y. Bar-Dayan

BackgroundEffective function of the community care system is important during a pandemic. Self-protective behavior might help stop the spread of the disease during a pandemic and prevent system dysfunction because of personnel morbidity.ObjectiveTo compare the immunization rate and reported self-protective behavior of healthcare workers between hospitals and community care clinics during the peak of the winter A/H1N1 pandemic in Israel.MethodsA questionnaire was completed by 1,147 healthcare workers in 21 hospitals and 40 primary care clinics in Israel between 26 November 2009 and 10 December 2009 (the peak of the winter A/H1N1 flu outbreak).ResultsThe rate of vaccination against A/H1N1 among hospital workers (27.9%) was significantly higher compared with primary care clinics workers (19.3%) (OR = 0.691 (0.821–0.582)).


2018 ◽  
Vol 189 (5) ◽  
pp. 855-866 ◽  
Author(s):  
Maria N. van der Merwe ◽  
Renata Mosca ◽  
De Wet Swanepoel ◽  
Frances P. Glascoe ◽  
Jeannie van der Linde

Author(s):  
Aya Ben-Harush ◽  
Liat Ayalon ◽  
Shiri Shinan-Altman

This study explores the process of turning elder care into a profession, by giving a voice to different professionals who took part in developing and implementing a new Israeli training program for community care workers. The program attempts to offer a response to the shortage of paid long-term carers for older adults by turning community elder care into a profession. Interviews with graduates, trainees who dropped out of the program, developers, employers and supervisors from three regions of the training program were conducted. Analysis explored attempts to transition community care from an occupation to a profession. The community care worker’s role and its uniqueness in comparison to the traditional paid long-term care worker are discussed. The difficulties that stem from the ambiguity of the definition of this new occupation are described.


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