scholarly journals Are the staff in Heddfan Psychiatric Unit, Wrexham Maelor Hospital, are adhering to the personal protective equipment (PPE) guidance as per Public Health Education, England? a QIP

BJPsych Open ◽  
2021 ◽  
Vol 7 (S1) ◽  
pp. S184-S184
Author(s):  
Asha Dhandapani ◽  
Sathyan Soundararajan ◽  
Rajvinder Sambhi ◽  
Catherine Baker
Keyword(s):  
Public Health ◽  
Health Care ◽  
Student Nurses ◽  
Public Health Education ◽  
Staff Nurses ◽  
Protective Equipment ◽  
Junior Doctors ◽  
Healthcare Staff ◽  
Staff Members ◽  
Care Support

AimsThe aim of this audit is to assess whether healthcare staff are correctly donning and doffing PPE when entering and leaving the wards (changed to donning and doffing PPE when within 2 metres vicinity of a patient).MethodConsultants/ Junior doctors/ Ward managers/ Staff nurses/ student nurses/ Health care support workers/ Occupational therapist/ Psychologists/ Student nurses/ Housekeeping staff, were all included in this Audit. None of the staff was aware of this Audit and this was an entirely random observation. We used a standard proforma in order to audit. Followed by the Audit, we trained the staff in the unit and then re-audited.Result98% of them wore mask whilst in the ward and 94% of them washed their hands after doffing. 36% did not wear them appropriately and about 10-14% did not wear PPE at all. A mere 7 out of 50 alone used hand gel. Overall the donning and doffing of PPE was not being followed and adhered to according to the standards from PHE as per the first Audit. In particular, during donning only 1/3rd of them donned the PPE as per guidance. Likewise, the doffing technique was also poor, with only half of them removing the apron and mask correctly. Unfortunately, only 7 of the 50 people were observed to have used hand gel in between the doffing. This could be potentially increasing the risk of the spread of the coronavirus.We had trained almost 150 staff members in the Heddfan unit with regard to PPE/ donning and doffing.Handwashing prior to donning was achieved by all the staff. All the staff, that is 100 % of them adhered to the donning technique in line with the guidance in comparison to just 64% during the first Audit. Whilst hardly just 1/2 to 2/3rd of the staff followed the doffing technique adequately, the second audit showed that only 2 of the 50 staff did not follow the guidance. A meagre/ handful of them followed the utilisation of hand gel in between the tasks of doffing during the first Audit. Almost 90% of them followed the technique properly during the second Audit. Thus showing that the PPE training was successful.ConclusionFollowing the PPE training that was provided to them there was a good response from the staff and this went on to show how effectively we have managed the prevention/ contamination of virus in our unit.

scholarly journals COVID – 19 related knowledge and preventive practices early in the outbreak among health care workers in selected public health facilities of Illu aba Bor and Buno Bedelle zones, Southwest Ethiopia

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Dereje Tsegaye ◽  
Muluneh Shuremu ◽  
Dereje Oljira ◽  
Sileshi Dubale ◽  
Getachew Befekadu ◽  
...  
Keyword(s):  
Public Health ◽  
Health Care ◽  
Health Care Workers ◽  
Personal Protective Equipment ◽  
Infection Prevention ◽  
Health Facilities ◽  
Protective Equipment ◽  
Southwest Ethiopia ◽  
Preventive Practices ◽  
Care Workers

Abstract Background Novel-coronavirus 2019 (COVID-19) disease is currently a worldwide health risk and public health emergency concern. The virus is transmitted from an infected person to another person through close contact and droplets. Frontline health care workers are the most at risk of infection, and so a WHO interim guidance document was issued by the World Health Organization (WHO) which underscores the importance of proper sanitation and waste management practices for COVID- 19 in health-care settings. This study aimed at assessing knowledge and preventive practices towards Covid-19 among health care providers in selected health facilities of Illu Aba Bor and Buno Bedele zones, Southwest Ethiopia. Methods An institution-based cross-sectional study was conducted from April to May 2020 among 330 health workers in selected health facilities of Illu Aba Bor and Buno-Bedelle Zones, Southwest Ethiopia. Data were collected using a self-administered structured questionnaire. The collected data were entered into Epidata version 3.1 and exported to SPSS version 23 for analysis. Bivariate and multivariable logistic regression analysis was used to identify independent predictors of preventive practices towards Covid-19. Statistical significance was declared at a p-value of < 0.05. Result The majority of respondents (93.3%) demonstrated good knowledge of COVID-19, and the mean (SD) knowledge score was 9.04 ± 1.06. Nearly two-thirds (64.2%) of the study participants had good infection prevention practices. Being male (AOR = 3.65, 95% CI: (1.96, 6.80)), education level (AOR = 1.82, 95% CI (1.02, 3.22)), profession (AOR = 3.17, 95% CI (1.08, 9.33)), service year (5–10 years) (AOR = 2.00 (1.02, 3.92)) and more than 10 years (AOR = 3.14 (1.51, 6.52)), availability of personal protective equipment (AOR = 1.96 (1.06, 3.61)) and Knowledge level (AOR = 2.61 (1.48, 4.62)) were independent predictors of COVID-19 preventive practices. Conclusion The overall level of knowledge of HCWs was good. However, the practice was relatively low. Gender, educational status, profession, year of service, knowledge towards COVID-19, and availability of personal protective equipment were independent predictors of good infection prevention practices. Optimizing the infection prevention and control loop of the health facilities is recommended.

The Development of Early Chinese Communist Health Policy: Health Care in the Border Region, 1936–1949

1979 ◽  
Vol 07 (04) ◽  
pp. 299-315 ◽  
Author(s):  
Karen Minden
Keyword(s):  
Public Health ◽  
Health Care ◽  
Health Care Policy ◽  
Public Health Education ◽  
Border Region ◽  
Health Campaigns ◽  
Political Policy ◽  
The People ◽  
The Government ◽  
Public Health Campaigns

This paper examines the health care policy and program of the Chinese Communists in their earliest stages of development. An assessment of 1) political policy, 2) public health campaigns, 3) medical services, 4) public health education, and 5) medical education, indicates that the role of the health delivery scheme was primarily to mobilize mass support for the government, and to change popular health behavior, thereby improving the health of the people and lessening demand on scarce medical facilities. An analysis of the Border Region's health program from 1936 to 1949 gives us an insight into the strategy of a revolutionary government to win popular support and to effect social change.

scholarly journals Developing Of Health Promotion Of District Hospitals In Thailand

2011 ◽  
Vol 3 (1) ◽  
pp. 43-52
Author(s):  
Jutarat Kumpalanon ◽  
Dusadeee Ayuwat ◽  
Pattara Sanchaisuriya
Keyword(s):  
Public Health ◽  
Health Promotion ◽  
Public Health Education ◽  
Hospital Staff ◽  
Local Communities ◽  
Staff Members ◽  
District Hospitals ◽  
Active Services ◽  
Personal Skill ◽  
Improve Health

The aim of this research is to investigate the health promotion services provided by district hospitals in the northeast of Thailand in order to improve health promotion guideline for district hospitals. The qualitative research was conducted from January 2009 to March 2010. Informants were the managers, the staff members responsible for developing and providing services of health promotion from 19 small, medium and large-sized district hospitals in the Northeastern region of Thailand. The in-depth interview was employed to gather the information analyzed by using content analysis. It was found that the new health promotion trends in district hospitals in the northeast were as follows. The organizational structures for promoting health were obviously defined while active services inside and outside the hospitals were clearly developed which bring health promotion practices to serviced users. Public policy for health was offered in the form of quality control, information management and active services while environmental management emphasized on creating comfort and learning environments for the hospital staff members and serviced users. Collaborations between professional organizations and multi-level networks had been established by district hospitals resulting in services with more accessibility and strengthening local communities. In addition, personal skill development and public health education yielded change to the health behaviors of hospital staff members, serviced users and people in local communities. For health service reorientation, there was emphasis on development of the quality of local community services in forms of professional standard development and assessment of health behavior outcome. The forms of health promotion provided by district hospitals in the northeast that were found were public policy for health promotion, active services, environmental management for health, community strengthening in form of collaboration networks, personal skill development and public health education for changing behavior, and change of health services. In order to improve health promotion, health promotion policies must be clearly defined and collaboration between stakeholders both inside and outside hospitals must be supported. 

scholarly journals A model to estimate demand for personal protective equipment for Ontario acute care hospitals during the COVID-19 pandemic

2020 ◽  
Author(s):  
Kali A Barrett ◽  
Yoshiko Nakamachi ◽  
Terra Ierasts ◽  
Yasin Khan ◽  
Stephen Mac ◽  
...  
Keyword(s):  
Public Health ◽  
Health Care ◽  
New York ◽  
Acute Care ◽  
Health Care System ◽  
Personal Protective Equipment ◽  
Acute Care Hospitals ◽  
Protective Equipment ◽  
Healthcare Resources ◽  
Health Measures

In addition to instituting public health measures for COVID-19, managing healthcare resources is important for outcomes. The experiences in Italy and New York have shown that personal protective equipment (PPE) shortages can cause increased morbidity and mortality. We demonstrate a method to predict PPE demand across a health care system.

scholarly journals SARS-CoV-2 Infection in Health Care Workers: Cross-sectional Analysis of an Otolaryngology Unit

2020 ◽  
Vol 163 (4) ◽  
pp. 671-672 ◽  
Author(s):  
Alberto Paderno ◽  
Milena Fior ◽  
Giulia Berretti ◽  
Alberto Schreiber ◽  
Alberto Grammatica ◽  
...  
Keyword(s):  
Health Care ◽  
Health Care Workers ◽  
Personal Protective Equipment ◽  
Protective Equipment ◽  
Risk Of Infection ◽  
Cross Sectional ◽  
Staff Members ◽  
Care Workers ◽  
Sectional Analysis ◽  
The Impact

The restart of routine in- and outpatient activity in the COVID-19 postepidemic peak needs to be carefully planned in light of specific patterns of viral diffusion. We evaluated SARS-CoV-2 serology in the entire personnel of a COVID-19-free otolaryngology department in a highly affected area. The aim was to determine the prevalence of SARS-CoV-2 positivity among staff to clarify the impact of different risk factors for infection. The entire staff of the otolaryngology unit was tested for SARS-CoV-2 serology. Symptomatic staff members were tested with nasal/pharyngeal swabs. All answered a survey focused on the number of in- and extrahospital positive contacts and type of activities in the unit. Five (9%) were positive for SARS-CoV-2 infection. The only variable associated with a higher risk of infection was the number of extrahospital contacts without personal protective equipment ( P = .008). Our study shows that in non-COVID-19 departments, the use of adequate personal protective equipment leads to low rates of infection among health care workers. The prevalent risk of infection was related to extrahospital contact.

Public Health Frameworks in Audiology Education: Rationale and Model for Implementation

2021 ◽  
pp. 1-13
Author(s):  
Sarah E. Warren ◽  
Marian Levy
Keyword(s):  
Public Health ◽  
Health Care ◽  
Health Education ◽  
Doctoral Programs ◽  
Population Level ◽  
Public Health Education ◽  
Review Article ◽  
Health Concepts ◽  
Hearing Health ◽  
Health Objectives

Purpose: Hearing health care is a public health priority at the national and global levels, yet training in clinical audiology programs lacks formal public health education. The purpose of this review article is to discuss audiology concepts in terms of the public health framework of assessment, policy, and assurance and describe two approaches for implementing public health frameworks into audiology doctoral programs. Method: This review article provides a review of audiology concepts through the framework of public health and discusses the rationale for why public health concepts are critical to achieving population-level objectives in hearing health care. We compare competencies of audiology and public health education and then provide a model for two methods for implementing public health education into audiology doctoral programs: (a) formal integration of public health concepts into existing coursework or curricula and (b) a dual doctor of audiology (AuD) and master's in public health (MPH) degree track. Conclusions: Public health is present in the field of audiology, and the field has many public health objectives; however, audiologists do not receive the training necessary to recognize public health concepts or meet population-level objectives. Educating future audiologists in public health concepts will provide them with the tools needed to work with other hearing professionals to make population-level advances in hearing health care. A subset of students may want to become experts in public health and wish to pursue a dual AuD/MPH track.

scholarly journals Knowledge and Attitude of The Healthcare Staff towards Epilepsy: Experience from One Center in United Arab Emirates

2020 ◽  
Vol 1 (1) ◽  
Author(s):  
Vivek Mundada
Keyword(s):  
United Arab Emirates ◽  
Staff Nurses ◽  
Junior Doctors ◽  
Attitudes And Beliefs ◽  
Clinical Knowledge ◽  
Healthcare Staff ◽  
Demographic Information ◽  
Online Questionnaire ◽  
Women And Children ◽  
Knowledge And Attitude

Objective With this study, we wanted to assess the knowledge, awareness and attitude towards epilepsy of the healthcare staff from one of the specialized hospitals in Dubai, United Arab Emirates Method A self-administered online questionnaire was sent to all the medical, nursing and paramedical staff of Medcare Women and Children Hospital in Dubai, United Arab Emirates which is one of the specialized hospitals in Dubai. The questionnaire had total seven sections including the demographic information of the responder. Results The data was collected electronically on secure computer. Out of total 120 requests, 88 responses were collected (73%). 69% were staff nurses and 6% were doctors including consultants and junior doctors. 97% of the responders claimed to have some knowledge of ‘epilepsy’ as the disease and some of them had seen or dealt with a patient with an epileptic seizure. However, majority felt that there was further need for more training in this area. Conclusion From our cohort, we found out that despite self-reported awareness and knowledge about epilepsy, there was still negative and inappropriate attitude towards this condition. So not only clinical knowledge, but there seems to be more need for correcting the attitudes and beliefs towards epilepsy even in the healthcare staff.

scholarly journals Assessment of early COVID-19 compliance to and challenges with public health and social prevention measures in the Kingdom of Eswatini, using an online survey

PLoS ONE ◽  
2021 ◽  
Vol 16 (6) ◽  
pp. e0253954
Author(s):  
Sara Padidar ◽  
Shell-may Liao ◽  
Siphesihle Magagula ◽  
Themb’a A. M. Mahlaba ◽  
Nhlanhla M. Nhlabatsi ◽  
...  
Keyword(s):  
Public Health ◽  
Low Socioeconomic Status ◽  
Online Survey ◽  
Primary Source ◽  
Protective Equipment ◽  
Prevention Measures ◽  
Low Socioeconomic ◽  
The Public ◽  
Staff Members ◽  
Government Websites

Public health and social measures have been implemented around the world in a bid to prevent the spread of COVID-19. Public compliance with these measures is key in successfully controlling the pandemic. This online survey assessed the compliance and attitude of adults residing in the southern African Kingdom of Eswatini to government protection, activity and travel measures aimed at controlling the spread of COVID-19. A rapid online survey, comprising of 28 questions, was administered in May 2020. More than 90% of respondents knew the virus could kill anyone and most respondents (70%) reported to be compliant to public health and social measures. Females, those who did not use public transport and those aged 30 years and above were significantly (p<0.01) more compliant, particularly to protective and travel measures. Social media, television and official government websites were the primary source of ongoing COVID-19 information for respondents of this online survey, and these methods should continue to be employed to reach the public who regularly use the internet. More than half of essential workers who responded to the online survey reported to have their own personal protective equipment; however, 32% either did not have any protective equipment or shared their equipment with other staff members. Due to the survey being online, these results should not be generalised to populations of low socioeconomic status.

scholarly journals TO ASSESS THE LEVEL OF CLEANLINESS, HYGIENE, AND INFECTION CONTROL PRACTICES IN PUBLIC HEALTH CARE FACILITIES.

2019 ◽  
Vol 3 (10) ◽  
Author(s):  
Dr. Vasundhara Aras
Keyword(s):  
Public Health ◽  
Health Care ◽  
Infection Control ◽  
Care Delivery ◽  
Hospital Staff ◽  
Health Care Facilities ◽  
Public Health Care ◽  
Staff Members ◽  
Hand Wash ◽  
One Year

Method: This study is conducted at Primary, Secondary and Tertiary level of health care delivery centre of Indore district. Doctors, Staff Nurses, Housekeeping Staff, Staff Members, Beneficiaries (patient/relative). One year July 2010 - June 2011 Doctor Staff and Personnel involved in all selected centers were interviewed. 120 doctors, 56 nurses, 23 Housekeeping staff and 80 patients were selected for interviews & by method of Observation. Records view Hospital staff and patients interview record. Result: IMCHRC, BSBH, Manpur, Sanwer, Simrol, & Hatod has 80% of hospital cleanliness with 72% of segregation collection, storage & transportation of BMW. DH Indore has 70% of cleanliness and 72% of segregation collection, storage & transportation of BMW, whereas Depalpur has 70% & 68%, respectively. Total number of doctors in all facilities is 120. 75% &70% of Cleanliness and hygiene in procedure area and ambulatory & auxiliary area, respectively at IMCHRC, DH, BSBH Mhow. Sanwer & Hatod with 75% in both the areas by Depalpur 50%. Only Manpur and Simrol are with 100%. Conclusion: Knowledge attitude and practices regarding Infection Control, benefits of hand wash & 6 steps of Hand wash correct method of wearing and removing hand gloves, when to use & its types, making Chlorine Solution, Decontamination & Cleaning of Instruments, standard Precautions, Knowledge about Personal Protective Equipment (PPE) and its practice among nurse and staff among all health care personnel is satisfactory. Keywords: Cleanliness, Public Health, Care & Infection.

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