scholarly journals Identifying Health Care Environment Contradictions in Terms of Infection Control during a Pandemic with a Focus on Health Workers’ Experience

2021 ◽  
Vol 13 (17) ◽  
pp. 9964
Author(s):  
Maryam Lesan ◽  
Fatemeh Khozaei ◽  
Mi-Jeong Kim ◽  
Marziyeh Shahidi Nejad
Keyword(s):  
Health Care ◽  
Infection Control ◽  
Organizational Support ◽  
Health Workers ◽  
Health Care Facilities ◽  
Care Staff ◽  
World Health ◽  
Infection Prevention And Control ◽  
Health Care Staff ◽  
Health Care Environment

During the past year, health care environments have struggled to cope with the various impacts of COVID-19 around the world. Health care facilities need to help strengthen resistance to pathogen threats and provide care for patients and health workers in the safest possible way. Architectural design strategies can play a significant role in infection prevention and control. The current study aims to examine the experiences of health workers with hospital spaces during the COVID-19 pandemic. Identifying the difficulties they face, the present study attempts to shed light on the role of the health care layout configuration in combating pandemics. The authors conducted observations at four hospitals and a series of online semi-structured interviews with 162 health care staff from March to May 2020. The study indicated that space configuration and the hospitalization of patients, layout and circulation of the environment, operation services such as indoor environment conditions, maintenance of health care system, and organizational support for health care staff were the most critical factors affecting infection control in health care environments. The initial zoning and separation of patients were the most effective methods of controlling infection. Hospitals with clustered plan layouts were found to be the most effective buildings for the zoning of COVID-19 patients during the pandemic and for infection control.

Building Local Capacity in Hand-Rub Solution Production during the 2014-2016 Ebola Outbreak Disaster: The Case of Liberia and Guinea

2018 ◽  
Vol 33 (6) ◽  
pp. 660-667 ◽  
Author(s):  
Frederique A Jacquerioz Bausch ◽  
Olivia Heller ◽  
Loséni Bengaly ◽  
Béatrice Matthey-Khouity ◽  
Pascal Bonnabry ◽  
...  
Keyword(s):  
Health Care ◽  
Health Care Facilities ◽  
Health Facilities ◽  
World Health ◽  
Infection Prevention And Control ◽  
Political Commitment ◽  
Publication Type ◽  
Implementation Phase ◽  
Local Capacity ◽  
Chemical Products

AbstractBackgroundDuring the 2014-2015 Ebola outbreak in West Africa, the lack of infection prevention and control (IPC) measures in health care facilities amplified human-to-human transmission and contributed to the magnitude of this humanitarian disaster.Case ReportIn the summer of 2014, the Geneva University Hospitals (HUG; Geneva, Switzerland) conducted an IPC assessment and developed a project based on the local needs and their expertise with the support of the Swiss Agency for Development and Cooperation and the Humanitarian Aid Unit (SDC/HA; Bern, Switzerland). The project consisted of building local capacity in the production of alcohol-based hand-rub solution (ABHRS) based on the World Health Organization (WHO; Geneva, Switzerland) formula in non-Ebola health facilities at the peak of the outbreak in Liberia (Fall 2014) and during recovery in Guinea (September 2015) to promote safer care. Twenty-one pharmacists in Liberia and 22 in Guinea were trained and one years’ worth of laboratory equipment, chemical products, containers for personal use, and bioethanol were delivered to 10 hospitals per country with more than 8,000 100 ml bottles of solution produced at the end of the project.DiscussionHand hygiene using hand-rub solution is a critical component of safer care, especially in health care settings lacking runnable water. Throughout the Ebola outbreak, it was a timely moment to promote hand-rub solution and to reinforce IPC measures in non-Ebola health facilities. During the project implementation, a substantial challenge was the unavailability of bioethanol in Liberia and Guinea. In the long run, sustainability of the production can become an issue as it depends heavily on the local government’s financial and political commitment, the capacity to create an on-going demand for hand-rub solution in health facilities, the local purchase and replacement of the materials and chemical products, as well as the availability of continuous local partners’ support.Conclusion:The project demonstrated that it was feasible to build local capacity in ABHRS production during an emergency and in limited-resource settings when materials and training are provided. Future programs in similar contexts should identify and address the factors of sustainability during the implementation phase and provide regular, long-term technical support.Jacquerioz BauschFA, HellerO, BengalyL, Matthey-KhouityB, BonnabryP, TouréY, KervillainGJ, BahEI, ChappuisF, HagonO. Building local capacity in hand-rub solution production during the 2014-2016 Ebola outbreak disaster: the case of Liberia and Guinea.. Prehosp Disaster Med. 2018;33(6):660–667.

Workplace Stress and Employee Wellbeing: Case of Health Care Staff in UAE

2017 ◽  
Vol 13 (5) ◽  
pp. 217 ◽  
Author(s):  
Nasreen Khan ◽  
Sofia Khurshid
Keyword(s):  
Health Care ◽  
Organizational Support ◽  
Negative Impact ◽  
High Stress ◽  
Poor Performance ◽  
Well Being ◽  
Workplace Stress ◽  
Care Staff ◽  
Health Care Staff ◽  
The Impact

Workplace stress is a world-wide concern and has been a subject of researchers, academicians, authorities and decision makers’ interest. It has evidently been considered to be causing poor performance, reduced employee morale, lack of autonomy, job insecurity and to greater extent the employee's wellbeing. Employees in healthcare and hospitality sector work in 24*7 work schedule due to the demanding nature of the industry. Empirical evidences have indicated that employee experience high stress on account of work overload and long working hours taking a toll on their mental and physical well-being. The purpose of this study was to investigate the impact of workplace stress on employee well-being among staff employees in the health care sector and hospitals in UAE. A total of 150 employees working at staff level in health care centers and hospitals in UAE were surveyed. The results showed that workplace has negative impact on employee well-being and the impact was found to be weak. The findings of the study suggest that an increase in workplace stresses will reduce wellbeing of employees. The researchers recommend that in order to reduce the impact of stress on employee well-being organizational support, family support and social support is essential.

scholarly journals The impact of Job condition and salary on Job Motivation among Nurses

2021 ◽  
Author(s):  
Muhammad A. Abdul Wahed
Keyword(s):  
Health Care ◽  
Health Workers ◽  
Job Security ◽  
Care Staff ◽  
Good Work ◽  
Health Care Staff ◽  
Work Condition ◽  
Job Motivation ◽  
Level Of Motivation ◽  
The Impact

The purpose of this project is to investigate and find the impact of work condition ,salary and job security on job motivation among health care staff and to determine the level of Motivation of health workers to their workplace and to provide the recommendations. Finding of this study all the three factors has a positive and significant affect to job motivation, job security with highest affect then other factors, hospital should pay more attention to job security and provide a good work condition.

scholarly journals Assessment of the knowledge and applications of infection control in Ayurvedic health care staff working in COVID-19 intermediate centres, Sri Lanka

2021 ◽  
Vol 58 ◽  
pp. 21004143
Author(s):  
D. Wickramasinghe ◽  
PW Vidanage ◽  
DK Lokuhewagama ◽  
SAPDC Saranasinghe ◽  
SPKH Arachchige ◽  
...  
Keyword(s):  
Health Care ◽  
Sri Lanka ◽  
Infection Control ◽  
Care Staff ◽  
Health Care Staff

COVID-19 Infection among the Health Care Staff at Frontier Medical and Dental College and Hospital

2021 ◽  
Vol 15 (12) ◽  
pp. 3328-3329
Author(s):  
Sadia Rashid ◽  
Saveela Sadaqat ◽  
Muhammad Adnan Iqbal ◽  
Shakeel Ahmad ◽  
Muhammad Rizwan ◽  
...  
Keyword(s):  
Health Care ◽  
Infection Control ◽  
Care Staff ◽  
Health Care Staff ◽  
Dental Hygienists ◽  
Staff Members ◽  
First Case ◽  
Infection Control Guidelines ◽  
Clinical Departments ◽  
Operation Center

Background: First case of pandemic COVID-19 was diagnosed in December 2019 in China from where it spread throughout the world. In Pakistan, first case was diagnosed in February 2020 which resulted in a complete and several smart national lockdowns. National Command and Operation Center (NCOC) and Ministry of Health published guidelines for patient’s treatments during pandemic which includes: 1) providing only emergency Treatments 2) Patient’s pre-admittance Questioning, 3) Increasing intervals between appointment, 4) prevent crowding in waiting rooms, 5) Wearing masks at all times. 6) Wearing PPE. Methods: Data from all clinical departments of Frontier Medical and Dental College and Hospital Abbottabad was collected between March and December 2020 which included Number of; 1) Patients treated 2) Medical Staff 3) patients with positive COVID-19 reports 4) healthcare workers suffering from COVID-19. And 6) Post treatment Virus Infected patients. Results: 291 health care staff including 135 medical and dental doctors, 4 dental hygienists, 82 paramedics and 70 Administrative staff worked during the study period and 3280 procedures were performed. Out of these, thirty-eight (38) staff members treated 190 verified COVID-19 patients. During the study period 6 dentists (2.06%) and 9 (3.09%) medical doctors, 2 (0.7%) assistants and 3 (1.03%) admin staff were tested positive for the virus. Conclusion: Present study highlights the importance of education and stickiness to the infection control guidelines thus minimizing the risk of transmission of corona virus among the Healthcare professionals in hospitals. Keywords: COVID-19; Infection control, PPE, NCOC

scholarly journals The role of health services in encouraging disclosure of violence against women

2017 ◽  
Vol 56 (4) ◽  
pp. 220-226
Author(s):  
Vesna Leskošek ◽  
Miha Lučovnik ◽  
Lucija Pavše ◽  
Tanja Premru Sršen ◽  
Megie Krajnc ◽  
...  
Keyword(s):  
Health Care ◽  
Health Services ◽  
Health Care Services ◽  
Health Workers ◽  
Care Service ◽  
Health Care Service ◽  
Care Staff ◽  
Health Care Staff ◽  
Care Services

Abstract Introduction The aim of the survey was to assess the differences in disclosure by the type of violence to better plan the role of health services in identifying and disclosing violence. Methods A validated, anonymous screening questionnaire (NorAQ) for the identification of female victims of violence was offered to all postpartum women at a single maternity unit over a three-month period in 2014. Response rate was 80% (1018 respondents). Chi square test was used for statistical analysis (p<0.05 significant). Results There are differences in disclosure by type of violence. Nearly half (41.5%) of violence by health care services was not reported, compared to 33.7% physical, 23.4% psychological, and 32.5% sexual that was reported. The percentage of violence in intimate partnership reported to health care staff is low (9.3% to 20.8%), but almost half of the violence experienced by heath care services (44%) is reported. Intimate partnership violence is more often reported to the physician than to the psychologist or social worker. Violence in health care service is reported also to nurses. Conclusions Disclosure enables various institutions to start with the procedures aimed at protecting victims against violence. Health workers should continuously encourage women to speak about violence rather than asking about it only once. It is also important that such inquiries are made on different levels of health care system and by different health care professions, since there are differences to whom women are willing to disclose violence.

scholarly journals “We are taking every precaution to do our part…”: a comparative analysis of nursing, palliative and hospice care facilities’ websites during the COVID-19 pandemic

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Sabahat Ölcer ◽  
Mohamed Idris¹ ◽  
Yüce Yilmaz-Aslan ◽  
Patrick Brzoska
Keyword(s):  
Health Care ◽  
Health Care Providers ◽  
Hospice Care ◽  
Qualitative Content Analysis ◽  
Health Care Facilities ◽  
Care Staff ◽  
Health Care Staff ◽  
Care Providers ◽  
Potential Health ◽  
Care Facilities

Abstract Background The COVID-19 pandemic has a significant impact on health care processes. Precautions such as restrictions imposed on visitors and social distancing have led to multiple challenges, particularly in terms of communication. Using the case of nursing, palliative and hospice care facilities in Germany and drawing on agenda-setting theory, the present study aims to shed light on how health care facilities use their websites to inform (potential) health care users about changes in regulations, new protective measures implemented and about recommendations in the context of the COVID-19 pandemic. Methods The websites of nursing, palliative and hospice care facilities in Germany were examined using qualitative document analysis and qualitative content analysis. A total of 138 websites was analysed in the study. The data gathered includes all information about COVID-19 on these websites published from the beginning of March until August 15, 2020. Results Facilities show similarities in adhering to the measures taken by the authorities to restrict the spread of SARS-CoV-2 and to protect vulnerable patients and employees. All facilities urged the public to avoid paying visits to patients in facilities unless there was an emergency; however, visiting procedures in practice varied by types of facilities. For optimal communication, telephone and especially video calls were the options preferred by health care providers and health care users. Facilities made great efforts to prevent emotional stress and to strengthen resilience among all stakeholders. Transparency was adopted by many facilities in order to build the public’s trust. Conclusions The agenda of health care facilities has been seriously affected by the COVID-19 pandemic. The study sheds light on the strategies developed by facilities, their efforts to increase emotional resilience among health care staff and health care users, the ethical guidelines they have adopted regarding privacy policies as well as how these themes are communicated via the facilities’ websites. The results can inform other health care facilities about how websites can be used as essential communication tools in times of public health crises.

scholarly journals Implementation of Tuberculosis Infection Control Practices in Tuberculosis Diagnostic and Treatment Health Facilities in Kampala District, Uganda, August 2015

2020 ◽  
Author(s):  
Didas Tugumisirize ◽  
Stavia Turyahabwe ◽  
Lilian Bulage ◽  
Stella Zawedde Muyanja ◽  
Robert Kaos Majwala ◽  
...  
Keyword(s):  
Public Health ◽  
Health Care ◽  
Infection Control ◽  
Health Facility ◽  
Health Workers ◽  
Health Care Facilities ◽  
Health Facilities ◽  
Tuberculosis Infection ◽  
Care Services ◽  
Tuberculosis Infection Control

AbstractBackgroundEffective implementation of Tuberculosis infection control (TB IC) measures in health facilities delivering TB care services is very critical in controlling nosocomial transmission of TB infections among health workers, patients and their attendants. The aim of the study was to assess and document the implementation of TB IC practices in TB diagnostic and treatment health facilities in Kampala District, which accounts for 15-20% of the total TB burden in Uganda.MethodsIn August 2015, we conducted a cross-sectional study in 25 health facilities including 07 Public and 18 Private healthcare facilities in Kampala. We used a modified checklist adopted from the national manual for implementing TB control measures in health care facilities. We reviewed health facility records and where necessary observed TB IC practices to triangulate our findings. We conducted univariate analysis and generated proportions in order to describe the extent of implementation of TB IC measures.ResultsOn average, 73% of both administrative and managerial, 65% environmental, and 56% personal protective TB IC measures were complied with at the health facilities visited. Private health facilities implemented 71% of both administrative and managerial TBIC measures compared to public health facilities (31%). Thirty Six percent of health facilities reported that they were regularly screening health care workers for TB. By Observation, 28% had TB IC guideline, 36% had TB IC plan, 12% had a designated area for sputum collection, 56% were regularly opening windows, 40% had fans installed in the waiting areas and/or consultation rooms and 24% had bio-safety cabinets fitted with UV light. In addition, 60% had N95 respirators but only 32% of the facilities reported that their health workers routinely wore them.ConclusionImplementation of WHO recommended TB IC measures in health facilities delivering TB care services in Kampala was sub optimal. Routine involvement of health facility management as well as increasing human resources for health is critical in implementing easy to do TBIC measures like triaging, patients’ educating on coughing etiquette and respiratory hygiene and daily window opening particularly in public health care settings where implementation of administrative TB IC measures is wanting

Providing Health Care in the Shadow of Violence: Does Emotion Regulation Vary Among Hospital Workers From Different Professions?

2017 ◽  
Vol 35 (9-10) ◽  
pp. 1908-1933 ◽  
Author(s):  
Hadass Goldblatt ◽  
Anat Freund ◽  
Anat Drach-Zahavy ◽  
Guy Enosh ◽  
Ilana Peterfreund ◽  
...  
Keyword(s):  
Health Care ◽  
Emotion Regulation ◽  
Organizational Support ◽  
Health Care Services ◽  
Research Question ◽  
Physical Symptoms ◽  
Emotional Reactions ◽  
Care Staff ◽  
Health Care Staff ◽  
Hospital Workers

Research into violence against health care staff by patients and their families within the health care services shows a rising frequency of incidents. The potentially damaging effects on health care staff are extensive, including diverse negative psychological and physical symptoms. The aim of this qualitative study was to examine how hospital workers from different professions reacted to patients’ and visitors’ violence against them or their colleagues, and how they regulated their emotional reactions during those incidents. The research question was as follows: How do different types of hospital workers regulate the range of their emotional reactions during and after violent events? Participants were 34 hospital workers, representing several professional sectors. Data were collected through in-depth semistructured interviews, which were later transcribed and thematically content analyzed. Five themes were revealed, demonstrating several tactics that hospital workers used to regulate their emotions during incidents of violent outbursts by patients or visitors: (1) Inability to Manage Emotion Regulation, (2) Emotion Regulation by Distancing and Disengagement Tactics, (3) Emotion Regulation Using Rationalization and Splitting Tactics, (4) Emotion Regulation via the Use of Organizational Resources, and (5) Controlling Emotions by Suppression. Hospital workers who experienced dissonance between their professional expectations and their emotional reactions to patients’ violence reported using various emotion regulation tactics, consequently managing to fulfill their duty competently. Workers who did not experience such dissonance felt in full control of their emotions and did not manifest responses of emotion regulation. Others, however, experienced intense emotional flooding and failed to regulate their emotions. We recommend developing health care staff’s awareness of possible emotional implications of violent incidents, for themselves as people and for their intact functioning at work. In addition, we recommend further development of health care staff training programs for coping with violent patients and enhancement of formal and informal organizational support.

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