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Introduction: The Coronavirus disease pandemic of 2019 (COVID-19) has had psychological implications and altered the public's well-being. In response to the pandemic, mental health practitioners play an essential role in mitigating the adverse psychological effects among the public. However, as the demand for mental health services increases, the responsibilities of mental health professionals are far stretched from what they can handle. Therefore, this research is aimed to explore the psychological impact of the pandemic on the mental health practitioners in Selangor and their coping strategies. Method: A total of 10 mental health practitioners who are clinical psychologists and counselors participated in the one-to-one interview. The collected data were analysed using thematic analysis. Result: The higher client loads, the transition to virtual therapy, burnout, and anxiety were found to have an impact on the mental health practitioners' well-being. Despite the challenging psychological impact, the mental health practitioners expressed a high level of satisfaction with their jobs, which they attributed to the supportive organisational culture and their intrinsic drive for selecting this profession. The mental health practitioners have reported that perceived organisational support, social support, and self-care approaches are effective coping mechanisms. Mindfulness skills such as breathing techniques and meditation are often practiced by the participants to calm the mind and body from a long day of work. Conclusion: The implication of the study contributes to breaking the stigmatisation of help seeking behaviour among the helping professions, as well as urging the policy makers, governments, and foundations to play a part in providing accessible and quality mental healthcare to the society. [ FROM AUTHOR] Copyright of Malaysian Journal of Medicine & Health Sciences is the property of Universiti Putra Malaysia and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full . (Copyright applies to all s.)
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What this paper adds: * This case study demonstrated that facilitating ongoing education opportunities that draw on the expertise of local palliative care champions or internal specialists can enhance care provision. * Nurse care managers believe the value of generalist services, particularly home care services, in the generalist-specialist palliative care partnership, needs to be understood and respected. * Tailored investment in home care to provide a general palliative approach would be beneficial given the unique challenges of this mobile workforce. Keywords: Palliative care;home care services;Education, Nursing;qualitative research;Nurse Practitioner BACKGROUND Palliative care focuses on improving the quality of life of people affected by life-threatening illnesses, including the prevention and relief of suffering through identification, assessment and treatment.1 This care extends to family members, and encompasses physical, psychological, social and spiritual support. Home nursing and care organisations are key providers of community-based palliative care, with staff often the linchpin, in supporting palliative clients, organising and providing care, coordinating the input of other professionals and of specialist equipment.5 Previous research has identified the difficulties faced by home care nurses in meeting their clients' palliative care needs, such as symptom management and communication, as well as requirements for further training to enhance their knowledge and confidence of caring for palliative clients.5-7 In this context, generalist palliative care is delivered by health and care professionals with broad clinical responsibilities who provide primary, ongoing care;and have established relationships with the person and their care community.2 This is distinct from specialist palliative care services which support complex needs through multidisciplinary teams with specialised palliative care training. FINDINGS AND DISCUSSION Thematic analysis identified the following overarching themes: 1) targeted education increased staff knowledge and confidence, but more is needed;2) collaborative teamwork with effective communication and information sharing underpins a successful generalist-specialist partnership;3) the home care setting is unique and requires accessible systems and processes.
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"5 However, more recent findings, such as the presentation of joint swelling without EM in Black children, are the result of research efforts to identify differences among racial and ethnic groups in presentations of disease symptoms, with the aim of greater diagnostic accuracy and reduced health care disparities.4 Treatment of Lyme disease Although most resources, such as the CDC's website,1 published articles and sites,2,3 and the Red Book,5 recommend that pediatric, adolescent, and young adult patients with Lyme disease receive an antibiotic, such as doxycycline, amoxicillin, or cefuroxime (for penicillin-allergic patients), these publications differ in recommended dosage and duration of treatment. [...]PHCPs who are unfamiliar with antibiotic treatments for Lyme disease should consult with infectious disease specialists. Children who have evidence of Lyme carditis, Lyme arthritis, cranial neuritis, Lyme meningitis, or radiculoneuritis should immediately be referred to infectious disease and the appropriate pediatric specialists.2 Respiratory infections and health care inequities Although researchers have reported studies on racial and ethnic inequities among children related to respiratory diseases over the last 20 years, few randomized controlled trials have scientifically investigated the problem or have identified and rigorously investigated evidencebased interventions. The COVID-19 pandemic brought a new focus in pediatric health care on the inequities experienced by Black, Hispanic, American Indian or Alaska Native, and Pacific Islander children living in poverty, who regularly experience a disproportionate number of respirator y illnesses and infections.6 Several studies have shown increased hospitalization rates for Blac k and H ispan ic children who contracted COVID-19.6 One team of researchers studying children from birth to 4 years old reported a hospitalization rate of 55% for Black and Hispanic children.7 For years, PHCPs have observed and treated children for asthma in all health care settings. Bhavnani et al reported that Black children had a 7-fold higher rate of emergency department visits compared with White children in 2019, 1 year before the pandemic began.8 However, the difference decreased to a 2-fold increase for Black children compared with White children in 2020, when COVID-19 measures such as masking, social distancing, and school closures were in place.8 Researchers are continuing to investigate why Black and Hispanic children are more vulnerable to upper respiratory infections with viruses such as influenza, rhinovirus, and adenovirus.8 Summertime prevention of respiratory infections Talking about prevention strategies with families is the first step toward reducing asthma episodes and exacerbations.
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Orientation: This study examines the experiences of human resource (HR) practitioners in two urban local authorities (ULAs) in Zimbabwe. Research purpose: The research aimed to understand the human resource management (HRM)-oriented strategies and the extent to which HR practitioners' experiences could enable effective implementation. Motivation for the study: There is a need to understand the challenges HR practitioners in ULAs in Zimbabwe face in delivering effective HRM. Research approach/design and method: The study adopted a qualitative research approach using semi-structured interviews with 17 purposively selected HR practitioners. Thematic analysis was used to extract themes from the interviews. Main findings: The findings revealed five themes of HRM challenges in Zimbabwean ULAs, including political interference, resource constraints, bureaucracy and the impact of coronavirus disease 2019 (COVID-19). Human resource management delivery is hindered by stakeholder involvement, performance management gaps, technology gaps and limited interaction with line management. Additionally, traditional HRM approaches committee-focused procedures, and inadequate investment in employee education limit HRM capabilities and procedures. Practical/managerial implications: The study suggests that policymakers and HR practitioners in ULAs in Zimbabwe should pay attention to the identified HRM challenges and proposed solutions to enhance HRM delivery and HR performance. The proposed conceptual model can serve as a guide to overcoming HRM challenges. Contribution/value-add: This study adds to the limited research on public sector HRM in Africa, and stakeholders and HR practitioners can benefit from the conceptual model and recommendations for streamlining HRM procedures in ULAs in Zimbabwe. © 2023. The Authors.
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Brazil has been standing out as one of the worst places on Earth to be during a global health crisis, especially for those whose struggle for basic humanitarian rights is already routine. How do the political environment and historical inequalities in countries like Brazil affect the ways in which public policy and technologies are framed as responses for the pandemic crisis? In this paper we aim to present the sequence of actions and omissions in the fight against sars-cov2 in Brazil, concentrating on measures based on the use of digital technologies and the sociotechnical arrangements unfolding in materialities that give shape to such measures. We will also discuss possible repercussions of the widespread adoption of surveillance technologies as a quick fix to the effects of the pandemic. Our focus is to explain how the materiality of the virus and its political as well as territorial effects are combined with digital technologies as responses (or lack of them) in the fields of healthcare, education, communication and labour in the context of the global South. [ FROM AUTHOR] Copyright of Information Polity: The International Journal of Government & Democracy in the Information Age is the property of IOS Press and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full . (Copyright applies to all s.)
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Am J Manag Care. 2023;29(6):In Press _____ Takeaway Points The value of direct-to-consumer (DTC) telemedicine services offered by academic health systems is understudied. * DTC telemedicine services for low-acuity or minor illnesses are increasingly offered as an employee benefit, but any per-episode unit cost advantage may be offset by overuse of care. * DTC telemedicine staffed by an academic health system and offered to its employees resulted in lower per-episode unit costs for care within 7 days and only marginally increased the use of services. * DTC telemedicine staffed by an academic health system and offered directly to employees was cost-saving. _____ Employers in the United States have increasingly been offering a direct-to-consumer (DTC) telemedicine benefit for low-acuity or minor illnesses to their employees.1-3 By 2021, more than 95% of employers with 50 or more employees provided some coverage for DTC telemedicine in their largest health plan;more than 75% felt that offering telemedicine was important and nearly 20% either limited or eliminated cost sharing for telemedicine.4 Despite these trends among general employers, few health systems have directly provided DTC telemedicine to their own employees. [...]because these services are easy to access (often available immediately, around the clock, and without travel), they may induce overuse of care, especially for self-limited conditions such as viral upper respiratory infections for which the alternative to in-person care is no care at all, thus increasing the overall cost of care.5-11 Telemedicine will save money relative to in-person care if any unit price advantages are not overwhelmed by the increased use of care overall, induced by its convenience. Employers provide health insurance coverage for 158 million Americans or nearly 50% of the population. Since the COVID-19 pandemic began, telemedicine has represented a significantly larger portion of all medical claims—consistently more than 5% of all medical claims by mid-202112-15—and the estimated value of the global telemedicine industry is projected to reach a quarter of a trillion dollars by 2024.13 Yet, the future of telemedicine remains undetermined with reimbursement rates in debate,16-18 driven in large part because its economic value is understudied and uncertain. Penn Medicine is self-insured and more than 95% of employees use its only employer-sponsored plan—a preferred provider organization (PPO) plan—rather than insurance obtained individually or through a family member. Since 2017, these PPO-insured employees have been offered Penn Medicine OnDemand,19 a 24/7 DTC telemedicine benefit to employees and their adult (≥ 18 years) dependents.
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In today's educational world, it is crucial for language teachers to continuously evolve in order to best serve language learners. Further study on the best practices and challenges in the language classroom is crucial to ensure instructors continue to grow as educators. The "Handbook of Research on Language Teacher Identity" addresses new developments in the field of language education affected by evolving learning environments and the shift from traditional teaching and assessment practices to the digital-age teaching, learning, and assessment. Ideal for industry professionals, administrators, researchers, academicians, scholars, practitioners, instructors, and students, this book aims to raise awareness regarding reflective practice and continuous professional development of educators, collaborative teaching and learning, innovative ways to foster critical (digital) literacy, student-centered instruction and assessment, development of authentic teaching materials and engaging classroom activities, teaching and assessment tools and strategies, cultivation of digital citizenship, and inclusive learning environments.
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Resumo Objetivo Analisar o impacto da pandemia da Coronavirus Disease 2019 (COVID-19) no trabalho de enfermagem em unidades de urgência e emergência. Métodos Pesquisa de abordagem qualitativa realizada entre profissionais de enfermagem atuantes em unidades de urgência e emergência no estado do Rio de Janeiro, Brasil. Dados coletados via online por meio de formulário semiestruturado e submetidos à análise lexicográfica no software Interface de R pour Analyses Multidimensionnelles de Textes Et de Questionnaires (IRAMUTEQ). Resultados Participaram 31 profissionais de enfermagem. O aproveitamento do corpus textual foi de 94,9% mediante a geração de seis classes de segmentos de textos, que possibilitou identificar que os profissionais que atuam nessas unidades têm vivenciado sobrecarga no desenvolver laboral, dada a carga horária de trabalho exaustiva, bem como a falta de infraestrutura, de equipamentos de proteção e de recursos humanos. Ainda, evidenciaram-se desgastes físicos e mentais, com ênfase para o estresse e a exaustão, além do sentimento de medo pelo receio de contaminação. Conclusão A pandemia da COVID-19 promoveu impactos diretos no trabalho de enfermagem em unidades de urgência e emergência no que tange a aspectos relacionados a recursos humanos e materiais e infraestrutura, além da assistência prestada aos pacientes em condições graves.
Resumen Objetivo Analizar el impacto de la pandemia de Coronavirus Disease 2019 (COVID-19) en el trabajo de enfermería en unidades de urgencia y emergencia. Métodos Investigación de enfoque cualitativo realizada entre profesionales de enfermería que actúan en unidades de urgencia y emergencia en el estado de Rio de Janeiro, Brasil. Datos recopilados en línea a través de formulario semiestructurado y presentados para análisis lexicográfico en el software Interface de R pour Analyses Multidimensionnelles de Textes Et de Questionnaires (IRAMUTEQ). Resultados Participaron 31 profesionales de enfermería. El aprovechamiento del corpus textual fue del 94,9 % mediante la producción de seis clases de segmentos de textos, lo que posibilitó identificar que los profesionales que actúan en esas unidades han vivido una sobrecarga en el quehacer laboral, considerando la duración de la jornada de trabajo agotadora, como también la ausencia de infraestructura, de equipos de protección y de recursos humanos. Además, se evidenciaron desgastes físicos y mentales, con énfasis en el estrés y el agotamiento, además del sentimiento de miedo por el temor a la contaminación. Conclusión La pandemia de COVID-19 ocasionó impactos directos en el trabajo de enfermería en unidades de urgencia y emergencia en lo que se refiere a aspectos relacionados con recursos humanos y materiales y con la infraestructura, además de la atención brindada a los pacientes en condiciones graves.
Abstract Objective To analyze the impact of the Coronavirus Disease 2019 pandemic (COVID-19) on nursing work in emergency units. Methods A qualitative research conducted among nursing professionals operating in emergency units in the state of Rio de Janeiro, Brazil. Data collected online through a semi-structured form and submitted to lexicographic analysis in the software Interface de R pour Analyses Multidimensionnelles de Textes Et de Questionnaires (IRAMUTEQ). Results Thirty-one nursing professionals participated. The use of the text corpus accounted for 94.9%, through the generation of six classes of text segments, which made it possible to identify that professionals working in these units have experienced overload in developing work, given the exhausting workload, as well as the lack of infrastructure, protective equipment and human resources. Also, physical and mental exhaustion was evidenced, with emphasis on stress and exhaustion, in addition to the feeling of fear for fear of contamination. Conclusion The COVID-19 pandemic promoted direct impacts on nursing work in emergency units regarding aspects related to human and material resources and infrastructure, in addition to the care provided to patients in severe conditions.
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Attitudes toward COVID-19 (coronavirus disease 2019) prevention and control may have influenced general practitioners' (GPs') work during the COVID-19 pandemic. The present study aimed to investigate the attitudes and practices of GPs from Croatia and Bosna and Herzegovina regarding COVID-19 prevention and control as well as the factors which may have influenced them. A cross-sectional study using a self-administered, anonymous questionnaire was conducted between February and May of 2022 on 200 Croatian and Bosnian GPs. The study revealed that the attitudes and practices of the surveyed GPs regarding COVID-19 prevention and control were satisfactory. The Croatian GPs reported a larger number of positive attitudes toward COVID-19 prevention and control (p = 0.014), while no significant differences in practices were established. Among the Croatian GPs, more positive attitudes toward COVID-19 prevention and control were reported by participants who had finished a formal education on the prevention of infectious diseases and occupational safety (p = 0.018), while among the Bosnian GPs, more positive attitudes were reported by older GPs (p = 0.007), males (p = 0.026), GPs with a longer length of service (p = 0.005), GPs who had finished a formal education on the prevention of infectious diseases and occupational safety (p < 0.001), GPs who had finished a formal education on adequate hand hygiene (p < 0.001), and GPs who had finished a formal education on COVID-19 prevention for GPs (p = 0.001). Considering GPs' practices regarding COVID-19 prevention and control, among the Croatian GPs, more positive practices were reported by older GPs (p = 0.008), females (p = 0.002), GPs who had a partner (p = 0.021), GPs who were specialists in family medicine (p = 0.014), GPs with a longer length of service (p = 0.007), and GPs who had finished a formal education on the prevention of infectious diseases and occupational safety (p = 0.046), while among the Bosnian GPs, no significant correlations were determined. The general practitioners' sociodemographic and employment characteristics strongly influenced their attitudes and practices regarding the prevention and control of COVID-19. The cultural differences between Croatia and Bosnia and Herzegovina, as well as the organizational specificities of their healthcare systems, probably modified the observed differences in the individual patterns of associations between the outcome and explanatory variables in the surveyed neighboring countries.
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BACKGROUND: There is a disproportionate representation of Aboriginal children in the Australian Out of Home Care system. An important strategy to ensure Aboriginal children experience trauma informed care that is culturally situated is to have access to Aboriginal practitioners. The experiences of Aboriginal practitioners working in Aboriginal Out of Home Care have not been explored thoroughly. PARTICIPANTS AND SETTING: This community led research was undertaken on Dharawal Country on the South Coast of the Illawarra region, Australia with an Out of Home Care program managed by an Aboriginal Community Controlled Organisation. The study included Aboriginal (n = 50) and non-Aboriginal (n = 3) participants connected through employment or community membership to the organisation. OBJECTIVE: We aimed to explore the wellbeing needs of Aboriginal practitioners working with Aboriginal children in Aboriginal Out of Home Care. METHODS: This co-designed qualitative research project used yarning sessions (individual and group), co-analysis with co-researchers, document analysis and reflexive writing. FINDINGS: Aboriginal practitioners are required to bring their cultural expertise to their work and with this, there is an expectation of cultural leadership and the fulfilling of cultural responsibilities. These elements bring with them emotional labour that must be acknowledged and accounted for in working in the Out of Home Care sector. CONCLUSION: The findings point to the importance of establishing an organisational social and emotional wellbeing framework in recognition of Aboriginal practitioner's specific needs, centring cultural participation as a key wellbeing and trauma informed strategy.
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Australian Aboriginal and Torres Strait Islander Peoples , Foster Home Care , Health Personnel , Child , Humans , Australia , Indigenous Peoples , Health Personnel/psychologyABSTRACT
Since it was first identified in 2019, the COVID-19 pandemic has ravaged countries globally. To prevent the rapid spread of the virus, governments around the world have implemented policies such as closing cities and prohibiting gatherings, making direct communication and contact between people difficult. This has not only caused major changes in human life patterns but has also affected the beliefs and assumptions of drama therapists. Compared with that of online psychological counseling, which has been thoroughly researched, the implementation of online drama therapy is still in an exploratory stage. Research has demonstrated that online drama therapy can achieve the same benefits as in-person therapy. Online drama therapy effectively integrates various resources, experiences, and techniques and has the potential to reach out to cross cultural, environmental, and individual borders. Using three-dimensional game technology, therapy can be provided on virtual visual platforms to communicate in a dynamic and visual manner. In addition, online media can be used to overcome geographical limitations, reduce time and economic costs, and enables more clients to receive drama therapy courses. Through the camera, more can be learned about the life of the client, such as their living space and relationships with family members, which helps the therapist to adjust the treatment process. The client's lens is also a window for the therapist to understand their personal life and space. The close-up nature of the screen makes it easier for the therapist to observe the client's facial expressions and potential body language cues, which can be regarded as a form of close communication. This new type of drama therapy uses online platforms as a medium and provides clients with assistance using dynamic images and visual media;however, a lack of analysis and research regarding how online drama therapy should be performed in practice persists. Therefore, this study explored the practical experience of practitioners in drama therapy online groups to accelerate the promotion of online drama therapy. This study had three main research questions: (1) What is the difference between online drama therapy and physical drama work? (2) What are the working methods and strategies of online drama therapy? (3) What are the challenges of online drama therapy? To explore the practical experiences of drama therapists in online groups, this study adopted semistructured in-depth interviews with three drama therapists. The study participants had 5 years of experience in drama therapy and had provided online drama therapy for more than 1 year. The practitioners were all licensed drama therapists: two from the U.K. and one from North America. Their clients included teenagers, children, voluntary clients, college students, youth groups, and adult community groups. After contacting the three research respondents using online messaging, explaining the purpose of the research, and confirming the respondents' wishes, the interview outline was sent by email. The researcher, who was a senior drama therapy and psychological counseling practitioner served as the interviewer, and each semistructured in-depth interview was conducted using an online platform according to the convenience of the interviewee in accordance with epidemic prevention measures. Each interview was approximately 60 minutes long and provided insight into the experience shared in response to the research questions. After data collection, we used thematic analysis to analyze the interview transcripts and used triangulation to compare unified data among coresearchers to improve reliability and validity. The results were as follows: First, the differences between traditional and online drama therapy included that the therapeutic relationship shifted from "presence in a relationship” to "one-way relationship”;participants shifted from closed groups to more open groups;the therapy strategy shifted from interventional to supportive work;group leadership shifted from improvisational to hi hly structured;and the space for the entirety of the therapy shifted from a physical conversation space to a highly anonymous online space. Second, the working methods and strategies used in online drama therapy included: Using imagination and rituals to create a virtual space, using digital media to enhance the self-expression of participants, using real-life materials to strengthen the transformation of virtuality into reality, using images to catalyze role-playing, and promoting self-talk through virtual mirroring. Third, the challenges of online drama therapy included that the online platform limited the possibilities of interaction in theater, the dilemma of instrument theatre creation by verbal or metaphorical supplementation, the mental labor of familiarity at a high concentration and high uniformity, and the challenge of environmental privacy in therapy. The results of this research revealed that: (1) The objective perception experience in the digital work environment reduces the possibility of exploration and transformation of the client's emotional experience. Therefore, online drama therapy is not only a simple transfer of physical drama therapy technique to the computer but influences the essence of the experience. (2) Online drama therapy encourages the client to engage in role-playing and emotional release from a first-person performer position. The client simultaneously occupies a third-person audience position because of the mirroring that occurs on the screen. This process causes the simultaneous mental states of clients as both performers and audience members. (3) Online drama therapy practitioners must enhance clients' understanding of each other's behavior using the guidance of highly structured activities and language, and at the same time, they must consider the client's ability to create spontaneously. Therefore, practitioners must direct and exhibit rich imagination. However, thinking about the themselves as shown through the screen to create an aesthetic experience and having to consider the relationship between the image and the psychology of the client using logical reasoning causes a high degree of psychological labor for practitioners. Three recommendations are proposed by the researcher, based on the findings of the study. First, how practitioners should balance trauma intervention and emotional support in a digital environment is an ethical matter that requires further investigation. Second, training model should be designed that promotes a new type of online drama therapy that enhances drama therapists' ability to use digital technology and new media, improving the editing and directing ability of practitioners in image analogy and logical derivation and deepening the exploration and integration of clients' perceptual and rational experiences. Third, attention should be paid to the high degree of psychological labor that online drama therapy causes practitioners. Being aware of the sense of isolation and limitation caused by screen work, reducing performance anxiety related to work effectiveness, and undertaking self-adjustment and relaxation are necessary. Finally, through the interpretation of practitioners' practical experiences in this study, practical reference material for the application of online drama therapy can be expanded. We also hope that online drama therapy can be a "virtual vaccine,” offering the possibility of rehabilitating the body and mind among individuals suffering because of the COVID-19 pandemic. © 2023, National Taiwan Normal University. All rights reserved.
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Background Members of dental fraternity have a duty of care to provide safe services to the patients. The satisfactory performance in a medical emergency in dental practice has wide-range implications. But, in the current scenario, the challenge is to ensure that patients with or without coronavirus disease 2019 (COVID-19), who undergo any medical emergency, get the best possible chance of survival without compromising the safety of rescuers, who will be needed to take care for future patients.Aim This article assesses the awareness and knowledge on interim guidelines for Basic Life Support in adults with suspected or confirmed COVID-19 among various dental health care professionals.Materials and Methods An online questionnaire-based survey was conducted;framed in Google Forms and sent to various dental health care professionals through WhatsApp, email, and other means. Results were then analyzed and are presented in the form of frequency and percentage.Results In the study, 224 responders were included comprising undergraduates, postgraduates, and dental practitioners. Dismally, none of them had complete knowledge on the interim guidance for Basic Life Support for suspected or confirmed COVID-19 patients.Conclusion The study suggests that updated interim guidelines were unknown to maximum percentage of dental professionals which implies that there is need to keep ourselves up-to-date to provide safe services.
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Purpose: Since early 2022, the COVID-19 vaccination rate in Bulgaria has remained low, with large regional differences. This study examines the association between the availability of vaccination sites and the number of administered doses, and the extent to which district-level variation is attributable to differences in vaccination services provision. Material(s) and Method(s): Data on COVID-19 vaccine doses administered by districts were used. This data set was combined with district-level information on available vaccination sites, such as general practitioners and temporary vaccination points. The district-level differences in vaccination coverage and service provision were illustrated through country heat maps, and the association between the variables was explored using two linear regression models. Result(s): According to the first regression model, the number of general practitioners and temporary vaccination points accounted for only 3.8% of the district-level variation in administrated doses. As covariates in the second model, sociodemographic and economic data were included. The combined influence of these factors explained 42.2% of the variance across districts. According to the findings, the average annual gross wage is a significant determinant of the district-level differences in the number of administrated doses. Conclusion(s): There is no statistically significant association between administered doses and vaccination sites by districts, which does not correspond to the findings of other international studies. District-level variation in vaccination rates is associated with some sociodemographic and economic differences. The paucity of district-level data impedes further analyses of the vaccine coverage differences and their underlying determinants.Copyright © 2023, Peytchinski, Gospodin Iliev ET. All rights reserved.
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Active learning methodologies support the development of higher-order thinking and knowledge application necessary for modern health care environments. Through active learning, nurse practitioner students apply their understanding of population-specific competencies while developing critical thinking and reasoning skills for safe and effective care. Myths regarding student-centric learning, such as cost, time, and design, may create barriers for faculty to incorporate competency-based methods into didactic curricula. This article provides evidence-based strategies and exemplars for active learning as a method to evaluate student competency beyond clinical skills.
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Three categories of modern dilemmas are immediately apparent in relation to reimagining and committing to a more proactive code in I-O, given their overlap with contemporary issues in technology and data management, health and accessibility, and justice, equity, diversity, and inclusion: ethical use of assessments (e.g., AI in selection);ethical conduct of research and data analysis;and ethical imperatives for fairness, inclusiveness, wellness, and equity in organizations, particularly in light of recent world events (e.g., the COVID-19 pandemic, social justice movements, inflation and economic challenges). Algorithms are then bound by the quality (and bias) incorporated into the data upon which they are trained and tested. [...]with the regulatory landscape in flux, it becomes even more important to utilize an ethical code to develop assessments. [...]relatedly, I-O psychologists who conduct research in organizations may not have regulatory oversight (e.g., institutional review board governance, peer review processes, expectations for pre-registration and open science practices) to guide their studies;if present and applicable, regulatory oversight may still be mismatched with organizational research, often ill fitted to certain types, disciplines, and contexts, or only focused on particular elements or stages of the research process while neglecting others (e.g., Bell & Wray-Bliss, 2009;Buchanan & Bryman, 2009;Greenwood, 2016). [...]I-O psychologists may also find themselves in ethical dilemmas as workers return to the office post pandemic. [...]proactive behavior is more likely and important within uncertain contexts, particularly those
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This article considers the problem of the impact of the pandemic on medical personnel in the Russian Federation. During the pandemic, one of the most acute problems is the shortage of medical personnel. The study of the issue of shortage of medical personnel is relevant both for the whole world and for Russia. The authorities of several Russian regions at once, against the backdrop of an increase in the incidence of coronavirus, announced an acute shortage of doctors and mid-level health workers. In Russia, first of all, there was a shortage of primary health care doctors - general practitioners, general practitioners, and pediatricians. Staffing problems were discussed even before the pandemic, but during the pandemic, the workload on the medical staff increased and existing specialists began to leave. This paper presents possible solutions. Such as increasing wages and attracting students to increase staff. The purpose of the study is to analyze the reasons for the lack of personnel, identify existing problems, and formulate recommendations for their elimination. © 2023 IEEE.
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Owing to the increased use of telehealth as a widely accepted means of providing patient care and the movement toward competency-based education, implementation of telehealth teaching, learning, and evaluation strategies into the graduate nursing plan of study is evolving quickly. This report uses Rutledge's "4Ps of Telehealth” framework to provide resources for faculty to incorporate telehealth knowledge, skills, attitudes, core telehealth competencies, and evaluation practices into the bachelor of science nursing to doctor of nursing practice program curriculum based on the National Organization of Nurse Practitioner Faculties Nurse Practitioner Core Competencies. Formal preparation of students ensures future nurse practitioners are able to provide proficient, effective care through telehealth upon graduation.
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INTRODUCTION: The coronavirus pandemic did not only result in changes in the provision and utilization of health care services in general practice but also in an increased workload for physicians and medical practice assistants. The VeCo practice study retrospectively explores the experiences of both professional groups two years after the start of the pandemic. METHODS: In March and April 2022, general practitioners and medical practice assistants in the three German federal states of Berlin, Brandenburg and Thuringia were asked to complete a paper-based questionnaire. RESULTS: 657 general practitioners and 762 medical practice assistants completed the questionnaire. Both professional groups agreed to statements indicating a reduction in regular health care provisions. Nevertheless, 74% of the physicians and 82.9% of the medical practice assistants considered the health care provided to their patients during the pandemic as good. This was only possible through considerable additional effort and stress. While more than half of both groups reported that work was still enjoyable, three quarters of both groups stated that the challenges arising from the pandemic outstripped their capacity. Both groups would like to receive more recognition from society (medical practice assistants 93.2%, general practitioners 85.3%) and from their patients (87.7% and 69.9%, respectively). DISCUSSION: General practitioners and medical practice assistants reduced regular health care provision but were still able to maintain a good quality of care for their patients during the pandemic. It became clear that more appreciation and adequate financial compensation are necessary to ensure long-term sustainability of GP care. CONCLUSION: The subjective view of general practitioners and medical practice assistants on their health care provision shows that appreciation and adequate financial renumeration, particularly when working under most difficult conditions, are necessary to increase the attractiveness of a career in general practice, for both physicians and medical practice assistants.
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COVID-19 , General Practice , General Practitioners , Humans , Pandemics , Retrospective Studies , COVID-19/epidemiology , Germany , Surveys and QuestionnairesABSTRACT
Objective: To analyze the relationship between fatigue, sleep quality, variables of health and work in intensive care nursing workers during the COVID-19 pandemic. Methods: Cross-sectional, correlational study conducted from July 2020 to February 2021 with a random and probabilistic sample of nurses and nursing technicians from university hospitals in Rio Grande do Sul, Brazil. A sociodemographic/occupational questionnaire, the Fatigue Assessment Scale and the Pittsburgh Sleep Quality Index were used in data collection. The chi-square test, Mann-Whitney U test and the Spearman correlation coefficient were used in the analyzes, adopting a significance level of 5%. Binary logistic regression analysis was performed. Results: Participation of 114 workers. There was prevalence of low fatigue and poor sleep quality. High fatigue was associated with the variables going to work sick and perceiving noise/vibrations as a cause of discomfort. Nursing technicians were associated with poor sleep quality and concern about exposure to chemical substances. Fatigue and sleep quality were moderately and directly correlated. Adjusted analyzes showed that nurses and nursing technicians with high fatigue were four times more likely to have poor sleep quality (OR = 4.86;CI = 1.50-15.75). Conclusion: Fatigue and sleep quality were directly correlated and are associated with individual and work factors. High fatigue increased the chances of having worse sleep quality assessment. Institutional and organizational strategies should be reviewed in order to prioritize the health protection of these nursing workers.
ABSTRACT
Purpose: As the novel coronavirus 2019 (COVID-19) impacts the world, software practitioners are collaboratively working remotely from home. The pandemic has disrupted software practitioners' productivity forcing changes to agile methodology adopted by software practitioners in software organizations. Therefore, this study aims to provide implication on the issues and recommendations for improving software practitioners' productivity and also examine the impact of the COVID-19 pandemic on agile software development. Design/methodology/approach: This paper adopts a narrative literature review to provide early assessment based on secondary data from the literature and available document reports from studies published from 2019 to 2022 to explore software practitioners' productivity and agile software development during the working from home directive amidst the COVID-19 pandemic. A total of 60 sources which met the inclusion criteria were used to provide preliminary evidence grounded on secondary data from the literature. Descriptive analysis was used to provide qualitative findings from the literature. Findings: Findings from this study present the significance of working from home directive on agile software development and software practitioners' productivity. More importantly, findings from the secondary data shed light on software practitioners' productivity adopting agile software development amidst the COVID-19 pandemic. Additionally, the findings present virtual collaborative platforms used by software practitioners, technical and social barriers of agile software development during the pandemic and recommendations for remote agile software development. Originality/value: This study explores the significance of working from home directive on software practitioners' productivity during COVID-19 pandemic and further investigates how are software practitioners' productivity adopting agile software development practices amidst the COVID-19 pandemic. Besides, this study discusses the challenges software practitioners currently face and offers some strategies to bridge the gaps in agile software development to help software practitioners, system developers, software managers and software organizations adapt to the changes caused by the pandemic. © 2023, Emerald Publishing Limited.