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The Relationship of Family Knowledge and Attitude with Diabetes Mellitus Prevention in Puskesmas Bengo, Bengo District, Bone District 骨区本戈县本戈村家庭对预防糖尿病的认识和态度的关系
Pub Date : 2023-06-30 DOI: 10.33425/2639-9474.1243
Hartati H, Sudirman S, Naharia Laubo, Harliani H, Sitti Aminah, Agussalim A
Knowledge is the result of knowing, and this happens after people sense certain objects. The five human senses are the senses of sight, hearing, smell, taste and touch. Most of human knowledge is obtained through the eyes and ears, namely the process of seeing and hearing. This study aims to determine the relationship of family knowledge and attitudes with the prevention of Diabetes Mellitus at the Bengo Health Center, Bengo District, Bone Regency. The variables in this study include knowledge, family attitudes and prevention of diabetes mellitus. This study was sectional and a sample of 41 people was carried out from 1 August to 1 September 2022. The research method used was quantitative research with a cross-sectional design. Data collection used a purposive sampling technique. Variables were measured using a questionnaire containing questions and statements. Results of the study: the results showed that there was no relationship between family attitudes and the prevention of diabetes mellitus with a significance level of p = 0.446 where p> 0. 05, while for knowledge there was a relationship with p = 0.007 where 0.007 <0.05. It is a sign that knowledge of the client’s family very important to take care of the diabetes mellitus clients.
知识是 "知 "的结果,而 "知 "是在人们感知某些物体之后产生的。人的五种感官是视觉、听觉、嗅觉、味觉和触觉。人类的大部分知识都是通过眼睛和耳朵获得的,即视觉和听觉的过程。本研究旨在确定 Bone 摄政区本戈县本戈保健中心的家庭知识和态度与糖尿病预防之间的关系。本研究的变量包括知识、家庭态度和糖尿病预防。本研究为断面研究,从 2022 年 8 月 1 日至 9 月 1 日对 41 人进行了抽样调查。采用的研究方法是横断面设计的定量研究。数据收集采用目的性抽样技术。使用包含问题和陈述的问卷对变量进行测量。研究结果:结果表明,家庭态度与糖尿病预防之间没有关系,显著性水平为 p = 0.446(p>0.05),而知识之间有关系,p = 0.007(0.007<0.05)。这表明,客户家庭的知识对糖尿病客户的护理非常重要。
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引用次数: 0
Disparities in the Distribution of Social Programs for Expectant and Parenting Teens (EPTS) in Washington DC - A Review 华盛顿特区为待产和为人父母的青少年(EPTS)提供的社会项目分布差异 - 回顾
Pub Date : 2023-06-30 DOI: 10.33425/2639-9474.1241
N. Enwerem, Zillah J Wesley
Background: Although the teen birth rate declined to a low record in 2017 of 18.8 births per 1000 females ages 15-19, compared to other developed countries, it is still high [3,4]. Teen pregnancy can cause emotional, psychological and educational challenges, as well as affect the life and opportunities of young mothers and their children. Access to quality social services, plays an important role in supporting the health and well-being of adolescents and promoting health equity. Some teens face barriers in accessing these services. Geographically, Washington DC has eight wards, with significant disparities in socioeconomic conditions and population health. Aim: The objective of this study is to explore the distribution of community programs for Expectant and Parenting Teens in Washington DC by wards. Materials and Methods: We conducted computerized searches of PubMed, PsycINFO, Sociological Abstracts, CINAHL, and Cochrane Reviews to identify programs in Washington DC that provide services to adolescent parents, published in English from 1990 to December 2022. Search terms include: Washington DC, Ward, Teen parents, Social services, Community program. We identified and compiled locations of social service providers by wards across Washington DC, using findhelp directory (findhelp.org). Results: We identified 34 programs located in the different wards in Washington, District of Columbia. We identified 10 major interventions. These can be categorized into 10 domains of need involving (a) pregnancy and parenting support and services, (b) adoption resources, (c) housing resources for teen parents in foster care, (d) housing resources for teen parents not in foster care, (e) health care resources for young families, (f) education resources, (g) public benefits, (h) childcare resources, (i) early learning resources and (j) resources for fathers. There is a disparity in Program providers and interventions/services by wards in Washington DC.
背景:尽管与其他发达国家相比,青少年生育率在 2017 年下降到了每 1000 名 15-19 岁女性生育 18.8 例的低记录,但仍然居高不下[3,4]。少女怀孕会带来情感、心理和教育方面的挑战,也会影响年轻母亲及其子女的生活和机会。获得优质的社会服务在支持青少年的健康和福祉以及促进健康公平方面发挥着重要作用。有些青少年在获得这些服务时会遇到障碍。从地理位置上看,华盛顿特区有八个区,其社会经济条件和人口健康状况存在显著差异。目的:本研究旨在探讨华盛顿特区针对待产和育儿青少年的社区项目在各区的分布情况。材料和方法:我们对 PubMed、PsycINFO、Sociological Abstracts、CINAHL 和 Cochrane Reviews 进行了计算机检索,以确定华盛顿特区在 1990 年至 2022 年 12 月期间用英语发表的为青少年父母提供服务的项目。搜索关键词包括华盛顿特区、病房、青少年父母、社会服务、社区项目。我们使用 findhelp 目录 (findhelp.org) 按华盛顿特区各区确定并汇编了社会服务提供者的位置。结果:我们确定了 34 个位于华盛顿特区各区的项目。我们确定了 10 项主要干预措施。这些干预措施可分为 10 个需求领域,涉及:(a)怀孕和养育支持及服务;(b)收养资源;(c)寄养青少年父母的住房资源;(d)非寄养青少年父母的住房资源;(e)年轻家庭的医疗保健资源;(f)教育资源;(g)公共福利;(h)托儿资源;(i)早期学习资源;(j)父亲资源。华盛顿特区的计划提供者和干预措施/服务存在差异。
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引用次数: 0
Degree of satisfaction with family functioning, using the APGAR scale 使用 APGAR 量表对家庭功能的满意度
Pub Date : 2023-06-30 DOI: 10.33425/2639-9474.1245
Minchala Urgiles Rosa Elvira, Gonzalez Leon Fanny, Romero Sacoto Lilia Azucena, Romero Galabay Ignacia Margarita, Aucancela Saldana Nancy Elizabeth
Introduction: The family is the first social nucleus. There are different types of families constituted by beliefs, customs, values, and behaviors. The family APGAR is an instrument for evaluating family functionality. The role of the family during childhood is transcendental for cognitive, mental, and social progress since at this stage it allows offering protection, attention, and teaching to strengthen their progress. Aim: Analyze the degree of satisfaction in relation to the level of Family Functioning, through the application of the APGAR Test. Methodology: A study with a quantitative, non-experimental, correlational, and cross-sectional approach was carried out, where we worked with a population of adults and older adults that included 140 families, residing in urban and rural areas of the province of Cañar - Ecuador, selected through non-probability sampling. The APGAR scale was used to evaluate the perception of family functioning and the relationship between its members, the components are evaluated through three closed questions with a Likert-type rating score and the results describe a functional family, with mild dysfunction and severe dysfunction. Statistical analyzes were performed using SPSS.21. Results:140 families participated, with key informants, adults from 18 to 85 years (m42.7), an average of 4.11 family members, and 69.3% are families residing in rural areas. Regarding family functionality, 80.7% are in the highly functional range; In relation to the question. Do you feel that your family loves you?, 82.1% present with the item Almost always, as well as the highest mean score of 1.76. In the questions posed, it is evident that there is a statistically significant correlation p-value of 0.000, considering a p-value of < 0.05. Conclusion: Each family is formed by different social nuclei since it has its own identity, interrelationships, and intergenerational. The study shows a close correlation between the degree of satisfaction almost always and high functionality among families.
导言家庭是社会的第一核心。由信仰、习俗、价值观和行为构成的家庭有不同的类型。家庭 APGAR 是评估家庭功能的工具。在儿童时期,家庭的作用对于认知、智力和社会进步都是至关重要的,因为在这个阶段,家庭可以提供保护、关注和教育,以加强儿童的进步。目的:通过应用 APGAR 测试,分析与家庭功能水平相关的满意度。研究方法:我们对居住在厄瓜多尔卡尼亚尔省城市和农村地区的 140 个家庭进行了非概率抽样调查,调查对象为成年人和老年人。APGAR 量表用于评估对家庭功能及其成员之间关系的看法,通过三个封闭式问题进行评估,采用李克特评分法,结果描述了功能性家庭、轻度功能障碍和重度功能障碍。使用 SPSS.21 进行统计分析。结果:140 个家庭参加了调查,主要信息提供者为 18 至 85 岁的成年人(男 42.7 岁),平均家庭成员为 4.11 人,69.3%的家庭居住在农村地区。在家庭功能方面,80.7%的家庭处于高功能范围内;关于以下问题:在 "您觉得家人爱您吗 "这一问题中,82.1%的人回答 "几乎总是",平均得分最高,为 1.76。在所提出的问题中,很明显存在着统计学上显著的相关性,P 值为 0.000,考虑到 P 值小于 0.05。结论每个家庭都由不同的社会核心组成,因为它有自己的特性、相互关系和代际关系。研究表明,家庭满意度几乎总是与家庭的高功能性密切相关。
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引用次数: 0
Provider Awareness of Postpartum Hemorrhage Risk Assessment Tool at the Time of Admission at a Community Setting 社区医疗机构的医护人员在入院时对产后出血风险评估工具的认识
Pub Date : 2023-06-30 DOI: 10.33425/2639-9474.1244
Kimberley Agbo, Woojin Chong
Objectives: The primary objective of this study was to determine the provider's awareness of the postpartum hemorrhage risk assessment tool at the time of admission. In addition, in keeping with the organization’s continual performance improvement philosophy, education on postpartum hemorrhage risk was provided to survey respondents who self-reported that they were unaware or requested additional resources. Methods: This cross-sectional study utilized an anonymous survey methodology. We distributed a postpartum hemorrhage awareness risk assessment questionnaire and collected participant responses without personal identifiers over a 3 month time period, January 2023 – March 2023. Analysis was completed using Fischer’s exact test. Alpha level was set to 0.05. Results: 39 participants completed the questionnaire attending physicians: n=10 (25.6%), nursing staff: n=15 (38.5%), and resident physicians: n=14 (35.9%). 7 of the 10 attending physicians (70%) and 9 of the 15 nursing staff (60%) have worked over 10 years in their profession, while 11 of the 14 resident physicians (78.6%) have worked in their profession for 1-5 years (p=<0.0001). 5 of the 10 attending physicians (50%) and 7 of 15 nursing staff (46.7%) were 36-50 years old, while 13 of 14 resident physicians (93%) were 25- 36 years old (p=<0.0001). Majority of the participants were White; 5 attending physicians (50%), 11 nursing staff (73.3%), and 9 resident physicians (64.3%). Nursing staff had the most awareness of the postpartum hemorrhage awareness risk assessment tool at the time of admission (100%) in comparison with attending physicians (50%) and resident physicians (64.3%), (p=0.005). Nursing staff had the most knowledge of where to access the assessment (93.3%) in comparison to attending physicians (10%) and resident physicians (0%), (p=<0.0001). Conclusions: Our study revealed a statistically significant difference in awareness of the postpartum hemorrhage risk assessment tool at the time of admission amongst the 3 groups of providers; attending physicians, nursing staff, and resident physicians. The nursing staff had the most awareness in comparison with other providers. The data also highlighted the inconsistencies with accessing the risk assessment and with communication of information obtained through the assessment among providers. A quality improvement project should involve notifying providers of patients that are stratified to high risk, developing a simpler method for all providers to readily access the risk assessment tool, and increasing preparedness by creating an algorithm or bundle.
研究目的本研究的主要目的是确定医疗服务提供者在入院时对产后出血风险评估工具的了解程度。此外,为了与该机构的持续绩效改进理念保持一致,我们还对自称不了解或需要额外资源的调查对象进行了产后出血风险教育。方法:这项横断面研究采用匿名调查的方法。我们分发了一份产后出血风险意识评估问卷,并在 2023 年 1 月至 2023 年 3 月的 3 个月时间内收集了受访者的回答,但不包括个人身份识别信息。分析采用费舍尔精确检验。α水平设为 0.05。结果39 名参与者填写了问卷 主治医师:10 人(25.6%),护理人员:15 人(38.5%),住院医师:14 人(35.9%)。10 名主治医师中有 7 名(70%)和 15 名护理人员中有 9 名(60%)从事本专业工作超过 10 年,而 14 名住院医师中有 11 名(78.6%)从事本专业工作 1-5 年(p=<0.0001)。10 名主治医师中有 5 名(50%)和 15 名护理人员中有 7 名(46.7%)的年龄在 36-50 岁之间,而 14 名住院医师中有 13 名(93%)的年龄在 25-36 岁之间(P=<0.0001)。大多数参与者为白人;5 名主治医师(50%)、11 名护理人员(73.3%)和 9 名住院医师(64.3%)。与主治医师(50%)和住院医师(64.3%)相比,护理人员在入院时对产后出血风险评估工具的知晓率最高(100%),(P=0.005)。护理人员最了解从哪里获取评估工具(93.3%),而主治医师(10%)和住院医师(0%)对此一无所知(P=<0.0001)。结论:我们的研究显示,主治医师、护理人员和住院医师这三组医疗人员在入院时对产后出血风险评估工具的认知度存在统计学意义上的显著差异。与其他医护人员相比,护理人员对产后出血风险评估工具的认知度最高。数据还突显了医疗服务提供者在获取风险评估和沟通评估信息方面的不一致。质量改进项目应包括通知医疗服务提供者高风险患者的分层情况,开发一种更简单的方法让所有医疗服务提供者都能随时使用风险评估工具,以及通过创建算法或捆绑程序来提高准备程度。
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引用次数: 0
Mothers’ Feeding Practice and Nutritional Status of Infants in Selected Primary Health Care Center of Paikoro Local Government Area, Niger State, Nigeria 尼日利亚尼日尔州Paikoro地方政府区选定初级卫生保健中心的母亲喂养做法和婴儿营养状况
Pub Date : 2022-12-31 DOI: 10.33425/2639-9474.1227
M. D. Awogbenja, Peace Onyanwoyilo Osabo, Celestina Adebimpe Ojo, Grace Monday
Background: Ensuring good health, growth and development of children requires adequate nutrition during infancy and early childhood. Therefore, optimal feeding during the first few years of life provides opportunity for prevention of growth faltering and under-nutrition. Hence, improvement of infant feeding practices for children less than five years should be a high priority globally. Objectives: The objective of this study is to assess the feeding practices of mothers and the nutritional status of infants and young children in some selected Primary Health Care (PHCs) in Paikoro LGA of Niger state, Nigeria Methods: This descriptive cross-sectional study was carried out in some selected Primary Health Centres (PHCs) in Paikoro area of Niger state and a total of 200 mother/child pair were selected using simple random sampling method. Data was collected from mothers using a pre- tested structured questionnaire. The data was analyzed using Statistical Package for Social Sciences (SPSS) (Version 20.0). Tests were statistically significant at p ≤ 0.05. Results: Majority (of the respondents feed colostrums to their babies. The prevalence of initiation of breastfeeding (78.5%), colostrum consumption (97.5%) and timely introduction of complementary feeding (74.5%) practices were high. The results further revealed 34.0% of the respondents breastfeed on demand while 29.5% were using feeding bottles. Conclusion: The study shows that a very high percentage of the mothers feed colostrums to their children but none breastfed their children to 24 months of age.
背景:确保儿童的健康、生长和发育需要在婴儿期和幼儿期获得足够的营养。因此,在生命最初几年的最佳喂养为防止生长迟缓和营养不良提供了机会。因此,改善五岁以下儿童的婴儿喂养做法应成为全球的一个高度优先事项。目的:本研究的目的是评估尼日利亚尼日尔州Paikoro地区一些选定的初级卫生保健中心(PHCs)中母亲的喂养做法和婴幼儿的营养状况。方法:本描述性横断面研究在尼日尔州Paikoro地区一些选定的初级卫生保健中心(PHCs)中进行,采用简单随机抽样的方法共选择了200对母亲/儿童。使用预先测试的结构化问卷从母亲那里收集数据。使用SPSS (Version 20.0)对数据进行分析。p≤0.05,差异有统计学意义。结果:大多数受访者给婴儿喂初乳。开始母乳喂养(78.5%)、食用初乳(97.5%)和及时引入补充喂养(74.5%)的比例较高。调查结果进一步显示,34.0%的受访者按需母乳喂养,29.5%的受访者使用奶瓶喂养。结论:研究表明,很大比例的母亲给孩子喂初乳,但没有人给孩子母乳喂养到24个月大。
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引用次数: 1
Algorithm for Emotional Distress: A Process for Qualitative Data Collection 情绪困扰的算法:一个定性数据收集的过程
Pub Date : 2022-12-31 DOI: 10.33425/2639-9474.1230
Nicole Naccarato, Lissa L. Gagnon
Over the past twenty years, North America has been challenged with a public health crisis related to the morbidity and mortality of opioid misuse. As a result, there is urgent need to further address the opioid crisis. Evidence in the literature on substance abuse has suggested that qualitative studies may supplement epidemiological research to improve understanding of the complexities of opioid misuse [1,2].
在过去二十年中,北美面临着与阿片类药物滥用的发病率和死亡率有关的公共卫生危机的挑战。因此,迫切需要进一步解决阿片类药物危机。关于药物滥用的文献证据表明,定性研究可以补充流行病学研究,以提高对阿片类药物滥用复杂性的理解[1,2]。
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引用次数: 0
The Effect of an Educational Program on Nurses’ Knowledge Concerning Nursing Care of Critically – ill Patients at king Fahad hospital Jeddah June 2022 吉达法赫德国王医院护士危重病人护理知识教育计划的效果
Pub Date : 2022-12-31 DOI: 10.33425/2639-9474.1226
Esraa Mohammed Alhussin, Sahar Ahmed Mohammed, A. Hassan, M. Eltayeb, Montaha Mohamed Ibrahim Mohamed, Elturabi Elsayed, Elkhider Ebrahim
Background: Critical care nurses must gain update knowledge, skills, experiences, high technical equipment to provide high quality nursing care to support critically ill patients’ recovery. This study aimed to evaluate the effect of educational program on nurse’s knowledge concerning Nursing Care for critically –ill Patients at Critical Care units. Methodology: This interventional pre–posttest study included 30nurses selected though a full-coverage sampling method and meeting the selection criteria. Data were collected using structured self-administered questionnaire after testing their validity and reliability through pilot study, then a written approval from the participants was taken. The pretest included an initial assessment followed by implementation of education program was designed based on actual needs of nurses in order to improve their knowledge toward effective nursing care of critically ill patient. Then the final assessment was conducted after one month (posttest). The collected data were then analyzed and interpreted using descriptive and inferential statistics based on the objective and p-value at 0.05 was considered as the level of significance using SPSS version 20. Results: this current study showed that there was statistically significant relationship between nurses knowledge in mechanical ventilator and years of experience in critical care with p value 0,04 in pre-program implementation and after 2 month post program p value was 0.02. That reflect the years of experience when the nurse handle the mechanical ventilator will became more expert than the nurse less experience of it that is why the less expert nurse does not aware of mode of mechanical ventilator. Conclusion: The study concluded that the total knowledge of nurses post-test was very good and follow-up after 2 month was good, that indicate the educational program effect in knowledge of nurses.
背景:危重症护理护士必须掌握最新的知识、技能、经验和高科技设备,以提供高质量的护理,支持危重症患者的康复。本研究旨在探讨教育计划对危重病人护理知识的影响。方法:本研究采用全覆盖抽样方法,选取符合入选标准的30名护士。通过前期研究对问卷的效度和信度进行检验后,采用结构化的自填问卷收集数据,并取得参与者的书面认可。为了提高护士对危重病人的有效护理知识,根据护士的实际需要,设计了初步评估和实施教育方案。1个月后进行最终评估(后测)。收集到的数据在客观基础上采用描述性统计和推理统计进行分析和解释,使用SPSS version 20以0.05的p值为显著性水平。结果:本研究显示,护士机械呼吸机知识与危重病护理经验的年数之间存在显著的相关关系,计划实施前p值为0.04,计划实施后2个月p值为0.02。说明经验丰富的护士在操作机械呼吸机时会比经验不足的护士更熟练,这就是为什么经验不足的护士不了解机械呼吸机的模式。结论:本研究结果表明,护理人员测试后总体知识掌握情况良好,2个月后随访情况良好,说明教育项目对护理人员知识掌握效果良好。
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引用次数: 0
The Effect of Educational Program on Knowledge, Attitude and Practice on Sterile Technique among Operating Room Nurses of a Private Hospital in Selangor 雪兰莪私立医院手术室护士对无菌技术知识、态度和实践的教育效果
Pub Date : 2022-12-31 DOI: 10.33425/2639-9474.1229
Siti Hajar, A. Ahmad, A. Kunjukunju, Puziah Yusof
Surgical site infection continues to be the most common hospital-acquired infection among operated patients, associated with expenses, mortality, and morbidity. Operating room nurses play a big role in preventing and controlling theatre infection by applying sterile technique principles. For that reason, the Operating Room nurses, to accomplish their tasks, must have the knowledge and good attitude to practice the sterile technique. However, various studies revealed that OR nurses have insufficient knowledge, attitude and practice of sterile technique. This study aimed identify the effect of educational programs towards enhancing operating room nurses' knowledge, attitude and practice of sterile technique in two KPJ Hospitals. The research design chosen in this study was Quasi- experimental, where an educational program was conducted as an intervention on a single group pre and posttest posttest. A total of 48 Registered Nurses working in the Operating Room of the two selected Hospitals in Selangor were recruited to use purposive samples. The sample from the Registered Nurses population was selected using the Convenience sampling method. The data were analyzed using the IBM Social Packages for the Social Sciences (SPSS) version 26. The finding of this study revealed that 1 (2.3%) of respondents had low knowledge while 17 (39.5%) had a medium level of knowledge, and 25 (58.1%) had a high level of knowledge for pre-intervention. Post-intervention respondents had medium knowledge, 8 (18.6%) and 35 (81.4%) for high knowledge. There is still a need for nurses to be better educated on the principles of sterile techniques to ensure the operated patient's safety and reduce the rate of postoperative wound infection among the operated patient.
手术部位感染仍然是手术患者中最常见的医院获得性感染,与费用、死亡率和发病率相关。手术室护士运用无菌技术原则,在预防和控制手术室感染中发挥着重要作用。因此,手术室护士要做好本职工作,必须具备良好的无菌知识和态度。然而,各种研究表明,手术室护士对无菌技术的知识、态度和实践不足。本研究旨在探讨两所KPJ医院手术室护士对无菌技术的知识、态度和实践的教育效果。本研究选择的研究设计为准实验,即在单组测试前和测试后进行教育计划作为干预。共有48名在雪兰莪州选定的两家医院的手术室工作的注册护士被招募来使用有目的的样本。样本采用便利抽样法从注册护士人群中选取。使用IBM Social Packages for The Social Sciences (SPSS) version 26对数据进行分析。调查结果显示,1人(2.3%)对干预前知识的知晓程度较低,17人(39.5%)对干预前知识的知晓程度中等,25人(58.1%)对干预前知识的知晓程度较高。干预后被调查者中知者8人(18.6%),高知者35人(81.4%)。仍然需要对护士进行更好的无菌技术原则教育,以确保手术患者的安全,降低手术患者的术后伤口感染率。
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引用次数: 0
Public Health Volunteers Perspective on Motivation: An Assessment by Spotlight on Africa Uganda Foundation 公共卫生志愿者对动机的看法:聚焦非洲乌干达基金会的评估
Pub Date : 2022-12-31 DOI: 10.33425/2639-9474.1228
Okotel Richard
Low motivation among workers across various institutions is one of the main problems affecting performance of public health volunteers. This study was aimed at identifying key factors attributed to motivation among Public Health Volunteers (PHVs) in Bukasakya and Namabasa sub counties in Mbale District in Uganda. The level of motivation was assessed in relation to each attribute used to measure satisfaction. The study considered various attributes to motivation and performance of health volunteers. A descriptive survey design was used, a questionnaire was administered among 139 respondents most of which were the PHVs. A questionnaire with Likert scale was developed and administered to the respondents. The attributes of motivation were then categorized into personal and organizational attributes. For the qualitative component, participants with varied responses in quantitative data were selected and interviewed. This study underscores the significance of different attributes of motivation. The results revealed that 99% of respondents had attended school, 80.58% were very happy to be PHVs, 84 % reported improved quality of life, 69% exhibited confidence, although 87% were not sure to volunteer again for the next coming 7-10 when they were asked. Over 70% were satisfied with incentives provided and partly attributed their motivation to these incentives. Generally, the respondents were very happy with the working conditions in the organization, in Health the facilities and in the community. In an arrangement where health facilities involve health volunteers in the activities, there is need to consider their motivation, while framing administrative strategies and policy guidelines.
各机构工作人员积极性低是影响公共卫生志愿者工作绩效的主要问题之一。这项研究的目的是确定乌干达姆巴莱区布卡萨基亚和纳马巴萨县公共卫生志愿者(phv)动机的关键因素。动机的水平是根据用来衡量满意度的每个属性来评估的。该研究考虑了健康志愿者的动机和表现的各种属性。采用描述性调查设计,对139名受访者进行问卷调查,其中大多数是phv。采用李克特量表编制问卷,对被调查者进行问卷调查。然后将动机的属性分为个人属性和组织属性。对于定性部分,在定量数据中有不同反应的参与者被选择和采访。本研究强调了动机不同属性的重要性。结果显示,99%的受访者上过学,80.58%的人很高兴成为phv, 84%的人表示生活质量得到了改善,69%的人表现出信心,尽管87%的人不确定在接下来的7-10年里是否会再次成为志愿者。超过70%的受访者对公司提供的激励措施感到满意,并将部分原因归因于这些激励措施。总的来说,答复者对组织、卫生、设施和社区的工作条件非常满意。在保健设施安排保健志愿人员参与活动的情况下,在制定行政战略和政策准则的同时,需要考虑到他们的动机。
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引用次数: 0
CDC Guidelines on Prescription of Opioids – More and Less Than Meets the Eye 疾病预防控制中心阿片类药物处方指南-比眼睛看到的多和少
Pub Date : 2022-10-31 DOI: 10.33425/2639-9474.1225
R. Lawhern
On February 10, 2022, the US Centers For Disease Control and Prevention (National Center for Injury Prevention and Control) circulated a draft revised and expanded “2022 CDC Clinical Practice Guideline for Prescribing Opioids”. This proposal incorporates major expansions of scope and revisions of recommendations in the earlier 2016 CDC Guideline on prescription of opioids to adults with chronic non-cancer pain. Mainstream press articles have described the 2022 Guideline as a major improvement over the 2016 predecessor document in that it emphasizes the need for clinicians to exercise their own judgment on behalf of patients and to tailor treatment to individuals. However, deeper reading of the proposed 2022 Guideline calls the impressions of press reporters into serious question. In the opinion of the author and many others, the 2016 CDC Guideline has already wrecked the practice of pain medicine in the US, and proposed 2022 “revisions” may continue the destruction. The only ethically sound courses of action now open to the CDC are either to repudiate and withdraw both 2016 and draft 2022 guidelines without replacement, or to burn them to the ground and start over with condensation and correction of gross errors and policy mis-directions under a new, unbiased and clinically qualified writers group.
2022年2月10日,美国疾病控制和预防中心(国家伤害预防和控制中心)发布了修订和扩展的《2022年CDC阿片类药物处方临床实践指南》草案。该提案纳入了2016年早期CDC指南中关于成人慢性非癌性疼痛阿片类药物处方的范围和建议的重大扩展和修订。主流媒体文章将2022年指南描述为对2016年前身文件的重大改进,因为它强调临床医生需要代表患者行使自己的判断,并为个体量身定制治疗。然而,深入阅读《2022年指导意见》草案,记者们的印象就会受到严重质疑。在笔者和其他许多人看来,2016年CDC指南已经破坏了美国的疼痛医学实践,而2022年提出的“修订”可能会继续破坏。目前,CDC面临的唯一合乎道德的行动方案是要么拒绝并撤回2016年和2022年的指南草案,而不进行替换,要么将其付之一炬,重新开始,在一个新的、公正的、临床合格的作者小组下,对严重错误和政策误导进行浓缩和纠正。
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引用次数: 2
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Nursing &amp; Primary Care
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