Usasiri Srisakul, W. Umpornwirojkit, Supaporn Pattanasan, A. So-Ngern, Charlermsri Pummangura, S. Siwamogsatham
Background : Quality of care improvements is a challenge when resources are limited. In this participatory action research (PAR) study, we created a multidisciplinary care model (MCM) for heart failure clinic at a hospital in Bangkok, Thailand, and evaluated quality performance measures and clinical outcomes. Methods : Using the PAR framework, this study included: 1) identi fi cation of problems and planning solutions with providers, 2) development of the MCM, 3) implementation of the MCM, 4) evaluation of quality process and outcome measures among heart failure patients at the follow-up conducted 6 months after implementation of the MCM, and 5) post-MCM survey. Results : Information management of patient data, redundant work and communication, and ineffective work fl ow were the main problems identi fi ed. Providers suggested initiating a patient database, modifying the electronic health records, and developing an institutional map for heart failure care. Outcome measures were studied among 100 patients (mean age ¼ 61.92 years, SD ¼ 15.75; mean left ventricular ejection fraction ¼ 31.15%, SD ¼ 7.89). The mean guideline adherence indicator increased signi fi cantly (p ¼ 0.007) from baseline (87.50 ± 22.14%) to follow-up (94.50 ± 15.54%). At follow-up, there was a signi fi cant reduction for risk of heart failure hospitalization (RR: 0.761, 95% CI: 0.652 to 0.889). Most study participants agreed that all MCM components could solve existing problems with heart failure care. Conclusion : The PAR strategy used to develop the MCM for this heart failure clinic with limited resources was feasible and led to quality-of-care improvements.
{"title":"Development of Multidisciplinary Care Model With Participatory Action Research for Heart Failure Clinic in Bangkok, Thailand","authors":"Usasiri Srisakul, W. Umpornwirojkit, Supaporn Pattanasan, A. So-Ngern, Charlermsri Pummangura, S. Siwamogsatham","doi":"10.56808/2586-940x.1051","DOIUrl":"https://doi.org/10.56808/2586-940x.1051","url":null,"abstract":"Background : Quality of care improvements is a challenge when resources are limited. In this participatory action research (PAR) study, we created a multidisciplinary care model (MCM) for heart failure clinic at a hospital in Bangkok, Thailand, and evaluated quality performance measures and clinical outcomes. Methods : Using the PAR framework, this study included: 1) identi fi cation of problems and planning solutions with providers, 2) development of the MCM, 3) implementation of the MCM, 4) evaluation of quality process and outcome measures among heart failure patients at the follow-up conducted 6 months after implementation of the MCM, and 5) post-MCM survey. Results : Information management of patient data, redundant work and communication, and ineffective work fl ow were the main problems identi fi ed. Providers suggested initiating a patient database, modifying the electronic health records, and developing an institutional map for heart failure care. Outcome measures were studied among 100 patients (mean age ¼ 61.92 years, SD ¼ 15.75; mean left ventricular ejection fraction ¼ 31.15%, SD ¼ 7.89). The mean guideline adherence indicator increased signi fi cantly (p ¼ 0.007) from baseline (87.50 ± 22.14%) to follow-up (94.50 ± 15.54%). At follow-up, there was a signi fi cant reduction for risk of heart failure hospitalization (RR: 0.761, 95% CI: 0.652 to 0.889). Most study participants agreed that all MCM components could solve existing problems with heart failure care. Conclusion : The PAR strategy used to develop the MCM for this heart failure clinic with limited resources was feasible and led to quality-of-care improvements.","PeriodicalId":15935,"journal":{"name":"Journal of Health Research","volume":null,"pages":null},"PeriodicalIF":1.7,"publicationDate":"2023-03-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44148552","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Background: This paper reflects on community health components during the COVID-19 epidemic in the light of major and always challenging health system issues from inequities, to financing, to delays in service delivery and the like. Method: This is an invited commentary. Results: The seven issues have been highlighted for the deconstruction of the public health infrastructure since COVID-19 (1) Growing social determinants of health disparities (2) Inadequate investment in public health infra-structure (3) Racial injustice and discrimination (4) Increased anxiety, depression and loneliness (5) Slow response to serious infectious diseases (6) Lack of diversity, equity, and sense of belonging (7) Need to be trustworthy partners. Conclusion: COVID-19 should have taught us to listen, act, engage and educate the public. We have an enormous goal to achieve, but we can do it.
{"title":"Public Health After COVID-19","authors":"L. Cottler","doi":"10.56808/2586-940x.1048","DOIUrl":"https://doi.org/10.56808/2586-940x.1048","url":null,"abstract":"Background: This paper reflects on community health components during the COVID-19 epidemic in the light of major and always challenging health system issues from inequities, to financing, to delays in service delivery and the like. Method: This is an invited commentary. Results: The seven issues have been highlighted for the deconstruction of the public health infrastructure since COVID-19 (1) Growing social determinants of health disparities (2) Inadequate investment in public health infra-structure (3) Racial injustice and discrimination (4) Increased anxiety, depression and loneliness (5) Slow response to serious infectious diseases (6) Lack of diversity, equity, and sense of belonging (7) Need to be trustworthy partners. Conclusion: COVID-19 should have taught us to listen, act, engage and educate the public. We have an enormous goal to achieve, but we can do it.","PeriodicalId":15935,"journal":{"name":"Journal of Health Research","volume":null,"pages":null},"PeriodicalIF":1.7,"publicationDate":"2023-03-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43010823","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Background : Little is known about Malaysian workers ' tolerance for respirators in the workplace. This study aimed to assess Malaysian workers ' perceptions of respirator tolerability and its relationship to socio-demographics and compliance. Method : This cross-sectional study was conducted between October and December 2021 among respirator users in the agricultural, industrial, and service sectors. Background information and respirator compliance were collected using a structured online questionnaire. A R-COMFI questionnaire was used to measure respirator tolerability. Results : This study recruited 340 participants, but only 278 of them met the inclusion criteria. More than half reported that wearing respirators was uncomfortable, impacted focus, and hindered communication. Few had health concerns from respirators. Malay ethnicity ( b ¼ ¡ 2.604, 95% CI ¼ ¡ 4.983, ¡ 0.225) and respirator training ( b ¼ ¡ 2.213, 95% CI ¼ ¡ 4.339, ¡ 0.088) were found to be associated with better respirator tolerability. Conclusion : This study showed that Malay ethnicity and respirator training predicted better respirator tolerance. Policy aimed at emphasizing the need of respirator training programs, particularly for non-Malay workers, should be thoroughly considered in order to improve worker tolerance of respirator wear and prevent hazardous health effects by inhalation.
{"title":"Workers' perceptions on the tolerability of their respirators in Malaysia","authors":"M. Yusof, N. Mukhtar","doi":"10.56808/2586-940x.1025","DOIUrl":"https://doi.org/10.56808/2586-940x.1025","url":null,"abstract":"Background : Little is known about Malaysian workers ' tolerance for respirators in the workplace. This study aimed to assess Malaysian workers ' perceptions of respirator tolerability and its relationship to socio-demographics and compliance. Method : This cross-sectional study was conducted between October and December 2021 among respirator users in the agricultural, industrial, and service sectors. Background information and respirator compliance were collected using a structured online questionnaire. A R-COMFI questionnaire was used to measure respirator tolerability. Results : This study recruited 340 participants, but only 278 of them met the inclusion criteria. More than half reported that wearing respirators was uncomfortable, impacted focus, and hindered communication. Few had health concerns from respirators. Malay ethnicity ( b ¼ ¡ 2.604, 95% CI ¼ ¡ 4.983, ¡ 0.225) and respirator training ( b ¼ ¡ 2.213, 95% CI ¼ ¡ 4.339, ¡ 0.088) were found to be associated with better respirator tolerability. Conclusion : This study showed that Malay ethnicity and respirator training predicted better respirator tolerance. Policy aimed at emphasizing the need of respirator training programs, particularly for non-Malay workers, should be thoroughly considered in order to improve worker tolerance of respirator wear and prevent hazardous health effects by inhalation.","PeriodicalId":15935,"journal":{"name":"Journal of Health Research","volume":null,"pages":null},"PeriodicalIF":1.7,"publicationDate":"2023-03-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49542764","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Nareerat Pummala, Ann Jirapongsuwan, S. Siri, Surintorn Kalampakorn
Background : Workplace violence against nurses has increased attention worldwide. This study aimed to investigate the prevalence of workplace violence (WPV) and related factors against frontline nurses in a university hospital in Bangkok, Thailand. Method : A cross-sectional study was conducted among 275 nurses. Bivariate and multivariate logistic regression was applied to identify any associations. Results : Findings indicated that the prevalence of psychological WPV was 60.0% and physical WPV was 9.1%. Factors associated with physical WPV included working in the emergency, outpatient or psychiatric examination units (aOR ¼ 4.62; 95% CI: 1.86 e 11.50). Additionally, work experience < 10 years (aOR ¼ 2.66; 95% CI: 1.53 e 4.62), personality type B (aOR ¼ 2.51; 95%CI: 1.21 e 5.18), inadequate lighting (aOR ¼ 2.53; 95%CI: 1.38 e 4.66), poor management of WPV (aOR ¼ 1.77; 95% CI: 1.36 e 4.86) and poor organizational culture toward WPV (aOR ¼ 2.22; 95% CI: 1.32 e 5.66) were associated with psychological WPV. Conclusion : Findings provide novel empirical evidence on the context of WPV in a Thai university hospital. Signi fi cant risk factors of WPV have the potential to be developed in an intervention to prevent WPV toward frontline nurses. The hospital should adopt WPV prevention programs in all settings to prevent healthcare workers from adverse effects.
{"title":"Workplace Violence Against Frontline Nurses in a University Hospital in Bangkok, Thailand: A Cross-sectional Study","authors":"Nareerat Pummala, Ann Jirapongsuwan, S. Siri, Surintorn Kalampakorn","doi":"10.56808/2586-940x.1034","DOIUrl":"https://doi.org/10.56808/2586-940x.1034","url":null,"abstract":"Background : Workplace violence against nurses has increased attention worldwide. This study aimed to investigate the prevalence of workplace violence (WPV) and related factors against frontline nurses in a university hospital in Bangkok, Thailand. Method : A cross-sectional study was conducted among 275 nurses. Bivariate and multivariate logistic regression was applied to identify any associations. Results : Findings indicated that the prevalence of psychological WPV was 60.0% and physical WPV was 9.1%. Factors associated with physical WPV included working in the emergency, outpatient or psychiatric examination units (aOR ¼ 4.62; 95% CI: 1.86 e 11.50). Additionally, work experience < 10 years (aOR ¼ 2.66; 95% CI: 1.53 e 4.62), personality type B (aOR ¼ 2.51; 95%CI: 1.21 e 5.18), inadequate lighting (aOR ¼ 2.53; 95%CI: 1.38 e 4.66), poor management of WPV (aOR ¼ 1.77; 95% CI: 1.36 e 4.86) and poor organizational culture toward WPV (aOR ¼ 2.22; 95% CI: 1.32 e 5.66) were associated with psychological WPV. Conclusion : Findings provide novel empirical evidence on the context of WPV in a Thai university hospital. Signi fi cant risk factors of WPV have the potential to be developed in an intervention to prevent WPV toward frontline nurses. The hospital should adopt WPV prevention programs in all settings to prevent healthcare workers from adverse effects.","PeriodicalId":15935,"journal":{"name":"Journal of Health Research","volume":null,"pages":null},"PeriodicalIF":1.7,"publicationDate":"2023-03-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43407543","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Sam Froze Jiee, Kai Joo Lim, Daryl Sin Choon Vui, Dina Peter Marius, Nurul Syafiqah Illyana, Anisah Jantim
Background : Melioidosis is a fatal, but preventable communicable disease that is endemic in several parts of the world, including the state of Sabah, Malaysia, which is located in the northern part of Borneo Island. Flooding is one of the most regular natural disasters affecting some parts of Malaysia, including Sabah. The main aim of this study was to determine if rainfall and fl oods were signi fi cant risk factors contributing to the substantial burden of melioidosis in the Penampang district from 2015 to 2020. Method : We analyzed 64 culture-con fi rmed cases of melioidosis in the Penampang district, Sabah, between 2015 and 2020 to determine if rainfall and fl oods were signi fi cant risk factors that contributed to the substantial burden of melioidosis. Fisher ' s exact test was used to examine for associations between risk factors and melioidosis mortality. We used Poisson regression to calculate the incidence rate ratio for melioidosis cases based on different risk factors. Results : There was a linear association between rainfall and fl oods with cases of melioidosis. Our Poisson regression results indicated that the number of melioidosis cases was 1.002 times greater with every 1 mm increase of rainfall and 2.203 times greater with every fl ood event. There was a linear association between cases of melioidosis with rainfall and fl oods, with most patients having comorbidities. Conclusion : Prevention of melioidosis in the Penampang district should primarily focus on avoiding direct contact with soil or contaminated water, especially during or after extreme weather events. Continuous and community-empowered health education targeting the high-risk group is essential, as fl ash fl oods in certain parts of the state and districts are seasonal and unpredictable.
{"title":"Extreme Weather and Melioidosis: An endemic tropical disease in Penampang district of Sabah, Malaysia","authors":"Sam Froze Jiee, Kai Joo Lim, Daryl Sin Choon Vui, Dina Peter Marius, Nurul Syafiqah Illyana, Anisah Jantim","doi":"10.56808/2586-940x.1023","DOIUrl":"https://doi.org/10.56808/2586-940x.1023","url":null,"abstract":"Background : Melioidosis is a fatal, but preventable communicable disease that is endemic in several parts of the world, including the state of Sabah, Malaysia, which is located in the northern part of Borneo Island. Flooding is one of the most regular natural disasters affecting some parts of Malaysia, including Sabah. The main aim of this study was to determine if rainfall and fl oods were signi fi cant risk factors contributing to the substantial burden of melioidosis in the Penampang district from 2015 to 2020. Method : We analyzed 64 culture-con fi rmed cases of melioidosis in the Penampang district, Sabah, between 2015 and 2020 to determine if rainfall and fl oods were signi fi cant risk factors that contributed to the substantial burden of melioidosis. Fisher ' s exact test was used to examine for associations between risk factors and melioidosis mortality. We used Poisson regression to calculate the incidence rate ratio for melioidosis cases based on different risk factors. Results : There was a linear association between rainfall and fl oods with cases of melioidosis. Our Poisson regression results indicated that the number of melioidosis cases was 1.002 times greater with every 1 mm increase of rainfall and 2.203 times greater with every fl ood event. There was a linear association between cases of melioidosis with rainfall and fl oods, with most patients having comorbidities. Conclusion : Prevention of melioidosis in the Penampang district should primarily focus on avoiding direct contact with soil or contaminated water, especially during or after extreme weather events. Continuous and community-empowered health education targeting the high-risk group is essential, as fl ash fl oods in certain parts of the state and districts are seasonal and unpredictable.","PeriodicalId":15935,"journal":{"name":"Journal of Health Research","volume":null,"pages":null},"PeriodicalIF":1.7,"publicationDate":"2023-03-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43735136","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Background: Democrats and Republicans in the United States were divided on their COVID-related risk perceptions and their adoption of preventive measures (e.g., getting vaccinated). Based on moral foundations theory and the matching hypothesis, this study hypothesized that parents with a Democratic affiliation would be persuaded by mes-sages featuring a harm/care or a fairness moral appeal, whereas parents with a Republican affiliation would be persuaded by messages featuring an authority or ingroup loyalty appeal.Method: An experiment was conducted among 567 parents with children aged 5-11, whereby each participant was randomly assigned to read one of the four moral appeals or a control message. Each participant then completed a questionnaire.Results: The results showed that, in general, the moral appeals did not interact with parents' political affiliations, and the moral appeal messages did not significantly increase the parents' risk perceptions or vaccine uptake intent for their children. Additional analysis showed that trust in government and future orientation were strong predictors of parents' risk perceptions and vaccine uptake intent, whereas COVID fatigue was a weak predictor of their message evaluation.Conclusion: Moral framing in persuasive messages may have limited effects on a health problem widely known to the public. Instead, participants' internalized value orientations and personal differences may be more predictive of their attitudes and adoption of preventive measures.
{"title":"A Randomized Experiment on the Effects of Moral Appeals on U.S. Parents’ Intentions to Vaccinate Their 5e11-Year-Old Children Against COVID-19","authors":"Xiao Wang, Jie Xu","doi":"10.56808/2586-940x.1022","DOIUrl":"https://doi.org/10.56808/2586-940x.1022","url":null,"abstract":"Background: Democrats and Republicans in the United States were divided on their COVID-related risk perceptions and their adoption of preventive measures (e.g., getting vaccinated). Based on moral foundations theory and the matching hypothesis, this study hypothesized that parents with a Democratic affiliation would be persuaded by mes-sages featuring a harm/care or a fairness moral appeal, whereas parents with a Republican affiliation would be persuaded by messages featuring an authority or ingroup loyalty appeal.Method: An experiment was conducted among 567 parents with children aged 5-11, whereby each participant was randomly assigned to read one of the four moral appeals or a control message. Each participant then completed a questionnaire.Results: The results showed that, in general, the moral appeals did not interact with parents' political affiliations, and the moral appeal messages did not significantly increase the parents' risk perceptions or vaccine uptake intent for their children. Additional analysis showed that trust in government and future orientation were strong predictors of parents' risk perceptions and vaccine uptake intent, whereas COVID fatigue was a weak predictor of their message evaluation.Conclusion: Moral framing in persuasive messages may have limited effects on a health problem widely known to the public. Instead, participants' internalized value orientations and personal differences may be more predictive of their attitudes and adoption of preventive measures.","PeriodicalId":15935,"journal":{"name":"Journal of Health Research","volume":null,"pages":null},"PeriodicalIF":1.7,"publicationDate":"2023-03-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46431122","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
U. Nguyen, Charuai Suwanbamrung, C. Le, Wichaya Janhom, Yanika Ratjaran, Alisara Khwansri
Background: Public health officers (PHOs) are the frontline health workforce against the Coronavirus disease 2019 (COVID-19) and therefore need high immunity for protection. The application of the capability, opportunity, motiva-tion, and behavior (COM-B) model aimed to 1) explore the level of COM-B for prevention and control of COVID-19, and 2) analyze the association between factors and behaviors for prevention and control of COVID-19 among PHOs at primary care units (PCUs) of seven provinces in southern Thailand. Methods: The study design performed an analytical cross-sectional study using information from primary care units from July to September 2021. Data collection used multi-stage sampling techniques to construct the online questionnaire based on the relationship of the COM-B model. Data analysis used descriptive statistics, and Chi-squared and Fisher's exact tests to find out the association among factors.Results: The overall COM-B scores of the 203 PHOs were high, but the motivation was low. Almost all characteristics were associated with behavior. Work experience was significantly associated with capability, opportunity, and behavior (P < 0.05). The relationships between capability and behavior, and opportunity and motivation were statistically sig-nificant (P < 0.05 and P < 0.001 respectively). Conclusions: This is the first report applying the COM-B model to explore behavior changes relating to the COVID-19 vaccination among PHOs at PCUs. The association between factors and individual behavior of health providers can be applied to design interventions for promoting effective preventive and controlling behavior after the COVID-19 vaccination.
{"title":"Public Health Officers’ Capability, Opportunity, Motivation, and Behavior after COVID-19 Vaccination in Thailand","authors":"U. Nguyen, Charuai Suwanbamrung, C. Le, Wichaya Janhom, Yanika Ratjaran, Alisara Khwansri","doi":"10.56808/2586-940x.1021","DOIUrl":"https://doi.org/10.56808/2586-940x.1021","url":null,"abstract":"Background: Public health officers (PHOs) are the frontline health workforce against the Coronavirus disease 2019 (COVID-19) and therefore need high immunity for protection. The application of the capability, opportunity, motiva-tion, and behavior (COM-B) model aimed to 1) explore the level of COM-B for prevention and control of COVID-19, and 2) analyze the association between factors and behaviors for prevention and control of COVID-19 among PHOs at primary care units (PCUs) of seven provinces in southern Thailand. Methods: The study design performed an analytical cross-sectional study using information from primary care units from July to September 2021. Data collection used multi-stage sampling techniques to construct the online questionnaire based on the relationship of the COM-B model. Data analysis used descriptive statistics, and Chi-squared and Fisher's exact tests to find out the association among factors.Results: The overall COM-B scores of the 203 PHOs were high, but the motivation was low. Almost all characteristics were associated with behavior. Work experience was significantly associated with capability, opportunity, and behavior (P < 0.05). The relationships between capability and behavior, and opportunity and motivation were statistically sig-nificant (P < 0.05 and P < 0.001 respectively). Conclusions: This is the first report applying the COM-B model to explore behavior changes relating to the COVID-19 vaccination among PHOs at PCUs. The association between factors and individual behavior of health providers can be applied to design interventions for promoting effective preventive and controlling behavior after the COVID-19 vaccination.","PeriodicalId":15935,"journal":{"name":"Journal of Health Research","volume":null,"pages":null},"PeriodicalIF":1.7,"publicationDate":"2023-03-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46614309","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Background : Stress among medical personnel is crucial, as it can cause the adverse health outcome to individuals who suffer from the stress as well as their clinical practice performance, which may cause serious outcomes to patients. This study focuses on the interns who received their medical degree overseas because they may have more stress due to their required clinical work and license examination. We conducted our study to determine the stress level, coping strategies, and associated factors among foreign bachelor ' s medical interns in Bangkok, Thailand. Method : A cross-sectional study design was conducted among 49 interns from Bangkok Metropolitan Administration Hospitals. Stress was assessed using the Suanprung stress test and the Brief COPE inventory (Thai version). Descriptive analysis, Chi-square tests, and multiple linear regression analysis were used to investigate the association between stress, coping strategies and other potential factors. Results : The prevalence of problematic stress among foreign bachelor ' s medical interns was 69.4%. Factors associated with problematic stress were being female ( p ¼ 0.047) and having a lower monthly income ( p < 0.001). These medical interns predominantly used adaptive coping strategies (acceptance, active coping, and planning), rather than mal-adaptive coping strategies (self-distraction, self-blame, and venting). Practicing religion and being on duty in certain departments had signi fi cant associations with adaptive coping strategies, whereas high stress levels were signi fi cantly associated with maladaptive coping strategies. Conclusion : This is the fi rst study in Thailand to evaluate coping strategies in these medical interns. These interns are recognized as vulnerable to the negative effects of stress.
{"title":"Stress and Stress Coping Strategies among Foreign Bachelor’s Medical Interns in Bangkok Metropolitan Administration (BMA) Hospitals","authors":"Prakasit Wannapaschaiyong, K. Kallawicha","doi":"10.56808/2586-940x.1024","DOIUrl":"https://doi.org/10.56808/2586-940x.1024","url":null,"abstract":"Background : Stress among medical personnel is crucial, as it can cause the adverse health outcome to individuals who suffer from the stress as well as their clinical practice performance, which may cause serious outcomes to patients. This study focuses on the interns who received their medical degree overseas because they may have more stress due to their required clinical work and license examination. We conducted our study to determine the stress level, coping strategies, and associated factors among foreign bachelor ' s medical interns in Bangkok, Thailand. Method : A cross-sectional study design was conducted among 49 interns from Bangkok Metropolitan Administration Hospitals. Stress was assessed using the Suanprung stress test and the Brief COPE inventory (Thai version). Descriptive analysis, Chi-square tests, and multiple linear regression analysis were used to investigate the association between stress, coping strategies and other potential factors. Results : The prevalence of problematic stress among foreign bachelor ' s medical interns was 69.4%. Factors associated with problematic stress were being female ( p ¼ 0.047) and having a lower monthly income ( p < 0.001). These medical interns predominantly used adaptive coping strategies (acceptance, active coping, and planning), rather than mal-adaptive coping strategies (self-distraction, self-blame, and venting). Practicing religion and being on duty in certain departments had signi fi cant associations with adaptive coping strategies, whereas high stress levels were signi fi cantly associated with maladaptive coping strategies. Conclusion : This is the fi rst study in Thailand to evaluate coping strategies in these medical interns. These interns are recognized as vulnerable to the negative effects of stress.","PeriodicalId":15935,"journal":{"name":"Journal of Health Research","volume":null,"pages":null},"PeriodicalIF":1.7,"publicationDate":"2023-03-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42543727","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Z. Shaluhiyah, Antono Suryoputro, Ratih Indraswari
Background : The maternal mortality rate is still high in Indonesia and has not signi fi cantly decreased, including in Central Java. One indirect cause of maternal death is low husband involvement in improving mother and child health (MCH). This is due to cultural barriers and a lack of knowledge about the MCH problems. Therefore, this research aims to examine the signi fi cant factors in fl uencing men ' s involvement in MCH. We recommend an appropriate intervention model to engage them in MCH, primarily for their families and communities. Method : This explanatory research study was conducted using a cross-sectional design involving 400 men. They were selected using multistage proportional random sampling technique from four districts in rural Central Java. The data were collected with trained enumerators using a self-administered questionnaire tested for validity and reliability. Univariate statistics, bivariate statistics using Chi e Square tests, and multivariate analysis (logistic regression) were used to analyse the data. Results : About half of the men had suf fi cient knowledge, positive attitudes, and high involvement in MCH, speci fi cally during childbirth compared to pregnancy and the postpartum period. Having experienced their wives being pregnant two or more times and having support from religious leaders, health personnel, and family were the signi fi cant factors that in fl uenced a higher level of men ' s involvement in MCH. Conclusion : We recommend that men need MCH education that is based on their socio-cultural beliefs and facilitated by religious leaders.
{"title":"Factors influencing men’s involvement in maternal and child health: men’s experiences and religious leader’s support in Central Java, Indonesia","authors":"Z. Shaluhiyah, Antono Suryoputro, Ratih Indraswari","doi":"10.56808/2586-940x.1047","DOIUrl":"https://doi.org/10.56808/2586-940x.1047","url":null,"abstract":"Background : The maternal mortality rate is still high in Indonesia and has not signi fi cantly decreased, including in Central Java. One indirect cause of maternal death is low husband involvement in improving mother and child health (MCH). This is due to cultural barriers and a lack of knowledge about the MCH problems. Therefore, this research aims to examine the signi fi cant factors in fl uencing men ' s involvement in MCH. We recommend an appropriate intervention model to engage them in MCH, primarily for their families and communities. Method : This explanatory research study was conducted using a cross-sectional design involving 400 men. They were selected using multistage proportional random sampling technique from four districts in rural Central Java. The data were collected with trained enumerators using a self-administered questionnaire tested for validity and reliability. Univariate statistics, bivariate statistics using Chi e Square tests, and multivariate analysis (logistic regression) were used to analyse the data. Results : About half of the men had suf fi cient knowledge, positive attitudes, and high involvement in MCH, speci fi cally during childbirth compared to pregnancy and the postpartum period. Having experienced their wives being pregnant two or more times and having support from religious leaders, health personnel, and family were the signi fi cant factors that in fl uenced a higher level of men ' s involvement in MCH. Conclusion : We recommend that men need MCH education that is based on their socio-cultural beliefs and facilitated by religious leaders.","PeriodicalId":15935,"journal":{"name":"Journal of Health Research","volume":null,"pages":null},"PeriodicalIF":1.7,"publicationDate":"2023-03-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44113807","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Background : After the implementation of the deinstitutionalization policy, the role of family caregivers has grown in importance and the caring responsibilities have shifted onto their shoulders. This study sought to better understand the Thai family caregivers ’ needs for readiness to care for people with psychosis. Method : A total of 48 participants were enrolled in the study. A focus group discussion and in-depth interview were conducted with family caregivers of the people with psychosis at home, in an urban area of Chonburi province, Thailand. A content analysis approach was used to analyze the data. Results : The fi ndings revealed that caregivers ' needs for readiness to care for people with psychosis encompassed two areas: 1) enhancing motivation to be a caregiver through encouragement, mental preparation, and community preparation, and 2) the need to be prepared and ready for psychiatric caregiving such as information, fi nancial support, caregiving skills training, and self-stress management training. Conclusion : This study offers a new understanding of the need for readiness in caring for people with psychosis. Moreover, healthcare providers can help provide basic information for formulating strategies to serve caregivers ’ needs and enhance readiness for caring for people with psychosis.
{"title":"The Needs of Thai family caregivers and their readiness to provide care for people with psychosis: a qualitative approach","authors":"Wannarat Lawang, Surapa Suksawat, Rachanee Sunsern, Anocha Tassanatanachai, Pichamon Intaput","doi":"10.56808/2586-940x.1033","DOIUrl":"https://doi.org/10.56808/2586-940x.1033","url":null,"abstract":"Background : After the implementation of the deinstitutionalization policy, the role of family caregivers has grown in importance and the caring responsibilities have shifted onto their shoulders. This study sought to better understand the Thai family caregivers ’ needs for readiness to care for people with psychosis. Method : A total of 48 participants were enrolled in the study. A focus group discussion and in-depth interview were conducted with family caregivers of the people with psychosis at home, in an urban area of Chonburi province, Thailand. A content analysis approach was used to analyze the data. Results : The fi ndings revealed that caregivers ' needs for readiness to care for people with psychosis encompassed two areas: 1) enhancing motivation to be a caregiver through encouragement, mental preparation, and community preparation, and 2) the need to be prepared and ready for psychiatric caregiving such as information, fi nancial support, caregiving skills training, and self-stress management training. Conclusion : This study offers a new understanding of the need for readiness in caring for people with psychosis. Moreover, healthcare providers can help provide basic information for formulating strategies to serve caregivers ’ needs and enhance readiness for caring for people with psychosis.","PeriodicalId":15935,"journal":{"name":"Journal of Health Research","volume":null,"pages":null},"PeriodicalIF":1.7,"publicationDate":"2023-03-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44381596","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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