1.Study on the salary allowances of health workers who are working at medical stations under the health departments
Journal of Practical Medicine 2004;484(8):15-19
Only 27.2% participants in the study had special allowances. 40.9% health workers had allowances on duty. The surgeons had average operation from 11.43 ± 11.26 to 12.68 ± 12.02 case/month and the money gained from duty from 71,480 to 156,900 VND/month. The health workers had poisonous allowances was 50%, responsible allowance was 29.1%, allowance against epidemic was 5.7%, roving allowance was 7.1%. Setting up the minimum salary for health workers must be based on real price (44.2%), the salary level was applied at present level (71.9%) and the period for increasing the salary should be 2 years (66.9%).
Health personnel
2.Knowledge, Attitude, and Practice on the Basic Life Support among Medical Interns of the Philippine General Hospital
Rogelio Jr. N. Velasco ; Mark David G. Francisco ; Elmer Jasper B. Llanes
Acta Medica Philippina 2021;55(1):101-108
Objective. This study aimed to assess the knowledge, attitude, and practice on the Basic Life Support (BLS) among the Philippine General Hospital medical interns, compare the scores between trained and untrained interns, and determine the proportion of respondents with updated BLS training.
Methods. This was a cross-sectional study using a thirty-five item questionnaire on the knowledge, attitude, and practice of medical interns at the Philippine General Hospital on the BLS.
Results. A total of 262 interns were included in the study. Although the mean knowledge scores of untrained and trained medical interns did not differ significantly (7.00 vs. 7.30, p=0.1637), more than 20% committed mistakes on questions on the following: jaw-thrust, rescue breaths, defibrillation, and CPR check. Generally, interns followed the BLS guidelines in their practice and had a positive attitude towards BLS. However, only 37% of trained participants had training within the past two years.
Conclusion. Most medical interns have a fair knowledge on BLS regardless of training status and adhere to them in practice. Since the training duration did not affect their knowledge scores, initial training in medical school and continuous exposure in the wards may have provided adequate BLS reinforcement. Recertification may not be needed during their formative years in medical school.
Health Personnel
3.Translation and validation of a scale on the health care providers’ Attitudes Towards Persons Living With Leprosy (AT-PLWL)
Maicka Keirsten O. Agon ; Abelaine Venida-Tablizo
Journal of the Philippine Dermatological Society 2021;30(2):46-55
Introduction:
Leprosy is a chronic, progressive, and complex disease. One of the factors contributing to the quality of case
detection and treatment compliance is the attitudes of health care providers towards leprosy patients. Assessment of the
attitudes of HCP towards leprosy patients is crucial because this is where leprosy patients base their care-seeking behaviors;
hence, the creation of this scale.
Objectives:
To create and validate a functionally equivalent Filipino translation of the HCP AT-PLWL scale.
Methods:
A validity study was conducted into two phases. In Phase I, the AT-PLWL scale was translated (forward-back method)
into Filipino, which underwent a cognitive debriefing (face validity) and pre-testing to 30 health care providers. In Phase 2, the
reconciled forward translation underwent face and content validity and was pilot-tested to 100 health care providers. Reliability,
both internal consistency and test-retest, were assessed via calculating Cronbach’s α and intra-class correlation coefficient,
respectively.
Results:
Content and face validity showed that all items in the scale were relevant. Cronbach’s α showed an adequate internal
consistency of greater than 0.7 while the intra-class correlation coefficient of responses was greater than 0.80, indicating good
correlation.
Conclusion
Overall, the final translated Filipino version of AT-PLWL scale is valid and reliable; hence, could serve as a tool to
evaluate HCP’s attitudes.
Health Personnel
4.Knowledge, skills and practices on Occupational Safety and Health among healthcare workers of Local Government Units (LGUs) in CAMANAVA
The Filipino Family Physician 2023;61(2):158-164
Background:
The need for better Occupational Safety and Health (OSH) protection for healthcare workers is increasingly being recognized as a major priority in the Philippines. The OSH Law ensures a safe and healthy workplace for all workers while the OSH Standards in the Public sector guarantees protection to all government employees from work-related injury and accident.
Objective:
This study determined the knowledge, skills, and practices on OSH among healthcare workers after the passage of the OSH Standards for the Public Sector of four local government units: Caloocan City, Malabon City, Navotas City, and Valenzuela City
Methods:
The descriptive evaluative and descriptive comparative research designs were utilized using a self-made questionnaire. Inclusion criteria were: current employment as healthcare workers from the Health Department, Disaster Risk Reduction and Management Office, and Bureau of Fire Protection of the four LGUs. Data gathered were statistically analyzed using frequency and percentage, simple mean, weighted mean and standard deviation.
Results:
More than half of the 306 respondents do not have a safety and health role in their respective LGUs. In terms of the level of knowledge on OSH, findings showed that majority were unaware of the OSH Law and the OSH Standards in the Public sector and to some of the duties of employers and rights of workers. The respondents were generally moderately skillful on OSH activities and the extent of OSH Practice showed unfamiliarity with the Mandatory 8-hour OSH Training, Safety officers, Health and Safety committees, and risk assessment for hazards.
Conclusion
A positive safety and health culture for government workers is fundamental especially for those working in the healthcare sector. This can be achieved more effectively if there is awareness, commitment, and correct implementation of the OSH Law, OSH Standards in the Public Sector and mandatory health programs and policies in the government institutions.
Health Personnel
5.Seeking to Allow for-Profit Health Care Providers in Korea.
Journal of the Korean Medical Association 2005;48(7):598-599
No abstract available.
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Humans
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Korea
6.Reliability And Validity Testing Of The Healthcare Provider-Patient Communication Instrument: A Pilot Study In A Malaysian Primary Care Setting
Nor Azmaniza A ; Shamsuddin K ; Aazami S
Malaysian Journal of Public Health Medicine 2014;14(2):12-20
There is a growing interest in research on satisfaction with healthcare provider (HCP) and HCP- patient communication as a measure of healthcare quality of HCP’s communication competency. However, many communication assessments were not comprehensive measures and are not entirely accurate in measuring what is supposed to be measured. This study aimed at assessing the validity and reliability of a newly developed HCP-PC instrument in a Malaysian primary care setting. The HCP-PC instrument was developed using items adapted from existing instruments as well as self-developed items. A pilot study involving 277 clients of an outpatient clinic was conducted in HKL using the proposed instrument which was distributed immediately after face to face consultation. The content validity and Cronbach alpha reliability were assessed. Factor analysis constructed 3 components, exchanging information (EI), socioemotional behaviour (SB) and communication style (CS). All items loaded on the corresponding component with factor loading ≥0.6, suggesting that all items in the respective component are measuring the same direction. PCA of the final 30 items explain 61.98% of the total variance with 6.66%, 47.18% and 8.13% explained by EI, SB and CS respectively. Component-based reliability show strong internal consistency with Cronbach alpha, αEI= 0.92, αSB= 0.96 and αCS= 0.70. The pilot study supported the instrument validity and reliability after initial tests. However, further study needs to be done to confirm its construct validity to help establish a valid and reliable HCP-PC instrument for measuring patient satisfaction with HCP-PC that can be used in primary care setting.
Reproducibility of Results
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Health Personnel
7.Knowledge and Practice on Injection Safety among Primary Health Care Workers in Kaski District, Western Nepal
Sudesh Gyawali ; Devendra Singh Rathore ; P Ravi Shankar ; Vikash Kumar Kc ; Nisha Jha ; Damodar Sharma
Malaysian Journal of Medical Sciences 2016;23(1):44-55
Background: Unsafe injection practice can transmit various blood borne infections. The aim of this study was to assess the knowledge and practice of injection safety among injection providers, to obtain information about disposal of injectable devices, and to compare the knowledge and practices of urban and rural injection providers. Methods: The study was conducted with injection providers working at primary health care facilities within Kaski district, Nepal. Ninety-six health care workers from 69 primary health care facilities were studied and 132 injection events observed. A semi-structured checklist was used for observing injection practice and a questionnaire for the survey. Respondents were interviewed to complete the questionnaire and obtain possible explanations for certain observed behaviors. Results: All injection providers knew of at least one pathogen transmitted through use/re-use of unsterile syringes. Proportion of injection providers naming hepatitis/jaundice as one of the diseases transmitted by unsafe injection practice was significantly higher in urban (75.6%) than in rural (39.2%) area. However, compared to urban respondents (13.3%), a significantly higher proportion of rural respondents (37.3%) named Hepatitis B specifically as one of the diseases transmitted. Median (inter-quartile range) number of therapeutic injection and injectable vaccine administered per day by the injection providers were 2 (1) and 1 (1), respectively. Two handed recapping by injection providers was significantly higher in urban area (33.3%) than in rural areas (21.6%). Most providers were not aware of the post exposure prophylaxis guideline. Conclusion: The knowledge of the injection providers about safe injection practice was acceptable. The use of safe injection practice by providers in urban and rural health care facilities was almost similar. The deficiencies noted in the practice must be addressed.
Health Personnel
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Injections
8.Assessment of emotions and stress coping mechanisms of healthcare workers from the Department of Pediatrics at the Philippine General Hospital a year after the Coronavirus Disease 2019 (COVID-19) Pandemic
Kia S. Anarna ; Angelica Cecilia V. Tomas
Acta Medica Philippina 2024;58(7):129-141
Objective:
Healthcare workers (HCWs) are an often overlooked population in the face of a pandemic. With the
myriad of researches focusing on the effect of Coronavirus Disease 2019 (COVID-19) on patients, this study aimed to illuminate the emotions, stressors and stress coping mechanisms of medical frontliners from the Department of Pediatrics working in Philippine General Hospital.
Methods:
A quantitative cross-sectional study was done among 130 HCWs ages 21-55 years old, mostly females (72%), recruited through convenience sampling. An adapted questionnaire from China was used and data were analyzed using means, T-test and Anova.
Results:
Results showed that HCWs predominantly felt a high sense of professional and ethical duty towards their jobs. Stressors include fear of transmitting the virus to their family and the shortage of manpower, while stressrelievers include knowing that their family are safe and having a good relationship with colleagues. Coping strategies include the use of personal protective measures and the hope of cure motivates them to continue working. Seeking psychiatric help is interestingly one of the least important motivational factors. Nurses, fellows, and residents significantly differ in responses about their feelings, stress-relievers, and coping strategies.
Conclusion
HCWs are a vulnerable population since they endure multiple stressors but they are idealistic and resilient, hence the hospital should give adequate financial compensation and provide good work-life balance.
Health Personnel
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COVID-19
9.Association between COVID-19 post-infection and work capacity among healthcare workers in the National Referral Hospital in Indonesia
Dewi Sumaryani Soemarko ; Felicia Erika Jahja ; Nuri Purwito Adi ; Fitri Anestherita ; Dewi Yunia Fitriani
Acta Medica Philippina 2024;58(5):57-61
Background:
Patients who had severe COVID-19 infection were thought to be one of the factors affecting the
suitability of work capacity. Functional capacity can be measured by 6-minute walking test (6MWT). Some particular jobs have a minimum functional capacity to be met.
Objectives:
The aim of this research is to determine the relationship between severity of COVID-19 infection and
work capacity among post-infected healthcare workers in the National Referral Hospital.
Methods:
A cross-sectional study among healthcare workers who had COVID-19 infection from June to July 2021, and had undergone functional capacity examination from September to November 2021 was conducted. Data processing was carried out by collecting data from medical records of infected healthcare workers. Bivariate analysis statistic test was done to determine the association between degree of severity and work capacity. Determination of the suitability of work capacity was done by comparing the results of the functional capacity examination with the minimum estimated matabolic equivalents (METs) needs of workers.
Results
A total of 102 employees data from ages 25 to 58 years were collected. The result showed that 81 employees had unsuitable work capacity with most of them coming from the mild infected group (83.3%).
Conclusion. There is no significant relationship (p>0.05) between age, gender, BMI, sequelae, comorbidities, and
degree of severity of COVID-19 infection and work capacity among healthcare workers. Even though there is no
signficant relationship between severity of COVID-19 and work capacity, this research shows there are more than 50% post-infected healthcare workers who have unsuitable work capacity.
COVID-19
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Health Personnel
10.Cross infection after a difficult intubation of a COVID-19 confirmed patient
The Filipino Family Physician 2020;58(2):168-171
Coronavirus Disease 2019 (COVID-19) is a new infectious disease with no definitive treatment and subsequently became a global pandemic. It has a reported morbidity rate of 19% among health care workers. Patients infected with COVID-19 are at risk for developing respiratory failure requiring intubation. Careful infection control measures to prevent cross-infection to healthcare providers are necessary. While exact mechanisms of transmission are unknown, person to person horizontal transmission arise, and the risk of spread during aerosol-generating procedures is a major concern. This is a case of an anesthesiologist who developed cough, ageusia, and loose bowel movement after performing an intubation to a patient with difficult airway. She was diagnosed with COVID-19 and eventually made a full recovery. It highlights the clinical course of the illness from onset to recuperation and the need to understand optimal use of PPE in healthcare settings.
COVID-19
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Health Personnel