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Dissertations / Theses on the topic 'Health workers'
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1
Ospina, Salinas Estela. "Health surveillance of workers." THĒMIS-Revista de Derecho, 2014. http://repositorio.pucp.edu.pe/index/handle/123456789/107293.
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In our legal system, fundamental rights to life and health of workers are important legallyprotected goods that cannot be disregarded. Therefore, the State and the employers must put special emphasis on health and security surveillance of workers to prevent that employment relationships become an obstacle or a violation of such rights.In light of these precepts, the author makes an analysis of the protection given to these fundamental rights in our country. Basing on comparative legislation, she poses general concepts of the State’s and the employer´s responsibility of health and security surveillance of workers, allowing her to conclude that our system has still to confront many challenges in the path to achieve effective protection and enforcement of therights at stake.En nuestro ordenamiento jurídico, los derechos fundamentales a la vida y la salud delos trabajadores son dos bienes jurídicos importantes y no pueden ser desconocidos. Por ello, el Estado y los empleadores deben poner especial énfasis en la vigilancia de la salud yseguridad de los trabajadores para evitar que la relación laboral sea un obstáculo o una violación de tales derechos.A la luz de ello, la autora hace un análisis de la protección de dichos derechos fundamentales en el ámbito laboral en nuestro país. Haciendo uso de legislación comparada, presenta los conceptos generales de la vigilancia de la salud de los trabajadores y las responsabilidades del Estado y de los empleadores, permitiéndole concluir que nuestro ordenamiento aún tiene muchos retos para poder lograr una real protección y vigencia de los valores puestos en riesgo.
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Howard, Shevon Naomi. "Health literacy program proposal for health care workers." Thesis, Walden University, 2016. http://pqdtopen.proquest.com/#viewpdf?dispub=10145339.
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Health information literacy influences patient health outcomes, yet almost 90% of adults struggle to understand health information. This study explored the impact of an education course in health literacy on healthcare professionals’ methods of providing information to patients in order to increase effective communication and improve patient outcomes. This study drew from an integrated theoretical framework that suggests development and validation of tools to measure health literacy. Access to and understanding of reliable, high-quality health care information equalizes many other variables that impact health outcomes, including age, economic class, and cultural background. This study analyzed survey data collected from 2 doctors, 2 nurse practitioners, and 1 staff nurse selected based on their expertise and experience working with patients. They completed a learner- centered course, in which learners interact and instructors provide feedback. Based on survey responses, the participants strongly supported implementing the proposed education module. Four of the 5 experts agreed that a course in health literacy will help health care workers recognize and address patients with low health literacy. Limited health literacy is associated with poor health outcomes and higher health care costs. This type of literacy requires a complex group of reading, listening, analytical, and decision- making skills, and the ability to apply these skills to health situations. The results of this study may guide educators to effectively communicate with patients, increase health literacy, and improve patient outcomes.
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Schimp, Jeremiah Brian. "Health Behaviors, Hardiness, and Burnout in Mental Health Workers." ScholarWorks, 2015. https://scholarworks.waldenu.edu/dissertations/228.
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Burnout has emerged as a significant and costly issue in the modern workforce. Researchers have not fully explored the role of individual health behaviors and personality in burnout among mental health workers. The knowledge gap addressed in this study was the connection between health behaviors, what mental health workers do to take care of themselves, and hardiness, the characteristic way they perceive and interpret environmental challenges. The purpose of this study was to examine the influence of health behaviors and hardiness among mental health workers on the 3 dimensions of burnout as measured by the MBI-HSS: emotional exhaustion, depersonalization, and personal accomplishment. The conservation of resources model and the theory of hardiness provided the framework for selecting variables and interpreting the results. An online survey research design was used with a sample of mental health workers from two nonprofit mental health organizations. A total of 223 participants were recruited through invitations sent to their work e-mail addresses. Statistical analysis included 5 stepwise regression analyses run for each of the 3 burnout dimensions. The results indicated that hardiness was the strongest predictor and was retained in the final model for all the burnout measures. Anger/Stress, a health-compromising behavior, was significantly predictive of Emotional Exhaustion in the final model, and age was included in the final model for Depersonalization. These results suggest that mental health workers are better able to maintain their emotional energy and compassion for clients through the cultivation of hardiness and management of stress; the implications will inform the development of training materials focused on stress management and adapting to change.
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Deacon, Claire Helen. "The health status of construction workers." Thesis, University of Port Elizabeth, 2004. http://hdl.handle.net/10948/326.
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The construction industry is considered to be an extremely dangerous working environment, and therefore the health status of construction workers needs to be considered prior, during and on leaving the industry. Occupational hazards relative to the construction worker are well researched internationally; however few countries undertake routine medical surveillance to identify the health status of the construction worker relative to these hazards. Employers have a higher duty of care to identify workers who could be a risk at work from non-occupationally related conditions such as hypertension and diabetes mellitus. Work could exacerbate these conditions, leading to absenteeism, poor performance and eventually leaving the industry due to ill health. The dissertation explores, inter alia: the risks to which workers are exposed; the legal aspects; relevant literature regarding medical surveillance, and the use of a medical surveillance instrument used to determine the health status of 142 construction workers who consented to participate in the study. The methodological approach used in this study was a quantitative descriptive design, more specifically, using a randomised cross-sectional survey design. The instrument used to determine health status included a full medical, occupational and social history, as well as a physical examination undertaken by Occupational Health Nursing Practitioners (OHNs). Findings indicate that most construction workers believe they are healthy. However only a small percentage of construction workers did not require referral for further investigation and / or treatment.
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Amani, Adidja. "The Health Workers Crises In Cameroon." Digital Archive @ GSU, 2010. http://digitalarchive.gsu.edu/iph_theses/139.
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The physician’s crisis in Cameroon has reached an alarming stage and has the potential to worsen existing health problems including the attainment of millennium development goals. This report emphasized the challenges faced by Cameroonian physicians, and recommended alternative solutions to the current government health workers policies. The report was done through a review of articles and documents covering the topic. At the center of the physician’s crises in Cameroon is the discrepancy between financial, social and professional expectations and what the government offers. The analysis showed that, there is a general dissatisfaction, despite some corrective measures implemented by the government. This suggests that the government needs to aggressively adopt and implement aggressive retention policies, such as improving the remuneration and working conditions of health workers. Beside, there is also need for innovation by adopting and implementing solutions that have been successful in others countries. As in many other countries, establishing powerful unions and lobbying groups by Cameroon physicians may help in negotiating acceptable working conditions that could help in alleviating the challenges of Cameroonian physicians. Despite some limitations, this report can be useful for policy-makers in the formulation of effective human resources for health policies but also to draw attention to the need to publish more on human resources for health issues in Cameroon.
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Williams, Roy Jerome III. "Integrating community health workers in schools." Thesis, Massachusetts Institute of Technology, 2013. http://hdl.handle.net/1721.1/81642.
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Thesis (M.C.P.)--Massachusetts Institute of Technology, Dept. of Urban Studies and Planning, 2013.Cataloged from PDF version of thesis.
Includes bibliographical references (p. 59-63).
The Patient Protection and Affordable Care Act (PPACA) has set the tone for a radically revised health landscape in America that focuses on community-based care. Our health care system, however, has neither the infrastructure nor the vision to properly account for these demands. One possible solution is to redefine how established positions and organizations can be utilized to help accommodate the emerging needs. School-based health centers (SBHCs), for example, have traditionally provided general health services to students and members of the surrounding community. In many low-income neighborhoods, however, the needs of the community members far outpace the capabilities of the SBHCs and local community-based health centers. One promising answer to the need for community-based care is the integration of community health workers (CHWs) in SBHCs. The PPACA has identified CHWs as an integral component of health teams. They serve to connect people who have been historically marginalized to necessary health services and advocate on the behalf of community needs. This commentary proposes the integration of the CHW role into schools to provide comprehensive health-services to more students and community members than can be currently served. The argument begins with an examination of Massachusetts' CHW advocates' struggle to legitimize the field to gain the professional respect of other medical professions. Next, it explores the possibilities of a CHW in a school setting and makes recommendations to improve the viability and effectiveness of the role. It closes with an analysis of different views of community-based care and the role of planning in negotiating future workforce development challenges.
by Roy Jerome (RJ) Williams, III.
M.C.P.
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Sontyale, Ulungile Klaas. "Occupational stressors that influence professional health workers." Thesis, Nelson Mandela Metropolitan University, 2010. http://hdl.handle.net/10948/1098.
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Background: Despite the prevalence of HIV/AIDS stabilizing and slightly decreasing in certain provinces, there are a number of People Living With HIV/AIDS (PLWHA) in South Africa. Many people seek help at primary health clinics and hospitals and receive chronic care at these facilities. Caring for these chronic patients and new patients entering the health system can be stressful to the health professionals who are involved. Many studies that have been conducted have focused on the clinical aspects of individual patients, while few studies have focused on the experiences and stressors of health professionals looking after PLWHA. To ensure quality of care for patients with HIV/AIDS, it is important to understand the experiences of health professionals looking after HIV/AIDS patients and how stressful experiences may influence their attitude towards these patients. Aim: The aim of this study is to report the factors health professionals perceive as occupational stressors caring for people living with HIV/AIDS in the public health sector of the Nelson Mandela Metropolitan Municipality. Research design and Methodology: A quantitative, descriptive and non-experimental research design was followed. A pilot study was conducted to determine the clarity of questions, effectiveness of the instructions, completeness of the response sets, the time required to complete the questionnaires and the success of the data collection. The primary method of data collection was self-administered questionnaires. The questionnaires were dispatched to 30 health professionals at the public health facilities in the Nelson Mandela Metropolitan Municipality. A descriptive statistical analysis was done using a Statistical Package. This revealed the following findings. Findings: The following are the findings that were perceived to be occupational stressors: organizational factors, job design factors, career and promotional factors, role-related factors and cultural factors. iv Conclusion and recommendations: There are occupational stressors that affect health care professionals working in an HIV/AIDS setting. The following are the recommendations to rectify or to improve the situation: • Improve the communication of goals and objectives; • Redesign the job; • Human-resources development ; • Improvement of salaries; • Career planning and mentoring; and • Sensitisation of employees to cultural differences.
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Ballard, Madeleine. "Community health workers : efficacy, taxonomy, and performance." Thesis, University of Oxford, 2016. https://ora.ox.ac.uk/objects/uuid:0958a784-e5a1-432f-8980-6f65d93e698f.
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Background: This thesis presents an empirical investigation into the efficacy, types, and performance of community health workers (CHWs)-trained lay people to whom simple medical procedures can be "task shifted" from doctors. It has three objectives: (1) assess the effects of CHW delivered interventions for primary health outcomes in low-and middle-income countries (LMICs), (2) develop a comprehensive taxonomy of CHW characteristics and programme design features, and (3) assess the relative efficacy of different types of CHW programme designs and how they can be used to optimise CHW performance. Structure and Methods: Following the logic of early stage intervention development, this thesis has an iterative and developmental structure in which each section flows out of and builds on the previous section. Objective one is addressed in Chapters 2-4: scoping review, systematic review, and meta-analytic methods are applied to establish the efficacy and effectiveness of CHW-led interventions in LMICs. Objective two is addressed in Chapter 5: inductive, thematic analysis of systematically identified trials, influential papers, and existing information classification systems is used to develop a formal CHW taxonomy for intervention reporting and coding. Objective three is addressed in Chapter 6: systematic review methods are employed to identify interventions for improving the performance of community health workers in LMICs. Results: Objective one: a systematic review of 155 papers reporting 86 trials found high quality evidence that CHW delivered interventions reduce perinatal mortality, improve child nutritional status, and improve tuberculosis completion rates versus facility-based care. There is also moderate quality evidence that CHW delivered interventions improve certain mental, infectious disease, paediatric, and maternal health outcomes. In undertaking this process, an additional, methodological contribution was made in the form of a tool to reduce risk of bias in overviews of reviews. This tool may facilitate early stage intervention development in the future. Objective two: 253 records were used to establish, in a faceted taxonomy, the definitional clarity required for theory building and knowledge accumulation. Two categories (CHW Characteristics and CHW Programme Features) and six dimensions (Integration, Recruitment, Training, Supervision, Incentives, and Equipment) emerged. Objective three: a systematic review of 14 trials identified moderate quality evidence of the efficacy of CHW performance interventions in improving certain behavioural outcomes for patients, utilisation of services, and CHW quality of care. There was no effect on the biological outcomes of interest. Conclusion: In bringing the tools of evidence based practice to bear on community health worker interventions, this dissertation has contributed to the theoretical, methodological, and empirical evidence base from which the field can continue to advance.
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Gamiet, Shamila. "Health professionals' perceptions of rehabilitation care workers." Thesis, University of the Western Cape, 2015. http://hdl.handle.net/11394/5246.
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Magister Scientiae (Physiotherapy) - MSc(Physio)People with disabilities (PWD) often come from disadvantaged communities and struggle to access health and rehabilitation, education and employment. This leads to poorer health outcomes, lower education achievements, and higher rate of unemployment in comparison to people without disabilities. Therefore there is a need to empower PWD to remove all barriers which prevent them from participating in all aspects of their communities. In South Africa, 5% of the population is disabled and in a worldwide review conducted on access to rehabilitation services, it was reported that South Africa provided 21% to 40% of the disabled population with rehabilitation services. In 2012 the Department of Health (DOH) trained a new cadre of community health worker (CHW) in the field of rehabilitation in order to improve PWDs‘ access to health services. As a result, health professionals in the Western Cape became concerned about the role of this new cadre of rehabilitation care worker in PHC and CBS. The aim of this study was therefore to explore health professionals‘ perceptions of the newly trained rehabilitation care workers (RCWs). Q methodology was selected as an appropriate research design to meet the objectives of this study as it can be used to analyse opinions, perceptions and attitudes. The study population consisted of all the health professionals who engaged with the RCWs in the clinical workplace during their clinical practice module. A convenient sample of sixteen health professionals participated in this study. Ethics approval was obtained to conduct this study and all participants gave written consent to participate in this study. The researcher gathered all the viewpoints of the health professionals regarding the new rehabilitation care workers (RCWs) by conducting focus group discussions and document analysis. Statements were then drawn up based on the health professionals' viewpoints. The participants then ranked these statements from strongly agree to strongly disagree on a Q data score grid, in a process called Q sorting. The completed Q data score grids, called Q sorts, were then entered into PQMethod software programme for statistical and factor analysis. From the results of this Q analysis, two factors emerged which were analysed and interpreted. A factor is representative of participants with similar opinions. The participants loading onto Factor one and Factor two shared similar opinions of the RCWs. The results indicated that the participants were of the opinion that RCWs‘ role would be to strengthen primary health care (PHC) and community-based rehabilitation (CBR) and promote the participation of PWD in society. The results suggested that the RCWs were capable of improving the quality of life of PWD by empowering PWD to become actively involved in all aspects of community life. The participants felt that the RCWs would be included in the health system by working at intermediate care centres (facility-based) and in the community (home-based). However, the participants agreed that the RCWs must work under the direct supervision of qualified health professionals. Participants loading onto Factor one and Factor two further agreed that RCWs worked well in the structured environment of intermediate care health facilities. They felt that it would be beneficial for RCWs to be employed at these health facilities as the RCWs reduced the workload of the health professionals. From the results, it was also found that health professionals were of the opinion that the RCWs displayed positive attitudes and good professional behaviour in the clinical environment. Health professionals however identified gaps in the knowledge of the RCWs and a lack of skills to perform certain tasks. However, health professionals agreed that the RCWs' skills will develop and improve with time and exposure. This study showed that health professionals had positive perceptions of the RCWs and this could indicate that RCWs will be well accepted by health professionals as part of the PHC team. This could lead to the effective utilisation of RCWs in community-based rehabilitation. Recommendations can be made to the developers and implementers of the RCW training curriculum to make adjustments to the curriculum so as to address the lack of knowledge and skills in certain aspects of health and disability. It can further be recommended that South Africa's National DOH capitalise on these positive perceptions and train more RCWs to extend rehabilitation and health services to more underserved communities. This will assist the South African Government in ensuring that more PWD receive rehabilitation and become included in all aspects of their communities as is envisaged in the 2020/2030 health plan.
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Hsu, Tsui Hua. "Understanding the health experiences of Taiwanese workers." Thesis, Queensland University of Technology, 2007. https://eprints.qut.edu.au/16476/1/Tsui_Hua_Hsu_Thesis.pdf.
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This thesis attempt to uncover the qualitative different ways that Taiwanese workers experienced health. Workers' health is important to a country's economic, cultural and social development. Both Taiwanese government and health professionals acknowledgement the importance of health. A considerable amount of literature has been released over the past two decades in Taiwan around related issues. Most published research has reported investigation into occupational disease diagnosis, disease prevention, safety behaviours and health-related intervention for behaviour change. None has addressed the health experiences of workers.
To address this gap in knowledge and literature, phenomenographic research has been completed to identify and describe the ways in which Taiwanese workers in an industrial complex experience health. In-depth interview was undertaken with eighteen participants. The interview was tape-recorded and then transcribed verbatim. Data was collected in Mandarin or Taiwanese and analysed in Chinese. This avoids the loss or change of original meaning during the translation process. Significant quotations were then translated to English by the principal researcher. Discussions between the researcher and supervisor, and between researcher and another native English speaker who is be able to read Chinese were continuous through the analysis process to ensure that the English translation is as close possible as to the original meaning.
The outcomes of the research have been the identification of five conceptions of health which together represent understanding of the experience and the meaning of health. The five distinct conceptions are: health is absence of disease; health is a holistic view of the body function; health is a reward of doing 'good' deeds; health as living a healthy lifestyle; and health as a consequence of stress management. All conceptions combined constitute an outcome space that represents the referential and structural relationship between conceptions.
The research outcomes contribute to an understanding of how a group of Taiwanese workers were aware of their health experience and have significant implications for health professionals in developing and conducting health intervention, for policy makers in planning occupational health policies, for describing health with a cultural context and for educators of health professionals. Furthermore, this research provides the basis for further research into specific aspects of health and its meaning in different work settings.
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Hsu, Tsui Hua. "Understanding the health experiences of Taiwanese workers." Queensland University of Technology, 2007. http://eprints.qut.edu.au/16476/.
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This thesis attempt to uncover the qualitative different ways that Taiwanese workers experienced health. Workers' health is important to a country's economic, cultural and social development. Both Taiwanese government and health professionals acknowledgement the importance of health. A considerable amount of literature has been released over the past two decades in Taiwan around related issues. Most published research has reported investigation into occupational disease diagnosis, disease prevention, safety behaviours and health-related intervention for behaviour change. None has addressed the health experiences of workers. To address this gap in knowledge and literature, phenomenographic research has been completed to identify and describe the ways in which Taiwanese workers in an industrial complex experience health. In-depth interview was undertaken with eighteen participants. The interview was tape-recorded and then transcribed verbatim. Data was collected in Mandarin or Taiwanese and analysed in Chinese. This avoids the loss or change of original meaning during the translation process. Significant quotations were then translated to English by the principal researcher. Discussions between the researcher and supervisor, and between researcher and another native English speaker who is be able to read Chinese were continuous through the analysis process to ensure that the English translation is as close possible as to the original meaning. The outcomes of the research have been the identification of five conceptions of health which together represent understanding of the experience and the meaning of health. The five distinct conceptions are: health is absence of disease; health is a holistic view of the body function; health is a reward of doing 'good' deeds; health as living a healthy lifestyle; and health as a consequence of stress management. All conceptions combined constitute an outcome space that represents the referential and structural relationship between conceptions. The research outcomes contribute to an understanding of how a group of Taiwanese workers were aware of their health experience and have significant implications for health professionals in developing and conducting health intervention, for policy makers in planning occupational health policies, for describing health with a cultural context and for educators of health professionals. Furthermore, this research provides the basis for further research into specific aspects of health and its meaning in different work settings.
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Ayhan, Ekim Deniz. "Workers'." Master's thesis, METU, 2006. http://etd.lib.metu.edu.tr/upload/12607437/index.pdf.
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This thesis aims an analysis of early Republican state factory settlements, in terms of their concern for workers’
health and welfare, within Turkish modernization in the largest extent. State factory settlements are evaluated in terms of their architectural program(s), in terms of concern about the physical and mental health requirements of their future workers at the stage of their foundation. Different types of buildings, like workers&
#8217
houses, cafeterias, health centers and clubs, with respect to their organization and architectural function and also areas spared for sports and recreation are examined in EskiSehir Sugar Factory, as an exemplary case of the state factories. The aim has been to reveal and evaluate the role of the social and architectural construction of state factories on workers&
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(and their families) health, as a part of the modernization project of Turkey.
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Lymer, Ulla-Britt. "Blood exposure in health care : health care workers' and patients' experiences /." Linköping : Univ, 2004. http://www.bibl.liu.se/liupubl/disp/disp2004/med874s.pdf.
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Wu, Dadong Flora. "Health risk behaviours and perceived health among Shenzhen white collar workers." View the Table of Contents & Abstract, 2007. http://sunzi.lib.hku.hk/hkuto/record/B38479138.
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Wu, Dadong Flora, and 吳大東. "Health risk behaviours and perceived health among Shenzhen white collar workers." Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 2007. http://hub.hku.hk/bib/B39724682.
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Dousman, Sylvia Morgan. "A handbook for health workers to use in evaluating health literature." CSUSB ScholarWorks, 1997. https://scholarworks.lib.csusb.edu/etd-project/1291.
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Hittle, Beverly M. "Elusive Sleep: Healthcare Workers, Shift Work, and Implications for Worker Health and Patient Safety." University of Cincinnati / OhioLINK, 2019. http://rave.ohiolink.edu/etdc/view?acc_num=ucin1562059911010694.
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Shiao, Judith Shu-Chu School of Health Services Management UNSW. "Needlestick injury in health care workers in Taiwan." Awarded by:University of New South Wales. School of Health Services Management, 2000. http://handle.unsw.edu.au/1959.4/17829.
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Objectives: Risk associated with needlestick injuries (NSI) in health care workers (HCWs) in Taiwan has not been characterized. We conducted this investigation to study 1) the prevalence and yearly incidence of NSI in HCWs in Taiwan, and the risk factors associated with NSIs; 2) reporting behavior when a NSI was sustained; and 3) seroprevalence of blood-borne pathogens among inpatients. Combination of the above information allowed for risk estimation for contracting hepatitis B virus (HBV), hepatitis C virus (HCV) and human immunodeficiency virus (HIV) in HCWs. Methodology: A cross-sectional questionnaire survey for life-time experience and frequency of NSI was conducted in a random sample from four strata of accredited hospitals according to the number of employees, from July 1996 to June 1997 in Taiwan. All full time employees, including physicians, nurses, technicians, and supporting personnel were recruited. Seroprevalence was examined for HBV, HCV and HIV among inpatients six years in age or older in one teaching hospital during July 1997 to June 1998. Results: A total of 10,469 health care workers were recruited from 16 out of 132 accredited hospitals and 82.6% (8,645) completed the survey, including nurses (61.0%), physicians (16.1%), medical technicians (14.9%), supporting personnel (7.9%). The prevalence of NSI were 93.1%, 86.6%, 78.3%, 61.0% in nurses, physicians, technicians, and supporting personnel respectively. The reported incidence of needlestick and other sharps injuries was 1.30 and 1.21 times per person in the past 12 months. Of the most recent episodes of NSIs, ordinary syringe needles accounted for 80.3% (95% CI, 79.4% - 81.2%) of hollow-bore needles associated incidents, and 74.1% (95% CI, 72.8% - 75.4%) of them were contaminated. The most frequently reported circumstance was the "Breakdown of Universal Precautions", recapping-related behaviors (81.6%, 95% CI 80.3% - 82.9%) of HCWs. More than a quarter (27.8%, 2,399) of HCWs were unprotected (either not vaccinated or having an unknown serological status) against HBV. Seroconversion in stuck HCWs was reported 1.8% for HBV (135), 0.2% (18) for HCV, 0.2% (15) for both HBV and HCV, 0.1% (5) for syphilis and less than 0.1% (2) for HIV. ^M A total of 81.8% of NSIs were unreported. Similarly, high incidence of NSI and low reporting rate were also found in student nurses. Seroprevalence of HBV, HCV, and HIV among inpatients were found higher than the reported rate in source patients of this survey. Seroprevalence of HBsAg was 16.7% in hospitalized patients, 1.7% positive for HBeAg, 12.7% for Anti-HCV, and 0.8% for Anti-HIV. Different seroprevalence rates of HBsAb (+), HBsAg (+), Anti-HCV (+), Anti-HIV (+) in different seasons were also found significant (p<0.001). The risk of seroconversion to HBV was thus estimated to be 0.003 ~ 0.008 time per person-year, HCV 0.003 ~ 0.007 per person-year, and HIV 0.4 ~ 1.2 /100, 000 person-year. Considering the number of HCWs in Taiwan, a total of 330 ~ 917 HCWs will seroconvert to HBV (+) in a year, 330 ~ 880 HCWs seroconvert to HCV (+), and less than one to two HCWs seroconvert to HIV (+). Conclusions: Needlestick and sharps injuries were highly prevalent among Taiwanese HCW and across job categories. Risk of seroconversion is real and significant. Preventive measures are warranted for reduction of contracting blood-borne pathogens in HCWs in Taiwan.
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Yu, Patricia Jin. "Immigrant Home Health Workers Experiences: Qualitative Description Study." Thesis, Boston College, 2014. http://hdl.handle.net/2345/bc-ir:104396.
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Thesis advisor: Ruth McRoyUnmet long term care needs are increasingly filled by immigrant home health workers who are primarily female (88%), racial minorities (85%), and from developing countries including Mexico, Caribbean, Philippines, and Africa. The growing numbers of immigrant home health workers are a result of global factors including economic policies, colonial histories with developing countries, and immigration legislation. In addition to macro factors, personal motivations lead migrant home health workers to immigrate and find jobs in the U.S. Once in the U.S., little is known about migrant home health workers' caregiving experiences and work conditions. This study was designed to address this need and explored the personal experiences and viewpoints of the workers. Additionally information on migration histories and work setting was gathered to contextualize caregiving experiences. The study was guided conceptually by caregiving theory on the commodification and devaluation of "care" which can ultimately result in outsourcing care to immigrant women. Qualitative description methods were used to guide the research design, data collection, and analysis of twenty-three semi-structured interviews of female immigrant home health workers in Massachusetts. Interviews focused on three topics: caregiving experiences, reasons for migrating to the U.S., and work conditions. Findings will add to the knowledge base about immigrant home health workers paying particular attention to how workers themselves describe their experience which will in turn inform future policy and program initiatives on inclusion of a multicultural workforce into the long term care system
Thesis (PhD) — Boston College, 2014
Submitted to: Boston College. Graduate School of Social Work
Discipline: Social Work
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Jacob, Daisey Thalia-Sánchez. "Preparing Community Health Workers to Address Hearing Loss." Diss., The University of Arizona, 2016. http://hdl.handle.net/10150/613158.
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Objective: To expand the access to culturally relevant hearing health services in a rural U.S. border community with already limited healthcare resources, community health workers (Promotoras de Salud) were trained to provide peer-facilitated hearing education classes. Design: A specialized three-phase training process for community health workers was developed, implemented, and evaluated. The training process included: 1) Focus groups with community health workers and residents from the community to raise awareness of hearing loss among community health workers and the community; 2) A 3-hour workshop training to introduce basic topics to prepare community health workers to identify signs of hearing loss among community members and utilize effective communication strategies; and 3) A 24-hour multi-session, interactive training over 6 weeks for community health workers who would become facilitators of educational and peer-support groups for individuals with hearing loss and family members. Study Sample: Twelve Spanish-speaking local community health workers employed by a federally qualified health center participated in a focus group, 12 received the general training, and four individuals with prior experience as health educators received further in-person training as facilitators of peer-education groups on hearing loss and communication. Results: Community health workers increased their knowledge base and confidence in effective communication strategies and developed skills in facilitating hearing education and peer support groups. Through case study practice, community health workers demonstrated competencies and applied their learning to specific situations related to effective communication with hearing loss, family support, assistive technology, use of hearing protection, and making referrals for hearing health care. Needs were identified for ongoing training in the area of assistive technology and addressing situations of more severe hearing loss. Conclusions: It is feasible to train community health workers to begin to address hearing loss and facilitate peer health education and support groups for individuals with hearing loss and their family members. In efforts to increase access to audiologic services in rural or hard-to-reach areas, application of the community health worker model with a partnership of audiologists deserves further consideration as a viable approach.
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Loury, Sharon D., Ken Silver, and Joe Florence. "A Campus-Community Partnership for Tomato Workers’ Health." Digital Commons @ East Tennessee State University, 2011. https://dc.etsu.edu/etsu-works/8197.
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Lee, Scott S. "Three Field Experiments on Incentives for Health Workers." Thesis, Harvard University, 2015. http://nrs.harvard.edu/urn-3:HUL.InstRepos:17467500.
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The economic study of incentives in firms has traditionally focused on one type of incentive—pecuniary—and one causal mechanism—the direct effect of incentives on effort. This dissertation uses three randomized field experiments to explore non-traditional incentives, and non-traditional incentive effects, in the setting of health care delivery.
The first experiment (jointly authored with Nava Ashraf and Oriana Bandiera) addresses an under-appreciated phenomenon: incentives affect not only the effort of agents on the job, but also the selection of agents into the job. We collaborate with the Government of Zambia to experimentally vary the salience of career incentives in a newly created health worker position when recruiting agents nationally. We find that making career incentives salient at the recruitment stage attracts health workers who are more effective at delivering health services, with administrative data showing an improvement in institutional deliveries, child health visits, and immunization rates in the treatment areas. While career incentives attract agents who differ on observables (e.g., they have higher skills and career ambitions), 91% of the performance gap is due to unobservables. The results highlight the importance of incentive design at the recruitment stage for attracting high performers who cannot be identified on observables alone.
The second and third experiments examine the use of non-pecuniary incentives in health care. The second experiment (jointly authored with Nava Ashraf and Oriana Bandiera) studies non-monetary awards. Awards may affect behavior through several mechanisms: by conferring employer recognition, by enhancing social visibility, and by facilitating social comparison. In a nationwide health worker training program in Zambia, we design a field experiment to unbundle these mechanisms. We find that employer recognition and social visibility increase performance, while social comparison reduces it, especially for low-ability trainees. These effects appear when treatments are announced and persist through training. The findings are consistent with a model of optimal expectations in which low-ability individuals exert low effort in order to avoid unfavorable information about their relative ability. The results highlight the importance of anticipating the distributional consequences of incentives in settings in which the performance of each worker affects social welfare.
The third experiment turns from extrinsic incentives (such as career opportunities and non-monetary awards) to "intrinsic incentives"—that is, incentives that make work more intrinsically rewarding. In the context of a rural health worker program in India, I develop and test a novel, mobile phone-based self-tracking app designed to increase agents' intrinsic returns to effort. At nine months of follow-up, the self-tracking app leads to a 27% increase in performance as measured by the main job task (home visits). Moreover, the app is most effective when it leverages pre-existing intrinsic motivation: it produces a 46% increase in performance in the top tercile of intrinsically motivated workers, but no improvement in the bottom tercile. Evidence from survey and performance data indicates that the treatment effect is mediated primarily by making effort more intrinsically rewarding, and not by other mechanisms such as providing implicit extrinsic incentives. The results suggest the potential for wider use of intrinsic incentives that may increase performance at low cost, when agents are intrinsically motivated.Health Policy
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Ingram, Maia, Jean Chang, Susan Kunz, Rosie Piper, Jill Guernsey de Zapien, and Kay Strawder. "Women’s Health Leadership Training to Enhance Community Health Workers as Change Agents." SAGE PUBLICATIONS INC, 2016. http://hdl.handle.net/10150/617227.
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Objectives. A community health worker (CHW) is a frontline public health worker who is a trusted member of and/or has an unusually close understanding of the community served. While natural leadership may incline individuals to the CHW profession, they do not always have skills to address broad social issues. We describe evaluation of the Women’s Health Leadership Institute (WHLI), a 3-year training initiative to increase the capacity of CHWs as change agents. Methods. Pre-/postquestionnaires measured the confidence of 254 participants in mastering WHLI leadership competencies. In-depth interviews with CHW participants 6 to 9 months after the training documented application of WHLI competencies in the community. A national
CHW survey measured the extent to which WHLI graduates used leadership skills that resulted in concrete changes to benefit community members. Multivariate logistic regressions controlling for covariates compared WHLI graduates’ leadership skills to the national sample. Results. Participants reported statistically significant pre-/post improvements in all competencies. nterviewees credited WHLI with increasing their capacity to listen to others, create partnerships, and initiate efforts to address community needs. Compared to a national CHW sample, WHLI participants were more likely to engage community members in attending public meetings and organizing events. These activities led to community members taking action on an issue
and a concrete policy change. Conclusions. Leadership training can increase the ability of experienced CHWs to address underlying issues related to community health across different types of organizational affiliations and job responsibilities.
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Whitlow, Tammy Marie. "Factors associated with job burnout among mental health workers." CSUSB ScholarWorks, 2007. https://scholarworks.lib.csusb.edu/etd-project/3111.
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The purpose of this study is to collect and analyze data obtained from the mental health workers at Masada Homes in Fontana. Specifically, this research project will identify the rates of emotional exhaustion, depersonalization, and personal accomplishment that are experienced by these mental health workers.
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Lee, Ching-man Dorothy. "China blue collar workers : work stress, coping and mental health /." View the Table of Contents & Abstract, 2003. http://sunzi.lib.hku.hk/hkuto/record/B36783213.
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Jonge, Jan de. "Job autonomy, well-being, and health a study among Dutch health care workers /." Maastricht : Maastricht : Rijksuniversiteit Limburg ; University Library, Maastricht University [Host], 1996. http://arno.unimaas.nl/show.cgi?fid=6646.
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Göransson, Ann-Margreth, and Eivor Johansson. "Seven health workers' experience of promoting child health in Cambodia : A qualitative study." Thesis, Högskolan i Borås, Institutionen för Vårdvetenskap, 2013. http://urn.kb.se/resolve?urn=urn:nbn:se:hb:diva-17258.
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Cambodia is one of the poorest countries in Southeast Asia, many people suffer from impaired health after all the years of war. The purpose of this study is to describe health workers' experience of promoting child health in Cambodia. The study was performed according to a qualitative approach and consists of interviews conducted with health workers who work in government, NGOs and the private clinic. Interviews and text material was analyzed by qualitative content analysis. The results show that at the state level are given opportunities to work health promotion in order to influence children's health and at the practical level turns out, however, limitations in the form of various health obstacles. The result can be used to discuss what can promote and restrict children's health. Health workers believe that it is important to invest in that all children should have the opportunity to go to school and that education leads to one of the fundamental rights, the best possible health.Program: Graduate Diploma in Specialist Nursing, Primary Health Care
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Molapo, Maletsabisa. "Designing with community health workers: feedback-integrated multimedia learning for rural community health." Doctoral thesis, University of Cape Town, 2018. http://hdl.handle.net/11427/27977.
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Community Health Workers (CHWs) are an integral part of the rural health system, and it is imperative that their voices are accommodated in digital health projects. In the mobile health education project discussed in this thesis (The Bophelo Haeso project), we sought to find ways to amplify CHWs' voices, enabling them to directly influence design and research processes as well as technological outcomes. The Bophelo Haeso (BH) project equips CHWs with health videos on their mobile phones to use for educating and counselling the rural public. We investigated how to best co-design, with CHWs, a feedback mechanism atop the basic BH health education model, thus enabling their voices in the design process and in the process of community education. This thesis chronicles this inclusive design and research process - a 30-month process that spanned three sub-studies: an 18-month process to co-design the feedback mechanism with CHWs, a 12-month deployment study of the feedback mechanism and, overlapping with the feedback deployment study, a 17-month study looking at the consumption patterns of the BH educational videos. This work contributes to the field of Human Computer Interaction (HCI) in three distinct ways. First, it contributes to the growing knowledge of co-design practice with participants of limited digital experience by introducing a concept we termed co-design readiness. We designed and deployed explorative artefacts and found that by giving CHWs increased technical, contextual, and linguistic capacity to contribute to the design process, they were empowered to unleash their innate creativity, which in turn led to more appropriate and highly-adopted solutions. Secondly, we demonstrate the efficacy of incorporating an effective village-to-clinic feedback mechanism in digital health education programs. We employed two approaches to feedback - asynchronous voice and roleplaying techniques. Both approaches illustrate the combined benefits of implementing creative methods for effective human-to-technology and human-tohuman communication in ways that enable new forms of expression. Finally, based on our longitudinal study of video consumption, we provide empirical evidence of offline video consumption trends in health education settings. We present qualitative and quantitative analyses of video-use patterns as influenced by the CHWs' ways of being and working. Through these analyses, we describe CHWs and their work practices in depth. In addition to the three main contributions, this thesis concludes with critical reflections from the lessons and experiences of the 30-month study. We discuss the introduction of smartphones in rural villages, especially among elderly, low-literate, and non-English-speaking users, and present guidelines for designing relevant and usable smartphones for these populations. The author also reflects on her position as an African-born qualitative researcher in Africa, and how her positionality affected the outcomes of this research.
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Elliott, Nalishebo Kay Gaskell. "The health and wellbeing of female street sex workers." Thesis, University of Hertfordshire, 2017. http://hdl.handle.net/2299/19510.
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Previous research on female street sex workers (FSSWs) has primarily concentrated on the stigmatisation of women's involvement in the sex industry particularly with reference to the spread of HIV/AIDS. The response of the criminal justice system to the regulation of the illegal aspects of women's engagement in street sex work has also been criticised. However, the impact of street sex work on the health and wellbeing of these women requires further research. The aim of this study was to explore the perceptions and needs of female street sex workers in relation to their own health and wellbeing. The study used a qualitative mixed methods approach that included analysis of three sets of data: visual data, secondary data and primary data. There were 10 FSSWs recruited for the primary data sample. The epistemological position underpinning this study is social constructivism and a feminist paradigm has informed the conduct of the research process and data analysis. The theoretical application of Bourdieu's framework of habitus, capital and field has provided the lens through which to explore the socially constructed experiences of FSSWs health and wellbeing. Findings from this study revealed that FSSWs experienced poor physical, mental and social health and wellbeing. They faced limited life choices and often felt discriminated against by the agencies and institutions that should have offered support. The women spoke of their personal histories especially traumatic life events in childhood consisting of sexual abuse, neglect, loss, rejection as well as intimate partner violence in adult life. The loss of their children to social services, housing difficulties and addiction to alcohol and crack cocaine were also significant in contributing to social exclusion and their multiple positions of vulnerability. This study contributes to the body of work on women's health and wellbeing. In particular, it adds to our understanding of the lived experiences of women involved in street sex work. A key public health priority should be the development of policies and systems to provide quality services to support the health, safety and wellbeing of FSSWs.
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Morin, Gardarsdottir Benedikta. "Night shift workers´ sleep experience." Thesis, Mittuniversitetet, Institutionen för hälsovetenskap, 2019. http://urn.kb.se/resolve?urn=urn:nbn:se:miun:diva-37406.
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Jachens, Liza J. "Job stress among humanitarian aid workers." Thesis, University of Nottingham, 2018. http://eprints.nottingham.ac.uk/52237/.
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Objective: This thesis examined the prevalence of burnout, alcohol consumption, and psychological distress and their association with stress-related working conditions – defined either in terms of the Effort-Reward Imbalance (ERI) model, or the ERI model combined with the Job Demand-Control-Support (job strain) model (DCS) – in two large-scale international samples of humanitarian aid workers. The studies herein were the first in the extant literature to examine organisational stressors using job stress models in this occupational group. Furthermore, given the paucity of previous research on the subjective stress-related experiences of humanitarian aid workers, this thesis also contains an interview-based study that explored how humanitarian aid workers perceived the transactional stress process. One key characteristic of this thesis was that both quantitative and qualitative approaches were utilised to provide a deep and ecologically valid understanding of the stressor-strain relationship. Identifying the links between stressful aspects of work and both psychological and behavioural health outcomes may help inform the design of sector-specific health interventions. Methods: A mixed-methods approach was adopted to allow for a thorough examination of the prevalence of health and health-related behavioural outcomes, their relationship to stress-related working conditions (psychosocial stressors), and the concept of work-related stress in the population under study. Survey designs were used for Study 1 and 2 and involved the administration of a structured questionnaire. For the first study (Parts 1-2, Organisation A), logistic regression analyses were run based on a cross-sectional survey (N = 1,980) conducted separately for men and women to investigate the relations between ERI and both burnout (Part 1) and heavy alcohol consumption (Part 2) while controlling for demographic and occupational characteristics. In Study 2 (Organisation B), logistic regression analyses were based on a cross-sectional survey (N = 283) conducted separately for men and women to investigate the independent and combined relations between the ERI and DCS models and psychological distress while controlling for demographic and occupational characteristics. The final study was interview-based (Study 3, Organisation B) and it explored how humanitarian aid workers (N = 58) employed by a United Nations-aligned organisation perceived the transactional stress process. Results: The prevalence rates for the burnout components were as follows: high emotional exhaustion—36% for women and 27% for men; high depersonalisation—9% and 10%; and low personal achievement—47% and 31% for women and men, respectively. Intermediate and high ERI scores were associated with a significantly increased risk of high emotional exhaustion, with mixed findings for depersonalisation and personal achievement. The prevalence of heavy alcohol consumption among women (18%) was higher than the corresponding rate for men (10%), lending support for the effort-reward perspective only among women. Intermediate and high ERI scores in women was associated with a three-fold risk of heavy alcohol consumption. The results broadly suggest that occupational stressors from the ERI and DCS models, both individually and in combination, are significantly associated with psychological distress. A thematic analysis undertaken within the qualitative study revealed several main themes. An emergency culture was found where most employees felt compelled to offer an immediate response to humanitarian needs. The rewards of humanitarian work were perceived as motivating and meaningful, and employees experienced a strong identification with humanitarian goals and reported high engagement. Constant change and urgent demands were reported by the participants to result in work overload. Finally, managing work-life boundaries, and receiving positive support from colleagues and managers, helped buffer perceived stress, work overload, and negative health outcomes. Conclusions: The results of the present thesis convincingly demonstrate the usefulness of the ERI model as a framework for investigating burnout and heavy alcohol consumption among humanitarian aid workers. Furthermore, the findings demonstrate the independent and combined predictive effects of components of two alternative job stress models (ERI and DCS) on psychological distress. Taken together, the findings underscore the deleterious associations between work-related psychosocial hazards and mental and behavioural health outcomes. Specifically, unique insights were obtained about the work-related stress process in relation to humanitarian aid workers – for example, the emergency culture shaping organisational norms. The results suggest that interventions based on these two influential theories, and supplemented by knowledge on role-specific stressors evident in the sector, hold promise for reducing health outcomes. The practical implications of the results are discussed and suggestions are made in the light of the present research and stress theory.
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McDaniel, Matthew Moses. "Occupational stress and coping in community mental health workers." Thesis, University of British Columbia, 2016. http://hdl.handle.net/2429/57393.
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Community Mental Health Workers (CMHWs) support clients facing mental health challenges through work within client communities. This study examined self-efficacy, perceived stress, coping style, and burnout in CMHWs. One hundred and one CMHW’s were recruited from three housing, public health, and community service organizations within Vancouver. Participants completed a survey containing The General Self-Efficacy Scale, The Perceived Stress Scale, The Brief COPE, and The Maslach Burnout Inventory. It was hypothesized that (a) self-efficacy will relate differently to perceived stress regarding years of experience, (b) burnout will be related to years of experience, (c) disengagement coping strategies will correlate positively with emotional exhaustion and depersonalization, (d) disengagement coping strategies will correlate negatively with personal accomplishment, (e) engagement coping strategies will correlate positively with self-efficacy and correlate negatively with perceived stress, and (f) males and females will differ in their pattern of coping with stress. Results indicated that self-efficacy related differently to perceived stress regarding experience and burnout was not related to years of experience, but was related to age. Disengagement coping strategies and engagement coping strategies correlated with related variables as hypothesized. Males and females differed in their pattern of coping with stress. Results are discussed in relation to current literature. Implications for future research and practice are suggested.Education, Faculty of
Educational and Counselling Psychology, and Special Education (ECPS), Department of
Graduate
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Gallagher, Sheila Marie. "Health and managing social risk, young summer workers' perceptions." Thesis, National Library of Canada = Bibliothèque nationale du Canada, 1997. http://www.collectionscanada.ca/obj/s4/f2/dsk3/ftp04/nq22984.pdf.
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Valladolid, Christine. "Meaningfulness and job satisfaction for health care technology workers." Thesis, Pepperdine University, 2016. http://pqdtopen.proquest.com/#viewpdf?dispub=10141727.
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Health care technology workers play an increasingly important role in meeting regulatory requirements, improving patient care and containing health care costs. However, their perceptions of work and job satisfaction are lightly studied in comparison to other health care workers such as physicians or nurses. This exploratory study used heuristic inquiry to investigate the perceptions of health care technology workers with regard to their feelings of task significance, mission valence, work meaning, and job satisfaction.
Nine research participants representing three not-for-profit, secular hospital systems which were selected to have variation in geographic scope and organization size were interviewed. All participants were full-time, senior professional, non-executive, employees with a minimum of five years of experience in health care technology and three years with their current employer.
Thematic analysis revealed themes within four categories: organization culture, organization mission, interactions with clinicians and perceived contribution. These organizations have strong cultures in which staff members police the cultural norms. The inculcation to the culture includes helping health care technology workers connect to the organization’s mission of patient care, and these employees perceive the mission to have high valence. While these employees feel that the mission of patient care is important and valuable, they have a conflicted relationship with physicians who they perceive as resistant to the adoption of new technology. Finally, health care technology workers recognized that their work tasks may not directly impact patient care; however, they felt their contribution was meaningful, in particular when they were able to contribute their unique talents.
Study conclusions and recommendations included how job rotations allowing health care technology workers to work at a care provider site provides an opportunity for health care companies to increase workers’ feelings of task significance and task identity, and therefore, job satisfaction. Contributing one’s unique gift is perceived as meaningful, and workers seek opportunities to do so. Recognizing the importance of these workers and facilitating improved interactions between health care technology workers and physicians particularly with regard to adoption of new technology is seen as critical for ensuring effective and efficient health care delivery.
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Darbha, Subrahmanyam. "Reproductive Health Trends In Female Sex Workers In Madagascar." The Ohio State University, 2011. http://rave.ohiolink.edu/etdc/view?acc_num=osu1309360596.
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Latham, Patricia King. "Factors associated with social support in mental health workers /." The Ohio State University, 1987. http://rave.ohiolink.edu/etdc/view?acc_num=osu1487332636474462.
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Baroni, Jessica. "The Psychological Effects of Restraints on Mental Health Workers." Antioch University / OhioLINK, 2018. http://rave.ohiolink.edu/etdc/view?acc_num=antioch1539123849184469.
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Loury, Sharon D., Ken Silver, and Joe Florence. "A Campus-Community Partnership for Migrant Tomato Workers' Health." Digital Commons @ East Tennessee State University, 2010. https://dc.etsu.edu/etsu-works/8199.
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Rudolphi, Josie M. "Occupational safety & health of young adult agricultural workers." Diss., University of Iowa, 2017. https://ir.uiowa.edu/etd/5617.
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Background: Agriculture is the most hazardous occupational industry for young adults. Young adults are engaging in agricultural work and interacting with common hazards, however, it is unknown how young adults are engaging with such hazards and whether administrative controls including workplace organizational factors and social influences in the workplace are associated with safe working practice.
Methods: Workplace practices were examined among young adult agricultural workers (18-24). Workers responded to statements regarding their participation in six agricultural work areas, specific behaviors within each work area, risk-taking behaviors of parents, peers, and supervisors, and items about workplace organizational characteristics. A second study, conducted among swine facility workers in the Midwest, tested the effectiveness of an intervention that coupled behavioral theory with technology to increase the use of hearing protection in swine facilities.
Results: Results from the cross-sectional, online survey indicated supervisor influence was more strongly associated with reported workplace behaviors than co-worker/peer or parent influence. Furthermore, organizational factors including number of hours worked each week and the presence of safety and health policies was associated with workplace behaviors Results from the intervention study suggest behavioral tracking is effective at increasing the use of hearing protection among young adult swine facility workers in the short term, however, changes in behavior are not maintained over time. Supplying hearing protection is a more effective tool in facilitating sustainable behavioral change.
Conclusions: Results suggest interventions that address social and organizational factors of work to improve workplace behaviors among young adult agricultural workers should be tested.
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Gray, Debra. "Improving Seasonal Influenza Vaccine Uptake Among Health Care Workers." ScholarWorks, 2017. https://scholarworks.waldenu.edu/dissertations/3492.
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Yearly influenza (flu) immunization rates for hospital healthcare workers (HCW) continue to be lower than those suggested by the Centers for Disease Control and the World Health Organization. Vaccination is considered a valuable step in the process to protect patients against influenza infection. The goal of Healthy People 2020, and most hospital administrators, is that 90% of HCWs are being immunized. The objectives for this systematic literature review were to identify best practice recommendations for improving the vaccine rate among HCWs. The Cochrane methodology framed this systematic review, and Fineout-Overholt's and Melnyk's levels of evidence were used to evaluate the reliability of information and effectiveness of their interventions. Twenty articles that met the inclusion criteria (HCWs with direct patient contact, published between 2009-2016, and written in English) were reviewed. Eight articles met Melnyk's criteria for evidence Levels 5 to 7, 8 articles met the criteria for Levels 3 to 4, 2 articles were Level 2, and 2 articles were systematic reviews of randomized controlled trials (Level 1). The major influences for accepting the flu vaccine was for self-protection; the leading deterrent for receiving the flu vaccine was unbelief and questions about effectiveness. Best practice strategies to increase vaccination rates among HCWs include understanding cultural beliefs, practices, and diversities. Involvement of leadership will direct changes through future policy development. The impact of a progressive flu vaccine campaign can effectively promote social change when health care workers' concerns are addressed and vaccination rates improve. Together, quality of care for patients may also improve.
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Zembe, Yanga. "Community participation in the recruitment of community health workers :a case study of the three community health worker programmes in South Africa." Thesis, University of the Western Cape, 2009. http://etd.uwc.ac.za/index.php?module=etd&action=viewtitle&id=gen8Srv25Nme4_7266_1299058637.
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This research investigates the nature and extent of community participation and involvement in the recruitment and selection processes for Community Health Workers (CHWs), primarily through detailed case studies of three CHW programmes, one in the Western Cape, another in KwaZulu-Natal, and a third which operates in the Western Cape and KwaZulu-Natal. The first utilizes CHWs in health education and home-based care in Khayelitsha and Nyanga. The second specializes in the training, management and supervision of home-based care CHWs in the rural areas of KwaZulu-Natal. The third utilizes CHWs in addressing maternal and child health issues in targeted peri-urban and rural areas in the three provinces. The mini-thesis is organized into five chapters: the first chapter provides the introduction and background as well as the methodological design of the mini-thesis
the second chapter focuses on providing a detailed literature review of relevant materials that cover the subject matter
the third chapter provides the descriptive background of the history of CHWs, CHW policies and community participation in South Africa, as well as a description of the three case study organizations
the fourth chapter describes and discusses the findings and the last and fifth chapter provides a summary of the findings as well as recommendations and conclusions.
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Jalal, Nafeesa. "Agricultural migrant workers navigating the health system: Access, continuity of care and the role of community health workers in De Doorns, Western Cape." University of the Western Cape, 2018. http://hdl.handle.net/11394/6362.
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Philosophiae Doctor - PhD (School of Public Health)South Africa has an estimated two million documented and undocumented immigrants. In addition, Statistics South Africa (2014) notes very significant internal migration. This mobile population is affected by chronic communicable and non-communicable diseases such as TB, HIV, and diabetes, although it has a Constitutional right to health and healthcare. Their quality of healthcare and disease control also affects the general population and the burden on the health system can be increased by inadequately managed chronic conditions as well as acute health care needs. Access to healthcare and continuity of care reflect both patient agency and the health system. Community Health Workers (CHWs) play an important role in linking communities and patients to health services and vice versa. The aim of this study was to understand how agricultural migrants in the Cape Winelands District of Western Cape Province of South Africa navigated the healthcare system to access healthcare services including securing continuity of care, and in particular the role of CHWs in this process, in order to inform policy and practice.
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Nkambule, Ntombizodwa R. "Knowledge and practices of health care workers at Medunsa Oral Health Centre regarding post exposure prophlaxis for blood-borne viruses." Thesis, University of Limpopo (Medunsa Campus), 2011. http://hdl.handle.net/10386/684.
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Thesis (MPH) -- University of Limpopo, 2011.Background: Health care workers (HCWs) are prone to occupational exposures to blood-borne viruses (BBVs), which include hepatitis B virus (HBV), hepatitis C virus (HCV), and human immunodeficiency virus (HIV). Post exposure prophylaxis (PEP) is available for both HBV and HIV, and if administered correctly can reduce the risk of HBV and HIV transmission by 80%. This study investigated the knowledge and practices of HCWs regarding PEP for BBVs at Medunsa Oral Health Care Centre (MOHC). Methods: This was a cross sectional study conducted among 166 HCWs at the MOHC using a self-administered, anonymous questionnaire on knowledge and practices of HCWs regarding PEP for BBVs. Binary logistic regression method was used to determine factors associated with reporting an occupational exposure and uptake of PEP. Results: The response rate was 67%. The mean age was 27yrs (SO =7.67yrs), and 68.7% of . respondents were female. The overall knowledge regarding PEP among the HCWs was inadequate as 46.9% had poor knowledge. The majority (77.7% [128/166]) of HCWs experienced occupational exposures and amongst them 39.0% (50/128) experienced it twice or more. Almost two-thirds (60.9%) of HCWs experienced an occupational exposure while performing scaling and polishing. Only 28.9% (37/128) of those who were potentially exposed to a BBV reported the incident to the authorities. Out of those who reported, 37% (14/37) took PEP for HIV, and 32.4% (12/37) took PEP for HBV. Among those taking HIV PEP, 21.4% (3/14) indicated that they completed the course. HCWs who haq five or more years of experience j were less likely (OR=0.138, p=0.043) to report compared to those who had less than five years of experience. Conclusion: Overall, participants' knowledge regarding PEP as well as reporting of an exposure was inadequate. The majority of HCWs experienced an occupational exposure while performing scaling and polishing.
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Castillo, Carla Gabriela. "Latino Immigrant Workers’ Search for Justice After Occupational Injury." Scholar Commons, 2015. http://scholarcommons.usf.edu/etd/5659.
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Latino immigrants encounter an entanglement of rights and policies after occupational injury or illness. In collaboration with an immigrant worker center, ethnographic research and a survey are used to analyze injured workers’ experiences. The center uses survey results to identify common threads and systematic problems, and to explore potential direct action. Through interviews with workers and medical and legal professionals, I investigate the barriers Latino immigrants face following occupational injury or illness, how their lived experiences relate to the greater medicolegal frameworks that demarcate most formal processes of compensation and treatment, and the experiences of professionals who mediate these structures. Research results confirm that immigrant workers lack information about their labor rights and the workers’ compensation system, which prevents them from filing claims, and contributes to the underreporting of workplace injuries. However, this research project also documents how workers who do file claims and report injuries are systematically barred access to redress due to a confluence of factors including unresponsive and fraudulent employers, biases in the medical system, discourses of deservingness, insufficient protections from retaliation, and the effects of a market-based medical system. I argue that future work-related injury prevention efforts should go beyond rights education, and include reforms to the compensation system.
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Olaniran, A. A. "Community health workers for maternal and newborn health : case studies from Africa and Asia." Thesis, University of Liverpool, 2017. http://livrepository.liverpool.ac.uk/3018942/.
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Bayham-Hicks, Shirley Louise. "Continuity of care for migrant farm workers utilizing computer disks." Thesis, The University of Arizona, 2000. http://hdl.handle.net/10150/278747.
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Not much has changed for the migrant farmworker in the last thirty years. In one of the wealthiest countries on earth, migrant farmworker health status remains comparable to that found in Third World countries because of poor sanitation, poor nutrition and exposure. Current estimates show that migrant clinics are serving less than 20% of this population, leaving about 2,000,000 farmworkers without medical care. The barriers to health care for this population are numerous. This study will focus on the barrier to care resulting from lack of continuity in care due to poor inter-clinic communication. In this study it has been shown that computer disks and a standard word-processing program can be used to create a portable medical health history for the migrant to improve inter-clinic communication. In the process of carrying out this study, it was also shown how other barriers to care for this vulnerable population might be removed as well.
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Janssen, Leah M. ""It Hits Me Right Here at My Heart": Understanding Emotional Health of Home Care Workers." Miami University / OhioLINK, 2021. http://rave.ohiolink.edu/etdc/view?acc_num=miami1625570058999724.
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Wilson, Sandra E. "A comparison of the attitudes of medical social workers and mental health social workers toward mental illness." DigitalCommons@Robert W. Woodruff Library, Atlanta University Center, 1989. http://digitalcommons.auctr.edu/dissertations/468.
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The purpose of this study was to compare the attitudes of medical social workers (MSWS) and mental health social workers (MHSWs) toward mental illness. The sample consisted of 87 subjects, 56 MSWs and 31 NHSWs. The instrument utilized was the Opinions About Mental Illness Scale which measured five attitudinal factors: Authoritarianism, Benevolence, Mental Hygiene Ideology, Social Restrictiveness and Interpersonal Etiology. Data was analyzed, using Pearson’s r. No significant differences were found on the Authoritarianism dimension. However, MSWs scored higher on Benevolence, Mental Hygiene Ideology, Social Restrictiveness, and Interpersonal Etiology as compared to MHSWs. One of the most significant implications was that the clinical environment should be less physically and socially restrictive so that the patient would not feel as though s/he was in prison and had committed a crime.
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Najafizada, Said Ahmad Maisam. "The Afghan Community Health Worker Program: A Health Systems Analysis of a Population Health Intervention." Thesis, Université d'Ottawa / University of Ottawa, 2016. http://hdl.handle.net/10393/35044.
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To tackle one of the world’s worst maternal, neonatal and child health outcomes and a chronic shortage of human resources for health, the Afghan Ministry of Public Health deployed volunteer Community Health Workers (CHW) in rural areas of Afghanistan in 2003. This thesis documents the Afghan CHW program, exploring organizational and community contexts. The research design in this study is a mixed methods case study.
The actual Afghan CHW program was situated with an Afghan complex adapative health system, mainly guided by the policy of the health system but was also largely influenced by the power and gender dynamics of the community context in which it was implemented. The tasks of CHWs were numerous but CHWs role was more than just the sum of their tasks; they occupied a unique location juxtaposed between formal and informal HRH systems. It is important to acknowledge the assembly of so many national and international organizations in achieving a shared goal of providing health services to a large population in an unstable and partially insecure environment. The shared goal in the Afghan context may have been interpreted only in terms availability of services, though the goal carries with it, either explicitly or implicitly, the values of effectiveness, efficiency, timeliness, and costliness – known as quality by some participants of this study. The community component was another layer of the complex adaptive system that made up the Afghan CHW program. Political-ethnic power in the community and legal-rational authority of the health system influenced the way communities were mapped in an inequitable manner, in turn, contributed to the unfair distribution of resources to the populations. Finally, the intersection of the gender equity approach and the gendered nature of the work as a cross-cutting layer added to the complexity of the Afghan health system.
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Carew, Bonnie L. "Health care benefits for state workers what drives the differences? /." Diss., Mississippi State : Mississippi State University, 2009. http://library.msstate.edu/etd/show.asp?etd=etd-03132009-110424.
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