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Karlsson, Sofia, Britt-Inger Saveman, and Lina Gyllencreutz. "The medical perspective on mining incidents." International Journal of Emergency Services 8, no. 3 (October 31, 2019): 236–46. http://dx.doi.org/10.1108/ijes-02-2019-0006.
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Purpose The purpose of this paper is to examine emergency medical service (EMS) personnel’s perceptions and experiences of managing underground mining injury incidents. Design/methodology/approach In total, 13 EMS personnel were interviewed according to a semi-structured interview guide. The interviews were transcribed verbatim and analyzed using qualitative content analysis. Findings An underground mining environment was described as unfamiliar and unsafe and, with no guidelines for operational actions in an extreme environment, such as underground mines, the EMS personnel were uncertain of their role. They therefore became passive and relied on the rescue service and mining company during a major incident. However, the medical care was not considered to be different from any other prehospital care, although a mining environment would make the situation more difficult and it would take longer for the mine workers to be placed under definitive care. Originality/value This study complements earlier studies by examining the EMS personnel’s perceptions and experiences of major incidents.
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Karaseva, Larisa Arkadyevna, and Tatyana Vladimirovna Bessonova. "Effects of labor satisfaction of medical personnel for the quality of providing medical care." Medsestra (Nurse), no. 6 (May 26, 2021): 65–72. http://dx.doi.org/10.33920/med-05-2106-09.
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The aim of the study the influence of job satisfaction of medical personnel on the quality of medical care. Results: the role of the nurse-leader in increasing the job satisfaction of medical personnel was studied; a comparative analysis of the attitude to work of medical personnel and their satisfaction in commercial and non-commercial medical organizations was carried out; formulated practical recommendations aimed at increasing the job satisfaction of medical personnel and the quality of medical services. Conclusion: formulated practical recommendations aimed at increasing job satisfaction of medical personnel and improving the quality of medical services provided to them.
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Sahin, Berna, Sengul Gaygisiz, Fethi Murat Balci, Derya Ozturk, Muge Bedriye Sonmez, and Cemil Kavalci. "Violence Against Emergency Medical Personnel Assistant." Turkish Journal of Emergency Medicine 11, no. 3 (2011): 110–14. http://dx.doi.org/10.5505/1304.7361.2011.87597.
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Pavlenko, Olena, Vitalii Sukalenko, Oleksii Shkulipa, and Meena Sunildutt Sharma. "Personnel management features of medical institutions." Health Economics and Management Review 2, no. 1 (2021): 44–53. http://dx.doi.org/10.21272/hem.2021.1-05.
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This article summarizes the arguments and counter-arguments within the scientific discussion on personnel management in health care organizations. The study’s main purpose is to identify opportunities to improve the efficiency of medical staff through innovative forms of labor organization and HR management. Systematization of scientific background and approaches on personnel management in health care showed that staff development is a priority in health care. The authors emphasized the high competition in the Ukrainian services market. Thus, improving the service quality is the key element for successful any business activity. The relevance of solving this scientific problem is a need to regulate the organization’s personnel policy. To achieve this goal, the study was conducted in the following logical sequence: 1) investigation of the theoretical advances devoted to personnel management of health care facilities and features of this process; 2) analysis of the activity and organizational structure of the University Clinic of Sumy State University; 3) assessment of the motivation and satisfaction of the medical staff of the University Clinic of Sumy State University; 4) identification of the main motives, incentives, and reasons to work; 5) analysis and generalization of the available personnel management tools of the University Clinic of Sumy State University regarding identifying the responsible for personnel management and determining main motivation methods of medical staff. The methodological tools of the study are statistical methods and questionnaires. The study involved data for 2019-2020. The object of the study is the personnel management system of the University Clinic of Sumy State University. The empirical analysis results showed a relationship between several problems, including personnel, organizational and economic. The study empirically confirms and theoretically proves that personnel management affects the effectiveness of health care services. With the study findings, the authors proposed a set of measures to improve the efficiency of the existing personnel management system of the University Clinic of Sumy State University.
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Stara, Vera, Lorena Rossi, and Gianfranco Borrelli. "Medical and Para-Medical Personnel’ Perspectives on Home Health Care Technology." Informatics 4, no. 2 (June 19, 2017): 14. http://dx.doi.org/10.3390/informatics4020014.
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Rottman, Steven J., David Rasumoff, Ron D'Acchioli, Baxter Larmon, and Curtis V. Reynolds. "Principles of Field Extrication for Medical Personnel." Prehospital and Disaster Medicine 2, no. 1-4 (1986): 175–77. http://dx.doi.org/10.1017/s1049023x00030740.
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In the United States, pre-hospital immediate care generally is practiced by paramedical personnel. These individuals are either firemen or civilians who have specific training in the assessment and management of acutely ill or injured patients outside the hospital. In most systems, once the initial evaluation of the patient is made, radio or telephone communication occurs between the pre-hospital team and a hospital-based physician or specially trained nurse. These hospital-based personnel are the responsible medical authority for the care delivered by the paramedical staff. Based on data reported by the field unit, the hospital team gives medical direction and specific therapeutic orders to the paramedics. This style of immediate care seems to work well for us in America although it is different in many ways from immediate care schemes elsewhere in the world, in that the physician or nurse is rarely on the scene, able to assess firsthand and provide medical care to the victims.
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Myroshnychenko, Ganna, and Yuliya Polegenka. "ТЕОРЕТИЧНИЙ БАЗІС ФОРМУВАННЯ СИСТЕМИ УПРАВЛІННЯ ПЕРСОНАЛОМ МЕДИЧНОГО ЗАКЛАДУ." Economical 1, no. 1(22) (2020): 97–105. http://dx.doi.org/10.31474/1680-0044-2020-1(22)-97-105.
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In modern market economy, among the variety of problems associated with the normal and efficient development of enterprises and organizations, one of the main problem is the personnel management. In the near future, the best development will be achieved by those organizations that focus on human resources and their management. Data shows that strategic personnel management in the current context of health care reform will increase the competitiveness of medical institutions. The paper analyzes the state of staffing in the healthcare sector. It was determined that there is a tendency to reduce medical facilities, and the outflow of highly qualified personnel to other sectors of the economy. Thus, since 1990, the number of hospitals has decreased by 43.5%, from 3.6 thousand to 1.1 thousand. Due to this, the number of hospital beds per 10,000 population decreased at the end of 2017, the number of beds decreased by 53.9%. The analysis revealed that in Ukraine there is a problem of layoffs. It is established that in the period from 1990 to 2017 there was a decrease in the number of paramedics in the health care system by a total of 32.1 people per 10,000 population, which is 27.3% of the total number of paramedics in 1990. Research shows that the movement of health workers depends on the movement of labor migration from districts to large cities, and is common in all countries, but in Ukraine there is a tendency to reduce the average number of medical staff at a faster rate than the reduction of doctors. This is due to difficult economic conditions in the country. The analysis of the personnel potential of health care institutions of Ukraine was carried out, which determined a significant reduction of medical staff, especially in the part of paramedical staff. It decreased by 27.3% of the total number of paramedics in 1990. It is determined that the main factors reducing the human resources of health care institutions of Ukraine are the inadequacy of staff training to modern requirements in the field of health care, insufficient material and social security of staff. An effective system of personnel management of a medical institution has been developed, which is based on the formation of human resources and the effective use of the personnel of the medical institution, which includes an analysis of the labor potential of the medical worker; planning and selection of staff depending on the demand for medical services of the institution; development of rules for hiring staff in accordance with labor legislation; application of methods of adaptation of medical staff; application of a transparent method of personnel certification. The characteristics of the functioning of the health care sector, which influence the formation of the personnel management system of medical institutions, have been identified. Directions for improving the personnel management system of medical institutions have been identified, which will ensure high quality of medical services with sufficient material security of medical institution staff and promote the retention of highly qualified personnel in medical institutions, which in turn will increase the efficiency of the health care system as a whole.
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Pham, Phung K., Solomon M. Behar, Bridget M. Berg, Jeffrey S. Upperman, and Alan L. Nager. "Pediatric Online Disaster Preparedness Training for Medical and Non-Medical Personnel: A Multi-Level Modeling Analysis." Prehospital and Disaster Medicine 33, no. 4 (August 2018): 349–54. http://dx.doi.org/10.1017/s1049023x18000596.
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AbstractIntroductionTerrorism and natural catastrophes have made disaster preparedness a critical issue. Despite the documented vulnerabilities of children during and following disasters, gaps remain in health care systems regarding pediatric disaster preparedness. This research study examined changes in knowledge acquisition of pediatric disaster preparedness among medical and non-medical personnel at a children’s hospital who completed an online training course of five modules: planning, triage, age-specific care, disaster management, and hospital emergency code response.MethodsA multi-disciplinary team within the Pediatric Disaster Resource and Training Center at Children’s Hospital Los Angeles (Los Angeles, California USA) developed an online training course. Available archival course data from July 2009 to August 2012 were analyzed through linear growth curve multi-level modeling, with module total score as the outcome (0 to 100 points), attempt as the Level 1 variable (any module could be repeated), role in the hospital (medical or non-medical) as the Level 2 variable, and attempt by role as the cross-level effect.ResultsA total of 44,115 module attempts by 5,773 course participants (3,686 medical personnel and 2,087 non-medical personnel) were analyzed. The average module total score upon first attempt across all participants ranged from 60.28 to 80.11 points, and participants significantly varied in how they initially scored. On average in the planning, triage, and age-specific care modules: total scores significantly increased per attempt across all participants (average rate of change ranged from 0.59 to 1.84 points) and medical personnel had higher total scores initially and through additional attempts (average difference ranged from 13.25 to 16.24 points). Cross-level effects were significant in the disaster management and hospital emergency code response modules: on average, total scores were initially lower among non-medical personnel compared to medical personnel, but non-medical personnel increased their total scores per attempt by 3.77 points in the disaster management module and 6.40 points in the hospital emergency code response module, while medical personnel did not improve their total scores through additional attempts.Conclusion:Medical and non-medical hospital personnel alike can acquire knowledge of pediatric disaster preparedness. Key content can be reinforced or improved through successive training in an online course.PhamPK, BeharSM, BergBM, UppermanJS, NagerAL. Pediatric online disaster preparedness training for medical and non-medical personnel: a multi-level modeling analysisPrehosp Disaster Med.2018;33(4):349–354.
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Freund, Bożena. "INFLUENCE OF COMMUNICATION OF MEDICAL PERSONNEL WITH PATIENTS ON HEALTH CARE UNITS MANAGEMENT PROCESSES." Annals of Marketing Management and Economics 4, no. 1 (June 20, 2018): 5–24. http://dx.doi.org/10.22630/amme.2018.4.1.1.
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A health care is characterised of creating an individual, specific relation between representatives of health care units and patients, which means that not only medical staff professionalism but also an empathetic attitude towards patients are important questions. Literature regarding the issue of communication with patients is growing, there are as well workshops in an effective communication, nevertheless the topic is still of minor importance. Meanwhile, relations between medical personnel and patients may put a major impact on the quality of health care as well as patients satisfaction with medical services, what is important from a management point of view. A proper way of patients’ treatment by medical personnel may result not only in better attitude towards therapy, but also it may influence a more efficient management of health care facilities, as patient satisfied with medical services may recommend an organisation, which may have a positive impact on an institution’s image, allowing a manager to focus on more important aspects of an institution management. For the above reasons it is important to get to know medical personnel’s attitude to developing as well as improving communication skills in order to provide a holistic patients care, what can significantly influence a health care units management. Medical staff communication skills are important not only from a treatment perspective, but they can also be significant from the perspective of health care organisations management. The study material was gathered in the first quarter of 2014. In the final analysis questionnaires from 113 representatives of various medical professions were taken into consideration. The study results show that in the process of medical professionals education there is only a little attention paid to acquiring communication skills regarding communication between a patient and medical personnel. Also, the hypothesis according to which medical personnel is satisfied with communication with patients was confirmed. Furthermore, medical staff agree in stating that they care for a proper communication with patients. Conclusions coming from the study results may define a specific way of health care units management, which should comprise, among others, financial resources for trainings in medical personnel soft skills improvement.
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Malihon Yuliia, Malihon Yuliia. "GLOBAL TRENDS OF THE STATE HUMAN RESOURCES POLICY IN THE FIELD OF HEALTHCARE." Socio World-Social Research & Behavioral Sciences 03, no. 01 (January 14, 2021): 106–15. http://dx.doi.org/10.36962/swd03012021106.
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The article identifies that one of the most pressing problems in the world’s health care system is the shortage of highly qualified personnel. The distribution of medical workers by gender was carried out. The main problems in the staffing of health care in the world are analyzed. The level of provision of the country's health care system with medical personnel has been studied. The peculiarities of receiving medical education and the formation of medical personnel of some countries of the EU and the world are described. The TOP-20 the best medical universities and the cost of education in Germany, as well as the cost of education in leading American medical universities, were analyzed. Keywords: personnel policy, health care system, medical personnel, medical services.
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Kaprina, I. A. "PERSONNEL PROCESSES IN MEDICAL ORGANIZATIONS: THE STATE AND DIRECTIONS OF REGULATION." Research'n Practical Medicine Journal 4, no. 3 (September 21, 2017): 108–14. http://dx.doi.org/10.17709/2409-2231-2017-4-3-11.
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Results of sociological research of problem questions of regulation of personnel processes in the medical organizations are presented in this article. The problem of reforming medical organizations is characterized. Proposals on the solution of currently important problems of personnel regulation in medical organizations are formulated.The purpose of the research is to substantiate the directions of improving the management of personnel processes in modern medical organizations based on the sociological analysis of personnel processes and relations in medical organizations.Materials and methods. The paper presents the results of a sociological study of the condition and problems of regulation of personnel processes in medical organizations. The survey involved 240 respondents from among the employees of medical organizations and 97 qualified medical experts.Results. It is proved that the successful functioning of medical organizations is possible with a scientific approach to the management of personnel processes and relations, including analysis of personnel policy issues, sociological support of personnel processes regulation, development of human resources technologies in modern medical organizations.Conclusions. Successful functioning of medical organizations is possible with a scientific approach to the management of personnel processes and relations, including analysis of personnel policy issues, sociological support of personnel processes regulation, development of modern personnel technologies in medical organizations. Achievement of effective management of personnel processes in medical organizations requires the development and implementation of scientifically sound human resources policy in the health care system, improving the regulatory and organizational support for the regulation of personnel processes, enhancing the role of self-regulatory organizationsin the management of personnel processes in medical organizations.
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Graham, C. A., and S. T. Hearns. "Major incidents: training for on site medical personnel." Emergency Medicine Journal 16, no. 5 (September 1, 1999): 336–38. http://dx.doi.org/10.1136/emj.16.5.336.
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Bremer, Anders, Karin Dahlberg, and Lars Sandman. "Balancing Between Closeness and Distance: Emergency Medical Services Personnel’s Experiences of Caring for Families at Out-of-Hospital Cardiac Arrest and Sudden Death." Prehospital and Disaster Medicine 27, no. 1 (February 2012): 42–52. http://dx.doi.org/10.1017/s1049023x12000167.
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AbstractIntroduction: Out-of-hospital cardiac arrest (OHCA) is a lethal health problem that affects between 236,000 and 325,000 people in the United States each year. As resuscitation attempts are unsuccessful in 70-98% of OHCA cases, Emergency Medical Services (EMS) personnel often face the needs of bereaved family members.Problem: Decisions to continue or terminate resuscitation at OHCA are influenced by factors other than patient clinical characteristics, such as EMS personnel’s knowledge, attitudes, and beliefs regarding family emotional preparedness. However, there is little research exploring how EMS personnel care for bereaved family members, or how they are affected by family dynamics and the emotional contexts. The aim of this study is to analyze EMS personnel’s experiences of caring for families when patients suffer cardiac arrest and sudden death.Methods: The study is based on a hermeneutic lifeworld approach. Qualitative interviews were conducted with 10 EMS personnel from an EMS agency in southern Sweden.Results: The EMS personnel interviewed felt responsible for both patient care and family care, and sometimes failed to prioritize these responsibilities as a result of their own perceptions, feelings and reactions. Moving from patient care to family care implied a movement from well-structured guidance to a situational response, where the personnel were forced to balance between interpretive reasoning and a more direct emotional response, at their own discretion. With such affective responses in decision-making, the personnel risked erroneous conclusions and care relationships with elements of dishonesty, misguided benevolence and false hopes. The ability to recognize and respond to people’s existential questions and needs was essential. It was dependent on the EMS personnel’s balance between closeness and distance, and on their courage in facing the emotional expressions of the families, as well as the personnel’s own vulnerability. The presence of family members placed great demands on mobility (moving from patient care to family care) in the decision-making process, invoking a need for ethical competence.Conclusion: Ethical caring competence is needed in the care of bereaved family members to avoid additional suffering. Opportunities to reflect on these situations within a framework of care ethics, continuous moral education, and clinical ethics training are needed. Support in dealing with personal discomfort and clear guidelines on family support could benefit EMS personnel.
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Shanks, G. Dennis, Robert C. Hays, Barbara A. Morgan, and Ronald M. Tolls. "Medical Care of U.S. Military Personnel Deployed to Honduras." Military Medicine 153, no. 11 (November 1, 1988): 564–67. http://dx.doi.org/10.1093/milmed/153.11.564.
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Ziabina, Yevheniia, Aleksy Kwilinski, and Tatiana Belik. "HR management in private medical institutions." Health Economics and Management Review 2, no. 1 (2021): 30–36. http://dx.doi.org/10.21272/hem.2021.1-03.
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The article summarizes the arguments and counter-arguments within the scientific discussion on improving the HR management system in medical centers through HR policy tools. The study’s main purpose is to form proposals and focus on the prospects for the development of HR management in medical institutions. Systematization of learned treatises and approaches on the development of HR management systems showed problems in HR management’s current methods and systems. The urgency of solving this scientific problem is that the improvement of HR policy could effectively form and modernize medical organizations’ personnel management systems. The study of improving the HR management system in medical centers was carried out in the following logical sequence: considering the basics of personnel management in the private organizations; studying the methods and current trends in personnel management; analyzing the current system of HR management and personnel management on the example of medical institutions of Ukraine; developing recommendations for improving the HR policy of medical centers have been formed considering the obtained results. The methodological tools of the study were the methods of comparison, the BSC system of Kaplan and Norton, the fundamental provisions of personnel management, the calculation method and the method of data analysis, and the Gantt chart. The object of the study is the HR policy of medical institutions in Ukraine. The article presents the empirical analysis results based on the identified problems of organizing a personnel management system. The essence and features of the HR policy of medical centers were determined. In the study, the authors considered the state of medical centers’ staffing and HR management methods in health care. To investigate the organizational structure and personnel in the current situation of HR management of medical centers, the analysis of personnel and financial indicators was conducted. The findings showed the deficiencies in the personnel document management and HR management system of medical centers and the reasons for staff turnover. The comparison method, Kaplan and Norton’s BSC system, Gantt chart, calculation, and data analysis allowed identifying the ways to improve the existing HR management system in organizations.
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Muntyan, Irina Aleksandrovna, and Larisa Arkadyevna Karaseva. "Analysis of factors affecting the degree of satisfaction labor of the medical personnelAnalysis of factors affecting the degree of satisfaction labor of the medical personnel." Medsestra (Nurse), no. 5 (May 1, 2021): 29–37. http://dx.doi.org/10.33920/med-05-2105-04.
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The aim of the study is to assess the factors affecting the degree of satisfaction of medical personnel with their professional activities. Results: the literature on the most important characteristics of the labor process of medical personnel was studied, factors influencing the degree of satisfaction with the work of medical personnel were determined. Conclusion: satisfaction with work is one of the most important aspects of organizational behavior that affects the behavior of people in the organization, overall satisfaction with the work of medical personnel is 100 %, 93 % of patients are satisfied with the quality of medical care.
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Markiewicz, Renata, Jacek Gajewski, and Diana Żmuda. "Comparative characteristics of professional predispositions of medical personnel." Current Problems of Psychiatry 17, no. 3 (September 1, 2016): 178–82. http://dx.doi.org/10.1515/cpp-2016-0019.
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AbstractProfessional predispositions are an important component characterising people working as health care professionals. The aim of this study was to compare professional predispositions of students at medical courses with professionally active nurses. The study methods included a survey (SOPZ) and the Delta questionnaire. The analysis showed there were no differences in levels of sense of threat, responsibility and creativity in all analysed group, as well as while there was a differentiating influence of the sense of control in the analysed group of students.
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Faruque, A. S. G., and Abu Eusof. "Medical Care Utilization." Tropical Doctor 16, no. 2 (April 1986): 87–89. http://dx.doi.org/10.1177/004947558601600217.
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This paper describes the use-pattern of medical care prior to death caused by cholera outbreaks in rural Bangladesh. In nine rural communities 92 acute diarrhoeal deaths were recorded. These mainly occurred within 24 hours or less of diarrhoea onset, and were time-clustered. An on-the-spot stool culture survey of active cases confirmed cholera cases. In 50% of deaths, diarrhoea onset occurred between midnight and 9 am. Fifty-one percent of the fatalities had been treated earlier by village practitioners, another 20% had been attended by qualified doctors, and 8% had had no medical care. Oral rehydration therapy alone had been used in 29 cases, but 26 died within 24 hours. Of 43 persons who received intravenous therapy, oral rehydration and antibiotics, 21 (45%) died within 24 hours and 12 (28%) after 48 hours. Seventeen deceased had received no rehydration therapy. Early and adequate fluid therapy is required for optimal rehydration. Training of community people and health personnel, along with resources mobilization, will save lives by preventing unnecessary dehydration deaths.
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Sergeyeva, E. A., and T. A. Pogorelskaya. "DIAGNOSTICS AND IMPROVEMENT OF THE PERSONNEL POLICY IN A MEDICAL ORGANIZATION." Scientific Review: Theory and Practice 10, no. 10 (October 30, 2020): 2480–90. http://dx.doi.org/10.35679/2226-0226-2020-10-10-2480-2490.
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Personnel policy in the health care institution is one of the main activities, which contains a system of methods and principles implemented by the personnel department of the organization. Only under the condition of a systematic analysis of the activities of a health care institution and an assessment of human potential, a personnel strategy is it possible to competently and effectively manage the medical personnel. The issues of forming an effective personnel policy in a medical institution in the modern conditions of global reform of the industry are not sufficiently covered in the open press. The materials of the study were data on the composition and structure of the personnel of the medical institution “Stavropol Regional Hospital for War Veterans”, and the regulations governing the activities of the personnel service. To identify the type of personnel policy and its main components, the methods of questioning and statistical processing of information were used. As a result of the study, the type of personnel policy of the hospital was determined, namely, the institution adopted a reactive personnel policy, since the efforts of the personnel service and the management of the organization are mainly aimed at tracking the causes and consequences of negative aspects related to personnel. In terms of the degree of openness and the level of interaction with the environment, personnel policy is more characterized by a closed type, which is typical for medical organizations and is explained by the specifics of their activities. A new type of personnel policy is proposed, which is adequate to the modern conditions of the external environment in which the hospital operates, namely, a strategically oriented personnel policy, the main characteristics of which will be, firstly, the correct ratio of openness and closedness towards the external environment, and, secondly, high flexibility and quick adaptability to the changes in the external and internal environment, including those in the long term. The article will be of interest to managers and employees of the personnel service of medical organizations responsible for the formation of personnel policy.
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de Moraes Lopes, M. H. Baena, and R. Aparecida Mendes Lopes. "Latex Allergy in Health Care Personnel." AORN Journal 72, no. 1 (July 2000): 42–46. http://dx.doi.org/10.1016/s0001-2092(06)62036-x.
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Walczyszyn, Maciej, Shalin Patel, Maly Oron, and Bushra Mina. "Perceptions of hospital medical personnel on disaster preparedness." F1000Research 5 (August 9, 2016): 1938. http://dx.doi.org/10.12688/f1000research.8738.1.
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Objective: Natural disasters, domestic terrorism and other forms of catastrophe, though rare, pose a significant public health challenge when they do occur. Hospital personnel must have the appropriate training to identify, treat, and possibly even oversee local disaster preparedness initiatives. Insufficient resources have been placed on the education received by healthcare providers in tertiary medical institutions. We intended to assess the current state of knowledge and interest in disaster preparedness among different tiers of hospital staff and training levels in order to identify potential barriers and areas for further training. Design: A cross-sectional online survey was given to hospital attending physicians, subspecialty fellows, residents, nurses, physician assistants, and their respective students. The survey questions were disseminated throughout the Society of Critical Care Medicine (SCCM) Members and the North Shore Long Island Jewish (NSLIJ) hospital system via e-mail newsletters. Main results: A total of 572 individuals participated between October 2013 and May 2014. 85% of respondents expected to be dealing with a disaster during their career. 61.5% of respondents noted they would not feel comfortable leading and directing a local disaster management initiative. Yet 51.9% of respondents treated victims of natural disasters, 56.5% of transportation disasters and 34.8% of a structural collapse. When asked about level of formal disaster management training: 27.5% noted that no training was provided and 33% noted that they received 12 hours of training and only a quarter had more than 48 hours of formal training. 86.6% of respondents noted an interest in participating in a disaster management training workshop. Conclusions: Many of our respondents had low level of disaster management training, did not feel comfortable leading a disaster initiative, however many have had to take care of victims of disasters. Based on our findings, hospital professionals feel under prepared for disaster management, and disaster preparedness should be considered an integral part of medical training.
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Rybachok, Oksana. "Medical Worker Day." Spravočnik vrača obŝej praktiki (Journal of Family Medicine), no. 6 (June 1, 2020): 78–81. http://dx.doi.org/10.33920/med-10-2006-11.
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The Medical Worker Day is celebrated in Russia every year on the third Sunday of June. This year's celebration falls on June 21, and it is more relevant than ever - hundreds and thousands of doctors and nurses are at the forefront in the fight against a terrible epidemic this year that did not spare anyone - neither old people, nor even children. They still continue to fight for the human lives, and do it every day. Since the Second World War, our planet has not been in such a crisis. During the current pandemic, the situation is aggravated by a lack of understanding of the scale of the process, a lack of knowledge about the pathogen, the absence of etiotropic treatment and methods of specific prophylaxis. Doctors are not Gods; they turned out to be able to go a long way, but, unfortunately, have not yet learned to perform miracles. It’s widely known that at the present stage in the world there is a lack of about 6 million nurses, and after all, they are one of the most important links performing doctors’ orders. It is their work and dedication to the chosen cause that leads to competent treatment and speedy recovery of patients. The problem of the shortage of medical personnel is typical for the health care of a large number of countries, however, abroad, a partial easing of the developing shortage of secondary medical personnel is ensured by active involvement of social workers in the healthcare sector, which helps to reduce the workload of medical personnel by delegating part of the duties to workers without medical education [1]. For centuries, medicine has been considered one of the most revered and responsible professions. Everyday care for the health of the population, the prevention of diseases, the return of patients to a full life – it gives a special status to medical workers, people of the highest public duty.
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Sedova, Anna S., and Leonid M. Protsenko. "Medical support in children's camp: problems and solutions." HEALTH CARE OF THE RUSSIAN FEDERATION 65, no. 4 (September 7, 2021): 310–17. http://dx.doi.org/10.47470/0044-197x-2021-65-4-310-317.
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Introduction. High-quality medical support is an essential component of effective and safe recreation of children in the camp. Aim is a scientific substantiation of improving the system of medical care in the camps. Material and methods. A survey of 353 directors of day and stationary camps was conducted in the fall of 2020. Results. The most pressing medical problems of the system of medical care of children in the camp were identified: lack of medical personnel (in 46.3% of camps); difficulties with licensing medical activities in the camp (in 15.8% of camps); low qualifications of medical personnel and medical literacy of pedagogical personnel in matters of medical support for camps (in 7.1% and 10.7% of camps, respectively); the inaccuracy of information available in the camp about the state of health of children in the medical certificates of children (in 22.6% of camps). 74.6% of directors pointed to the problems of interaction with the parents of children (unwillingness to provide children with medical certificates or necessary additional information about the state of health of children, refusal to receive treatment prescribed in the camp, etc.). Conclusion. It is necessary to improve the legal regulation in the field of children’s recreation; provision of camps with qualified medical personnel; educational programs on medical care for children in the camp for teachers; increasing the responsibility for the health of children during their rest period of medical organizations that draw up medical documents for children in front of the camp, as well as parents of children.
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Kaspruk, Lyudmila Ilyinichna, and Elizaveta Vladislavovna Mitrofanova. "Socio-hygienic characteristics of regional middle-level medical personnel." Spravočnik vrača obŝej praktiki (Journal of Family Medicine), no. 4 (April 16, 2021): 44–49. http://dx.doi.org/10.33920/med-10-2104-06.
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The presented study sets out the results of an assessment of a sociological survey of middle-level medical personnel of the Orenburg Region in morphological connection with their quality of life. Information on the factors influencing the quality of medical care provided by medical personnel is provided. The assessment of the main indicators of the quality of life was carried out, revealing minor deviations of the lower limit of normal of the mean values on the SF-36 scales. The authors describe social stress factors affecting the social and hygienic «portrait» of middle-level medical professionals as recipients of medical services.
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Iltchev, Petre, Aleksandra Sierocka, Sebastian Gierczyński, and Michał Marczak. "The Knowledge of Medical Professionals from Selected Hospitals in the Lubelskie Province about Diagnosis-Related Groups Systems." Studies in Logic, Grammar and Rhetoric 35, no. 1 (December 1, 2013): 191–201. http://dx.doi.org/10.2478/slgr-2013-0044.
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Abstract Health information technology (IT) in hospitals can be approached as a tool to reduce health care costs and improve hospital efficiency and profitability, increase the quality of healthcare services, and make the transition to patient-centered healthcare. A hospital’s efficiency and profitability depends on linking IT with the knowledge and motivation of medical personnel. It is important to design and execute a knowledge management strategy as a part of the implementation of IT in hospital management. A Diagnosis-Related Groups (DRG) system was introduced in Poland in 2008 as a basis for settlements between hospitals and the National Health Fund (NHF). The importance and role of a DRG system in management of healthcare entities was emphasized based on a survey of medical professionals from two hospitals in the Lubelskie province. The goal of a survey is to assess the knowledge of medical professionals about the DRG system and how the medical personnel uses the DRG system in order to achieve the strategic goals of the organization. A newly developed survey was used to assess the medical personnel’s knowledge of DRG, using 12 closed and 5 open questions. The survey was conducted on 160 medical employees from two hospitals in the Lubelskie province. In conclusion, medical personnel’s DRG knowledge unambiguously contributes to reducing hospital costs and increasing profitability. The DRG related knowledge enables personnel to obtain value from data by applying DRG data-driven decisions.
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Venesoja, Anu, Maaret Castrén, Susanna Tella, and Veronica Lindström. "Patients’ perceptions of safety in emergency medical services: an interview study." BMJ Open 10, no. 10 (October 2020): e037488. http://dx.doi.org/10.1136/bmjopen-2020-037488.
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BackgroundResearch on patient safety in emergency medical services (EMS) has mainly focused on the organisation’s and/or the EMS personnel’s perspective. Little is known about how patients perceive safety in EMS. This study aims to describe the patients’ experiences of their sense of safety in EMS.MethodsA qualitative design with individual interviews of EMS patients (n=21) and an inductive qualitative content analysis were used.ResultsPatients’ experiences of EMS personnel’s ability or inability to show or use their medical, technical and driving skills affected the patients’ sense of safety. When they perceived a lack of professionalism and knowledge among EMS personnel, they felt unsafe. Patients highlighted equality in the encounter, the quality of the information given by EMS personnel and the opportunity to participate in their care as important factors creating a sense of safety during the EMS encounter. Altogether, patients’ perceptions of safety in EMS were connected to their confidence in the EMS personnel.ConclusionsOverall, patients felt safe during their EMS encounter, but the EMS personnel’s professional competence alone is not enough for them to feel safe. Lack of communication or professionalism may compromise their sense of safety. Further work is needed to explore how patients’ perceptions of safety can be used in improving safety in EMS.
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Shneider, Valentina. "Safety of patients and medical personnel when providing medical care in the institution of surgical profile." Medsestra (Nurse), no. 11 (November 18, 2020): 75–79. http://dx.doi.org/10.33920/med-05-2011-09.
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The issue of the occurrence of infections associated with the provision of medical care is relevant for any medical institution. The prevention of nosocomial infections applies not only to patients, but also to the personnel providing medical care at any stage of the patient's visit to a medical and preventive organization.
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Apechkin, N. N., A. N. Galiullin, and E. G. Nureyeva. "Methodological justification of preparing medical workers of medical and preventive treatment institutions of the Republic of Tatarstan for providing medical care in the event of occurrence of centers of mass sanitary losses." Kazan medical journal 93, no. 2 (April 15, 2012): 326–29. http://dx.doi.org/10.17816/kmj2322.
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Aim. To optimize the training of medical personnel for providing emergency medical care to the general public. Methods. Socio-hygienic, statistical and experimental. A questionnaire-based survey was conducted among 450 medical doctors and 136 members of the nursing personnel in order to determine the subjective level of knowledge in the field of organizing medical evacuation procedures in the centers of mass sanitary losses. Conducted was an initial testing of 108 doctors and 106 members of the nursing personnel in order to objectively assess their level of knowledge followed by a final post-training test. A new technology for training health professionals has been developed and recommended for inclusion into the program of medical postgraduate education. Results. If the doctors prior to training had the level of preparedness to provide first medical care in centers of sanitary losses of 49.71%, then after training, this figure increased to 75.38% (p 0.001). Among the nursing staff the level of preparedness prior to training did not exceed 51.88% of the cases, while after the training it reached 74.28% (p 0.001). Thus, after training according to the proposed methodology the level of knowledge in organizing medical care to the affected casualties in centers of sanitary losses at the pre-hospital stage increased by 47.89% (p 0.001 for t=12.19). The survey of health professionals showed that 97.2% of health workers gave a positive evaluation of our proposed method of training. Conclusion. The proposed technology makes it possible to increase the level of training of medical personnel in organizing and delivering health care.
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Miné, J. "The Geneva Conventions and medical personnel in the field." International Review of the Red Cross 27, no. 257 (April 1987): 180–91. http://dx.doi.org/10.1017/s0020860400025316.
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To speak of the Geneva Conventions and medical personnel in the field is truly to return to the very source of international humanitarian law, for the event which led to the birth of that body of law was the tragedy suffered at the battle of Solferino in 1859 by the wretched masses of wounded soldiers on both sides who received no care whatever.
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Gibbons, Sean. "Transmission of Acquired Immunodeficiency Syndrome from Patients to Medical Personnel." Critical Care Medicine 16, no. 1 (January 1988): 101. http://dx.doi.org/10.1097/00003246-198801000-00023.
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Kagramanyan, I. N., A. I. Tarasenko, I. A. Kupeeva, O. O. Yanushevich, K. A. Pashkov, and A. O. Efimov. "Historical aspects of the medical education system transformation." National Health Care (Russia) 2, no. 1 (September 15, 2021): 32–40. http://dx.doi.org/10.47093/2713-069x.2021.2.1.32-40.
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The history of medical and pharmaceutical education development is part of the social history. The quality of medical personnel training determines the efficiency of the entire health care system and has been a priority area of development throughout the history of the Russian state. The paper reflects the main stages of the medical education system development in the period from the 17th century to the present. The training of medical personnel in Russia began in the second half of the 17th century, when, under the Pharmaceutical Order, a medical school was established in 1654to train doctors for the needs of the army.The need to provide qualified medical personnel remains relevant, both in wartime and in peacetime. The reforms of medical education that have been taking place over the centuries make it possible to diversify educational programs, as well as the to introduce new educational technologies, considering modern requirements and global trends. The study of the historical aspects of domestic medicine determines a more competent approach to the development of the health care system and medical education.
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Clark, Peter A. "Medical Ethics at Guantanamo Bay and Abu Ghraib: The Problem of Dual Loyalty." Journal of Law, Medicine & Ethics 34, no. 3 (2006): 570–80. http://dx.doi.org/10.1111/j.1748-720x.2006.00071.x.
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Although knowledge of torture and physical and psychological abuse was widespread at both the Guantanamo Bay detention facility and Abu Ghraib prison in Iraq, and known to medical personnel, there was no official report before the January 2004 Army investigation of military health personnel reporting abuse, degradation, or signs of torture. Mounting information from many sources, including Pentagon documents, the International Committee of the Red Cross (ICRC), Amnesty International, Human Rights Watch, etc., indicate that medical personnel failed to maintain medical records, conduct routine medical examinations, provide proper care of disabled and injured detainees, accurately report illnesses and injuries, and falsified medical records and death certificates. Medical personnel and medical information was also used to design and implement psychologically and physically coercive interrogations. The United States military medical system failed to protect detainee's human rights, violated the basic principles of medical ethics and ignored the basic tenets of medical professionalism.
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Prisyazhnaya, N. V., and M. O. Koriagin. "THE PERCEPTION OF OUTCOMES OF HEALTH CARE MODERNIZATION BY MEDICAL SPECIALISTS." Sociology of Medicine 18, no. 2 (December 15, 2019): 122–27. http://dx.doi.org/10.18821/1728-2810-2019-18-2-122-127.
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The social institute of medicine, which has been developing steadily throughout the existence of mankind, covers not only clinical aspects of health, but also socio-economic, cultural, organizational and other components of population health protection. Nowadays, at the "digitalization" stage of society development, health care system is being rebuilt on the basis actual requirements. The condition of the "catching-up" development of industry is implementation of modernization measures targeted to updating material and technical components of health care system, as well as expansion of skills of medical personnel with modern medical equipment and programs. The article presents the results of medical and sociological study (pilot survey) of peculiarities of perception of results of modernization of health care system by medical specialists (as exemplified by the personnel of Krasnogorsk multi-field hospital). The most medical specialists working with equipment received under the state program of modernization of the health care perceived modernization positively (especially personnel working in medicine more than ten years) and believe that measures applied contributed into improving quality of medical care of patients. However, in order to increase efficiency of application of new medical equipment, it is necessary to include into health care modernization program position of mandatory training of medical staff.
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Guidry, G. Gary, W. Dwayne Brown, Steven W. Stogner, and Ronald B. George. "Incorrect Use of Metered Dose Inhalers by Medical Personnel." Chest 101, no. 1 (January 1992): 31–33. http://dx.doi.org/10.1378/chest.101.1.31.
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Self, Timothy H., and Mark J. Rumbak. "Incorrect Use of Metered Dose Inhalers by Medical Personnel." Chest 103, no. 1 (January 1993): 324–25. http://dx.doi.org/10.1378/chest.103.1.324-b.
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George, Ronald B., and G. Gary Guidry. "Incorrect Use of Metered Dose Inhalers by Medical Personnel." Chest 103, no. 1 (January 1993): 325. http://dx.doi.org/10.1378/chest.103.1.325-a.
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Vechorko, Valeriy I. "The conditions of paramedical personnel support of medical organizations of Moscow." Health Care of the Russian Federation 61, no. 2 (May 24, 2019): 88–92. http://dx.doi.org/10.18821/0044-197x-2017-61-2-88-92.
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In the recent years, the activity in implementing human resources policy is determined by targeting to optimal applying potential ofmedical workers with paramedical education in the primary medical care.The professional relationship with medical nurses andfeldshers are developed from the position of enhancement of their powers and implementation of a number ofphysician’s functions in case of rendering primary medical care predominantly. This pattern ameliorates accessibility of primary medical care. The development of integrated forms requires an analysis of achieved results. The article considers results of implementing medical care new technologies into practice in compliance with qualitative criteria of organization of activity ofparamedical workers in conditions of Moscow and proposals concerning broadening of their skills and knowledge.
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Abdullah, Mahfud. "The Protection of Medical Officers in the Armed Conficts; Case Study of Indonesia." Jambe Law Journal 3, no. 2 (April 30, 2021): 141–64. http://dx.doi.org/10.22437/jlj.3.2.141-164.
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International Humanitarian Law (HHI) has regulated provisions regarding the protection of medical personnel in a conflict, whether an international, non-international armed conflict or an internationalized armed conflict. These categories of various types of armed conflict are also part of the legality of the emergence of humanitarian intervention by medical personnel in an armed conflict. A form of medical care for parties who are either directly or indirectly involved in an armed conflict. In the Indonesian context, the provisions regulating separately the protection of medical personnel in armed conflict have not been regulated separately. However, considering that Indonesia has ratified the 1949 Geneva Convention, the convention can be considered as the official Indonesian national regulation on the protection of medical personnel in armed conflict. In this article, it is demonstrated that there were still many violations, especially against the purpose of war, which made medical officers and medical buildings in an armed conflict a military target, such as in the Syrian conflict, as well as domestic Indonesia such as Aceh and Papua. Several factors have led to the fall of medical personnel in various armed conflicts (both horizontal and vertical) in Indonesia, among others are: (a) The parties to an armed conflict are not aware of the provisions of the principles of international humanitarian law. (b) The parties are suspicious of the neutrality of the medical personnel, as well as (c) Not having a good communication system between the conflicting parties and medical personnel.
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Watt, Kerrianne, Vivienne C. Tippett, Steven G. Raven, Konrad Jamrozik, Michael Coory, Frank Archer, and Heath A. Kelly. "Attitudes to Living and Working in Pandemic Conditions among Emergency Prehospital Medical Care Personnel." Prehospital and Disaster Medicine 25, no. 1 (February 2010): 13–19. http://dx.doi.org/10.1017/s1049023x00007597.
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AbstractIntroduction:Little is known about the risk perceptions and attitudes of healthcare personnel, especially of emergency prehospital medical care personnel, regarding the possibility of an outbreak or epidemic event.Problem:This study was designed to investigate pre-event knowledge and attitudes of a national sample of the emergency prehospital medical care providers in relation to a potential human influenza pandemic, and to determine predictors of these attitudes.Methods:Surveys were distributed to a random, cross-sectional sample of 20% of the Australian emergency prehospital medical care workforce (n = 2,929), stratified by the nine services operating in Australia, as well as by gender and location. The surveys included: (1) demographic information; (2) knowledge of influenza; and (3) attitudes and perceptions related to working during influenza pandemic conditions. Multiple logistic regression models were constructed to identify predictors of pandemic-related risk perceptions.Results:Among the 725 Australian emergency prehospital medical care personnel who responded, 89% were very anxious about working during pandemic conditions, and 85% perceived a high personal risk associated with working in such conditions. In general, respondents demonstrated poor knowledge in relation to avian influenza, influenza generally, and infection transmission methods. Less than 5% of respondents perceived that they had adequate education/training about avian influenza. Logistic regression analyses indicate that, in managing the attitudes and risk perceptions of emergency prehospital medical care staff, particular attention should be directed toward the paid, male workforce (as opposed to volunteers), and on personnel whose relationship partners do not work in the health industry.Conclusions:These results highlight the potentially crucial role of education and training in pandemic preparedness. Organizations that provide emergency prehospital medical care must address this apparent lack of knowledge regarding infection transmission, and procedures for protection and decontamination. Careful management of the perceptions of emergency prehospital medical care personnel during a pandemic is likely to be critical in achieving an effective response to a widespread outbreak of infectious disease.
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Lee, Wan-I., Chun-Chi Chen, and Yu-Bin Huang. "Establishing the Criteria for the Quality of Elderly Medical Care From the Multiple Perspectives." International Journal of Customer Relationship Marketing and Management 9, no. 4 (October 2018): 44–54. http://dx.doi.org/10.4018/ijcrmm.2018100103.
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In 1993, Taiwan has transformed into an aged society. Compared with general patients, older patients differ considerably in body functionality, mentally, and mobility-wise. The primary customers of medical institutions are adult patients in Taiwan, and the needs of older patients are often ignored; however, older patients visiting the case hospital in this study accounted for nearly 30% of the total number of outpatients. This indicates that the needs of older patients are a matter requiring the serious attention of medical personnel. This is a common issue for all countries that were entered an aging structure of the population. This study investigated the attention paid by supervisors and medical personnel involved with medical decisions to the quality of medical services received by older outpatients. An analytic hierarchy process (AHP) was employed to interview 10 experts in older medical care providing age-friendly medical care at the case hospital, medical staff including senior physicians, nursing department supervisors, administration department supervisors, and certified managers. The results indicate that the supervisors and medical personnel considered the “communication and services” provided to older patients during their medical treatments to be the most crucial factor in their treatment process, rating it twice as important as the next most important criteria, the care process and physical environment. Medical personnel paid great attention to communicate with and servicing older patients; listening to their needs and concerns was deemed the most critical, followed by being able to empathize with them to solve problems. Asking patients about their problems when they visited the hospital was considered the most crucial aspect of the care process; in the physical environment, it was spatial planning and traffic flow design. The results of this study enable other countries' medical institution managers and relevant competent authorities to gain insight into the attention paid by front-line employees in promoting age-friendly medical care. If supervisors and medical personnel involved with medical decisions share a similar attitude toward promoting medical service quality, government authorities and medical institutions can implement and enhance an age-friendly medical treatment environment for older patients, as well as increase quality of patient-centered medical services.
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Beukelman, David, Abbey Schrunk, Amber Thiessen, Susan Fager, and Cara Ullman. "Vocabulary Associated With Medical Procedures." Perspectives on Neurophysiology and Neurogenic Speech and Language Disorders 22, no. 3 (October 2012): 119–23. http://dx.doi.org/10.1044/nnsld22.3.119.
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The purpose of this project was to identify unique vocabulary associated with specific medical procedures. Personnel from six medical facilities with acute care or long-term acute care hospital (LTACH) units participated by proposing vocabulary/messages associated with procedures in which they routinely participated. Speech-language pathologists, respiratory therapists, physicians, nurses, chaplains, and nursing aids participated in the project. The unique vocabulary associated with common medical procedures is available in this article and on our augmentative and alternative communication–related website, http://aac.unl.edu .
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Annenkova, E. A., O. A. Tikhonova, A. P. Biryukov, L. I. Baranov, I. G. Dibirgadzhiev, M. V. Sheyanov, O. A. Kasymova, and O. V. Parinov. "Risk-Based Causal Model of Risk Factors for Infection among Medical Personnel Involved in the Care Of Patients with the New COVID-19 Coronavirus Infection." Disaster Medicine, no. 3 (September 2021): 65–68. http://dx.doi.org/10.33266/2070-1004-2021-3-65-68.
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The aim of the study is to develop and apply a mathematical model for assessing the risks of contamination of medical personnel involved in providing medical care to patients with COVID-19 in a "red zone" environment. Materials and methods. Based on the analysis of informative signs and information on working conditions in the infectious disease department of the A.I. Burnazyan Federal Medical Biophysical Center of the Federal Medical and Biological Agency of Russia, a decision-making support system was developed to provide an objective assessment of the risks of infection for medical personnel when providing medical care in the "red zone". Results of the study and their analysis. The influence of various risk factors for infection of medical personnel involved in the provision of medical care to patients with new coronavirus infection COVID-19 was analyzed; the most significant risk factors were identified.
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Vasyuta, Evgeniya Aleksandrovna, and Denis Ushakov. "ASPECTS OF CROSS-BORDER MOBILITY IN THE CONTEXT OF HEALTH TOURISM." EUrASEANs: journal on global socio-economic dynamics, no. 5(18) (October 1, 2019): 48–54. http://dx.doi.org/10.35678/2539-5645.5(18).2019.48-54.
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International migration of medical personnel inevitably results in a shortage of personnel in the healthcare sector in those countries from which healthcare professionals migrate. This is generally because they strive for higher wages, favorable working conditions, educational opportunities, new professional experience, and career growth. Such movements involve crossing the borders of the states. These processes result in a change in the quantitative and qualitative composition of medical personnel in both "donor" and "recipient" countries, affecting the professional structure of personnel, demographic profile, and geographical allocation. Such socioeconomic changes certainly affect the effectiveness of healthcare systems and medical care in various regions. This article presents an overview of international migration of medical personnel from the analytical point of view, analyzing its underlying causes, revealing the relationship in the movement of patients and healthcare workers in the context of health tourism, and suggesting mechanisms for regulating the migration of medical personnel.
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Hurtsilava, O. G., V. S. Luchkevich, M. V. Avdeeva, V. N. Filatov, and I. L. Samodova. "GLOBAL AND RUSSIAN TENDENCIES IN THE HUMAN RESOURCE MANAGEMENTIN HEALTH CARE." HERALD of North-Western State Medical University named after I.I. Mechnikov 7, no. 2 (June 15, 2015): 123–32. http://dx.doi.org/10.17816/mechnikov201572123-132.
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The article analyses the main directions of development of human resource management in the health sector, both in Russia and abroad. Through the example of the Russian and foreign health care service it shows that the main problem is the deficit of nurses and physicians. The world experience in solving this problem is analysed in the article. The research shows the current classification of availability of medical personnel and characterises system of training of medical personnel in Russia. In conclusion the prospects of development of human resources policy and medical personnel management on the basis of strategic planning in health care are given.
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Grebenkov, S. V., V. E. Batov, and S. M. Kuznetsov. "Assessment of the working conditions of medical personnel in military medical organizations during the pandemic of new coronavirus infection." Medicо-Biological and Socio-Psychological Problems of Safety in Emergency Situations, no. 3 (September 10, 2021): 35–42. http://dx.doi.org/10.25016/2541-7487-2021-0-3-35-42.
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Relevance. During the pandemic of new coronavirus infection, healthcare professionals have increased occupational risks of exposure to the pathogen SARS-CoV-2, as well as physical and psychological stress, especially when treating Covid patients in “red zones”. Such a change in working conditions wasn’t reflected in the results of a special assessment, which requires the development of an individual scientifically based approach to its organization in conditions equated to emergency situations. Intention. Evaluate the results of a special assessment of working conditions and their compliance with actual working conditions, taking into account the health risks for healthcare professionals taking care of Covid patients.Methodology. We retrospectively conducted a comparative analysis of 295 cards for a special assessment of the working conditions of medical personnel of military medical organizations of therapeutic and infectious profile over 2015–2019, and 266 cards from the same organizations for 2020.Results and Discussion. Study of cards for special assessment of working conditions of medical personnel of military medical organizations for 2015–2020 showed the leading role of biological factors for all categories of medical personnel. Working in the “Red zone” should be assessed as 3.3 (Degree III harmful) based on biological hazard or 4 (dangerous) due to risks of acute occupational diseases and death. This should be reflected in the results of special assessment of working conditions and compensated via reduction of working hours. However, in the context of the pandemic, actual working hours of healthcare professionals exceeded the established 39 hours per week (Article 350 of the Labor Code of the Russian Federation), and the medical personnel were allowed to work with the pathogen of Group II pathogenicity without preliminary medical examinations.Conclusion. Analysis of the results of special assessment of the working conditions of medical personnel showed that they do not reflect the actual harmful (dangerous) working conditions of employees involved in providing care to patients with new coronavirus infection in these medical and preventive institutions.
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Badner, Victor, and Mana Saraghi. "Using Dental Health Care Personnel During a Crisis." Public Health Reports 136, no. 2 (January 13, 2021): 143–47. http://dx.doi.org/10.1177/0033354920976577.
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The first few months of the coronavirus disease 2019 (COVID-19) pandemic challenged health care facilities worldwide in many ways. Inpatient and intensive care unit (ICU) beds were at a premium, and personnel shortages occurred during the initial peak of the pandemic. New York State was the hardest hit of all US states, with a high concentration of cases in New York City and, in particular, Bronx County. The governor of New York and leadership of hospitals in New York City called upon all available personnel to provide support and patient care during this health care crisis. This case study highlights the efforts of Jacobi Medical Center, located in the northeast Bronx, from March 1 through May 31, 2020, and its use of nontraditional health care personnel, including Department of Dentistry/OMFS (Oral and Maxillofacial Surgery) staff members, to provide a wide range of health care services. Dental staff members including ancillary personnel, residents, and attendings were redeployed and functioned throughout the facility. Dental anesthesiology residents provided medical services in support of their colleagues in a step-down COVID-19–dedicated ICU, providing intubation, ventilator management, and critical and palliative care. (Step-down units provide an intermediate level of care between ICUs and the general medical–surgical wards.) Clear communication of an acute need, a well-articulated mission, creative use of personnel, and dedicated staff members were evident during this challenging time. Although not routinely called upon to provide support in the medical and surgical inpatient areas, dental staff members may provide additional health care personnel during times of need.
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Arkhipova, Svetlana Viktorovna, and Tatyana Vladimirovna Bessonova. "Analysis of the nursing staff selection system by the example of a stationary medical organization." Medsestra (Nurse), no. 4 (April 1, 2021): 59–67. http://dx.doi.org/10.33920/med-05-2104-06.
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The aim of the study was to search for effective forms of selection of nursing personnel and their placement in a medical organization. Results: the analysis and study of the reasons for the turnover of nursing staff were carried out, effective forms of selection and placement of personnel in the organization were recommended. Conclusion: a qualitatively new level of development of the health care system cannot be achieved without the effective use of human resources. The study showed the role of personnel management, effective use of «human resources», rational selection of medical personnel.
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Ortiz Linares, Ekaterina, and Marisela Silva Chau. "Reflections on the Colombian case law on the protection of medical personnel against punishment." International Review of the Red Cross 95, no. 890 (June 2013): 251–65. http://dx.doi.org/10.1017/s1816383114000204.
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AbstractOne of the fundamental rules for the protection of health-care personnel in any circumstance, including contexts of armed conflicts, provides for a prohibition on punishing medical professionals who merely act in accordance with medical ethics. However, although the reasons for this prohibition may seem obvious, in contexts of non-international armed conflicts the provision of medical care to wounded and sick members of non-state armed groups can expose medical personnel to accusations of participation in criminal activities. Based on the Colombian domestic legislation and jurisprudence on the matter, this article aims to propose elements of analysis on the apparent contradiction that exists between, on the one hand, the prohibition against punishing medical personnel for merely providing health care to the wounded and sick who need it, and on the other, the prerogative of the state authorities to restore order and security within their territory through the imposition of criminal sanctions on members of non-state armed groups or their aiders and abettors.
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Evdakov, V. A., Yu Yu Melnikov, and A. V. Smyshlyaev. "Indicators of Nursing Personnel Supply in Outpatient Medical Care in the Russian Federation during 2010–2018." Kuban Scientific Medical Bulletin 27, no. 3 (June 18, 2020): 56–64. http://dx.doi.org/10.25207/1608-6228-2020-27-3-56-64.
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Aim. Analysis of the basic indicators of nursing personnel supply of the population and medical organisations providing outpatient care in the public health sector in the Russian Federation over the course of 2010–2018.Materials and methods. The study was conducted using data from the Federal Statistical Observation Form No. 30 “Medical Organization Information” for 2010–2018. Descriptive statistics and comparative analysis were used to assess the country-wide 2010–2018 dynamics of the indicators of nursing personnel supply of the population and medical centres providing outpatient care, including supply with full-time and employed positions, full-time staffing, the ratio of part-time employment, the number and shortage of healthcare workers.Results. For the period 2010–2018, the number of nursing personnel in medical units providing outpatient care increased by 2726 people (an increase of 0.5%), from 542,998 to 545,724. At the same time, the population supply with nursing personnel in outpatient medical units decreased from 38.0 to 37.2 per 10,000 population (a decrease by 2.1%), and staffing of full-time healthcare workers in this category decreased by 6.5%, from 94.2 to 87.7%.Conclusions. The study demonstrates a remarkable shortage of paramedics in outpatient health care (exceeding 200,000 people per annum) over the entire observation period of 2010–2018.
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Potokar, Tom, Shariq Ali, Redouane Bouali, Monica Walusimbi, and Shobha Chamania. "Training of medical and paramedical personnel in burn care and prevention." Indian Journal of Plastic Surgery 43, S 01 (September 2010): S121—S125. http://dx.doi.org/10.1055/s-0039-1699468.
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ABSTRACTThis paper discusses the requirements for training in burn care within a resource limited environment, what is currently practiced and goes on to suggest a strategy for effective delivery of education and training.