Effect and Significance of Comprehensive Training in Infection Prevention and Control on the Psychological Health of Oral Health Staff

Background:Oral health staff have close contact with patients in the process of diagnosis and treatment,and it is inevitable for them to come into contact with patients’secretions.Therefore,oral health staff are at greater risk of infectious diseases in their daily work,and their psychological health is also greatly challenged.Objective:To study the effect and significance of comprehensive training in infection prevention and control on the psychological health of oral health staff.Methods:We selected 400 oral health staff from a tertiary stomatological hospital in Guangzhou,China in this study.The respondents were randomly divided into an intervention group and a control group.After the first round of investigation,the intervention group received comprehensive training in prevention and control of infection for three months,while the control group received no intervention.Results:The comprehensive training in infection prevention and control improved the respondents’psychological health and job satisfaction.Further strengthening infection prevention and control training for oral health staff will increase their self-confidence,improve their mental health,and increase their job satisfaction.Conclusion:For oral health staff,it is particularly important to formulate an effective and operable preventive and control training program and then implement it in a standardized manner.

Suicide Prevention in Mental Health Services—A Qualitative Study of a Web Based Program for Mental Health Care Staff

Background: Further strategies are needed to deal with the high losses to suicide. New modalities should be explored within the context of suicide prevention. Aim: The aim of the study was to evaluate participants’ experiences of a web based program for mental health care staff, including its potential clinical relevance. Methods: Nineteen participants participated in five focus groups. Data was analyzed using content analysis. Results: The analysis showed participants’ experiences of the program’s contents and format (“Web Based Modules”, “Discussion Groups”) and practical value (“Clinical Relevance and Use”, “Effects on Communication and Climate”). Conclusions: The program partly increased awareness about risk factors and the importance of inquiring about suicide ideation/plans and documenting suicide assessments. Experiences of the clinical value were varying and may be increased through potential enhancements.

Survey of Relationship between Personality Traits with Mental Health and Academic Staffs’ Job Satisfaction in the University of Guilan, Iran

The main aim of the research is survey of relationship between personality characteristics with academic staffs’ job satisfaction and mental health in the University of Guilan. The statistic population was all these academic staffs in the year of 2014 (500). 196 individuals have selected by Kerjecy & Morgan (1970) and random sampling method. The research instruments were personality characteristics (NEO), General Health Questionnaire (GHQ) and self-made questionnaires. Pearson’s Correlation, Multiple Regression and Multiple Variant (Manova) have used for analyzing data. Results showed that there was a relationship among neurotic and settlement’s personality characteristics with job satisfaction and neurotic, openness, extroversion personality characteristics and settlement with mental health. Some of personality characteristics had been anticipators of mental health and job satisfaction and personality characteristics with mental health and job satisfaction had differenced depend on sociologic variances relationships.

Staff Absenteeism in Public Health Facilities of Uganda: A Study in Bushenyi District on Contributing Factors

Background: Staff absenteeism is a global challenge in health care service delivery that has not spared any country. Aim: This was to assess the factors contributing to staff absenteeism in public health facilities in Bushenyi District of Uganda. Method: This was a cross sectional study conducted for a period of 3 months in which data were collected using a questionnaire and interviews. Results: Majority of participants were females (66.4%) which 50% in the age of 31 - 45 years. The study showed that residing outside the health facility (42.1%) i.e. walking distances over 10 km to get to work was a challenge. Family conflicts, overstay in one workstation without rotations to other major health facilities and drug abuse as well as inadequate supervision were major contributing factors to absenteeism (P Conclusion: Staff absenteeism in rural communities is a major challenge that needs a multi-sectorial approach for its effective management, thus showing a need to revise policy in the health sector.

Routine Supportive Supervision and Management of Medicines and Other Health Products and Technologies in Vihiga County, Kenya

Health Products and Technologies (HPTs) are pivotal for an efficient health system. Availability and accessibility to affordable health products are critical indicators towards achieving universal health coverage. Routine supportive supervision, performance monitoring, recognition of efforts and client feedback are vital activities toward health supply chain system strengthening. This is a descriptive paper that describes a model of integrated commodity supportive supervision, and mentorship and its impact on various outcomes of health commodity management. Data were abstracted from the standardized scored checklists used during integrated commodity supportive supervision and supply chain audit in public health facilities in Vihiga County. Scores for the period 2020 to 2022 were analyzed on the eight key areas of interest. The analysis was done using Statistical Package for Social Sciences (SPSS version 26). Results are interpreted at 95% Confidence interval. This paper also shares findings from both quantitative and qualitative data from client exit and facility managers’ interviews. Six complete rounds of supervisions, three clients and service providers’ interviews, and three annual award events have been conducted. We observed trends across six data collections points and compared the results at first point or baseline (January-June 2020) to the results at the last point or end line (April-June 2022). Findings show significant improvements on the eight parameters in terms of mean scores as follows: resolution of issues from previous visits by 35.06% (46.75% - 81.81%);storage of HPTs by 17.41% (68.72% - 86.13%);inventory management by 28.16% (42.67% - 70.83%);availability and use of commodity data management information systems (MIS) tools by 22.39% (74.40% - 96.79%);verification of commodity data by 25.61% (65.56% - 91.17%);availability of guidelines and job aids for commodity management by 46.28% (36.65% - 82.93%). There was an improvement on the mean score on accountability by 20.22% (58.58% - 83.51%). The composite (final) score improved by 28.33% (56.19% - 84.52%). There was progressive narrowing of the standard deviations on all the indicators across the study period. This demonstrates that there is standardization of practices and positive competition among all the public health facilities. There were significant improvements on all the eight indicators. Routine integrated commodity supportive supervision has proven to be an effective high impact intervention in improving management of health products and technologies in Vihiga County, Kenya.

大健康背景下全球健康课程开设的初步探索

在我国大健康理念背景下,伴随着健康问题全球化进程的加速,世界卫生健康体系面临巨大挑战。伴随着全球健康问题不断升级,通过跨国家、多学科合作开展全球健康课程,加强对全球健康人才的培养,成为医学高校人才教育的一项重点工作。中国医科大学以本博连读临床医学专业(红医班)为试点,开设全球健康必修课程,在教学方案、培养目标、师资建设、教学模式和课程计划等方面进行了初步探索。

内蒙古中西部地区基层医护人员心理健康状况调查

目的了解内蒙古中西部地区基层医护人员的心理健康状况及其影响因素,为有效开展基层医护人员的心理干预提供参考。方法采用分层整群抽样方法,抽取内蒙古中西部地区1409名基层医护人员,采用症状自评量表(SCL-90)对其进行问卷调查。结果内蒙古中西部地区基层医护人员心理异常阳性率为17.38%;抑郁、躯体化和敌对阳性率分别为26.11%、24.89%和19.31%;护士在躯体化、强迫、人际关系、抑郁、焦虑、敌对、恐惧7个因子得分上高于医生(P<0.05);单因素分析结果显示,女性、护士、月工资收入<5000元、每月夜班频次>3次的基层医护人员心理健康状况较差(P<0.05);多重线性回归分析结果显示,月工资收入和夜班频次是影响基层医护人员心理健康状况的重要因素。结论内蒙古中西部地区基层医护人员总体心理健康水平不容乐观,需要加强心理健康教育,给予心理支持和疏导,切实提高其心理健康水平。

儿科公共卫生事件应急响应护理队伍培训课程的实施与评价研究

目的针对儿童突发公共卫生事件,设置和实施应急响应救护培训课程,并探索其应用效果。方法基于WHO灾害救护与应急响应理论模型、国际护士协会灾害护理胜任力标准科学建立儿科应急响应课程,通过专家咨询法对课程设置和内容进行论证。并于2021年11—12月选取93名护理人员参与课程培训,应用理论和技能考核、护士在线学习态度量表和课程满意度问卷进行教学评价。结果93名护理队员全程参加并完成课程考核。经过系统教学培训,护理人员应急响应救护理论考核成绩显著提升,合格率从56.3%提升至89.2%(P<0.05),技能考核合格率100%。调查结果中,护理队员对在线学习接受度高,但认为对促进临床实践作用有限。同时对整体课程感到满意,认为教师授课质量较高,但建议增加线下讨论课频次,提升学习效果。结论建立系统的儿童公共卫生事件应急响应培训课程能够有效帮助护理人员提升综合救护能力,且混合式教学有助于最大化保障教学效率和质量。

“四位一体”创新实践型人才培养模式探究——以北京农业职业学院食品检验检测技术专业为例

一个行业的高质量发展,离不开高素质人才的培养。在“大健康”产业背景下,食品行业发生剧烈变革,这对人才培养提出新的要求和挑战。从分析食品检验检测技术专业人才培养的薄弱环节入手,对人才培养目标、人才培养模式、师资队伍建设、评价改进机制进行探究,构建了“懂加工、精检验、能创新、善管理”“四位一体”的食品人才培养新模式,以期为食品行业培养创新能力强、综合素养高的食品检验检测人才。同时,为“大健康”产业背景下食品专业人才的培养提供思路和参考。

美军两栖战舰救治力量的编配运用及启示

目的 探索两栖战舰救治力量编配的基本方案。方法 收集整理美军两栖战舰救治力量编配模式,分析美军救治力量实战运用经验。结果 提出两栖战舰救治力量需要适应任务多样化、装备平台化、编组模块化的特点。结论 我军两栖战舰救治力量的编配应依托海军机动卫勤力量建设,科学制订编配方案。

突发公共卫生事件视域下线上继续医学教育调查研究

目的调查和分析突发公共卫生事件视域下线上继续医学教育状况,为推动线上继续医学教育发展提供实证依据。方法2022年7月,随机选择广西某市两家三级甲等医院医务人员开展线上继续医学教育状况的网络问卷调查。以新型冠状病毒肺炎(新冠肺炎)疫情发生前2年(2018—2019年)作为疫情前阶段,以新冠肺炎疫情发生后2年(2020—2021年)作为疫情后阶段,对所收集的调查数据进行统计分析。结果在所纳入的341名医务人员中,疫情后阶段参加线上继续医学教育活动(继教活动)次数≥6次者比例高于疫情前阶段(71.8%vs 49.3%,P<0.05);疫情后阶段,35~50岁(78.4%)或>50岁年龄段(82.9%)的医务人员、高级职称(83.9%)医务人员、工作年限为10~20年(73.5%)或>20年(84.2%)的医务人员参加线上继教活动次数≥6次的比例分别高于<35岁年龄段(54.9%)的医务人员、中级职称(67.9%)或初级及以下职称(59.2%)医务人员、工作年限<10年(59.1%)的医务人员(均P<0.05)。疫情后阶段,医务人员获得继教活动资讯的主要渠道为所在单位通知,参加线上继教活动时最常使用的电子产品为手机,医务人员认为线上继教活动的主要优势为时间与地点灵活方便,能够兼顾学习、工作和生活,主要劣势为技术挑战(网络速度和质量、音频和视频质量等软硬件问题)。在医务人员对培训师资的需求方面,排名前三的为临床一线专家、科研人员、高校教授。88.6%的医务人员认为疫情结束后仍有必要持续发展线上继续医学教育。结论突发公共卫生事件发生后,医务人员参加线上继教活动的积极性明显提升,尤其是高年资者和高职称者。线上继续医学教育具有明显优势和一定的劣势。在数字中国建设的新形势下,有必要持续推进线上继续医学教育的改革和完善,实现数字赋能医学教育,助力卫生事业的高质量发展。

健康中国战略下医务人员健康素养胜任力现状及影响因素研究

目的探讨健康中国战略下医务人员健康素养胜任力现状及影响因素。方法2023年3—6月,采用健康素养胜任力量表对便利选取的428名医务人员进行调查。结果医务人员健康素养胜任力量表总分为(134.16±22.75)分,文化程度、工作年限、职称、执业类别、自评健康状况是其健康胜任力的主要影响因素。结论医务人员健康素养胜任力处于中等偏上水平,有待进一步提高。管理者应根据医务人员的特点,采取相应的干预措施,提升其健康素养胜任力,以更好地传播健康知识。

重庆市某三甲医院医务人员体检数据分析

目的分析重庆市某三甲医院医务人员体检结果,了解医务人员健康状况及高发疾病,为制订健康管理策略、改善医护人员的整体健康水平提供科学依据。方法回顾性分析重庆市某三甲医院2021年及2022年医务人员的健康体检资料,统计分析一般情况、总体异常指标分布、不同性别异常指标检出率,比较2年不同性别异常指标变化情况。结果2021年与2022年的异常指标检出率分别为99.54%、99.55%,同时检出4项及以上异常指标检出率分别为53.98%、59.18%;2022年男性甘油三酯升高的检出率低于2021年,差异有统计学意义(P<0.05);2022年女性双侧乳腺增生、宫颈腺囊肿、甲状腺结节和子宫肌瘤检出率均高于2021年,差异均有统计学意义(P<0.05);排名前10的男女性共有检查项目异常指标包括尿酸升高、甲状腺结节、低密度脂蛋白胆固醇升高,男性医务人员该3项异常指标检出率2年变化情况比较,差异均无统计学意义(P>0.05);女性医务人员该3项异常指标中2022年尿酸升高、低密度脂蛋白胆固醇升高检出率均低于2021年,甲状腺结节检出率高于2021年,差异均有统计学意义(P<0.05)。结论医务人员有较严重的亚健康问题,男女性受检者2年所患疾病的种类与患病率变化情况均有所不同,应有针对性地进一步加强相关健康管理工作。

医护人员心理健康状况调查进展

本文综述了近年来关于医护人员心理状况调查的最新研究成果。在高压、高风险的医疗环境中,医护人员的心理健康问题日益凸显,其中抑郁和焦虑等情绪问题尤为引人关注。通过对相关文献的梳理和分析,发现医护人员普遍面临抑郁、焦虑等心理健康问题。针对这些问题,研究者们提出了多种干预对策,在一定程度上缓解了医护人员的心理健康问题。

后疫情时代医务人员心理状况评估与关爱模式探讨

在后疫情时代,因新冠肺炎疫情所导致的社会经济、生活方式、健康理念等影响仍有余波。医务人员三年间抗击疫情、持续奋战的身影仍历历在目。北京市小汤山医院是疫情期间国内典型的定点收治单位,在北京市总工会开展的“首都医务工作者心理健康风险评估与对策研究”课题调研中,该院医务人员在压力感、抑郁、焦虑、躯体化、PTSD检出率、心理弹性、创伤后成长等维度上均优于本市参研医院的平均水平。经进一步调查发现,该结果与医院工会长期以来对职工心理健康的关注与作为密切相关。

基于突发公共卫生事件下卫生人力资源管理

目的分析基于突发公共卫生事件下卫生人力资源管理效果。方法回顾性选取深圳市龙华区疾病预防控制中心2020年1月—2022年12月参与研究的80名工作人员的临床资料。2020年1月—2021年6月实施传统卫生人力资源管理,2021年7月—2022年12月实施基于突发公共卫生事件下卫生人力资源管理,分别测定职业倦怠评分、应激障碍评分、应急能力评分及卫生人力资源总满意率。结果管理后,80名工作人员的职业倦怠评分、创伤后应激障碍评分低于管理前,应急能力评分、卫生人力资源管理总满意率高于管理前,差异有统计学意义(P均<0.05)。结论基于突发公共卫生事件下卫生人力资源管理可以缓解工作人员的职业倦怠感,消除创伤后应激障碍并提升其应急能力,且对于卫生人力资源管理的总满意率高。

护理人员心理健康现状分析及预防对策——基于护理人员心理健康状态情况的实证研究

本文选取川北医学院附属医院于2020年1月至2022年6月就职护理人员100例作为研究对象,采用文献分析法、问卷调查法、统计分析法对本院就职护理人员的一般资料情况、抑郁-焦虑-压力量表(21-Item Depression Anxiety and Stress Scale,DASS-21)情况进行分析,并根据护理人员心理健康现状提出可行性预防对策。研究结果表明护理人员心理健康现状比较正常,少部分患者焦虑和压力心理比较严重,临床上可以采用重视心理学知识普及教育、医务社会工作干预医务人员焦虑、建立医务人员持续的社会支持系统等对策进行预防。

基层医务人员付出-回报失衡与职业倦怠的关系研究

背景当前基层医务人员压力较大,容易出现付出-回报失衡情况和职业倦怠,阻碍基层卫生服务发展,未得到充分重视。目的研究基层医务人员付出-回报失衡情况和职业倦怠情况,并探讨两者的关系,为改善基层医务人员职业倦怠提供参考。方法2022年3—5月采用便利抽样法选取广东省东莞市4个街道、28个镇基层医疗卫生机构(包括社区卫生服务机构和乡镇卫生院)的基层医务人员为调查对象,采用一般情况问卷、职业倦怠通用量表(MBI-GS)和付出-回报失衡量表进行问卷调查。以MBI-GS得分为因变量,以付出-回报失衡模型中的付出-回报比和超负荷程度为自变量,采用分层回归分析探讨付出-回报失衡模型对职业倦怠的影响。结果共纳入347名基层医务人员。基层医务人员MBI-GS量表总得分为(3.72±1.25)分。职业倦怠现象发生率为93.4%,有76.7%被调查者处于付出-回报失衡状态,有35.2%被调查者处于高负荷状态;处于付出-回报失衡状态的基层医务人员的MBI-GS量表总得分高于处于付出-回报平衡状态的基层医务人员(t=-5.20,P<0.001);处于高负荷状态基层医务人员的MBI-GS量表总得分高于处于正常负荷或低负荷状态的基层医务人员(t=8.08,P<0.001)。多元分层回归分析结果提示,付出-回报失衡、超负荷程度对职业倦怠有正向预测作用(b=0.414、0.109,P<0.05)。结论基层医务人员付出-回报失衡情况严重,职业倦怠状况普遍,付出-回报失衡模型对职业倦怠有正向预测作用,建议适当减轻基层医务人员工作负荷,提高其工作回报,重视其心理健康。

2022年1720名高校在职教职工体检结果分析

目的:调查2022年1720名高校在职教职工的体检结果并进行分析。方法:选取2022年度中央财经大学在职教职工1720名作为研究对象,统计不同性别、年龄段的健康体检异常结果并进行分析。结果:2022年度中央财经大学在职教职工各项体检项目结果均无明显异常者0人,体检项目结果存在≥1项异常者1720人。男性教职工屈光不正,总胆固醇升高,体质量过轻、超重或肥胖,脂肪肝,甘油三酯升高,低密度脂蛋白胆固醇升高,尿酸升高,龋齿检出率高于女性,甲状腺结节及外痔检出率低于女性,差异有统计学意义(P<0.001)。教职工健康体检异常结果前5位由高到低依次为屈光不正,甲状腺结节,总胆固醇升高,体质量过轻、超重或肥胖,脂肪肝,不同年龄段发生率比较,差异有统计学意义(P<0.05)。结论:2022年度中央财经大学在职教职工健康体检异常情况较多,相关部门应定期组织健康检查,并建立在职教职工的健康档案,开展健康教育,增强教职工自我保健意识,做到疾病的早期发现、早期干预和早期治疗。