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At least 19 recordsLinked to original sources

HIV infection and health personnel: health care workers' opinions concerning some ethical dilemmas.

A survey was made of a sample of 359 Norwegian health workers to assess attitudes towards HIV infected colleagues, and how the respondents would behave if they themselves became HIV infected. Two thirds of the 268 (75%) who responded would not allow that a HIV positive health worker treated their family, and 47% supported routine HIV screening of health workers to protect patients. Most of the respondents were opposed to disability pensioning of HIV infected health personnel in general, and would not ask for this if were found HIV positive. One hundred ninety-six would not tell colleagues if they became HIV infected. Within this group, the proportion (153/196) that would not accept practising HIV positive health personnel was significantly larger than that among those who would report own seropositivity (24/64). The study revealed substantial anxiety, and inconsistencies between expected behaviour of others, and the respondents' own reactions also were found.

Allied Health Personnel↗

[Health personnel and dental health. Visits to the dentist and attitudes to dental care in a group of health personnel].

Studies among Norwegian institutionalized persons have shown an extensive unmet need for dental treatment and a potential demand for preventive dentistry among young and middle-aged institutionalized personnel. The purpose of the present study was to gain information concerning the dental habits of the health personnel working in an institution, since there is reason to believe that the attitudes and dental habits of the employees will be of importance by the introduction of preventive dental health programs. A questionnaire was sent to 454 employees at Lier Sykehus, a mental hospital near Oslo. 385 persons answered the questionnaire (response rate 85). 82% of the respondents visited a dentist regularly, most of them twice a year. Many showed interest in getting treatment at the hospital's dental clinic. It is reasonable to suggest that the dental service at hospitals also should include the health personnel. In that case, the employees should pay the usual fees of the Norwegian Public Dental Health System. In conclusion, good dental care habits of the hospital employees will presumably affect dental health behavior of the handicapped, and thus make our goal--a better dental health for institutionalized persons--easier to achieve.

Adult↗

Promoting child health in a smoke-free school: suggestions for school health personnel.

Health effects of involuntary smoking on school-age children are outlined and suggestions are offered for schools to become smoke-free environments for students, faculty, and staff. Suggestions are offered for developing and implementing strategies for smoke-free schools. A data base exists to support health reasons for eliminating smoking in schools, but it is necessary to build on this information to convince school personnel that smoking in schools offers no positive returns and should be eliminated. School health personnel are encouraged to lead the campaign.

Adolescent↗

When staff is underpaid: dealing with the individual coping strategies of health personnel.

Health sector workers respond to inadequate salaries and working conditions by developing various individual "coping strategies"--some, but not all, of which are of a predatory nature. The paper reviews what is known about these practices and their potential consequences (competition for time, brain drain and conflicts of interest). By and large, governments have rarely been proactive in dealing with such problems, mainly because of their reluctance to address the issue openly. The effectiveness of many of these piecemeal reactions, particularly attempts to prohibit personnel from developing individual coping strategies, has been disappointing. The paper argues that a more proactive approach is required. Governments will need to recognize the dimension of the phenomenon and systematically assess the consequences of policy initiatives on the situation and behaviour of the individuals that make up their workforce.

Adaptation, Psychological↗

[Exposure to blood and risk of infection among health personnel].

Health care workers, especially surgeons, are frequently exposed to blood. Most blood exposures are not reported. Blood exposures involve risk of contracting serious infectious diseases like HIV, hepatitis B and hepatitis C. Fifty-four cases of occupational transmission of HIV-virus have been reported world wide. Occupational HIV-infection has not been reported in Denmark. Hepatitis B infection can be prevented by vaccination, but there is no effective drug or vaccine to prevent infection with hepatitis C and HIV-virus. Thus, the prevention of occupationally transmitted infections should concentrate on the prevention of blood exposures. Further studies on occupational blood exposure among Danish health care workers are needed.

Blood↗

Emergency preparedness and bioterrorism response: development of an educational program for public health personnel.

Public health departments are under increasing pressure to provide emergency preparedness and bioterrorism response education to public health personnel. The challenge that health departments face is to provide cost-efficient, timely education to a large number of multidisciplinary personnel. This article describes an innovative strategy for providing this education to public health personnel using the health department's intranet system. The intranet system provided confidential information specific to the staff role and allowed for concurrent access to the program by multiple individuals at different service sites. Knowledge acquisition was tested through short multiple-choice questions that followed the specific information modules. The intranet system faced a number of challenges during the pilot-testing phase, primarily related to changes in the role of the public health nurse and limitations in funding and public health staff to maintain and monitor the bioterrorism response program and the intranet system. The design of the program may prove useful for other public health organizations when a need exists for quick delivery of information to a large number of personnel. It may especially be useful in providing basic emergency preparedness and bioterrorism education to new personnel in health departments.

Attitude of Health Personnel↗

[Changes in the hiring of health personnel: the family health program in Brazil].

This article analyzes the procedures involved in the hiring of health personnel in the Family Program in Brazil. We examine the values, problems and relative outcomes of each of the processes used in hiring doctors, nurses and health community workers. Before analyzing hiring procedures, the author briefly describes the importance and role of the Family Health Program of the Brazilian health care system. Based on these factors, this article aims to demonstrate the characteristics and effects of this key program, considered a pivotal reform in the Brazilian health system, on the development of human resources.Finally, after presenting and analyzing the data available on the hiring models and the various salaries of physicians and nurses in several Brazilian states and municipalities, the author highlights the new social context in which the government, at different levels, flouts the labor regulations, which are their responsibility to enforce. This fact alone reinforces the hypothesis that a new phase of reforms has already begun.

Brazil↗