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Empowering Health Workers to Protect their Own Health: A Study of Enabling Factors and Barriers to Implementing HealthWISE in Mozambique, South Africa, and Zimbabwe

Ways to address the increasing global health workforce shortage include improving the occupational health and safety of health workers, particularly those in high-risk, low-resource settings. The World Health Organization and International Labour Organization designed HealthWISE, a quality improveme...

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Autores principales: Wilcox, Elizabeth S., Chimedza, Ida Tsitsi, Mabhele, Simphiwe, Romao, Paulo, Spiegel, Jerry M., Zungu, Muzimkhulu, Yassi, Annalee
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7345796/
https://www.ncbi.nlm.nih.gov/pubmed/32586002
http://dx.doi.org/10.3390/ijerph17124519
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author Wilcox, Elizabeth S.
Chimedza, Ida Tsitsi
Mabhele, Simphiwe
Romao, Paulo
Spiegel, Jerry M.
Zungu, Muzimkhulu
Yassi, Annalee
author_facet Wilcox, Elizabeth S.
Chimedza, Ida Tsitsi
Mabhele, Simphiwe
Romao, Paulo
Spiegel, Jerry M.
Zungu, Muzimkhulu
Yassi, Annalee
author_sort Wilcox, Elizabeth S.
collection PubMed
description Ways to address the increasing global health workforce shortage include improving the occupational health and safety of health workers, particularly those in high-risk, low-resource settings. The World Health Organization and International Labour Organization designed HealthWISE, a quality improvement tool to help health workers identify workplace hazards to find and apply low-cost solutions. However, its implementation had never been systematically evaluated. We, therefore, studied the implementation of HealthWISE in seven hospitals in three countries: Mozambique, South Africa, and Zimbabwe. Through a multiple-case study and thematic analysis of data collected primarily from focus group discussions and questionnaires, we examined the enabling factors and barriers to the implementation of HealthWISE by applying the integrated Promoting Action on Research Implementation in Health Services (i-PARiHS) framework. Enabling factors included the willingness of workers to engage in the implementation, diverse teams that championed the process, and supportive senior leadership. Barriers included lack of clarity about how to use HealthWISE, insufficient funds, stretched human resources, older buildings, and lack of incident reporting infrastructure. Overall, successful implementation of HealthWISE required dedicated local team members who helped facilitate the process by adapting HealthWISE to the workers’ occupational health and safety (OHS) knowledge and skill levels and the cultures and needs of their hospitals, cutting across all constructs of the i-PARiHS framework.
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spelling pubmed-73457962020-07-09 Empowering Health Workers to Protect their Own Health: A Study of Enabling Factors and Barriers to Implementing HealthWISE in Mozambique, South Africa, and Zimbabwe Wilcox, Elizabeth S. Chimedza, Ida Tsitsi Mabhele, Simphiwe Romao, Paulo Spiegel, Jerry M. Zungu, Muzimkhulu Yassi, Annalee Int J Environ Res Public Health Article Ways to address the increasing global health workforce shortage include improving the occupational health and safety of health workers, particularly those in high-risk, low-resource settings. The World Health Organization and International Labour Organization designed HealthWISE, a quality improvement tool to help health workers identify workplace hazards to find and apply low-cost solutions. However, its implementation had never been systematically evaluated. We, therefore, studied the implementation of HealthWISE in seven hospitals in three countries: Mozambique, South Africa, and Zimbabwe. Through a multiple-case study and thematic analysis of data collected primarily from focus group discussions and questionnaires, we examined the enabling factors and barriers to the implementation of HealthWISE by applying the integrated Promoting Action on Research Implementation in Health Services (i-PARiHS) framework. Enabling factors included the willingness of workers to engage in the implementation, diverse teams that championed the process, and supportive senior leadership. Barriers included lack of clarity about how to use HealthWISE, insufficient funds, stretched human resources, older buildings, and lack of incident reporting infrastructure. Overall, successful implementation of HealthWISE required dedicated local team members who helped facilitate the process by adapting HealthWISE to the workers’ occupational health and safety (OHS) knowledge and skill levels and the cultures and needs of their hospitals, cutting across all constructs of the i-PARiHS framework. MDPI 2020-06-23 2020-06 /pmc/articles/PMC7345796/ /pubmed/32586002 http://dx.doi.org/10.3390/ijerph17124519 Text en © 2020 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (http://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Wilcox, Elizabeth S.
Chimedza, Ida Tsitsi
Mabhele, Simphiwe
Romao, Paulo
Spiegel, Jerry M.
Zungu, Muzimkhulu
Yassi, Annalee
Empowering Health Workers to Protect their Own Health: A Study of Enabling Factors and Barriers to Implementing HealthWISE in Mozambique, South Africa, and Zimbabwe
title Empowering Health Workers to Protect their Own Health: A Study of Enabling Factors and Barriers to Implementing HealthWISE in Mozambique, South Africa, and Zimbabwe
title_full Empowering Health Workers to Protect their Own Health: A Study of Enabling Factors and Barriers to Implementing HealthWISE in Mozambique, South Africa, and Zimbabwe
title_fullStr Empowering Health Workers to Protect their Own Health: A Study of Enabling Factors and Barriers to Implementing HealthWISE in Mozambique, South Africa, and Zimbabwe
title_full_unstemmed Empowering Health Workers to Protect their Own Health: A Study of Enabling Factors and Barriers to Implementing HealthWISE in Mozambique, South Africa, and Zimbabwe
title_short Empowering Health Workers to Protect their Own Health: A Study of Enabling Factors and Barriers to Implementing HealthWISE in Mozambique, South Africa, and Zimbabwe
title_sort empowering health workers to protect their own health: a study of enabling factors and barriers to implementing healthwise in mozambique, south africa, and zimbabwe
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7345796/
https://www.ncbi.nlm.nih.gov/pubmed/32586002
http://dx.doi.org/10.3390/ijerph17124519
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