ORCID Profile
0000-0002-4878-7565
Current Organisations
University of Economics, Prague
,
University of Technology Sydney
,
University of Queensland
,
European Commission, DG Joint Research Centre (JRC)
,
Universite Libre de Bruxelles
,
VSB - Technical University of Ostrava
,
University of Sydney
,
University of New South Wales
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Publisher: Oxford University Press (OUP)
Date: 05-10-2023
Publisher: Elsevier
Date: 2022
Publisher: Elsevier BV
Date: 12-2022
Publisher: BMJ
Date: 09-2022
DOI: 10.1136/BMJOPEN-2022-061513
Abstract: General practitioners (GPs) and their staff have been at the frontline of the SARS-CoV-2 pandemic in Australia. However, their experiences of responding to and managing the risks of viral transmission within their facilities are poorly described. The aim of this study was to describe the experiences, and infection prevention and control (IPC) strategies adopted by general practices, including enablers of and challenges to implementation, to contribute to our understanding of the pandemic response in this critical sector. Semistructured interviews were conducted in person, by telephone or online video conferencing software, between November 2020 and August 2021. Twenty general practice personnel working in New South Wales, Australia, including nine GPs, one general practice registrar, four registered nurses, one nurse practitioner, two practice managers and two receptionists. Participants described implementing wide-ranging repertoires of IPC strategies—including telehealth, screening of patients and staff, altered clinic layouts and portable outdoor shelters, in addition to appropriate use of personal protective equipment (PPE)—to manage the demands of the SARS-CoV-2 pandemic. Strategies were proactive, influenced by the varied contexts of different practices and the needs and preferences of in idual GPs as well as responsive to local, state and national requirements, which changed frequently as the pandemic evolved. Using the ‘hierarchy of controls’ as a framework for analysis, we found that the different strategies adopted in general practice often functioned in concert with one another. Most strategies, particularly administrative and PPE controls, were subjected to human variability and so were less reliable from a human factors perspective. However, our findings highlight the creativity, resilience and resourcefulness of general practice staff in developing, implementing and adapting their IPC strategies amidst constantly changing pandemic conditions.
Publisher: Elsevier BV
Date: 02-2020
DOI: 10.1016/J.SAPHARM.2019.05.001
Abstract: Many community pharmacists ideologically support recent changes to their roles in primary healthcare. However, their antithetical resistance towards practice change could have systemic causes (i.e. role stresses), which may account for increased job dissatisfaction, burnout, and job turnover in the profession. Deeper comprehension was sought using a role theory framework. To identify factors leading to role stresses and strain responses for community pharmacists, and to create a framework for community pharmacist role management. PubMed, Scopus and Web of Science databases were searched for qualitative studies identifying community pharmacist role stress and strain using scoping review methodology from 1990 to 2019. Content and thematic analysis using the framework method was performed, and themes were reported using thematic synthesis. Screening of 10,880 records resulted in 33 studies identified, with 41 factors categorised into four domains: Interpersonal Interactions, Social Setting, In idual Attributes, and Extra-Role. All role stresses were present. Reported role strains suggest role system imbalance. Community pharmacists are in a multifactorial transitional environment. Reported role stresses may be a function of past pharmacist roles and increased role expectations, lified by many requisite interactions and in idual pharmacist characteristics. Social science theories were found to be applicable to the community pharmacy setting.
Publisher: IWA Publishing
Date: 10-2007
Abstract: In this study, data mining using box plots and multivariate statistical analysis using factor analysis are employed for a spatio-temporal analysis of coastal water quality data from Tolo Harbour, Hong Kong. The analysis of box plots reveals pronounced spatial heterogeneity of the parameters studied. The spatial analysis clearly shows monitoring station TM2 in the Harbour Subzone to be most susceptible to eutrophication with the highest nutrient and algal biomass concentrations. The factor analysis brings to light dominant parameters to the ecological system under the coastal marine environment. The temporal analysis confirms the considerable decline in nutrient levels in recent years. In spite of this decline, the factor analysis indicates that nutrient processes play an important role even in recent years, suggesting an adequate supply of nutrients. It seems that they are being released from sources other than known point sources, possibly from nutrients accumulated in the sediments, necessitating steps to be undertaken for their control also. This study demonstrates the use of data mining techniques in the ecological system in Tolo Harbour.
Publisher: Elsevier BV
Date: 06-2021
Publisher: Elsevier BV
Date: 2021
Publisher: Springer Science and Business Media LLC
Date: 03-09-2021
DOI: 10.1186/S12913-021-06838-X
Abstract: Australian federally-funded cognitive pharmacy services (CPS) (e.g. medication management and reconciliation services) have not been translated into practice consistently. These health services are purportedly accessible across all Australian community pharmacies, yet are not delivered as often as pharmacists would like. There are international indicators that pharmacists lack the complete behavioural control required to prioritise CPS, despite their desire to deliver them. This requires local investigation. To explore Australian pharmacists’ perspectives [1] as CPS providers on the micro level, and [2] on associated meso and macro level CPS implementation issues. Registered Australian community pharmacists were recruited via professional organisations and snowball s ling. Data were collected via an online demographic survey and semi-structured interviews until data saturation was reached. Interview transcripts were de-identified then verified by participants. Content analysis was performed to identify provider perspectives on the micro level. Framework analysis using RE-AIM was used to explore meso and macro implementation issues. Twenty-three participants across Australia gave perspectives on CPS provision. At the micro level, pharmacists did not agree on a single definition of CPS. However, they reported complexity in interactional work and patient considerations, and in idual pharmacist factors that affected them when deciding whether to provide CPS. There was an overall deficiency in pharmacy workplace resources reported to be available for implementation and innovation. Use of an implementation evaluation framework suggested CPS implementation is lacking sufficient structural support, whilst reach into target population, service consistency and maintenance for CPS were not specifically considered by pharmacists. This analysis of pharmacist CPS perspectives suggests slow uptake may be due to a lack of evidence-based, focused, multi-level implementation strategies that take ongoing pharmacist role transition into account. Sustained change may require external change management and implementation support, engagement of frontline clinicians in research, and the development of appropriate pharmacist practice models to support community pharmacists in their CPS roles. This study was not a clinical intervention trial. It was approved by the University of Technology Sydney Human Research Ethics Committee (UTS HREC 19–3417) on the 26th of April 2019.
Publisher: Center for Open Science
Date: 11-04-2022
Abstract: AbstractBackgroundThe longstanding problem of infection prevention and control (IPC) in residential aged care facilities (RACFs) has been highlighted and seriously exacerbated by the COVID-19 pandemic. The risk of severe illness and death from COVID-19 among aged care residents is increased by age, comorbidities and the congregate living arrangements, which often also function as healthcare settings. Implementation of IPC practices are intended to protect residents and staff from infectious disease risks, but can also impact on other dimensions of wellbeing and safety. ObjectivesTo identify evidence of effective IPC strategies in RACFs and their impacts on resident or staff safety or wellbeing, during both ‘business as usual’ and infectious disease outbreaks. Methods We will search relevant databases for original research articles, published in 2000 or later, that examine (1) IPC measures and/or (2) infectious disease outbreaks in (3) in residential aged care settings, whilst (4) considering resident and/or staff wellbeing and/or safety. Following Preferred Reporting of Systematic Review and Meta-Analysis for Scoping Reviews (PRISMA-SCR) and consultation with a university librarian, we have devised a search strategy for review of relevant key articles. One author customised the search strategy for each database (CINAHL, Embase, Cochrane, MEDLINE, Scopus and Web of Science) and reviewed each term before inclusion. After deletion of duplicates, 2-4 reviewers will screen references by title and abstract, then review full texts of selected articles. Items included will be charted with respect to publication details and quality assessment performed. Results will be grouped according to thematic contributions.ResultsSystematic searches began at the end of 2021 and data extraction will progress in early 2022, followed by data analyses and writing. Anticipated conclusions Implementation of IPC practices in RACFs must balance effectiveness, feasibility, and wellbeing and safety of residents and staff. This review will summarise, and identify gaps in, evidence for how best to protect residents and staff from infection in long term aged care settings. SupportPartial financial support for this project has been provided by the Sydney Institute for Infectious Diseases, University of Sydney.
Location: No location found
No related grants have been discovered for Faith R Yong.