Evidence selection and data extraction was completed by two independent reviewers and compared. We included all types of experimental, quasi-experimental, observational and descriptive studies, as well as studies using qualitative methodologies. Searches were completed using several databases. We examined access to healthcare services across both medical and para-medical services. Information was collected from studies whose participants include individuals with a neurodevelopmental disorder (NDD) who are minority-language speakers, their family members, and healthcare professionals who work with them. Our goal is to inform healthcare practitioners and policy makers thus improving healthcare services for this population. This scoping review aims to examine the barriers to healthcare access for minority-language speakers who have a neurodevelopmental disorder. Minority-language speakers in the general population face barriers to accessing healthcare services. Reducing stress during REM response effectively could contribute to resolving the shortage of human resources in this field. Stress felt by medical personnel throughout the entire REM response may be effectively reduced by providing careful education/training to reduce stress during the decontamination process. Stress values did not increase during general medical treatment performed in protective clothing, but increased during the decontamination process, which is the task characteristic of REM. Stress values observed during the decontamination process were significantly higher than those observed when wearing and removing protective gear and during the general medical treatment process ( P = 0.001, 0.004, and 0.023, respectively). The average stress value was output as stress on a relative scale of 0–100, based on the model which is the percentile of the low-frequency/high-frequency ratio derived from HRV at any point in time obtained over time.Ī total of 35 (89.7%) participants answered that they had little or no knowledge of nuclear disaster and 33 (84.6%) had more than moderate anxiety.
In the objective survey, average stress values of participants for each activity during the seminar were calculated based on heart rate variability (HRV). Then, informed consent was obtained from 39 patients included in the analysis. In total, 74 nurses who attended an REM seminar were asked to answer a questionnaire (subjective) survey and wear a shirt-type electrocardiogram (objective survey). Furthermore, the final goal was to reduce the anxiety and stress of medical personnel in the future, which will lead to sufficient human resources in the field of REM. The present study aimed to quantify stress and identify which tasks involved in REM response are most stressful to help educate (human resource development) and effectively reduce stress in workers. Shortages of human resources in radiation emergency medicine (REM) caused by the anxiety and stress of due to working in REM, are a major concern.
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