Nursing staff perceptions regarding the clinical audit tool used for relicensing inspections within eThekwini private hospitals in South Africa

2018 ◽  
Vol 31 (6) ◽  
pp. 502-519
Author(s):  
Jamila Chellan ◽  
Nokuthula Maureen Sibiya
Keyword(s):  
Nursing Staff ◽  
Health Care Services ◽  
Nurse Managers ◽  
Clinical Audit ◽  
Mixed Method Research ◽  
Audit Tool ◽  
Staff Perceptions ◽  
Quality Health Care ◽  
Private Hospitals ◽  
Content Type

Purpose The purpose of this paper is to assess nursing staff perceptions regarding the clinical audit tool used for relicensing inspections within private hospitals in eThekwini district. Design/methodology/approach An exploratory sequential mixed method research design was used with a qualitative first phase involving a total population of 40 nurse managers through purposive sampling. Nurse managers (n=24) were interviewed. This was followed by a quantitative phase in which a structured questionnaire was administered to nurses (n=270) who were randomly sampled for the study from (n=4) hospitals. Documentation review, a third phase was used to corroborate the findings of the first two phases of the study. Findings The results of the study showed that the participants perceptions of the selected private hospitals in eThekwini district is that they have not fully implemented the approach to practice standards and healthcare audits in relation to three clinical domains of the National Core Standards and the Batho Pele principles. These findings were significant and denoted the need for a standardised clinical audit tool for private hospitals in eThekwini district. Research limitations/implications This study was confined to an independent group of hospitals and the findings may not be suitable for generalising across all private hospitals in eThekwini district. Originality/value These findings led to the development of a clinical audit tool with measurements representing elements of care that are critical to the provision of safe, quality health care services.

scholarly journals An audit tool for relicensing inspection for private hospitals in eThekwini district, South Africa

2020 ◽  
Vol 20 (2) ◽  
pp. 936-947
Author(s):  
Jamila Chellan ◽  
Maureen Nokuthula Sibiya
Keyword(s):  
South Africa ◽  
Public Sector ◽  
Care Patient ◽  
Mixed Method Research ◽  
Health Coverage ◽  
Audit Tool ◽  
Private Hospitals ◽  
Safety Standards ◽  
The Public ◽  
Public And Private Sector

Background: South Africa is moving towards National Health Insurance (NHI), which aims to provide access to universal health coverage for all South Africans. The NHI will only accredit and contract eligible health facilities that meet nationally approved quality standards in the public and private sector. Detailed tools for measuring compliance with the National Core Standards (NCS) and Batho Pele principles have been developed and implemented in the public sector. To date and since its implementation in the public sector, very little is known about the national audit tool and the method used to evaluate quality and patient safety standards in private hospitals in eThekwini district. Objective: The aim of the study was to develop an audit tool for relicensing inspection of private hospitals in eThekwini district based on the clinical domains of the NCS and Batho Pele principles. Methodology: An exploratory sequential mixed method research design was used with a qualitative first phase involving 24 nurse managers through purposive sampling. This was followed by a quantitative phase in which a structured questionnaire was administered to 270 nurses who were randomly sampled for the study from 4 hospitals. Results: The results revealed that the NCS and the Batho Pele principles are not fully implemented or evaluated in the se- lected hospitals in eThekwini district. Conclusion: These findings were significant and denoted the need for a standardised clinical audit tool for private hospitals in eThekwini district. Keywords: Audit tool; best practices; patient care; patient rights;, support services.

The moderating role of life satisfaction in the relationship between burnout and depression among nursing staff: a human rights concern in Pakistan

2021 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Naeem Aslam ◽  
Araib Khan ◽  
Nida Habib ◽  
Ammar Ahmed
Keyword(s):  
Human Rights ◽  
Life Satisfaction ◽  
Nursing Staff ◽  
Private Hospitals ◽  
Content Type ◽  
Negatively Associated ◽  
Female Nurses ◽  
The Relationship ◽  
Moderating Role

Purpose This study aims to see the role of life satisfaction in the relationship between burnout and depression among nurses to highlight the human rights norms for institutions, as well as practitioners within the health sector to improve life satisfaction among nurses. Design/methodology/approach This was a survey-based study. Data was collected by using well-established questionnaires. The sample (N = 250) comprising nurses taken from different public and private hospitals of Islamabad. Participants were both male (n = 125) and female nurses (n = 125), with age range 20–51 (M = 29.95, SD = 4.95) years. The data was collected by using the convenient sampling technique from different government and private hospitals of Islamabad from September 2017 to December 2017. Findings Bivariate correlation analysis revealed that burnout was positively associated with depression and negatively associated with life satisfaction. Moreover, depression was negatively associated with life satisfaction. Moderation analysis demonstrated that life satisfaction moderated the relationship between burnout and depression. Female nurses scored high on burnout as compared to male nurses. Research limitations/implications The use of self-report measures and the cross-sectional nature of the study design are the limitations of the study. The findings contribute by recognizing the various factors affecting the performance of nursing staff specifically in developing countries such as Pakistan. Practical implications This study demonstrated the vital implication of factors reducing depression among nursing staff through life satisfaction. Health care organizations should take measures to condense the level of burnout, make and boost a caring and fair working atmosphere to improve the level of life satisfaction, and therefore, reduce the negative emotions associated with burnout. It is concluded that life satisfaction may buffer the effect of burnout and subsequent depression. Originality/value This study has extended the prevailing literature by recognizing the moderating role of life satisfaction in the relationship between burnout and depression among nursing staff specifically highlighting their human rights in the Pakistani context.

Medical education governance based on strategic planning

2018 ◽  
Vol 23 (3) ◽  
pp. 216-225 ◽  
Author(s):  
Sabina Nurakynova
Keyword(s):  
Higher Education ◽  
Medical Education ◽  
Strategic Planning ◽  
Health Care Services ◽  
Quality Health Care ◽  
Content Type ◽  
Education Governance ◽  
Wide Range ◽  
Quality Health

PurposeThe purpose of this paper is to analyze the medical education strategic planning to align with international best practices in university governance.Design/methodology/approachResearch methods used: content analysis, analysis of modern concepts of strategic planning in universities. The study used two main methodological approaches: analysis of medical education governance and analysis of strategic planning in universities.FindingsApplied models of educational governance at most universities are not always effective in achieving their goals. A strategy is a complex and potentially powerful tool, with the help of which a modern university can withstand the constantly changing environment. By using such a tool, the university can gain prestige, leading positions and recognition in international scientific and educational spheres. Therefore, strategy and strategic planning deserve close attention as a higher education governance tool, suitable not only for a medical college but also for a wide range of other types of social organizations.Originality/valueEducation is a policy priority of any state determining the state’s level of modern socio-economic development and building a productive workforce. The quality of human resources primarily depends on the system of higher education, which is carried out by universities. Foreign countries’ experience shows that prosperity of the state and society is impossible without a healthy nation. Improving the quality of people’s lives depends, in particular, on health education, so “medical education governance” is how we prepare personnel, which must be properly trained and qualified to provide high-quality health care services. Kazakhstan medical universities are increasingly becoming players in the medical education market, but the governance systems of universities are lagging behind. The success of universities largely depends on the results of their strategic planning, which is why special attention should be given to strategic planning analysis. Despite the importance of analyzing medical education governance, there has been insufficient research in this area in Kazakhstan.

Developing an innovative business model for hospital services in Iran: a case study of Moheb Hospitals

2019 ◽  
Vol 32 (1) ◽  
pp. 129-147 ◽  
Author(s):  
Marjan Miremadi ◽  
Kamyar Goudarzi
Keyword(s):  
Health Care ◽  
Business Model ◽  
Health Care Services ◽  
Business Models ◽  
Single Case ◽  
Quality Health Care ◽  
Content Type ◽  
Study Results ◽  
Quality Health

PurposeThis paper aims to focus on the role of hospital business models by examining the innovative business model of Moheb Hospitals, which have successfully achieved the goal of reducing costs and delivering high-quality health-care services in Iran by encouraging public–private partnership.Design/methodology/approachThis paper is a single case study.FindingsThe study results illustrate the hospital’s current business model and its underlying elements. After presenting the findings, this paper is concluded by presenting the standing issues that should also be addressed and how improvements and adjustments can be made.Originality/valueThis study offers new insight to identify and analyze the shortcomings of health-care sector in Iran and introduces new methods to efficiently use current competencies.

scholarly journals Hospital Services for Ill Patients in the Middle-Belt Geopolitical Zone, Nigeria: Patient’s Waiting Time and Level of Satisfaction

2017 ◽  
Vol 28 (1) ◽  
pp. 18-37 ◽  
Author(s):  
Ahmed Abdulsalam ◽  
Hafiz T. A. Khan
Keyword(s):  
Health Care ◽  
Patient Satisfaction ◽  
Waiting Time ◽  
Health Care Services ◽  
Group Discussion ◽  
Mixed Method Research ◽  
Quality Health Care ◽  
Level Of Satisfaction ◽  
Quality Health ◽  
Patient Waiting Time

An important parameter in the assessment of quality health care lies on patient satisfaction. Despite concerted efforts to improve health-care services, patient satisfaction coupled with the quality of hospital care at disposal remain a significant challenge in Nigeria. The purpose of the study was to determine the perception on factors associated with prolonged waiting time and patient satisfaction at the outpatient department of Ibrahim Badamasi Babangida Specialist Hospital in Nigeria. A mixed-method research was utilized. Questionnaire was administered on 95 outpatients, and a focus group discussion (FGD) was held with eight participants. Statistical analysis was utilized to determine the association between dependent and independent variables. Data from FGD were analyzed with NVivo 10. The overall hospital satisfaction was found to be 75.8% among the study population. There was a significant inverse relationship between the level of satisfaction with the doctor and employment status and educational level and a significant direct relationship between the level of satisfaction with the doctor and appointment status and type of visits. The results of FGD show that patients were satisfied with the neatness of the hospital, doctor’s professionalism, and patient–doctor relationship. Dissatisfaction was with extended patient waiting time and the small size infrastructure of the hospital, inefficient handling of patient files by nurse aids, and thoroughness of the physicians. The results showed that majority of the patients were dissatisfied with the waiting time for consultation in the hospital. In other words, consultation time positively correlated with the level of patient satisfaction. To improve the overall patient satisfaction, the waiting time for consultation should be reduced significantly.

Sustainable human resource planning for hospitals in tier 2/3 cities: evidence from India

2021 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Sanjay Bhattacharya ◽  
Chandrani Bhattacharya
Keyword(s):  
Health Care ◽  
Human Resource ◽  
Health Care Services ◽  
Workforce Planning ◽  
Resource Planning ◽  
Tier 2 ◽  
Private Hospitals ◽  
Human Resource Planning ◽  
Content Type ◽  
Successful Model

Purpose To evolve sustainable practices for human resource planning (HRP) for hospitals being set up in Tier 2/3 cities in India. The purpose of this study is to determine the strategic challenges are faced by hospitals in Tier 2/3 cities. To align HRP/workforce planning to departmental strategic/business planning of the hospital in the defined context. To address the dilemmas of the prospective health-care workforce in Tier 2/3 cities. Design/methodology/approach The integrated methodology adopted uses the grounded approach for building theory from practice. Due to the lack of research in the identified context, the study relies on a review of literature related to health-care practices, HRP and general management inputs to evolve the exact interview questionnaire. The subsequent empirical analysis is based on interviews of niche human resource experts in private hospitals. Findings The traditional and successful model of private hospitals in the metro cities cannot be transplanted to the Tier 2/3 cities. The thumb rule on a ratio between the doctors, paramedic staff, nurses and other support staff requires to be modified as necessary. Uncertainty in the new context requires the outlook to be basic, uncomplicated, flexible and agile. Attracting and recruitment strategies require adopting an innovative and multipronged approach. Sourcing high-end specialists need not follow the retainership model of employment. Practical implications The need to penetrate health-care services to the Tier 2/3 cities within India cannot be disputed. With the increase in disposable income and standard of living in these cities, access to quality and affordable health care is also imperative. The study is a pioneering effort to suggest a practicable and uncomplicated model for hospital setup in the identified context, with a focus on HRP. Originality/value This paper offers novel perspectives to the HRP of health-care personnel for a hospital setup in Tier 2/3 cities in India. For the success of private hospitals and their financial viability, this planning is of utmost importance. There is an attempt to fill the knowledge gap in the context which has been rarely explored or ventured. In addition, the policy initiatives suggested are expected to encourage the growth of private hospitals within the Tier 2/3 cities in India.

scholarly journals An audit tool for relicensing inspection to assess quality and patient safety in eThekwini private hospitals

2018 ◽  
Author(s):  
◽  
Jamila Chellan
Keyword(s):  
South Africa ◽  
Patient Safety ◽  
Nursing Staff ◽  
Best Practice ◽  
Sampling Technique ◽  
Audit Tool ◽  
Audit Process ◽  
Private Hospitals ◽  
Quality And Patient Safety ◽  
Assess Quality

Background In South Africa, the National Core Standards are advocated as the cornerstone for improving quality and patient safety in health care organisations. To align to the Department of Health’s legislative and policy mandates, the Office of Health Standards Compliance developed the National Core Standards for Health Establishments in South Africa that provide a benchmark of quality of care against which the delivery of health services can be monitored. Through the implementation of the National Core Standards (NCS), an assessment of a health facility’s compliance to service standards can be measured. Aim The aim of this study was to develop an audit tool for relicensing inspection to assess quality and patient safety in eThekwini private hospitals Methodology An exploratory sequential mixed methods research design was used to assess nursing staff perceptions regarding the current relicensing audit process and the existence of best practice standards in (n=4) private hospitals in eThekwini district. A purposive sampling technique was employed to recruit clinical managers in the qualitative phase of the study. A total of (n=24) participants were interviewed from approximately 40 clinical managers, guided by data saturation; (n=9) from Hospital A, (n=7) from Hospital B, (n=5) from Hospital C and (n=3) from Hospital D. The clinical managers are the unit managers (middle management) and nursing services managers (higher management) in charge of all clinical services in the hospital and are directly involved in relicensing inspections. In the quantitative phase of the study, a simple random sampling technique was employed to include nursing staff in direct contact with the patients. The total population of nurses was 569 of which 270 were sampled for the study. The approach adopted for qualitative data analysis was an inductive approach. The concepts identified were translated into codes, then codes translated into themes and categories. The themes according to which data was organised were based on the conceptual framework that guided the study. The quantitative data was analysed using version 23.0 of the Statistical Package of Social Services. In the documentation review phase a total of 59 documents were reviewed from each hospital, amounting to 236 documents.Quantitative content analysis was used to analyse the documentation using a deductive approach. The goal was to identify important themes or categories within the content of the documents that corroborated with findings of both phases of the study and as related to the NCS and the Batho Pele principles. Results The results of the study showed that the participant private hospitals in eThekwini district have not fully implemented the approach to practice standards and healthcare audits in relation to three clinical domains of the National Core Standards and the Batho Pele Principles. Although best practice policies and procedures exist in private hospitals in eThekwini district, the results of the study showed that there is inconsistent checking of the clinical domains in the participant hospitals during relicensing inspections. Recommendations from participants for a standardised audit process led to the development of an audit tool for relicensing inspections based on the National Core Standards and the Batho Pele Principles for private hospitals in eThekwini district

scholarly journals Hospital Nursing Staff Perceptions of Resources Provided by Their Organizations During the COVID-19 Pandemic

2021 ◽  
pp. 216507992098754
Author(s):  
Hyeonmi Cho ◽  
Knar Sagherian ◽  
Linsey M. Steege
Keyword(s):  
Nursing Staff ◽  
Online Survey ◽  
Community Support ◽  
Well Being ◽  
The United States ◽  
Free Text ◽  
Staff Perceptions ◽  
Survey Question ◽  
Hospital Nursing ◽  
Hospital Resources

Background: The coronavirus disease 2019 (COVID-19) pandemic has profoundly impacted the health and psychological well-being of hospital nursing staff. While additional support is needed to better cope with increased job stressors, little is known about what types of hospital resources have been provided and how nursing staff perceive them. This study addressed this gap by describing nursing staff perceptions of resources provided by hospitals during the COVID-19 pandemic in the United States. Methods: Registered nurses and nursing assistants who were working in hospitals during the pandemic were recruited to an online survey via social media posts and emails between May and June 2020. A total of 360 free-text responses to an open-ended survey question were analyzed using content analysis. Results: Over half of participants reported being provided with hospital resources. “Basic needs” resources that included food on-site, groceries, and childcare support were the most frequently reported compared with four other types of resources (personal health and safe practice, financial support, managerial support, communication). Four themes emerged related to staff perceptions of support: community support, unequal benefits, decreasing resources, and insufficient personal protective equipment. Conclusion: Our findings can assist organizational leaders in the planning and allocation of different types of resources that are meaningful to nursing staff and thus ensure sustainability, optimal performance, and worker well-being during crises.

Faculty/staff perceptions of a free campus fitness facility

2014 ◽  
Vol 7 (3) ◽  
pp. 156-170 ◽  
Author(s):  
Theresa C. Brown ◽  
Jennifer Volberding ◽  
Timothy Baghurst ◽  
John Sellers
Keyword(s):  
Motivational Climate ◽  
Self Report ◽  
Staff Perceptions ◽  
Content Type ◽  
Fitness Facility ◽  
Barriers To Exercise ◽  
On Line ◽  
Southern University ◽  
Practical Implications ◽  
Support Facility

Purpose – The purpose of this paper is to determine the reason for faculty and staff (N=657; 35 percent males; M age=45.20) at a large Southern university, for either using or not using the free fitness facilities on campus. Design/methodology/approach – Participants identified themselves as either current (n=306), former (n=213), or never-users (n=138) of the facilities, and completed an on-line self-report qualitative questionnaire asking them to describe their reasons for using or not using the campus fitness facilities. Findings – Thematic coding revealed that motives fell into three broad categories for all user types: personal (i.e. cost, location, social support), facility-specific (i.e. quality and amount of equipment, class variety, hours of operation), and motivational climate (i.e. feeling valued, welcomed, best effort was emphasized). Current users highlighted positive aspects of each category whereas former and never users described each category as a barrier to their exercise routines. Practical implications – The identified themes offer campus administration specific suggestions to entice more non-users and former-users to exercise in the fitness facilities available on campus. Originality/value – While researchers have considered barriers to exercise in past studies, the barriers identified were not specific to fitness facilities. The current work not only examines individuals’ reasons for choosing or not choosing a campus fitness facility for their exercise, but also compares the perspectives of former- and never-users to current-users.

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