scholarly journals Organizational resilience process: integrated model of safety culture

2021 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Hira Hafeez ◽  
Muhammad Ibrahim Abdullah ◽  
Muhammad Asif Zaheer ◽  
Qurratulain Ahsan
Keyword(s):  
Health Care ◽  
Safety Culture ◽  
Psychological Health ◽  
Occupational Injuries ◽  
Public And Private ◽  
Content Type ◽  
Resilience Process ◽  
Safety Compliance ◽  
Safety Parameters ◽  
Nursing Professionals

Purpose The purpose of the study is to create substantial awareness for safety precautions and safety parameters to lessen occupational injuries and accidents. Utilization of safety culture phenomenon with its fundamental understanding has imperative consideration for safety compliance and participation behaviors. Thoughtful aim of this study is the extension of knowledge related to safety orientation particularly in primary health-care workforce. Design/methodology/approach Only slips and trips accounted for 40% of workplace injuries in nursing professionals. To identity, the data were collected through structured surveys from nursing professionals of public and private hospitals in Pakistan. To evaluate that data for current study, standardized regression coefficients (parameter estimation) with 95% confidence interval and 5,000 bootstrap samples were subjected. Confirmatory factor analysis was also used to measure the validity of study constructs. Findings The potential findings of present study have assured the presence of safety culture at workplace has potential to influences negative safety outcomes. In addition, safety compliance and safety participation as mediation paths would be the strengthening addition to safety model. These findings have extended the existing understanding of compliance and participation behaviors from single factor to two different constructs of safety orientation. This safety culture model offers an evidence-based approach to nursing practitioners and nursing managers with implications for nurse’s safety, education and training. Originality/value Occupational injuries and accidental happenings have adversely affecting the quality of care, patient’s recovery spam, satisfaction level and psychological health in care agents. This study has proposed a comprehensive model for understanding the mechanism of possible and reliable safety implications at health-care units. Prior knowledge has limitation to the inevitable effects of occupational injuries only rather than focusing on corrective actions against this phenomenon.

Eldercare in Japan, transnational care labor, and emerging welfare regimes

2021 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Deborah J. Milly
Keyword(s):  
Health Care ◽  
Labor Migration ◽  
Health Care Systems ◽  
Migration Policy ◽  
Welfare States ◽  
Foreign Assistance ◽  
Welfare Regimes ◽  
Public And Private ◽  
Content Type ◽  
Care Labor

PurposeThis article analyzes recent Japanese efforts to recruit care labor from seven Asian countries to identify the relative contributions to migrants and their respective countries' health systems. Besides considering the factors affecting migration from, and benefits to, sending countries, it asks how differences in the role of public and private actors may matter.Design/methodology/approachThe study uses two stages of analysis. The first uses quantitative and qualitative data for seven countries that send care labor migrants to Japan to identify differences in benefits for individual migrants and health care systems in the sending countries. The second stage examines recent initiatives for funding care worker training in Japan to assess the relative impacts of different public-private cooperative arrangements, especially in terms of Vietnam.FindingsIn addition to general migration policy mechanisms provided by the destination country, bilateral relationships and foreign assistance, along with economic, demographic and health care conditions in the origin countries, contribute to the relative benefits of migration. Among countries supplying care labor to Japan, Vietnam is obtaining the most benefits for its health care system in return.Originality/valueResponding to central concerns surrounding care labor migration, the article compares across countries sending care workers to a single country. The comparison highlights a constellation of factors that contribute the greatest benefits. The article identifies how different types of public and private relationships can influence this process. The study provides observations applicable to other welfare states developing care labor migration relationships.

Patient safety culture: finding meaning in patient experiences

2015 ◽  
Vol 28 (6) ◽  
pp. 595-610 ◽  
Author(s):  
Andrea C. Bishop ◽  
Brianna R. Cregan
Keyword(s):  
Health Care ◽  
Patient Safety ◽  
Safety Culture ◽  
Health Care Organizations ◽  
Patient Safety Culture ◽  
Patient Experiences ◽  
Qualitative Inquiry ◽  
Data Set ◽  
Content Type ◽  
Family Stories

Purpose – The purpose of this paper is to determine what patient and family stories can tell us about patient safety culture within health care organizations and how patients experience patient safety culture. Design/methodology/approach – A total of 11 patient and family stories of adverse event experiences were examined in September 2013 using publicly available videos on the Canadian Patient Safety Insitute web site. Videos were transcribed verbatim and collated as one complete data set. Thematic analysis was used to perform qualitative inquiry. All qualitative analysis was done using NVivo 10 software. Findings – A total of three themes were identified: first, Being Passed Around; second, Not Having the Conversation; and third, the Person Behind the Patient. Results from this research also suggest that while health care organizations and providers might expect patients to play a larger role in managing their health, there may be underlying reasons as to why patients are not doing so. Practical implications – The findings indicate that patient experiences and narratives are useful sources of information to better understand organizational safety culture and patient experiences of safety while hospitalized. Greater inclusion and analysis of patient safety narratives is important in understanding the needs of patients and how patient safety culture interventions can be improved to ensure translation of patient safety strategies at the frontlines of care. Originality/value – Greater acknowledgement of the patient and family experience provides organizations with an integral perspective to assist in defining and addressing deficiencies within their patient safety culture and to identify opportunities for improvement.

Food safety compliance approaches

2017 ◽  
Vol 119 (4) ◽  
pp. 744-758 ◽  
Author(s):  
Richard Bradford-Knox ◽  
Simon Neighbour
Keyword(s):  
Food Safety ◽  
Case Study Research ◽  
Cost Savings ◽  
City Council ◽  
Structured Interviews ◽  
Public And Private ◽  
Content Type ◽  
Safety Compliance ◽  
Improve Compliance

Purpose This case study follows the history of the personal and experiences, viewpoints, and attitudes of the key actors from both parties over the period of setting up and implementing a primary authority partnership. It is one of a series research papers and case studies that study approaches to improve compliance with public and private regulations through cooperative and collaborative approaches. The paper aims to discuss these issues. Design/methodology/approach It is a grounded qualitative study of what a number of individuals said in the course of a number of interviews. The aim and objectives being to obtain, from the key actors, their personal viewpoints, attitudes to and experiences of the partnership. Unlike some grounded approaches the research was based on the priori themes of cooperation and collaboration using semi structured interviews. At one stage, because of difficulty of access to the key actors caused by major re-development of the company, questionnaires replaced interviews. Findings The authors found that barriers to achieving a successful partnership included an initial reluctance, by all parties concerned, to cede some of their management autonomy to others and experiences of uncooperative behaviour between the public and private sectors in the past. They were largely overcome as the implementation of the project progressed resulting in improved food safety compliance management based on mutual trust. Other benefits for Preston City Council were immediate cost savings for Preston City Council in their use of human resources. For E.H. Booths, Ltd no initial cost saving was made, but there is potential longer term savings to be made through better risk based targeting of resources. These benefits only being made possible by the collaborative effort and support from all parties and individuals involved. Originality/value On its own this case study research is limited by its size and scope but the emerging topics and findings highlight the difficulties and barriers faced in setting up partnerships between public regulators and businesses. Therefore, the results can be of value to similar studies and other areas where cooperation, collaboration, partnership, and co-regulation are significant contributory factors to successful compliance strategies.

The effects of organizational commitment and structural empowerment on patient safety culture

2017 ◽  
Vol 31 (1) ◽  
pp. 10-27 ◽  
Author(s):  
Sujin K. Horwitz ◽  
Irwin B. Horwitz
Keyword(s):  
Health Care ◽  
Patient Safety ◽  
Organizational Commitment ◽  
Safety Culture ◽  
Affective Commitment ◽  
Health Care Organizations ◽  
Patient Safety Culture ◽  
Structural Empowerment ◽  
Content Type ◽  
The Relationship

Purpose The purpose of this paper is to investigate the relationship between patient safety culture and two attitudinal constructs: affective organizational commitment and structural empowerment. In doing so, the main and interaction effects of the two constructs on the perception of patient safety culture were assessed using a cohort of physicians. Design/methodology/approach Affective commitment was measured with the Organizational Commitment Questionnaire, whereas structural empowerment was assessed with the Conditions of Work Effectiveness Questionnaire-II. The abbreviated versions of these surveys were administered to a cohort of 71 post-doctoral medical residents. For the data analysis, hierarchical regression analyses were performed for the main and interaction effects of affective commitment and structural empowerment on the perception of patient safety culture. Findings A total of 63 surveys were analyzed. The results revealed that both affective commitment and structural empowerment were positively related to patient safety culture. A potential interaction effect of the two attitudinal constructs on patient safety culture was tested but no such effect was detected. Research limitations/implications This study suggests that there are potential benefits of promoting affective commitment and structural empowerment for patient safety culture in health care organizations. By identifying the positive associations between the two constructs and patient safety culture, this study provides additional empirical support for Kanter’s theoretical tenet that structural and organizational support together helps to shape the perceptions of patient safety culture. Originality/value Despite the wide recognition of employee empowerment and commitment in organizational research, there has still been a paucity of empirical studies specifically assessing their effects on patient safety culture in health care organizations. To the authors’ knowledge, this study is the first empirical study to examine the relationship between structural empowerment as proposed by Kanter and the culture of patient safety using physicians.

scholarly journals High Work-Related Stress and Anxiety as a Response to COVID-19 Among Health Care Workers in South Korea: Cross-sectional Online Survey Study (Preprint)

2020 ◽  
Author(s):  
Myung Hee Ahn ◽  
Yong-Wook Shin ◽  
Sooyeon Suh ◽  
Jeong Hye Kim ◽  
Hwa Jung Kim ◽  
...  
Keyword(s):  
Health Care ◽  
Logistic Regression ◽  
Health Care Workers ◽  
Psychological Health ◽  
Online Survey ◽  
Survey Study ◽  
Psychiatric History ◽  
Web Based ◽  
Care Workers ◽  
Nursing Professionals

BACKGROUND The COVID-19 outbreak had a severe impact on health care workers' psychological health. It is important to establish a process for psychological assessment and intervention for health care workers during epidemics. OBJECTIVE We investigated risk factors associated with psychological impacts for each health care worker group, to help optimize psychological interventions for health care workers in countries affected by the COVID-19 pandemic. METHODS Respondents (n=1787) from 2 hospitals in Korea completed a web-based survey during the period from April 14 to 30, 2020. The web-based survey collected demographic information, psychiatric history, and responses to the 9-item Stress and Anxiety to Viral Epidemics (SAVE-9), 9-item Patient Health Questionnaire (PHQ-9), and 7-item Generalized Anxiety Disorder-7 (GAD-7) scales. We performed logistic regression to assess contributing factors as predictor variables, using health care workers’ depression as outcome variables. RESULTS Among 1783 health care workers, nursing professionals had significantly higher levels of depression (PHQ-9 score: meannurse 5.5, SD 4.6; meanother 3.8, SD 4.2; <i>P</i>&lt;.001), general anxiety (GAD-7 score: meannurse 4.0, SD 4.1; meanother 2.7, SD 3.6; <i>P</i>&lt;.001), and virus-related anxiety symptoms (SAVE-9 score: meannurse 21.6, SD 5.9; meanother 18.6, SD 6.3; <i>P</i>&lt;.001). Among nursing professionals, single workers reported more severe depressive symptoms than married workers (PHQ-9 score ≥10; meannurse 20.3%; meanother 14.1%; <i>P</i>=.02), and junior (&lt;40 years) workers reported more anxiety about the viral epidemic (SAVE-9 anxiety score; meannurse 15.6, SD 4.1; meanother 14.7, SD 4.4; <i>P</i>=.002). Logistic regression revealed that hospital (adjusted odds ratio [OR] 1.45, 95% CI 1.06-1.99), nursing professionals (adjusted OR 1.37, 95% CI 1.02-1.98), single workers (adjusted OR 1.51, 95% CI 1.05-2.16), higher stress and anxiety to the viral infection (high SAVE-9 score, adjusted OR 1.20, 95% CI 1.17-1.24), and past psychiatric history (adjusted OR 3.26, 95% CI 2.15-4.96) were positively associated with depression. CONCLUSIONS Psychological support and interventions should be considered for health care workers, especially nursing professionals, those who are single, and those with high SAVE-9 scores. CLINICALTRIAL

Contingency framework for understanding quality in public and private hospitals of India

2019 ◽  
Vol 14 (1) ◽  
pp. 137-158
Author(s):  
Geeta Marmat ◽  
Pooja Jain
Keyword(s):  
Health Care ◽  
Care Delivery ◽  
Situational Factors ◽  
Future Research ◽  
Private Hospitals ◽  
Public And Private ◽  
System Perspective ◽  
Content Type ◽  
Public And Private Hospitals ◽  
Contingency Framework

Purpose Health-care delivery organizations (hospitals) constitute a complex adaptive system; hence, a contingency perspective is imperative to guide the design of customized approaches to quality management in different health-care settings. Accordingly, this paper aims to propose a contingency framework to advance the understanding of the relationship between situational factors and effectiveness of quality approaches in health-care organizations (HCOs), such as hospitals in India. Design/methodology/approach Related literature was reviewed to identify existing research and theories related to quality and quality approaches, situational factors of the HCOs (hospitals) and some existing logical evidence on public and private hospitals in India. Then a contingencies framework for quality and quality approaches was conceptualized. Findings This paper proposes contingent determinants arise out of conceptualization of the HCOs (hospitals) from different system perspective such as rational system, natural system, open system and integrative system; uncertainty because of physicians’ behaviour, nurses’ approach and a dual line of authority; and the task environment such as patients, competition and economic pressure. These determinants represent situational constructs to the quality enhancement of any attempt at quality approaches. While these determinants have an influence on the quality and quality approaches of the HCOs (hospital), it is imperative to build any quality improvement strategy to work effectively, i.e., quality approach is dependent on determinants of the contingencies of the hospital’s environment, be it external or internal. Propositions for future research are also incorporated. Research limitations/implications This paper proposes a conceptual model as well as research propositions that need to be validated and confirmed empirically. It advances the research and theory related to quality and quality approaches in a health-care setting. It can enable policymakers, hospital managers to analyze and gauge the appropriateness of quality approaches in a given context before implementing them and could help to improve the introverted quality approaches and quality dimensions currently followed in HCOs (hospitals). Originality/value Contingency framework is a new approach for research on the effectiveness of quality approaches in hospitals. The fundamental idea behind this framework is that effectiveness of quality approaches can be understood best by examining its contingent determinants. Thus, it has the capacity to contribute to the efforts of government and policymakers to make the quality of care affordable to all in India. Essentially, we examine the contexts and variables that determine the effectiveness of quality approaches.

Ranking the enablers promoting female empowerment in the UAE health care sector

2019 ◽  
Vol 12 (2) ◽  
pp. 117-144 ◽  
Author(s):  
Mehrajunnisa Mehrajunnisa ◽  
Fauzia Jabeen
Keyword(s):  
Health Care ◽  
United Arab Emirates ◽  
Health Care Sector ◽  
Female Empowerment ◽  
Analytic Hierarchy ◽  
Public And Private ◽  
Content Type ◽  
Ahp Model ◽  
Priority Vector ◽  
Human Resource Policies

Purpose The purpose of this study is to identify and rank the enablers that promote female empowerment in the health-care sector in the United Arab Emirates (UAE). Design/methodology/approach This study uses the analytic hierarchy process (AHP) to rank the enablers that promote female empowerment in the health-care sector. The AHP model was developed with 7 criteria and 28 sub-criteria based on previous literature. Data were collected through interviews of 24 female Emirati medical professionals. The respondents were selected from UAE-based public and private health-care units. The data collected were interpreted, and a priority vector was assigned to each criterion and sub-criterion. Findings It is observed that organizational human resource policies, organizational culture and institutional factors take top priority under the main enablers, and training and development, ethical environment and institutional and legal systems were determined to be the three most important sub-enablers that promote female empowerment in the UAE health-care sector. Research limitations/implications The major limitation of this study is that it is conducted only in the UAE. Similar studies should be carried out in other GCC (Gulf Cooperation Council) countries due to the governmental and cultural homogeneity. The study will help policymakers and health-care organizations in the GCC to adopt the best approaches that transform work cultures and realize the potential of investing in female and their contribution to the national economy. Originality/value Female empowerment has been a challenging task for the mainstream literature of gender advancement. This study is the first of its kind to propose an AHP model that ranks the enablers that promote female empowerment in the UAE health-care sector.

Safety climate, worker health and organizational health performance

2016 ◽  
Vol 9 (3) ◽  
pp. 270-289 ◽  
Author(s):  
Babette Bronkhorst ◽  
Brenda Vermeeren
Keyword(s):  
Health Care ◽  
Emotional Exhaustion ◽  
Psychological Health ◽  
Safety Climate ◽  
Organizational Health ◽  
Performance Outcomes ◽  
Care Utilization ◽  
Content Type ◽  
Worker Health ◽  
Health Performance

Purpose The purpose of this paper is to investigate the relationship between organizational safety climate and organizational health performance outcomes (i.e. absenteeism, presenteeism, health care utilization) mediated by individual worker health. The authors used three pathways to examine this relationship: a physical pathway starting with physical safety climate and mediated by musculoskeletal disorders (MSDs), a psychosocial pathway starting with psychosocial safety climate and mediated by emotional exhaustion, and a combined pathway starting with psychosocial safety climate and mediated by both MSDs and emotional exhaustion. Design/methodology/approach Three mediational multilevel analyses were conducted using a sample of 8,761 employees working in 177 health care organizations. Findings Although the findings did not support the hypothesized physical pathway, they showed that the psychosocial pathway worked satisfactorily for two of the three health performance outcomes (absenteeism and presenteeism). The combined physical and psychosocial pathway explained differences in the third outcome: health care utilization. Originality/value This is one of the few studies to include both physical and psychosocial pathways that lead to employee health and organizational performance. The results underscore the importance of paying attention to psychological health and safety in the health care workplace. Not only for the psychological health of employees, but also to improve their physical health and subsequent organizational health performance.

Patient’s reaction after health-care service failure: qualitative study

2019 ◽  
Vol 13 (1) ◽  
pp. 68-83
Author(s):  
Zeineb Bousnina ◽  
Imed Zaiem
Keyword(s):  
Health Care ◽  
Service Failure ◽  
Care Service ◽  
Health Care Service ◽  
Multiple Sources ◽  
Public And Private ◽  
Content Type ◽  
Individual Interviews ◽  
Medical Institutions ◽  
The Impact

Purpose This paper aims to show the impact of service failure and to shed light on the vengeance of consumer in the health-care service. Design/methodology/approach A qualitative research through a retrospective study based on individual interviews was conducted. As this study is a sensitive topic, projective techniques were used to complement individual interviews, especially with care consumers who are reluctant subjects who prefer methods which preserve confidentiality. Practically, drawing interpretations method was used. The use of these drawings is to encourage reluctant interviewee to discuss on the study’s sensitive theme. Findings Empirical findings allowed first to approach care service failure in Tunisia that is an emerging post-revolutionary country-owned MENA. In this context, a comparison between the public and private sectors was proposed. Moreover, the results helped to understand service failure’s consequences related to patient’s reaction. Practical implications The Ministry of Health in collaboration with managers of public and private medical institutions will have to work on capitalization of knowledge, especially those learned from unsuccessful experiences. Originality/value Medical service failure can have multiple sources. The care consumer’s reaction to these failures can sometimes be extreme in form of revenge.

The Pransky interview: Dr Yulun Wang, Founder and CEO of InTouch Health

2015 ◽  
Vol 42 (5) ◽  
pp. 381-385
Author(s):  
Joanne Pransky
Keyword(s):  
Health Care ◽  
New York ◽  
Health Care Professionals ◽  
High Speed ◽  
Industrial Robot ◽  
Scientific Publications ◽  
Public And Private ◽  
Content Type ◽  
The Usa ◽  
France Télécom

Purpose – The following paper is a “Q & A interview” conducted by Joanne Pransky of Industrial Robot Journal as a method to impart the combined technological, business and personal experience of a prominent, robotic industry engineer-turned entrepreneur regarding the evolution, commercialization and challenges of bringing a technological invention to market. Design/methodology/approach – The interviewee is Dr Yulun Wang, an inventor, self-taught entrepreneur, business leader and world-renowned authority on robotics and health care. Dr Wang shares his successful three-decade journey that began with researching the market needs and aligning himself with medical experts, followed by pioneering robotic solutions specifically for the health care industry. In the process, Dr Wang founded and spearheaded both a public and private robotics company. Findings – Dr Yulun Wang received a BSc and an MSc in Computer Science, and a PhD in Electrical Engineering, from the University of California, Santa Barbara (UCSB). After teaching at UCSB for a few years, with a grant he won from NASA, Dr Wang founded Computer Motion, Inc. in 1989 and conducted research on endoscopic robots. Computer Motion went public in 1997 and later merged with its competitor, Intuitive Surgical (NASDAQ:IRSG) in 2003 to forge the multi-billion dollar surgical robotics industry. Dr Wang founded InTouch Technologies (d.b.a. InTouch Health), in 2002, named one of the fastest-growing biomedical companies in the USA by INC Magazine. Originality/value – Dr Wang launched his career at the intersection of health care and technology with his invention of the voice-controlled robotic arm AESOP, the first US Food and Drug Administration (FDA)-cleared surgical robot. His next generation ZEUS robotic surgical system (ZRSS), was cleared by the FDA in 2001. Also in 2001, ZRSS was used in the world’s first telesurgery, as surgeons in New York controlled the arms of the Zeus to perform a cholecystectomy on a patient in Strasbourg, France, via a high-speed fiber optic supplied by France Telecom. This led Dr Wang to found InTouch Health, a company that pioneers remote presence robot systems that enable health care professionals to provide more effective and efficient health care. Dr Wang has received multiple other entrepreneurship and leadership awards, including being elected to the prestigious ranks of the National Academy of Engineering in 2011. He is the author of over 50 scientific publications, and holds over 100 patents registered in his name. Dr Wang serves on several boards, including the American Telemedicine Association (ATA) Board of Directors, where he also serves as an officer.

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