Caring with a Forced Smile: Emotional Labour Among Private Hospital Nurses in Sri Lanka

2021 ◽  
pp. 232209372110372
Author(s):  
S. D. K. Wanninayake ◽  
M. E. O’Donnell ◽  
S. Williamson
Keyword(s):  
Sri Lanka ◽  
Private Hospital ◽  
Healthcare Sector ◽  
Hospital Nurses ◽  
Loss Of Face ◽  
Emotional Labour ◽  
For Profit ◽  
Organisational Support ◽  
Tit For Tat ◽  
Minimal Research

Emotional labour among nurses is researched extensively. However, whether nurses in market-oriented, for-profit and customer-focused healthcare contexts performed emotional labour similarly to other nurses is severely underexplored. The minimal research available on this phenomenon have focused on Western for-profit healthcare contexts. Therefore, this article explores how nurses from for-profit healthcare sector performed emotional labour in a non-Western context—Sri Lanka. Using 30 interviews with private hospital nurses, this qualitative study found that scripted and closely managed behaviour routines, being subordinate to patients and their relatives, constant exposure to service recipients’ aggression and minimal organisational support led to a significant sense of powerlessness, loss of face, emotional exhaustion and tit-for-tat exchange of emotions with patients among nurses.

scholarly journals Market concentration trends in South Africa’s private healthcare sector

2016 ◽  
Vol 19 (1) ◽  
pp. 53-63 ◽  
Author(s):  
Marine Erasmus ◽  
Nicola Theron
Keyword(s):  
Market Structure ◽  
Private Hospital ◽  
Market Concentration ◽  
Competitive Dynamics ◽  
Healthcare Sector ◽  
Private Hospitals ◽  
Hospital Market ◽  
Private Healthcare ◽  
Structure Changes ◽  
Relative Bargaining Power

The Competition Commission (CC) commenced with an enquiry into South Africa’s private healthcare sector at the beginning of 2014, the outcome of which could have far-reaching consequences for the medical industry in South Africa. The panel appointed to consider competition in the private healthcare sector has indicated that they are interested in understanding increased consolidation in the private hospital market and the effect this may have on competitive dynamics. This article considers historical concentration trends in the private hospital market from 2000 to 2012. In addition it also deals with changes in market structure in the medical scheme and administrator markets. These trends provide a complete picture of market structure changes and the implications for relative bargaining power of the various parties. It finds that whereas the market concentration of private hospitals has remained relatively stable since 2004, the market concentration of medical schemes and administrators has increased over this period.

scholarly journals Exploratory qualitative study to understand the underlying motivations and strategies of the private for-profit healthcare sector in urban Bangladesh

BMJ Open ◽  
2019 ◽  
Vol 9 (7) ◽  
pp. e026586 ◽  
Author(s):  
Alayne Mary Adams ◽  
Rushdia Ahmed ◽  
Tanzir Ahmed Shuvo ◽  
Sifat Shahana Yusuf ◽  
Sadika Akhter ◽  
...  
Keyword(s):  
Public Sector ◽  
Qualitative Study ◽  
Private Sector ◽  
Healthcare Sector ◽  
Health Coverage ◽  
Good Doctor ◽  
Business Policy ◽  
Policy Model ◽  
For Profit ◽  
Provision Of Services

ObjectivesThis paper explores the underlying motivations and strategies of formal small and medium-sized formal private for-profit sector hospitals and clinics in urban Bangladesh and their implications for quality and access.MethodsThis exploratory qualitative study was conducted in Dhaka, Sylhet and Khulna City Corporations. Data collection methods included key informant interviews (20) with government and private sector leaders, in-depth interviews (30) with clinic owners, managers and providers and exit interviews (30) with healthcare clients.ResultsProfit generation is a driving force behind entry into the private healthcare business and the provision of services. However, non-financial motivations are also emphasised such as aspirations to serve the disadvantaged, personal ambition, desire for greater social status, obligations to continue family business and adverse family events.The discussion of private sector motivations and strategies is framed using the Business Policy Model. This model is comprised of three components:products and services, and efforts to make these attractive including patient-friendly discounts and service-packages, and building ‘good’ doctor-patient relationships;the market environment, cultivated using medical brokers and referral fees to bring in fresh clientele, and receipt of pharmaceutical incentives; and finally,organisational capabilities, in this case overcoming human resource shortages by relying on medical staff from the public sector, consultant specialists, on-call and less experienced doctors in training, unqualified nursing staff and referring complicated cases to public facilities.ConclusionsIn the context of low public sector capacity and growing healthcare demands in urban Bangladesh, private for-profit engagement is critical to achieving universal health coverage (UHC). Given the informality of the sector, the nascent state of healthcare financing, and a weak regulatory framework, the process of engagement must be gradual. Further research is needed to explore how engagement in UHC can be enabled while maintaining profitability. Incentives that support private sector efforts to improve quality, affordability and accountability are a first step in building this relationship.

Knowledge, Skills and Attitude on Insulin Administration of Nurses in Davao City

10.17158/223 ◽  
2012 ◽  
Vol 18 (1) ◽  
Author(s):  
Domingo T. So, Jr.
Keyword(s):  
Significant Relationship ◽  
Private Hospital ◽  
Comparative Approach ◽  
Hospital Nurses ◽  
Insulin Administration ◽  
Public And Private ◽  
Demographic Profile ◽  
Significant Difference ◽  
The Government ◽  
High Level

This study aimed to assess and compare the knowledge, skills and attitude of the staff nurses in selected public and private tertiary hospitals in Davao City. Through a descriptive comparative approach, the researcher made use of a survey utilizing validated questionnaires that were administered to 62 respondents. Results revealed that both government and private hospital nurses possessed low level of knowledge on of insulin and insulin administration. However, the respondents demonstrated a high level with respect to attitude. No significant relationship was established between the demographic profile of the government hospital nurses and their knowledge, skills and attitudes in insulin and insulin administration except in attitude within the ward or department they are assigned to. No significant relationship was established between the demographic profile of the private hospital nurses and their knowledge, skills and attitudes in insulin and insulin administration except in skills with respect to the number of seminars attended. There was no significant difference between the government and private hospital nurses in terms of knowledge on insulin administration. There was a significant difference in the skills and attitude between government and private nurses in insulin administration in favor of the nurses from the private hospital.

scholarly journals Employment request in the healthcare sector: A case of a specialized not-for-profit hospital in Greece

2016 ◽  
Vol 6 (1) ◽  
Author(s):  
Kyriakos Souliotis ◽  
Vasiliki Mantzana ◽  
Athanasios Sakorafas ◽  
Chrictina Golna ◽  
Charalambos Economou
Keyword(s):  
Healthcare Sector ◽  
Published Data ◽  
Ministry Of Health ◽  
For Profit ◽  
Not For Profit ◽  
Curriculum Vitae

<p>This paper presents the findings of a novel<br />research conducted in a specialized, not-forprofit<br />hospital in Greece. The authors analysed<br />775 curriculum vitae (CVs) that were<br />spontaneously submitted to the healthcare<br />organisation in a two-year period and did<br />not refer to a specific job opening. The research<br />is novel, as it was performed in a not-forprofit hospital under the supervision of<br />the Ministry of Health and to the best of the<br />authors’ knowledge there are not any other<br />published data on spontaneous employment<br />requests. The paper shows that the transition<br />of professionals to the healthcare sector<br />should be carefully managed and that a<br />high number of CVs were sent to a hospital,<br />where employees lack the benefit of permanency<br />compared to their colleagues in public<br />hospitals in Greece.</p>

scholarly journals Public and Private Hospital Nurses’ Perceptions of the Ethical Climate in Their Work Settings, Sari City, 2011

2014 ◽  
Vol 3 (1) ◽  
Author(s):  
Ali Asghar Ghorbani ◽  
Ali Hesamzadeh ◽  
Mohammad Khademloo ◽  
Salimeh Khalili ◽  
Shamim Hesamzadeh ◽  
...  
Keyword(s):  
Ethical Climate ◽  
Private Hospital ◽  
Hospital Nurses ◽  
Public And Private ◽  
Work Settings ◽  
Nurses Perceptions

scholarly journals Investigating Perceptions of Patients on Healthcare Pricing Within The Private Healthcare Sector In Sri Lanka

2021 ◽  
Vol 16 (3) ◽  
pp. 235-242
Author(s):  
Kanchana Sajeeva Narangoda ◽  
Estie Kruger ◽  
Marc Tennant
Keyword(s):  
Sri Lanka ◽  
Private Sector ◽  
Healthcare Delivery ◽  
Target Population ◽  
Healthcare Services ◽  
Healthcare Sector ◽  
Sufficient Evidence ◽  
Healthcare Delivery System ◽  
Private Hospitals ◽  
Private Healthcare

Demand for private sector healthcare services in Sri Lanka is on the rise. This is very evident from the increase in the number of registered private healthcare institutions from 1990 to 2017. [1,2] With the increasing utilization of private sector healthcare services, various qualitative factors,  and service-related issues associated with the healthcare delivery system have become common debates. A major concern, patients have expressed, is about the fees charged by doctors and hospitals. Principle aim of this study was to investigate the perceptions of patients on healthcare pricing within the private healthcare sector in Sri Lanka. The target population of the study was defined as Sri Lankans who have been inpatients in private hospitals within the past year. The focus districts were Colombo, Kandy, and Galle. These 3 districts represented nearly 60% of the total private sector bed capacity. From each district, three main private hospitals were selected. Over 700 patients were invited to participate, 246 surveys were completed, and 215 were retained as 31 had excessive missing and/or unclear data. In all 3 districts the majority of patients were either dissatisfied with or remained neutral (69%) on the hospital fees,(66%) on doctor’s fees,(74%) on the overall price they ended up paying,(76%)  on whether they think the healthcare services they received are value for money. This study did not investigate the reasons or the factors that may affect the satisfaction or dissatisfaction of patients towards the fees they paid Multiple factors can affect patient’s perception on the fees they paid. With negative perception on the above it can be concluded that there is sufficient evidence to challenge private sector healthcare satisfaction level vs price/fees equilibrium in Sri Lanka.

Leveraging social media for knowledge management healthcare capability

2020 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Ellen Belitzky ◽  
Christian Bach ◽  
Erika Belitzky
Keyword(s):  
Social Support ◽  
Social Media ◽  
Knowledge Management ◽  
Pediatric Oncology ◽  
Healthcare Sector ◽  
Social Implications ◽  
Oncology Patients ◽  
Content Type ◽  
For Profit ◽  
Not For Profit

Purpose This study aims to understand how healthcare social media offer nonmedical psycho-social support for pediatric oncology patients and their care community and how social media can be exploited for healthcare knowledge management. Design/methodology/approach Social media capabilities were identified and categorized based on psycho-social support services for pediatric oncology patients, caregivers and their community of care. Data were collected from 187 service sites representing more than 100 organizations. These broadly defined capabilities in trusted care organizations were analyzed to understand use of social media in providing psycho-social support. Findings Analysis revealed resource guides, stories and in-person support at clinics as the most prevalent forms of technology-guided psycho-social support. Privacy, security and information integrity rose as technical challenges for interactive social media platforms. Medical community trust is inconsistent, leading to immature adoption of critical psycho-social support as a knowledge management source. Findings further indicate the not-for-profit support sector provides robust social media capabilities compared to the healthcare sector. Research limitations/implications Future research may extend to maturing healthcare and not-for-profit sector services and to private sector products such as mobile applications and other technologies. Practical implications Survivor and caregiver quality of life depend on psycho-social support communities and services delivered via social media. Social implications Child protection social implications require significant attention due to sensitivity of security, privacy concerns and longevity of digital footprints for pediatric patients. Originality/value Research demonstrates opportunity for medical provider, healthcare organization, not-for-profit sector, patient and caregiver cooperation using social media. Data indicate healthcare technology systems leveraging social media can extend knowledge management capability beyond organization boundaries.

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