Nurse burnout: comparing public and private hospitals in Indonesia

2021 ◽  
Vol 27 (2) ◽  
pp. 1-7
Author(s):  
Diwa Agus Sudrajat ◽  
Tri Oktavia Indrianti ◽  
Eva Supriatin ◽  
Suci Noor Hayati ◽  
Linlin Lindayani

Background/Aims Nurse burnout is a major issue among nursing staff and can affect the quality of nursing care. Little is known about burnout among nurses working in intensive care units in developing countries, such as Indonesia. This study was conducted to investigate and compare the prevalence of nurse burnout in private and public hospitals in Bandung, Indonesia. Methods A cross-sectional approach was used in the intensive care units of one private and one public hospital in Bandung, Indonesia, from June to July 2019. The Maslach Burnout Inventory was used to measure burnout levels among nurses. Univariate and bivariate data analysis was used to interpret the results. Results A total of 52 public hospital nurses and 66 private hospital nurses were included in this study. Burnout levels varied significantly between these groups, with private hospital nurses experiencing higher levels of emotional exhaustion (32.43±12.67 vs 29.35±9.78) and depersonalisation (10.23±6.58 vs 7.89±3.67) than public hospital nurses. Conclusions Over one third of both private and public hospital nurses experienced high levels of burnout syndrome, with nurses in the private sector being particularly affected. It is crucial for both public and private hospitals in Indonesia to adapt their working environments to protect the wellbeing of staff and the safety of patients by reducing the risk of nurse burnout.

2017 ◽  
Vol 9 (2) ◽  
pp. 218-228 ◽  
Author(s):  
Selim Ahmed ◽  
Noor Hazilah Abd Manaf ◽  
Rafikul Islam

Purpose This study aims to measure quality performance of the Malaysian hospitals based on eight items, namely, progress of quality management, medical service cost, reduce errors in medical services, patient waiting time, reduce waste in processes, patient complaint, employee job satisfaction and patient satisfaction. Mainly, it identifies difference or conformance between public and private hospitals on quality performance. Design/methodology/approach This study distributed 1,007 self-administered survey questionnaires to the hospital staff (i.e. doctors, nurses, pharmacists and medical laboratory technologists), resulting in 438 useful responses (43.5 per cent response rate). Research data were analysed based on descriptive analysis and independent samples’ t-tests using SPSS version 23. Findings The findings of this study indicate that there are significant differences between public and private hospital staff on progress of quality improvement process, patient satisfaction and cost of the medical services. Private hospital staff believed that their hospital’s quality management process and patient satisfaction has been improved over the past years compared to public hospital. However, private hospital staff does not perceive their medical service cost has been reduced over the past years compared to public hospital. Research limitations/implications This research focused solely on quality performance of the Malaysian health sector and, thus, the results might not be applicable to other countries. Originality/value Present research findings provide guidelines for enhancing quality performance in Malaysian public and private healthcare sectors and other countries.


2020 ◽  
Vol 18 (2) ◽  
pp. 178-185
Author(s):  
Puspa Mani Kharal ◽  
Prakriti Bhattarai ◽  
Prithutam Bhattarai ◽  
Shyam Thapa

Background: In Nepal, the private sector has prominently emerged as a provider of health services in recent years. The objective of this paper is to assess whether public and private hospitals are competing for patients with similar socioeconomic strata, or providing services to different segments of the patient population. Methods: Data were collected prospectively from one public hospital and one private-for-profit hospital, both located in close proximity to one another in Tanahu district. A total of 384 and 389 patients presenting themselves for outpatient services available at the district public hospital and a private hospital, respectively, were systematically selected and interviewed using a survey form. The profiles of the patients were comparatively analyzed, and the reasons for using a particular hospital were assessed. Binary logistic regression was used for multivariate analysis.Results: Compared to the patients using the public hospital, patients at the private hospital were younger, possessed a higher level of education, represented indigenous and disadvantaged ethnic groups, and belonged to business or agricultural occupations. The four prominent reasons for using the private hospital were: positive perception/prior experience, followed by recommendation/word-of-mouth, timely availability of services, and trustworthiness. Among the public hospital patients, the prominent reasons were: low fee for services or having insurance, positive perception/prior experience, and trustworthiness. Conclusions: Public and private hospitals have played a complementary role in serving the health needs of different patient population segments in the study district. Keywords: Nepal; private hospital; public hospital; reasons for use; users profile.


1970 ◽  
Vol 6 (4) ◽  
pp. 44-48 ◽  
Author(s):  
Saman Waqar ◽  
Saima Hamid

BACKGROUND: Job satisfaction is an important factor for retention of health workers within organization. Multiple factors have influenced the job satisfaction among nurses working in the public sector hospitals of Pakistan. This study was conducted to quantify and compare the levels of job satisfaction among nurses of tertiary care public and private hospitals. METHODS: A cross sectional comparative study was conducted in one Public and one Private hospital in Rawalpindi and Islamabad over the period of 6 months. The study included all nurses registered with Pakistan Nursing Council (PNC). Sampling was done by first acquiring the list of all the hospitals from Rawalpindi and Islamabad, 2 hospitals were then selected. Afterwards, the list of all the registered nurses was taken; sample size was determined by applying inclusion / exclusion criteria and by simple random technique by computer generated method. Data was analyzed by using SSS. RESULTS: Results showed that working conditions were more comfortable and working relations with male coworkers were friendlier in private hospital as compared to public hospitals. Satisfaction with the competence of senior nurses, and administrative support in service problems was also more in private hospital. Majority of public hospital nurses were satisfied with their profession because of manageable duty hours, pay and other benefits provided and administrative support in their domestic problems. On the other hand private hospital nurses were more satisfied with positive feedback of their performance, professional growth, and promotion system. CONCLUSION: There is a dire need to improve the conditions regarding working schedule, working environment and management support of nursing staff of hospitals in Pakistan.


2021 ◽  
Author(s):  
Maryam Darvishian ◽  
Maryam Sharafkhah ◽  
Zahra Mohammadi ◽  
Khosro Sadeghniiat-haghighi ◽  
Alireza Abdollahi ◽  
...  

Abstract BackgroundEstimating the prevalence of SARS-COV-2 antibody seropositivity among health care workers (HCWs) is crucial. In this study the seroprevalence of anti-SARS-COV-2 antibodies among HCWs of five hospitals of Tehran-Iran with high COVID-9 patient’s referrals was assessed.MethodsHCWs from public and private hospitals were included and were asked questions on their demographic characteristics, medical history, hospital role and usage of personal protective equipment (PPE). Seroprevalence was estimated on the basis of ELISA test results (IgG and IgM antibodies in blood samples) and adjusted for test performance.ResultsAmong the 2065 participants, 88.4% and 11.6% HCWs were recruited from the public and private hospitals, respectively. The overall test-performance adjusted seroprevalence estimate among HCWs was 22.6 (95% CI 20.2-25.1) and it was higher in private hospitals (37.0%; 95% CI 28.6-46.2) than public hospitals (20.7%; 95% CI 18.2-23.3). PPE usage was significantly higher among HCWs of public versus private hospitals (66.5% vs. 20.0%). Test-adjusted seroprevalence estimates were highest among assistant nurses and nurses, and lowest among janitor/superintendent categories. ConclusionsSeroprevalence of SARS-COV-2 among HCWs depends on hospital type, hospital department, and hospital role. The PPE usage was especially suboptimal among HCWs in private hospitals. Continued effort in access to adequate PPE is warranted.


Author(s):  
Bylon Abeeku Bamfo ◽  
Courage Simon Kofi Dogbe

Purpose The study aims to examine the factors influencing the choice of private and public hospitals in Ghana. Design/methodology/approach Purposive and convenient sampling techniques were used in selection of 225 respondents for the study. An independent samples t-test was used in ascertaining the significant difference in the opinions of both groups. Finally, binary logistics regression was used in ascertaining the factors that significantly influenced the choice of hospitals in Ghana. Findings In Ghana, patients’ choice of private or public hospital was significantly influenced by service quality, word-of-mouth, type of ailment and National Health Insurance Scheme (NHIS). Patients who made choice decision based on service quality were more likely to attend a private hospital. Word-of-mouth influenced the choice of public hospitals more than private hospitals. Patients preferred visiting public hospitals for more complicated ailments such as spinal defects, HIV/AIDS, heart-related problems, etc. Patients registered under the NHIS also preferred visiting public hospital to private hospital. Although services from private hospitals were more expensive, patients were more satisfied with services provided, as compared to patients from the public hospital. Cost of service and patient satisfaction, however, did not have a statistically significant effect on the choice of hospital. Originality/value Most comparative studies done on private and public hospitals studied in isolation focused on service quality, customer satisfaction, national health insurance and cost of health care or a combination of them. This study, however, considered all these selection criteria and extended it by adding word-of-mouth and the type of ailments suffered. The study, thus, provided a more comprehensive hospital selection criteria. The use of logistics regression in this particular area of study was also quite unique.


The rapid expansion of insurance coverage, without the development of infrastructure, will create demand that cannot be met by the existing healthcare system. The sudden increase in demand will disrupt the delivery of service, especially in public hospitals, which will influence service satisfaction levels. A preliminary study shows that satisfaction levels of BPJS Kesehatan patients are still low. The most frequent reasons cited for dissatisfaction are fairness issues such as different treatments and different processes and procedures. Studies have found that aside from evaluations of quality, fairness is indeed an important factor that influences satisfaction. Yet there are limited empirical researches on the effect of service fairness on service delivery, especially in the healthcare industry. This study addresses the question of whether there are direct relationships between three variables of fairness and customer satisfaction. In other words, are there different levels of perceived service fairness in private and public hospitals and, if so, does this have an impact on customer satisfaction? Using a descriptive quantitative method, this study was conducted on BPJS Kesehatan members who used 19 public and private hospitals in nine cities in Java, Indonesia. A six-point Likert scale questionnaire was designed and distributed. Four hundred and six samples collected were eligible for analysis using descriptive analysis and structural equation modelling using LISREL. The results show that there is a positive impact of the three variables regarding service fairness on customer satisfaction in public and private hospitals. However, the relationship between distributive fairness and customer satisfaction is not significant in public hospitals. This study strengthens the building evidence that service fairness, in addition to service quality, influences customer satisfaction, specifically in service delivery in the healthcare industry


Author(s):  
Mandisa Msomi ◽  
Lungile Preciouse Luthuli ◽  
Trywell Kalusopa

Hospitals are complex to operate, particularly in the implementation of electronic health records systems. The implementation and use of electronic health records (EHR) management in hospitals requires management to reinforce change and sustain results for good end results. The purpose of this chapter is to unveil tools used by public and private hospital management to reinforce change and sustain results in the implementation of electronic health records systems. Both public and private hospital are based in the eThekwini Municipality. The conceptual framework based on Kotter Leading Change Model was comprehensively discussed. The findings of the study revealed that there are no standard guidelines for both public and private hospitals in the implementation of EHR system in hospitals. Clarity regarding change management policies and procedures in the implementation of EHR system in both public and private hospitals is required. The study recommends that both public and private hospitals tools to reinforce change and sustain results in the implementation of electronic health records management need to be developed and officially documented.


2012 ◽  
Vol 2 (3) ◽  
pp. 46 ◽  
Author(s):  
Gaurav Singh ◽  
Ajay Singh ◽  
Shashi Singh

This paper analyses the perception of public and private hospital departmental heads and chief executives towards hospital management issues and compare their perceptions. A survey was conducted on private and public staff members. A total of 200 members formed the sample of which 100 belonged to public hospitals and 100 to private hospitals. The data were analysed with the help of t test analysis and the explanation of the responses of the respondents. The study reveals that there is no significant difference in the perceptions of heads towards the hospital management issues. It is also revealed that though there is no significant difference, yet private hospitals scores over public hospitals. Keywords: Public hospital, Private hospital, Departmental heads, Hospital Management


2016 ◽  
Vol 11 (2) ◽  
pp. 65-64 ◽  
Author(s):  
Neha Saxena ◽  
Himanshu Rai

The present study compares the organisational effect of compensation and benefits in public and private hospitals. It was observed that private hospital employees were more satisfied with their compensation and benefits as compared to the employees of government hospitals. Furthermore, the employees who were satisfied with their compensation and benefits were also found to be satisfied with their jobs. Abbreviations: HR – Human Resources.


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