The influence of patient-centeredness on patient safety perception among inpatients

Purpose This study investigated the influence of patient-centeredness on patient safety perception among inpatients, with particular focus on the relationships between subfactors of patient-centeredness and patient safety perception. Methods Data were collected from 122 inpatients in a university hospital from September 24 to October 8, 2019. Patient-centeredness was evaluated using the Patient-Centeredness Assessment Scale; patient safety perception was evaluated using the Korean version of the Patient Safety Perception Scale. Multiple linear regression analysis was conducted using SPSS for Windows 24.0. Results Average patient-centeredness score among inpatients was 77.14 ± 12.64 (range 0–100), and average patient safety perception score was 99.24 ± 15.90 (range 24–120). Patient-centeredness influenced patient safety perception (R2 = 70%, F = 27.75, p < .001). With respect to subfactors of patient safety perception, the medical team’s activities to ensure safety was affected by the general treatment process and overall evaluation of patient-centeredness (R2 = 54%, F = 13.14, p < .001); patient safety practice was influenced only by the general treatment process (R2 = 39%, F = 7.02, p < .001); and trust in the medical system was affected by nurses’ service, the general treatment process, and the hospital environment (R2 = 44%, F = 8.49, p < .001). Conclusions To enhance patient safety perception, strategies should seek to strengthen patient-centeredness and its related subfactors, particularly the general treatment process, the hospital environment, and nurses’ service.

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Green Human Resource Management dan Kinerja Lingkungan: Studi Kasus pada Rumah Sakit di Kota Palembang

Inovbiz: Jurnal Inovasi Bisnis ◽

10.35314/inovbiz.v8i2.1627 ◽

2020 ◽

Vol 8 (2) ◽

pp. 182

Author(s):

Muhammad Ichsan Hadjri ◽

Badia Perizade ◽

Zunaidah Zunaidah ◽

Wita Farla WK

Keyword(s):

Environmental Quality ◽

Environmental Performance ◽

Quality Index ◽

Manufacturing Industry ◽

Linear Regression Analysis ◽

Multiple Linear Regression Analysis ◽

Hospital Environment ◽

Bottom Line ◽

Recruitment And Selection ◽

Green Human Resource Management

Based on the Environmental Quality Index reported by the Ministry of Environment and Forestry of the Republic of Indonesia, in 2017 the Environmental Quality Index rank of South Sumatra slipped to rank 20 nationally, wherein the previous year was ranked 16. Environmental performance was one of the factors in Environmental Quality Index. Most of the previous research on environmental performance and GHRM was carried out in the manufacturing industry analysis units, while other industrial fields have not been studied much including hospitals. In fact, the hospital is one of the business sectors that is quite related to the environment. This study aims to analyze the effect of GHRM which consists of the variables Green Recruitment and Selection (GRS), Green Training (GTR), and Green Compensation (GCO) partially or jointly on the performance of the hospital environment in Palembang City. The Grand Theory which is used in this research is Ecocentrism Theory and Triple Bottom Line. The population in this study were hospital employees at government hospitals in Palembang, totalling 2,270 people. By using the Slovin formula and the stratified proportional random sampling method, the number of samples who became respondents in this study was 248 people. This research is processed by multiple linear regression analysis techniques. The results showed that GRS, GTR, and GCO partially had a significant effect on environmental performance in hospitals in Palembang City. The results also show that GRS, GTR, and GCO together also have a significant effect on environmental performance.

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Persepsi, Sikap dan Partisipasi Keluarga Pasien/Pengunjung dalam Menciptakan Kebersihan Lingkungan Rumah Sakit di Kabupaten Manokwari Provinsi Papua Barat

Cassowary ◽

10.30862/casssowary.cs.v4.i2.60 ◽

2021 ◽

Vol 4 (2) ◽

pp. 119-132

Author(s):

Jumriah ◽

Ihwan Tjolli ◽

Eko Agus Martanto

Keyword(s):

Regression Analysis ◽

Linear Regression ◽

Formal Education ◽

Linear Regression Analysis ◽

Total Sample ◽

Multiple Linear Regression Analysis ◽

Hospital Environment ◽

Papua Barat ◽

Descriptive Method ◽

Length Of Visit

This study aims to determine the perceptions, attitudes and expectations of the patient /visitor's family in creating a clean hospital environment and to analyze the factors that influence the participation of the patient's or visitor's family in creating a clean hospital environment. The method used in this research is descriptive method with a quantitative approach. The number of samples taken was 19 samples at each hospital, so the total sample of the study was 38 samples. Data collection was done by means of interviews, observation, and documentation. The results showed that most of the visitors' perceptions of the hospital stated that: (1) hygiene problems are things that must be prioritized and are still being improved, (2) the attitude of the visitors is that most of them agree and support all forms of efforts carried out in the context of hygiene management. hospital environment, (c) the level of visitor participation is mostly in the high category related to the cleanliness of the hospital environment. (4) The results of multiple linear regression analysis show that the variables of formal education, counseling, age and length of visit together have an effect on the level of participation in the cleanliness of the hospital environment. The results of the partial relationship test show that formal education and extension variables have a significant effect on the level of participation. The variables of age and length of visit did not affect the level of participation in the cleanliness of the hospital environment.

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COVID-19 Pandemic: Effect of Different Face Masks on Self-Perceived Dry Mouth and Halitosis

International Journal of Environmental Research and Public Health ◽

10.3390/ijerph18179180 ◽

2021 ◽

Vol 18 (17) ◽

pp. 9180

Author(s):

Philipp Kanzow ◽

Viktoria Dylla ◽

Alannah Malina Mahler ◽

Valentina Hrasky ◽

Tina Rödig ◽

...

Keyword(s):

Linear Regression Analysis ◽

Multiple Linear Regression Analysis ◽

University Hospital ◽

Dry Mouth ◽

Rank Test ◽

Potential Health ◽

Signed Rank ◽

Surgical Masks ◽

Health Related ◽

Signed Rank Test

Due to the COVID-19 pandemic, the use of face masks has increased, resulting in potential health-related side-effects. Therefore, the study aimed to analyse the effect of wearing face masks on self-perceived dry mouth and halitosis. A questionnaire addressing the daily wearing time of different face masks (community masks, surgical/medical masks and KN95-/N95-/FFP2-masks) and self-perceived dry mouth and halitosis was given to adults attending or working at a university hospital. Statistical analysis was performed using Wilcoxon signed-rank test and multiple linear regression analysis (p < 0.05). 3750 participants (age: 50.4 ± 15.5 years; 60.0% female) were included. During the pandemic, face masks were used for 4.7 ± 3.8 h per day: community masks: 0.9 ± 2.0 h, medical/surgical masks: 1.9 ± 2.8 h and KN95-/N95-/FFP2-masks: 1.9 ± 2.5 h per day. The use of face masks significantly increased self-perceived dry mouth and halitosis (both p < 0.001). Self-perceived dry mouth and halitosis increased with increasing wearing time (community masks: dry mouth: p < 0.001, halitosis: p = 0.014; medical/surgical masks: both: p < 0.001; KN95-/N95-/FFP2-masks: dry mouth: p < 0.001, halitosis: p = 0.011). The perception of dry mouth and halitosis was increased in females compared to males (both: p < 0.001). Participants used to wearing face masks prior to the pandemic perceived dry mouth to a higher extent (p = 0.043). Self-perceived halitosis was lower in older than in younger participants (p < 0.001). Due to the increased perception of dry mouth and halitosis, people might abstain from wearing face masks. Further studies need to analyse measurable changes in dry mouth or halitosis.

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PENGARUH PENEMPATAN KERJA DAN MUTASI TERHADAP KINERJA PEGAWAI RUMAH SAKIT UNIVERSITAS ANDALAS PADANG

Jurnal Menara Ekonomi : Penelitian dan Kajian Ilmiah Bidang Ekonomi ◽

10.31869/me.v6i2.1847 ◽

2020 ◽

Vol 6 (2) ◽

Author(s):

Yaumil Khairiyyah ◽

Febriani Febriani ◽

Budi Yanti

Keyword(s):

Linear Regression ◽

Multiple Linear Regression ◽

Employee Performance ◽

Linear Regression Analysis ◽

Sampling Technique ◽

Multiple Linear Regression Analysis ◽

Job Placement ◽

University Hospital ◽

Coefficient Of Determination ◽

Work Placement

Abstract: This study aims to determine the effect of work placement and mutation on the performance of Andalas University Hospital Padang staff. The research method used is quantitative. The sampling technique used was saturated sampling, so the sample in the study was 139 respondents. Data analysis techniques used are multiple linear regression, t test, F test and coefficient of determination. The level of performance provided by employees to the Andalas University Hospital in the form of growth and development of the Andalas University Hospital from year to year shows good performance in terms of the building and spatial planning and the addition of patient beds. Along with the addition of supporting facilities and services must be balanced with the provision of competent Human Resources (HR) through job placement and mutations given to employees. Based on multiple linear regression analysis found that Y = 15,424 + 0,391 X1 + 0,600 X2 + e. Based on the results of research on work placement and mutation partially positive and significant effect on the performance of Andalas University Hospital Padang staff. Based on the simultaneous test results it is known that work placement and mutation together have a significant effect on the performance of Andalas University Hospital Padang employees, while the coefficient of determination results obtained Adjusted RSquare of 29%. Keywords: Job Placement, Mutation and Employee Performance

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Rationale and Technique for Measuring Abdominal Wall Tension in Hernia Repair

The American Surgeon ◽

10.1177/000313481808400947 ◽

2018 ◽

Vol 84 (9) ◽

pp. 1446-1449 ◽

Cited By ~ 1

Author(s):

William W. Hope ◽

Zachary F. Williams ◽

James W. Rawles ◽

W. Borden Hooks ◽

Thomas V. Clancy ◽

...

Keyword(s):

Hernia Repair ◽

Abdominal Wall ◽

Linear Regression Analysis ◽

Prospective Trial ◽

Multiple Linear Regression Analysis ◽

Wall Tension ◽

Hernia Surgery ◽

Hernia Defect ◽

Institutional Review ◽

Average Patient

We describe a method to measure abdominal wall tension during hernia surgery and evaluate a possible correlation between hernia defect width and abdominal wall tension. After Institutional Review Board approval and informed consent, a prospective trial to measure intra-abdominal tension was undertaken (May 2013 through March 2017). Tension measurements were obtained using tensiometers. Total tension, hernia defect width, and surgeon's estimation of tension were recorded. Correlation between defect width and total abdominal wall tension was assessed using multivariate analysis and a multiple linear regression analysis. An r-squared value > 0.6 was considered significant. Fifty-nine patients underwent hernia repair with concomitant tension measurements obtained at surgery. The average patient age was 61 years (range 29–81 years), 85 per cent were white, and 56 per cent female. The average total tension was 6.7 pounds (range 0.2–22 pounds) and average defect width was 8.6 cm (range 2–25 cm). The surgeon rated the fascia to be excellent in 15 per cent, good in 58 per cent, and fair in 27 per cent. The average estimation of tension by the surgeon was 5 pounds (range 2–10 pounds). We found no correlation between hernia defect size and total abdominal wall tension and no correlation between the surgeon-estimated tension and objectively measured tension. We found no correlation between the width of the hernia defect and tension associated with approximating the midline. Further study regarding the practicality and usefulness of abdominal wall tension measurements during hernia surgery is needed.

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Effects of Just Culture and Empowerment on Patient Safety Activities of Hospital Nurses

Healthcare ◽

10.3390/healthcare9101324 ◽

2021 ◽

Vol 9 (10) ◽

pp. 1324

Author(s):

Bo Bae Kim ◽

Soyoung Yu

Keyword(s):

Patient Safety ◽

Linear Regression Analysis ◽

Multiple Linear Regression Analysis ◽

Cross Sectional Study ◽

Self Report ◽

Hospital Nurses ◽

Cross Sectional ◽

Factors Affecting ◽

Just Culture ◽

Nurses Perceptions

This study investigated the relationship among hospital nurses’ perceptions of a just culture, empowerment, and patient safety activities. It also determined the factors affecting the patient safety activities of nurses. This cross-sectional study included 189 nurses from four hospitals in South Korea. The survey was conducted from October to December 2019 using self-report questionnaires including items on socio-demographic characteristics, just culture, empowerment, and patient safety activities. Data were analyzed using descriptive statistics, t-test, ANOVA, Pearson’s correlation coefficient, and multiple linear regression analysis with SPSS/WIN 25.0. Patient safety activities correlated positively with just culture (r = 0.369, p < 0.000) and empowerment (r = 0.38, p < 0.000). Additionally, empowerment (β = 0.213, p = 0.001) and just culture (β = 0.442, p < 0.000) had statistically significant effects on patient safety activities and explained about 19.5% of the variance in patient safety activities (F = 16.170, p < 0.001). The patient safety at medical institutions can be improved by cultivating a work environment that embraces a just culture and empowers nurses.

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Nurses' exposure to verbal abuse at a university hospital in Crete, Greece

Nursing Practice Today ◽

10.18502/npt.v9i1.7334 ◽

2021 ◽

Author(s):

Nikos Rikos ◽

Demetra Telli ◽

Athanasia Hatzinikolaou ◽

Demetra Mantikou ◽

Michael Rovithis ◽

...

Keyword(s):

Regression Analysis ◽

Linear Regression ◽

Multiple Linear Regression ◽

Linear Regression Analysis ◽

Multiple Linear Regression Analysis ◽

Mean Value ◽

Verbal Abuse ◽

University Hospital ◽

The Mean ◽

Almost All

Background & Aim: The current study aimed to investigate workplace bullying, specifically verbal abuse of working nurses, and its consequences on the physical and psychological levels. Methods & Materials: A cross-sectional study was designed and implemented in 151 nurses working at a university hospital. The survey was conducted in 2018 at a university hospital in Greece, and the Verbal Abuse Scale (G-AVQ v.0/2015) was used to assess the verbal abuse level. Multiple linear regression analysis was applied, and distributions were tested for their symmetry using Blom's method (QQ plot). Results: 88.1% were women as the mean age of all was 41.7 years and 16.1 years the mean length of employment. Almost all nurses (94.7%) reported experiencing verbal abuse, as 77.6% reported that the perpetrator was a patient's relative (p<0.05). Among cognitive assessment, coping, severity of effects, and strength of feeling, coping had the highest mean value the highest mean value, while severity of effects had the lowest (2.52 vs. 1.83, p<0.05). Multiple linear regression analysis showed that frequency of verbal abuse type has a significant correlation with higher coping (β=0.28, p=0.007) and strength of feeling values (β=0.29, p=0.010). Similarly, the severity of verbal abuse type has a significant correlation with higher strength of feeling values (β=0.30, p=0.014). Conclusion: Almost all the nurses reported experiencing verbal abuse as the 'patients' relatives were the main perpetrators. Although the nurses seem to cope with verbal abuse successfully, this fact is described as stressful. Moreover, the frequency, severity of verbal abuse, and consequences are correlated to the emotions that arise from it.

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Resiliência e capacidade para o trabalho em trabalhadores de enfermagem [Resilience and work ability in nursing workers] [Resiliencia y capacidad laboral en trabajadores de enfermería]

Revista Enfermagem UERJ ◽

10.12957/reuerj.2019.45731 ◽

2019 ◽

Vol 27 ◽

pp. e45731

Author(s):

Silmar Maria Silva ◽

Fabio Jose Silva ◽

Patricia Campos Pavan Baptista ◽

Mirian Cristina dos Santos Almeida ◽

Maria Carmen Martinez ◽

...

Keyword(s):

Work Ability ◽

Linear Regression Analysis ◽

Multiple Linear Regression Analysis ◽

Sao Paulo ◽

University Hospital ◽

São Paulo ◽

Work Ability Index ◽

Cross Sectional ◽

Resilience Scale ◽

Ability Index

Objetivo: verificar a associação da resiliência com a capacidade para o trabalho em trabalhadores de enfermagem. Método: estudo transversal realizado com 375 trabalhadores de enfermagem de um hospital universitário, na cidade de São Paulo, Brasil, por meio de três instrumentos autoaplicáveis: um para caracterização sociodemográfica e profissional, a Escala de Resiliência e o Índice de Capacidade para o Trabalho. Os dados foram analisados por meio de regressão linear múltipla. O projeto foi aprovado por Comitê de Ética em Pesquisa da instituição. Resultados: Entre os trabalhadores participantes, 15,2% apresentaram baixa resiliência e 30,4% mostraram capacidade para o trabalho comprometida. Quanto maior o escore do Índice de Capacidade para o Trabalho, maior a pontuação da Escala de Resiliência (b=0,722; p<0,001). Conclusão: a resiliência foi associada de forma positiva à capacidade para o trabalho.ABSTRACTObjective: to verify the association of resilience with work ability in nursing workers. Method: cross-sectional study carried out with 375 nursing workers from a university hospital in the city of São Paulo, Brazil, using three self-applicable instruments: one for sociodemographic and professional characterization, the Resilience Scale and the Work Ability Index. Data were analyzed using multiple linear regression analysis. The research project was approved by the Institution’s Research Ethics Committee. Results: Among participants workers, 15.2% showed low resilience and 30.4% have some level of impaired work ability. The higher the Work Ability Index score, the higher the Resilience Scale score (b=0.722; p<0.001). Conclusion: resilience was positively associated with the work ability.RESUMENObjetivo: verificar la asociación de resiliencia con capacidad laboral en trabajadores de enfermería. Método: estudio transversal realizado con 375 trabajadores de enfermería de un hospital universitario en la ciudad de São Paulo, Brasil, utilizando tres instrumentos auto-aplicables: uno para caracterización sociodemográfica y profesional, la Escala de Resiliencia y el Índice de Capacidad Laboral. Los datos se analizaron mediante análisis de regresión lineal múltiple. El proyecto de investigación fue aprobado por el Comité de Ética de Investigación de la Institución. Resultados: Entre los trabajadores participantes, el 15.2% mostró baja capacidad de recuperación y el 30.4% tiene algún nivel de capacidad laboral deteriorada. Cuanto más alto sea el puntaje del Índice de Habilidad de Trabajo, más alto será el puntaje de la Escala de Resiliencia ( = 0.722; p <0.001). Conclusión: la resiliencia se asoció positivamente con la capacidad de trabajo.

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Reduced serum immunoglobulin G concentrations in multiple sclerosis: prevalence and association with disease-modifying therapy and disease course

Therapeutic Advances in Neurological Disorders ◽

10.1177/1756286419878340 ◽

2019 ◽

Vol 12 ◽

pp. 175628641987834 ◽

Cited By ~ 6

Author(s):

Greta Zoehner ◽

Andrei Miclea ◽

Anke Salmen ◽

Nicole Kamber ◽

Lara Diem ◽

...

Keyword(s):

Multiple Sclerosis ◽

Linear Regression Analysis ◽

Multiple Linear Regression Analysis ◽

Cross Sectional Study ◽

University Hospital ◽

Disease Course ◽

Cross Sectional ◽

Cell Therapies ◽

Serum Igg ◽

Disease Modifying

Background: In multiple sclerosis (MS), the frequency of hypogammaglobulinemia is unknown. We aimed to evaluate the frequency of reduced immunoglobulin (Ig) concentrations and its association with immunotherapy and disease course in two independent MS cohorts. Methods: In our retrospective cross-sectional study, MS patients and control patients with head or neck pain from Bern University Hospital (Bern, Switzerland) and Eginition University Hospital (Athens, Greece) were included. The lower limits of normal (LLN) for serum Ig concentration were IgG < 700 mg/dl, IgM < 40 mg/dl, and IgA < 70 mg/dl. Mann–Whitney U test, analysis of variance test, and multiple linear regression analysis were employed. Results: In total, 327 MS patients were retrospectively identified (Bern/Athens: n = 226/101). Serum IgG concentrations were frequently under LLN in both MS cohorts (Bern/Athens: 15.5%/14.9%), even when considering only untreated patients (Bern/Athens: 7.9%/8.6%). MS patients ( n = 327) were significantly more likely to have IgG concentrations below LLN and below 600 mg/dl in comparison with controls ( n = 58) ( p = 0.015 and 0.047, respectively). Between both patient groups, no significant differences were found in frequencies of IgA and IgM concentrations under LLN [ n (MS patients/controls): IgA 203/30, IgM 224/24]. Independently of age, secondary progressive MS patients had lower IgG concentrations than relapsing–remitting and primary progressive patients (both: p ⩽ 0.01). After adjusting for sex, age, and disease course, IgG concentrations were lower in patients treated with rituximab ( p = 0.001; n = 42/327), intravenous corticosteroids ( p < 0.001; n = 16/327), natalizumab ( p < 0.001; n = 48/327), and fingolimod ( p = 0.003; n = 6/327). Conclusion: Our study demonstrated high prevalence rates of reduced serum IgG concentrations in MS patients with and without disease-modifying treatments. The significance of lower IgG concentrations at the levels noted is unclear considering that infections or interference with antibody production generally occur when IgG levels are much lower, at or below 400 mg/dl. However, the information is useful to monitor IgG levels especially with anti-B-cell therapies and consider IgG substitution when levels drop below 400 mg/dl.

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Prevalence and Antimicrobial Resistance of Klebsiella Strains Isolated from a County Hospital in Romania

Antibiotics ◽

10.3390/antibiotics10070868 ◽

2021 ◽

Vol 10 (7) ◽

pp. 868

Author(s):

Alice Elena Ghenea ◽

Ramona Cioboată ◽

Andrei Ioan Drocaş ◽

Eugen Nicolae Țieranu ◽

Corina Maria Vasile ◽

...

Keyword(s):

Antibiotic Resistance ◽

Antimicrobial Agents ◽

Linear Regression Analysis ◽

Multiple Linear Regression Analysis ◽

Antibiotic Consumption ◽

Resistance Mechanisms ◽

Hospital Environment ◽

Amoxicillin Clavulanate ◽

Medical Wards ◽

Klebsiella Spp

The study evaluated the evolution of the incidence of infections with Klebsiella in the County Clinical Emergency Hospital of Craiova (SCJUC), Romania. Also, we monitored antibiotic resistance over more than two years and detected changes in resistance to various antimicrobial agents. Our study included 2062 patients (823 women and 1239 men) hospitalised in SCJUC during the period 1st of September 2017 to 30 June 2019. In 458 patients (22.21%) from the 2062 total patients, the collected samples (1116) were positive and from those, we isolated 251 strains of Klebsiella spp. We conducted a longitudinal analysis of the prevalence of Klebsiella spp. over calendar months, which showed a prevalence in surgical wards that ranged between 5.25% and 19.49% in June 2018, while in medical wards the variation was much wider, between 5.15% and 17.36% in April 2018. Klebsiella spp. strains showed significant resistance to Amoxicillin/Clavulanate, Aztreonam and Cephalosporins such as Ceftriaxone, Ceftazidime and Cefepime. We examined the possible link with the consumption of antibiotics in the same month by performing a multiple linear regression analysis. The evolution of antibiotic resistance in Klebsiella was correlated with the variation of resistance in other bacteria, which suggests common resistance mechanisms in the hospital environment. By performing the regression for dependency between antibiotic resistance and antibiotic consumption, we observed some correlations between antibiotic consumption and the development of antibiotic resistance after 1, 2 and even 3 months (e.g., resistance to meropenem was influenced by the consumption in the hospital ward of imipenem 1 month and two months before, but only 1 month before by the consumption of meropenem). The clustering of strains showed filiation between multiresistant Klebsiella spp. strains isolated from specific patients from the ICU. The evolution of prevalence and antibiotic resistance in Klebsiella correlated with the resistance in other bacteria, which suggest common resistance mechanisms in the hospital environment, and also with the consumption of antibiotics.

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