scholarly journals Contributions of interpersonal conflict management on performance of government hospitals in Nigeria

2021 ◽  
Vol 12 (7) ◽  
pp. 1785-1807
Author(s):  
Kelechi Johnmary Ani ◽  
Chigozie Onu ◽  
Ijeoma Genevieve Anikelechi
Keyword(s):  
Conflict Management ◽  
Interpersonal Conflict ◽  
Hospital Staff ◽  
Mortality Rates ◽  
Working Environment ◽  
Teaching Hospitals ◽  
Collaborative Approach ◽  
Government Hospital ◽  
Government Hospitals ◽  
The Government

This study investigated the place of interpersonal conflict management on performance of government hospitals in Nigeria and specifically. The purpose is to ascertain how collaborative approach of interpersonal conflict management affect mortality rates reduction in government hospitals and investigate if avoidance technique in conflict management improves the working relationships in the government hospital within Nigeria. The study adopted survey research design and was conducted in National Hospital Abuja, and University of Nigeria Teaching Hospital (UNTH) Ituku/Ozalla, Enugu State, Nigeria. The study population is 1629, which includes all health professionals employed in selected public- owned teaching hospitals. A sample size of 312 was drawn from the population. The study used descriptive statistics (frequency, charts, tables and simple percentage) to calculate, analyse, show or summarize responses to the research questions. The hypotheses were tested using ordinal logistic regression. Findings showed that collaborative approach has significantly contributed in reducing mortality rates in government hospitals in Nigeria, and avoidance as a means of interpersonal conflict management helped improve the working relations of selected government hospital staff in Nigeria. The study recommended that they should be improved communication, and collaboration between management, clerks, nurses, doctors and workers representatives in running the affairs of the hospitals. Again, conflicting tendencies should always be avoided by workers for more efficient, peaceful, coordinated and minimal conflicts in working environment within the healthcare industry.

scholarly journals Assessment of antimicrobial use in private and government hospitals, a comparative study in central kerala, using who indicators

2021 ◽  
pp. 88-92
Author(s):  
Chinnu Roy ◽  
Shaji George ◽  
Aleena Issac ◽  
Arya Ponnappan ◽  
Dhanya Paul
Keyword(s):  
Broad Spectrum ◽  
Average Cost ◽  
Private Hospital ◽  
Antimicrobial Treatment ◽  
Antimicrobial Use ◽  
Government Hospital ◽  
Prescribing Pattern ◽  
Government Hospitals ◽  
The Government ◽  
Who Indicators

Background: Irrational use of antimicrobial can cause various unwanted and untoward events. It may diminish the quality of patient care, increase the cost of therapy, and involvement in various side effects. Thus, the appropriateness of antimicrobial use in hospitals plays a pivotal role in patient safety. Objective: To analyze and assess the prescribing pattern of antimicrobials in private and government hospitals as per the WHO indicators. Methodology: A prospective comparative observational study was carried out for 6 months, with the patient diagnosed with an infectious disease admitted to the medical ward of both the hospitals during the study period. The data obtained from the study sites were Compared and analyzed using WHO indicators described in WHO’s “How to Investigate Antimicrobial use in Hospitals: Selected Indicators, Feb 2012”. Results: The study involved 216 patients and the average number of antimicrobials prescribed was found to be 1.73 in a private hospital and 2.07 in the government hospital, average cost of antimicrobials was found to be 86.48 INR in private and 31.04 INR in the government hospital, average duration of antimicrobial treatment was 4.8 in private and 5.2 in the government hospital, and the percentage of antimicrobials prescribed in generic was 33.33% in private and 87.83% in the government hospital. Considering the spectrum of antibiotics, both private (94.7%) and government (88.8%) used broad-spectrum antimicrobials. In both hospitals, cephalosporins were the most frequently prescribed class of antimicrobials. Comparing the dosage of antimicrobials given, injection usage is at the highest in government (59.5%) as well as in the private hospital (68.4%). Conclusion: This study indicates that the average cost of antimicrobials was more in a private hospital than that in a government hospital and other indicators such as the number of antimicrobials per hospitalization, duration of antimicrobial treatment, and the percentage of generic antimicrobials prescribed were all found to be more in a government hospital. In both private and government hospitals broad-spectrum antimicrobials were widely used, with cephalosporin as the most prescribed class.

scholarly journals Research on the Construction of Precision Medical System Under the Background of Big Data-The Roles and Responsibilities of Government, Hospitals and Medical Workers

2021 ◽  
Vol 8 (2) ◽  
pp. 60-63
Author(s):  
Xin Wang ◽  
Lizhang Xu ◽  
Bin Liu ◽  
Fangxiang Zhang
Keyword(s):  
Big Data ◽  
Medical System ◽  
Main Body ◽  
Government Hospital ◽  
Medical Field ◽  
Main Research ◽  
Roles And Responsibilities ◽  
Government Hospitals ◽  
The Government ◽  
Big Data Technology

This article explores the roles and responsibilities of government, hospital and medical workers in the construction of precision medical system under the background of big data, which provide reference advices for setting out big data-related policies by the government, promoting the applications of big data technology in the medical field by the hospital, and using big data technology to help improve the efficiency of clinical diagnosis and treatment or make precise medical practice by medical workers. The main research contents are followed. It presents some problems and countermeasures in setting out big data-related policies by the government. This article studies the work tips of hospitals, as the main body of the implementation of the responsibility and obligation, and how to use big data technology in application. Meanwhile, it tries to analyze the problems and difficulties which hospitals and medical workers need to pay attention to applying big data technology in precision medicine.

scholarly journals Effect of Deploying Biomedical Equipment Technician on the Functionality of Medical Equipment in the Government Hospitals of Rural Nepal

2021 ◽  
Author(s):  
Rita Thapa ◽  
Alison Yih ◽  
Ashish Chauhan ◽  
Salomi Poudel ◽  
Sagar Singh ◽  
...  
Keyword(s):  
Functional Status ◽  
Medical Devices ◽  
Medical Equipment ◽  
Healthcare Services ◽  
Working Environment ◽  
Health Staff ◽  
Biomedical Equipment ◽  
Government Hospitals ◽  
The Government ◽  
Rural Nepal

Abstract Background: Medical equipment plays a crucial role in the provision of quality healthcare services, despite this more than 50% of equipment in developing countries are non-functioning due to a lack of appropriate human resources to maintain. To address this problem some government hospitals of Nepal have deployed a mid-level technical cadre called 'Biomedical Equipment Technician' (BMET). This study aims to evaluate the effectiveness of deploying a BMET on the functionality of medical equipment in government hospitals of rural Nepal.Methods: We used a mixed-methods approach with a comparative research design. A comprehensive range of 2189 pieces of medical equipment at 22 hospitals with and without BMET were observed to assess their functional status. Medical equipment were stratified into 6 categories based on department and T-tests were conducted. We collected qualitative data from 9 BMETs, 22 medical superintendents, and 22 health staff using semi-structured interviews and focus-group discussions. Thematic content analysis was conducted to explore how the BMET's work was perceived.Findings: The quantity of non-functional devices in hospitals without BMETs was double that of hospitals with BMETs (14% and 7% respectively, p<0.005). Results were similar across all departments including General (16% versus 3%, p=0.056), Lab (15% versus 7%, p<0.005) and Operation Theater (14% versus 5%, p<0.005). Hospitals with BMETs had fewer overall non-functional devices requiring simple or advanced repair compared to hospitals without BMETs [3% versus 7% (p<0.005) simple; 4% versus 6% (p < 0.005) advanced]. In our qualitative analysis, we found that BMETs were highly appreciated by hospital staff. Hospital workers perceived that having a BMET on staff, rather than twice-yearly visits from central-level maintenance technicians, is an effective way to keep medical equipment functional. However, without a favorable working environment, the BMET alone cannot perform optimally. Conclusions: Having a BMET at a rural government hospital has a substantial positive effect on the functional status of medical devices at the hospital. BMETs should be deployed at all rural hospitals to increase the functionality of medical devices, thereby improving the working environment and quality of health services provided.

scholarly journals AN ANALYSIS ON THE POLICY IMPLEMENTATION OF ANTIBACTERIAL RESISTANCE CONTROL AT THE HOSPITAL

2018 ◽  
Vol 3 (2) ◽  
Author(s):  
Nani Indriana ◽  
Wiku Bakti. B Adisasmito
Keyword(s):  
Private Hospital ◽  
Control Program ◽  
Descriptive Study ◽  
Limited Resources ◽  
Red Cross ◽  
Antibiotics Resistance ◽  
Antibacterial Resistance ◽  
Government Hospital ◽  
Government Hospitals ◽  
The Government

Abstract. In order to control Antibacterial Resistance at the hospital in Indonesia, the Government of Indonesia established an Antibiotics Resistance Control Committee and issued a Regulation from the Ministry of Health, regulation no 8/2015 on an antibiotics resistance control program at the hospital. This is an investigation on the Antibacterial Resistance Control Program (ARCP) at the Hospital, which compares its implementation at a government hospital and a private hospital, Persahabatan Central General Hospital (CGH) and Bogor Indonesian Red Cross Hospital (BIRCH). This was a descriptive study with a qualitative analysis obtained through indepth interviews and documentary research. We discovered that the ARCP was implemented better at Persahabatan CGH compared to BIRCH. Problems include ineffective communication, limited resources, lack of an antibiotic guideline (at BIRCH), lack of coordination between organizations, lack of supervision from the government, and the lack of motivation to implement the policy. These issues can be solved by intensifying the socialization of the policy, conducting more workshops and trainings for private and government hospitals that has not received any, providing an incentive for them to implement the program, such as including ARC into hospital accreditation indicators, and clarifying the benefits of the program to the stakeholders. Abstrak. Salah satu upaya pengendalian resistensi antibiotika di Indonesia adalah pembentukan pembentukan Komite Pengendalian Resisten Antibiotika (KPRA) dan diterbitkannya Permenkes no. 8 Tahun 2015 tentang program pengendalian resistensi antibiotika (PPRA) di rumah sakit (RS). Penelitian ini bertujuan untuk menggali lebih dalam terhadap implementasi kebijakan PPRA di RS dibandingkan antara RS pemerintah dengan RS swasta yaitu RS Persahabatan dan RS PMI. Metode penelitian merupakan studi deskriptif dengan analisis kualitatif melalui wawancara mendalam dan telaah dokumen. Hasil penelitian menyimpulkan bahwa pelaksanaan PPRA di RS Pemerintah lebih baik dari RS Swasta. Saran yang diajukan adalah mempercepat peningkatan kesadaran akan pentingnya PPRA, terutama bagi RS.

scholarly journals The Suspected Child Abuse and Neglect (SCAN) Programme in Malaysia: From Inception to Present

2019 ◽  
Vol 11 (7) ◽  
pp. 148
Author(s):  
Rimah Melati Ab. Ghani ◽  
Azriman Rosman ◽  
Nor Asiah Muhamad
Keyword(s):  
Child Abuse ◽  
Child Abuse And Neglect ◽  
Well Being ◽  
Hospital Staff ◽  
Government Hospital ◽  
Abuse And Neglect ◽  
Supportive Service ◽  
The Government ◽  
The Many ◽  
Health And Well Being

Issues on child abuse are very critical considering the many incidents of abuse and violence against children. Experiencing abuse in childhood has lifelong impacts on the health and well-being of children, their families and communities. Suspected Child Abuse and Neglect (SCAN) service is centralised, multidisciplinary team management in the government hospital and serve as a supportive service or programme to children, families and hospital staff. This paper outlines the history and the SCAN service available in Malaysia.

scholarly journals Managing COVID-19 Pandemic in Teaching Hospitals: An Early Preparedness Setting

2021 ◽  
Vol 50 (4) ◽  
pp. 1165-1173
Author(s):  
Azmawati Mohammed Nawi ◽  
Azimatun Noor Aizuddin ◽  
Rozita Hod ◽  
Norfazilah Ahmad ◽  
Faiz Daud ◽  
...  
Keyword(s):  
Close Contact ◽  
Hospital Staff ◽  
World Health ◽  
Contact Tracing ◽  
Teaching Hospitals ◽  
Crisis Preparedness ◽  
The World ◽  
Government Hospitals ◽  
Health Organization ◽  
Early Establishment

The World Health Organization (WHO) declared the 2019-20 coronavirus disease (COVID-19) outbreak a pandemic on 11th of March 2020. The Ministry of Health, Malaysia has made preparations for the involvement of all government hospitals, including some teaching hospitals. This report elaborates and discusses the early establishment of the Hospital Canselor Tuanku Muhriz Crisis Preparedness and Response Centre (HCTM CPRC), highlighting how teaching hospitals function in handling the clinical and epidemiological management of COVID-19 among hospital staff. The setting comprises of four critical functions of the HCTM CPRC, namely case investigation, close contact tracing, surveillance for data reporting and risk communication. This report highlighted that a CPRC in teaching hospitals benefits not only the patients and the hospital administration but also all hospital staff, especially in managing COVID-19 pandemic emergency crisis.

scholarly journals Evaluating Barriers and Opportunities in Delivering High-Quality Oncology Care in a Resource-Limited Setting Using a Comprehensive Needs Assessment Tool

2018 ◽  
pp. 1-9
Author(s):  
Chika R. Nwachukwu ◽  
Omobola Mudasiru ◽  
Lynn Million ◽  
Shruti Sheth ◽  
Hope Qamoos ◽  
...  
Keyword(s):  
Palliative Care ◽  
Needs Assessment ◽  
Cancer Care ◽  
Assessment Tool ◽  
Hospital Staff ◽  
Teaching Hospitals ◽  
High Quality ◽  
Middle Income ◽  
Quality Cancer Care ◽  
Oncology Care

Purpose Despite recognition of both the growing cancer burden in low- and middle-income countries and the disproportionately high mortality rates in these settings, delivery of high-quality cancer care remains a challenge. The disparities in cancer care outcomes for many geographic regions result from barriers that are likely complex and understudied. This study describes the development and use of a streamlined needs assessment questionnaire (NAQ) to understand the barriers to providing quality cancer care, identifies areas for improvement, and formulates recommendations for implementation. Methods Using a comprehensive NAQ, in-depth interviews were conducted with 17 hospital staff involved in cancer care at two teaching hospitals in Nigeria. Data were analyzed using content analysis and organized into a framework with preset codes and emergent codes, where applicable. Results Data from the interviews were organized into six broad themes: staff, stuff, system, space, lack of palliative care, and provider bias, with key barriers within themes including: financial, infrastructural, lack of awareness, limited human capacity resources, lack of palliative care, and provider perspective on patient-related barriers to cancer care. Specific solutions based on ability to reasonably implement were subcategorized into short-, medium-, and long-term goals. Conclusion This study provides a framework for a streamlined initial needs assessment and a unique discussion on the barriers to high-quality oncology care that are prevalent in resource-constrained settings. We report the feasibility of collecting and organizing data using a streamlined NAQ and provide a thorough and in-depth understanding of the challenges in this setting. Knowledge gained from the assessments will inform steps to improve oncology cancer in these settings.

Relationship between Job Stress and Job Performance among Nurses Facing Covid-19 Virus in Zahedan Teaching Hospitals In 2021

2021 ◽  
Vol 15 (5) ◽  
pp. 1358-1360
Author(s):  
S. Sheikh ◽  
Z. Poudineh ◽  
ZAHRA Poudineh ◽  
A. Sshahbazi ◽  
Z. Abdi
Keyword(s):  
Job Performance ◽  
Job Stress ◽  
Significant Relationship ◽  
Hospital Staff ◽  
Teaching Hospitals ◽  
Occupational Performance ◽  
Inpatient Ward ◽  
Treatment Staff ◽  
Job Information ◽  
Infection Disease

Introduction: Coronavirus is an infection disease with respiratory symptoms and it is a virus that can be transmitted between humans as a mutated virus. Coronavirus-19 disease can lead to stress and anxiety among hospital staff. At present, one of the most important factors affected the occupational performance of the treatment staff and their ability to perform the overshadowed tasks effectively is Covid-19 disease. Therefore, this study was conducted to investigate the relationship between job stress and job performance of nurses in the covid-19 epidemic from the perspective of nurses in Zahedan teaching hospitals in 2021. Materials and Methods: This descriptive-analytical study was performed by available sampling method. Data were obtained using forms collected during three months in the inpatient ward of covid-19 in Zahedan teaching hospitals. The research samples were 235 nurses working in different wards of the hospital participated in this study and answered the three-part questionnaire containing demographic and job information, stress resulted by covid-19 and job performance. The collected data were statistically analyzed using SPSS software, version 20. There were used the descriptive and analytical statistics including frequency, mean, standard deviation and t test. Results: Most of the participants in this study were women (68%) under the age of 30 (59.4%). There is a significant relationship between the effect of Covid-19 on job stress and job performance. Thus, the effect of Covid-19 on job stress is direct, i.e. with the greater effect of Covid-19, the amount of stress increases by 39% ) p = 0.00, r = 0.39(. The effect of Covid-19 on the job performance was inversely so that with increasing the effect of Covid-19, job performance decreased by -20% (-r= 0.20, p=0.01). The findings showed there is a significant relationship between stress resulted by Covid-19 and the job performance. Discussion: The level of stress in nurses working in Covid-19-related wards in Zahedan teaching hospitals is moderate. It seems that paying attention to nurses' education to deal with critical situations similar to Covid-19 and increasing personal protective equipment can be effective in preventing nurses from developing stress and anxiety, and then their job performance will be improved. Keywords: Nurses, Covid-19, Job stress, Job performance

Sign in / Sign up

Export Citation Format

Share Document