Modeling a reliable and valid framework for building and measuring the health system workforce’s competence to lead, manage and govern in Ethiopia: Factor analysis approach

2020 ◽  
Author(s):  
Yeshambel Agumas Ambelie ◽  
Getu Degu Alene ◽  
Damen Hailemariam Gebrekiros
Keyword(s):  
Factor Analysis ◽  
Health System ◽  
Reliability And Validity ◽  
Northwest Ethiopia ◽  
Cross Sectional Survey ◽  
Latent Factors ◽  
Cross Sectional ◽  
System Building ◽  
Average Variance ◽  
Composite Reliability

Abstract The purpose of this study was to model a reliable and valid framework for building and measuring health system workforce’s competence to lead, manage and govern. A cross-sectional survey was conducted in three zones of Amhara regional state, northwest Ethiopia. Eight-hundred-thirteen participants were recruited from 32 health facilities. The data were collected using a structured self-rated questionnaire that comprised 26, five-point Likert scale, items. Data analysis techniques such as factor analysis, composite reliability and average variance extraction were applied. Factor analysis was unlocked to assemble the relationship among latent factors extracted, items rated and error variances observed. Latent factors were extracted using Eigenvalue greater than 1 as a cut of point. To make latent factors more meaningful, they were labeled considering the contents of the items clustered within them. Meanwhile, a framework for building and measuring competence to lead, manage and govern was modeled by assembling latent factors labeled, items rated and error variances observed. Reliability and validity of the framework were tested using composite reliability and average variance extraction analyses respectively. Four-factor framework for building and measuring the health system workforce’s competence to lead, manage and govern was modeled. The four latent factors extracted were labeled as compliance with principles, strategic sensitivity, system building, and contextual thoughtfulness. These factors explained 68.434% of the total variability. Composite reliability and average variance extraction for all factors were .807 and greater, and .512 and greater, respectively. Compliance with principles, strategic sensitivity, system building, and contextual thoughtfulness are dimensions that affect competence to lead, manage and govern, which, in turn, influence the health system performance and health outcomes. This model has implications for training, evaluation, and research.

scholarly journals Scale Development and Validation for Psychological Reactance to Health Promotion Messages

2020 ◽  
Vol 12 (14) ◽  
pp. 5816 ◽  
Author(s):  
Hyo Jung Kim ◽  
Hyunmin Lee ◽  
Hyehyun Hong
Keyword(s):  
Health Promotion ◽  
Factor Analysis ◽  
Undergraduate Students ◽  
Item Analysis ◽  
Age Groups ◽  
Reliability And Validity ◽  
Psychological Reactance ◽  
Adverse Outcomes ◽  
Cross Sectional Survey ◽  
Cross Sectional

According to the psychological reactance theory, psychological reactance is strongly associated with many adverse outcomes of health promotion messages. This is particularly pertinent when health messages are targeting young adults, as they resist freedom-threatening messages compared to other age groups. However, previous reactance measures either relied on the open-ended thought-listing procedure, or incorporated both antecedents as well as consequences of reactance and state reactance. This study aimed to develop and validate a comprehensive scale to measure the state of psychological reactance specifically toward health promotion messages. To this end, this study was situated in the context of an anti-binge drinking intervention targeting college students. A cross-sectional survey was conducted with 203 Singaporean undergraduate students. The dataset was analyzed by exploratory factor analysis, confirmatory factor analysis, and item analysis. The final 27 items were loaded on eight factors (anger, exaggeration, design derogation, authoritative tone, ineffectiveness, know-it-all attitude, jadedness, and source motive) that accounted for 78.53% of the variance. Each factor showed satisfactory reliability and validity (discriminant, convergent, and predictive). This study specified cognitive reactions by multiple dimensions and examined how they are intertwined with the affective dimension, which is represented by anger. The scale proposed herein will help researchers and practitioners develop sustainable health interventions.

scholarly journals Capacity and predictors to perform integrated leading, managing and governing practices for results among the health system workforce: cross-sectional survey

2019 ◽  
Author(s):  
Yeshambel Agumas Ambelie ◽  
Getu Degu Alene ◽  
Damen Hailemariam Gebrekiros
Keyword(s):  
Health System ◽  
High Capacity ◽  
Measurement Model ◽  
Cross Sectional Study ◽  
Northwest Ethiopia ◽  
Large Sample Size ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Middle Income ◽  
Ordinal Logistic Regression Analysis

Abstract Introduction: Observing over-led and under-managed, over-managed and under-governed, and even out of these health organizations remains a common phenomenon in low and middle-income countries. Objective: To determine the capacity and predictors to perform integrated leading, managing and governing practices for results among the health system workforce.Methods: A cross-sectional study, from December to January 2018, was carried out in northwest Ethiopia. Eight hundred thirteen health facility employees were selected to rate her/his respective staff’s capacity on performing integrated leading, managing and governing practices for results. The capacity with 95% CI was computed from 20 items loaded in a four-factor measurement model and leveled into four ordinal categories. Moreover, predictors of this capacity were identified by conducting ordinal logistic regression analysis.Results: From 813 participants, 396 (48.7%) and 582 (71.6%) were females and service owners respectively. The magnitude estimates for the low, moderate, high and very high capacity levels with 95% CI were 41.3% (37.8, 44.6); 42.7% (39.5, 46.0); 13.5% (11.2, 15.9) and 2.5% (1.5, 3.7), respectively. Sex (p = .031) and responsibility (p = .019) were identified as the main predictors.Conclusions: The capacity to perform integrated leading, managing and governing practices for results among the health system workforce in northwest Ethiopia is inadequate. Sex and responsibility are identified as the main statistically significant predictors. The policymakers, program planners and researchers need to take action giving due attention to females and service owners. Feature research could be conducted considering hierarchical variables, mixed design, and large sample size.

scholarly journals Satisfaction and needs of pharmacists in prescription-checking training: a cross-sectional survey

2020 ◽  
Vol 48 (11) ◽  
pp. 030006052096581
Author(s):  
Wei Cheng ◽  
Chen Wang ◽  
Jing Ma ◽  
Wen Ji ◽  
Xiangli Yang ◽  
...  
Keyword(s):  
Factor Analysis ◽  
Exploratory Factor Analysis ◽  
Teaching Method ◽  
Reliability And Validity ◽  
Clinical Expertise ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Face To Face ◽  
Medical Institutions ◽  
Training Organization

Objective Prescription checking is becoming increasingly prevalent in medical institutions. However, the prescription-checking ability of pharmacists requires improvement. The study aim was to explore the main aspects of prescription-checking training and provide an empirical reference for the training of pharmacists in medical institutions. Methods Participants were pharmacists willing to complete a Likert questionnaire. Descriptive statistics were used to examine percentages and composition ratios. The chi-square test and exploratory factor analysis were used for inferential analysis. Results The questionnaire showed good internal consistency reliability and validity. A total of 90% of participants were satisfied with the training. Exploratory factor analysis extracted three satisfaction dimensions: training organization, teaching method, and knowledge consolidation and assessment. The average examination score for the 20 courses was 89.21/100. Regarding trainee needs, 94.66% preferred face-to-face lectures, 89.33% expected high professional skills of the lecturers and 62.67% believed that clinical expertise was highly desirable. Conclusions There was a high demand for prescription-checking training among pharmacists. Trainees in this study showed high satisfaction. The most important aspects of prescription-checking training were training organization and knowledge consolidation and assessment. It is recommended that training should be stratified. Pharmacists preferred face-to-face and interactive lectures as a supplement to clinical knowledge.

Service Quality Of Industrial Parks In The View Of Foreign Direct Investment Firms

2019 ◽  
Vol 118 (11) ◽  
pp. 552-562
Author(s):  
Nguyen Thi Ngan ◽  
Bui Huy Khoi
Keyword(s):  
Foreign Direct Investment ◽  
Service Quality ◽  
Direct Investment ◽  
Reliability And Validity ◽  
Quantitative Model ◽  
Industrial Park ◽  
Industrial Parks ◽  
Average Variance ◽  
Composite Reliability

This research aims to assess the service quality of industrial parks (IP) in the view of FDI (foreign direct investment) firms in Vietnam. Data was collected from 270 FDI firms in Vietnam - Singapore Industrial Parks (VSIP) in Vietnam. The proposed research model was based on researches on service quality. Cronbach's Alpha Average Variance Extracted (Pvc),rho (ρA), and Composite Reliability (Pc) tested the reliability and validity of the scale. The analysis results showed that four factors were affecting the servicequality of industrial park in Vietnam being tangibleof VSIP, reliability of VSIP, the empathyof FDI investors, and their assurance. The responsivenessof VSIP did not affect the servicequality of the industrial park. Contents of the article focus on two main issues: the analysis framework of the quantitative model and implicating results todevelop the industrial park services. The limitation of the research was only in VSIP in Vietnam.

Using Adanco Software To Examine The Intention To Use Coffee. Evidence From Vietnam

2019 ◽  
Vol 118 (10) ◽  
pp. 216-223
Author(s):  
Nguyen Thi Ngan ◽  
Bui Huy Khoi
Keyword(s):  
Survey Data ◽  
Behavioral Intention ◽  
Reliability And Validity ◽  
Ho Chi Minh City ◽  
Intention To Use ◽  
Research Model ◽  
Cronbach’S Alpha ◽  
Cronbach's Alpha ◽  
Average Variance ◽  
Composite Reliability

The purpose of the paper was to investigate the factors that influenced the intention to use coffee by using Adanco software. Survey data was collected from 284 consumers living in Ho Chi Minh City, Vietnam. The research model was proposed from the studies of the behavioral intention. The reliability and validity of the scale were tested by Cronbach's Alpha, Average Variance Extracted (Pvc) and Composite Reliability (Pc). PLS-SEM showed that intention to use coffee was affected by some components of the intention to use coffee.

Evaluating the readiness of mobile technology in Saudi Arabia: An Integrative Perspective with respect to e-health (Preprint)

2020 ◽  
Author(s):  
Fahad Alanezi
Keyword(s):  
Saudi Arabia ◽  
Health System ◽  
Mobile Phones ◽  
Personal Data ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Health Apps ◽  
History Of ◽  
Vision 2030 ◽  
Awareness Programs

UNSTRUCTURED E-health system is emerging and providing health services and solutions through different electronic gadgets. Saudi Arabia has launched a program called Saudi Arabia vision 2030, in which providing state-of-the-art health facilities to their citizen is of topmost priority. After all the efforts, the residents of Saudi Arabia are still reluctant for the adaptation of e-health system. The current study was conducted to evaluate the obstacle in adoption of the e-health system through the mobile phones. The current study was cross-sectional survey and was conducted by developing a self-administered structured questionnaire asking the utilization of mobile phone in state of health emergency prior to ask any medical history. Majority of the participants was married and doing jobs in different firms and have their personal mobile phones (p = 0.100, > 0.05) which indicates easily access to the e-health apps. The majority of the participants suffers from either obesity or high blood pressure (p = 0.018, < 0.05) regardless of either history of mental disorder or other family history of mental diseases. The pattern of diseases with mental disorders correlate well with adoption of e-health in government policies. The obstacles in adopting e-health includes fear of the loss of personal data and information (p = 0.0401, < 0.05). Moreover, they did not trust on online medications as the doctor cannot prescribe medicines without seeing physical health of the patient. The current study concluded that by making improvement in policies and proper commercializing the e-health apps together with awareness programs can boast the adoption of e-health in Saudi Arabia.

scholarly journals Vaccination knowledge, attitudes and practices in patients with HIV: a cross-sectional survey

2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
S Rousset ◽  
G Voglino ◽  
E Boietti ◽  
A Corradi ◽  
M R Gualano ◽  
...  
Keyword(s):  
Public Health ◽  
Infectious Diseases ◽  
Health System ◽  
Vaccination Coverage ◽  
Public Health System ◽  
Cross Sectional Survey ◽  
Hiv Patients ◽  
Cross Sectional ◽  
Contagion Risk ◽  
High Level

Abstract Background Infectious diseases are more common and severe in patients with HIV, which show different response to vaccines and a diminished protection. It is therefore very important to assess knowledge and attitudes towards vaccination in people with HIV, since precise vaccination coverage and vaccine hesitancy are not well established in this subgroup of patients. Methods A sample of 119 patients with HIV completed a cross-sectional survey. Patients were recruited during their routine medical examination at the infectious diseases clinic in Turin. The survey explored these main areas: demographics and history of HIV infection, vaccination history, attitudes towards vaccination, confidence in the public health system, contagion risk and disease seriousness perception. In this preliminary phase descriptive analysis were conducted. Results Preliminary data show that mean age of the participants was 49.51 years, 80% were males. The median of HIV infection duration was 10 years, while the median of the lymphocyte count was 762.50 cells/mm3. The disease with the highest vaccination coverage was tetanus (88.7%), considered a serious or very serious disease by 85.6% of the participants, despite low or very low contagion risk perception (84.1%). The disease with the lowest vaccination coverage was Herpes Zoster (7.3%), despite high or very high seriousness perception (70%). Furthermore, 99.1% of the participants showed high or very high confidence toward public health system professionals, and the majority of them (59.5%) stated that vaccines are more useful for the community than for the single person. Conclusions Vaccination coverage is still not fully satisfactory regarding diseases considered infrequent or mild. Considering the high level of confidence toward the public health system that has emerged, it is necessary to implement informative and operative strategies about vaccination for European HIV patients, which are particularly at risk regarding infectious diseases. Key messages Vaccination coverage and risk perception in HIV patients is not satisfactory for many diseases and an effort to implement informative strategies in Europe is needed. The role of vaccination in preventing infectious diseases in HIV patients should be recognized and strengthened by relying on the high level of confidence toward European public health systems.

Evaluation of health system in Iraq from people's point of view: a comparative study of two different eras

2021 ◽  
Vol 4 (2) ◽  
pp. 380-387
Author(s):  
Saad Ahmed Ali Jadoo ◽  
Adil H. Alhusseiny ◽  
Shukr Mahmood Yaseen ◽  
Mustafa Ali Mustafa Al-Samarrai ◽  
Anmar Shukur Mahmood
Keyword(s):  
Health System ◽  
Health Sector ◽  
Health Resources ◽  
Sampling Technique ◽  
Point Of View ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Current Health ◽  
Multi Stage ◽  
Geographical Regions

Background: Since the 2003 United States–British Coalition military invasion, Iraq has been in a state of continuous deterioration at all levels, including the health sector. This study aimed to elicit the viewpoints of the Iraqi people on the current health system, focusing on many provided health services and assessing whether the public prefers the current health system or that was provided before the invasion. Methods: A cross-sectional survey designed to explore the Iraqi people’s opinions on their health system. A self-administered questionnaire using a multi-stage sampling technique was distributed in five geographical regions in Iraq to collect the data from the head of household between 1st October and 31st of December 2019. Multiple logistic regressions were recruited to determine the significant contributing variables in this study. Results: A total of 365 heads of households (response rate: 71.7%) with the mean age of 48.36 + 11.92 years (ranged 35-78) included in the study. Most of the respondents (61.4%) complained of healthcare inaccessibility, 59.7% believed that health resources were not available, 53.7% claimed a deterioration in the quality of care, and 62.2% believed that the political / media position did not contribute to positive changes during the past two decades. Indeed, most respondents (66.0%) believe that the current healthcare system is worse than before. In the multivariate analysis, there was a statistically significant relationship between the characteristics and opinions of the respondents. Young age group (p = 0.003), men (p = < 0.001), unmarried (p = 0.001), high educated (p = < 0.001), rural resident (p = < 0.001), unemployed (p = 0.003), monthly income of less than USD 400 (p = < 0.001), consider themselves to be unhealthy (p = 0.001),  and those who think that people are unhappy now than two decades ago (p = 0.012) have a more negative opinion of the health system. Conclusions: Most Iraqis surveyed expressed disappointment from the health system after the 2003 US-led invasion. The current health system is faltering at all levels and does not meet the citizens' basic needs. Health Transformation Program (HTP) has become inevitable to develop an accessible, affordable, high-quality, efficient, and effective health system.

scholarly journals Development of a patient safety culture scale for maternal and child health institutions in China: a cross-sectional validation study

BMJ Open ◽  
2019 ◽  
Vol 9 (9) ◽  
pp. e025607
Author(s):  
Yuanyuan Wang ◽  
Hui Han ◽  
Liqian Qiu ◽  
Chaojie Liu ◽  
Yan Wang ◽  
...  
Keyword(s):  
Factor Analysis ◽  
Patient Safety ◽  
Safety Culture ◽  
Health Workers ◽  
Reliability And Validity ◽  
Patient Safety Culture ◽  
Cross Sectional ◽  
Retest Reliability ◽  
Confirmatory Factor ◽  
Test Retest Reliability

ObjectiveThis study aimed to develop a patient safety culture (PSC) scale for maternal and child healthcare (MCH) institutions in China.MethodsA theoretical framework of PSC for MCH institutions was proposed through in-depth interviews with MCH workers and patients and Delphi expert consultations. The reliability and validity of the PSC scale were tested in a cross-sectional survey of 1256 MCH workers from 14 MCH institutions in Zhejiang province of China. The study sample was randomly split into half for exploratory and confirmatory factor analyses, respectively. Test–retest reliability was assessed through a repeated survey of 63 voluntary participants 2 weeks apart.ResultsThe exploratory factor analysis extracted 10 components: patient engagement in patient safety (six items), managerial response to patient safety risks (four items), perceived management support (five items), staff empowerment (four items), staffing and workloads (four items), reporting of adverse events (three items), defensive medical practice (three items), work commitment (three items), training (two items) and transfer and handoff (three items). A good model fit was found in the confirmatory factor analysis: χ2/df=1.822, standardised root mean residual=0.048, root mean square error of approximation=0.038, comparative fit index=0.921, Tucker-Lewis index=0.907. The PSC scale had a Cronbach’s α coefficient of 0.89 (0.59–0.90 for dimensional scales) and a test–retest reliability of 0.81 (0.63–0.87 for dimensional reliability), respectively. The intracluster correlation coefficients confirmed a hierarchical nature of the data: individual health workers nested within MCH institutions.ConclusionThe PSC scale for MCH institutions has acceptable reliability and validity. Further studies are needed to establish benchmarking in a national representative sample through a multilevel modelling approach.

Who cares for nutrition information at a restaurant? Food-related lifestyles and their association to nutrition information conscious behaviors

2016 ◽  
Vol 118 (7) ◽  
pp. 1625-1640 ◽  
Author(s):  
Jinkyung Choi
Keyword(s):  
Cluster Analysis ◽  
Factor Analysis ◽  
Body Satisfaction ◽  
Survey Design ◽  
Nutrition Information ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Content Type ◽  
The Public ◽  
New Information

Purpose – People have become more health conscious about the food they eat on any occasion. As healthy dietary information has been released to the public in order to correspond with active public adaptation, more consumers have become aware of and are showing interest in new information related to health. The purpose of this paper is to utilize food-related lifestyle (FRL) instruments to explain nutrition information-conscious behaviors. Design/methodology/approach – This study used a cross-sectional survey design. A questionnaire was developed based on previous studies. A factor analysis and a cluster analysis were conducted to segment nutrition information-conscious behaviors of consumers. Participants were 200 and the survey was administered to citizens in South Korea. Exploratory factor analysis, cluster analysis, analysis of variance, Duncan’s multiple comparison tests, and χ2 test were used. Findings – Nine factors were identified and four clusters were established. These clusters were named: “personal value concern group,” “enthusiastic group,” “moderation group,” and “unconcerned group.” Each segment was significantly different in body satisfaction and nutrition information-conscious behaviors. Nutrients such as dietary fibers, sodium, and trans fat were considered differently by the four segments. Originality/value – Using an FRL instrument in relation to nutrition information-conscious behavior, interesting conclusions were drawn. Results of this study suggested that each segment has its characteristics in relation to nutrition information-conscious behaviors. Also it can be concluded that it is time for individuals to take responsibility for their own health problems.

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