scholarly journals Assessment of the Perceived Just Culture Among Nurses: A Cross- Sectional Study

2021 ◽  
Author(s):  
KENNETH JUN LOGRONO
Keyword(s):  
Response Rate ◽  
Positive Response ◽  
Cross Sectional Study ◽  
Staff Nurses ◽  
Healthcare Organizations ◽  
Cross Sectional ◽  
Quality Healthcare ◽  
Just Culture ◽  
Positive Response Rate ◽  
Key Aspects

Abstract Background Achieving a highly reliable system and processes in the healthcare industry is a classic conundrum. As safe and quality healthcare has its increasing complexity, where errors are more likely to occur. Hence, most healthcare organizations have promoted the practice of Just Culture. The research study quantified and explained key aspects on the strengths and weaknesses of just culture dimensions which facilitated understanding in implementing a safety culture in Hamad General Hospital (HGH). Design: Perception was measured using the adapted JCAT through a descriptive, cross- sectional research design. Independent T-tests and One-way ANOVA were used to investigate the relationship between the demographic profile and just culture perception among 212 staff nurses in HGH. Results A strong positive perception among the staff nurses of Just Culture was found out based on its six (6) dimensions in Medical and Surgical In-Patient Units of HGH. Positive response rate is highest at Continuous Improvement dimension which is 88.66%. Balance dimension received the lowest rating with only 52.31% positive response rate.

scholarly journals Association of shared decision making with inpatient satisfaction: a cross-sectional study

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Huiwen Luo ◽  
Guohua Liu ◽  
Jing Lu ◽  
Di Xue
Keyword(s):  
Patient Satisfaction ◽  
Inpatient Care ◽  
Response Rate ◽  
Positive Response ◽  
Physician Services ◽  
Cross Sectional ◽  
Medical Expenses ◽  
Tertiary Hospitals ◽  
Positive Response Rate ◽  
High Level

Abstract Background We assessed inpatient perceived shared decision making (SDM) and tested the association of SDM with inpatient satisfaction in public tertiary hospitals in Shanghai, China. Methods A cross-sectional survey of 2585 inpatients in 47 public tertiary hospitals in Shanghai in July and August 2018 was conducted. We assessed overall SDM and 4 aspects of SDM and tested the factors influencing SDM and the association of SDM with patient satisfaction (patient satisfaction with physician services, medical expenses, outcomes and overall inpatient care), by adopting linear or two-level regression models. Results The positive response rate (PRR) and high positive response rate (HPRR) to overall SDM among the inpatients of public tertiary hospitals in Shanghai were relatively high (95.30% and 87.86%, respectively), while the HPRR to “My physician informed me of different treatment alternatives” was relatively low (80.09%). In addition, the inpatients who underwent surgery during admission had higher HPRRs and adjusted HPRRs to overall SDM than those who did not undergo surgery. The study showed that the adjusted high satisfaction rates (HSRs) with physician services, medical expenses, outcomes and overall inpatient care among the inpatients with high level of overall SDM were higher (96.50%, 68.44%, 89.50% and 92.60%) than those among the inpatients without a high level of overall SDM (71.77%, 35.19%, 57.30% and 67.49%). The greatest differences in the adjusted HSRs between the inpatients with and without a high level of SDM were found in inpatient satisfaction with medical expenses and informed consent in SDM. Moreover, 46.22% of the variances in the HSRs with overall inpatient care across the hospitals were attributed to the hospital type (general hospitals vs. specialty hospitals). Conclusions Inpatient PRRs and HPRRs to SDM in public tertiary hospitals in Shanghai are relatively high overall but lower to information regarding alternatives. SDM can be affected by the SDM preference of both the patients and physicians and medical condition. Patient satisfaction can be improved through better SDM and should be committed at the hospital level.

scholarly journals 139 Assessment of Nurses’ Attitude and Perception on Patient Safety in a Teaching Hospital

2019 ◽  
Vol 48 (Supplement_4) ◽  
pp. iv34-iv39
Author(s):  
Karthikayini Krishnasamy ◽  
Afzawahiza Hashim ◽  
Palanisamy Sivanandy
Keyword(s):  
Patient Safety ◽  
Teaching Hospital ◽  
Response Rate ◽  
Sampling Technique ◽  
Cross Sectional Study ◽  
Vital Role ◽  
Healthcare Organizations ◽  
Cross Sectional ◽  
Safety Issues ◽  
Nurses Attitude

Abstract Introduction Patient safety issues have become a major concern in healthcare organizations that lead to undesired events and reduce patients’ quality of life (QoL). Around 10% of patients affected by serious medical errors during treatment, among these 14% result in death and 70% in disability. Nurse-led services are paramount in the treatment and have vital role in minimizing patient safety issues. Hence, a study was aimed to analyse the nurses’ attitude and perception on patient safety and, to determine the potential predictors for patient safety outcome dimensions. Method A quantitative descriptive cross-sectional study was conducted at a 900 bed teaching hospital. Random sampling technique was adopted to select nurses with more than 6 months of working experience in the hospital. Hospital Survey On Patient Safety (HSOPS) tool was used in this study, it had 42 items with 12 dimensions. Results Out of 390 questionnaires distributed, 360 were returned with complete details and the response rate was 92%. Among the safety culture dimensions, only two items scored more than 75% of positive response rate (PRR) which were ‘Organizational learning-continuous improvement’ (PRR 84%) and ‘Teamwork within unit’ (PRR 80%). The ‘Communication openness’ and ‘Hospital handoffs and transition’ scored a very low PRR which were 43% and 37% respectively, as most of the nurses felt that sharing information or issues with colleagues may be held against them. Reporting of errors were very low in the current set-up as most of the nurses reported 1-2 adverse events in a year which was noted as highest among all specialties. Conclusion The current level of patient safety in this teaching hospital need an immediate attention as most of the patient safety domains scored a very low PRR. Safety measures need to be taken before the issues reaches worst situation and adverse impact on patients’ health related QoL.

scholarly journals Perceptions of patient safety culture among medical students: a cross-sectional investigation in Heilongjiang Province, China

BMJ Open ◽  
2018 ◽  
Vol 8 (7) ◽  
pp. e020200 ◽  
Author(s):  
He Liu ◽  
Ying Li ◽  
Siqi Zhao ◽  
Mingli Jiao ◽  
Yan Lu ◽  
...  
Keyword(s):  
Patient Safety ◽  
Medical Students ◽  
Medical School ◽  
Safety Culture ◽  
Response Rate ◽  
Positive Response ◽  
Patient Safety Culture ◽  
Heilongjiang Province ◽  
Cross Sectional ◽  
Positive Response Rate

ObjectivesMedical school education plays an important role in promoting patient safety. In this study, we assess medical students’ perceptions of patient safety culture, identify their educational needs and provide evidence on the most important content relating to patient safety for the medical school curriculum.MethodThis cross-sectional study was conducted in four medical universities in Heilongjiang province. Medical students in the first through five years completed an anonymous questionnaire—the Attitudes toward Patient Safety Questionnaire III. We analysed the differences in responses across the four universities and their cohorts.ResultsThe overall perceptions of patient safety culture across the four medical universities were positive. The highest positive response rate was for ‘I have a good understanding of patient safety issues as a result of my undergraduate medical training’ (range: 58.4%–99.8%), whereas the lowest positive response rate was for ‘medical errors are a sign of incompetence’ (14.7%–47.9%). Respondents in the earlier years of school tended to have more positive responses for items concerning working hours and team work; however, fourth and fifth year students had more positive responses for error inevitability. Items with the lowest positive response rates across the cohorts included items related to ‘professional incompetence as a cause of error’ and ‘disclosure responsibility’.ConclusionsWhile students generally had positive views of patient safety culture, none of them had been exposed to any formal curriculum content on patient safety. Policymakers should focus more on how educational needs vary across schools and cohorts in order to establish appropriate curricula.

scholarly journals Association of shared decision making with inpatient satisfaction: A cross-sectional study

2021 ◽  
Author(s):  
Huiwen Luo ◽  
Guohua Liu ◽  
Jing Lu ◽  
Di Xue
Keyword(s):  
Patient Satisfaction ◽  
Inpatient Care ◽  
Response Rate ◽  
Positive Response ◽  
Physician Services ◽  
Cross Sectional ◽  
Medical Expenses ◽  
Tertiary Hospitals ◽  
Positive Response Rate ◽  
High Level

Abstract Background: We assessed inpatient perceived shared decision making (SDM) and tested the association of SDM with inpatient satisfaction in public tertiary hospitals in Shanghai, China. Methods: A cross-sectional survey of 2585 inpatients in 47 public tertiary hospitals in Shanghai in July and August 2018 was conducted. We assessed overall SDM and 4 aspects of SDM and tested the factors influencing SDM and the association of SDM with patient satisfaction (patient satisfaction with physician services, medical expenses, outcomes and overall inpatient care), by adopting linear or two-level regression models. Results: The positive response rate (PRR) and high positive response rate (HPRR) to overall SDM among the inpatients of public tertiary hospitals in Shanghai were relatively high (95.30% and 87.86%, respectively), while the HPRR to “My physician informed me of different treatment alternatives” was relatively low (80.09%). In addition, the inpatients who underwent surgery during admission had higher HPRRs and adjusted HPRRs to overall SDM than those who did not undergo surgery. The study showed that the adjusted high satisfaction rates (HSRs) with physician services, medical expenses, outcomes and overall inpatient care among the inpatients with high level of overall SDM were higher (96.50%, 68.44%, 89.50% and 92.60%) than those among the inpatients without a high level of overall SDM (71.77%, 35.19%, 57.30% and 67.49%). The greatest differences in the adjusted HSRs between the inpatients with and without a high level of SDM were found in inpatient satisfaction with medical expenses and informed consent in SDM. Moreover, 46.22% of the variances in the HSRs with overall inpatient care across the hospitals were attributed to the hospital type (general hospitals vs. specialty hospitals). Conclusions: Inpatient PRRs and HPRRs to SDM in public tertiary hospitals in Shanghai are relatively high overall but lower to information regarding alternatives. SDM can be affected by the SDM preference of both the patients and physicians and medical condition. Patient satisfaction can be improved through better SDM and should be committed at the hospital level.

scholarly journals Association of shared decision making with inpatient satisfaction: A cross-sectional study

2020 ◽  
Author(s):  
Huiwen Luo ◽  
Guohua Liu ◽  
Jing Lu ◽  
Di Xue
Keyword(s):  
Patient Satisfaction ◽  
Inpatient Care ◽  
Response Rate ◽  
Positive Response ◽  
Physician Services ◽  
Cross Sectional ◽  
Medical Expenses ◽  
Tertiary Hospitals ◽  
Positive Response Rate ◽  
High Level

Abstract Background: We assessed inpatient perceived shared decision making (SDM) and tested the association of SDM with inpatient satisfaction in public tertiary hospitals in Shanghai, China.Methods: A cross-sectional survey was of 2585 inpatients in 47 public tertiary hospitals in Shanghai in July and August 2018 was conducted. We assessed overall SDM and 4 aspects of SDM and tested the factors influencing SDM and the association of SDM with patient satisfaction (patient satisfaction with physician services, medical expenses, outcomes and overall inpatient care), by adopting linear or two-level regression models.Results: The positive response rate (PRR) and high positive response rate (HPRR) to overall SDM among the inpatients of public tertiary hospitals in Shanghai were relatively high (95.30% and 87.86%, respectively), while the HPRR to “My physician informed me of different treatment alternatives” was relatively low (80.09%). In addition, the inpatients who underwent surgery during admission had higher HPRRs and adjusted HPRRs to overall SDM than those who did not undergo surgery. The study showed that the adjusted high satisfaction rates (HSRs) with physician services, medical expenses, outcomes and overall inpatient care among the inpatients with high level of overall SDM were higher (96.50%, 68.44%, 89.50% and 92.60%) than those among the inpatients without a high level of overall SDM (71.77%, 35.19%, 57.30% and 67.49%). The greatest differences in the adjusted HSRs between the inpatients with and without a high level of SDM were found in inpatient satisfaction with medical expenses and informed consent in SDM. Moreover, 46.22% of the variances in the HSRs with overall inpatient care across the hospitals were attributed to the hospital type (general hospitals vs. specialty hospitals).Conclusions: Inpatient PRRs and HPRRs to SDM in public tertiary hospitals in Shanghai are relatively high overall but lower to information regarding alternatives. SDM can be affected by the SDM preference of both the patients and physicians and medical condition. Patient satisfaction can be improved through better SDM and should be committed at the hospital level.

scholarly journals WhatsApp Tele-Medicine – usage patterns and physicians views on the platform

2021 ◽  
Vol 10 (1) ◽  
Author(s):  
Edward Barayev ◽  
Omri Shental ◽  
Dotan Yaari ◽  
Elchanan Zloczower ◽  
Itai Shemesh ◽  
...  
Keyword(s):  
Instant Messaging ◽  
Care Delivery ◽  
Healthcare Providers ◽  
Smartphone Application ◽  
Cross Sectional Study ◽  
Healthcare Organizations ◽  
Cross Sectional ◽  
Patient Confidentiality ◽  
Medical Specialists ◽  
Usage Patterns

Abstract Background Telemedicine has become an integral part of health care delivery in recent years. One of the leading applications for this use is WhatsApp — a free smartphone application that allows instant messaging with pictures and videos. This study analyzed the emerging role of WhatsApp on reducing the need for referrals to medical specialists and to compare the views of physicians regarding WhatsApp consultations. Methods A cross-sectional study based on an anonymous web-survey was conducted among PCPs and medical specialists working in the Israel Defense Forces Medical-Corps during September and October, 2019. Results Of 201 participants, 153 were PCPs and 48 were medical specialists. 86.9 % of PCPs and 86.5 % of specialists used WhatsApp every day in professional settings. Added workload, potential breaching of patient confidentiality and lack of full documentation of consultations were the main concerns among physicians using the application. 60.7 % of PCPs and 95.7 % of specialists stated that these consultations have reduced the need for in-person appointments at least once a week. Conclusions In times of COVID-19 that require social distancing, WhatsApp provides a simple, readily available platform for consultations between healthcare providers, even to the extent of rendering some in-person appointments unnecessary. Healthcare organizations should address the matters troubling healthcare providers, mainly patient confidentiality and lack of documentation in patients’ medical records, while providing adequate compensation for those providing the service during and after work hours.

Continuing Professional Development: Views and Barriers Toward Participation Among Malaysian Pharmacists

2013 ◽  
Vol 4 (1) ◽  
pp. 45-55
Author(s):  
Zoriah Aziz ◽  
Chong Nyuk Jet ◽  
Sameerah Shaikh Abdul Rahman
Keyword(s):  
Professional Development ◽  
Continuing Education ◽  
Lifelong Learning ◽  
Response Rate ◽  
Continuing Professional Development ◽  
Cross Sectional Study ◽  
Learning Approach ◽  
Sectional Study ◽  
Cross Sectional ◽  
Current Role

Continuing professional development (CPD) is a lifelong learning approach to maintain and enhance professional competencies. This cross-sectional study aimed to examine the pharmacists’ preferred CPD activities and barriers to CPD participation. A survey instrument was distributed to all government pharmacists (N=3876) in Malaysia. The response rate was 29.2 %. The majority of the pharmacists (92%) believed that engaging in CPD would improve their performances in their current role. Almost 90% of the respondents preferred to participate in CPD activities associated with continuing education such as workshops and conferences attendance. Barriers to CPD participation were current job constraints, lack of time, and accessibility in terms of travel and cost. It is important to address these issues before the implementation of mandatory CPD for pharmacists in Malaysia.

scholarly journals Hospital Advertisements in Newspapers, Is It Still Worth It?

2017 ◽  
Vol 9 (5) ◽  
pp. 27
Author(s):  
Ashraf Ahmad Zaghloul
Keyword(s):  
Quality Control ◽  
Statistical Analysis ◽  
Consumer Behavior ◽  
Medical Care ◽  
Cross Sectional Study ◽  
Sources Of Information ◽  
Sectional Study ◽  
Healthcare Organizations ◽  
Cross Sectional ◽  
Marketing Activities

INTRODUCTION: Marketing the hospital image through advertising shapes the sources of information upon which the patient takes a decision to purchase the service. Advertisement is considered to be one of the marketing activities geared towards promoting the hospital’s image. The aim of this study is to explore and investigate the determinants of consumer behavior toward newspaper advertising eye-catchers for hospitals and medical care in the UAE.METHODOLOGY: A cross-sectional study design was followed using the snowball technique to select a convenient sample of the population of Sharjah, UAE. The total number of questionnaires valid for statistical analysis accounted for a 402.RESULTS: The significant adjusted odds included in the model were occupation (Administrative) = 2.1 (CI 1.1-4.5), name and brand = 0.4 (CI 0.1-0.8), clinical staff photo = 0.2 (CI 0.1-0.7), and location = 3.9 (CI 1.3-11.9).  CONCLUSION: Healthcare organizations are required to further assess the feedback of their marketing plans especially newspaper advertisement budgets through the quality control activities performed at these organizations.

scholarly journals Diversity issues in Nigeria’s healthcare sector: implications on organizational commitment. A cross-sectional study

F1000Research ◽  
2019 ◽  
Vol 8 ◽  
pp. 852 ◽  
Author(s):  
Ayodotun Stephen Ibidunni ◽  
Tomike Olawande ◽  
Maxwell Olokundun ◽  
Charles Iruonagbe ◽  
Iyanu Adelekan
Keyword(s):  
Job Satisfaction ◽  
Statistical Analysis ◽  
Organizational Commitment ◽  
Structural Equation ◽  
Affective Commitment ◽  
Cross Sectional Study ◽  
Healthcare Sector ◽  
Public Healthcare ◽  
Healthcare Organizations ◽  
Cross Sectional

Background: Workplace diversity is increasingly gaining the attention of healthcare organizations, especially in developing countries like Nigeria. However, little is understood from existing literature about how workforce diversity affects employees’ satisfaction and organisational commitment in the workplace. Consequently, this paper showed the direct and mediating relationships between diversity of workforce, job satisfaction and employee commitment to the organization. Methods: Copies of the structured questionnaire have been given to 133 public healthcare employees in Nigeria’s Ministry of Health in Lagos state.  Statistical analysis for the study included descriptive measures and multi-variate analysis, using structural equation modelling. Results: Outcomes from statistical analysis supports direct and mediating relationships between the research variables. Gender and ethical diversity had significant influences on job satisfaction at r = 0.35 (p < 0.05) and r = 0.28 (p < 0.05) respectively. The following mediating relationships were also statistically confirmed: job satisfaction related with affective commitment (r = 0.41, p < 0.05) and normative commitment (r = 0.26, p < 0.05). Conclusions: Based on the results of the statistical analysis, the study concludes that there is a relationship between diversity of employees and job satisfaction, diversity of employees and organizational commitment and the influence of work satisfaction on organizational commitment.

scholarly journals Practices of injectable antibiotics preparation and administration among healthcare practitioners in multidisciplinary wards

2019 ◽  
Vol 10 (SPL1) ◽  
Author(s):  
Lih Ling Kwek ◽  
Shu Mei Lai ◽  
Fatin Sarahani Samedrik ◽  
Wei Yang Lee ◽  
Keerthy Venthen
Keyword(s):  
Cross Sectional Study ◽  
Staff Nurses ◽  
Contributing Factors ◽  
Cross Sectional ◽  
Personal Problems ◽  
Demographic Profiles ◽  
Healthcare Settings ◽  
Care Systems ◽  
Low Incidence ◽  
Collection Form

Injectable antibiotics with rapid deliveries to infection sites are preferable in healthcare settings. Low incidence of appropriate injectable antibiotics preparation and administration (IAPAA) among healthcare practitioners will cause antimicrobial resistance, thrombophlebitis, and mortality. This study aimed to identify rates of appropriate IAPAA, possible contributing factors, implement strategies, and evaluate their effectiveness.A cross-sectional study involving direct observation was conducted in Hospital Tanjung Karang (HTK) multidisciplinary wards from August 2018 to February 2019. 148 samples fulfilling criteria were randomly selected. Data collection form was used to record demographic profiles from bed-head-ticket (BHT) and observed IAPAA processes. Rates of appropriate IAPAA were determined and analyzed with SPSS Statistics. Descriptive statistics were employed. The rate of appropriate IAPAA upon verification was only 14.2%. All uncommon and slow intravenous (SIV) antibiotics demonstrated 0% appropriateness. Possible factors included unaware of rare procedures, inadequate references, knowledge, and monitoring. The rate was successfully improved to 49.3% after various implementations, including "SWeFT." Among all six IAPAA categories, reconstitution concentration and administration duration revealed the most improvements, from 33.8% to 93.8% and 18.9% to 52.7%. Staff nurses found antibiotics rarely initiated by visiting specialists less familiar. The least appropriate administration duration was mostly come from SIV antibiotics, whereby inadequate equipment and personal problems were the possible reasons. Inappropriate IAPAA practices are preventable with proper measures. Further innovations or inward patient care systems, containing electronic BHT and nursing injections preparation and administration alert systems, should be implemented to improve clinical outcomes and safety of patients.

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