scholarly journals Association of organizational and patient behaviors with nurse well-being in China: a cross-sectional study

2020 ◽  
Author(s):  
Xiaoyu Wang ◽  
Beizhu Ye ◽  
Xiao Gao ◽  
Yuan Liang
Keyword(s):  
Primary Care ◽  
Turnover Intention ◽  
Well Being ◽  
Cross Sectional Study ◽  
Hospital Environment ◽  
Sectional Study ◽  
Hospital Organization ◽  
Patient Trust ◽  
Cross Sectional ◽  
The Relationship

Abstract Background: Nurse play a primary care role, although existing research about improving nurse well-being mainly focus on the workplace environment, there is controversy regarding the underlying factors. The purpose of this study was to investigate the relationship between organizational and patient behaviors with nurse well-being.Methods: A cross-sectional quantitative study was carried out in 77 hospitals in China between July 2014 and April 2015.Results: Of the 4885 respondents, 58.78% nurses reported being satisfied with their life; however, only 36.14% nurses were satisfied with their work, and 79.85% nurses reported they would not choose nursing again if given the opportunity. Within the organizational behaviors, nurses reporting very poor pay justice tended to report a higher turnover intention (OR = 2.03, 95% CI:1.29-3.21) and lower life happiness (OR = 0.67, 95% CI:0.45-0.98). Similarly, very poor attention to staff interests (OR = 1.79, 95% CI:1.15–2.77) and opinions (OR = 2.41, 95% CI: 1.55–3.73) were strongly associated with higher turnover intention. Within the patient behaviors, a low level of patient trust was more strongly and negatively associated with job satisfaction (OR = 0.44, 95% CI: 0.32–0.61) and life happiness (OR = 0.53, 95% CI: 0.37–0.75) compared with unreasonable demands by patients, and more positively associated with turnover intention (OR = 5.61, 95% CI: 3.66–8.60).Conclusion: Given the widespread distress among nurses, these findings suggest that interventions targeting improved nurse well-being should be expanded from individual nurses to hospital organization and patients, reflected the internal and external hospital environment, respectively.

scholarly journals Development and validation of a Japanese version of the Patient Centred Assessment Method and its user guide: a cross-sectional study

BMJ Open ◽  
2020 ◽  
Vol 10 (11) ◽  
pp. e037282
Author(s):  
Rieko Mutai ◽  
Yoshifumi Sugiyama ◽  
Shuhei Yoshida ◽  
Ryoko Horiguchi ◽  
Takamasa Watanabe ◽  
...  
Keyword(s):  
Primary Care ◽  
Factor Analysis ◽  
Japanese Version ◽  
Well Being ◽  
Cross Sectional Study ◽  
Assessment Method ◽  
Sectional Study ◽  
Cross Sectional ◽  
Vas Scores ◽  
Patient Complexity

ObjectivesThe primary objective of this study was to develop the Japanese version of the Patient Centred Assessment Method (PCAM) and its user guide. The secondary objective was to examine the validity and reliability in the primary care setting.DesignCross-sectional study.SettingThree family physician teaching clinics located in urban residential areas in Tokyo, Japan.ParticipantsPatients who were aged 20 years or older, and who had an appointment with physicians at the three participating clinics.Main outcome measuresPatient complexity measured by PCAM and complexity/burden level measured by a Visual Analogue Scale (VAS).ResultsAlthough confirmatory factor analysis using a model described in a previous study revealed that the indices did not meet the criteria for good fit, exploratory factor analysis revealed a new three-factor structure of ‘Personal well-being,’ ‘Social interaction’ and ‘Needs for care/service.’ Cronbach’s alpha of PCAM was 0.86. Spearman’s rank correlation coefficients between PCAM scores and VAS scores were 0.51 for complexity (p<0.001) and 0.41 for burden (p<0.001). There were 42 patients (14.3% of total patients) with PCAM scores greater than its mean of 16.5 but with complexity VAS scores less than its mean of 20.8.ConclusionsThe Japanese version of PCAM and its user guide were developed through Japanese translation and cultural adaptation by cognitive debriefing. PCAM is a valid and reliable tool to assess patient complexity in the primary care settings in Japan. Additionally, although the correlation between total PCAM scores and complexity/burden as assessed by VAS was moderate, PCAM can more precisely identify patient complexity than skilled physician’s intuition.

scholarly journals Income More Reliably Predicts Frequent than Intense Happiness

2020 ◽  
Author(s):  
Jon Jachimowicz ◽  
Ruo Mo ◽  
Adam Eric Greenberg ◽  
Bertus F. Jeronimus ◽  
Ashley Whillans
Keyword(s):  
Life Satisfaction ◽  
Leisure Activities ◽  
Well Being ◽  
Cross Sectional Study ◽  
Lower Income ◽  
Subjective Well Being ◽  
Sectional Study ◽  
Ongoing Debate ◽  
Cross Sectional ◽  
The Relationship

There is widespread consensus that income and subjective well-being are linked, but when and why they are connected is subject to ongoing debate. We draw on prior research that distinguishes between the frequency and intensity of happiness to suggest that higher income is more consistently linked to how frequently individuals experience happiness than how intensely happy each episode is. This occurs in part because lower-income individuals spend more time engaged in passive leisure activities, reducing the frequency but not the intensity of positive affect. Notably, we demonstrate that only happiness frequency underlies the relationship between income and life satisfaction. Data from an experience sampling study (N = 394 participants, 34,958 daily responses), a pre-registered cross-sectional study (N = 1,553), and a day reconstruction study (N = 13,437) provide empirical evidence for these ideas. Together, this research provides conceptual and empirical clarity into how income is related to happiness.

scholarly journals Income More Reliably Predicts Frequent Than Intense Happiness

2020 ◽  
pp. 194855062097254
Author(s):  
Jon M. Jachimowicz ◽  
Ruo Mo ◽  
Adam Eric Greenberg ◽  
Bertus Jeronimus ◽  
Ashley V. Whillans
Keyword(s):  
Life Satisfaction ◽  
Leisure Activities ◽  
Well Being ◽  
Cross Sectional Study ◽  
Lower Income ◽  
Subjective Well Being ◽  
Sectional Study ◽  
Ongoing Debate ◽  
Cross Sectional ◽  
The Relationship

There is widespread consensus that income and subjective well-being are linked, but when and why they are connected is subject to ongoing debate. We draw on prior research that distinguishes between the frequency and intensity of happiness to suggest that higher income is more consistently linked to how frequently individuals experience happiness than how intensely happy each episode is. This occurs in part because lower-income individuals spend more time engaged in passive leisure activities, reducing the frequency but not the intensity of positive affect. Notably, we demonstrate that only happiness frequency underlies the relationship between income and life satisfaction. Data from an experience sampling study ( N = 394 participants, 34,958 daily responses), a preregistered cross-sectional study ( N = 1,553), and a day reconstruction study ( N = 13,437) provide empirical evidence for these ideas. Together, this research provides conceptual and empirical clarity into how income is related to happiness.

scholarly journals Investigating the relationship between consultation length and patient experience: a cross-sectional study in primary care

2016 ◽  
Vol 66 (653) ◽  
pp. e896-e903 ◽  
Author(s):  
Natasha Elmore ◽  
Jenni Burt ◽  
Gary Abel ◽  
Frances A Maratos ◽  
Jane Montague ◽  
...  
Keyword(s):  
Primary Care ◽  
Patient Experience ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Cross Sectional ◽  
The Relationship

Factors associated with inappropriate attitude towards antibiotic usage among outpatients of a large public primary care center in Malaysia: A cross sectional study.

2020 ◽  
Author(s):  
Zati Sabrina Ahmad Zubaidi ◽  
Khasnur Abdul Malek ◽  
Zaliha Ismail
Keyword(s):  
Primary Care ◽  
Cross Sectional Study ◽  
Antibiotic Usage ◽  
Sectional Study ◽  
Cross Sectional ◽  
Factors Associated ◽  
Care Specialist ◽  
Low Education ◽  
Knowledge And Attitude ◽  
The Relationship

Abstract Background: Antibiotic resistance is one of the biggest global threat in modern medicine. The situation is even more consequential in lower-and middle-income countries (LMIC) as financial limitations and political instability may become barriers to an impactful health policy. Therefore, The World Health organization has urge all nations to increase public awareness on antibiotic through effective educational interventions. In order for interventions to be successful, it is important to acknowledge that each country is unique in its problems as the demographic in LMIC are diverse. This study aims to identify the community’s attitude appropriateness towards antibiotic usage and their knowledge gaps, the relationship between antibiotic knowledge and their attitude as well as factors associated with inappropriate attitude towards antibiotic among outpatients attending an established primary care specialist center in Malaysia.Methodology : This cross-sectional study was conducted among 256 respondents attending a public primary care specialist clinic center. Those who fulfilled the inclusion and exclusion criteria from June to August 2017 were given a self-administered, validated and translated questionnaire. Pearson correlation was used to deduce the relationship between knowledge and attitude. Chi square test, independent t-test and multiple logistic regression were used to determine factors associated with inappropriate attitude towards antibiotic.Results: It was found that the respondents’ mean attitude and knowledge score were 29.5 ± 4.19 and 5.94 ± 2.4 respectively. The highest inappropriate attitude response was expecting antibiotic from the doctor for common colds and the most frequent incorrect knowledge response was on the domain of role of antibiotics. There is a weak positive relationship between antibiotic knowledge and attitude (r=0.315, n=256, p=0.0001). Respondents with low education level and poor antibiotic knowledge were at least 2.5 times more likely to have inappropriate attitude when handling antibiotics.Conclusion: Our study demonstrated the common inappropriate attitude towards antibiotic and areas of knowledge gap among the population. Antibiotic education should be incorporated in non-pharmacological measures of viral illnesses that is targeted among those with low education and poor antibiotic knowledge. The weak relationship between antibiotic knowledge and attitude suggest that health campaign should focus on behavioral change rather than a theoretical approach.

scholarly journals Association between Physicians’ Perception of Shared Decision Making with Antibiotic Prescribing Behavior in Primary Care in Hubei, China: A Cross-Sectional Study

Antibiotics ◽  
2020 ◽  
Vol 9 (12) ◽  
pp. 876
Author(s):  
Dan Wang ◽  
Chenxi Liu ◽  
Xuemei Wang ◽  
Xinping Zhang
Keyword(s):  
Primary Care ◽  
Cross Sectional Study ◽  
Antibiotic Prescribing ◽  
Sectional Study ◽  
Positive Perception ◽  
Cross Sectional ◽  
Prescribing Behavior ◽  
Physician Patient ◽  
The Relationship ◽  
Over 40 Years

Shared decision-making (SDM) has been advocated as one effective strategy for improving physician–patient relationships and optimizing clinical outcomes. Our study aimed to measure physicians’ perception of SDM and establish the relationship between physicians’ perception of SDM and prescribing behavior in patients with upper respiratory tract infections. One cross-sectional study was conducted in Hubei Province from December 2019 to January 2020. The SDM questionnaire and prescription data of 2018 from electronic health records data were matched for each physician in this study. Multilevel modeling was applied to explore the relationship between physicians’ perception of SDM and antibiotic prescribing in primary care. Analyses were statistically controlled for demographic characteristics of the physicians and patients. Physicians’ positive perception of SDM had small but statistically significant effects on lower prescribing of antibiotics in the patient group aged over 40 years (odds ratio (OR) < 1; p < 0.05). Moreover, female physicians (OR = 0.71; p = 0.007) with higher educational levels (bachelor’s degree and above; OR = 0.71; p = 0.024) were significantly associated with the prescribing of less antibiotics (p < 0.05). A more positive perception of SDM was demonstrated as one significant predictor of less prescribing of antibiotics in the patient group over 40 years. There may be a promising focus of implementing SDM strategies targeting physician–patient communication in primary care.

Association between subjective well‐being and presence of primary care dentists in community‐dwelling elderly people: A cross‐sectional study

Gerodontology ◽  
2019 ◽  
Vol 36 (2) ◽  
pp. 134-141 ◽  
Author(s):  
Shinsuke Mizutani ◽  
Hisae Aoki ◽  
Satoru Haresaku ◽  
Kaoru Shimada ◽  
Michio Ueno ◽  
...  
Keyword(s):  
Primary Care ◽  
Elderly People ◽  
Well Being ◽  
Cross Sectional Study ◽  
Community Dwelling ◽  
Subjective Well Being ◽  
Sectional Study ◽  
Cross Sectional
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