scholarly journals Assessing the use of Hospital Information Systems (HIS) to support decision-making: A cross-sectional study in public hospitals in ​​Huila, sanitary region of southern Angola.

2021 ◽  
Author(s):  
Tomas Hambili Sanjuluca ◽  
Ricardo Cruz Correia ◽  
Anabela Antunes de Almeida
Keyword(s):  
Decision Making ◽  
Information Systems ◽  
Cross Sectional Study ◽  
Hospital Information Systems ◽  
Public Hospitals ◽  
No Production ◽  
Sectional Study ◽  
Cross Sectional ◽  
Hospital Managers ◽  
Support Decision Making

Abstract Background Some previous studies have reported that hospital medical assistance in Angola lacks efficiency. There is no production of information on health financing or even health spending that could help monitor equity. Hospital information systems (HIS) could be relevant tools to inform hospital managers, supporting better management decisions in healthcare and, consequently, increasing efficiency. Nonetheless, the effective use of these systems by hospital managers to support decision-making in Angola is unknown. This study aimed to analyze the use of HIS as a tool to support decision-making by hospital managers in Huila, Angola. Methods This is a descriptive–cross-sectional study that was inducted between July and September 2017 in seven hospitals in Huila Province, Angola, specifically in Lubango and Matala cities. Each hospital board included four to six managers (e.g., general, clinical, administrative, nursing, diagnostic and therapeutic, and teaching and training managers). Thirty-six members of the hospital boards filled on a self-questionnaire that consisted of twenty questions based on the following issues: characterization of the interviewee's profile; availability of information in the institution; quality and usefulness of the available operational information and satisfaction with the existing HIS. Perform data analysis with IBM SPSS Statistics, version 21.0 Results At least ⅔ of the participants reported being unsatisfied or relatively satisfied with each of the HIS-specific features that were assessed. More than 50%have rarely or never used the health information system to support decision-making, and 47.2% have never noted audits performed in their institution. Only 25% of the participants considered that the HIS stored information was satisfactory to calculate the rate of service indicators. Conclusion Our study showed that most hospital managers don’t use hospital information systems as tools to support management-related decision-making in Angola. Improving the Hospital information systems, ability to compute adequate indicators, and providing training on HIS usage to hospital managers could be targets of future interventions to support better management-related decision-making in Angolan healthcare.

Evaluating the Usability of Hospital Information Systems based on ISO 9241-10 Standard: A cross-sectional study

2021 ◽  
Author(s):  
Mostafa Shanbehzadeh ◽  
Mansoureh Jamshidian ◽  
Omid Yousefianzadeh ◽  
Hadi Kazemi-Arpanahi
Keyword(s):  
Information Systems ◽  
Cross Sectional Study ◽  
Hospital Information Systems ◽  
Sectional Study ◽  
User Friendliness ◽  
Cross Sectional ◽  
Web Based ◽  
Total Average

Results: Based on the results, 56% of HISs users in the surveyed hospitals were somewhat satisfied, with the total average of all scores being equal to 2.8 from 5. The results suggested that the highest scores were found for the criterion of "controllability," while the lowest scores were associated with "suitability for individualizations" and "self-descriptiveness," respectively. Conclusion: The HISs users' satisfaction was considered relatively desirable in terms of functionalities factors. Therefore, user-friendliness, flexibility, and web-based capabilities are suggested as the most important requirements that must be taken into account for enhancing usability and adoption of HISs.

Evaluating the Usability of Hospital Information Systems based on ISO 9241-10 Standard: A cross-sectional study

2021 ◽  
Author(s):  
Mostafa Shanbehzadeh ◽  
Mansoureh Jamshidian ◽  
Omid Yousefianzadeh ◽  
Hadi Kazemi-Arpanahi
Keyword(s):  
Information Systems ◽  
Cross Sectional Study ◽  
Hospital Information Systems ◽  
Sectional Study ◽  
User Friendliness ◽  
Cross Sectional ◽  
Web Based ◽  
Total Average

Results: Based on the results, 56% of HISs users in the surveyed hospitals were somewhat satisfied, with the total average of all scores being equal to 2.8 from 5. The results suggested that the highest scores were found for the criterion of "controllability," while the lowest scores were associated with "suitability for individualizations" and "self-descriptiveness," respectively. Conclusion: The HISs users' satisfaction was considered relatively desirable in terms of functionalities factors. Therefore, user-friendliness, flexibility, and web-based capabilities are suggested as the most important requirements that must be taken into account for enhancing usability and adoption of HISs.

scholarly journals Prelicensure Nursing Students’ COVID-19 Attitude Impact on Nursing Career Decision during Pandemic Threat in Taiwan: A Cross-Sectional Study

2021 ◽  
Vol 18 (6) ◽  
pp. 3272
Author(s):  
Shu-Chun Lin ◽  
Lee-Fen Ni ◽  
Yu-Ming Wang ◽  
Shu Hsin Lee ◽  
Hung-Chang Liao ◽  
...  
Keyword(s):  
Decision Making ◽  
Nursing Students ◽  
Perceived Control ◽  
Career Decision ◽  
Cross Sectional Study ◽  
Attitude Scale ◽  
Sectional Study ◽  
Career Decision Making ◽  
Cross Sectional ◽  
Prelicensure Nursing

The COVID-19 pandemic may cause a nursing shortage. Prelicensure nursing students who are exposed to high-stress COVID-19 events are related to defective career decision-making. This study validated the COVID-19 attitude scale and clarified how their attitudes about COVID-19 affected their behavioral intentions toward career decision-making. We conducted a cross-sectional study and recruited a convenience sample of 362 prelicensure nursing students from Northern and Central Taiwan. Two measurements were applied, including the Nursing Students Career Decision-making instrument and COVID-19 attitude scale. We used AMOS (version 22.0) to perform a confirmatory factor analysis. The Cronbach α of the COVID-19 attitude scale was 0.74 and consisted of four factors. The most positive attitude was the nursing belief factor, and the least positive factor was emotional burden. Prelicensure nursing students’ COVID-19 attitudes were significantly positively associated with their career decision-making attitudes and perceived control (ß = 0.41 and ß = 0.40, respectively; p < 0.001). All the key latent variables explained significantly 23% of the variance in the career decision-making behavioral intentions module. In conclusion, the COVID-19 attitude scale is valid. Although the prelicensure nursing students’ COVID-19 attitudes had no direct effect on career decision-making intentions, they had a direct effect on career decision-making attitudes and the perceived control.

scholarly journals Constrains for seeking post-abortion care among adolescents and young women in Guangzhou, China: a cross-sectional study

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Yiding Wang ◽  
Jinzhi Liu ◽  
Ribo Xiong ◽  
Yan Liu
Keyword(s):  
Young Women ◽  
Cross Sectional Study ◽  
Public Hospitals ◽  
Sectional Study ◽  
Cross Sectional ◽  
Services Utilization ◽  
Abortion Care ◽  
Post Abortion Care ◽  
Post Abortion ◽  
Youth Friendly

Abstract Background In China, post-abortion care (PAC) services mainly focus on married couples, such that adolescents and unmarried young womenhave limited access to those services for contraception counseling. The provision of youth-friendly PAC services in public hospitals is a new concept in China. This study examined the magnitude of PAC services utilization as well as factors influencing it’s uptake among adolescents and young women in Guangzhou, China. Methods A cross-sectional study was performed from 1st March 2020 to 30th September 2020 using anonymous self-administered questionnaire among 688 women aged 15–24 years in Tianhe district, Guangzhou. The Multivariate logistic regression was used to determine factors that were significantly associated with the uptake of PAC services. Results The magnitude of PAC services utilization was 35.9% among adolescents and young women in Guangzhou, China. Students were 69.0% significantly less likely to use PAC services compared to women who had no job. Immigrants were 59.0% significantly less likely to use PAC services than their native counterparts. Women who had a feeling of stigma were 70.0% significantly less likely to use PAC services compared to those who did not feel stigmatized. Conclusions The study highlights the need to strengthen youth-friendly PAC services provision, and emphasizes the importance of education about both family planning and abortion services among disadvantaged sub-groups of women in the study setting.

scholarly journals The Prevalence of Necrotizing Enterocolitis and Associated Factors Among Enteral Fed Preterm and Low Birth Weight Neonates Admitted in Selected Public Hospitals in Addis Ababa, Ethiopia: A Cross-sectional Study

2021 ◽  
Vol 8 ◽  
pp. 2333794X2110196
Author(s):  
Sitotaw Molla Mekonnen ◽  
Daniel Mengistu Bekele ◽  
Fikrtemariam Abebe Fenta ◽  
Addisu Dabi Wake
Keyword(s):  
Birth Weight ◽  
Low Birth Weight ◽  
Necrotizing Enterocolitis ◽  
Gestational Age ◽  
Associated Factors ◽  
Addis Ababa ◽  
Cross Sectional Study ◽  
Public Hospitals ◽  
Sectional Study ◽  
Cross Sectional

Necrotizing enterocolitis (NEC) remains to be the most critical and frequent gastrointestinal disorder understood in neonatal intensive care units (NICU). The presented study was intended to assess the prevalence of NEC and associated factors among enteral Fed preterm and low birth weight neonates. Institution based retrospective cross-sectional study was conducted on 350 enteral Fed preterm and low birth weight neonates who were admitted at selected public hospitals of Addis Ababa from March 25/2020 to May 10/2020. The data were collected through neonates’ medical record chart review. A total of 350 participants were enrolled in to the study with the response rate of 99.43%. One hundred eighty-four (52.6%) of them were male. The majority 123 (35.1%) of them were (32 + 1 to 34) weeks gestational age. The prevalence of NEC was (25.4%) (n = 89, [95% CI; 21.1, 30.0]). Being ≤28 weeks gestational age (AOR = 3.94, 95% CI [2.67, 9.97]), being (28 + 1 to 32 weeks) gestational age (AOR = 3.65, 95% CI [2.21, 8.31]), birth weight of 1000 to 1499 g (AOR = 2.29, 95% CI [1.22, 4.33]), APGAR score ≤3 (AOR = 2.34, 95% CI [1.32, 4.16]), prolonged labor (AOR = 2.21, 95% CI [1.35, 6.38]), maternal chronic disease particularly hypertension (AOR = 3.2, 95% CI [1.70, 5.90]), chorioamnionitis (AOR = 4.8, 95% CI [3.9, 13]), failure to breath/resuscitated (AOR = 2.1, 95% CI [1.7, 4.4]), CPAP ventilation (AOR = 3.7, 95% CI [1.50, 12.70]), mixed milk (AOR = 3.58, 95% CI [2.16, 9.32]) were factors significantly associated with NEC. Finally, the prevalence of NEC in the study area was high. So that, initiating the programs that could minimize this problem is required to avoid the substantial morbidity and mortality associated with NEC.

scholarly journals Factors influencing decision-making to accept elective caesarean section: A descriptive cross-sectional study

Heliyon ◽  
2021 ◽  
pp. e07755
Author(s):  
Victoria Bam ◽  
Alberta Yemotsoo Lomotey ◽  
Abigail Kusi-Amponsah Diji ◽  
Hayford Isaac Budu ◽  
Dorothy Bamfo-Ennin ◽  
...  
Keyword(s):  
Decision Making ◽  
Caesarean Section ◽  
Elective Caesarean Section ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Cross Sectional ◽  
Factors Influencing
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