scholarly journals Qualitative Study to Assess the Attitudes and Perception of Employers Towards Employees with Alcohol Use Disorder (AUD): Evidence from an Emerging Economy

2020 ◽  
Author(s):  
Eugene Kobla Dordoye ◽  
Lilian Ama Afun ◽  
Thelma Mpoku Alalbila

Abstract BackgroundThe disease addiction to chemical substances or drugs such as alcohol (ethanol, C2H5OH) is still not recognised by many medical practitioners as a diagnostic nosology in Ghana. It is usually considered a moral challenge, rather than a medical condition. This perception is propagated even in the Ministry of Health’s Occupational Health and Safety (OHS) policy document which punishes symptoms of substance use disorders. This study seeks to explore the perception and attitude of employers towards employees with alcohol use disorders (AUDs).MethodA qualitative approach of in-depth interviews and observations which described the perceived attitudes of employers (using HR managers as proxy) towards employees with AUD of ten private and public hospitals in the Greater-Accra Metropolis was adopted. The face-to face interviews conducted using a an interview guide were audio-recorded and later transcribed. On average, the interview lasted between 45 and 60 minutes.ResultsFindings from the 10 interviews revealed that psychological factors accounted for AUD regardless of the nature of their work. In spite of prevalence of AUD in some hospitals, it was interesting to know that majority of these facilities had no employee assistance programmes (EAPs) and the few that had some policies on AUD were not implementing them.ConclusionThis paper focused on some aspect of HR managers’ perceived attitude toward an aspect of their mental well-being which is AUD. However, there are other pertinent issues that are crucial to employee total well-being that can be addressed in future research.

2020 ◽  
Author(s):  
Tianci Mao ◽  
Hongyi Zhang ◽  
Jie Cui ◽  
Fengqi Yan ◽  
Jinbo Sun ◽  
...  

Abstract BackgroundThe disease addiction to chemical substances or drugs such as alcohol (ethanol, C2H5OH) is still not recognised by many medical practitioners as a diagnostic nosology in Ghana. It is usually considered a moral challenge, rather than a medical condition. This perception is propagated even in the Ministry of Health’s Occupational Health and Safety (OHS) policy document which punishes symptoms of substance use disorders. This study seeks to explore the perception and attitude of employers towards employees with alcohol use disorders (AUDs).MethodA qualitative approach of in-depth interviews and observations which described the perceived attitudes of employers (using HR managers as proxy) towards employees with AUD of ten private and public hospitals in the Greater-Accra Metropolis was adopted. The face-to face interviews conducted using a an interview guide were audio-recorded and later transcribed. On average, the interview lasted between 45 and 60 minutes.ResultsFindings from the 10 interviews revealed that psychological factors accounted for AUD regardless of the nature of their work. In spite of prevalence of AUD in some hospitals, it was interesting to know that majority of these facilities had no employee assistance programmes (EAPs) and the few that had some policies on AUD were not implementing them.ConclusionThis paper focused on some aspect of HR managers’ perceived attitude toward an aspect of their mental well-being which is AUD. However, there are other pertinent issues that are crucial to employee total well-being that can be addressed in future research.


2020 ◽  
pp. bmjspcare-2019-002151
Author(s):  
Margo Annemans ◽  
Koen Coomans ◽  
Ann Heylighen

ObjectiveThis study explored how built space plays out in palliative care, focusing on spatial aspects that could support or hamper patients’, relatives’ and caregivers’ well-being.MethodsThis study was conducted in a freestanding small-scale hospice combining a residential part for eight guests with a day-care part for groups of about five persons. Observations were combined with semistructured, individual interviews with eight guests (sometimes accompanied by relatives) and three focus-group interviews with staff, volunteers and relatives. All interviews were audio-recorded and transcribed verbatim. Data were analysed based on the Qualitative Analysis Guide of Leuven.ResultsThe most important spatial aspects that impact on physical and social well-being in palliative care turned out to be the building scale and physical proximity. The small-scale setting counters the (often negative) association of palliative care with hospital environments. When the medical condition of the guest allows, it makes communal or outdoor spaces reachable, which enhances emotional and social well-being. In worse conditions, it still makes that care and nature are always nearby. The compactness of communal spaces intensifies social contacts.ConclusionsThe building scale and physical proximity play out in the relationship between the building and its surroundings, between the residential and the day-care parts and among people within the building. Future research could investigate to what extent these spatial aspects are relevant in more conventional palliative care units or even in general hospital wards.


2021 ◽  
Vol 145 (9) ◽  
pp. 1095-1109
Author(s):  
Kyle Rehder ◽  
Kathryn C. Adair ◽  
J. Bryan Sexton

Context.— Problems with health care worker (HCW) well-being have become a leading concern in medicine given their severity and robust links to outcomes like medical error, mortality, and turnover. Objective.— To describe the state of the science regarding HCW well-being, including how it is measured, what outcomes it predicts, and what institutional and individual interventions appear to reduce it. Data Sources.— Peer review articles as well as multiple large data sets collected within our own research team are used to describe the nature of burnout, associations with institutional resources, and individual tools to improve well-being. Conclusions.— Rates of HCW burnout are alarmingly high, placing the health and safety of patients and HCWs at risk. To help address the urgent need to help HCWs, we summarize some of the most promising early interventions, and point toward future research that uses standardized metrics to evaluate interventions (with a focus on low-cost institutional and personal interventions).


2016 ◽  
Vol 9 (3) ◽  
pp. 290-307 ◽  
Author(s):  
Gail Kinman ◽  
Andrew James Clements ◽  
Jacqui Hart

Purpose The purpose of this paper is to examine the well-being of UK prison officers by utilising a benchmarking approach. Design/methodology/approach The Health and Safety Executive (HSE) Stress Indicator Tool is widely used in the UK to assess key psychosocial hazards in the workplace encompassing demands, control, support from managers and co-workers, relationship quality, role and change management. This study utilises this approach to examine the extent to which a sample of UK prison officers meets the HSE recommended minimum standards for the management of work-related well-being. Levels of mental health and job satisfaction in the sector are also assessed using measures with extensive occupational norms. The psychosocial hazards that make the strongest contribution to mental health and job satisfaction are also considered. Findings Respondents reported lower levels of well-being for all of the hazard categories than recommended. Moreover, mental health and job satisfaction were considerably poorer among prison officers than other occupational groups within the emergency and security services in the UK. Considerable variation was found in the psychosocial hazards that predicted mental health and job satisfaction. Practical implications The high levels of stressors and strains experienced by UK prison officers gives serious cause for concern. Priority areas for interventions to enhance well-being in the sector are considered and areas for future research discussed. Originality/value This study highlights the wide-ranging benefits of a benchmarking approach to investigate work-related stressors and strains at the sector level.


Author(s):  
Deborah Laliberte Rudman ◽  
Judith Friedland ◽  
Mary Chipman ◽  
Paola Sciortino

ABSTRACTAlthough decisions related to driving are vital to well-being in later life, little is known about how aging drivers who do not experience a medical condition that requires driving cessation regulate their driving. This exploratory, qualitative study used focus groups with 79 such community-dwelling individuals to examine driving self-regulation from the perspective of pre-senior (aged 55–64) drivers, senior (aged 65 years or over) drivers, and senior ex-drivers. Themes resulting from inductive analysis addressed the importance of driving, mechanisms of self-monitoring and self-regulation, people who influenced decision making, and opinions regarding licensing regulations. A preliminary model of the process of self-regulation that highlights intrapersonal, interpersonal, and environmental influences on why, how, and when aging drivers adapt or cease driving is presented. The model identifies areas for future research to enhance understanding of this process, including the effectiveness of self-regulation. Findings suggest that increased public awareness of issues related to driving and aging could assist aging drivers, their families, and their family physicians in optimizing driving safety for this population. Since a near accident or accident was seen as the only factor that would lead many informants to stop driving and few informants planned for driving cessation, there is a need for interventions that help aging drivers make the transition to ex-driver in a timely and personally acceptable way.


PLoS ONE ◽  
2021 ◽  
Vol 16 (9) ◽  
pp. e0257300
Author(s):  
Khondker Mohammad Zobair ◽  
Louis Sanzogni ◽  
Luke Houghton ◽  
Md. Zahidul Islam

Many individuals visit rural telemedicine centres to obtain safe and effective health remedies for their physical and emotional illnesses. This study investigates the antecedents of patients’ satisfaction relating to telemedicine adoption in rural public hospitals settings in Bangladesh through the adaptation of Expectation Disconfirmation Theory extended by Social Cognitive Theory. This research advances a theoretically sustained prediction model forecasting patients’ satisfaction with telemedicine to enable informed decision making. A research model explores four potential antecedents: expectations, performance, disconfirmation, and enjoyment; that significantly contribute to predicting patients’ satisfaction concerning telemedicine adoption in Bangladesh. This model is validated using two-staged structural equation modeling and artificial neural network approaches. The findings demonstrate the determinants of patients’ satisfaction with telemedicine. The presented model will assist medical practitioners, academics, and information systems practitioners to develop high-quality decisions in the future application of telemedicine. Pertinent implications, limitations and future research directions are endorsed securing long-term telemedicine sustainability.


2019 ◽  
Vol 6 (4) ◽  
pp. 18-23
Author(s):  
Rajna Anthony ◽  
Mohamad Fazil Sabri

The main objective of this study is to determine the impact of a financial capability program on the financial well-being of medical practitioners in the public hospitals in Selangor, Malaysia. Its specific aims were to determine the levels of financial capability, financial satisfaction and financial practice of medical practitioners before and after a financial capability program intervention. A total of 100 medical practitioners were randomly assigned to intervention (50%) and control groups (50%) after both completing the financial capability initial assessment and evaluation (pre-test) questionnaire. The intervention group participants attended a series of five two hour one on one coaching session while the control group did not. After a four month duration both the groups completed the post evaluation (post-test). There were equal numbers of males and females in the intervention sample compared to 19 males and 31 females in the control group. The findings showed that the paired samples t-test detected the difference between the means scores of financial capability, financial satisfaction and financial practice of the medical practitioners in the two groups (control and intervention) from time 1 (pre intervention) and time 2 (post intervention).  There was no statistically significant difference found in the financial capability, financial satisfaction and financial practice scores between the two groups (intervention and control) prior to the program intervention (time 1). But the post program intervention (time 2) showed statistically significant (p<0.001) difference between the intervention group and the control group confirming a positive impact. The results of this study can be a starting point in using coaching techniques as part of ongoing education program.


2018 ◽  
Vol 31 (8) ◽  
pp. 1030-1043
Author(s):  
Bassam Mahboub ◽  
Ahmad Mawasi ◽  
Souzan Ali ◽  
Chiara Spina

Purpose The last few years have seen a stronger emphasis on patient-centred care within the international healthcare setting. Patient-centred care is clearly perceived to be important to optimise the satisfaction and well-being of patients. The purpose of this paper is to review current patient-centred practices for outpatients in both private clinics and public hospitals in Dubai. Such a comparison contributes to the identification of best management practices as a means of enhancing healthcare delivery. Design/methodology/approach This study is based on an independent survey consisting of self-administered questionnaires, in which patients were asked to rate several aspects of private clinics or government hospitals in Dubai. The questionnaire used has been drawn from the Consumer Assessment of Healthcare Providers and Systems Clinician and Group Survey, Version 3.0. Responses from 420 patients form a data set that is analysed quantitatively. Findings In total, 420 respondents took part in this survey. The results of the survey show that there is a considerable difference between the expectation levels of patients from government hospitals and patients from private clinics. Patients from government hospitals consistently show that time is a critical aspect of the service received, with 68 per cent of the respondents reporting this issue. Additionally, poor customer care, as reported by 14 per cent of the respondents, is also a critical issue. Timely service and appointments are among the main factors that contribute to patient satisfaction. Patients in private clinics, instead, particularly value clear explanations from doctors and nurses – this is corroborated by the fact that 11 per cent of the respondents reported appreciation of this type of service. Practical implications This paper draws attention to a patient-centric perspective of healthcare, and highlights the importance of educating patients through clear explanations. Originality/value Little evidence exists on the standards of healthcare in Dubai. The authors explore this area and present direct evidence on quality standard implementation, identify implementation shortcomings and make recommendations for future research and practice.


2020 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Diane A. Mollenkopf ◽  
Lucie K. Ozanne ◽  
Hannah J. Stolze

PurposeThis research employs a transformative service lens to examine the role of the supply chain ecosystem in ensuring the health and safety of employees and customers as a well-being outcome during the coronavirus disease of 2019 (COVID-19) pandemic.Design/methodology/approachThis is a conceptual paper examining the response of the supply chain to the current food crisis caused by the pandemic.FindingsBased on the service-dominant logic (SDL) paradigm, the COVID-19 examination of the supply chain ecosystem provides a foundation for further research employing a transformative lens.Research limitations/implicationsThe COVID-19 situation is primarily explored from a Western, educated, industrialised, rich and democratic (WEIRD) societies’ context. Future research should explore the applicability of the transformative service lens to other societies.Practical implicationsThe conceptual discussion and research agenda provide direction for researchers, practitioners and policymakers towards a transformative supply chain ecosystem.Originality/valueThis research includes the well-being of employees and customers in the service supply chain outcome measures, draws supply chain management into the TSR domain, while also solidifies a service ecosystem perspective of supply chain management.


2020 ◽  
Vol 14 (1) ◽  
pp. 32-40
Author(s):  
Gaetano Buonocore ◽  
Nelson Mauro Maldonato ◽  
Yari Mirko Alfano ◽  
Simona Annunziata ◽  
Tilde Annunziato ◽  
...  

Background: Work-related stress is a relevant phenomenon in terms of health and safety at work, as occupational distress has a negative impact on individual and organisational well-being. It is a complex and multifactorial phenomenon, whose evaluation must be carried out through a specific and adequate methodology. Objective: This work aims to identify versatile tools that can quickly provide reliable measures of work distress. It analyzes the proposal elaborated by the “Comitato Unico di Garanzia per le Pari Opportunità, la Valorizzazione del Benessere di chi lavora e contro le Discriminazioni” of Rome, i.e. the tool “Valutazione è prevenzione, Sicurezza è partecipazione”. Methods: A study was carried out on a sample of 474 employees of the Neapolitan Judicial Offices, who were given a standardized questionnaire to investigate the stress, associated with the proposal of the Comitato Unico di Garanzia. Results: From the elaboration of the results, it emerges that the conditions of working wellbeing are linked to two main factors related to the perception of workers both of physical-environmental and organisational-relational aspects. In particular, it emerged that the new assessment tool, consisting of a small number of items, contributes to the detection of work stress, so it is necessary to deepen through future research the contribution that this tool can offer to the survey on work-related stress. Conclusion: Having highlighted two factors that significantly saturate the presence of a working discomfort, through an agile tool, allows us to plan a new research path, which can approach the complexity of the phenomenon through the methods of deep learning.


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