scholarly journals Quality of care is Myth or Reality? A study of PHCs in Maharashtra

Author(s):  
Kadam Sanjay Ramrao ◽  
Srinivasan Kannan

Abstract Background:Maharashtra State Quality Assurance Program was evolved and pilot project was launched in 2006-07. In 2011 as Phase three it was launched in Beed district.Objectives:Objectives of the present study are to assess client’s perception on quality and satisfaction of healthcare at PHCs and their correlates and job satisfaction among health personnel.Methods:Cross sectional study was conducted among randomly selected 20 PHCs from Beed district.Data collected from 400 new clients of outpatient department of PHCs. From clients, demographics, socioeconomic status, perception on quality of outpatient care and their satisfaction were collected using structured questionnaire. From the health personnel data on socio-demographic details, and job satisfaction were collected. Univariate, bivariate, and multivariate analyses were performed.Results:In total 50 % of clients perceived better quality and 53% of them were satisfied with the services of PHCs. The factors found to be significantly associated with perception of better quality of services and client satisfaction were sex, education, occupation, perception on provider’s attitude, examination time and opted due to financial reasons. About 57% health personnel satisfied with job. All dissatisfied were medical officers.Conclusion:The study found only around half of them is satisfied with services. Findings suggest infrastructure and drug alone will not improve the satisfaction, but the state need to improve the human aspects of services with more interaction and thorough examination of the clients. To improve services working conditions will have to be improved for health personnel.

2018 ◽  
Vol 41 (4) ◽  
pp. 615-630 ◽  
Author(s):  
Dawon Baik ◽  
Brenda Zierler

Despite continuing interest in interprofessional teamwork to improve nurse outcomes and quality of care, there is little research that focuses on nurse job satisfaction and retention after an interprofessional team intervention. This study explored registered nurse (RN) job satisfaction and retention after a purposeful interprofessional team training and structured interprofessional bedside rounds were implemented. As part of a larger study, in this comparative cross-sectional study, pre- and post-intervention data on RN job satisfaction and turnover rate were collected and analyzed. It was found that RNs had significantly higher job satisfaction after the interprofessional team intervention. The 6-month period turnover rate in the post-intervention period was slightly lower than the 6-month period turnover rate in pre-intervention period; however, the rate was too low to provide statistical evidence. Ongoing coaching and supportive work environments to improve RN outcomes should be considered to enhance quality of care and patient safety in healthcare.


2020 ◽  
Vol 22 (4) ◽  
pp. 1010-1021
Author(s):  
Marie Komagata ◽  
Yukie Takemura ◽  
Naoko Ichikawa ◽  
Kimie Takehara ◽  
Keiko Kunie

Open Medicine ◽  
2008 ◽  
Vol 3 (2) ◽  
pp. 221-224 ◽  
Author(s):  
Aleksandra Jovic-Vranes ◽  
Bjegovic Vesna ◽  
Vranes Boris ◽  
Milic Natasa

AbstractThe study was undertaken to assess job satisfaction among health care workers (HCWs) who work with disabled patients and to identify the factors that contribute to their job satisfaction. This was a cross-sectional study conducted at nine rehabilitation centers in Serbia. The study sample consisted of doctors, nurses, physiotherapists, and other HCWs (social workers, work and speech therapists, and psychologists). A self-administrated questionnaire was distributed to 170 HCWs. Chi square testing and multivariate logistic regression analyses were applied. The response rate was 97.1% (165/170). Overall job satisfaction was reported by 22.4% of the respondents and was associated with hospital politics (odds ratio [OR], 4.16; 95% confidence interval [CI], 1.13–15.30], personal relationships (OR, 13.96; 95% CI, 4.07–47.92) and the feeling of being able to provide a good quality of care (OR, 5.24; 95% CI, 1.62–16.99). Profession, age, and gender did not affect job satisfaction. In conclusion, the results show very low job satisfaction among HCWs. Improving contributing factors may lead to higher job satisfaction and a better quality of health care.


2017 ◽  
pp. 135-141
Author(s):  
Lam Chi Ha ◽  
Van Thang Vo ◽  
Thi Hue Man Vo

Introduction: Caring service provided by nurses was one of the main factor of medical service system of Viet Nam. During recent years, nurses and midwives service had made significant progress in improving the quality of health caring service. However, jobs of nurses and midwives in Vietnam were still facing some problems and challenges: lack of both quality and quantity, discrepant structure. This study aimed to evaluate the human resource situation as well as the satisfaction level of nurse and midwife staff in state –run local hospitals, which would be the foundation for the plan of developing nurse and midwife system in order to satisfy the healthcare need of the patients. Objectives: To investigate the satisfaction rate and satisfaction involved factors with particular jobs of nurses and midwives at treatment systems in the public hospitals in Quang Tri province in year 2015. Data was collected using self-administrative questionnaires and entered and analysed by the statistical software of SPSS Version 20.0. Methodology: A cross sectional study was carried out in Dec. 2015 on a total of 433 nurses, midwives working at clinical departments of 12 governmental hospitals in Quang Tri province. Results: General job satisfaction rate with the particular jobs was 52.9%. Factors involving satisfaction of nurses, midwives with their jobs included: working position, hospital level of care, clinical departments, and monthly income getting from hospital (p<0.05). Conclusions: It was highly necessary to improve working conditions and environment, and income, to ensure treatment regimens and policies, to make further training and higher working position feasible, to heighten role and responsibility on working and to develop hospital in order to raise the satisfaction rate of nurses and midwives, and hence to enhance the quality of patient care in hospitals. Key words: Nurses, midwives, satisfaction, quality of care


2012 ◽  
Vol 20 (5) ◽  
pp. 838-846 ◽  
Author(s):  
Verónica Guerra-Guerrero ◽  
Olivia Sanhueza-Alvarado ◽  
Mirtha Cáceres-Espina

AIM: determine the quality of life for people in chronic hemodialysis and its association with sociodemographic, medical-clinical and laboratory variables. METHOD: exploratory, descriptive, cross-sectional study with stratified probability sampling. Quality of life was assessed using the KDQOL-36TM. Data were analyzed using SPSS statistical software. RESULTS: 354 people in chronic hemodialysis had low scores on most dimensions of quality of life, mainly Burden of Disease, Physical and Mental Component. Age, sex, education, income, time on dialysis, etiology of the disease, smoking, hospitalizations, albumin, creatinine and transplants were related. The results reveal multiple factors related to quality of life. CONCLUSION: there is a need to research on other aspects that permit focusing and optimizing the nursing care for these people.


2020 ◽  
Vol 4 (2) ◽  
pp. 193-203
Author(s):  
Sajma Ajhenberger ◽  
Jelena Hodak ◽  
Ivana Vadlja ◽  
Dunja Anić

Introduction. We consider job satisfaction through the prism of the work we do, the working conditions, the relationships with colleagues and superiors, and the opportunity to advance and earn. Nurses make up 50% of the total workforce in the healthcare system and it is beyond question that their number in the system directly affects the quality of nursing care. The most common dissatisfaction at work is insufficient staff, poor working conditions, poor relationship with colleagues and superiors, and impossibility to advance. Aim. The objectives of the study were to examine the satisfaction of nurses in the job and to assess whether they were considering leaving their current job and how they were assessing their health and working productivity. Methods. The study involved 155 nurses from three Clinical Hospital Centers in Croatia (Osijek, Rijeka and Zagreb). The study was designed as a cross-sectional study. It started on January 1, and ended on June 30, 2018. The first part refers to the demographic dana of the respondents, while the second part contains questions related to the intention of leaving the present job, self-assessment of health status and working productivity and job satisfaction. Results. In the answers to job satisfaction claims, the respondents with the bachelor’s and master’s degree in nursing compared to the respondents who completed secondary education, responded with a higher percentage that they were dissatisfied with the working conditions and the possibility of promotion (46.2%). They are dissatisfied with the relationship with their superiors (70%), as well as with the work they do (54%). Respondents at all levels of education are equally satisfied with their relationships with colleagues and with their earnings. Conclusion. Most of the respondents are satisfied with the relationship with their superiors, colleagues and work, and dissatisfied with the possibility of advancement and salary. Most of them answered that they rarely think about leaving their job, and they assess their health as good and work productivity as normal.


2020 ◽  
Vol 12 (2) ◽  
pp. 191
Author(s):  
Gita Purnamasari ◽  
Misnaniarti Misnaniarti

A doctor’s job satisfaction is important because it will improve the quality of health services. This study aimed to determine the relationship between intensity training and doctors satisfaction. This research was a cross-sectional study using data from Risnakes 2017. The sample was 5,140 doctors primary health care with civil servant status in Indonesia that was randomly selected. The data were analyzed using the Spearman correlation. This study showed that mean job satisfaction was 70.07 and intensity of the training was 3.98. There is a positive correlation between the training intensityand the doctor's job satisfaction of primary health care in Indonesia (p-value <0.000 and r = 0.063). More doctor's training will improve the ability of doctors to care for the patient's clinical according to the standards of competence.


2020 ◽  
Vol 5 (1) ◽  
pp. 296
Author(s):  
Asfri Sri Rahmadeni

<em>Job satisfaction is a pleasant mental state perceived by a person on the job because of the requirement for adequately. Someone who has a high level of job satisfaction will have a positive feeling about the job. This study aims to look at the factors associated with job satisfaction of nurses in the hospital harapan bunda batam 2015. The design of this study using cross sectional study design. Samples taken by total sampling with total sample of 74 nurses. Results of the study are the factors mitivator and hygiene factors more than half are not implemented. Statistical test results obtained Motivator factors that have a relationship with the achievement of satisfaction of nurses are working nurse with p = 0.020, recognition of the work with p = 0.003, and the work itself with p = 0.027. Hygiene factors linked to the satisfaction of nurses are working regulations with p = 0.013, p = 0.011 salary, and interpersonal relationships with p = 0.070. After multivariate analysis obtained factor most dominant working conditions and job satisfaction of nurses with OR = 5.123. The implications of this study demonstrated that the mother's hospital hopes more attention to factors related to job satisfaction of nurses so that the quality of service provided nurses can work well</em>


2013 ◽  
Vol 64 (2) ◽  
pp. 255-264 ◽  
Author(s):  
Zlata Ožvačić Adžić ◽  
Milica Katić ◽  
Josipa Kern ◽  
Jean Karl Soler ◽  
Venija Cerovečki ◽  
...  

The impact of physician burnout on the quality of patient care is unclear. This cross-sectional study aimed to investigate the prevalence of burnout in family physicians in Croatia and its association with physician and practice characteristics, and patient enablement as a consultation outcome measure.Hundred and twenty-five out of 350 family physicians responded to our invitation to participate in the study. They were asked to collect data from 50 consecutive consultations with their adult patients who had to provide information on patient enablement (Patient Enablement Instrument). Physicians themselves provided their demographic and professional data, including workload, job satisfaction, consultation length, and burnout [Maslach Burnout Inventory - Human Services Survey (MBI-HSS )]. MBI-HSS scores were analysed in three dimensions: emotional exhaustion (EE), depersonalisation (DP), and personal accomplishment (PA).Of the responding physicians, 42.4 % scored high for EE burnout, 16.0 % for DP, and 15.2 % for PA. Multiple regression analysis showed that low job satisfaction and more patients per day predicted high EE scores. Low job satisfaction, working more years at a current workplace, and younger age predicted high DP scores. Lack of engagement in education and academic work, shorter consultations, and working more years at current workplace predicted low PA scores, respectively (P<0.05 for each).Burnout is common among family physicians in Croatia yet burnout in our physicians was not associated with patient enablement, suggesting that it did not affect the quality of interpersonal care. Job satisfaction, participation in educational or academic activities and sufficient consultation time seem to reduce the likelihood of burnout.


2017 ◽  
Vol 13 (1) ◽  
Author(s):  
Liv Halvorsrud ◽  
Jelena Kuburović ◽  
Randi Andenæs

Job Satisfaction and Quality of Life among Norwegian Homecare Nurses: a cross-sectional studyThe aim of this cross-sectional study was to investigate job satisfaction and quality of life among homecare nurses. A questionnaire including socio demographic variables, the Job Satisfaction Scale and the World Health Organization Quality of Life measurement was used to assess data (N = 126, mean age 39 years, 78 percent were women). The study showed moderate overall job satisfaction among homecare nurses. Satisfaction with colleagues had the highest item score in job satisfaction. Moderate satisfaction was displayed for the following items; responsibility you are given, variation on work, your opportunities to use your skills, freedom to choose your own methods of working, your physical working conditions, your work hours, and recognition you get for good achievements. Overall quality of life as well as the domains; physical, psychological, social relations and environment, showed high scores. Job satisfaction was significantly associated with both physical and environment domain of quality of life.


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