scholarly journals Relationship of Hospital Architecture to Nursing Staff Caring for Self, Caring for Patients, and Job Satisfaction

2016 ◽  
Vol 3 (1) ◽  
Author(s):  
Mary Ann Hozak ◽  
John Nelson ◽  
Debbie Gregory
Keyword(s):  
Job Satisfaction ◽  
Architectural Design ◽  
Care Delivery ◽  
Small Sample Size ◽  
Clinical Care ◽  
Small Sample ◽  
Care Staff ◽  
Care Recipient ◽  
Replication Studies ◽  
Nursing Health

Historically, the fields of architecture (design) and nursing (health) have been separate disciplines without much intersection. In recent years, the healthcare building boom has created a specialty practice for architects, focusing on healthcare design. With this new focus and specialty within architecture, the science of evidence-based design and the collaboration with clinical care staff have created a new partnership paradigm that is improving the built environment. Ten dimensions of caring have been espoused by Watson’s Caritas Theory to comprise the construct of caring, which in turn facilitates healing for both the care giver and care recipient (Nelson & Watson, 2012). This article describes a study that examined the relationship between selected elements of architectural design and other factors (recent architectural change, unit size and shape, intersecting hallways, number and proximity of bathrooms and supply rooms, availability of nourishment, number and availability of computers, and rooms for staff gathering, for solitude, and for practice of Watson Caring Factors) and outcomes of caring that are important to nursing, including clinical staff caring for self, caring for others, and job satisfaction. The study took place in a hospital that was implementing Watson’s concepts of caring within their framework of care delivery. Statistically significant relationships were: Caring for self was negatively related to number of supply rooms and number of Watson rooms or boxes. Caring for patients as reported by staff was negatively related to number of Watson rooms or boxes. Job satisfaction was positively related to number of bathrooms and negatively related to number of supply rooms. A small sample size required adjustment of the alpha to .15 and an effect size of .25, suggesting that replication studies with larger sample sizes may assist with development of a model of architecture that promotes behaviors as proposed by Watson and better outcomes for both patient and staff.

Preliminary Investigation of the Relationships Between Involvement in Student Affairs Professional Development and Margin in Life

NASPA Journal ◽  
2007 ◽  
Vol 44 (2) ◽  
Author(s):  
Brandon T Lagana
Keyword(s):  
Professional Development ◽  
Student Affairs ◽  
Small Sample Size ◽  
Preliminary Investigation ◽  
Negative Relationship ◽  
Student Affairs Professionals ◽  
Small Sample ◽  
Replication Studies ◽  
Power Load ◽  
Student Affairs Professional

Involvement in student affairs professional development was investigated using McClusky’s (1963) Power Load Margin (PLM) theory from the adult education field. The PLM theory is a framework for identifying sources of stress (load) and power in one’s life; the amount of power available to handle stress is called margin in life (MIL). This study employed a correlational research design to investigate if relationships existed between involvement in professional development outlets and activities, and MIL scores for student affairs professionals. Sixty-five (60.7%) student affairs professionals from a Midwestern university participated in the study by completing a Professional Development Questionnaire (created by the researcher) and the MIL Scale, developed by Stevenson (1982) and based upon the PLM theory. Results of correlational analyses indicated a slight, but not significant (p = .05), negative relationship between MIL scores and the number of career-related professional development outlets. No correlation was found between MIL scores and career-related professional development activities. Results of this preliminary study suggest the possibility that as the number of professional development outlets in which one was involved increased, one’s available power decreased. This study was one of the first PLM investigations of careerrelated professional development related to the student affairs field. Limitations included the small sample size from one university, and weak and insignificant correlations (at the .05 level). Additionally, this study did not address other life factors that could affect one’s MIL score, such as years in the field, position level, or other circumstances. The methods employed for this study could provide the basis for replication studies with larger samples.

Workplace model for physical therapists and occupational therapists

2014 ◽  
Vol 28 (3) ◽  
pp. 290-314 ◽  
Author(s):  
Joan I.J. Wagner ◽  
Sharon Warren ◽  
Greta Cummings ◽  
Donna L. Smith ◽  
Joanne K. Olson
Keyword(s):  
Job Satisfaction ◽  
Organizational Commitment ◽  
Physical Therapists ◽  
Small Sample Size ◽  
Specific Model ◽  
Research Literature ◽  
Small Sample ◽  
Exploratory Research ◽  
Content Type ◽  
Healthy Work Environments

Purpose – The purpose of this paper is to test a model linking physical therapy (PT) and occupational therapy (OT) practitioners’ perceptions of resonant leadership, structural empowerment and psychological empowerment to their experiences of spirit at work (SAW), job satisfaction and organizational commitment within the Canadian workplace. Design/methodology/approach – The authors tested the model using LISREL 8.80 and survey data from 101 OTs and 169 PTs, randomly selected by the Alberta professional licensing associations. Content analysis of responses to the open-ended comments section provided additional depth and insight. Findings – Analysis of results culminated in minor modifications to the original theoretical model, creating separate PT and OT models. Both models revealed a good fit with the observed data. Several SAW concepts accounted for moderate to large amounts of variance in both PT and OT models, indicating that SAW is a comprehensive workplace outcome. Research limitations/implications – Theory was derived from business and nursing research literature due to limited rehabilitation research literature. Discussion of OT results must consider the small sample size. This study is initial exploratory research. Practical implications – Each discipline-specific model provides professionals, health care leaders and policy makers with a rich body of information upon which to base beneficial workplace decisions. SAW will guide leaders in the holistic development and enrichment of the work environment. Originality/value – This research contributes to the substantive knowledge of the OT and PT disciplines, particularly in the areas of leadership, workplace structural organization and indicators of healthy work environments such as SAW, empowerment, job satisfaction and organizational commitment.

scholarly journals Impact of COVID-19 on Cancer Care Delivery in Africa: A Cross-Sectional Survey of Oncology Providers in Africa

2021 ◽  
pp. 368-377
Author(s):  
Yehoda M. Martei ◽  
Tara J. Rick ◽  
Temidayo Fadelu ◽  
Mohammed S. Ezzi ◽  
Nazik Hammad ◽  
...  
Keyword(s):  
Cancer Care ◽  
Care Delivery ◽  
Clinical Care ◽  
Small Sample ◽  
Treatment Modalities ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Patients With Cancer ◽  
Income Groups ◽  
Oncology Providers

PURPOSE The COVID-19 pandemic has disrupted cancer care globally. There are limited data of its impact in Africa. This study aims to characterize COVID-19 response strategies and impact of COVID-19 on cancer care and explore misconceptions in Africa. METHODS We conducted a web-based cross-sectional survey of oncology providers in Africa between June and August 2020. Descriptive statistics and comparative analysis by income groups were performed. RESULTS One hundred twenty-two participants initiated the survey, of which 79 respondents from 18 African countries contributed data. Ninety-four percent (66 of 70) reported country mitigation and suppression strategies, similar across income groups. Unique strategies included courier service and drones for delivery of cancer medications (9 of 70 and 6 of 70, respectively). Most cancer centers remained open, but > 75% providers reported a decrease in patient volume. Not previously reported is the fear of infectivity leading to staff shortages and decrease in patient volumes. Approximately one third reported modifications of all cancer treatment modalities, resulting in treatment delays. A majority of participants reported ≤ 25 confirmed cases (44 of 68, 64%) and ≤ 5 deaths because of COVID-19 (26 of 45, 58%) among patients with cancer. Common misconceptions were that Africans were less susceptible to the virus (53 of 70, 75.7%) and decreased transmission of the virus in the African heat (44 of 70, 62.9%). CONCLUSION Few COVID-19 cases and deaths were reported among patients with cancer. However, disruptions and delays in cancer care because of the pandemic were noted. The pandemic has inspired tailored innovative solutions in clinical care delivery for patients with cancer, which may serve as a blueprint for expanding care and preparing for future pandemics. Ongoing public education should address COVID-19 misconceptions. The results may not be generalizable to the entire African continent because of the small sample size.

Abstract P863: Did Covid 19 Highlight Disparities in Stroke Care: A Real-World Study of Telehealth Utilization Between Urban and Suburban Populations in a Health Care System

Stroke ◽  
2021 ◽  
Vol 52 (Suppl_1) ◽  
Author(s):  
Maryika I Gibson ◽  
Ruchi Wanchoo
Keyword(s):  
Health Care ◽  
Health Care System ◽  
Care Delivery ◽  
Small Sample Size ◽  
National Level ◽  
Stroke Care ◽  
Small Sample ◽  
Acute Stroke Care ◽  
Significant Difference ◽  
Care System

A viable alternative to in person assessments, telemedicine offered providers cost effective and safe alternative to patient care delivery during COVID19. Resource limitations, state and organizational safety precautions accelerated our system adoption of video visits for stroke post hospitalization assessments. Utilizing mixed methods we aimed to investigate an association between patients characteristics (age, gender, race, Modified Rankin Score-mRS, residence) and their choice for post-acute care during a five-month period. The subset selecting in-person visits was further interviewed regarding perceptions of barriers to telehealth. We analyzed data from 85 patients’ records (45 in the urban telehealth and 40 in the suburban clinic visit groups) according to ICD10 codes. While total volume of televisits increased during COVID 19, stroke accounted for <1% of them. There was no significant difference in the mean age between the two groups-68.5 years in the clinic and 64.4 in the tele. The clinic subset had 42% of patients age greater than 75 years. Significant difference was detected in disabilities (t=3.5, p<.001) with one-point higher mean mRS (1.7 vs .7) and stronger positive correlation of age to disabilities in the suburban group (r2=.26 vs r2=.16). Patients selecting in-person care outlined as barriers to telehealth a lack of technology, poor connectivity, no caregiver availability for tele exam, inability to communicate or other major co-morbidities, family’s perception of complexity of patient’s condition, fragmentation of care during the period. Patients selecting video assessment were more connected with a health care system and from the urban center. Strengths of the study are the application of mix methods and investigation of suburban patients’ perceptions of barriers to telehealth. Limitations consist of small sample size and 90% Caucasian population. Current technology advancements, software applications, and the goal of Healthy People 2030 of removing disparities in heart and stroke disease will require a new multipronged approach to improving stroke telehealth at population level. Further studies at national level including social determinates of health need to examine barriers to telemedicine in post-acute stroke care.

Health Care Delivery to Adolescents and Young Adults by Pediatricians

PEDIATRICS ◽  
1988 ◽  
Vol 82 (3) ◽  
pp. 516-517
Author(s):  
JOE M. SANDERS
Keyword(s):  
Health Care ◽  
Young Adults ◽  
American Academy ◽  
Health Care Delivery ◽  
Care Delivery ◽  
Small Sample Size ◽  
Small Sample ◽  
Adolescents And Young Adults ◽  
Age Group ◽  
American Academy Of Pediatrics

The study by Joffe et al1 presents data that suggest pediatricians have still not made a definitive commitment to providing health care for adolescents and young adults. Although this article might be subjected to criticism based upon the relatively small sample size, the demographics of the population surveyed, and the randomization techniques used in the collection of data from questionnaires, the conclusion that physicians, in general and pediatricians in particular, are failing to meet their obligations to this population is probably valid. This is particularly distressing given the priority that the American Academy of Pediatrics has placed on the delivery of health care to this age group.

62cuatsm and 62cuptsm PET is a useful imaging tool for hypoxia and perfusion in lung cancer.

2013 ◽  
Vol 31 (15_suppl) ◽  
pp. e22166-e22166
Author(s):  
Tian Zhang ◽  
Shiva K. Das ◽  
Jeffrey Crawford ◽  
Terence Wong ◽  
Mark W. Dewhirst ◽  
...  
Keyword(s):  
Pet Imaging ◽  
Lung Tumor ◽  
Imaging Techniques ◽  
Small Sample Size ◽  
Medical Center ◽  
Clinical Care ◽  
Tumor Hypoxia ◽  
Small Sample ◽  
Unique Challenge ◽  
Pet Scans

e22166 Background: Hypoxia is a characteristic of many tumors and portends a worse prognosis in lung, cervical, prostate, and rectal cancers. Unlike the others, lung cancers present a unique challenge in measuring hypoxia, with invasive biopsies and higher rates of complications. Noninvasive imaging studies detecting hypoxia using isotopes of copper-diacetyl-bis (N4-methylthiosemicarbazone), CuATSM, have predicted prognosis and treatment outcomes in some small feasibility trials. These images, however, may not identify all areas of hypoxia. Hence, we hypothesize that the addition of another positron emission tomography (PET) imaging agent, copper-pyruvaldehyde-bis (N4-methylthiosemicarbazone), 62CuPTSM, which can detect areas of perfusion, can augment the information obtained in 62CuATSM PET scans. Methods: In order to characterize tumors based on both perfusion and hypoxia, ten patients were studied using both 62CuATSM and 62CuPTSM PET scans. All patients signed informed consent; the protocol was approved by the Duke University Medical Center institutional review board. 62CuATSM and 62CuPTSM SUV values at steady state were tabulated and the ratios of 62CuATSM to 62CuPTSM calculated. In addition, proteomic arrays looking at specific proangiogenic, survival, and proinflammatory targets were assessed. Results: Six out of ten patients had fully evaluable PET scans. Our initial experience of characterizing lung tumor hypoxia using 62CuATSM/62CuPTSM PET scans showed that visualization of areas with hypoxia normalized for perfusion is feasible. All studied tumors exhibited some hypoxia. Despite the small sample size, a positive relationship was noted between serum epidermal growth factor (EGF) levels and 62CuATSM detected hypoxia. Conclusions: This initial series of 62CuATSM/62CuPTSM PET scans demonstrate that evaluating pulmonary lesions by visualizing hypoxia and perfusion is a feasible and novel technique to provide more information. Further investigation is warranted to assess the potential role of 62CuATSM and 62CuPTSM PET imaging techniques combined with proteomics as alternatives to invasive biopsy techniques in clinical care.

scholarly journals Early CPAP reduced mortality in covid-19 patients. Audit results from Wrightington, Wigan and Leigh Teaching Hospitals NHS Foundation Trust

2020 ◽  
Author(s):  
Abdul Ashish ◽  
Alison Unsworth ◽  
Jane Martindale ◽  
Luigi Sedda ◽  
Ramachandran Sundar ◽  
...  
Keyword(s):  
Best Practice ◽  
Small Sample Size ◽  
Clinical Care ◽  
Evidence Base ◽  
Good Evidence ◽  
Small Sample ◽  
Teaching Hospitals ◽  
Sufficient Evidence ◽  
Recent Experience ◽  
Common Clinical Practice

AbstractCOVID-19 infection typically causes pneumonia with bilateral changes on Chest radiograph. There is significant hypoxia and use of oxygen for patients admitted to hospital is standard. The use of Continuous Positive Airway Pressure (CPAP) in patients with COVID-19 has now become established as a common clinical practice based on recent experience. It is given as part of “best endeavours” treatment in the absence of sufficient evidence to guide best practice. The use of CPAP as a step up in clinical care is now common but has a poor evidence base.Using routinely collected data, the use of CPAP as a supportive non-invasive ventilatory treatment is described in 35 patients with COVID infection. Patients given early CPAP and in particular within 48 hours of admission, are shown to have a better outcome (a significant probability of lower mortality) than patients who received late CPAP (more than 48 hours after admission).Although the analysis is affected by a small sample size, the results have shown good evidence that supports the early use of CPAP in patients with COVID-19 infection.

An investigation of the satisfaction of project managers and team members

2019 ◽  
Vol 36 (5) ◽  
pp. 708-734 ◽  
Author(s):  
Rateb Jalil Sweis ◽  
Rawan Ali Saleh ◽  
Yousra Sharaireh ◽  
Alireza Moarefi
Keyword(s):  
Job Satisfaction ◽  
Performance Management ◽  
Small Sample Size ◽  
Project Managers ◽  
Small Sample ◽  
Iso 9001 ◽  
Content Type ◽  
Team Members ◽  
Two Samples ◽  
Significant Difference

Purpose The purpose of this paper is to compare the job satisfaction levels between International Organization for Standardization (ISO) 9001-certified and non-ISO 9001-certified project-based companies in Jordan, for project managers (PMs) and project team members (consultants, engineers and architects). Design/methodology/approach The study sample consists of individuals from the aforementioned four roles of ISO 9001-certified and non-ISO 9001-certified companies. A questionnaire survey was used to collect the data from 57 companies. In total, 72 valid questionnaires were returned, yielding a response rate of 92.98 percent. The data obtained were statistically analyzed, and then the independent t-test was used to test the study hypotheses. Findings The results revealed that ISO 9001-certified companies experience higher job satisfaction level for the four roles compared to non-ISO 9001-certified companies. Between the two samples, it was noted that there is a significant difference in the PMs’, consultants’ and engineers’ satisfaction with co-workers and without any remarkable difference in the specific satisfaction. No significant difference between the two samples in general satisfaction was found for PMs and engineers. Finally, no significant difference was found in three satisfaction elements for architects. Research limitations/implications Understanding the linkage between being ISO 9001-certified company and project members’ job satisfaction can provide a new strategic direction for project-based companies’ performance management that can help in achieving superior work outcomes. A small sample size is considered the main limitation of this study. Originality/value This study attempts to fill the knowledge gap that is rarely investigated in the literature, i.e. the link between being ISO 9001-certified company and the level of project members’ job satisfaction.

Boosting facility managers’ personal and work outcomes through job design

Facilities ◽  
2014 ◽  
Vol 32 (13/14) ◽  
pp. 825-844 ◽  
Author(s):  
Florence Yean Yng Ling ◽  
Weiyan Toh
Keyword(s):  
Job Satisfaction ◽  
Electronic Mail ◽  
Small Sample Size ◽  
Job Characteristics ◽  
Small Sample ◽  
Work Outcomes ◽  
Survey Method ◽  
Internal Motivation ◽  
Content Type

Purpose – This study aims to identify the job characteristics that would boost the personal and work outcomes (e.g. job satisfaction, internal motivation and output quality) of facility managers (FMs) in Singapore based on the Job Characteristics Theory. Design/methodology/approach – The research method is a survey method, and data were collected using a structured questionnaire from 34 FMs through electronic mail and by post. Findings – Using t-test of the mean, 23 out of the 39 identified job characteristics are found to be significantly present in FMs’ jobs. Pearson’s correlation analysis revealed that the job characteristics that are significantly correlated with personal and work outcomes of FMs include those that use a variety of skills, in which task identity is present, task is significant, allow autonomy, provide feedback and meet FMs’ growth needs. Research limitations/implications – The Job Characteristics Theory is found to be applicable to FMs’ jobs, but this needs to be generalized carefully because of the relatively small sample size. Practical implications – It is recommended that the significant job characteristics that are identified in this study be designed and incorporated into FMs’ jobs. These include setting up teams where members play their parts well; a reward system when a job is done well; a career path with ample opportunities for promotion; and communication channels that are clear and precise. Originality/value – Important job characteristics that could boost FMs’ job satisfaction, internal motivation and quality of work are identified. In addition, job characteristics that could reduce their likelihood of leaving the profession are also uncovered. These job characteristics should be designed into FMs’ jobs, so that firms have high performing and motivated FMs.

“Going beyond to deliver hip hospitality”: exploring motivation and job satisfaction of hospitality workers in Dubai

2021 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Reimara Valk ◽  
Lina Yousif
Keyword(s):  
Job Satisfaction ◽  
United Arab Emirates ◽  
Hospitality Industry ◽  
Small Sample Size ◽  
Small Sample ◽  
Reciprocal Relation ◽  
Content Type ◽  
Prosocial Motivation ◽  
Hospitality Workers ◽  
Job Levels

Purpose This paper aims to explore the motivation and job satisfaction of employees in the hospitality industry in Dubai, using Herzberg’s two-factor theory of motivation. Design/methodology/approach This qualitative research encompassed 20 interviews with employees at four different job levels from a 4-star hotel in Dubai, selected through purposive and quota sampling. Findings Findings show that achievement, recognition and responsibility are essential motivators. However, these were sources of dissatisfaction amongst employees from the lower job levels. Leader quality is crucial to hygiene. Moreover, it is a key motivator and a powerful source of job satisfaction. Research limitations/implications This cross-sectional study entailed a small sample size of 20 employees from one hotel in Dubai. Therefore, the only generalisation to theory is permitted and not to a broader population, such as hospitality workers from other hotels in Dubai or any of the other six United Arab Emirates. Practical implications The two specific human resource programmes and practices presented in this paper can exert a positive influence on employees’ motivation and job satisfaction. This, in turn, will bring the hotel in a strong position to compete for motivated and competent human capital to deliver high quality guest services to gain a competitive advantage in the hospitality industry in Dubai. Originality/value This paper contributes to the literature first, by identifying the type of motivation of the hotel’s employees as follows: “prosocial motivation”, evoked by satisfaction with motivators and hygienes. Second, by presenting a “Satisfier and Hygiene model for Prosocial Motivation and Job Satisfaction”, illustrating the reciprocal relation between prosocial motivation and job satisfaction.

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