scholarly journals Big Data Analytics in Handling Mechanisms of Transforming Healthcare Performance: An Approach Technological Management in Addressing Nurse Workloads in Emergency Department

2021 ◽  
Author(s):  
M Chairul Basrun Umanailo

Background: The importance of science related to Big Data was a need in overcoming the performance problems of health professionals to overcome disease healing for clients in the hospital. The understanding mechanism of Big Data in nursing will certainly positively impact the client's recovery process during treatment in the hospital. Purpose: This study aims to find out how the Big Data mechanism can be applied in overcoming the performance of health workers in providing professional nursing care to clients. Methods: This research uses quantitative methods to measure Big Data's health mechanisms' degree of understanding. To obtain the common research finding, researchers used cross?sectional analysis. Meanwhile, to get valid results during the study, the researcher uses observational analytics techniques Result: Healthcare professionals were expected to understand Big Data and knowledge mechanisms in addressing client care. This can be seen from the research results that explain that (n) p-value (≤ 0.05), which means that understanding Big Data was essential in knowing how efficiently caring the clients' health. Conclusion: Big data analysis is indispensable in health sciences at this time. Health data recorded in the database can help clients overcome health problems, especially those in the community. In addition, the work experience and ability of nurses to analyze Big Data medical records will undoubtedly have an impact on the rapid recovery of patients in hospitals.

2020 ◽  
Author(s):  
Elham Nazari ◽  
Maryam Edalati Khodabandeh ◽  
Ali Dadashi ◽  
Marjan Rasoulian ◽  
hamed tabesh

Abstract Introdution Today, with the advent of technologies and the production of huge amounts of data, Big Data analytics has received much attention especially in healthcare. Understanding this field and recognizing its benefits, applications and challenges provide useful background for conducting efficient research. Therefore, the purpose of this study was to evaluate the students' familiarity from different universities of Mashhad with the benefits, applications and challenges of Big Data analysis.Method This is a cross-sectional study that was conducted on students of Medical Engineering, Medical Informatics, Medical Records and Health Information Management in Mashhad-Iran. A questionnaire was designed based on literature review in pubmed, google scholar, science direct and EMBASE databases, using Delphi method and presence of 10 experts from different fields of study. The designed questionnaire evaluated the opinion of students regarding benefits, challenges and applications of Big Data analytics. 200 students participated in the study and completed the designed questionnaire. Participants' opinions were evaluated descriptively and analytically. Result Most students were between 20 and 30 years old. 63% of them were male and 43.5% had no work experience. Current and previous field of study of most of the students were HIT, HIM, and Medical Records. Most of the participants in this study were undergraduates. 61.5% were economically active, 54.5% were exposed to Big Data. The mean scores of participants in benefits, applications, and challenges section were 3.71, 3.68, and 3.71, respectively, and process management was significant in different age groups (p=0.046), information, modeling, research, and health informatics across different fields of studies were significant (p=0.015, 0.033, 0.001, 0.024) Information and research were significantly different between groups (p=0.043 and 0.019), research in groups with / without economic activity was significant (p= 0.017) and information in exposure / non exposure to Big Data groups was significant (p=0.02). Conclusion Despite the importance and benefits of Big Data analytics, students' lack of familiarity with the necessity and importance of these analytics in industries and research is significant. The field of study and level of study do not appear to have an effect on the degree of knowledge of individuals regarding Big Data analysis. The design of technical training courses in this field may increase the level of knowledge of individuals regarding Big Data analysis.


2019 ◽  
Vol 12 (1) ◽  
pp. 31-36
Author(s):  
Zuhrah Gia Tamah ◽  
Muliyadi Muliyadi ◽  
Sri Yulia

Background: Surgery is medication of invasive technique causing physical trauma and risk of death. This high risk can cause a psychological effect namely anxiety in the form of recovery process duration after a surgery.A patient that will go through a surgery feels anxious and needs an intervention of information fulfillment. Objective of the Study: This study aimed to find out the relationship between information fulfillment of pre-surgery patients and their level of anxiety at Muhammadyah Hospital of Palembang in 2017. Method: This study was quantitative using an analytical descriptive design with cross- sectional approach. The sampling technique was accidental sampling with the number of samples of 35 respondents. The data were collected using questionnaire with 12 items of information fulfillment statements and 20 items of statements of anxiety level. This study used bivariate analysis with chi square test. Results: The patients having poor information fulfillment were 22 respondents (62.9%), while those feeling anxious were 23 respondents (65.7%). The results of the statistical test showed that there was a relationship between information fulfillment and level of anxiety (p value = 0.024). Conclusion and Suggestion: Information fulfillment is very important to be carried out to decrease the anxiety of pre-surgery patients. It is expected that health workers particularly nursesapply their knowledge and formulate how to decrease the anxiety of the patients facing a surgery and information standard of pre-surgery condition that can be provided by the nurses in the form of pre-surgery nursing care.


Author(s):  
Hamza Syed Muhammad ◽  
Sadaf Anwar ◽  
Angila Iqbal ◽  
Farah Ahmad

Background: With increasing morbidity and mortality rates throughout the world, COVID-19 has caused a universal psychological impact on the lives of people. Aims: To examine psychological wellbeing of frontline healthcare professionals and compare mental health among doctors, paramedical staff and allied health workers. Methods: This cross-sectional study included 225 healthcare professionals from 13 different hospitals in Karachi, Pakistan. The symptoms of depression, anxiety and insomnia were assessed using the 9-item Patient Health Questionnaire (PHQ-9), the 7-item Generalized Anxiety Disorder (GAD-7) and the 7-item Insomnia Severity Index (ISI) respectively. Results: Major findings of the study were that 44.7% participants had no depression, 38% were reported to have mild anxiety and 3.5% had severe insomnia. Insomnia was correlated with anxiety and depression leading to moderate correlation of 0.516 and 0.694 in both with a highly significant p value (p=0.001 and p=0.001). A significant association of depression was seen with healthcare providers and years of experience with (p=0.009) and (p=0.010) respectively. Levels of anxiety were associated with occupation and years of experience that led to the finding that doctors suffered more from mild anxiety (83.5%) whereas years of experience had no significant association. Correlation of insomnia with occupation and years of experience led to the finding that sub threshold insomnia was found in 29% participants, where majority of participants were allied health workers. However, borderline significant association was found between insomnia and the number of years of work experience (p=0.049). Conclusion: It is concluded that frontline workers experienced different levels and symptoms of psychological distress in this pandemic.


2020 ◽  
Author(s):  
Kristin Natal Riang Gea

AbstrakKeselamatan pasien merupakan dasar dari pelayanan kesehatan yang baik. Pengetahuan tenaga kesehatan dalam sasaran keselamatan pasien terdiri dari ketepatan identifikasi pasien, peningkatan komunikasi yang efektif, peningkatan keamanan obat yang perlu diwaspadai, kepastian tepat lokasi, prosedur, dan tepat pasien operasi, pengurangan risiko infeksi, pengurangan risiko pasien jatuh. Tujuan penelitian untuk mengetahui hubungan antara pengetahuan dengan penerapan keselamatan pasien pada petugas kesehatan di Puskesmas Kedaung Wetan Kota Tangerang. Metode Penelitian menggunakan deskriptif korelasi menggunakan pendekatan cross sectional. Populasi sebanyak 50 responden. Teknik pengambilan sampel menggunakan total sampling. Instrumen yang digunakan berupa lembar kuesioner. Teknik analisa diatas menggunakan analisa Univariat dan Bivariat. Hasil Penelitian ada Hubungan Pengetahuan dengan Penerapan Keselamatan Pasien pada Petugas Kesehatan, dengan hasil, p value sebesar 0,013 < 0,05 maka dapat disimpulkan bahwa ada Hubungan Pengetahuan dengan Penerapa Keselamatan Pasien pada Petugas Kesehatan. Kesimpulan penelitian ada Hubungan Pengetahuan dengan Penerapan Keselamatan Pasien.. AbstrackPatient safety is the basis of good health services. Knowledge of health personnel in patient safety targets consists of accurate patient identification, increased effective communication, increased safety of the drug that needs to be watched, certainty in the right location, procedure, and precise patient surgery, reduction in risk of infection, reduction in risk of falling patients. The purpose of this study was to determine the relationship between knowledge and the application of patient safety to health workers in the Kedaung Wetan Health Center, Tangerang City. The research method uses descriptive correlation using cross sectional approach. The population is 50 respondents. The sampling technique uses total sampling. The instrument used was a questionnaire sheet. The analysis technique above uses Univariate and Bivariate analysis. The results of the study there is a Relationship of Knowledge with the Implementation of Patient Safety in Health Officers, with the result, p value of 0.013 <0.05, it can be concluded that there is a Relationship between Knowledge and Patient Safety Implementation in Health Officers. The conclusion of the study is the Relationship between Knowledge and the Implementation of Patient Safety.Keywords Knowledge, Patient safety, Health workers


Author(s):  
Kahler W. Stone ◽  
Kristina W. Kintziger ◽  
Meredith A. Jagger ◽  
Jennifer A. Horney

While the health impacts of the COVID-19 pandemic on frontline health care workers have been well described, the effects of the COVID-19 response on the U.S. public health workforce, which has been impacted by the prolonged public health response to the pandemic, has not been adequately characterized. A cross-sectional survey of public health professionals was conducted to assess mental and physical health, risk and protective factors for burnout, and short- and long-term career decisions during the pandemic response. The survey was completed online using the Qualtrics survey platform. Descriptive statistics and prevalence ratios (95% confidence intervals) were calculated. Among responses received from 23 August and 11 September 2020, 66.2% of public health workers reported burnout. Those with more work experience (1–4 vs. <1 years: prevalence ratio (PR) = 1.90, 95% confidence interval (CI) = 1.08−3.36; 5–9 vs. <1 years: PR = 1.89, CI = 1.07−3.34) or working in academic settings (vs. practice: PR = 1.31, CI = 1.08–1.58) were most likely to report burnout. As of September 2020, 23.6% fewer respondents planned to remain in the U.S. public health workforce for three or more years compared to their retrospectively reported January 2020 plans. A large-scale public health emergency response places unsustainable burdens on an already underfunded and understaffed public health workforce. Pandemic-related burnout threatens the U.S. public health workforce’s future when many challenges related to the ongoing COVID-19 response remain unaddressed.


BMJ Open ◽  
2021 ◽  
Vol 11 (7) ◽  
pp. e046638
Author(s):  
Sk Masum Billah ◽  
Abdullah Nurus Salam Khan ◽  
S M Rokonuzzaman ◽  
Nafisa Lira Huq ◽  
Marufa Aziz Khan ◽  
...  

Study objectiveTo evaluate the competency of trained health workers in detecting and managing hypertensive disorders of pregnancy during routine antenatal check-ups (ANCs) at primary care facilities in Bangladesh.Study design and settingsCross-sectional study; conducted in 26 primary care facilities.Outcome measuresAccurate diagnosis of the hypertensive disorders of pregnancy.MethodIn total 1560 ANC consultations provided by primary health workers, known as Family Welfare Visitors (FWVs), were observed using a structured checklist between October 2017 and February 2018. All consultations were reassessed by study physicians for validation.ResultOf the ‘true’ cases of gestational hypertension (n=32), pre-eclampsia (n=29) and severe pre-eclampsia (n=16), only 3%, 7% and 25%, respectively, were correctly diagnosed by FWVs. Per cent agreement for the diagnosed cases of any hypertensive disorders of pregnancy was 9% and kappa statistics was 0.50 (p value 0.0125). For identification of any hypertensive disorders by FWVs, sensitivity and positive predictive values were 14% and 50%, respectively. There was a moderate positive correlation between the blood pressure measurements taken by FWVs and study physicians. Only 27% of those who had ‘some protein’ in urine were correctly identified by FWVs. Women diagnosed with any of the hypertensive disorders of pregnancy by FWVs were more likely to be counselled on at least one danger sign of pre-eclampsia (severe headache, blurring of vision and upper abdominal pain) than those without any such diagnosis (41% vs 19%, p value 0.008). All four cases of severe pre-eclampsia diagnosed by FWVs were given a loading dose of intramuscular magnesium sulphate and three among them were referred to a higher facility.ConclusionThe FWVs should be appropriately trained on risk assessment of pregnant women with particular emphasis on accurately assessing the diagnostic criteria of hypertensive disorders of pregnancy and its management.


Author(s):  
Chidebe Christian Anikwe ◽  
Philip Chidubem Osuagwu ◽  
Cyril Chijioke Ikeoha ◽  
Okechukwu B Ikechukwu Dimejesi ◽  
Bartholomew Chukwunonye Okorochukwu

Background Cervical cancer is a preventable disease that contributes significantly to the death of women. This study is aimed at determining the level of knowledge and utilization of cervical cancer screening and its determinants among female undergraduates of Ebonyi State University. Methods A structured questionnaire was used for a cross-sectional survey of the study population between January 1 and March 3, 2018. The data were analyzed using IBM SPSS Statistics version 20. Data were represented with frequency table, simple percentage, mode, range, Chi square and pie chart. The level of significance is at P-value < 0.05. Results Majority (74.8%) of the respondents were aware of cervical cancer and it could be prevented (70.8%). More than three-fifths (68.30%) were informed via health workers, and 86.8% were aware that post-coital vaginal bleeding is a symptom. Less than half (49.8%) knew that HPV is the primary cause, and only 32.9% were aware of the HPV vaccine. One-quarter of the respondent were aware that early coitarche is a risk factor for cervical cancer. Only 41.8% of the women were aware of Pap smear, 9.2% had undergone screening, and 97.6% were willing to be screened. Marital status was the significant determinant of being screened while class level did not significantly influence uptake of cervical cancer screening. The most common reason (20.6%) for not being screened was lack of awareness of the test. Conclusion Our study population had a good knowledge of cervical cancer, but utilization of cervical cancer screening was poor. Awareness creation through the mass media and provision of affordable screening services can promote the use of cervical cancer screening in the study area.


2019 ◽  
Vol 19 (3) ◽  
pp. 661
Author(s):  
Desi Andriani ◽  
Husna Yetti ◽  
Roza Sriyanti

Antenatal care or antenatal care is a planned program that is observation, education and medical treatment for pregnant women, to obtain a safe and satisfying pregnancy and childbirth process. The indicator used to assess the access of pregnant women to antenatal care is K1 direction (first visit) is the contact of pregnant women to health workers and K4 (perspective visit) is 4 or more times contact with health workers. From the data of the Padang City Health Office, it was found that the Air Tawar Puskesmas with this low level was caused by various factors. The purpose of this study was to determine factors related to the use of antenatal services. This type of research is a quantitative study with cross sectional study design with 110 respondents of third trimester pregnant women with purposive sampling technique. Data analysis was performed univariate, bivariate with Chi squre test. From the research results obtained from the five factors studied, it was found that the factors related to the use of antenatal services in freshwater health centers were access or distance with pvalue 0.009 = OR 21.676), service availability factors with a p value of 0.001 = OR 9.293, the role factor midwives with a p value of 0.001 = OR 12.302, while the family income factor, disease complaints obtained results have nothing to do with the use of antenatal services. The author's suggestion is that there is a need for good coordination with the Independent Practice Midwife (BPM), revitalize puskesmas to more strategic places and improve better facilities, improve accessibility that can be minimized, strive to reach pregnant women, especially for accessibility that is less affordable.


2019 ◽  
Vol 2 (2) ◽  
pp. 65
Author(s):  
Alpan Alpan ◽  
Nining Sriningsih ◽  
Ummi Giyanti

In the hospital, nursing staff are the greatest number of hospital human resource and the longest staff who interact with clients. Nursing practice standards,  include  the  standard  of  care  and  the  professional  performance standard that are use as evaluations in assessment nursing care who carry out by nurses. Performance or work performance comes from job performance word (work performance or real achievement someone has ever achieved). The factors that can affect on someone performance, are individual factors: abilities, skills, family background, work experience, social level and demography factor; psychological factors: perception, role, attitude, personality, motivation, and job satisfaction; organizational factors: organizational structure, job design, and leadership. To getting nurses with good performance, hospital need a leader who can understand the nurses' necessary and can provides good environmental assistance to make nurses feel motivated. This study aims to determine the relationship between room head's leaderschip style and work motivation in the inpatient room of AN-NISA Hospital, Tangerang. The research design used is a quantitative correlation with a cross-sectional approach. The sample in this study is  organizer nurses in the inpatient room of AN-NISA Hospital in Tangerang and using  purposive  sampling  technique  with  83  respondents.  Analysis  technique using Chi-square test. The results showed that the dominant style of leadership in inpatient  room  of  AN-NISA  Hospital  Tangerang  is  democratic  style  (48.2%). There is a relationship between the room head's leadership style and the performance of nurses (p.value = 0.033) and there is a relationship between work motivation  and  nurse  performance  (p.  Value  =  0.019).  It  is  hoped  that  this research can be used as a material for evaluating hospitals regarding the leadership style of the head of the room, work motivation and performance of the nurse nurses to be able to maintain and improve the performance of nurses.


2020 ◽  
Vol 15 (2) ◽  
pp. 158
Author(s):  
Ulfah Ilyas ◽  
Maria Sonda ◽  
Hidayati Hidayati

Results of a preliminary study conducted by the author on 28 November 2018 in Kassi-Kassi Health Center Public City of Makassar were interviews with 11 third trimester pregnant women who visited antenatal check, 8 (70%) of pregnant women have not planned where labor, labor companion, potential blood donors and the sticker affixed on the door P4K yet home mom for not knowing the importance of the decal and never be explained by health workers at the first checkups. While 7 (60%) of pregnant mother's husband has not determined the place of labor, labor companion, potential blood donors and did not accompany the mother when the checkups. This study aims to determine the relationship of husband support, knowledge of third trimester pregnant women at health centers with the implementation P4K-Kassi Kassi Makassar.This research uses analytic survey with cross sectional approach, the population in this study is the third trimester pregnant women, using the formula Lameshow obtained sample 85 subjects with a sampling technique is purposive sampling.Statistical analysis showed the Chi-square test obtained significant value p value 0,000 (p<0,05) husband's support with coefficient value (Phi= 0,493), knowledge of third trimester pregnant women p value of 0,001 (p <0,05) with coefficient value (Phi= 0,357). So it can be concluded that there is a relationship of husband support, knowledge of third trimester pregnant women with P4K implementation. Therefore, the husband is expected to support the implementation of the plan P4K safe delivery and is able to prevent pregnancy complications. And for health workers can improve IEC counseling and evaluation of the execution P4K, in particular blood donor candidates planning and sticking stickers P4K at home pregnant women.


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