scholarly journals Workplace bullying among nurses in Bangladeshi government hospitals

2020 ◽  
Vol 6 (1) ◽  
pp. 67-72
Author(s):  
Liton Roy ◽  
AKM Dawlat Khan
Keyword(s):  
Health Care ◽  
Workplace Bullying ◽  
Health Care Organizations ◽  
Job Insecurity ◽  
Health Care Facilities ◽  
Working Environment ◽  
Work Related ◽  
Complex Patients ◽  
Government Hospitals ◽  
Depth Study

Bullying in the nurses’ workplace is a common, rising and worldwide problem. Workplace bullying is a persistent phenomenon that transmits harmful effects on health care organizations and the health system as a whole, including patients’ satisfaction. The workplace bullying impacts negatively on the performance of workers. A descriptive study was conducted among the 183 government register nurses in 8 government health care facilities at Chattogram in Bangladesh from July to August 2014. Most of the respondents were female (90.7%) and more than half of the respondents (52.5%) were between 30 and 39 years old. The study revealed that there are three type of bullying faced by the nurses. They are work related, person related and physically intimidating bullying. They faced several bullying related to their works. Of these, most of them (92.8%) faced ‘ignoring their opinions and views’. Respectively, in person related bullying, 93.4% were being ignored or facing a hostile reaction when they approach regarding their works; and in physically intimidating bullying, 95.0% were being shouted at or being the target of spontaneous anger or rage. In Bangladesh Nurses faced many challenges in healthcare system due to unavailable resources, more complex patients, increased nursing shortage, increased job insecurity, job stress, and increased recruitment costs for healthcare institutions. The study concluded that an in-depth study would be conducted to find out the root causes for the workplace bullying and also design a training program that addresses the root causes, involves all individuals from all levels, and provides skills for dealing with this phenomenon can promote a harmonious working environment. Asian J. Med. Biol. Res. March 2020, 6(1): 67-72

scholarly journals REVIEW OF THE BASIC COMPONENTS OF CLINICAL PHARMACEUTICAL CARE IN PAKISTAN

2011 ◽  
Vol 1 ◽  
pp. 168-173
Author(s):  
Taha Nazir ◽  
Keyword(s):  
Quality Of Life ◽  
Health Care ◽  
Developing Countries ◽  
Pharmaceutical Care ◽  
Health Care Organizations ◽  
International Health ◽  
Health Care Facilities ◽  
Care Facilities ◽  
International Health Care

The current clinical and pharmaceutical systems in developing countries potentially need special attention of international health care organizations. The undermined health care facilities are hurting the overall quality of life and international health standards.

Information management practices in public tertiary health-care facilities: an empirical investigation from the state of Kuwait

2021 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Dari Alhuwail
Keyword(s):  
Health Care ◽  
Information Management ◽  
Management Practices ◽  
Health Care Organizations ◽  
Health Care Facilities ◽  
Care Organization ◽  
Data Set ◽  
Content Type ◽  
Management Standard ◽  
Care Facilities

Purpose This paper aims to gain insights about information management practices in public health-care organizations in Kuwait and offer recommendations to improve these practices. Design/methodology/approach This study involves secondary analysis of quantitative and qualitative accreditation-related data pertaining to the compliance with the Information Management standard at seven public tertiary health-care facilities over two accreditation cycles. Findings Overall, organizations improved their compliance with the Information Management standard. However, issues exist with effectively and efficiently transmitting data, aggregating clinical and administrative data and using the information for both strategic planning and quality improvement initiatives. Research limitations/implications The analysed data set does not provide information about the improvements done between the accreditation cycles. Caution should be applied before assuming generalizability of the results, considering the context and social constructs around the health-care system is essential. Practical implications Compliance with predetermined criteria through accreditation can improve information management practices. Without proper management of information at health-care facilities, achieving safe and effective patient care is futile. The role of health information technology (IT) should not be sidelined; robust health IT solutions can help support good information management practices thereby improving care quality and aiding health-care reform. Originality/value Concerning information management, health-care organizations providing focused services have clear advantages over organizations providing general care services. Considering the type of care organization (general vs specialized) can provide insights into how information management practices can affect the operations of the organization.

Recent Developments in Health Law

1994 ◽  
Vol 22 (1) ◽  
pp. 83-92
Author(s):  
Keyword(s):  
Health Care ◽  
Occupational Safety ◽  
Medical Personnel ◽  
The United States ◽  
Occupational Safety And Health ◽  
Working Environment ◽  
Health Administration ◽  
Bloodborne Pathogens ◽  
Work Related ◽  
Safety And Health

In American Dental Association v. Martin, the United States Court of Appeals for the Seventh Circuit reviewed a challenge to a rule of the Occupational Safety and Health Administration (OSHA). In December, 1991, OSHA passed a standard to protect health care workers from viruses transmitted by blood—bloodborne pathogens—including the hepatitis B virus (HBV) and the human immunodeficiency virus, the virus known to cause AIDS. Three health care organizations, whose members are dentists, medical personnel firms, and home health employers, petitioned the court to review OSHA's rule.The Occupational Safety and Health Act was passed to assure employees that they would have as safe and healthy a working environment as feasible. Congress sought to ensure this by vesting the Secretary of Labor for Occupational Safety and Health with the authority to promulgate mandatory safety and health standards. In promulgating standards concerning toxic materials or harmful physical agents, the secretary sets rules that most adequately assure that an employee will not suffer a material impairment of health or functional capacity while performing work-related duties.

scholarly journals Exposure to Workplace Bullying: The Role of Coping Strategies in Dealing with Work Stressors

2017 ◽  
Vol 2017 ◽  
pp. 1-12 ◽  
Author(s):  
Whitney Van den Brande ◽  
Elfi Baillien ◽  
Tinne Vander Elst ◽  
Hans De Witte ◽  
Anja Van den Broeck ◽  
...  
Keyword(s):  
Social Support ◽  
Coping Strategies ◽  
Role Conflict ◽  
Role Ambiguity ◽  
Workplace Bullying ◽  
Job Insecurity ◽  
Work Stressors ◽  
Heterogeneous Sample ◽  
Work Related

Studies investigating both work- and individual-related antecedents of workplace bullying are scarce. In reply, this study investigated the interaction between workload, job insecurity, role conflict, and role ambiguity (i.e., work-related antecedents), and problem- and emotion-focused coping strategies (i.e., individual-related antecedents) in association with exposure to workplace bullying. Problem-focused coping strategies were hypothesised to decrease (i.e., buffer) the associations between workload, job insecurity, role conflict, and role ambiguity and exposure to bullying, while emotion-focused coping strategies were hypothesised to increase (i.e., amplify) these associations. Results for a heterogeneous sample (N= 3,105) did not provide evidence for problem-focused coping strategies as moderators. As expected, some emotion-focused coping strategies amplified the associations between work-related antecedents and bullying: employees using “focus on and venting of emotions” or “behavioural disengagement” in dealing with job insecurity, role conflict, or role ambiguity were more likely to be exposed to bullying. Similarly, “seeking social support for emotional reasons” and “mental disengagement” amplified the associations of role ambiguity and the associations of both role conflict and role ambiguity, respectively. To prevent bullying, organisations may train employees in tempering emotion-focused coping strategies, especially when experiencing job insecurity, role conflict, or role ambiguity.

scholarly journals Exploration and prioritization of just in time enablers for sustainable health care: an integrated GRA-Fuzzy TOPSIS application

2021 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Mahender Singh Kaswan ◽  
Rajeev Rathi ◽  
Mahipal Singh ◽  
Jose Arturo Garza-Reyes ◽  
Jiju Antony
Keyword(s):  
Health Care ◽  
Patient Care ◽  
Health Care Organizations ◽  
Research Work ◽  
Fuzzy Topsis ◽  
Health Care Sector ◽  
Health Care Facilities ◽  
Just In Time ◽  
Content Type ◽  
Grey Relational

Purpose The increased health-care costs, improved service quality and sustainability-oriented customer demand have forced the health-care sector to relook their current process. The present work deals with the identification, analysis and prioritization of just in time (JIT) enablers in the health-care sector. Design/methodology/approach JIT leads to waste reduction, improves productivity and provides high-quality patient care. The practical implementation of JIT depends on vital factors known as enablers. The enablers have been found through the comprehensive literature review and prioritized using responses from different health-care facilities of the national capital region of India. Grey relational analysis (GRA) has been used in the present study to rank enablers and ranks were further validated using the fuzzy technique for order of preference by similarity to ideal solution (TOPSIS) and sensitivity analysis. Findings It has been found that top management support, teamwork and real-time information sharing are the most significant enablers of JIT in health care with grey relational grades 0.956, 0.832 and 0.718, respectively. The corresponding closeness coefficients of the fuzzy TOPSIS for the enablers were found as 0.875, 0.802 and 0.688, respectively. The findings of the present research work will facilitate the health-care organizations to implement a comprehensive JIT approach that further leads to improved patient care at a low cost. Originality/value The present study is unique in terms of the exploration of the readiness measures or enablers of JIT using GRA and fuzzy TOPSIS. The findings of the present research work will facilitate the health-care organizations to optimize their resources for better patient care.

scholarly journals Demand for Public Health Care in Pakistan

2009 ◽  
Vol 48 (2) ◽  
pp. 141-153 ◽  
Author(s):  
Ather H. Akbari ◽  
Wimal Rankaduwa ◽  
Adiqa K. Kiani
Keyword(s):  
Public Health ◽  
Health Care ◽  
Care Quality ◽  
Health Care Facilities ◽  
Public Hospitals ◽  
Demand Model ◽  
Outpatient Visits ◽  
Care Facilities ◽  
Government Hospitals ◽  
Per Capita

A health care demand model is estimated for each province in Pakistan to explain the outpatient visits to government hospitals over the period 1989-2006. The explanatory variables include the number of government hospitals per capita, doctors’ fee per visit at a private clinic, income per capita, the average price of medicine and the number of outpatient visits per capita in the previous period. All variables are significant determinants of the demand for health care in at least one province but their signs, magnitudes and the levels of significance vary. These variations may be attributed to cultural, social and religious factors that vary across provinces. Variations in health care quality offered at public hospitals may also be a factor. These factors and improved accessibility of health care facilities should be the focus of public policy aimed at increasing the usage of public sector health care facilities in Pakistan. JEL classification: I110, I180, O150 Keywords: Health Care, Hospitals, Human Resources, Policy, Public Health

scholarly journals Architectural Interventions to Mitigate Occupational Stress Among Office Workers

2020 ◽  
Vol 17 (2) ◽  
pp. 21-40
Author(s):  
Hirbod Norouzianpour
Keyword(s):  
Built Environment ◽  
Occupational Stress ◽  
Job Insecurity ◽  
Well Being ◽  
Working Environment ◽  
Stress Factors ◽  
High Rate ◽  
Environmental Interventions ◽  
Work Related ◽  
Stress Levels

Stress is one issue that affects the health and well-being of every building occupant. The negative effects of stress are more pronounced in workplaces, where stress can act as a major agent of disease and an impediment to employee productivity and satisfaction. The underlying causes of occupational stress are varied and include job insecurity, extended hours, excessive workload, altercations within the organization, tight deadlines, changes in responsibilities, and lack of autonomy, among others. One of the factors that can contribute to overall occupational stress is the working environment itself—a factor that can be mitigated by design. While occupational stress may arise from a multiplicity of causes, designers have numerous interventions they can employ to decrease it. The literature on occupational health, well-being, satisfaction, and productivity is broad and multifaceted; however, this paper is limited to exploring stress factors that correlate with the built environment and focuses on employees who are experiencing a high rate of stress in office buildings as the target group. To address these issues, supporting literature was explored to identify environmental interventions that could reduce stress or enhance the stress-coping abilities of workers in offices by improving the environmental quality of the built environment. This article explores the following questions: How does space cause people to experience mental stress? In what ways can the built environment itself be a generator of stress? What are the main environmental factors in offices that can mitigate the stress levels of employees or help them to recover more easily from work-related stress? To answer these questions, it is necessary to understand the causes and mechanisms of chronic stress, including work-related stressors, and to identify the factors in the built environment that can be associated with occupational stress. The present paper is based on concurrent analyses of supporting literature in the rather different fields of architecture, public health, psychology, management, and environmental studies. The outcome is an identified set of practical strategies that provide solutions for healthier and more productive workplaces. By concentrating on measures that can reduce employee stress levels, these strategies can be used as a source for evidence-based workplace designs.

scholarly journals Prognosis of Workplace Bullying in Selected Health Care Organizations in the Philippines

2017 ◽  
Vol 05 (09) ◽  
pp. 154-174
Author(s):  
Gloria M. Alcantara ◽  
Eric G. Claudio ◽  
Arneil G. Gabriel
Keyword(s):  
Health Care ◽  
Workplace Bullying ◽  
Health Care Organizations ◽  
The Philippines

scholarly journals Conundrum of bureaucratic processes and healthcare service delivery in government hospitals in Nigeria

2020 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Owolabi Lateef Kuye ◽  
Olusegun Emmanuel Akinwale
Keyword(s):  
Health Care ◽  
Quality Of Service ◽  
Service Delivery ◽  
Healthcare Service ◽  
Health Care Facilities ◽  
Public Hospitals ◽  
Quality Service ◽  
Content Type ◽  
Government Hospitals

Purpose Bureaucracy to a large extent entrenches orderliness and productive means of achieving goals in both public and private organisations across the world. However, bureaucracy is not suitable in the management of hospitals due to its peculiar nature of operations. This study investigates the conundrum of bureaucratic processes and health-care service delivery in government hospitals in Nigeria. Design/methodology/approach The study surveyed 600 outpatients and attendees visiting tertiary and government hospitals in Nigeria using descriptive design to obtained data from the respondents. A research instrument, questionnaire, was used to gather data. Out of the 600 outpatients visiting the 20 hospitals in government and tertiary hospitals, 494 responses were returned from the attendees. The study employed random sampling strategy to collect the information. Findings The findings of this study were that service delivery in government hospitals were in adverse position on all the four constructs of bureaucratic dimensions as against quality of service delivery in hospitals in Nigeria. It discovered that bureaucratic impersonality cannot impact on the quality of service delivery in government hospitals in Nigeria. Separation and division of labour among health workers have no significant effect on quality service delivery in government hospitals. Formal rules and regulations (administrative procedure, rules, and policies) prevent quality service delivery in government hospitals in Nigeria. Also, patient’s waiting time was not significant to the quality of service delivery in government hospitals. Research limitations/implications The results are constrained with dimensions of bureaucratic processes. Thus, the implication of this study is that bureaucracy in the Nigerian public hospitals is an unnecessary marriage which should be carefully separated and de-emphasised for quality service delivery in the hospitals to thrive. Practical implications Largely, this study is practical essential as it unearths the irrelevant operations procedure that hinder progress in Nigerian hospitals. Originality/value The study accomplishes recognised importance to survey how bureaucracy impedes quality service delivery in government hospitals. This study has provided a vital clue to elements that will bring rapid attention to patients’outcome in Nigerian hospitals and health-care facilities which hitherto has not been emphasised. The study has contributed to the existing body of knowledge associated to healthcare service quality in developing country.

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