scholarly journals Evaluation of the Time Spent by Anesthetist on Clinical Tasks in the Operating Room

2022 ◽  
Vol 8 ◽  
Author(s):  
Compère Vincent ◽  
Besnier Emmanuel ◽  
Clavier Thomas ◽  
Byhet Nicolas ◽  
Lefranc Florent ◽  
...  
Keyword(s):  
Operating Room ◽  
Clinical Care ◽  
Public Hospitals ◽  
University Hospital ◽  
External Observer ◽  
Private Hospitals ◽  
General Hospitals ◽  
Public And Private ◽  
Public And Private Hospitals ◽  
The University

BackgroundChanges in the health system in Western countries have increased the scope of the daily tasks assigned to physicians', anesthetists included. As already shown in other specialties, increased non-clinical burden reduces the clinical time spent with patients.MethodsThis was a multicenter, prospective, observational study conducted in 6 public and private hospitals in France. The primary endpoint was the evaluation by an external observer of the time spent per day (in minutes) by anesthetists on clinical tasks in the operating room. Secondary endpoints were the time spent per day (in minutes) on non-clinical organizational tasks and the number of task interruptions per hour of work.ResultsBetween October 2017 and April 2018, 54 anesthetists from six hospitals (1 public university hospital, two public general hospitals and three private hospitals) were included. They were followed for 96 days corresponding to 550 hours of work. The proportion of overall clinical time was 62% (58% 95%CI [53; 63] for direct care. The proportion of organizational time was higher in public hospitals (11% in the university hospital (p < 0.001) and 4% in general hospitals (p < 0.01)) compared to private hospitals (1%). The number of task interruptions (1.5/h ± 1.4 in all hospitals) was 4 times higher in the university hospital (2.2/h ± 1.6) compared to private hospitals (0.5/h ± 0.3) (p < 0.05).ConclusionsMost time in the operating room was spent on clinical care with a significant contrast between public and private hospitals for organizational time.

scholarly journals Client Satisfaction on Antenatal Care Service by Pregnant Women in Public and Private Hospitals in Addis Ababa, Ethiopia: A Cross-sectional Comparative Descriptive Study

2020 ◽  
Vol 4 (1) ◽  
Keyword(s):  
Antenatal Care ◽  
Pregnant Women ◽  
Waiting Time ◽  
Client Satisfaction ◽  
Addis Ababa ◽  
Care Service ◽  
Public Hospitals ◽  
Private Hospitals ◽  
Public And Private ◽  
Public And Private Hospitals

Background: Antenatal care (ANC) is an important health care service which is intended to potentially reduce maternal morbidity and mortality particularly in areas where the general health status of women is presumed poor, choice of facilities is limited and the service delivery compromised by geography (terrain, transport), socio-demographic factors, financial capability and awareness. Though improving the quality of health care is one of the targeted strategies in the Health Sector Development Program IV (HSDP IV) of Ethiopia, little is known about the quality of antenatal care service and client satisfaction at the different hospitals in Addis Ababa, the capital city of Ethiopia. Objective: To determine satisfaction of ANC services among pregnant women at the public teaching and private hospitals in Addis Ababa, Ethiopia. Methods: Health institution-based comparative cross-sectional study was conducted from February to June, 2019 in public and private hospitals, in Addis Ababa, using sample size determination for comparisons of proportion between the two populations. All participants who fulfilled the inclusion criteria were enrolled based on the flow of pregnant women to the ANC clinics at the selected hospitals. Data were entered and cleaned using EPI-info version 3.5.1 and analysis was performed by SPSS version 21. Association of independent variables with the client satisfaction was done using binary and multivariate logistic regression. Significant association of variables with outcome was determined using adjusted odds ratio (AOR) together with 95 % confidence interval. Level of significance was set at P-value of ≤ 0.05. Results: Five hundred seventy one pregnant women attending Antenatal Care at private (281) and public (290) hospitals were included with response rates of 94.1 and 91.2% for public and private hospitals, respectively. The age distribution of the participants was between 17 and 43 years with a mean age of 27.3±5.1 years. Most of the clients, 249 (88.7%) at private and 276 (95.2%) at public hospitals were between the ages of 20 and 34 years. One hundred fourteen (39.3%) of the clients at public and 113 (40.2%) at private hospitals were nulliparous. The clients overall satisfaction with antenatal care was mostly positive both at the private and public hospitals and two hundred twenty eight (81.1%) of the private and 174 (60%) of the public hospitals were satisfied with the services provided. Having ANC follow up at the private hospitals had statistically significant difference in client satisfaction compared to those in public hospitals with P value of 0.019, (AOR 2.97, 95% CI:1.19 -7.74). Clients’ satisfaction with the cleanliness of the environment was 11.1 times more likely to be satisfied with the general ANC service, P<0.05, (AOR 12.18 95% CI: 7.45-19.91). Having more than 4 ANC visits was positively associated with client overall satisfaction, P= 0.021, (AOR 2.41, 95% CI: 1.12-5.24,) while long waiting time is negatively associated with client satisfaction. Conclusions: The study showed significant difference in client satisfaction rate between the selected private and public facilities. Private facilities outperformed public facilities with regards to structural features (privacy, waiting time, space, and neatness). We recommend concerted effort to improve ANC visits and pay due attention to the privacy, waiting time, and the neatness of the facilities in public hospitals.

scholarly journals PERANAN SERVICE QUALITY TERHADAP PATIENT REVISIT INTENTION MELALUI PATIENT SATISFACTION PADA RUMAH SAKIT UMUM DAN RUMAH SAKIT SWASTA TIPE B

2008 ◽  
Vol 1 (1) ◽  
pp. 49
Author(s):  
Febry Adhiana
Keyword(s):  
Health Care ◽  
Patient Satisfaction ◽  
Service Quality ◽  
Health Care Professionals ◽  
Public Hospitals ◽  
Human Beings ◽  
Private Hospitals ◽  
Public And Private ◽  
Revisit Intention ◽  
Public And Private Hospitals

<p>Backg of nd: the increasing of awareness in health care by Indonesian people especially in Jakart Healthcare that health care professionals are highly dependent on each other to provide and coordi ate services of high value for human beings. Patients usually prefer to go to private hospitals hoping tc receive high service quality. But in fact, public hospitals have a good quality service also becau e ft is supported by the government.<br />Object ve to compare service quality, patient satisfaction and patient revisit intention of public and privatE hospitals.<br />Resea h design: this research applies to public and private hospitals in Jakarta and questionnaires were s read away to 97 respondents or patients from some public and private hospitals in Jakarta by usi g purpose sampling.<br />Findin s: There are no differences between private and public hospitals in service quality, patient satisf Um and patient revisit intention. Finally the implications of the results are highlighted for health :are managers.</p>

Matching Ethical Climate to Nurses’ Service Behaviors in Public and Private Hospitals: A Cross-Sectional Study

2020 ◽  
Author(s):  
Na Zhang ◽  
Jingjing Li ◽  
Xing Bu ◽  
Zhenxing Gong
Keyword(s):  
Ethical Climate ◽  
Cross Sectional Study ◽  
Public Hospitals ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Private Hospitals ◽  
Public And Private ◽  
Service Behavior ◽  
Public And Private Hospitals ◽  
The Relationship

Abstract Background: Workplace climate is great significant element that has impact on nurses’ behavior and practice; moreover, nurses’ service behavior contributes to the patients’ satisfaction and subsequently to the long-term success of hospitals. Few studies explore how different types of organizational ethical climate encourage nurses to engage in both in-role and extra-role service behaviors, especially in comparing the influencing process between public and private hospitals. This study aimed to compare the relationship between the five types of ethical climate and nurses’ in-role and extra-role service behaviors in public and private hospitals.Methods: This study conducted a cross-sectional survey on 559 nurses from China. All participants were investigated using the Ethical Climate Scale and Service Behavior Questionnaire. SPSS 22.0 was used for correlation analysis, t-test and analysis of variance test, and Mplus 7.4 was used for group comparison.Results: The law and code climate has a much greater influence on nurses’ in-role service behavior in private hospitals than on that in public hospitals (β = -.277; CI 95% = [-.452, -.075]; p < .01), and the instrumental climate has a stronger influence on nurses’ extra-role service behavior private hospitals than on that in public hospitals (β = -.352; CI 95% = [-.651, -.056]; p < .05). Meanwhile, the rules climate has a greater effect on nurses’ extra-role service behavior in public hospitals than it does in private hospitals (β = .397; CI 95% = [.120, .651]; p < .01). Conclusions: As the relationship between the five types of ethical climate and nurses’ in-role and extra-role service behaviors in public and private hospitals were different, the strategies used to foster and enhance the types of ethical climate are various from public to private hospitals. The caring and instrumental climate are the key to promote extra-role service behavior for nurses in private hospitals. And independent climate has great effect on extra-role service behaviors for nurses in public hospitals.

Do the servicescape of public and private hospitals differ? The Malaysian context

2019 ◽  
Vol 11 (3) ◽  
pp. 357-377 ◽  
Author(s):  
Kim Piew Lai ◽  
Siong Choy Chong
Keyword(s):  
Design Methodology ◽  
Recovery Process ◽  
Public Hospitals ◽  
Ambient Conditions ◽  
Private Hospitals ◽  
Public And Private ◽  
Content Type ◽  
The Public ◽  
Public And Private Hospitals ◽  
Practical Implications

Purpose This study aims to explore if public and private hospitals have differing servicescape attributes. Design/methodology/approach The study uses a two-stage (EFA and CFA) procedure for identifying the servicescape attributes and examining their validity in the context of public and private hospitals. Findings The findings indicate that, in different contexts, patients would expect different aesthetics of servicescape attributes and how they are influenced by the hospital premises. Research limitations/implications It is interesting to note that: not all of the attributes that appear in both contexts are exactly the same; patients do not seem to face difficulties in analysing and interpreting directional cues, even though the spatial orientation in private hospitals is relatively smaller; the way patients of public hospitals draw inference about the ambient conditions is not consistent with private hospitals; and patients perceive that private hospitals pay special attention to developing a built environment that facilitates treatment and recovery process via interior layout, as well as decoration and architecture attributes. Practical implications The study grounds the servicescape attributes and provides insights to effectively promote public and private hospitals. Originality/value This study may be amongst the first to offer servicescape evidence in both the public and private hospitals.

scholarly journals Prevalence of HIV and Treponema pallidum infections in pregnant women in Campinas and their association with socio-demographic factors

1996 ◽  
Vol 114 (2) ◽  
pp. 1108-1116 ◽  
Author(s):  
Eliana Amaral ◽  
Anibal Faúndes ◽  
Neiva Sellan Lopes Gonçales ◽  
Jordão Pellegrino Jr. ◽  
Carmino Antonio de Souza ◽  
...  
Keyword(s):  
Social Security ◽  
Private Insurance ◽  
Treponema Pallidum ◽  
Public Hospitals ◽  
Private Institutions ◽  
University Hospitals ◽  
Private Hospitals ◽  
Public And Private ◽  
Public And Private Hospitals ◽  
Socio Demographic Factors

The anonymous seroprevalence of HIV and syphilis was studied by collecting umbilical cord blood samples from 5,815 women who gave birth in Campinas' hospitals throughout a six-month period. ELISA and Western blot were used for HIV, and VDRL and TPHA for Treponema pallidum screening. While maintaining the anonymity of the women, information was recorded on the hospital of origin, divided into university (public) and private hospitals, as well as on the form of payment (social security, private insurance or direct payment), age, marital status, education, employment and place of residence. Seroprevalence was 0.42 percent for HIV and 1.16 percent for syphilis. There was a significant correlation between a positive reaction to the two infections (p=0.02). After univariate and logistic regression analysis, only university hospitals were shown to be associated with seropositivity for HIV, whereas the same variable and an older age were associated with syphilis. All positive reactions were found either in public hospitals or among social security patients treated at private institutions. The conclusion was that HIV infection is becoming almost as prevalent as syphilis among this population, and affects primarily the lower socio-economic strata. This suggests that routine, voluntary HIV serology should be considered and discussed with patients during prenatal or delivery care whenever a population shows a seroprevalence close to or greater than 1 percent.

scholarly journals The Measurement Of The Level Of Compassion Of Nurses In Operating Room

2019 ◽  
Author(s):  
fadime cinar
Keyword(s):  
Operating Room ◽  
Descriptive Study ◽  
Average Score ◽  
Common Humanity ◽  
Private Hospitals ◽  
Public And Private ◽  
Operating Room Nurses ◽  
Public And Private Hospitals ◽  
Compassion Scale ◽  
Test Result

<p>The aim of this study was to determine the compassion levels and the factors that affect the mercy levels of the operating room nurses, which is an important part of the surgical process.Methods:This descriptive study was conducted with 236 nurses working in the operating rooms of public and private hospitals between December 2017 and January 2018, which allowed the study to be carried out in Istanbul.The Compassion Scale and the Introductory Information Form were used to collect data.The SPSS 23 for Windows computer program was used to analyze the frequency,Mann-Whitney U Test, Kruskal-Wallis H Test, .Result<b>:</b>47.1% of the operating room nurses were male and 52.9% were female.The mean total score of the operating room nurses' Compassion Scale was 3.92 ± 0.85.According to gender, kindness, common humanity, mindfulness, disengagement and total compassion level in men; ındifference and separation were higher in women (p <0.05).According to marital status, the size of indifference was higher in married, all other dimensions were higher in single staff. Conclusıon:In the light of the findings obtained from the study, it can be said that the highest average score can be taken from the scale, and the compassion levels of the operating room nurses are high.</p>

scholarly journals Noncompliance to Diet and Medication among Patients with Type 2 Diabetes Mellitus in Selected Hospitals of Kathmandu, Nepal

2018 ◽  
Vol 06 (02) ◽  
pp. 090-095
Author(s):  
Nisha Kafle ◽  
Resham Poudel ◽  
Sushan Shrestha
Keyword(s):  
Diabetes Mellitus ◽  
Type 2 Diabetes ◽  
Type 2 Diabetes Mellitus ◽  
Medication Adherence ◽  
Public Hospitals ◽  
Private Hospitals ◽  
Public And Private ◽  
Medication Noncompliance ◽  
Public And Private Hospitals

Abstract Background Diabetes is a major public health problem affecting people of all ages globally. Noncompliance compromises the effectiveness of treatment and adversely affects patients' health. The main purpose of this study was to assess and compare the proportion of noncompliance to diet and medication between patients with type 2 diabetes mellitus (T2DM) visiting public and private hospitals in Kathmandu, Nepal. Methods Descriptive cross-sectional study was conducted in T2DM patients visiting public and private hospitals. Eight item Morisky Medication Adherence Questionnaire (MMAQ) for medication adherence and Perceived Dietary Adherence Questionnaire (PDAQ) for dietary adherence were used. Epidata was used for data entry and SPSS for data analysis. Chi-square test was used as a test of significance. Odds ratio (OR) and the corresponding 95% confidence intervals (CI) were calculated. Results The study involved 182 T2DM patients. Participants' age was ≥ 17 years and they were under treatment for ≥ 6 months. Mean age of the participants was 54.67 years with standard deviation (SD) ± 11.69. Prevalence of medication noncompliance was seen in 126 (69.2%) patients, whereas prevalence of dietary noncompliance was seen in 166 (91.2%) patients. Illiterate participants were more likely to be noncompliant than literate to medication (OR 4.32, p = 0.001). Self-employed were more likely to be noncompliant to medication than job holders (OR 2.93, p = 0.008). People visiting public hospital were more likely to be noncompliant to diet than those visiting private hospital (OR 4.89, p = 0.009). Illiterate participants were more likely to be noncompliant to diet than literate (OR 10.94, p = 0.005). Conclusion The T2DM patients visiting public hospitals were more noncompliant to diet. Illiterate patients were more noncompliant to both medication and diet. Self-employed compared with job holders were more noncompliant to medication. Patient education and counseling should be aggressively addressed mainly in public hospitals. There was no significant difference in medication noncompliance between public and private hospitals (p = 0.108).

Systematization of nursing care: implementation under optical nurses

2011 ◽  
Vol 5 (3) ◽  
pp. 553
Author(s):  
Viviane Euzébia Santos ◽  
Layanne Crystina Bandeira Nunes ◽  
Adriana Maria Pereira Da Silva ◽  
Amanda Larissa Souza Dos Santos ◽  
Maria de Fatima Alves Aguiar Carvalho
Keyword(s):  
Nursing Education ◽  
Nursing Care ◽  
Nursing Process ◽  
Patient Centered ◽  
Private Hospitals ◽  
Public And Private ◽  
Public And Private Hospitals ◽  
Guided Tour ◽  
The University ◽  
Education Nursing

ABSTRACT Objective: to analyze the perceptions of nurses about the SAE in public and private hospitals in Petrolina/PE city. Methodology: this is an exploratory descriptive study from qualitative approach. It was performed in two publics hospitals and two private hospitals in Petrolina-PE city. The sample consisted of nineteen nurses, randomly selected. Preserving the anonymity of the participants they were identified by names of flowers. Data collection was performed by means of recorded interviews using a guided tour, for data analysis was employed as a reference to content analysis of Bardin. The study was approved by the ethics committee of the Instituto Materno Infantil de Pernambuco Professor Fernando Figueira-IMIP, protocol number 1556. Results: there was a predominance of females with recent training and have demonstrated knowledge and use on the NCS during the university. However, many respondents did not recall the SAE and its phases up not to use it in practice. Despite this, the professional advantages and assigned a positive significance to the SAE. Conclusion: we found that we must constantly seek knowledge and building a proper knowledge of nursing to be able to overcome the barriers and promote independence and recovery desired by professionals. Descriptors: nursing education; nursing care; higher education; nursing process; patient-centered care.RESUMOObjetivo: analisar a percepção dos enfermeiros acerca da SAE em hospitais públicos e privados no município de Petrolina - PE. Metodologia: trata-se de um estudo exploratório descritivo, de abordagem qualitativa. Foi realizado em dois hospitais públicos e dois hospitais privados no município de Petrolina/PE. A amostra composta por dezenove enfermeiros, selecionados aleatoriamente. Preservando o anonimato dos participantes os mesmos foram identificados por nomes de flores. A coleta de dados foi realizada por meio de entrevista gravada, utilizando-se um roteiro norteado, para análise dos dados empregou-se como referencial a análise de conteúdo de Bardin. O estudo foi aprovado pelo comitê de ética do Instituto Materno Infantil de Pernambuco Professor Fernando Figueira-IMIP, número de protocolo 1556. Resultados: houve predominância do sexo feminino com formação recente e demonstraram terem conhecimento e utilização acerca da SAE durante a formação acadêmica. Contudo, muitos entrevistados não recordavam da SAE e de suas fases, até por não a utilizar na prática assistencial. Apesar disto, os profissionais atribuíram vantagens e uma significação positiva a SAE. Conclusão: constatou-se que é preciso buscar constantemente o conhecimento e a construção de um saber próprio da enfermagem para se conseguir transpor as barreiras e promover a autonomia e a valorização almejada pelos profissionais. Descritores: educação em enfermagem; cuidados de enfermagem; educação superior; processos de enfermagem; assistência centrada no paciente.RESUMENObjetivo: analizar las percepciones de las enfermeras acerca de la SAE en los hospitales públicos y privados en la ciudad de Petrolina/PE. Metodología: se trata de un estudio exploratorio cualitativo, descriptivo. Se llevó a cabo en dos hospitales y dos hospitales privados en la ciudad de Petrolina-PE. La muestra está formada por diecinueve enfermeras, seleccionadas al azar. Preservar el anonimato de los participantes fueron identificados por nombres de flores. Los datos fueron recolectados por medio de entrevistas grabadas con una visita guiada, para el análisis de datos se utilizó como referencia para el análisis de contenido de Bardin. El estudio fue aprobado por el comité de ética del Instituto Materno Infantil de Pernambuco Profesor Fernando Figueira-IMIP, N. 1556. Resultados: hubo un predominio del sexo femenino con una formación reciente y han demostrado el conocimiento y uso en el SNC en la universidad. Sin embargo, muchos de los encuestados no recordó el SAE y sus fases hasta que no lo uso en la práctica. A pesar de ello, las ventajas profesionales y le asigna un significado positivo a la SAE. Conclusión: se encontró que constantemente debemos buscar el conocimiento y la creación de un conocimiento adecuado de la enfermería para ser capaces de superar las barreras y promover la independencia y la recuperación deseada por los profesionales. Descriptores: educación em enfermería; atención de enfermería; educación superior; procesos de enfermería; atención dirigida al paciente.

Factors affecting maintenance management in hospital buildings

2019 ◽  
Vol 37 (1) ◽  
pp. 6-21 ◽  
Author(s):  
Dana Jandali ◽  
Rateb Sweis
Keyword(s):  
Design Methodology ◽  
Descriptive Analysis ◽  
Public Hospitals ◽  
Maintenance Management ◽  
Management Performance ◽  
Private Hospitals ◽  
Public And Private ◽  
Content Type ◽  
Factors Affecting ◽  
Public And Private Hospitals

Purpose The purpose of this paper is to identify and assess the factors affecting maintenance management performance in public and private hospitals in Amman-Jordan. Design/methodology/approach The paper identified 70 items affecting maintenance management performance from the literature review. Descriptive analysis was performed to assess the practices in both sectors. Comparison between public and private hospitals was performed through conducting a Mann-Whitney U-test. Findings Public hospitals were found to be implementing more improved practices than private hospitals. The perception of maintenance staff in both sectors regarding the factors affecting maintenance management performance varied. Originality/value This paper provides an original review of the factors affecting maintenance management in public and private hospitals in Amman-Jordan. The identified factors provide a useful reference to maintenance departments to improve maintenance performance and practices.

scholarly journals PREVALENCE OF HEPATITIS C INFECTION

2015 ◽  
Vol 22 (11) ◽  
pp. 1390-1396
Author(s):  
Abdul Majeed Akhtar ◽  
Sadia Majeed ◽  
Muhammad Jamil ◽  
Abdul Rehman
Keyword(s):  
Risk Factors ◽  
Socioeconomic Status ◽  
Hepatitis C ◽  
Blood Donation ◽  
Hcv Infection ◽  
Public Hospitals ◽  
Hepatitis C Infection ◽  
Private Hospitals ◽  
Public And Private ◽  
Public And Private Hospitals

Objectives: The aim of the current study was to estimate the seroprevalence andrisk factors investigation associated with hepatitis C virus (HCV) infection in general patientsattending various public and private hospitals of Lahore metropolitan. Study Design: Crosssectional study. Setting: Out Patient Departments (OPDs) of public hospitals, comprising ofMayo Hospital, Sir Ganga Ram Hospital, Services Hospital, Jinnah Hospital and Lahore GeneralHospital of Lahore. Period: 2012. Material and Methods: A total of 904 patients from outpatientdepartments of five public and two private hospitals were enrolled during 2012. Bloodsamples were collected to evaluate their anti-HCV status using 3rd generation ELISA. To findout the risk factors associated with HCV infection, the data was collected on a pretested andvalidated questionnaire. Results: The seroprevalence was estimated to be 14.6%. Mean ageof reactive and non-reactive general patients was significantly associated (P=0.012) with anti-HCV status. Marital status (OR=2.042), socioeconomic status, blood donation (OR=2.15),prescription by doctor or non-doctor (OR=2.664), route of drug administration, relatives havinghepatitis and towel sharing (OR=1.987) were significantly associated (P<0.05) risk factors forHCV infection. Conclusion: The study reveals a higher prevalence of HCV infection in generalpatients of Lahore due to poor socioeconomic status, treatment by quacks, excessive use ofinjectable drugs, house hold contacts with hepatitis patients and lack of awareness about theHCV transmission.

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