scholarly journals Do Challenge Stress and Hindrance Stress Affect Quality of Health Care? Empirical Evidence from China

2018 ◽  
Vol 15 (8) ◽  
pp. 1628 ◽  
Author(s):  
Tengyang Ma ◽  
Tianan Yang ◽  
Yilun Guo ◽  
Yifei Wang ◽  
Jianwei Deng
Keyword(s):  
Health Care ◽  
Job Stress ◽  
Quality Of Health Care ◽  
Healthcare Workers ◽  
Final Model ◽  
Inverse Effect ◽  
Challenge Stress ◽  
Hindrance Stress ◽  
Positive Effect

Severe job stress has adverse effects on the health of Chinese healthcare workers. We investigated associations between job stress, health, and quality of health care among Chinese healthcare workers. To analyze associations between stress, health, and quality of health care among healthcare workers in 74 Chinese hospitals, we surveyed 2426 healthcare workers of primary, secondary, and tertiary hospitals in Western, Central, and Eastern China in 2017. Structural equation modelling was used to examine relationships between job stress, health, and quality of health care. The mediating effect of health on the association between job stress and quality of health care was examined with the Sobel test. In the final model, health had a moderate direct positive effect on the quality of health care (β = 0.24; p < 0.001). Challenge stress had a direct inverse effect on health (β = −0.05; p < 0.05) and a significant direct positive effect on the quality of health care (β = 0.26; p < 0.001). Hindrance stress had a significant inverse effect on health (β = −0.37; p < 0.001) and a moderate inverse effect on the quality of health care (β = −0.19; p < 0.001). The correlation between challenge stress and hindrance stress was significant and positive (β = 0.59; p < 0.001). A partial mediation effect was in the final model. The health status of healthcare workers is an important concern at all levels of Chinese hospitals. To improve quality of healthcare, appropriate challenge stress is recommended among young staff, and interventions targeting hindrance stress should be developed and implemented in all hospital departments.

scholarly journals Prevention of burn-out

1997 ◽  
Vol 3 (5) ◽  
pp. 282-289 ◽  
Author(s):  
Glenn A. Roberts
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Medical Association ◽  
Job Stress ◽  
Quality Of Health Care ◽  
Medical Profession ◽  
British Medical Association ◽  
Drugs And Alcohol ◽  
Burn Out

There is a widespread concern that the medical profession is itself sick. This is represented in professional disillusionment and demoralisation, an increasing inclination to consider leaving the profession, and the ill-health of its practitioners in terms of their mental health, marriages and use of drugs and alcohol (British Medical Association, 1992). These trends have been attributed, at least in part, to protracted job stress and dissatisfaction, which may in turn be a major determinant in the quality of health care (Caplan, 1994). Although these issues have been cautiously acknowledged for some time, the concept of ‘burn-out’ has provided an opportunity for more open acceptance and creative debate.

scholarly journals Patients’ trust in the health care system and physiotherapists

2021 ◽  
Author(s):  
Anka Vukičević ◽  
Ranka Ogurlić ◽  
Miloš Lazić ◽  
Samire Beqaj ◽  
Emira Švraka
Keyword(s):  
Health Care ◽  
Health Policy ◽  
Patient Care ◽  
Health Care System ◽  
Quality Of Health Care ◽  
Healthcare Workers ◽  
Public Perception ◽  
High Degree ◽  
Care System

Introduction: The assessment of the health-care system by its beneficiaries is based on evaluation of the public perception in regards to the performance of healthcare workers, the functioning of the health system, the effectiveness of health policy measures, and a number of other components. The aim of this study was to determine patients’ trust in the work of physiotherapists and the health-care system; determine the quality of communication between the patient and the physiotherapist and determine the quality of cooperation between healthcare workers in the provision of health services.Methods: The study is descriptive, conducted in five cities: Banja Luka, Bihać, Herceg Novi, Nikšić, and Podujevo. The confidence in health-care questionnaire developed by Calnan and Sanford (2004) was used as a research instrument, containing six areas of research: Attitude toward the patient, Health policy and patient care, Professionalism and expertise, Quality of health care, Communication and information, and Quality of cooperation.Results: The mean age of the subjects was 41 years, 24 females and 26 males. Subjects expressed the greatest satisfaction on subscales I - Attitude toward the patient (27.44 ± 3.59 out of 30) and IV - Quality of health care (36.60 ± 4.19 out of 40), which represents 91.5% of the possible maximum. This is followed by subscale V - Communication and information (20.8 ± 3.17 out of 25) corresponding to 83.2% of the possible maximum, followed by subscale III - Professionalism and expertise (15.68 ± 3.29 out of 20) which represents 78.4% of the possible maximum. Subjects showed the least satisfaction on subscales II - Health policy and patient care (16.94 ± 5.56 out of 25), which represents 67.8% of the possible maximum, and subscales VI - Quality of cooperation (9.94 ± 0.42 out of 15) which corresponds to 66.3% of the possible maximum.Conclusions: The research showed a high degree of satisfaction of subjects in various fields, which indicates a high degree of confidence in the work of physiotherapists and the health-care system. Research on a larger sample in needed for creation and implementation of the guidelines in the strategic documents of the countries in the region and for improvement of health policies and patient care.

Analysis of effectiveness of thrombolytic therapy and introduction of new innovative projects for improving the quality of health care for patients with acute coronary syndrome in the Pavlodar regional ambulance station of the Republic of Kazakhstan

2020 ◽  
pp. 30-34
Author(s):  
K. Akhmetzhanov
Keyword(s):  
Health Care ◽  
Acute Coronary Syndrome ◽  
Comparative Analysis ◽  
Thrombolytic Therapy ◽  
Quality Of Health Care ◽  
Coronary Syndrome ◽  
The Past ◽  
The Republic ◽  
Positive Effect

The article provides statistics on the volume of care for patients with acute coronary syndrome (ACS) at the prehospital stage in the Pavlodar region of the Republic of Kazakhstan. A comparative analysis of the use of thrombolytic therapy (TLT) at the Pavlodar regional ambulance station and other countries was carried out. This article shows what the positive effect from TLT is. The article indicates all the new innovative technologies that have been introduced in the Pavlodar station over the past 5 years and how this has contributed to improving the quality of emergency care.

scholarly journals How Does Social Support Affect Public Service Motivation of Healthcare Workers: the Mediating Effect of Job Stress

2020 ◽  
Author(s):  
Jianwei Deng ◽  
Yuangeng Guo ◽  
Yongchuang Gao ◽  
Zhenjiao Chen ◽  
Tianan Yang
Keyword(s):  
Social Support ◽  
Job Stress ◽  
Public Service ◽  
Healthcare Workers ◽  
Supervisor Support ◽  
Public Service Motivation ◽  
Public Hospitals ◽  
Coworker Support ◽  
Challenge Stress ◽  
Hindrance Stress

Abstract Background: This study examined relations between social support, job stress, and public service motivation, also assessed how social support and job stress affect public service motivation based on the job demands-resources (JD-R) theory. Methods: The survey investigated a sample of 973 healthcare workers employed in public hospitals in Beijing, Xiamen, and Guangzhou in 2017. Through random sampling according to employee number, age and job title, we selected 5% to 10% of healthcare workers in each target hospital. Finally, we got 973 valid participants, and the response rate was 93.8%. We used correlation analysis, structural equation modeling, Sobel test, and subgroup analysis to test by investigating a sample of 973 healthcare workers from 3 Chinese public hospitals. Results: Challenge stress and hindrance stress were directly inversely associated with public service motivation. Supervisor support was significantly positively associated with public service motivation, and the path from coworker support to public service motivation was significant. Supervisor support was significantly negatively associated with hindrance stress, and coworker support was significantly inversely associated with challenge stress. Hindrance stress and challenge stress significantly mediated the relations between supervisor support and public service motivation, and between coworker support and public service motivation respectively. Conclusions: Public service motivation might be raised by increasing supervisor support and coworker support and by limiting hindrance stress and challenge stress among healthcare workers in China.

scholarly journals How does social support affect public service motivation of healthcare workers in China: the mediating effect of job stress

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Jianwei Deng ◽  
Jiahao Liu ◽  
Yuangeng Guo ◽  
Yongchuang Gao ◽  
Zhennan Wu ◽  
...  
Keyword(s):  
Social Support ◽  
Job Stress ◽  
Public Service ◽  
Healthcare Workers ◽  
Supervisor Support ◽  
Public Hospitals ◽  
Coworker Support ◽  
Negatively Associated ◽  
Challenge Stress ◽  
Hindrance Stress

Abstract Background This study aimed to examine relations between social support, job stress, and public service motivation (PSM), also assessed how social support and job stress affect PSM in China based on the job demands-resources (JD-R) theory. Methods The survey investigated a sample of 973 healthcare workers employed in public hospitals in Beijing, Xiamen, and Guangzhou in 2017 (including doctors, nurses, medical technicians, and administrators). Correlation analysis and Structural equation modeling (SEM) were used. Results Challenge stress and hindrance stress were directly negatively associated with PSM. Supervisor support was significantly positively associated with PSM, and the path from coworker support to PSM was significant. Supervisor support was significantly negatively associated with hindrance stress, and coworker support was significantly negatively associated with challenge stress. Hindrance stress and challenge stress significantly mediated the relations between supervisor support and PSM, and between coworker support and PSM respectively. PSM might be raised by increasing supervisor support and coworker support and by limiting hindrance stress and challenge stress. Conclusion Our study suggests that administrators of public hospitals should be mindful of the intense job stress of healthcare workers and undertake interventions targeting challenge stress and hindrance stress. Also, public hospital administrators should encourage and assist supervisors in their leadership functions. Besides, administrators of public hospitals should emphasize coworker support and good employee relationships.

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