scholarly journals Factors Associated with Satisfaction of Hospital Physicians: A Systematic Review on European Data

2018 ◽  
Vol 15 (11) ◽  
pp. 2546 ◽  
Author(s):  
Alicja Domagała ◽  
Małgorzata Bała ◽  
Dawid Storman ◽  
Juan Peña-Sánchez ◽  
Mateusz Świerz ◽  
...  
Keyword(s):  
Professional Development ◽  
Work Environment ◽  
Associated Factors ◽  
Contextual Factors ◽  
Physician Satisfaction ◽  
European Countries ◽  
Work Place ◽  
Factors Associated ◽  
Colleague Support

Background: Physician satisfaction is a multidimensional concept related to many factors. Despite the wide range of research regarding factors affecting physician satisfaction in different European countries, there is a lack of literature reviews analyzing and summarizing current evidence. The aim of the article is to synthetize the literature studying the factors associated with physician satisfaction. Methods: We searched: MEDLINE, Embase, PsycINFO, CINAHL and the Cochrane Library from January 2000 to January 2017. The eligibility criteria included: (1) target population: physicians working in European hospitals; (2) quantitative research aimed at assessing physician satisfaction and associated factors; (3) use of validated tools. We performed a narrative synthesis. Results: After screening 8585 records, 368 full text articles were independently checked and finally 24 studies were included for qualitative analysis. The included studies surveyed 20,000 doctors from 12 European countries. The tools and scales used in the analyzed research to measure physician satisfaction varied to a large extent. We extracted all pre-specified factors, reported as statistically significant/non-significant. Analyzed factors were divided into three groups: personal, intrinsic and contextual factors. The majority of factors are modifiable and positively associated with characteristics of contextual factors, such as work-place setting/work environment. In the group of work-place related factors, quality of management/leadership, opportunity for professional development and colleague support have been deemed statistically significant in numerous studies. Conclusions: We identified more studies appraising the effect of contextual factors (such as work environment, work-place characteristics), highlighting a positive association between those factors and physician satisfaction, compared with personal and intrinsic factors. Numerous studies confirmed statistically significant associations between physician satisfaction and quality of management, professional development and colleague support/team climate. Due to the health workforce crisis, knowledge regarding physician satisfaction and associated factors is essential to healthcare managers and policy makers for more stable human resources management.

Tokenism and Cultural Diversity in Counselors: Implications for Rehabilitation Education and Practice

2000 ◽  
Vol 31 (1) ◽  
pp. 47-54 ◽  
Author(s):  
Elias Mpofu ◽  
Debra A. Harley
Keyword(s):  
Cultural Diversity ◽  
Work Environment ◽  
Perceived Quality ◽  
Work Place ◽  
Rehabilitation Services ◽  
Work Related ◽  
Self Perceptions ◽  
The Subject ◽  
Related Stress

Minority counselors are an important resource for diversity sensitive rehabilitation services. However, their work-related experiences have not been the subject of study in the rehabilitation literature. Tokenism theory is utilized to explore possible work-related stress experienced by minority counselors. Specifically, minority counselors may experience the tokenism effects of visibility, contrast, role encapsulation, and assimilation from their interaction with majority counselors and from their self-perceptions. Counselor education in work-place diversity and an asset approach to counselor utilization should enhance the perceived quality of the work environment by both minority and majority counselors.

scholarly journals Quality of life and Associated Factors among Children aged 5 to 18 years with Diabetes Mellitus at St. Francis Hospital Nsambya and Mulago National Referral Hospital

2019 ◽  
Vol 4 (6) ◽  
Keyword(s):  
Quality Of Life ◽  
Diabetes Mellitus ◽  
Logistic Regression ◽  
Associated Factors ◽  
P Value ◽  
Factors Associated ◽  
Mulago National Referral Hospital ◽  
Biological Parents ◽  
National Referral Hospital

Background: This study aimed to determine the quality of life and describe associated factors among children aged 5-18 years with diabetes Mellitus at St. Francis Hospital Nsambya and Mulago National Referral Hospital. Methods: An explanatory sequential study design was used between November 2018 and March 2019. Univariate analysis together with bivariate logistic regression analysis was used to determine quality of life and identify association between the quality of life at a p-value ˂ 0.05 respectively. Factors found to have a p-value ˂ 0.25 were included in the Multivariate logistic regression. A backward method was then applied to determine the best model that predicts quality of life among children. Data was analysed using STATA version 14. Data on the perception of quality of life of children with diabetes mellitus from the perspective of the children, caregivers and health workers was used to obtain qualitative results. Results: 115 children were recruited from the paediatric diabetic clinics. A low quality of life with a mean score of 77 ±15.58 was reported with a mean age of 13 ± 3.9. Factors associated with quality of life included: age groups of 8-12 and 13-18 years, primary education, secondary education, tertiary education, a single parent, living with relatives and primary care giver being a relative other than the biological parents. Conclusion: A sub-optimal quality of life was observed among children with type 1 diabetes mellitus. The factors associated with good quality of life included; age between 5- 7 years, a child living with biological parents, a child being in primary school and higher parental level of education. Recommendation: Community health education and sensitization should be more focused towards the adolescent patients, single mothers, guardians and benefactors of children with diabetes mellitus. There is greater need for healthcare support in schools to mitigate the stigma experienced by these children.

scholarly journals Social Isolation and Associated Factors in Chinese Adults With Epilepsy: A Cross-Sectional Study

2022 ◽  
Vol 12 ◽  
Author(s):  
Rui Zhong ◽  
Hanyu Zhang ◽  
Qingling Chen ◽  
Xin Guo ◽  
Yujian Han ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Logistic Regression ◽  
Social Isolation ◽  
Associated Factors ◽  
Multivariate Logistic Regression Analysis ◽  
Final Analysis ◽  
Multivariate Logistic Regression ◽  
Cross Sectional ◽  
Factors Associated

Objective: We aimed to determine the prevalence of social isolation and associated factors among adults with epilepsy in northeast China.Methods: A cohort of consecutive patients with epilepsy (PWE) from the First Hospital of Jilin University (Changchun, China) was recruited. Demographic and clinical data for each patient were collected during a face-to-face interview. Social isolation was measured using the Berkman-Syme Social Network Index (SNI), and the Neurological Disorders Depression Inventory for Epilepsy (NDDI-E) and Quality of Life in Epilepsy Inventory (QOLIE-31) were also administered. Multivariate logistic regression analyses were used to determine the factors associated with social isolation in PWE.Results: A total of 165 patients were included in the final analysis. The mean SNI score was 2.56 (SD: 1.19), and 35 patients (21.2%) were socially isolated. In multivariate logistic regression analysis, higher depressive symptom levels (OR = 1.15, 95% CI: 1.003–1.318, P = 0.045) and poorer quality of life (OR = 0.967, 95% CI: 0.935–0.999, P = 0.047) emerged as independent factors associated with social isolation in PWE.Conclusion: Social isolation is common and occurs in approximately one-fifth of PWE. Social isolation is significantly associated with depressive symptoms and poor quality of life in PWE. Patients need to be encouraged to actively integrate with others and reduce social isolation, which may help improve their quality of life.

Speech-Language Pathologists' Comfort Providing Intervention to Children With Traumatic Brain Injury: Results From a National Survey

2019 ◽  
Vol 28 (4) ◽  
pp. 1611-1624
Author(s):  
Christina Yeager Pelatti ◽  
Erin J. Bush ◽  
Kelly Farquharson ◽  
Whitney Schneider-Cline ◽  
Judy Harvey ◽  
...  
Keyword(s):  
Professional Development ◽  
Traumatic Brain Injury ◽  
Brain Injury ◽  
Work Environment ◽  
Clinical Experience ◽  
National Survey ◽  
Geographic Location ◽  
Work Setting ◽  
Speech Language Pathologists

Purpose This exploratory study examined speech-language pathologists' (SLPs) clinical experience and work environment characteristics impacting comfort with providing intervention to children with traumatic brain injury (TBI). Method This study included 162 SLPs who responded to a national survey about their comfort providing intervention to children with TBI, clinical experience (i.e., years of experience treating children with TBI, TBI preprofessional training and professional development, and licensure/credentialing), and work environment (i.e., work setting, caseload size, geographic location). Results Findings from latent class analysis revealed 3 distinct groups of SLPs based on their comfort with providing services to children with TBI: those with low comfort, moderate comfort, and high comfort. Further analyses revealed statistically significant differences across the 3 groups in the areas of years of experience treating children with TBI, professional development, work setting, TBI caseload size, and geographic location. Conclusions Our findings reveal that most SLPs feel comfortable providing intervention to children with TBI; however, differences in characteristics across groups suggest that specific steps can be taken to ensure increased comfort for all SLPs working with this population. Practicing SLPs may increase their level of comfort through professional development and hands-on, mentored experience with TBI. Efforts such as these may influence the quality of service provision and expand the population of SLPs who feel comfortable treating children with TBI. Future research is needed to further examine how comfort and SLP characteristics directly impact the quality of speech and language intervention and long-term outcomes of children with TBI.

Conflitos de poder entre profissionais da saúde

2008 ◽  
Vol 2 (3) ◽  
pp. 314
Author(s):  
Iana Bezerra Lima ◽  
Luís Othon Bastos
Keyword(s):  
Theoretical Analysis ◽  
Health Professional ◽  
Work Environment ◽  
Health Professionals ◽  
Interpersonal Relationship ◽  
Work Place ◽  
Patient Relationship ◽  
Human Relations ◽  
Patient’S Satisfaction

ABSTRACT                                                  This study to aim carry through a theoretical analysis on the power conflicts in the human relations, in the organizations and, particularly its implications in the relations among health professionals, stimulating the revision of attitudes on the profession exercise, aiming at patient’s satisfaction with the professional and better quality of the interaction profissional/patient. Relationship models profissional/patient was emphasized and the trend of humanization of the service given in the health units. Amongst others analyses, we showed the conflict is a fact in any interpersonal relationship and, in the work place, it is a natural and expected phenomenon that, when administered constructively, can strengthen the relations. The work environment without the creativity and the progress resulting from the conflicts is boring. The ignored conflict has a tendency to aggravate. Soon, it is suggested they take steps and when the positive confrontation is used, be administed. Descriptors: conflicts; power; health; professional; patient; hospital.RESUMOFoi objetivo desse estudo realizar uma análise teórica sobre os conflitos de poder nas relações humanas, nas organizações e, particularmente, suas implicações nas relações entre profissionais de saúde, estimulando a revisão de atitudes durante o exercício da profissão, visando à satisfação do paciente com o profissional e melhor qualidade da interação profissional/paciente. Enfatizou-se modelos de relacionamento profissional/paciente e a tendência de humanização do serviço prestado em unidades de saúde. Percebeu-se que o conflito é um fato em qualquer relação interpessoal e, no local de trabalho, é um fenômeno natural e esperado que, quando administrado construtivamente, pode fortalecer as relações interpessoais. O ambiente de trabalho sem a criatividade e o progresso decorrentes dos conflitos é entediante e pouco criativo. Logo, sugere-se que medidas sejam tomadas e a confrontação positiva, seja administrada. Descritores: conflitos; poder; profissionais; saúde; paciente; hospital.RESUMENEl objetivo de este estudio fue realizar un análisis teórico sobre los conflictos de poder en las relaciones humanas en las organizaciones, y particularmente sus implicancias en las relaciones entre los profesionales de salud; estimulando una revisión de actitudes durante el ejercicio de la profesión, teniendo como objetivo la satisfacción del paciente con el profesional y mejor calidad de interacción profesional/paciente. Se enfatizaron modelos de relacionamiento profesional/paciente y la tendencia de humanización del servicio prestado en las unidades de salud. Se encontró que el conflicto es un hecho en cualquier relación interpersonal y en el lugar de trabajo, es un fenómeno natural y esperado que, cuando es administrado de manera constructiva, puede fortalecer las relaciones. El ambiente del trabajo sin la creatividad y el transcurrir de los conflictos es tedioso y poco creativo.  Sugiriéndose que medidas sean tomadas y la confrontación positiva sea administrada. Descriptores: conflictos; poder; profesional; salud; paciente; hospital.

scholarly journals Competence of Nurses and Factors Associated With It

Medicina ◽  
2011 ◽  
Vol 47 (4) ◽  
pp. 33 ◽  
Author(s):  
Natalja Istomina ◽  
Tarja Suominen ◽  
Artūras Razbadauskas ◽  
Arvydas Martinkėnas ◽  
Riitta Meretoja ◽  
...  
Keyword(s):  
Professional Development ◽  
Nursing Education ◽  
Nursing Care ◽  
Nurse Practitioners ◽  
Sociodemographic Factors ◽  
Nurse Education ◽  
Factors Associated ◽  
Nurse Competence ◽  
Quality Of Nursing

Objective. Nurse competence became a relevant topic for discussion among nurse practitioners and nurse researchers. However, the factors connected with nurse competence need deeper exploring. The aim of this study was to explore nurse competence and factors associated with it from the perspective of nurses for predicting the possible ways for upgrading the nursing practice. Materials and Methods. A multicenter, descriptive study was performed in 11 surgical wards of 7 Lithuanian hospitals. Data were collected from November 2007 to January 2008. Lithuanian nurses (n=218) who were working with patients after abdominal surgery participated in this study. The response rate was 91%. Two instruments, both originally developed in Finland, were used: the Nurse Competence Scale and the Good Nursing Care Scale for Nurses. Results. The overall level of nurse competence and the frequency of using the competencies in practice as perceived by nurses were high. Nurses assessed the competencies in managing situations and work role the highest and in teaching-coaching and ensuring quality the lowest. Sociodemographic factors such as nurse education, experience, professional development, independence, and work satisfaction as well as the evaluation of quality of nursing care were identified as factors associated with nurse competence. Conclusions. The findings of study allow us to make the assumption that nurse education, nurse experience, and nurse professional development play a significant role in the evaluation of nurse competence as well as the evaluation of quality of nursing care. It is necessary to upgrade nursing education programs at all levels of nursing education in Lithuania: university, non-university, and professional development courses. The qualities of preconditions for nursing care, cooperation with relatives, caring and supporting initiative are related to nurse competence.

Stain contamination and embedding in electron microscopy

1986 ◽  
Vol 44 ◽  
pp. 50-53
Author(s):  
Hilton H. Mollenhauer
Keyword(s):  
Electron Microscopy ◽  
Information Retrieval ◽  
Epoxy Resins ◽  
Image Contrast ◽  
Sample Preservation ◽  
Factors Associated ◽  
Amount Of Information ◽  
Electron Microscopical ◽  
Contrast Information

Many factors (e.g., resolution of microscope, type of tissue, and preparation of sample) affect electron microscopical images and alter the amount of information that can be retrieved from a specimen. Of interest in this report are those factors associated with the evaluation of epoxy embedded tissues. In this context, informational retrieval is dependant, in part, on the ability to “see” sample detail (e.g., contrast) and, in part, on tue quality of sample preservation. Two aspects of this problem will be discussed: 1) epoxy resins and their effect on image contrast, information retrieval, and sample preservation; and 2) the interaction between some stains commonly used for enhancing contrast and information retrieval.

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