scholarly journals The Effects of the Civility, Respect, and Engagement in the Workplace (CREW) Program on Social Climate and Work Engagement in a Psychiatric Ward in Japan: A Pilot Study

2021 ◽  
Vol 11 (2) ◽  
pp. 320-330
Author(s):  
Utako Sawada ◽  
Akihito Shimazu ◽  
Norito Kawakami ◽  
Yuki Miyamoto ◽  
Lisa Speigel ◽  
...  

Background: Good social climate and high work engagement are important factors affecting outcomes in healthcare settings. This study observed the effects of a program called Civility, Respect, and Engagement in the Workplace (CREW) on social climate and staff work engagement in a psychiatric ward of a Japanese hospital. Methods: The program comprised 18 sessions installed over six months, with each session lasting 30-min. Participation in the program was recommended to all staff members at the ward, including nurses, medical doctors, and others, but it was not mandatory. A serial cross-sectional study collected data at four time-points. Nurses (n = 17 to 22), medical doctors (n = 9 to 13), and others (n = 6 to 10) participated in each survey. The analysis of variance was used to evaluate the changes in the following dependent variables, the Essen climate evaluation schema (EssenCES), the CREW civility scale, and the Utrecht work engagement scale (UWES) over time. Result: We found no significant effects. The effect size (Cohen’s d) for EssenCES was 0.35 from baseline to post-installation for all staff members. Effect sizes for EssenCES for medical doctors and UWES for nurses were 0.79 and 0.56, respectively, from baseline to post-program. Conclusions: Differences in social climate and work engagement among Japanese healthcare workers between the baseline and post-installation of the CREW program were non-significant.

2018 ◽  
Vol 71 (suppl 4) ◽  
pp. 1487-1492 ◽  
Author(s):  
Luciano Garcia Lourenção

ABSTRACT Objective: to assess the levels of engagement at work of nurses enrolled in multi-professional residency and professional development programs in health care of a Brazilian public institution. Method: a cross-sectional study with 36 professionals. The data were collected in September 2013, with use of the Utrecht Work Engagement Scale (UWES), composed of seventeen self-evaluation items with the dimensions vigor, dedication and absorption, as well as an overall score. Results: the levels of engagement ranged from 3.8 to 4.3, and the standard deviations, between 1.1 and 1.3. Nurses showed average levels on vigor (3.8) and absorption (3.9) dimensions, and high levels on dedication (4,3) and engagement (4.0). Conclusion: the professionals presented good levels of energy, resilience, enthusiasm and involvement with the work. They are satisfied with the activity and are dedicated to it, which promotes the acquisition of skills and competences along the in-service training, ensuring a future professional practice of quality.


BMJ Open ◽  
2020 ◽  
Vol 10 (7) ◽  
pp. e037653
Author(s):  
Aneesa Abdul Rashid ◽  
Navin Kumar Devaraj ◽  
Halidah Mohd Yusof ◽  
Fauzan Mustapha ◽  
Shaw Voon Wong ◽  
...  

IntroductionMedical doctors are often subjected to long working hours with minimal rest in between the shifts. This has led to many fatal and non-fatal road crash involvement (RCI). This study aims to determine the prevalence and predictors of RCI among medical doctors in Malaysia.Methods and analysisThis is a cross-sectional study among 375 Malaysian medical doctors who met the inclusion criteria. A predetermined self-administered questionnaires will be used to collect information regarding the sociodemographic, health status, workplace information, work commuting information, driving behaviour, history of RCI, fatigue, sleep quality, mental health status and work engagement. The questionnaires consist of the following instruments: (1) sociodemographic, health status, workplace information, work commuting information, driving behaviour and history of RCI; (2) Checklist of Individual Strength Questionnaire; (3) Pittsburgh Sleep Quality Index; (4) 21-item Depression Anxiety and Stress Scale; and (5) Utrecht's Work Engagement Scale. The data will be analysed using SPSS program V.24. Descriptive and inferential statistics will be used to determine the prevalence and predictors of RCI.Ethics and disseminationThis study protocol has received ethics approval from the Medical Research and Ethics Committee (MREC), Ministry of Health Malaysia (NMRR-18-3983-40609) and the Ethics Committee for Research Involving Human Subject, University Putra Malaysia (JKEUPM). Online written informed consent will be obtained from each study participant by the researchers. Results of the study will be disseminated through relevant journals and conferences.Trial registration numberNCT04243291.


Author(s):  
Cora Wagner ◽  
Undine E. Lang ◽  
Karin Hediger

The aim of this study was to investigate inpatient and staff member attitudes toward and experiences with ward cats, and identify possible mechanisms for how cats affect patient satisfaction in a psychiatric clinic. Thirty-three inpatients diagnosed with depression or psychosis residing on wards with and without cats and 17 staff members working on wards with cats participated in semi-structured interviews using a cross-sectional study design. Data analysis included descriptive statistics and correlations. The results showed that 17 out of 19 inpatients and all the staff members liked having a cat on their ward. Further, 12 out of 14 inpatients on wards without cats would like having a cat on their ward. Inpatient perceptions of the cat’s impact on the ward atmosphere correlated significantly with their emotional relationship with the cat (p = 0.015, r = 0.561), how often they saw the cat (p = 0.002, r = 0.676), and if they liked cats in general (p = 0.041, r = 0.486). Our results highlight the positive attitudes of inpatients and staff members toward ward cats and the potential of ward cats to enhance patient satisfaction. This influence might be mediated by factors such as the frequency of contact, the relationship between each patient and the cat, and each patient’s attitude toward cats in general.


2021 ◽  
pp. 38-46
Author(s):  
Arinze Anthony Onwuegbuna ◽  
Akunne Ijeoma Apakama ◽  
Miriam-Benigna Chika Amobi ◽  
Emeka Akujuobi Chianakwalam ◽  
Chuka Michael Okosa ◽  
...  

Visual impairment greatly affects one’s quality of life. The number of persons with visual impairment and blindness in the world is on the increase. Eye screening allows for early detection of sight-threatening diseases and timely intervention could be sight-saving.  Aim: To determine the practice of eye checks and identify the factors that affect periodic eye checks among medical doctors in south-east Nigeria. Methodology: This study was a descriptive, cross-sectional study conducted among practicing medical doctors in private and public hospitals in Anambra State Nigeria, using a self-administered semi-structured questionnaire. Information obtained from the participants included the sociodemographics data, type and duration of practice, presence of any medical and/or ocular condition, family history of eye diseases, history of use of spectacles, practice of eye check and interval of eye check, factors affecting the practice of eye check, and ways of promoting regular eye check. Data obtained were analysed using the Statistical Package for the Social Sciences version 23. Statistical significance was set at p˂0.05.  Results: One hundred and eighty-seven practicing  medical doctors were interviewed. There were 123 (65.8%) males and 64 (34.2%) females. Their ages ranged from 24 to 80 years, with a mean age of 44.81 ± 12.73 years. The mean duration of professional practice was 18.16 ± 11.9 years. Majority, 124 (66.3%) works in government-owned hospitals. Among the study participants, 93(49.7%) doctors had been diagnosed with different ocular diseases; 99(52.9%) had a family history of ocular problems; 94(50.3%) had used prescription lenses; and 51(27.3%) had medical conditions. One hundred and twelve (59.9%) had undergone at least  eye examinations once, of which 54(48.2%) had their last eye examination over 5 years ago. The prevalence of eye check was 59.9% (95%CI: 52.9 – 66.9%). Eye checks were significantly associated with medical practice of over 20 years (P=0.030), working in a private practice (P=0.001), having eye diseases such as cataract (P=0.006), refractive error (P˂0.001), presbyopia (P˂0.001), and use of prescription spectacles (P˂0.001). ‘Belief of not having eye problems’ and ‘No time’ which accounted for 58.7% and 24.0% respectively were the commonest reasons for not regularly  having eye examinations.  Conclusion: Poor attitude to periodic eye examinations was seen in medical doctors in south east Nigeria. 


2009 ◽  
Vol 33 (8) ◽  
pp. 295-298 ◽  
Author(s):  
Peter Lawrence Zaki Labib ◽  
Lisa Brownell

Aims and MethodA questionnaire was distributed to patients in a psychiatric hospital in Birmingham, UK, to identify the factors that affect their satisfaction with the ward round.ResultsThe questionnaire was completed by 42 patients (53% response rate). Waiting time was the only variable to be significantly correlated with total score of patient satisfaction. Regression analysis also identified diagnosis and patients meeting their consultant before the first ward round as significant predictors of patient satisfaction.Clinical ImplicationsReducing waiting time and ensuring that the consultant meets the patient before the first ward round would make a significant improvement to the in-patient experience, without causing much disruption to standard clinical practice.


2020 ◽  
Vol 7 (4) ◽  
pp. 970
Author(s):  
Rex F. O. A. Ijah ◽  
Amabra Dodiyi Manuel

Background: The use of minimal access techniques to achieve similar objectives as in open surgical procedures has witnessed a steady progress in the last two decades. The efficacy and safety of this mode of surgery has long been established. Medical doctors are not only members of the society; with their level of knowledge, their opinion is a strong mirror image of the pulse of the patients they treat. Aim of the study was to ascertain the knowledge, attitude, extent of practice, and factors affecting laparoscopic surgery among medical doctors in Port Harcourt, Nigeria.Methods: A cross sectional study of four hundred and fourteen (414) practicing medical doctors was conducted. Using stratified sampling method, self-administered semi-structured questionnaires was distributed to respondents in Port Harcourt in 2018. Data obtained was analysed using the Statistical Package for the Social Sciences (SPSS) version 20.0.Results: Knowledge of laparoscopic surgery among respondents was 89.6% (371). Three hundred and twelve respondents (75.4%) were willing to pay if such surgery is necessary and offered in Port Harcourt. Only 2.4%. of respondents asserted that laparoscopic surgery services are offered regularly in their hospital. Only 1 respondent (0.2%) was willing to pay ₦151,000.00 - 200,000.00 ($430 - $570) for commonly performed laparoscopic abdominal surgical procedures.Conclusions: Willingness to accept and knowledge of laparoscopic surgery was relatively high among medical doctors, hence a high prospect for laparoscopic surgery practice in Port Harcourt is therefore likely. The practice of laparoscopic surgery seems low and willingness to pay, even among doctors seem to be a challenge.


2021 ◽  
Author(s):  
Tomohisa Nagata ◽  
Masako Nagata ◽  
Kazunori Ikegami ◽  
Ayako Hino ◽  
Seiichiro Tateishi ◽  
...  

AbstractObjectiveThe present study examined the relationship between the intensity of home-based telework and work engagement.MethodsThis cross-sectional study using a self-administrated questionnaire survey was conducted from December 22 to 25, 2020, in Japan. The subjects were asked single-item questions about the intensity of telework and three-item questions about work engagement using the Utrecht Work Engagement Scale. Coefficients were estimated using a multilevel regression model nested by prefecture of residence and adjusted for covariates.ResultsHigh-intensity (four or more days per week) telework was not associated with high work engagement for men or women. In contrast, low and moderate intensity (three days per week to once per month) were associated with high work engagement. The results were consistent when stratified by sex.ConclusionsReasonable-intensity telework may have beneficial effects on work engagement.Clinical SignificanceThis study revealed that a reasonable intensity of telework may have beneficial effects on work engagement. A reasonable intensity is defined as low (once per week to once per month) or moderate intensity (two to three days per week) for both men and women.


Healthcare ◽  
2021 ◽  
Vol 9 (3) ◽  
pp. 253
Author(s):  
Regina Allande-Cussó ◽  
Juan Jesús García-Iglesias ◽  
Carlos Ruiz-Frutos ◽  
Sara Domínguez-Salas ◽  
Carmen Rodríguez-Domínguez ◽  
...  

In some areas of Spain, health services and professionals working in the front line against the Sars-Cov-2 virus have been widely overwhelmed at all levels. Therefore, the objective of this study was to assess the level of work engagement of Spanish nurses during the COVID-19 pandemic. A cross-sectional study was carried out. The sample consisted of 510 active nurses from all over Spain, without age exclusion, who voluntarily accepted to participate in the study. Work engagement was assessed with the 9-item Utrecht Work Engagement Scale (UWES) questionnaire, through an online questionnaire and non-probabilistic snowball sampling. The results showed a mean age of 45.9 years (SD = 10.7 years), most of them women (78.1%), and 58.5% were in primary care. The mean score for the UWES-9 questionnaire was 4.6 points (SD = 1.35). The categorical regression analysis performed revealed an R2 value of 0.75 and a significance of p < 0.01 in the sex, type of unit, and training variables. The Spanish nurses in the sample present high levels of work engagement in all dimensions in general, although the lowest mean scores are found in the vigor dimension, among men, and nurses working in hospital and critical units.


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