Evolution of Ray's Theory of Bureaucratic Caring

2021 ◽  
Vol 25 (3) ◽  
pp. 159-175
Author(s):  
Marilyn A. Ray
Keyword(s):  
Healthcare System ◽  
Well Being ◽  
Theoretical Development ◽  
Military Healthcare ◽  
The Military ◽  
Health And Well Being ◽  
Military Healthcare System ◽  
Holistic Science ◽  
Ethical Caring ◽  
Bureaucratic Organizations

An overview and evolution of caring and the theory of bureaucratic caring and interpretations of its central categories are described. Data and models representing its theoretical development, the concept of bureaucracy, and emergence of the theory as a holographic theory are included. Central tenets in the new sciences are explored along with Bohm's corresponding ideas of explicate and implicate orders (holistic science) and spiritual-ethical caring. The theory has broad implications for increasing the knowledge of caring inter-professionally, improving the health and well-being of people, and transforming healthcare bureaucratic organizations nationally and globally, with application in the military healthcare system.

scholarly journals The Management and Administrative Practices Resulting in the Exit of Nurses from the Irish Healthcare System – a Review

2020 ◽  
Vol 3 ◽  
Author(s):  
Syed A Jilani
Keyword(s):  
Healthcare System ◽  
Well Being ◽  
Healthcare Management ◽  
Ageing Population ◽  
Administrative Practices ◽  
System A ◽  
The Government ◽  
Being There ◽  
The Many ◽  
Mental Well Being

The exit of nurses from the Irish healthcare system is a growing concern especially coupled with the ageing population of Ireland. The article explores the many reasons nurses are leaving the country: mainly the disrespect by management, unfair compensation and the shortage of staff leading to professionals being overworked and eventually experiencing burnout. For many professionals, it has become an issue of their own physical and mental well-being. There are a few recommendations discussed to solve the issue of nurses, which includes a strong push to change perspectives of management and a change of policy by the government. These include retraining healthcare management, an emphasis on hiring and retaining nurses by increasing incentives and making the workload easier to carry.

scholarly journals A Neglected Dimension of Medical Tourism Destination Impacts: A Synthesis of Observations and Convictions

2018 ◽  
Vol 13 (2) ◽  
pp. 9-28
Author(s):  
Sindhu Joseph
Keyword(s):  
Health Care ◽  
Empirical Research ◽  
Healthcare System ◽  
Medical Tourism ◽  
Cultural Influences ◽  
Well Being ◽  
Public Healthcare ◽  
Cultural Impact ◽  
The Public ◽  
The Poor

Medical tourism based on transnational journeys for health care, cure, and well-being is being widely discussed in the literature. As a fast-developing phenomenon, there are different views and perspectives on the concerns of medical tourists and various impacts created in destination areas. This paper critically observes the exertions of medical tourism on destination areas in the light of economic and socio-cultural influences. This paper tries to bring out the muddles of the phenomenon based on empirical research. The paper suggests that the socio-cultural impact of medical tourism on the health care of the poor local people must be viewed seriously and calls for rigid and efficient legislation from the authorities to enable and strengthen the public healthcare system.

Addressing Systemic Causes of Physician Burnout: Improving Joy in Work

2021 ◽  
Vol 73 ◽  
Author(s):  
Katherine Lincoln ◽  
Jamie Lopez ◽  
Michele McGowan
Keyword(s):  
Healthcare System ◽  
Well Being ◽  
Physician Burnout ◽  
Healthcare Leadership ◽  
Organizational System ◽  
Lower Productivity ◽  
Workplace Accidents ◽  
Joy In Work ◽  
Endpoint Data ◽  
Staff Engagement

Healthcare provider burnout has been shown to result in lower staff engagement levels and reduced work satisfaction, which correlates with lower patient experience scores, lower productivity, and increased workplace accidents. By making work engaging and restoring joy, healthcare leadership can reframe barriers to reduce burnout. This paper presents the results of an organizational system-wide intervention designed to rethink the approach to lowering burnout by improving joy in work to address provider well-being at the Guthrie healthcare system. System wide and targeted area strategies were used to create change over a 1-year interval of intervention. After endpoint data was collected, eight power items had positive change for this healthcare system. Scheduling and recognition emerged as system wide areas in need of reform.

scholarly journals Online Depression Communities: Does Gender Matter?

2012 ◽  
Vol 6 (1) ◽  
Author(s):  
Galit Nimrod
Keyword(s):  
Gender Differences ◽  
Healthcare System ◽  
Clinical Condition ◽  
Online Survey ◽  
Mental Healthcare ◽  
Well Being ◽  
Active Participation ◽  
Positive Change ◽  
General Sense ◽  
Psychological Measures

While women are at a greater risk for depression, men with depression are at a greater risk for mistimed and inadequate treatment. Online depression communities offer immediate support for both genders, and may reduce the risk for those depressed men who avoid the traditional mental healthcare system. This study aimed to explore gender differences among members of online depression communities. Based on an online survey of 793 members of 16 online depression communities, the study combined both behavioral and psychological measures. The results identified significant gender differences in members’ self-defined condition, participation patterns, interests and reported benefits. Additional differences were found in the associations between the main differentiating variables and the members’ level of depression. The findings indicated that women in online depression communities are more involved and report more benefits from participation than men. However, active participation may be even more beneficial for men than for women, as it may provide positive change not only in their general sense of well-being, but also in their clinical condition. Using strategies for promoting active participation among men may enhance the benefits they gain from the online communities.

scholarly journals Caregiver Needs: Navigating Services, Technology, and Information

2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 682-682
Author(s):  
C Grace Whiting
Keyword(s):  
Health Care ◽  
Social Workers ◽  
Healthcare System ◽  
Health Care Professionals ◽  
Well Being ◽  
Caregiver Needs ◽  
Services And Supports ◽  
Source Of Information ◽  
And Training

Abstract Data suggests that caregivers may be taking on this role without adequate and affordable services and supports in place. Few caregivers report access to paid help and find it difficult to navigate a healthcare system that is complex and that changes continuously. Caregivers find it challenging to coordinate their recipients’ care across various providers, and the lack of affordable services make it difficult to be a caregiver today. While many caregivers rely on health care professionals (such as doctors, nurses, or social workers) as a source of information about providing care, few caregivers report having conversations with them about what they need to care for their recipient or to support their well-being. In this section, the presenter will discuss the needs of caregivers (respite, transportation, information, and training), focusing on policy and programmatic solutions geared to improving the well-being of caregivers and those under their care.

scholarly journals Vision 2030 and Sustainable Development: State Capacity to Revitalize the Healthcare System in Saudi Arabia

2021 ◽  
Vol 58 ◽  
pp. 004695802098468
Author(s):  
Redwanur Rahman ◽  
Ameerah Qattan
Keyword(s):  
Sustainable Development ◽  
Saudi Arabia ◽  
Population Health ◽  
Healthcare System ◽  
State Capacity ◽  
Well Being ◽  
The State ◽  
Improve Population Health ◽  
Scoping Reviews ◽  
Vision 2030

Vision 2030 is a social and economic strategic program by the Kingdom of Saudi Arabia (KSA) aimed at diversifying the nation’s economy and stimulating numerous changes in its social and economic sectors, including in healthcare. Sustainable Development (SD) 2030 is a global consensual agreement among nation-states to build a sustainable, desirable and progressively interrelated world. The Saudi government highlighted Vision 2030 to improve population health and the world body reiterated that SD 2030 will contribute to “healthy lives and promote well-being for all at all ages.” This article analyzes the state capacity in revitalizing the healthcare system in Saudi Arabia with the context of Vision 2030 and SD 2030. Scoping reviews and thematic data analysis techniques were used as a method of this study. The realization of Vision 2030 is essential for the fulfilment of the SD Goals 2030. The government has realigned its national programs, plans and strategies with global development targets, indicators, and goals to achieve the SD Goals. Achieving SD 2030 is seen as the main component of development for health. Prudent reforms should be taken to accommodate the goals and objectives of Vision 2030 and SD 2030. These measures will help strengthen governance and state capacity so as to ultimately revitalize the Saudi healthcare system and improve population health. Saudi Arabia’s Vision 2030 encourages the state to play a renewed role in development in light of the UN’s declaration of the “right to development.” While pursuing SD Goals, the state must create the necessary environment for sustaining capacity, need to improve service delivery by building cooperation and coordination among providers and interactions among groups to realize constructive roles and functions in maintaining state affairs, which ultimately enhances state capacity to revitalize healthcare system of Saudi Arabia.

scholarly journals A multidimensional study of public satisfaction with the healthcare system: a mixed-method inquiry in Ghana

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Padmore Adusei Amoah ◽  
Kingsley Atta Nyamekye ◽  
Ebenezer Owusu-Addo
Keyword(s):  
Healthcare System ◽  
Mixed Method ◽  
Rural Areas ◽  
Social Insurance ◽  
Well Being ◽  
Political Orientation ◽  
Sub Saharan Africa ◽  
Cross Sectional ◽  
Community Factors ◽  
The Impact

Abstract Background Many governments in sub-Saharan Africa have recently sought to improve their health systems by increasing investment in healthcare facilities and introducing social insurance programmes. However, little is known about the impact of these intended improvements on public perceptions about the healthcare systems. This article examines whether and why people of different socioeconomic and ideological backgrounds are satisfied (or not) with the current healthcare system in Ghana from a social ecological perspective. Method Data were elicited from a cross-sectional mixed-method study conducted in four regions in Ghana in 2018. We used ordinal logistic regression and thematic analysis techniques to analyse the data. Results Satisfaction with the healthcare system was generally low. From our quantitative study, intrapersonal factors (e.g., being older and having good health and well-being status); interpersonal factors (e.g., linking social capital); community factors (e.g., living in rural areas); and organisational and public policy factors (e.g., trust in the health system, favouring welfare policies, and being interested in politics) were positively associated with satisfaction with the healthcare system. These were corroborated by the qualitative study, which showed that poor attitudes of health personnel, financial constraints, perceived poor health facilities, and perceived inefficacy of services contribute to dissatisfaction with the healthcare system. Conclusion Strategies to improve satisfaction with the healthcare system in Ghana should incorporate ecological perspectives by considering factors such as demographic profile, health needs, political orientation, issues of trust in the healthcare system, and the dynamics and impact of social relationships of populations concerned.

scholarly journals Financial, Economic Crisis and Quality in Health Services Provision, New Challenges to Improve Quality Policy in the Healthcare System of Greece

2020 ◽  
Vol 10 ◽  
pp. 267-273
Author(s):  
Antonia Kountoura ◽  
Stavros Emmanouil ◽  
Efthymios Ziagkas
Keyword(s):  
Health Care ◽  
Health Services ◽  
Healthcare System ◽  
Economic Crisis ◽  
Quality Of Health Care ◽  
Relevant Literature ◽  
Well Being ◽  
Wide Range ◽  
Quality Policy

Greece has been severely affected by the global financial and economic crisis, with far-reaching economic, social and political consequences. In 2013, the country was already experiencing its fifth year of recession and was operating within suffocating tax measures. Prior to the crisis, the Greek healthcare system suffered from a wide range of problems. Therefore, it was vulnerable to economic fluctuations and was not properly prepared to meet the changing needs of the population. The aim of this study was firstly to investigate the effect of the economic crisis on the quality of health care in Greece and secondly to propose methods to improve the quality policy of the Greek Health System. A literature review was carried out in order to collect all available information of the relevant literature sources in both Greek and international English-language bibliography. The effects of the economic crisis on the Greek national healthcare system were recorded extendedly. In particular, the effects of the economic crisis on access to health services, the effectiveness of hospital care, the quality of health care provided, the transparency and oversight are analysed. In summary, the need to re-examine and promote a public debate on the health budget, not only in economic terms, but as a development tool for the well-being of citizens, is emphasized. In conclusion, restoring the social values that govern the health care system is a prerequisite for creating a new model for sustainable development

scholarly journals Women, Younger Clinicians’, and Caregivers’ Experiences of Burnout and Well-being During COVID-19 in a US Healthcare System

2021 ◽  
Author(s):  
Ellis C. Dillon ◽  
Cheryl D. Stults ◽  
Sien Deng ◽  
Meghan Martinez ◽  
Nina Szwerinski ◽  
...  
Keyword(s):  
Healthcare System ◽  
Work Experience ◽  
Well Being ◽  
Work Experiences ◽  
Personal Lives ◽  
Weighted Estimates ◽  
Statistical Inferences ◽  
System Improvement ◽  
And Gender ◽  
Large Survey

Abstract Background The COVID-19 pandemic brought rapid changes to the work and personal lives of clinicians. Objective To assess clinician burnout and well-being during the COVID-19 pandemic and guide healthcare system improvement efforts. Design A survey asking about clinician burnout, well-being, and work experiences. Participants Surveys distributed to 8141 clinicians from June to August 2020 in 9 medical groups and 17 hospitals at Sutter Health, a large healthcare system in Northern California. Main Measures Burnout was the primary outcome, and other indicators of well-being and work experience were also measured. Descriptive statistics and multivariate logistic regression analyses were performed. All statistical inferences were based on weighted estimates adjusting for response bias. Key Results A total of 3176 clinicians (39.0%) responded to the survey. Weighted results showed 29.2% reported burnout, and burnout was more common among women than among men (39.0% vs. 22.7%, p<0.01). In multivariate models, being a woman was associated with increased odds of reporting burnout (OR=2.19, 95% CI: 1.51–3.17) and being 55+ years old with lower odds (OR=0.54, 95% CI: 0.34–0.87). More women than men reported that childcare/caregiving was impacting work (32.9% vs. 19.0%, p<0.01). Even after controlling for age and gender, clinicians who reported childcare/caregiving responsibilities impacted their work had substantially higher odds of reporting burnout (OR=2.19, 95% CI: 1.54–3.11). Other factors associated with higher burnout included worrying about safety at work, being given additional work tasks, concern about losing one’s job, and working in emergency medicine or radiology. Protective factors included believing one’s concerns will be acted upon and feeling highly valued. Conclusions This large survey found the pandemic disproportionally impacted women, younger clinicians, and those whose caregiving responsibilities impacted their work. These results highlight the need for a holistic and targeted strategy for improving clinician well-being that addresses the needs of women, younger clinicians, and those with caregiving responsibilities.

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