scholarly journals The Antecedents of Psychological Empowerment and Its Impact towards General Physician Job Performance

2021 ◽  
Vol 9 (E) ◽  
pp. 1322-1330
Author(s):  
Marischa Regina ◽  
Santika Henny ◽  
Ferdi Antonio
Keyword(s):  
Job Performance ◽  
General Practitioners ◽  
Private Hospital ◽  
Psychological Empowerment ◽  
Survey Study ◽  
Service Orientation ◽  
General Physician ◽  
Cross Sectional ◽  
The Board Of Directors ◽  
Training Opportunities

BACKGROUND: The emergence of new infectious diseases such as SARS-CoV-2 (Coronavirus Disease 19) creates a burden to the healthcare system especially to the front liners such as medical doctors. The job performance of the general practitioners related to quality of care to SARS-CoV2 patients. AIM: ​​The purpose of this study is to analyze the antecedents of psychological empowerment towards job performance, mediated by service orientation. These antecedents could be seen in hospital perspectives and professional life.   METHODS: This is a quantitative survey study using a cross-sectional approach. 185 samples purposively obtained from the general practitioners who work at SARS-CoV-2 Reference Private Hospital in Jakarta and surrounding area. Data collection using online questionnaires and analyzed by SmartPLS 3.3.3™ . RESULTS: There are nine hypotheses that are supported in this research. The strongest predictor of psychological empowerment is the training opportunities, followed by relationships with fellow doctors and autonomy at work. Psychological empowerment has been proven to have a direct impact on job performance, while service orientation has been found as a mediation in this relationship. CONCLUSION: Psychological empowerment has been proven as an important construct to predict job performance, therefore hospital management has to pay more attention to psychological empowerment for GPs during the pandemic. Training opportunities should be prioritized by the board of directors of the hospitals, they should allocate time and the resources to facilitate the training opportunity. KEYWORDS: Psychological empowerment, service orientation, job performance, general practitioner, SARS-CoV-2 referral private hospital.

scholarly journals The use of ultrasound in primary care: Longitudinal billing and cross-sectional survey study in Switzerland

2020 ◽  
Author(s):  
Dima Touhami ◽  
Christoph Merlo ◽  
Joachim Hohmann ◽  
Stefan Essig
Keyword(s):  
Primary Care ◽  
Survey Data ◽  
General Practitioners ◽  
Survey Study ◽  
Cross Sectional Survey ◽  
Billing Data ◽  
Cross Sectional ◽  
Clinical Indications ◽  
Organ Systems ◽  
Wide Range

Abstract Background Ultrasound imaging is utilized in Swiss primary care; however, little is known regarding the extent to which it is performed. With this study, we aim to (1) provide an overview of ultrasound use by general practitioners (GPs), and (2) determine the clinical indications of ultrasound in Swiss general practice.Methods This is a quantitative study, analyzing fifteen years of billing data from 213 GPs in Central Switzerland, and cross-sectional survey data completed by 61 GPs attending 26 certification and refresher courses offered by the Swiss Society of Ultrasound in Medicine (SGUM).Results According to billing data, 49% of the GPs used ultrasound and provided 130,245 exams to 67,180 patients between 2004 and 2018. Over the years, ultrasound use became more frequent among GPs. Male GPs provide more ultrasound exams than female GPs. Patients that are female, ≥65 years, and multi-morbid had more ultrasound exams compared to males, patients <65 years, and those with only one morbidity, respectively. GPs provided a mean of 129 ultrasound exams per physician-year. Abdominal ultrasound comprised almost 69% of all exams. According to survey data, indications covered many organ systems and clinical conditions, with abdominal indications being most frequent among them.Conclusions The use of ultrasound is high among general practitioners and it covers a wide range of clinical indications. Ultrasound is utilized primarily in the diagnosis of clinical indications of the abdomen, and more often for female than male patients.

scholarly journals 061 Training in headache in australia, new zealand and asia

2019 ◽  
Vol 90 (e7) ◽  
pp. A20.1-A20
Author(s):  
Lin Zhang ◽  
Bronwyn Jenkins ◽  
Richard Stark ◽  
Elspeth Hutton
Keyword(s):  
New Zealand ◽  
Survey Study ◽  
Undergraduate Training ◽  
Cross Sectional Survey ◽  
Questionnaire Response ◽  
Cross Sectional ◽  
High Prevalence ◽  
Low Prevalence ◽  
Training Opportunities ◽  
Prevalent Asthma

IntroductionMigraine is the leading cause of age-adjusted neurological disability in Australia, but little is known about headache training in our region. We aimed to assess the quantity of teaching in headache subjects during undergraduate and postgraduate years.MethodThis is a cross-sectional survey study where questionnaires were sent to 137 delegates from Australia, New Zealand and Asia, prior to the Headache Master School in Sydney in August 2018. The Main outcome measured are recalled number of hours of teaching in undergraduate year and postgraduate years in: 1) Migraine; 2) Trigeminal autonomic cephalalgias (TACs); 3) Asthma; 4) Myasthenia gravis (MG).ResultsThe questionnaire response rate was 73% (100 of 137), of which 29 delegates were within 10 years of completing their undergraduate degree and 98 were neurologists. In undergraduate training, there was much greater quantity of teaching in asthma than migraine (Z=5.007, p<0.000) despite both being high-prevalent (asthma 11%, migraine 15–20%) conditions. Similarly, for diseases of medium-to-low prevalence, there was less training in TACs (1/1000), compared to MG (1.2/10,000) (Z=6.196, p<0.000). These major differences in training were also seen in postgraduate years even though overall headache teaching was greater in postgraduate than undergraduate training (p<0.000).ConclusionsDespite the high prevalence and morbidity of headache disorders, they receive less attention in training than conditions with similar prevalence. We propose that headache training opportunities should be improved in our region, particularly in the undergraduate course and preceptorships or fellowships in postgraduate years.

Interactive effects of organizational goal orientations on bank-employee’s behavior

2019 ◽  
Vol 37 (2) ◽  
pp. 402-425 ◽  
Author(s):  
Jaewon Yoo ◽  
Yeonsung Jung
Keyword(s):  
Service Sector ◽  
Psychological Empowerment ◽  
Goal Orientations ◽  
Task Interdependence ◽  
Service Orientation ◽  
Cross Sectional ◽  
Content Type ◽  
Role Behavior ◽  
Employee Behaviors ◽  
Bank Employee

PurposeThe purpose of this paper is to test the effects of the service orientation on bank-employee behaviors; to empirically examine the moderating role of the productivity orientation in an effort to explain when and why the simultaneous pursuit of the service orientation and the productivity orientation negatively affect the financial service employee psychological empowerment; and to explore any contextual factors that can suppress or facilitate the bank–employee behaviors.Design/methodology/approachA single cross-sectional descriptive design was used for this study. Purposive sampling was used to identify the respondents who were bank employees in financial-service-sector organizations in South Korea. To analyze the data, a confirmatory-factor analysis (CFA) using LISREL 8.5 was employed. Conditional process modeling was performed to test the moderated mediation and the moderated-mediation hypotheses.FindingsThe results showed a significant relationship between the service orientation and the frontline-employee behaviors, thereby establishing the psychological empowerment as an intervening mechanism. The findings also suggest that the moderating role of the productivity orientation weakened the positive effect of the service orientation on the bank-employee psychological empowerment. This research identifies the positive interactive effect of the customer power upon the psychological empowerment of the employee extra-role behavior. The task interdependence enhanced the link between the psychological empowerment and the employee in-role behavior.Research limitations/implicationsThe specific service sector that was chosen is retail banking. The cross-sectional nature of the data is considered a limitation; furthermore, the self-reported nature of the completed questionnaires might have resulted in the common method bias. Further research should be conducted to collect longitudinal data from other service sectors to verify the hypothesized relationship. Extensions into other sectors that differ in terms of the customer power degree and the task interdependence level could lead to a contingency framework that shows if and how the hypothesized linkages can be changed according to the contextual factors.Practical implicationsFor managers who want or need to pursue the strategic goals of the service orientation and the productivity orientation simultaneously, this study offers useful insights into the management of the strategic dilemmas that stem from service-setting multi-goal pursuits from an employee perspective. Second, the significant positive relationships that were observed between the values of the overt customer power and the extra-role behavior suggest that constraining and influential customer behaviors are likely to produce a structured working environment that encourages the bank-employee extra-role behavior. Third, the results also suggest that the task structure (task interdependence) may influence the employee in-role behavior. Thus, managers should encourage an organizational sense of belonging for their employees and an understanding of the essential nature of the employee work role in terms of a competitive organizational performance.Social implicationsIn banking circumstances, stickiness on product orientation by cutting cost will deteriorate the level of customer service and will then reduce customer revenues. In this case, disgruntled staff and unhappy customers perceive that their interests are being sacrificed in the pursuit of greater productivity. In this situation, revenues may fall faster than the reduction in costs. Thus, it may be proven that the cost of the dual demands from these two orientation types outweigh the benefit. Bank executives may perceive organizational productivity orientation as being an easier and more evident tool to use for reducing cost, especially with the existence of tough competition. Critically, in addition to poor service quality, this study indicates that there is a side effect of productivity orientation practice. Thus, managers should use caution in the concurrent employment of the two types.Originality/valueThis study identified the reason for the negative service outcomes that result from the simultaneous pursuits of the service orientation and the productivity orientation. From an employee perspective, it might be proven that the costs of the dual-service and production-orientation demands may outweigh the benefits. Thus, this proposed research model, in which the frontline autonomy acted as a key mediator and the customer power and the task interdependence were salient moderators, has been shown as crucial in the transmission of the impacts of the service and the quality orientation, and in the blunting of the service-productivity trade-offs that are due to the employee’s perceived multi-goal orientations.

scholarly journals INFORMED CONSENT

2015 ◽  
Vol 22 (10) ◽  
pp. 1262-1267
Author(s):  
Khalida Naz Memon ◽  
Champa Sushel ◽  
Shazia Shaikh ◽  
Fahad Ahmed Memon
Keyword(s):  
Informed Consent ◽  
General Practitioners ◽  
Urban Areas ◽  
Cross Sectional Study ◽  
Vital Role ◽  
Chi Square ◽  
General Physician ◽  
Cross Sectional ◽  
Medical Practitioners ◽  
Socio Demographic Factors

Introduction: Informed consent is the back bone of patients’ autonomy. Theadvancement in medical technology has further increased its importance. In the developingcountries including Pakistan, general physicians play a vital role in providing health careto the patients but unfortunately majority of them are unaware about the ethical aspects oftheir medical practice. Methodology: Objectives: 1. To determine the level of awarenessabout informed consent among general practitioners. 2. To assess the association betweenvarious socio-demographic factors to the awareness about informed consent. Study Design:Community based cross sectional study. Settings: General medical practitioners of districtHyderabad were the study population. Period Of Study: Two months. Material & Methods:One hundred & forty subjects were selected for the study through purposive non-probabilitysampling. A pretested self-administered questionnaire was the tool for the data collection. Thedata was analyzed by using SPSS version 16.The variables of interest were gender of generalpractitioners, their age, level of qualifications, residence & occasions when informed consentwas taken. The association between various socio-demographic variables was determined byapplying Chi-square test at ≤0.05 level of significance. Results: One hundred & forty generalmedical practitioners of varying ages from 32-60 years participated in the study. The meanage of the general physician was 39 ± 1.8 years. The awareness about informed consent wasfound among 128(91.4%) subjects but unfortunately only 45.7%of them actually practiced it.The results regarding awareness as well as practice of informed consent among males andfemales were however not significant (p=0.520). The young general practitioners i.e age 31-40years were less practicing informed consent as compared to older general practitioners i.e.age 51-60 years and onwards (p= 0.04).The physicians practicing in urban areas were morecognizant about informed consent (p=0.05).Informed consent from patients was obtainedbefore giving local anesthesia (80%), blood transfusion (24.3%)&before examination of femalepatients (46.4%). Conclusions: Informed consent taking is not a routine process adopted bygeneral medical practitioners so there is a strong need for general practitioners to change theirattitude and acknowledge the patient’s autonomy by taking informed consent, which is thebasis of modern medical ethics.

scholarly journals Acceptance of Telerheumatology by Rheumatologists and General Practitioners in Germany: Nationwide Cross-sectional Survey Study

10.2196/23742 ◽  
2021 ◽  
Vol 23 (3) ◽  
pp. e23742
Author(s):  
Felix Muehlensiepen ◽  
Johannes Knitza ◽  
Wenke Marquardt ◽  
Jennifer Engler ◽  
Axel Hueber ◽  
...  
Keyword(s):  
General Practitioners ◽  
Large Scale ◽  
Musculoskeletal Diseases ◽  
User Preferences ◽  
Survey Study ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Structural Framework ◽  
Full Capacity ◽  
Economic Analyses

Background The worldwide burden of musculoskeletal diseases is increasing. The number of newly registered rheumatologists has stagnated. Primary care, which takes up a key role in early detection of rheumatic disease, is working at full capacity. COVID-19 and its containment impede rheumatological treatment. Telemedicine in rheumatology (telerheumatology) could support rheumatologists and general practitioners. Objective The goal of this study was to investigate acceptance and preferences related to the use of telerheumatology care among German rheumatologists and general practitioners. Methods A nationwide, cross-sectional, self-completed, paper-based survey on telerheumatology care was conducted among outpatient rheumatologists and general practitioners during the pre-COVID-19 period. Results A total of 73.3% (349/476) of survey participants rated their knowledge of telemedicine as unsatisfactory, poor, or very poor. The majority of survey participants (358/480, 74.6%) answered that they do not currently use telemedicine, although 62.3% (291/467) would like to. Barriers to the implementation of telemedicine include the purchase of technology equipment (182/292, 62.3%), administration (181/292, 62.0%), and poor reimbursement (156/292, 53.4%). A total of 69.6% (117/168) of the surveyed physicians reckoned that telemedicine could be used in rheumatology. Surveyed physicians would prefer to use telemedicine to communicate directly with other physicians (370/455, 81.3%) than to communicate with patients (213/455, 46.8%). Among treatment phases, 64.4% (291/452) of participants would choose to use telemedicine during follow-up. Half of the participants would choose telecounseling as a specific approach to improve rheumatology care (91/170, 53.5%). Conclusions Before COVID-19 appeared, our results indicated generally low use but high acceptance of the implementation of telerheumatology among physicians. Participants indicated that the lack of a structural framework was a barrier to the effective implementation of telerheumatology. Training courses should be introduced to address the limited knowledge on the part of physicians in the use of telemedicine. More research into telerheumatology is required. This includes large-scale randomized controlled trials, economic analyses, and the exploration of user preferences.

scholarly journals Impact of Psychological Empowerment on Job Performance of Teachers: Mediating Role of Psychological Well-being.

2019 ◽  
Vol 5 (3) ◽  
Author(s):  
Nisar Ahmed ◽  
Beenish Malik
Keyword(s):  
Job Performance ◽  
Psychological Factors ◽  
Psychological Empowerment ◽  
Well Being ◽  
Cross Sectional Study ◽  
Cross Sectional ◽  
Psychological Well Being ◽  
Mediation Analyses ◽  
And Performance ◽  
The Impact

Purpose: This study was carried out to investigate the impact of psychological empowerment and psychological well-being on the performance of teachers and to explore the effect of psychological well-being as a mediator between psychological empowerment and performance. Research Design/Methodology: Convenience sampling was used to collect data from 261 secondary school teachers through a survey questionnaire in this cross-sectional study. The collected data was statistically analyzed by using SPSS software 23. Coefficient correlation, multiple regression and mediation analyses were carried out in pursuance of study objectives. Findings: it was found that psychological empowerment and well-being were significantly and positively related to job performance of teachers. Moreover, results showed that psychological well-being partially mediated the relationship between psychological empowerment and well-being. Practical Implications: When teachers perceive higher level of psychological factors (viz. psychological empowerment & well-being), they perform better. Therefore, it is essential for administrators and executives to attend to psychological factors of teachers in order to increase their performance.

scholarly journals The use of ultrasound in primary care: Longitudinal billing and cross-sectional survey study in Switzerland

2020 ◽  
Author(s):  
Dima Touhami ◽  
Christoph Merlo ◽  
Joachim Hohmann ◽  
Stefan Essig
Keyword(s):  
Primary Care ◽  
Survey Data ◽  
General Practitioners ◽  
Survey Study ◽  
Point Of Care Ultrasound ◽  
Cross Sectional Survey ◽  
Billing Data ◽  
Cross Sectional ◽  
Organ Systems ◽  
Wide Range

Abstract Background Ultrasound imaging is utilized in Swiss primary care; however, little is known regarding the extent to which it is performed. A course in Point-of-Care ultrasound (POCUS) has been recently introduced to promote and improve the utilization of ultrasound. POCUS will offer faster certification compared to previous courses thanks to a limited set of targeted examinations. With this study, we aim to (1) provide an overview of ultrasound use by general practitioners (GPs), and (2) determine how the clinical uses of ultrasound relate to the targeted objectives of POCUS. Methods This is a quantitative study, analyzing fifteen years of billing data from 213 GPs in Central Switzerland and cross-sectional survey data completed by 61 GPs attending 26 certification and refresher courses offered by the Swiss Society of Ultrasound in Medicine (SGUM). Results According to billing data, 49% of the GPs used ultrasound and provided 130,245 exams to 67,180 patients between 2004 and 2018. Over the years, ultrasound use became more frequent among GPs. Male GPs provide more ultrasound exams than female GPs. Patients that are female, ≥65 years, and multi-morbid had more ultrasound exams compared to males, patients <65 years, and those with only one morbidity, respectively. GPs provided a mean of 129 ultrasound exams per physician-year. Abdominal ultrasound comprised almost 69% of all exams. According to survey data, indications covered many organ systems and clinical conditions, with most POCUS indications being among them. Conclusions Utilization of ultrasound is high among general practitioners and covers a wide range of indications. A focus in certification on POCUS might reduce the variety of indications. Keywords: Ultrasound; general practice; primary care; general practitioners; clinical indications; POCUS; ultrasound certification; Switzerland

scholarly journals Awareness of the role of general practitioners in primary care among outpatient populations: evidence from a cross-sectional survey of tertiary hospitals in China

BMJ Open ◽  
2018 ◽  
Vol 8 (3) ◽  
pp. e020605 ◽  
Author(s):  
Xiaojun Liu ◽  
Anran Tan ◽  
Samuel D Towne Jr ◽  
Zhaoxun Hou ◽  
Zongfu Mao
Keyword(s):  
Chronic Disease ◽  
General Practitioners ◽  
Public Awareness ◽  
Routine Care ◽  
Survey Study ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Logistic Regression Models ◽  
The Status ◽  
Tertiary Hospitals

ObjectiveGeneral practitioners (GPs) are highly underutilised in China with many patients going directly to hospitals when seeking routine care. Multiple countries around the world have successfully used GPs in routine care, and as such, China may benefit from the use of GPs. This study examines the status of, and factors associated with, knowledge related to GPs among outpatient populations from China’s tertiary hospitals.DesignThis is a cross-sectional survey study.Study setting and participantsThe questionnaires were completed by 565 outpatients from four tertiary hospitals in China during 2016. Convenience sampling on different floors and throughout the outpatient building was carried out.Primary outcome measuresWe used the logistic regression models to identify GP-related knowledge among different populations.ResultsOverall, 50.27% of respondents said they had never heard of GPs. This was also true among females (adjusted OR (AOR)=1.57, 95% CI 1.43 to 2.71), older adults (AOR46–65=1.61, 95% CI 1.39 to 2.98; AOR>65=2.01, 95% CI 1.62 to 3.59), those with lower education level (AORBachelor’s degree=0.61, 95% CI 0.20 to 0.81; AOR≥Master’s degree=0.49, 95% CI 0.23 to 0.76), rural residents (AOR=1.51, 95% CI 1.35 to 2.82) and those with chronic disease (AORwithout chronic disease=0.61, 95% CI 0.22 to 0.71). What is more, less than one-in-ten (9.03%) outpatients were able to accurately describe what a GP was, with less than 30% accurately describing a GP among those receiving GPs’ services.ConclusionsOutpatients who could have received less costly health services from GPs in primary medical institutions were more likely to choose costlier specialist physicians in tertiary hospitals, which is likely linked to limited knowledge about GPs. Policy makers should invest in outreach efforts to improve public awareness of GPs, while at the same time conducting continued surveillance of these efforts to evaluate progress towards this goal.

Knowledge and Communication of the National Core Standards Tool

2018 ◽  
Vol 20 (2) ◽  
Author(s):  
Winnie Thembisile Maphumulo ◽  
Busisiwe Bhengu
Keyword(s):  
Pearson Correlation ◽  
Healthcare Delivery ◽  
Healthcare Providers ◽  
Sampling Technique ◽  
Quality Of Healthcare ◽  
Survey Study ◽  
Public Healthcare ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Professional Nurses

The National Department of Health in South Africa has introduced the National Core Standards (NCS) tool to improve the quality of healthcare delivery in all public healthcare institutions. Knowledge of the NCS tool is essential among healthcare providers. This study investigated the level of knowledge on NCS and how the NCS tool was communicated among professional nurses. This was a cross-sectional survey study. Purposive sampling technique was used to select hospitals that only offered tertiary services in KwaZulu-Natal. Six strata of departments were selected using simple stratified sampling. The population of professional nurses in the selected hospitals was 3 050. Systematic random sampling was used to recruit 543 participants. The collected data were analysed using SPSS version 25. The study showed that only 16 (3.7%) respondents had knowledge about NCS, using McDonald’s standard of learning outcome measured criteria regarding the NCS tool. The Pearson correlation coefficient between the communication and knowledge was r = 0.055. The results revealed that although the communication scores for the respondents were high their knowledge scores remained low. This study concluded that there is a lack of knowledge regarding the NCS tool and therefore healthcare institutions need to commit themselves to the training of professional nurses regarding the NCS tool. The findings suggest that healthcare institutions implement the allocation of incentives for nurses that attend the workshops for NCS.

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