The association between nurses' moral distress and sleep quality and their influencing factor in private and public hospitals in Iran

Telling the truth to the terminal-stage cancer patients differs socio-culturally based on the priorities assigned to patients’ autonomy and the principles of beneficence and non-maleficence. After conducting in-depth interviews with 108 terminal-stage adult cancer patients, 306 family members, and 25 physicians, in private and public hospitals in both rural and urban areas, in the state of West Bengal, India it has been found that even though 85.60% of the patients prefer full disclosure, only 22.03% are actually informed. Though demographic characteristics, like age, gender, education etc., have marginal influences over the pattern of truth-telling, the main factor behind non-disclosure is the family members’ preference for principles of beneficence and non-maleficence over patient autonomy. Hence, only 9.32% of those 118 patients’ family members have agreed to full disclosure. Physicians comply with this culture of non-disclosure as family, in India, is the centre of decision-making and acts as the primary unit of care.

Download Full-text

Influences of Pharmaceutical Industry on Prescription Practices in Public and Private Hospitals of Islamabad- Pakistan

Pakistan Journal of Public Health ◽

10.32413/pjph.v11i1.284 ◽

2021 ◽

Vol 11 (1) ◽

pp. 24-29

Author(s):

Ahmed Latif ◽

Muhammad Siddique Ansari ◽

Muhammad Ibrahim Ansari ◽

Rabia Malik ◽

Abdul Ahad Sohoo ◽

...

Keyword(s):

Cost Effective ◽

Public Hospitals ◽

Capital City ◽

Pharmaceutical Companies ◽

Public And Private ◽

Prescription Practices ◽

Medication Therapy ◽

Private And Public ◽

The Times ◽

Depth Interviews

Background: To explore the influences of pharmaceutical companies on prescription practices and to find out types of incentives of pharmaceutical companies on medical doctors in private and public hospitals in Islamabad, the capital city of Pakistan Methods: A qualitative exploratory study was conducted in 06 months May-Oct: 2017 in Islamabad (Capital City of Pakistan). Data were collected from doctors and pharmaceuticals representatives through snowballing sampling techniques through open ended questionnaire in which In-depth interviews were taken. In depth interviews were recorded, transcribed and coded. Qualitative sub-component was included to triangulate the data, sub themes and themes were generated. Results: Respondent’s prescription is a basically document in which we suggest minimum effective medication therapy to the patient, that is also cost effective and give maximum treatment to the patient. Few of the respondents are also agreeing on the point that most of the times patient itself influences to prescribe the particular product. Patient itself influences to prescribe the particular product that is redundant in its treatment regimen. Other respondents stated that prescription is varying from patient to patient and our priority is to give the medicine to the patient which shows good efficacy. Conclusion: Most doctors were maintaining protocol of prescription and using brand name of medicine. Pharmacists were visiting them on regular basis conditionally.

Download Full-text

A Cross-sectional Study on Challenges Faced and Strategies Adopted in Responding to Corona Virus Disease (COVID-19) by Hospital Administrators in Kaski District

Journal of Biomedical Research & Environmental Sciences ◽

10.37871/jbres1221 ◽

2021 ◽

Vol 2 (4) ◽

pp. 256-260

Author(s):

KC Deepti ◽

S Poudel ◽

SB Hamal Thakuri ◽

S Shrestha

Keyword(s):

Virus Disease ◽

Health Care Systems ◽

Structured Interview ◽

Cross Sectional Study ◽

Public Hospitals ◽

Cross Sectional ◽

Hospital Administrators ◽

Corona Virus ◽

Care Systems ◽

Private And Public

Background: Following the outbreak of Coronavirus disease in 2019, the year 2020/21 has been an incredibly challenging one for all global health-care systems. Methods: A cross sectional descriptive research design was used to conduct the study. The study was carried out in all general private and public hospitals of Kaski district of Nepal. Data were collected from 25th October to 5th December, 2020 from the Hospital administrators using a semi structured interview schedule. Descriptive statistics were used for data analysis. Results: Most (96.3%) of the hospitals reported that increased cost or expenses of the hospitals creating financial threat is the most challenging situation that hospitals are facing in this pandemic. In addition shortages of ventilators creating ethical dilemma for patient allocation and changing guidelines from authorities have been reported as a challenge by 88.9 percent of the hospitals respectively. All of the surveyed hospitals had developed the use of thermometers for screening at the hospital entrances to minimize the risk. Conclusion: Hospitals in this pandemic are facing a lot of challenges with regard to staff management, PPE management and so on. Hence they need to adopt best strategies in responding to the corona virus.

Download Full-text

Assessment of Healthcare Service Quality

Advances in Human Services and Public Health - Global Issues and Innovative Solutions in Healthcare, Culture, and the Environment ◽

10.4018/978-1-7998-3576-9.ch014 ◽

2020 ◽

pp. 271-291

Author(s):

Segufta Dilshad ◽

Afsana Akhtar ◽

S. S. M. Sadrul Huda ◽

Nandeeta Samad

Keyword(s):

Service Quality ◽

Quality Measurement ◽

Healthcare Services ◽

Public Hospitals ◽

Public Healthcare ◽

Research Approach ◽

Healthcare Facilities ◽

Level Of Satisfaction ◽

Related Quality ◽

Private And Public

The service quality measurement of healthcare services is always a big concern for the hospitals, patient rights activists, regulators, and general patients. This study deals with quality assessment of healthcare facilities concerning the private and public health facilities of Dhaka, Bangladesh. This study follows the survey research approach. Using the purposive sampling method, the individuals have been selected from households who have received healthcare services from public or private hospitals of Dhaka city in last year. The study collected data among 410 respondents. Standard statistical software (i.e., SPSS and STATA) have been used to analyze the data. This study confirms existing evidence that Bangladeshi patients have a growing concern with lower level of satisfaction in public healthcare services. The respondents faced multi-dimensional problems, characterized by a low level of overall service quality, interpersonal service quality, and technical or treatment-related quality at public hospitals. Further research is recommended to analyze the issues further.

Download Full-text

Comparing and contrasting the evolution through time of organizational sustainability initiatives

International Journal of Quality and Service Sciences ◽

10.1108/ijqss-09-2017-0077 ◽

2018 ◽

Vol 10 (3) ◽

pp. 296-315 ◽

Cited By ~ 1

Author(s):

Rocio Rodriguez ◽

Göran Svensson ◽

David Eriksson

Keyword(s):

Health Care ◽

Health Care Industry ◽

Health Care Sector ◽

Public Hospitals ◽

Organizational Sustainability ◽

Content Type ◽

Care Industry ◽

Private And Public ◽

Sustainability Initiatives ◽

Spanish Health

Purpose The purpose of this study is to compare private and public hospitals’ sustainability actions, as well as to contrast their organizational evolution over time (i.e. past, present and expected future) in the Spanish health-care sector. Sustainability initiatives refer to organizations’ economic, social and environmental actions. Design/methodology/approach This study applies an inductive approach based on judgmental sampling and in-depth interviews of key informants at private and public hospitals in the Spanish health-care sector. Data were gathered from the executive in charge of corporate social responsibility in public hospitals and the directors of communication at private hospitals. Findings Although the private and public hospitals studied are in the same health-care industry and run similar operations, their organizational sustainability initiatives in the past, present and expected future differ. The scope of sustainability initiatives between private and public hospitals is different, compared through time. Who was and who is promoting, as well as who is going to promote sustainability initiatives, also differs between private and public hospitals. Research limitations/implications One limitation of this study is that it was undertaken exclusively in Spanish organizations from one industry, but this is also a benefit, as it enables a comparison and contrast of the evolution between private and public hospitals. Future research could focus on the evolution of organizational sustainability initiatives in other industries and countries. Practical implications The reported comparison of empirical findings between private and public hospitals, as well as the subsequent discussion contrasting these findings, yields various managerial implications in terms of the scope and promotor of sustainable actions. Originality/value This study differs from previous ones by exploring the evolutionary details of the organizational sustainability initiatives through time in both private and public hospitals. This study also makes a contribution by revealing common denominators and differentiators between private and public hospitals that operate in the same health-care industry.

Download Full-text

Unleashing knowledge sharing in a developing country: a case of healthcare industry

Global Knowledge Memory and Communication ◽

10.1108/gkmc-12-2019-0159 ◽

2020 ◽

Vol ahead-of-print (ahead-of-print) ◽

Author(s):

Riffat Blouch ◽

Aiza Yasmeen ◽

Muhammad Majid Khan ◽

Wajid Shakeel

Keyword(s):

Knowledge Sharing ◽

Organizational Support ◽

Psychological Contract ◽

Dynamic Environment ◽

Considerable Effect ◽

Public Hospitals ◽

Primary Study ◽

Healthcare Industry ◽

Content Type ◽

Private And Public

Purpose The purpose of the study is to examine the role of the types of psychological contract (PC) to enhance knowledge sharing (KS) behavior of employees through the intervention of perceived organizational support (POS). Design/methodology/approach The current study uses primary sources to get data from the participants of both private and public hospitals. Overall, 210 respondents participated in the study, which later subjected to the analysis using CAUSALMED procedures using statistical analysis software. Findings The findings from the study projected that all types of psychological have a considerable effect on KS behavior of employees, either directly or through the intervening mechanism. Furthermore, the study also indicates that if employees’ POS, they will share a stronger bond with the organization, which will be beneficial for the organizations’ health. Research limitations/implications Firstly, despite the fact that this study proposes valuable insights into KS behavior; it allows some impediments of a primary study. Secondly, the research is constrained to the hospital industry. Finally, this exploration can likewise be reinforced by incorporating other intervening mechanisms, to give an extensive understanding of the connection between employees’ perception regarding PC and KS behavior. Practical implications The findings of the present research have potential applications for human resource managers of the healthcare industry to place more emphasis on the types of PC, organizational support and KS among the employees to achieve a competitive advantage in this dynamic environment through knowledge management, which is considered a strategic asset nowadays. Originality/value This study provides an original contribution by identifying the diverse paths, indicating how the types of PC can impact KS with employees’ perceptions toward organizational support. It also highlights that how the heaths care industries, as compare to the old practices can encourage a culture of KS in this highly competitive and dynamic environment to remain at the top on the market.

Download Full-text

The study of knowledge, attitude and practice about abortion and technology at the tertiary centre in the region of Mewar, Rajasthan, India

International Journal of Reproduction Contraception Obstetrics and Gynecology ◽

10.18203/2320-1770.ijrcog20183338 ◽

2018 ◽

Vol 7 (8) ◽

pp. 3320 ◽

Cited By ~ 1

Author(s):

Archana Bamniya ◽

Savitri Verma

Keyword(s):

Public Hospitals ◽

Unsafe Abortion ◽

Safe Abortion ◽

Prefer Method ◽

Mortality And Morbidity ◽

Tertiary Centre ◽

Attitude And Practice ◽

Private And Public ◽

Almost All ◽

Knowledge Attitude And Practice

Background: Availability of safe, effective and acceptable abortion-care services is one of the most important aspects of women’s reproductive health. Unsafe abortion is one of the four main causes of maternal mortality and morbidity. To study knowledge, attitude, and practice (KAP) regarding abortion and methods used among/for women of child bearing age to formulate recommendation for improving the safe abortion servicesMethods: This prospective study was done among 100 cases who came for MTP at department of Obstetrics and Gynaecology, RNT medical college, Udaipur during November and December 2017. Data was collected using a self-semi structured questionnaire related to abortion technology.Results: 58% of women knew that there were provisions for abortion in public hospitals but only 38% of them knew that abortion should be performed/carried out by a trained doctor only. 70% of the women knew that there were medicines available for abortion (MMA) but only 20% of them knew how and from where to avail them. 69% knew about other methods and that D and E can be done in hospitals both at private and public sector, 25% knew the complications related to unsafe abortion. About the attitude almost all women wanted abortion should be done if needed only 10% knew that abortion is legal. 66% of women consider MMA to be safe and 27% of women consider contraception is necessary.Conclusions: Majority of women have positive attitude towards the abortion. The most prefer method chosen for abortion was medical method of abortion (MMA).

Download Full-text