scholarly journals Nurses Perception of Advance Nurse Practitioners Roles in Public Hospitals: A Qualitative Study

2021 ◽  
Vol 11 (06) ◽  
pp. 513-527
Author(s):  
Manal Banaser ◽  
Noora Al-Soqair ◽  
Sara Al-Feher
Keyword(s):  
Qualitative Study ◽  
Nurse Practitioners ◽  
Public Hospitals

scholarly journals Skill mix change between general practitioners, nurse practitioners, physician assistants and nurses in primary healthcare for older people: a qualitative study

2018 ◽  
Vol 19 (1) ◽  
Author(s):  
Marleen H. Lovink ◽  
Anneke J. A. H. van Vught ◽  
Anke Persoon ◽  
Lisette Schoonhoven ◽  
Raymond T. C. M. Koopmans ◽  
...  
Keyword(s):  
Qualitative Study ◽  
Older People ◽  
General Practitioners ◽  
Nurse Practitioners ◽  
Primary Healthcare ◽  
Physician Assistants ◽  
Skill Mix

Factors affecting nursing error communication in intensive care units: A qualitative study

2020 ◽  
pp. 096973302095210
Author(s):  
Tahereh Najafi Ghezeljeh ◽  
Mansoureh Ashghali Farahani ◽  
Fatemeh Kafami Ladani
Keyword(s):  
Intensive Care ◽  
Qualitative Study ◽  
Intensive Care Units ◽  
Organizational Factors ◽  
Public Hospitals ◽  
Ethical Challenges ◽  
Ethical Practice ◽  
Medical Sciences ◽  
Factors Affecting ◽  
Professional Characteristics

Background: Error communication includes both reporting errors to superiors and disclosing their consequences to patients and their families. It significantly contributes to error prevention and safety improvement. Yet, some errors in intensive care units are not communicated. Objectives: The aim of the present study was to explore factors affecting error communication in intensive care units. Design and participants: This qualitative study was conducted in 2019. Participants were 17 critical care nurses purposively recruited from the intensive care units of 2 public hospitals affiliated to Iran University of Medical Sciences, Tehran, Iran. Data were collected through in-depth semi-structured interviews and were analyzed through the conventional content analysis method proposed by Graneheim and Lundman. Ethical considerations: The Ethics Committee of Iran University of Medical Sciences, Tehran, Iran approved the study (code: IR.IUMS. REC.1397.792). Participants were informed about the study aim and methods and were ensured of data confidentiality. They were free to withdraw from the study at will. Written informed consent was obtained from all of them. Findings: Factors affecting error communication in intensive care units fell into four main categories, namely the culture of error communication (subcategories were error communication organizational atmosphere, clarity of processes and guidelines, managerial support for nurses, and learning organization), the consequences of errors for nurses and nursing (subcategories were fear over being stigmatized as incompetent, fear over punishment, and fear over negative judgments about nursing), the consequences of errors for patients (subcategories were monitoring the effects of errors on patients and predicting the effects of errors on patients), and ethical and professional characteristics (subcategories were ethical characteristics and inter-professional relationships). Discussion: The results of this study show many factors affect error communication, some facilitate and some prohibit it. Organizational factors such as the culture of error communication and the consequences of error communication for the nurse and the patient, as well as individual and professional characteristics, including ethical characteristics and interprofessional relationship, influence this process. Conclusion: Errors confront nurses with ethical challenges and make them assess error consequences and then, communicate or hide them based on the results of their assessments. Health authorities can promote nurses’ error communication through creating a supportive environment for them, developing clear error communication processes and guidelines, and providing them with education about the principles of ethical practice.

scholarly journals Determining Health Insurance attributes and Levels: A Qualitative Study

2020 ◽  
Author(s):  
Mohammad Ranjbar ◽  
Ali Kazemi Karyani ◽  
Milad Shafiei ◽  
Elham Tayefi
Keyword(s):  
Health Care ◽  
Health Insurance ◽  
Qualitative Study ◽  
Health Care Services ◽  
Insurance Coverage ◽  
Health Sector ◽  
Public Hospitals ◽  
Discrete Choice Experiments ◽  
Outpatient Services ◽  
Final Design

Background: Health insurance is one of the financing mechanisms in the health sector that reduces expensive and unforeseen costs of health care for households and converts these costs into predictable premiums. The purpose of this study was to identify the appropriate attributes and levels, using the discrete choice experiments for health insurance, which can describe health care services appropriately. Methods: The present study was a qualitative study that involved several stages. First, the literature was reviewed through a search of valid sites and related features were identified. Then, through interviews with 8 health insurance and health policy makers sampled by snowball method, specific health insurance weighting characteristics were assessed. Eventually the research team decided to include traits and levels in the final design after several panel meetings with experts. Results: The findings of this study showed that the most important attributes of health insurance include Public hospitals, and private hospitals benefits, outpatient services, dental insurance coverage, Para clinical services, medication and medical equipment cost coverage, and finally monthly premium. Conclusion: Policymakers and health insurance organizations need to focus on health and premium benefit packages appropriate to people's ability to pay and community inflation to improve and improve insurance in this area. Emphasizing these attributes can help individuals' preferences and willingness to pay for health insurance and lead to changes in the insurance system of the country, planning to improve basic insurance and increasing the benefits of insurance packages.

scholarly journals Working on the Frontlines of the COVID-19 Pandemic: A Qualitative Study of Physical Therapists’ Experience in Spain

2021 ◽  
Author(s):  
Domingo Palacios-Ceña ◽  
César Fernández-de-las-Peñas ◽  
María Palacios-Ceña ◽  
Ana I de-la-Llave-Rincón ◽  
Lidiane L Florencio
Keyword(s):  
Health Care ◽  
Qualitative Study ◽  
Health Care Professionals ◽  
Physical Therapists ◽  
Health Care Systems ◽  
Public Hospitals ◽  
Purposeful Sampling ◽  
Care Systems ◽  
Field Notes ◽  
Depth Interviews

Abstract Objective Knowledge of the experiences of health care professionals who have actively worked on the first line of the COVID-19 pandemic could help in identifying specific professional duties focused on health assistance objectives. No qualitative study has yet been published describing the experience of physical therapists during the COVID-19 pandemic. The purpose of this study was to describe and explore the experiences and perspectives of physical therapists working in public hospitals in Madrid, Spain, during the COVID-19 pandemic. Methods A qualitative exploratory study was conducted based on an interpretive framework. Thirty physical therapists working at 11 national public hospitals during the COVID-19 outbreak were recruited by purposeful sampling and snowball techniques. In-depth interviews and researchers’ field notes were used to collect data. Interviews were transcribed verbatim. Inductive thematic analysis was used to identify emerging themes. Results After identifying 3912 codes and 13 categories, 3 themes emerged. First theme was “Call of Duty,” COVID-19 infection dramatically spread, the hospitals were contaminated and overwhelmed, and all floors were converted into COVID-19 wards. Second theme was “Working in War Time.” Every day, therapists were given “the war report,” receiving their orders, meeting protective personal equipment requirements, and doing a job with fear. Third theme was “When I Arrive at Home.” Working during the pandemic had an impact on the therapists’ families and the information shared with them. Conclusions Physical therapists described the COVID-19 outbreak as an apocalyptic and unexpected war. Comprehensive support is needed for all frontline health care professionals. The COVID-19 outbreak revealed that health care systems were not prepared for a pandemic. Impact This is the first qualitative study to be published describing the experience of physical therapists during the COVID-19 pandemic.

scholarly journals Young Medical Doctors’ Perspectives on Professionalism: A Qualitative Study Conducted in Public Hospitals in Pakistan

2020 ◽  
Author(s):  
Aisha Jalil ◽  
Qaisar Khalid Mehmood ◽  
Florian Fischer
Keyword(s):  
Qualitative Study ◽  
Performance Monitoring ◽  
Sampling Strategy ◽  
Monitoring And Evaluation ◽  
Healthcare Services ◽  
Structured Interview ◽  
School Curriculum ◽  
Public Hospitals ◽  
Extensive Literature ◽  
Medical Doctors

Abstract Background: Professionalism is amongst the major dimensions indicating the competence of medical doctors. A low professionalism affects the overall outcome of healthcare services. This study explores the perspectives of young medical doctors on professionalism in Pakistan.Methods: A qualitative study based on in-depth interviews was conducted with 60 young medical doctors, aged less than 40 years, who studied medicine in Pakistani universities, were Pakistani nationals, and were employed at various hierarchal levels from house officer to consultant specialist in public tertiary hospitals in Pakistan. The respondents were identified through a multistage maximum heterogeneity sampling strategy. A semi-structured interview guide was developed based on a previous extensive literature review. Written consent was obtained from the hospitals and study participants. Qualitative thematic analysis was applied to analyse the data. Results: The data analysis revealed a rigidity of opinions, inflexibility blocking the acceptance of contrasting perspectives, and perceived superiority over all other professions and over patients. The belief that patients know nothing was common among all participants. Similarly, doctors believed that there is no need to include a professionalism and humanity course in the medical school curriculum. The majority of respondents thought that social science topics are irrelevant to medicine and are common-sense things that they already know. The doctors recognised high professionalism in themselves, while reporting unprofessional behaviour demonstrated by their colleagues. The reported characteristics include using social media applications during duty hours, ridiculing patients, substance use such as cigarettes in the office, referrals of complicated cases to other hospitals, freeing up beds before holidays and inappropriate salaries. Conclusions: Findings implied low medical professionalism among young doctors. This should be immediately addressed by policymakers. Lack of training about professionalism, ethics and humanity in healthcare service delivery, and a lack of performance monitoring and evaluation mechanisms at public hospitals are the major factors contributing to this substandard medical practice. There is a need to revisit the curriculum taught to medical students in order to strengthen professionalism. It is important to improve the skills of being ‘teachable’ and to provide acceptance of other viewpoints in cases where interprofessional collaborations are to be established by medical doctors.

scholarly journals Young Medical Doctors’ Perspectives on Professionalism: A Qualitative Study Conducted in Public Hospitals in Pakistan

2020 ◽  
Author(s):  
Aisha Jalil ◽  
Qaisar Khali Mehmood ◽  
Florian Fischer
Keyword(s):  
Qualitative Study ◽  
Performance Monitoring ◽  
Sampling Strategy ◽  
Monitoring And Evaluation ◽  
Healthcare Services ◽  
Structured Interview ◽  
School Curriculum ◽  
Public Hospitals ◽  
Extensive Literature ◽  
Medical Doctors

Abstract Background: Professionalism is amongst the major dimensions indicating the competence of medical doctors. A decline in professionalism affects the overall outcome of healthcare services. This study explores the patterns of declining professionalism among young medical doctors in Pakistan.Methods: A qualitative study based on in-depth interviews was conducted with 60 young medical doctors aged less than 40 years who were employed at various levels from house officer to consultant specialist in public tertiary hospitals in Pakistan. The respondents were identified through a multistage maximum heterogeneity sampling strategy. A semi-structured interview guide was developed based on a previous extensive literature review. Written consent was obtained from the hospitals and study participants. Thematic content analysis was applied to analyse the data. Results: The data analysis revealed a rigidity of opinions, inflexibility blocking the acceptance of contrasting perspectives, and perceived superiority over all other professions and over patients. The belief that patients know nothing was common among all participants. Similarly, doctors believed that there is no need to include a professionalism and humanity course in the medical school curriculum. The majority of respondents thought that social science topics are irrelevant to medicine and are common-sense things that they already know. The doctors recognised high professionalism in themselves, while reporting unprofessional behaviour demonstrated by their colleagues. The reported characteristics include using social media applications during duty hours, ridiculing patients, substance use such as cigarettes in the office, referrals of complicated cases to other hospitals, freeing up beds before holidays and inappropriate salaries. Conclusions: It seems that professionalism has declined among young doctors, and this should be immediately addressed by policymakers. The lack of training about ethics and healthcare service delivery, and a lack of performance monitoring and evaluation mechanisms at public hospitals are the major factors contributing to declining professionalism. There is a need to revisit the curriculum taught to medical students in order to strengthen professionalism.

scholarly journals The Reasons Why Patients Abscond From Public Hospitals in Southeastern Iran: a Qualitative Study

2020 ◽  
Author(s):  
Mahnaz Moradpour ◽  
Mohammadreza Amiresmaili ◽  
Mahmood Nekoi Moghadam ◽  
Tania Dehesh
Keyword(s):  
Content Analysis ◽  
Qualitative Study ◽  
Social Factors ◽  
Treatment Process ◽  
Public Trust ◽  
Public Hospitals ◽  
Patient Treatment ◽  
Structured Interviews ◽  
Process Data ◽  
Purposive Sampling

Abstract Background: Patient absconding from hospital is one of the permanent issues the hospitals face, which poses many risks and challenges to the patient, hospital, and society. The present study aimed to identify the reasons for patient absconding behavior for public hospitals in southeastern Iran. Methods: The present study is a qualitative study which was conducted at three public hospitals in southeastern Iran using purposive sampling through semi-structured interviews with 63 informants involved in patient treatment process. Data were analyzed using Colaizzi content analysis (CCA) method. Results: Three main themes of economic, social factors, and factors related to the hospital covering 15 subthemes were identified to explain the reasons for patients absconding behavior. Conclusion: There are many reasons for reducing patients absconding from hospitals, and one of the main reasons is the patients’ economic and social problems. The absconding behavior can lead to harm and problems for patients, and some emotional and occupational consequences for the employees and nurses. Paying attention to this issue and considering some courses of action to prevent patient absconding might lead to a considerable promotion of public trust and eliminate many problems for hospitals.

scholarly journals What Do the Hospital Pharmacists Think about the Quality of Pharmaceutical Care Services in a Pakistani Province? A Mixed Methodology Study

2015 ◽  
Vol 2015 ◽  
pp. 1-6 ◽  
Author(s):  
Ghulam Murtaza ◽  
Rozina Kousar ◽  
Saira Azhar ◽  
Shujaat Ali Khan ◽  
Qaisar Mahmood
Keyword(s):  
Qualitative Study ◽  
Pharmaceutical Care ◽  
Public Hospitals ◽  
Care Providers ◽  
Patient Counseling ◽  
Health Awareness ◽  
Hospital Pharmacists ◽  
Care Services ◽  
Awareness Programs

The objective of this study was to evaluate the perception of hospital pharmacists regarding quality of pharmaceutical care services in Khyber Pakhtunkhwa (KPK) Province, Pakistan, through qualitative as well as quantitative approach. For qualitative study, snow ball sampling technique was used. In quantitative part, a cross-sectional study was conducted in 112 hospital pharmacists (out of 128 accessed ones) from both private and public hospitals in six major divisions (divisions are the third tier of government in Pakistan, between the provinces and districts) of KPK. The qualitative study yielded five major themes during thematic analysis: (a) patients reporting, (b) lack of patient counseling, (c) lack of participation in health awareness programs, (d) pharmacists reducing the prescribing errors, and (e) insufficient number of pharmacists. A great proportion (67.9%) of the pharmacists was unsatisfied with their participation in health awareness programs. Findings of both phases revealed that hospital pharmacists in Pakistan are not actively participating in the provision of pharmaceutical care services. They are facing various hurdles for their active participation in patient care; major obstacles include the unavailability of sufficient number of pharmacists, lack of appropriate time for patient counseling, and poor relationship between pharmacists and other health care providers.

Sign in / Sign up

Export Citation Format

Share Document