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Askarian, Mehrdad, Gholamhosein Kabir, Maria Aminbaig, Ziad A. Memish, and Peyman Jafari. "Knowledge, Attitudes, and Practices of Food Service Staff Regarding Food Hygiene in Shiraz, Iran." Infection Control & Hospital Epidemiology 25, no. 1 (January 2004): 16–20. http://dx.doi.org/10.1086/502285.
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AbstractBackground:The practice of safety measures by the food service staff in hospitals is necessary for the prevention of food-borne outbreaks. Hospitalized patients are more vulnerable to potential hazards, and neglecting these principles can lead to increased morbidity and mortality.Methods:We assessed the knowledge, attitudes, and practices of food service staff regarding food hygiene in government and private hospitals in Shiraz, Iran. Two questionnaires were designed, one for food service staff and the ofher for supervisors. Thirty-one hospitals were approached, and the response rate was 99.5%. Four models were developed regarding knowledge, attitudes, and practices, and a multiple logistic regression analysis was performed. Comparison among the government and private hospitals was done.Results:This study showed that personnel had little knowledge regarding the pathogens that cause food-borne diseases and the correct temperature for the storage of hot or cold ready-to-eat foods. Older personnel had better attitudes and practices. Females practiced safety measures less often than did males. Personnel working in hospitals with fewer than 300 beds also had better practices. Most of the personnel had positive attitudes, but disparity between attitude and practice was noted.Conclusion:There is a dire need for education and increased awareness among food service staff regarding safe food handling practices.
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Angelillo, Italo F., Nunzia M. A. Viggiani, Rosa M. Greco, and Daniela Rito. "HACCP and Food Hygiene in Hospitals Knowledge, Attitudes, and Practices of Food-Services Staff in Calabria, Italy." Infection Control & Hospital Epidemiology 22, no. 6 (June 2001): 363–69. http://dx.doi.org/10.1086/501914.
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AbstractObjectives:To determine adherence to Hazard Analysis and Critical Control Points (HACCP) methods and to evaluate knowledge, attitudes, and practices of food-services staff with regard to food hygiene in hospitals.Design:A survey.Participants:Hospital medical directors and food-services staff of 36 hospitals in Calabria, Italy.Methods:A questionnaire about hospital characteristics, food-services organization, and measures and procedures for the control and prevention of foodborne diseases was sent to medical directors; a questionnaire about demographic and practice characteristics, knowledge, attitudes, and behaviors about control and prevention of foodborne diseases was sent to food-services staff. Multiple logistic regression analysis was performed.Results:Only 54% of the 27 responding hospitals were using the HACCP system and, of those using HACCP, 79% adopted a food-hygiene–practice manual; more than one half already had developed written procedures for food storage, personal hygiene, cleaning and disinfection; one half or less performed microbiological assessment of foods and surfaces. Of the 290 food-services staff who responded, 78.8% were aware of the five leading food-borne pathogens; this knowledge was significantly higher among those with a higher educational level and those who worked in hospitals that had implemented the HACCP system. Younger staff and those who had attended continuing educational courses about food hygiene and hospital foodborne diseases had a significantly higher knowledge of safe temperatures for food storage. A positive attitude toward foodborne-diseases prevention was reported by the great majority, and it was significantly higher in older respondents and in those working in hospitals with a lower number of beds. Only 54.9% of those involved in touching or serving unwrapped raw or cooked foods routinely used gloves during this activity; this practice was significantly greater among younger respondents and in those working in hospitals using HACCP.Conclusion:Full implementation of the HACCP system and infection control policies in hospital food services is needed.
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Degeling, P., D. Black, G. Palmer, and J. Walters. "Attitudes and Knowledge about Case Mix Reform among Hospital Staff in Australia." Health Services Management Research 9, no. 4 (November 1996): 223–37. http://dx.doi.org/10.1177/095148489600900402.
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This paper reports some of the findings of a national survey of staff in acute care hospitals about their knowledge of case mix and their attitudes towards it. Our findings suggest that, despite the range and scope of activities that have been pursued under the Australian Casemix Development Program (ACDP), knowledge of case mix among acute care hospital staff remains patchy. The evidence also shows that significant aspects of the DRG classification system and the uses to which it can be put are not accepted by many hospital staff, particularly medical staff. The paper concludes with a discussion of what some of these findings imply for future activity on case mix reform.
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Shi, Yudong, Juan Wang, Yating Yang, Zhiqiang Wang, Guoqing Wang, Kenji Hashimoto, Kai Zhang, and Huanzhong Liu. "Knowledge and attitudes of medical staff in Chinese psychiatric hospitals regarding COVID-19." Brain, Behavior, & Immunity - Health 4 (April 2020): 100064. http://dx.doi.org/10.1016/j.bbih.2020.100064.
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Yu, Brian, Cheng-Fan Wen, Heng-Lien Lo, Hsun-Hsiang Liao, and Pa-Chun Wang. "Improvements in patient safety culture: a national Taiwanese survey, 2009–16." International Journal for Quality in Health Care 32, no. 1 (January 9, 2020): A9—A17. http://dx.doi.org/10.1093/intqhc/mzz099.
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Abstract Objective To assess national trends in patient safety culture in Taiwan. Design A safety attitudes questionnaire (SAQ) was distributed to 144 hospitals from 2009 to 2016 (n = 392 341). Setting Taiwan’s medical centers, regional hospitals and community hospitals. Participants Hospital staff in Taiwan. Interventions None. Main Outcome Measures 5-point Likert scale to assess changes in patient safety culture dimensions (teamwork, safety climate, job satisfaction, stress recognition, management and working conditions) converted to positive response rate (percentage of respondents who answered slightly agree or strongly agree on Likert scale). Results Dimensions for patient safety culture significantly increased in Taiwan over a period of 8 years, with an all-composite improvement in positive response rate of 4.6% (P < 0.001). Regional hospitals and community hospitals registered an all-composite improvement of 6.7 and 7.0%, respectively, while medical centers improved by 4.0%. Improvements for regional and community hospitals primarily occurred in teamwork (regional hospitals, 10.4% [95% confidence interval [CI], 10.2–10.6]; community hospitals, 8.5% [95% CI, 8.0–9.0]) and safety climate (regional hospitals, 11.1% [95% [CI], 10.9–11.4]; community hospitals, 11.3% [95% CI, 10.7–11.8]) (P < 0.001, all differences). Compared with nurses (5.1%) and pharmaceutical staff (10.6%), physicians improved the least (2.0%). Improvements for nurses and pharmacists were driven by increases in perceptions of teamwork (nurses, 9.8% [95% CI, 9.7–10.0]; pharmaceutical staff, 14.2% [95% CI, 13.4–14.9]) and safety climate (nurses, 9.0% [95% CI, 8.8–9.1]; pharmaceutical staff, 16.4% [95% CI, 15.7–17.2]) (P < 0.001, all differences). At study end, medical centers (55.1%) had greater all-composite measurements of safety culture than regional hospitals (52.4%) and community hospitals (52.2%) while physicians (63.7%) maintained greater measurements of safety culture than nurses (52.1%) and pharmaceutical staff (56.6%). Conclusion These results suggest patient safety culture improved in Taiwan from 2009 to 2016.
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Rosiński, Jerzy, Anna Różańska, Andrzej Jarynowski, and Jadwiga Wójkowska-Mach. "Factors Shaping Attitudes of Medical Staff towards Acceptance of the Standard Precautions." International Journal of Environmental Research and Public Health 16, no. 6 (March 23, 2019): 1050. http://dx.doi.org/10.3390/ijerph16061050.
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Standard precautions (SPs) guidelines are the minimum infection prevention practices that apply to all types of patient care, regardless of suspected or confirmed infection status of the patient. They are based on risk assessment, make use of common sense practices and personal protective equipment that protect healthcare providers from infection and prevent the spread of infection from patient to patient. The aim of this study was to determine medical staff’s attitudes towards SPs and analyse the factors shaping these attitudes. The study was conducted using a questionnaire that comprised 25 statements describing the attitudes of medical personnel towards SPs. They were designed to pinpoint the factors that determine these attitudes. There were five factors identified that shape employees’ attitudes towards SPs: assessment of the situation, favourable patterns of behaviour, negative norms, unfavourable patterns of behaviour and rationalising. The study analysed 505 questionnaires filled in by hospital workers from five Polish cities. The majority of the respondents were women (92.1%), nurses (87.5%); the average age was 41.8 and the average seniority was 19.2 years. Over one-third of the respondents worked in non-surgical (36.4%) and surgical (31.6%) wards, 12.3% were employed in intensive care units (ICUs) and 8.9% in emergency departments (EDs). The variable significantly affecting the level of acceptance of SPs was seniority: initially the support was high, then it later decreased, with the greatest decrease occurring between the third and eighth year of work. The staff of medical wards and ICUs demonstrated significantly lower support for SPs and strong environmental impact on SPs perception; low degree of acceptance among medical ward staff correlated negatively with factors from the category “favourable patterns of behaviour”. The substantially strongest support for SPs was found in ED workers. The results indicate the need for continuous education of individual groups of workers concerning the application of SPs, but also the necessity to change the organisational culture in Polish hospitals.
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Pham, Ba, and Thi Tuyet Tran. "Thực trạng tuân thủ vệ sinh tay thường quy của nhân viên y tế trung tâm y tế Cư Jút, Đắk Nông và một số yếu tố ảnh hưởng năm 2020." Journal of Health and Development Studies 05, no. 01 (February 20, 2021): 37–46. http://dx.doi.org/10.38148/jhds.0501skpt20-118.
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Background: Hand hygiene is a great way to ensure safety for health staff and prevent infections in hospital. Objective: The study aimed to determine the rate of compliance with routine hand hygiene and to analyze some factors affecting hand hygiene compliance routine of medical staff. Method: A study that describes a cross-sectional study, a study that combines both quantitative and qualitative methods through the observation by a checklist of 92 health-care workers who perform a procedure on 368 hand-hygiene opportunities and gather information through burns. interviewed 92 medical staff, conducted 04 in-depth interviews and 02 group discussions, and collected from March to the end of June 2020. Research Using Epidata 3.1 software to input data and manage data; Stata 14.0 software for data analysis. Results show that the percentage of health staffs who complied with routine hand hygiene was 14.13%, and the knowledge and attitudes of hospital staffs were related to routine hand hygiene compliance, with p<0.05. Inspection and supervision, regulations on emulation and commendation; training and accessibility solutions were related withhand hygiene of health staffs. Conclusion: Hospital staffs' hand hygiene compliance rate was relatively low, which was related to knowledge and attitudes. Keywords: Routine hand hygiene, medical staff, influencing factors.
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Alzahrani, Naif, Russell Jones, Amir Rizwan, and Mohamed E. Abdel-Latif. "Safety attitudes in hospital emergency departments: a systematic review." International Journal of Health Care Quality Assurance 32, no. 7 (August 12, 2019): 1042–54. http://dx.doi.org/10.1108/ijhcqa-07-2018-0164.
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Purpose The purpose of this paper is to perform and report a systematic review of published research on patient safety attitudes of health staff employed in hospital emergency departments (EDs). Design/methodology/approach An electronic search was conducted of PsychINFO, ProQuest, MEDLINE, EMBASE, PubMed and CINAHL databases. The review included all studies that focussed on the safety attitudes of professional hospital staff employed in EDs. Findings Overall, the review revealed that the safety attitudes of ED health staff are generally low, especially on teamwork and management support and among nurses when compared to doctors. Conversely, two intervention studies showed the effectiveness of team building interventions on improving the safety attitudes of health staff employed in EDs. Research limitations/implications Six studies met the inclusion criteria, however, most of the studies demonstrated low to moderate methodological quality. Originality/value Teamwork, communication and management support are central to positive safety attitudes. Teamwork training can improve safety attitudes. Given that EDs are the “front-line” of hospital care and patients within EDs are especially vulnerable to medical errors, future research should focus on the safety attitudes of medical staff employed in EDs and its relationship to medical errors.
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Hsu, Pi-Fang, Wen-Chun Tsai, and Chia-Wen Tsai. "Patient Safety Concerns among Emergency Medical Staff and Patients." International Journal of Privacy and Health Information Management 1, no. 1 (January 2013): 29–52. http://dx.doi.org/10.4018/ijphim.2013010103.
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Recently, much of the world, including the World Health Organization, the European Union and many North American countries, have emphasized patient safety. Around the same time, Taiwan’s Department of Health (DOH) devoted a significant amount of resources to better the quality of medical treatment for their patients. This study explores perceptions of and attitudes towards patient safety among medical staff and patients in emergency departments. Analysis results indicate that medical staff and patients significantly differ in perceptions and attitudes. Results of this study provide a valuable reference for governmental authorities and hospital managers in formulating policies aimed at clarifying perceptions and attitudes regarding patient safety among medical staff and patients in emergency departments.
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Sutanto, Nadia, and Made Aswina Putra. "Value of Aspect Differences Towards Theory of Planned Behavior Between Hospital Personnels of a Private Hospital in Mataram." ANIMA Indonesian Psychological Journal 34, no. 3 (April 25, 2019): 148–62. http://dx.doi.org/10.24123/aipj.v34i3.2304.
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Medical staffs are considered to be people who should be able to set an example to the public, concerning the way life should be lived. The design of this research was that of a comparative study model, which compared aspects of the Theory of Planned Behavior from three groups of medical staff subjects. The research was aimed at providing a basic picture of the obesity of the medical staff in a private hospital in Mataram, West Nusa Tenggara, Indonesia. Besides this, it also searched for differences in perceptions, based upon the Theory of Planned Behavior. The research results indicated that, of the aspects of Theory of Planned Behavior, it was only those of Intention, Subjective Norms, and Attitudes Toward Behavior, which showed any differences between the subject groups, that is, the groups of those suffering obesity demonstrated an intention to perform, and a positive attitude towards, behavior aimed at reducing bodily weight.
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Sneddon, Jacqueline, Daniel Afriyie, Israel Sefah, Alison Cockburn, Frances Kerr, Lucie Byrne-Davis, and Elaine Cameron. "Developing a Sustainable Antimicrobial Stewardship (AMS) Programme in Ghana: Replicating the Scottish Triad Model of Information, Education and Quality Improvement." Antibiotics 9, no. 10 (September 23, 2020): 636. http://dx.doi.org/10.3390/antibiotics9100636.
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(1) Background: Our aim was to develop robust and reliable systems for antimicrobial stewardship (AMS) in Keta Municipal Hospital and Ghana Police Hospital. Objectives were to build capacity through training staff in each hospital, establish AMS teams, collect data on antibiotic use and support local quality improvement initiatives. (2) Methods: The Scottish team visited Ghana hospitals on three occasions and the Ghanaian partners paid one visit to Scotland. Regular virtual meetings and email communication were used between visits to review progress and agree on actions. (3) Results: Multi-professional AMS teams established and met monthly with formal minutes and action plans; point prevalence surveys (PPS) carried out and data collected informed a training session; 60 staff participated in training delivered by the Scottish team and Ghanaian team cascaded training to over 100 staff; evaluation of training impact demonstrated significant positive change in knowledge of antimicrobial resistance (AMR) and appropriate antibiotic use as well as improved participant attitudes and behaviours towards AMR, their role in AMS, and confidence in using the Ghana Standard Treatment Guidelines and antimicrobial app. (4) Conclusions: Key objectives were achieved and a sustainable model for AMS established in both hospitals.
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Brewer, Tracy L. "Pediatric Nurses’ Knowledge and Attitudes Regarding the Provision of Breastfeeding Support in a Pediatric Medical Center." Clinical Lactation 3, no. 2 (June 2012): 64–68. http://dx.doi.org/10.1891/215805312807009397.
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Breastfeeding is the biological norm for infant feeding and nutrition. Successful breastfeeding depends, in part, on the support of the nursing staff caring for the breastfeeding dyad. Many infants are admitted to pediatric hospitals during the period when breastfeeding skills are being established, and mothers look to pediatric nurses to provide breastfeeding support and resources. There are few studies describing pediatric nurses’ knowledge of and attitudes towards the provision of breastfeeding support in pediatric medical centers. The purpose of this descriptive survey study was to determine knowledge and attitudes of pediatric nurses regarding the provision of breastfeeding support. The Theory of Reasoned Action provided the framework for the study. A convenience sample of 92 pediatric nurses, on three inpatient units at a pediatric medical center, completed a 40-item breastfeeding survey. Seventy-seven complete surveys were returned for a usable response rate of 84%. Results indicated that pediatric nurses have moderate breastfeeding knowledge and attitudes. The pediatric nurses who had personal breastfeeding experience had significantly higher knowledge and attitude scores. Findings suggest the need for evidence-based educational programs to improve pediatric nurses’ knowledge of and attitudes towards the provision of breastfeeding support in pediatric medical centers.
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Alamin, Alneima Salah Ali, and Salah I. Kheder. "Knowledge, Attitudes and Practices of Prescribers towards Antimicrobial Stewardship at Hospitals in Khartoum State - Sudan." Journal of Medical Informatics and Decision Making 1, no. 3 (August 3, 2020): 12–25. http://dx.doi.org/10.14302/issn.2641-5526.jmid-20-3494.
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Introduction Antimicrobial stewardship (ASP) is of the utmost importance as a way to optimize the use of antimicrobials to prevent the development of resistance and improve patient outcomes. So, it is worthwhile to assess the knowledge, attitude and awareness regarding antimicrobial stewardship in hospitals. Objective The aim of this study is to assess knowledge, attitudes and practices (KAP) of prescribers towards antimicrobial stewardship at hospitals in Khartoum state and to identify the associations between prescriber’s demographic information and their knowledge. Methodology This descriptive cross-sectional study multi-centered study conducted in 10 hospitals at Khartoum state -Sudan, during period from November to December 2018. Study population included all prescribers who is available at study’s hospitals during study period and willing to participate in the study. A self-administered questionnaire addressing participants’ knowledge, attitudes, and practice (KAP) regarding antibiotic resistance and ASP distributed in the selected hospitals among attending house-officers, registrars and consultants completed then analyzed. Results Of the 294 medical staff targeted, 287 responded to the survey (response rate 97.6%). Only (26.4%) were familiar with the term ASP and (31.5%) claimed that it is effective in reducing resistance. (43.0%) of respondents believe that ASP play vital role on antibiotic prescribing. Only (9.5%) had ASP in their hospital and (13.5%) having policy and team. (45.3%) of participants had good level of knowledge about antimicrobial stewardship, but majority show negative attitude (63.1%), and poor practices (92.0%) regarding ASP. There was no observed correlation between knowledge and attitude, knowledge with practice (p-value ≥ 0.05). Only attitude with practice shows significance correlation (P=0.0001), which means that prescribers with positive attitude had the better practices towards antimicrobial stewardship. Age, occupation and experience are the only significant predictors of prescriber's knowledge and attitude towards antibiotic stewardship, while no association between these factors and practice. Conclusion The present study concludes that the knowledge of prescribers regarding ASP is moderate and their attitude is negative. Unfortunately, practices regarding ASP were poor, despite, the good knowledge regarding the effects of ASP on antimicrobial resistance.
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Harrabi, Imed, and Saad Al Ghamdi. "Influenza Vaccination Campaign in Military Hospitals: The Example of Najran Armed Forces Hospital: Attitudes and Uptake of Medical and Para Medical Staff." Open Journal of Preventive Medicine 09, no. 12 (2019): 155–61. http://dx.doi.org/10.4236/ojpm.2019.912014.
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Kabir, ASM Anwarul, Farjana Akhter, Mahbuba Sharmin, Khaleda Akhter, Mosammat Beauty Begum, Arup Kumar Saha, and Imtiaz Ahmed. "Knowledge, Attitude and Practice of Staff nurses on Hospital Acquired Infections in tertiary care Hospital of Dhaka city." Northern International Medical College Journal 10, no. 1 (December 20, 2018): 347–50. http://dx.doi.org/10.3329/nimcj.v10i1.39330.
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Introduction : Hospital acquired Infections (HAIs) are called those infections that were not present at the time of patient’ hospitalization in a hospital and have been acquired after hospitalization. Nurses are an important part of the any healthcare team who play a unique role in the control of Hospital acquired infections.
Objective : The aim of this study was to investigate the level of knowledge, attitudes, and practices of staff nurses about preventing the spread of hospital acquired infections (HAIs) at tertiary care Hospital of Dhaka city.
Methods and Materials : This descriptive cross-sectional study was done among nurses having two years experience from two tertiary level hospitals in Dhaka city during January to June 2017. Self administered questionnaire containing different set of questions regarding knowledge, attitude and practice on HAI were used as a tool for data collection. Questionnaire was supplied to all staff nurses available at different in-patient wards of these two hospitals. Only 234 staff nurses who completed and returned the questionnaire were included in this study. Data were analyzed using Microsoft excel 2013 software.
Result : Staff nurses were found to have good knowledge, moderately positive attitude but poor practice in prevention of hospital acquired infections. About 95% of the participants considered that prevention of HAIs were a valuable part of their role. About 65% of the staff nurses had received formal training regarding hand hygiene. The 100 % of participants felt that they would be less likely to transmit infection to the patients if they performed hand-hygiene. About 64% of them argued that hand hygiene agents were not readily available in current settings. Regarding practice, only 6% performed hand hygiene before patients contact and 27% of the staff nurses reported that they often forgot to perform hand hygiene.
Conclusion : The finding of this study revealed a good knowledge of infection prevention among the majority of participants with relatively minimal level of practice. For strengthening the knowledge, attitude and practice towards HAIs, there is in need of developing regular training program and monitoring on performance feedback regarding hand hygiene is recommended.
Northern International Medical College Journal Vol.10(1) Jul 2018: 347-350
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Göras, Camilla, Maria Unbeck, Ulrica Nilsson, and Anna Ehrenberg. "Interprofessional team assessments of the patient safety climate in Swedish operating rooms: a cross-sectional survey." BMJ Open 7, no. 9 (September 2017): e015607. http://dx.doi.org/10.1136/bmjopen-2016-015607.
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BackgroundA positive patient safety climate within teams has been associated with higher safety performance. The aim of this study was to describe and compare attitudes to patient safety among the various professionals in surgical teams in Swedish operating room (OR) departments. A further aim was to study nurse managers in the OR and medical directors’ estimations of their staffs’ attitudes to patient safety.MethodsA cross-sectional survey with the Safety Attitudes Questionnaire (SAQ) was used to elicit estimations from surgical teams. To evoke estimations from nurse managers and medical directors about staff attitudes to patient safety, a short questionnaire, based on SAQ, was used. Three OR departments at three different hospitals in Sweden participated. All licensed practical nurses (n=124), perioperative nurses (n=233), physicians (n=184) and their respective manager (n=22) were invited to participate.ResultsMean percentage positive scores for the six SAQ factors and the three professional groups varied, and most factors (safety climate, teamwork climate, stress recognition, working conditions and perceptions of management), except job satisfaction, were below 60%. Significantly lower mean values were found for perioperative nurses compared with physicians for perceptions of management (56.4 vs 61.4, p=0.013) and working conditions (63.7 vs 69.8, p=0.007). Nurse managers and medical directors’ estimations of their staffs’ ratings of the safety climate cohered fairly well.ConclusionsThis study shows variations and some weak areas for patient safety climate in the studied ORs as reported by front-line staff and acknowledged by nurse managers and medical directors. This finding is a concern because a weak patient safety climate has been associated with poor patient outcomes. To raise awareness, managers need to support patient safety work in the OR.
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McIvor, Ronan J., and Rory K. Shelley. "Psychiatric hospital staff knowledge and attitudes towards AIDS, and the impact of an in-house education seminar." Irish Journal of Psychological Medicine 9, no. 1 (May 1992): 67–69. http://dx.doi.org/10.1017/s0790966700014026.
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AbstractA self-administered questionnaire assessing general knowledge about AIDS, including modes of transmission, methods of prevention and attitudes to the disease, was completed by staff in a psychiatric hospital after an AIDS education seminar. The data were used to assess staff knowledge of and attitudes to AIDS, and to assess the usefulness of the seminar in changing these. Responses to individual questionnaire items were examined for associations with age, sex, job description and attendance at the seminar.Eighty-six staff members returned questionnaires, a response rate of 39%. The results showed that levels of knowledge concerning AIDS transmission and prevention were high. A significantly greater proportion of seminar attenders were aware that needles should not be recapped after taking blood samples, but when this and other knowledge and attitude responses were corrected to allow for the higher proportion of non-medical staff among the non-attenders, there were no significant differences between attenders and non-attenders.These results suggest that an omnibus AIDS education seminar may not produce a worthwhile improvement in staff knowledge of or attitudes to AIDS.
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Diab, Hannah, and Taghrid S. Suifan. "Work-life Balance Practices and Workplace Attitudes in Private Hospitals in Jordan." International Business Research 9, no. 9 (July 27, 2016): 98. http://dx.doi.org/10.5539/ibr.v9n9p98.
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<p>The main aim of this research is to contribute to the body of literature revolving around work-life balance (WLB) and its causal relationship with desired workplace outcomes. Particularly, the interest was directed towards investigating the linkage between WLB practices and workplace attitudes of job satisfaction and organizational commitment along with the mediation effect of work-life conflict. The research also sought to differentiate between formal and informal WLB practices in order to examine the more influential of the two.</p><p>This research was applied to the context of private hospitals in Jordan targeting medical-staff. With 450 questionnaires randomly distributed to medical-staff working in private hospitals in Jordan, 363 responses were obtained and analyzed yielding a response rate of 81 percent. Fitness-of-measure tests (reliability and validity) were first carried out to assess the suitability and generalizability of the obtained sample. Subsequently, data was analyzed and the research hypotheses were tested for possibility of rejection.</p><p>Results revealed the rejection of all hypotheses implying a statistically significant relationship between WLB practices and workplace attitudes of job satisfaction and organizational commitment with the former being more affected by the relationship than the latter. The findings also confirmed the mediation effect of work-life conflict. Furthermore, informal WLB practices were found to be superior to formal practices in terms of attaining desirable organizational outcomes. Finally, the research disclosed the fact that physicians—of all the segments under study—had the most conflict between work and life responsibilities.</p>
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Nakamoto, Nana, Fumiaki Nakamura, Takahiro Higashi, Asuka Amano, Misato Fukuchi, Masako Hirayasu, Hatsue Higa, et al. "Positive reactions of hospital staff to feedback by specialists." Journal of Clinical Oncology 31, no. 31_suppl (November 1, 2013): 57. http://dx.doi.org/10.1200/jco.2013.31.31_suppl.57.
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57 Background: Although cancer is the leading cause of death in Japan, systematic quality monitoring of cancer care has not been established. In an attempt to explore such systems, we measured the quality of cancer care in several facilities through chart reviews by tumor registrars. The subsequent step is the provision of effective feedback of these results to the practicing physicians and other health professionals for further improvement. However, the receptiveness of lead practicing physicians may be debatable. Methods: We measured 23 quality indicators (QIs) (10 indicators for stomach cancer and 13 for colorectal cancer) in 10 designated cancer hospitals between 2010 and 2011. The staff who worked in these hospitals could see results of the measured QIs on web pages. All three designated cancer hospitals and one large general hospital in Okinawa Prefecture participated in feedback meetings. A feedback meeting was held in each of the four hospitals for one hour each. The feedback meeting consisted of three parts: general explanation of the measured QIs by the researcher, feedback regarding results of each indicator by the panels, and discussions. At the end of the meeting, participants answered a questionnaire regarding the meeting. Results: Of the 190 hospital staff who participated in the meeting (52 were medical doctors, 21 were nurse, 15 were other medical staff, and 102 were medical clerks), 142 (75%) answered the questionnaire. Majority of the responses were supportive of the quality measurement and feedback activities: 85% of the participants understood results of the measured QIs and 94% replied that the feedback methods were good. In addition, 86% answered that they would recommend other hospitals to participate if there was an opportunity. Among the physicians who participated, 89% answered that results of the measured QIs would influence their practices and 95% answered that data abstraction by tumor registrars was appropriate. Conclusions: Feedback by the panels who established QIs was favorably perceived by the hospital staff and could influence the attitude of physicians regarding current practices.
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Mitani, Satoko, Etsuko Ozaki, Naohisa Fujita, Tsukuru Hashimoto, Isao Mori, Takeshi Fukuyama, Takefumi Akatsuka, et al. "Ensuring Adequate Human Medical Resources during an Avian Influenza A/H5N1 Pandemic." Prehospital and Disaster Medicine 26, no. 1 (February 2011): 15–20. http://dx.doi.org/10.1017/s1049023x10000075.
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AbstractIntroduction:When countermeasures are taken against an avian influenza (AI) pandemic in a hospital, it is essential to know the potential number of staff who would choose to be absent. The purpose of this study was to clarify how many medical staff would be willing to work during a pandemic, and requirements to secure adequate human resources.Methods:From September to December 2008, a total of 3,152 questionnaires were sent to five private hospitals and one public hospital, which represent the core hospitals in the regions of Kyoto, Osaka, and Hyogo Prefectures. Participants consisted of hospital staff including: (1) physicians; (2) nurses; (3) pharmacists; (4) radiological technologists (RTs); (5) physical therapists (PTs); (6) occupational therapists (OTs); (7) clinical laboratory technologists (CLTs); (8) caregivers; (9) office clerks; and (10) others. They were queried about their attitude toward pandemics, including whether they would come to the hospital to work, treat patients, and what kinds of conditions they required in order to work.Results: A total of1,975 persons (62.7%) responded. A total of 204 persons (10.6%) would not come to the hospitals during a pandemic, 363 (18.8%) would perform their duties as usual, unconditionally, 504 (26.1%) would come to hospitals but not treat AI patients, and 857 (44.5%) would report to the hospital and treat AI patients with some essential conditions. These essential conditions were: (1) personal protective equipment (PPE) (80.0%); (2) receipt of workmen's compensation (69.3%); (3) receipt of anti-virus medication (58.2%); and (3) receipt of pre-pandemic vaccination (57.8%).Conclusion:During a pandemic, all types of health professionals would be lacking, not only physicians and nurses. This study indicates that ensuring sufficient medical human resources would be difficult without the provision of adequate safety and compensation measures.
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Jha, Rakesh Kumar, Ramesh Nayak, and Umashankar Subramanian. "Knowledge, Attitude and Practice of radiation risk among employees in selected hospitals of Nepal." Janaki Medical College Journal of Medical Science 4, no. 2 (March 29, 2017): 10–18. http://dx.doi.org/10.3126/jmcjms.v4i2.17071.
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Background and Objectives: Nepal is facing the problem of safe, effective and quality radiology services due to lack of adequate knowledge towards advance technology professionals. Therefore, the present study was designed to focus on the knowledge, attitude and practice on radiation among employee in selected hospitals.Material and Methods: This is a descriptive cross-sectional study conducted in among technical and non technical staff that were involved in or come across the radiology department. A set of self structured questionnaire and observation was used for data collection. Purposive sampling technique was used for the data collection. The collected data was compiled and analyzed by using SPSS 16.Results: The total number of staff participated in this study were 113, among them 65(58%) belong to technical group as health Professionals and 48(42%) belong to non -technical group. The knowledge of the technical staff was 66.95%, perception was 87.65% and the having the practice of protection was 75.9% whereas in non-technical staffs were 53.46%, perception is 64.60% and the having the practice of protection is 53.74%.Conclusion: The overall knowledge of radiation exposure amongst technical and non-technical staffs was average, poor perception and satisfactory practices. Regular training programmes and national legal law should be processed to reduce malpractice in radiations.Janaki Medical College Journal of Medical Sciences (2016) Vol. 4 (2): 10-18
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Li, Yuping, Weijuan Gong, Xiang Kong, Olaf Mueller, and Guangyu Lu. "Factors Associated with Outpatient Satisfaction in Tertiary Hospitals in China: A Systematic Review." International Journal of Environmental Research and Public Health 17, no. 19 (September 27, 2020): 7070. http://dx.doi.org/10.3390/ijerph17197070.
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Outpatient care is made up of medical procedures, tests, and services that can be provided to the patient in a setting that doesn’t involve an overnight hospital stay. In China, tertiary hospitals are medical services centers of health care systems, and some tertiary hospitals had more than 20,000 outpatient visits per day. However, a systematic review of existed evidence on factors influencing the outpatient satisfaction in tertiary hospitals in China could inform the efforts and does not yet exist. Therefore, in order to better understand the outpatient satisfaction provided by tertiary hospitals in China, we carried out a systematic review following PRISMA guidelines. Studies reporting on the level of and factors associated with outpatient satisfaction in Chinese tertiary hospitals were systematically searched in both Chinese and English electronic databases. A total of 36 articles reported 35 studies that met the inclusion criteria. Out of these eight were household surveys covering 12,119 residents, and another 27 directly interviewed 45,930 outpatients during their hospital visits from 185 hospitals. The included studies generally used self-designed questionnaire and indicated there is a lack of standardized questionnaire for investigating outpatient satisfaction in China. The outpatients showed the highest satisfaction with the doctors and nurses and the lowest satisfaction with the hospital hygiene and outpatient procedures, especially with the long waiting time. The socio-demographic characteristics (e.g., age, marital status, income and education levels), professional skills and service attitudes of medical staff were reported to be associated with outpatient satisfaction. The results indicated that in China, the outpatient satisfaction can be largely improved. Firstly, the attitude of medical service providers, especially the pre-diagnosis nurses, registration officers, and pharmaceutical counters should be improved. Furthermore, to shorten the waiting time, policies should be developed to guide patients with common diseases and slight discomforts to community health systems to alleviate the overload in tertiary hospitals. Considering the strained relations between the doctors and patients in the clinical practice, improving patient satisfaction in China deserves more attention and research.
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Gaynes, Robert P., Carolyn V. Gould, Jonathan Edwards, Theresa L. Antoine, Henry M. Blumberg, Kathryn DeSilva, Mark King, et al. "A Multicenter Study on Optimizing Piperacillin-Tazobactam Use: Lessons on Why Interventions Fail." Infection Control & Hospital Epidemiology 30, no. 8 (August 2009): 794–96. http://dx.doi.org/10.1086/599002.
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We examined interventions to optimize piperacillin-tazobactam use at 4 hospitals. Interventions for rotating house staff did not affect use. We could target empiric therapy in only 35% of cases. Because prescribing practices seemed to be institution specific, interventions should address attitudes of local prescribers. Interventions should target empiric therapy and ordering of appropriate cultures.
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Ali, Aziza Z. F., Ehsan S. S. Saad, and Fadhah T. Alshammari. "Effect of Authentic Leadership Educational Program for Head Nurses on Staff Nurses' Organizational Commitment." Evidence-Based Nursing Research 1, no. 2 (January 6, 2020): 12. http://dx.doi.org/10.47104/ebnrojs3.v1i2.88.
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Context: Authentic leadership is required to build trust and achieving positive organizational outcomes. Organizational commitment acts as one of the outcomes of authentic leadership. Head nurses, as leaders can use an authentic leadership style that positively influence staff nurses and increase their organizational commitment.
Aim: The present study aimed to examine the effect of authentic leadership educational program for head nurses on staff nurses' organizational commitment.
Methods: A quasi-experimental research design utilized to achieve the aim of the current study. The study was conducted in all inpatients units at Benha University Hospital, Egypt. Subjects included all available (32) head nurses and a purposive sample of (120) staff nurses who were working in the setting mentioned above. Three tools were utilized for data collection namely; authentic leadership knowledge self-assessment questionnaire, authentic leadership attitude self-assessment questionnaire, and organizational commitment assessment questionnaire.
Results: There was a statistically significant correlational improvement in both the studied head nurses' knowledge and attitude regarding authentic leadership after the implementation of the program. Besides, there was a statistically significant improvement of the studied staff nurses' organizational commitment after implementation of the program. Also, there was a highly statistically significant correlation (P-value<0.001) between the studied head nurses' knowledge and attitude regarding authentic leadership and the studied staff nurses' organizational commitment post-program.
Conclusion: The study concluded that there was a positive effect of the authentic leadership educational program for head nurses on the staff nurses' organizational commitment. The study recommended that an authentic leadership educational program should be recognized and implemented for all head nurses and who in a management position in the nursing field in other hospitals as needed. Hospitals and Nursing administrators should do their best for keeping and enhancing staff nurses' organizational commitment.
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Wilson, Lionel L. "What's wrong with our hospitals?" Australian Health Review 28, no. 1 (2004): 20. http://dx.doi.org/10.1071/ah040020.
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EVENTS occurring from 1999 to 2003 at Campbelltown and Camden hospitals within the South Western Sydney Area Health Service received extensive coverage in the media during the first half of 2004 and led to significant government intervention. It has been claimed that some 17 deaths could have been avoided. Other accusations of less than appropriate care by both nurses and doctors have also been made. A group of nurses complained about mismanagement and patient neglect, and alleged that management failed to address their concerns. Medical staff claimed serious under-funding of the two hospitals were reasons for these events. The media and political debate that erupted was highly emotive and further muddied and confused the issues. This article draws on these events to explore the issues of quality and risk management generally in Australian hospitals. Gaps in current approaches and attitudes particularly prevalent in NSW are analysed and suggestions made as to how these gaps should be eliminated.
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Tropea, Joanne, Dina LoGiudice, Danny Liew, Carol Roberts, and Caroline Brand. "Caring for people with dementia in hospital: findings from a survey to identify barriers and facilitators to implementing best practice dementia care." International Psychogeriatrics 29, no. 3 (November 23, 2016): 467–74. http://dx.doi.org/10.1017/s104161021600185x.
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ABSTRACTBackground:Best practice dementia care is not always provided in the hospital setting. Knowledge, attitudes and motivation, practitioner behavior, and external factors can influence uptake of best practice and quality care. The aim of this study was to determine hospital staff perceived barriers and enablers to implementing best practice dementia care.Methods:A 17-item survey was administered at two Australian hospitals between July and September 2014. Multidisciplinary staff working in the emergency departments and general medical wards were invited to participate in the survey. The survey collected data about the respondents’ current role, work area, and years of experience, their perceived level of confidence and knowledge in dementia care and common symptoms of dementia, barriers and enablers to implementing best practice dementia care, job satisfaction in caring for people with dementia, and to rate the hospital's capacity and available resources to support best practice dementia care.Results:A total of 112 survey responses were received. The environment, inadequate staffing levels and workload, time, and staff knowledge and skills were identified as barriers to implementing best practice dementia care. Most respondents rated their knowledge of dementia care and common symptoms of dementia, and confidence in recognizing whether a person has dementia, as moderate or high dementia. Approximately, half the respondents rated access to training and equipment as low or very low.Conclusion:The survey findings highlighted hospital staff perceived barriers to implementing best practice dementia care that can be used to inform locally tailored improvement interventions.
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Musa, Fatema, Ayatullah A. Mohamed, and Nagah Selim. "Knowledge and attitude of nurse professionals towards medical waste management at Hamad Medical Corporation in Qatar: a cross-sectional study." International Journal Of Community Medicine And Public Health 7, no. 4 (March 26, 2020): 1228. http://dx.doi.org/10.18203/2394-6040.ijcmph20201424.
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Background: The improper management of wastes generated in health care facilities can severely affect the health of caregivers, patients and members of the community. Medical waste management can be achieved with the cooperation of all workers and patients; however, nursing personnel play a significant role in the whole process. Therefore, this study was done to evaluate the knowledge of nursing professionals regarding waste management in Hamad Medical Corporation (HMC) hospitals in Doha and to assess their attitude towards medical waste management.Methods: Descriptive cross-sectional study conducted at 4 governmental hospitals in Doha city; Hamad General Hospital (HGH), Women's Hospital (WH), Rumiallalh Hospital (RH) and Al-Amal hospital among 420 nurses.Results: The response rate among nurses were 82.3%, most of them are female and non-Qatari. On analyzing data on knowledge about waste management procedures, it was found that the most widely reported procedures was segregation (89.9%) and incineration (84.9%). Almost all nurses (99.4%) believed that training and education regarding medical waste is required for all staff, also 98.8% of the studied nurses agreed that attending medical waste management program is beneficial.Conclusions: Knowledge of most studied nurses regarding medical waste management was found to be high and had positive attitude.
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Hayes, Bruce. "Medical errors – a hospital in Nepal searches for answers." Tropical Doctor 38, no. 1 (January 2008): 45–48. http://dx.doi.org/10.1258/td.2007.062830.
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Medical errors are recognized as a significant issue in medical practice. Ethical and professional guidelines emphasize the responsibility of physicians to disclose errors to patients. However, in practice, even in the developed world this often does not happen. This study which involved 12 focus groups formed from 127 members of staff within Patan Hospital in the Kathmandu Valley sought to understand Nepali staff attitudes to medical errors and suggest how they could be handled. Most agreed, for good reasons of honesty and patient autonomy, that admission of errors is important, but the doctors struggled to decide how it should be done. For most of the staff the educational level was a key decider as to what would be disclosed. Most agreed that the socio-legal climate in Nepal, and the possible financial implications, made it difficult to be completely honest. Other strong fears included patient harm, violence from the patient, damage to the hospital's reputation and to the reputation of the doctors and possible loss of jobs for nurses. We recommend that the hospital initiate a clear hospital policyon dealing with errors and that they should: implement the development of incident reporting forms; set up an error investigation team; provide specific training in communicating about errors for the appropriate staff.
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A. Whelan, Thomas, and Robert J. Kirkby. "The Attitudes of Health Professionals to the Psychological Preparation of Children for Hospitalisation." Australian Journal of Primary Health 6, no. 2 (2000): 72. http://dx.doi.org/10.1071/py00020.
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Research into the perceptions of health care staff about the psychological impact of medical procedures on children and their parents has been sparse. Those findings that have been published suggest that there are discrepancies between parent and health care provider perceptions of the hospital experience. It appears that health care staff, in particular medical practitioners, are inclined to overestimate satisfaction with the information they provide and underestimate the extent of emotional problems experienced by children and their parents. In addition, research has indicated that children report dissatisfaction with the information that they are given by either medical staff or their parents. Given the therapeutic and economic benefits of psychological preparation procedures, it seems surprising that research into the views of health staff about the importance of preparation programs has been ignored by investigators.
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Mangion, Carmen M. "‘Tolerable Intolerance’: Protestantism, Sectarianism and Voluntary Hospitals in Late-nineteenth-century London." Medical History 62, no. 4 (September 7, 2018): 468–84. http://dx.doi.org/10.1017/mdh.2018.43.
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This article interrogates the complicated understanding of sectarianism in institutional cultures in late-nineteenth-century England through an examination of the practice of religion in the daily life of hospital wards in voluntary hospitals. Voluntary hospitals prided themselves on their identity as philanthropic institutions free from sectarian practices. The public accusation of sectarianism against University College Hospital triggered a series of responses that suggests that hospital practices reflected and reinforced an acceptable degree of ‘tolerable intolerance’. The debates this incident prompted help us to interrogate the meaning of sectarianism in late nineteenth-century England. How was sectarianism understood? Why was it so important for voluntary institutions to appear free from sectarian influences? How did the responses to claims of sectarian attitudes influence the actions of the male governors, administrators and medical staff of voluntary hospitals? The contradictory meanings of sectarianism are examined in three interrelated themes: the patient, daily life on the wards and hospital funding. The broader debates that arose from the threat of ‘sectarianism in hospital’ uncovers the extent to which religious practices were ingrained in hospital spaces throughout England and remained so long afterwards. Despite the increasing medicalisation and secularisation of hospital spaces, religious practices and symbols were embedded in the daily life of voluntary hospitals.
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Moiseeva, K. E., A. V. Alekseeva, and E. N. Berezkina. "Results of subjective evaluation of the satisfaction of parents of newborns with the attitude of medical staff." Medical Journal of the Russian Federation 26, no. 2 (August 19, 2020): 85–92. http://dx.doi.org/10.18821/0869-2106-2020-26-2-85-92.
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Background. Under current conditions, when a reduction in the birth rate in the Russian Federation becomes a problem of national security of the state, improving the quality of medical care for newborns becomes an important strategic task facing the healthcare service.
Aim.This study aimed to assess the satisfaction of parents of newborns with the attitude of medical personnel to children in healthcare facilities in St. Petersburg.
Materials and methods. An anonymous survey of 4467 mothers of newborns, who received medical care within the compulsory medical insurance in healthcare facilities in St. Petersburg in 2019, was conducted using a random sampling technique. The samples representativeness was tested by the method of Professor A.M. Merkova, and the error in the study did not exceed 3.5% in obstetric care institutions, 4% in childrens multi-specialty hospitals, and 3% in childrens polyclinics (departments).
Results. In general, 74.1% of mothers were completely satisfied with the attitude of doctors toward newborns in obstetric care organizations, 78.2% of mothers in multi-specialty hospitals, and 70.5% of mothers in childrens polyclinics (departments). The proportion of mothers who were completely satisfied with the attitude of the nursing staff to newborns was 51.7% in obstetric care organizations, 52.4% in multi-specialty hospitals, and 76.0% in childrens polyclinics (departments). When assessing the human and professional qualities of doctors in the obstetric care organizations, the average score was 4.45 0.09, which in childrens multi-specialty hospitals was 4.53 0.10, and that of the doctors of childrens polyclinics (departments) was 4.61 0.08 points. The average score determined by mothers of the human and professional qualities of the nursing staff in obstetric care organizations was 4.22 0.08 that in multi-specialty hospitals was 4.16 0.09, and that of the nursing staff in childrens polyclinics (departments) was 4.63 0.09 points.
Conclusion. The level of satisfaction with the attitude of medical personnel toward newborns was within the target value established by the Territorial program of state guarantees (70%), and the level of satisfaction with the attitude of the nursing staff corresponded to the target value only in childrens polyclinics (departments).
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Meehan, Rebecca. "Transitions From Acute Care to Long-Term Care: Evaluation of the Continued Access Model." Journal of Applied Gerontology 38, no. 4 (August 8, 2017): 510–29. http://dx.doi.org/10.1177/0733464817723565.
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Improving communication during transitions from acute care hospitals into long-term post-acute care (LTPAC) settings is imperative for clinical staff to have the information they need to admit and care for the patient with accurate medical information provided in an efficient way. The research goals of this study are to examine the user experience of a new data sharing method, “Continued Access,” a supplement to the standard summary of care, and to evaluate staff attitudes of the model on LTPAC residents’ care. Clinical staff ( n = 20) from a U.S. Midwestern LTPAC setting were interviewed to give their evaluation of the new model of data access, their concerns, and ways to improve the effectiveness of the model. Respondents reported better opportunities for quality care based on improved insight and clarity around patients’ medical history, medications, and tests. Strategies for integrating Continued Access into the workflow and improving quality outcomes are discussed.
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Alshalani, Abdulaziz J., and Khaled F. Salama. "Assessment of Occupational Safety Practices Among Medical Laboratory Staff in Governmental Hospitals in Riyadh, Saudi Arabia." Journal of Safety Studies 5, no. 1 (July 21, 2019): 1. http://dx.doi.org/10.5296/jss.v5i1.14992.
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Background: workers in laboratories are faced with many occupational risks at work and their health and safety may be severely jeopardized if adequate preventive protective measures are not taken. Objectives: to assess the level of occupational safety practices among laboratory staff in governmental hospitals in Riyadh, Saudi Arabia. Method: It was a cross sectional descriptive study among 107 laboratory staff, and 28 labs. Data was collected by a self-administered validated structured questionnaire and observation checklist, which were developed, and validated by us using guidelines on universal work precautions and based on previous studies. Results: Overall, there was a positive knowledge of, and attitude towards, occupational safety practices among medical laboratory staff. Nationality and age group were the only two variables that were significantly correlated with occupational safety practices. Almost of the occupational safety practices subscales were followed in the assessed subscales, except for certain parameters including mainly personal protective equipment’s and electrical safety. Conclusion: Overall, a positive knowledge of, and attitude towards, occupational safety practices among medical laboratory staff was reported.
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Hamano, Jun, Kyoko Hanari, and Nanako Tamiya. "Attitudes and Other Factors Influencing End-of-Life Discussion by Physicians, Nurses, and Care Staff: A Nationwide Survey in Japan." American Journal of Hospice and Palliative Medicine® 37, no. 4 (September 29, 2019): 258–65. http://dx.doi.org/10.1177/1049909119876568.
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Context: Better understanding about the attitudes of health-care providers toward end-of-life discussion would facilitate the development of systematic strategies for improving end-of-life care. Objective: To clarify attitudes toward end-of-life discussion with patients near death and explore the factors influencing these attitudes among physicians, nurses, and care staff. Methods: This study was part of a nationwide cross-sectional anonymous survey of the public attitudes toward end-of-life medical care performed in December 2017. The participants were physicians, nurses, and care staff from randomly selected facilities, including hospitals, clinics, home-visit nursing offices, nursing homes, and long-term care facilities throughout Japan. The questionnaire was sent to 4500 physicians, 6000 nurses, and 2000 care staff. We assessed attitudes about end-of-life discussion with patients near death, identification of the proxy decision maker, and sharing documented information on end-of-life discussion with the multidisciplinary team. Results: We analyzed responses from 1012 physicians, 1824 nurses, and 749 care staff. The number of responders who considered they had adequate end-of-life discussion with patients near death was 281 (27.8%), 324 (17.8%), and 139 (18.6%), respectively. Participation in a nationwide education program and caring for at least 1 dying patient per month were factors that showed a significant association with adequate end-of-life discussion and identification of the proxy decision maker. Conclusions: The percentages of physicians, nurses, and care staff involved in adequate end-of-life discussion with patients near death were not high. Participation in a structured education program might have a positive influence on end-of-life discussion with patients.
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Schneider, Julia, Birgit Teichmann, and Andreas Kruse. "THE IMPACT OF DEMENTIA TRAINING ON HOSPITAL STAFF’S KNOWLEDGE AND ATTITUDES." Innovation in Aging 3, Supplement_1 (November 2019): S727. http://dx.doi.org/10.1093/geroni/igz038.2664.
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Abstract Older people with dementia are more frequently hospitalized and more strongly associated with negative outcomes. We examined the acceptance and the effect of a dementia training on attitudes and knowledge of the hospital staff. In the current study, we utilized a mixed-methods research design to examine a clinic group of six hospitals in Germany. Besides semi-structured interviews, we collected quantitative data with a questionnaire given before and three-months after the training. The questionnaire contained German translated versions of the Knowledge in Dementia (KIDE) Scale and the Dementia Attitudes Scale (DAS-D) to assess changes in attitudes. The participant population (N=60) consisted of nurses (n=35, 58%), medical assistants (n=13, 22%) and other medical professions. Satisfaction with the training was predominantly positive, 92% would recommend the training to their colleagues. At baseline, a small but significant correlation between the standardized questionnaires KIDE and DAS-D was evident (r(60)=.357, p=.005). The participants (n=32) showed a more positive attitude in the post-test (M=5.39, SD=0.64) than in the baseline-test (M=5.19, SD=0.66). This difference was significant (t(31)=-2.434, p=.021). However, we did not find any significant effects on the KIDE. The reason for this may be the use of a standardized questionnaire, which does not reflect the increase in knowledge, or there has been no increase in knowledge of dementia. The results are based on a small sample size. However, they have demonstrated that dementia training can positively influence attitudes toward people with dementia. A significant increase in knowledge was expected but could not be demonstrated.
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Dwivedi, Garima, Shiv Prakash, Gyan Prakash, Richa Singh, Deepak Anand, and Richa Mishra. "A study on the knowledge, attitude and practice among health care personnel in secondary care hospital of Prayagraj district." International Journal Of Community Medicine And Public Health 8, no. 4 (March 25, 2021): 1950. http://dx.doi.org/10.18203/2394-6040.ijcmph20211260.
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Background: The World Health Organization (WHO) defines medical waste as waste generated by health care activities including a broad range of materials, from used needles and syringes to soiled dressings, body part, diagnostic samples, blood, pharmaceuticals, medical devices and radioactive material. Bio medical waste creates great risk of being injured or infected to medical professionals, if not handled properly. Objective of the study was to assess knowledge, attitude and practice regarding bio-medical management among health-care personnel in secondary care hospitals in Prayagraj district.Methods: A total 615 personnel were listed in urban and 363 in rural secondary care hospitals. Sample size was calculated to be 470. The study subjects were selected from each stratum randomly in proportion to the size of strata in order to complete the sample size from both urban and rural. This was a questionnaire based cross-sectional study.Results: Doctors, nurses and lab technician had satisfactory knowledge, practice and good attitude regarding biomedical waste management. It was observed that in urban hospitals 68.96% doctor, 66.01% nurses, 59.25% lab technicians and 55.12% sanitary staff had complete knowledge while in rural 62.85% doctors, 64.28% nurses, 46.4% lab technician and 42.85% sanitary staff had complete knowledge. Majority of healthcare personnel had positive attitude in both urban and rural hospitals. Regarding practice urban hospitals were doing satisfactory practice as compared to rural hospital.Conclusions: The study revealed that the attitude among health-care personnel was good while knowledge and practice were to the tune of satisfactory.
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Acharyya, Amitava, Susmita Ghosh, Manas Ghosh, Kalyan Sarkar, Sonali Ghosh, Ambarish Bhattacharya, and Kaushik Ghosh. "Knowledge, attitudes, and practices towards COVID-19 among hospital staff of West Bengal during COVID-19 outbreak: A hospital based cross sectional study." Asian Journal of Medical Sciences 11, no. 6 (November 1, 2020): 1–8. http://dx.doi.org/10.3126/ajms.v11i6.30078.
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Background: COVID-19 disease is a highly contagious and totally unknown disease which is caused by SARS-CoV-2. This disease spread throughout the world irrespective of social, economical and political variation. Health care staff are the frontline COVID-19 worrier and their understanding of this disease is very important.
Aims and Objective: The aim of this study was to assess the knowledge, attitudes and practices (KAP) towards COVID-19 disease among the healthcare staff of a tertiary care hospital of West Bengal.
Materials and Methods: An analytic cross-sectional study was conducted at Murshidabad Medical College, Murshidabad from 25th April, 2020 to 2nd May, 2020. A total of 214 health care staff (83 nurses, 75 doctors, 20 para-medical staff, 24 administrative staff, and 12 sweepers) participated in this questionnaire based KAP study. The questionnaire was prepared according to the World Health Organization’ on Corona virus disease (COVID-19) “advice for the public”. The Systematic random sampling procedure was employed for data collection. The data was analysed using T-test, ANOVA, chi-square test and regression model. The informed consent was taken from each participant.
Result: Female (62%) participants were more than male (38%) participants. Mean age of the participants was 27.03±7.63 years. About the half participants were unmarried (55%) and studied up to bachelor’s degree (49%). The overall knowledge score found to be “medium level” with 77% reporting correct answers. The knowledge score was statistically different among age group, education level, marital status and occupational group of health care staff in this hospital by univariate analysis. The good attitudes and good practices were not related with knowledge score. The majority of the respondents (78%) had confidence on their attitude that “India can win the battle against COVID-19”. Only 86% participants wore masks while going out in the lock-down period and 79% participants had not visited any crowded place. Only 18% participants used traditional home remedies for flu like symptoms. In multivariate analysis, doctors were found with better knowledge score and attitude towards COVID-19 than other healthcare staff in this hospital.
Conclusion: The two preventive practice (social isolation and mask use) and optimistic attitude towards COVID-19 of health care staff were not totally depended on COVID-19 related knowledge score. However, knowledge score was depended on marital status, educational background, age, occupation and place of residence. Government should emphasize more on COVID-19 related health education and health promotion programme at community level.
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Fleming, Judith, and George I. Szmukler. "Attitudes of Medical Professionals towards Patients with Eating Disorders." Australian & New Zealand Journal of Psychiatry 26, no. 3 (September 1992): 436–43. http://dx.doi.org/10.3109/00048679209072067.
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A questionnaire examining attitudes to patients with eating disorders was completed by 352 medical and nursing staff in a general hospital. Patients with eating disorders were less liked than patients with schizophrenia and were seen as responsible for their illness almost to the same degree as recurrent overdose takers. Factor analysis showed a first factor in which patients with eating disorders were construed as vulnerable to external pressures (from others, the media) while also self-inducing their illness, and this was associated with treatment recommendations for education, urging the patient to take self-control and psychotherapy. The professions differed significantly in attitudes.
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Sayegh, Nathalie, Souheil Hallit, Rabih Hallit, Nadine Saleh, and Rouba K. Zeidan. "Physicians’ attitudes on the implementation of an antimicrobial stewardship program in Lebanese hospitals." Pharmacy Practice 19, no. 1 (February 17, 2021): 2192. http://dx.doi.org/10.18549/pharmpract.2021.1.2192.
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Background: Misuse of antibiotics and antimicrobial resistance are global concerns. Antibiotic stewardship programs (ASP) are advocated to reduce pathogens resistance by ensuring appropriate antimicrobial use. Several factors affect the implementation of ASPs in hospitals. The size and types of care provided, as well as the complexity of antibiotic prescription, are all issues that are considered in designing an effective hospital-based program.
Objectives: To examine physicians’ attitude on implementation of an antimicrobial stewardship program in Lebanese hospitals.
Methods: A descriptive cross-sectional survey was carried out using an online questionnaire. Survey items assessed ASP implementations, physicians’ attitudes, usefulness of the tools, and barriers of implementation. The questionnaire was based on the Center for Disease Control core-elements.
Results: 158 physicians completed the survey with a response rate of 4%. Our results showed that the majority (66%) of physicians were familiar with the ASP concept. Most respondents reported a lack of regular educational programs (41%), as well as a lack of support from the medical staff (76%). This study demonstrated positive attitudes and support for ASP implementation. However, ASPs were reported as affecting physicians’ autonomy by 34 % of the participants. Antibiotic rounds and prospective audit and feedback were rated as most useful interaction methods with the ASPs. A minimal support of the Ministry Of Public Health, as well as the absence of regulation and of national guidelines, were reported as barriers to ASPs. The shortage of Infectious Disease physicians was seen as a barrier by half of the respondents.
Conclusions: Physicians are supportive of ASP, with preference for interventions that provide information and education rather than restrictive ones. Additional research is needed on a larger sample of physicians.
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Yang, Ke, Chanthia Ma, Yue He, Jing Wang, Zongwei Yue, Bo Xiao, Ding Liu, and Li Feng. "Attitudes toward epilepsy among medical staffs in basic-level hospitals from southern China." Epilepsy & Behavior 89 (December 2018): 23–29. http://dx.doi.org/10.1016/j.yebeh.2018.08.024.
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Semyonov-Tal, Keren. "Complaints and Satisfaction of Patients in Psychiatric Hospitals: The Case of Israel." Journal of Patient Experience 8 (January 1, 2021): 237437352199722. http://dx.doi.org/10.1177/2374373521997221.
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The main objective of the research is to advance knowledge in the field of patient experience. First, the research provides a classification of verbal responses by patients to an open-ended question (using content analysis) into distinct categories of concerns and complaints; and second, it examines (using regression analysis) the extent to which different types of complaints exert a differential impact on the level of patient satisfaction. The content analysis reveals that patient voice extends across a wide variety of issues, including complaints regarding physical conditions of the facility, quality of food, cleanliness, caregiver attitudes, availability of medical staff, lack of communication with staff, malpractice, and lack of privacy and respect. Linear regression analysis reveals that patients who complained about the hospitalization experience, especially complaints about interpersonal relations, are less likely to express satisfaction regarding hospitalization. The findings underscore the importance of patient’s complaints for understanding patient satisfaction (or dissatisfaction) with hospitalization. Patients’ complaints, especially in the area of interpersonal relations, are found to be consequential for the patient level of satisfaction.
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Saluja, Inderpal, Karl D. Theakston, and Janusz Kaczorowski. "Influenza vaccination rate among emergency department personnel: a survey of four teaching hospitals." CJEM 7, no. 01 (January 2005): 17–21. http://dx.doi.org/10.1017/s1481803500012884.
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ABSTRACT Objectives: To determine influenza vaccination rates and attitudes toward vaccination among emergency department health care workers at 4 Ontario teaching hospitals. Methods: During the influenza season of 1999–2000 a confidential 28-item survey was distributed to emergency physicians and residents, nurses, respiratory therapists, and other allied health care workers at the emergency departments of 4 London, Ontario teaching hospitals. Results: Of 426 surveys distributed, 343 were returned, for an overall response rate of 80.5%. The mean age of respondents was 38.5 years (standard deviation = 8.3), 74.3% were female, and 86.6% were non-smokers. The overall vaccination rate was 37.0% (95% confidence interval, 31.9%–42.4%). Vaccination rates were 45.9% for respiratory therapists, 35.3% for emergency physicians and residents, 34.5% for nurses and 27.1% for other allied health care workers (p = 0.083). Multivariate logistic regression analysis revealed that age ≥41 and a chronic medical condition were positively associated with influenza vaccination (p < 0.05). Close to one-third of respondents (28.3%) believed that adverse affects were common, 51.6% believed vaccination was effective, 52% would support a program to improve vaccination rates among emergency department staff, and 24.4% would support mandatory vaccination for this population. Only 26.8% believed that patients were at increased risk of contracting influenza from emergency department staff, but 58.3% perceived that emergency department staff were at increased risk of contracting influenza through exposure to patients. Conclusions: In this study, only 37% of emergency department health care workers were immunized against influenza, with chronic illness and older age being the only 2 significant correlates. Strategies to improve emergency department health care worker attitudes toward influenza vaccination for themselves and to increase vaccination rates for this population should be developed.
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Maimun, Nur, Arnawilis, Cindy Feby Fayza, and Nur Asikin. "HUBUNGAN SIKAP PASIEN TERHADAP HAK DAN KEWAJIBAN RAWAT INAP DI RUMAH SAKIT PEKANBARU MEDICAL CENTER (PMC)." Bina Generasi : Jurnal Kesehatan 13, no. 1 (September 15, 2021): 17–25. http://dx.doi.org/10.35907/bgjk.v13i1.184.
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Patient as service users have right and obligations to be hospitalized and patients also have the right to medical information in receiving medical practice services. This study aims to determine the relationship between patient attitudes towards the rights and obligations of being hospitalized in the hospital Pekanbaru Medical Center (PMC). This research method using observational analytic method with cross sectional design. The total sample used in this study 107 sample were taken as simpel random sampling. Chi square test is used to determine the relationship between variables. The data were processed using SPSS statistical software and analyzed using univariate and bivariate analyzes. Of the result obtained of the study namely the relationship between patient attitude to the rights and obligations of patient with chi-suare obtained pvalue 0.016 (<0,05), the relationship of attitude patients to the rights and obligations of choosing a doctor and class of patient care with chi-square obtained pvalue 0,070 (<0,05), the relationship of patient attitudes to the right and obligations of confidentiality of disease by inpatient medical staff with chi-square obtained pvalue 0,000 (<0,05), the relationship of patient attitudes to the rights and obligations of consent to the patient treatment with chi-square obtained pvalue 0,000 (<0,05), the relationship of patient attitudes to the right and obligation of patient safety with chi-square obtained pvalue 0,000 (<0,05), the relationship between patient attitudes towards the right and obligations of patient safety with chi-square obtained pvalue 0,000 (<0,05). Suggestions in order to protect what has been achieved in this case is his ability as effort of service is getting better in the future
Keyword : Attitudes of patient, Rights and Obligations inpatient, Hospital
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Yang, Ke, Yue He, Bo Xiao, Jing Wang, and Li Feng. "Knowledge, attitudes and practice towards epilepsy among medical staff in Southern China: Does the level of hospitals make a difference?" Seizure 69 (July 2019): 221–27. http://dx.doi.org/10.1016/j.seizure.2019.05.002.
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Solar, Ann. "Factors contributing to difficulty with psychiatric disorder among junior medical staff." Australasian Psychiatry 10, no. 3 (September 2002): 279–82. http://dx.doi.org/10.1177/103985620201000317.
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Objective: This study examines the attitudes and difficulties that junior medical staff, working in the emergency department of a teaching hospital, have in relation to psychiatric disorders. Method: Systematic textual analysis of nine in-depth interviews. Results: Three major categories identified were emotional difficulty with patient interaction, uncertainty and pessimism. Conclusion: Those doctors able to self reflect and adjust their level of emotional distance appropriately had less emotional difficulty interacting with psychiatric patients. They were also more comfortable in dealing with the issue of uncertainty associated with psychiatric disorder. There was a worrying level of pessimism regarding prognosis in psychiatric disorder.
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Haroon, Muhammad, Faiza Yasin, Rachael Eckel, and Frank Walker. "Perceptions and attitudes of hospital staff toward paging system and the use of mobile phones." International Journal of Technology Assessment in Health Care 26, no. 4 (October 2010): 377–81. http://dx.doi.org/10.1017/s0266462310001054.
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Objectives:Our objective was to document the pattern of mobile phone usage by medical staff in a hospital setting, and to explore any perceived benefits (such as improved communications) associated with mobile phones.Methods:This cross-sectional survey was conducted in Waterford Regional Hospital, Ireland, where bleep is the official system of communication. All non-consultant hospital doctors, of medical disciplines only, were asked to participate. The questionnaire was designed to explore the pattern and different aspects of mobile phone usage.Results:At the time of study, there were sixty medical junior doctors, and the response rate was 100 percent. All participants used mobile phones while at work, and also for hospital-related work. For 98.3 percent the mobile phone was their main mode of communication while in the hospital. Sixty-two percent (n= 37) made 6–10 calls daily purely for work-related business, and this comprised of ≥80 percent of their daily usage of mobile phones. For 98 percent of participants, most phone calls were work-related. Regarding reasons for using mobile phones, all reported that using mobile phone is quicker for communication.Conclusions:Mobile phone usage is very common among the medical personnel, and this is regarded as a more efficient means of communication for mobile staff than the hospital paging system.
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Hasted, Tim, Helen Stapleton, Michael M. Beckmann, and Shelley A. Wilkinson. "Clinician’s Attitudes to the Introduction of Routine Weighing in Pregnancy." Journal of Pregnancy 2016 (2016): 1–9. http://dx.doi.org/10.1155/2016/2049673.
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Background.Excessive gestational weight gain poses significant short- and long-term health risks to both mother and baby. Professional bodies and health services increasingly recommend greater attention be paid to weight gain in pregnancy. A large Australian tertiary maternity hospital plans to facilitate the (re)introduction of routine weighing of all women at every antenatal visit.Objective.To identify clinicians’ perspectives of barriers and enablers to routinely weighing pregnant women and variations in current practice, knowledge, and attitudes between different staff groups.Method.Forty-four maternity staff from three professional groups were interviewed in four focus groups. Staff included midwives; medical staff; and dietitians. Transcripts underwent qualitative content analysis to identify and examine barriers and enablers to the routine weighing of women throughout pregnancy.Results.While most staff supported routine weighing, various concerns were raised. Issues included access to resources and staff; the ability to provide appropriate counselling and evidence-based interventions; and the impact of weighing on patients and the therapeutic relationship.Conclusion. Many clinicians supported the practice of routine weighing in pregnancy, but barriers were also identified. Implementation strategies will be tailored to the discrete professional groups and will address identified gaps in knowledge, resources, and clinician skills and confidence.
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Heckert, D. Alex, Myron D. Fottler, Bruce W. Swartz, and Alice A. Mercer. "The Impact of the Changing Healthcare Environment on the Attitudes of Nursing Staff: A Longitudinal Case Study." Health Services Management Research 6, no. 3 (August 1993): 191–202. http://dx.doi.org/10.1177/095148489300600305.
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Attitude surveys of registered nurses were conducted in 1984 (just prior to implementation of prospective payment) and in 1989 (after implementation of changes responsive to prospective payment and increased competition) in an academic medical center. Results indicate more negative attitudes toward hospital administration, pay and promotional opportunities in 1989. However, overall job satisfaction, job variety, job market alternatives, participation in decision making, and intention to leave were unchanged while job variety and perceptions of job market alternatives were more positive in 1989. Implications for health-care management and future research are discussed.
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Black, D., and F. Creed. "Assessment of Self-Poisoning Patients by Psychiatrists and Junior Medical Staff." Journal of the Royal Society of Medicine 81, no. 2 (February 1988): 97–99. http://dx.doi.org/10.1177/014107688808100216.
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Case notes of patients admitted to hospital or seen in the casualty department following an overdose were assessed in a standardized way. The medical records were deficient in several important areas, especially for those patients seen in casualty and not referred to a psychiatrist. If only selected patients were to be assessed by psychiatrists, closer monitoring of the psychiatric assessments and management initiated by junior medical staff would be required. Although the poor records may reflect lack of motivation as much as lack of education, there was no significant relationship between the doctors' attitudes towards self-poisoning patients in general and the standard of their assessments.
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Soyam, Gajanan C., Prabhakar A. Hiwarkar, Umesh G. Kawalkar, Vishal C. Soyam, and Vimal K. Gupta. "KAP study of bio-medical waste management among health care workers in Delhi." International Journal Of Community Medicine And Public Health 4, no. 9 (August 23, 2017): 3332. http://dx.doi.org/10.18203/2394-6040.ijcmph20173840.
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Background: Bio-medical waste management is vital issue not only to hospitals, but also to the environment, law enforcement agency, media and to the general public.The objectives of the study were to find out level of knowledge, attitude and practices of health care workers (HCWs) about bio-medical waste management in a rural hospital of Delhi. Methods: A cross sectional study was carried out in rural hospital, Delhi on 155 HCWs. Pre-designed, pretested, structured questionnaire were administered on 155 HCWs of hospital. Data collected and analyzed by using SPSS-17. Results: Total of 155 HCWs were selected. Majority of HCWs were in the age group of 30.3 years±5.6 (mean age±SD) Almost half (54.2%) of study population comprised of female. Most of them were nursing staff. Mean years of experience in service was 4.8±3.7 (mean age±SD). Majority HCWs in this study took education up to senior secondary and they possess respective professional qualification. Statistically significant numbers of HCWs vaccinated with HBV vaccine and received training of bio-medical waste management (p<0.05). Almost all (97.4%) HCWs aware of bio-medical waste management rules and have very positive attitude. Practice of HCWs regarding bio-medical waste management was relatively poor. Conclusions: Nursing staff have not only best knowledge and attitude but also good practices among all HCWs. Additional training have been required to Paramedics and group-D workers.