The orthotic profession is facing a national staff shortage, which has been compounded by high attrition rates. Overall, 70% of NHS orthotic services in the UK are subcontracted out to private companies, but there has been little investigation of how this has affected job satisfaction and intention to remain in the profession among orthotists. This study evaluated and compared job satisfaction among orthotists employed by the NHS and private organisations. A mixed-methods, cross-sectional comparative study was conducted. A total of 123 orthotists (36 employed by the NHS, 82 employed privately) completed an online questionnaire comprising 32 questions regarding their working conditions and job satisfaction, with a combination of free-text and 5-point Likert scale formats. Quantitative analysis was performed using the Statistical Package for Social Sciences (version 24), with P≤0.05 indicating significance. Over a third (37.4%, n=46) of respondents indicated that they would leave the orthotic profession if they could. The strongest predicting variable for intent to leave was how well staff felt that they were treated by their employer. Respondents consistently reported that their working environments were poor, but this was worse for those who were privately employed. Overall job satisfaction was low in both groups. The orthotic profession may be facing a staff retention crisis. Employers should focus on improving working environments and ensuring that staff feel appreciated. Further research is required to investigate the impact of these issues on patient care.
骨科行业正面临着全国员工短缺的问题，而高流失率又加剧了这一问题。总体而言，英国70%的NHS矫形服务被分包给私营公司，但很少有调查表明，这是如何影响矫形师的工作满意度和留在这个行业的意愿的。本研究评估并比较了NHS和私人机构所雇用的矫形师的工作满意度。采用混合方法进行横断面比较研究。共有123名矫形师(36名受雇于NHS, 82名受雇于私人)完成了一份在线问卷，其中包括32个问题，涉及他们的工作条件和工作满意度，结合了自由文本和5点李克特量表格式。采用Statistical Package for Social Sciences (version 24)进行定量分析，P≤0.05为显著性。超过三分之一(37.4%，n=46)的受访者表示，如果可以的话，他们会离开矫形专业。离职意向的最强预测变量是员工感觉自己受到雇主的待遇有多好。受访者一致表示，他们的工作环境很差，但对于那些私人雇员来说，情况更糟。两组的总体工作满意度都很低。矫形专业可能面临员工保留危机。雇主应该专注于改善工作环境，确保员工感到受到重视。需要进一步的研究来调查这些问题对病人护理的影响。
{"title":"Job satisfaction among NHS and private orthotists: a cross-sectional comparative study","authors":"K. Prosser, N. Achour","doi":"10.12968/bjhc.2021.0081","DOIUrl":"https://doi.org/10.12968/bjhc.2021.0081","url":null,"abstract":"The orthotic profession is facing a national staff shortage, which has been compounded by high attrition rates. Overall, 70% of NHS orthotic services in the UK are subcontracted out to private companies, but there has been little investigation of how this has affected job satisfaction and intention to remain in the profession among orthotists. This study evaluated and compared job satisfaction among orthotists employed by the NHS and private organisations. A mixed-methods, cross-sectional comparative study was conducted. A total of 123 orthotists (36 employed by the NHS, 82 employed privately) completed an online questionnaire comprising 32 questions regarding their working conditions and job satisfaction, with a combination of free-text and 5-point Likert scale formats. Quantitative analysis was performed using the Statistical Package for Social Sciences (version 24), with P≤0.05 indicating significance. Over a third (37.4%, n=46) of respondents indicated that they would leave the orthotic profession if they could. The strongest predicting variable for intent to leave was how well staff felt that they were treated by their employer. Respondents consistently reported that their working environments were poor, but this was worse for those who were privately employed. Overall job satisfaction was low in both groups. The orthotic profession may be facing a staff retention crisis. Employers should focus on improving working environments and ensuring that staff feel appreciated. Further research is required to investigate the impact of these issues on patient care.","PeriodicalId":35342,"journal":{"name":"British Journal of Health Care Management","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-01-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45430805","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Marinova and Marinova outline the stoma patient pathway at St Mark's Hospital, London, highlighting how care provision throughout the stoma journey can improve patient outcomes and reduce costs to the NHS.
{"title":"Providing structured stoma care through established patient pathways","authors":"Petya Marinova, Ralitza Marinova","doi":"10.12968/bjhc.2022.0104","DOIUrl":"https://doi.org/10.12968/bjhc.2022.0104","url":null,"abstract":"Marinova and Marinova outline the stoma patient pathway at St Mark's Hospital, London, highlighting how care provision throughout the stoma journey can improve patient outcomes and reduce costs to the NHS.","PeriodicalId":35342,"journal":{"name":"British Journal of Health Care Management","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-01-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46754057","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Julie Penfold describes the impact that cyber attacks can have on health and social care services, highlighting the need to continuously improve cyber security to keep up with increasingly sophisticated threats.
{"title":"The growing risk of cyber attacks in the NHS","authors":"J. Penfold","doi":"10.12968/bjhc.2022.0132","DOIUrl":"https://doi.org/10.12968/bjhc.2022.0132","url":null,"abstract":"Julie Penfold describes the impact that cyber attacks can have on health and social care services, highlighting the need to continuously improve cyber security to keep up with increasingly sophisticated threats.","PeriodicalId":35342,"journal":{"name":"British Journal of Health Care Management","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-01-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47324192","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Why all the ROTT in the NHS?","authors":"R. Atenstaedt","doi":"10.12968/bjhc.2022.0094","DOIUrl":"https://doi.org/10.12968/bjhc.2022.0094","url":null,"abstract":"","PeriodicalId":35342,"journal":{"name":"British Journal of Health Care Management","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-01-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41920615","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Professor Gérard Memmi, head of the computer sciences and networks department at Télécom Paris, highlights the potentially severe consequences of cyber attacks in healthcare, with recommendations of how to prevent data theft and reduce the damages of a data breach.
{"title":"Cyber attacks in healthcare: why they matter and how to defend against them","authors":"G. Memmi","doi":"10.12968/bjhc.2022.0134","DOIUrl":"https://doi.org/10.12968/bjhc.2022.0134","url":null,"abstract":"Professor Gérard Memmi, head of the computer sciences and networks department at Télécom Paris, highlights the potentially severe consequences of cyber attacks in healthcare, with recommendations of how to prevent data theft and reduce the damages of a data breach.","PeriodicalId":35342,"journal":{"name":"British Journal of Health Care Management","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-01-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41526867","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Machine learning has the potential to transform how healthcare is delivered. It can support clinical decision making, determine the risk, presence and prognosis of disease and help optimise patient pathways. Widespread use and access to digital health records mean implementing machine learning models is quicker and easier than ever before. It is imperative for clinical and operational leads to understand the principles behind machine learning, so they can evaluate how it may be helpful to them and their teams. This article provides an overview of machine learning and how it can be used to help solve common healthcare-related problems.
{"title":"Machine learning for enhanced healthcare: an overview for operational and clinical leads","authors":"L. Roberts, H. Dhanoa, Sadie Lanes, J. Holdship","doi":"10.12968/bjhc.2022.0096","DOIUrl":"https://doi.org/10.12968/bjhc.2022.0096","url":null,"abstract":"Machine learning has the potential to transform how healthcare is delivered. It can support clinical decision making, determine the risk, presence and prognosis of disease and help optimise patient pathways. Widespread use and access to digital health records mean implementing machine learning models is quicker and easier than ever before. It is imperative for clinical and operational leads to understand the principles behind machine learning, so they can evaluate how it may be helpful to them and their teams. This article provides an overview of machine learning and how it can be used to help solve common healthcare-related problems.","PeriodicalId":35342,"journal":{"name":"British Journal of Health Care Management","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-01-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44052101","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"The role of pharmacies in modern healthcare","authors":"T. Harvey","doi":"10.12968/bjhc.2022.0137","DOIUrl":"https://doi.org/10.12968/bjhc.2022.0137","url":null,"abstract":"","PeriodicalId":35342,"journal":{"name":"British Journal of Health Care Management","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-01-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42766826","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
The COVID-19 pandemic led to many services being conducted remotely, including ear, nose and throat services. Although much in-person activity has now resumed, some services are still being provided remotely. This pilot study explored patients' satisfaction with the virtual multidisciplinary team balance clinics established at the authors' practice, looking at the feasibility of continuing this model of service delivery in the future. Self-administered questionnaires were posted to the 56 patients who had received a virtual consultation with the service between March and September 2020, of which 22 were returned. The questionnaire presented respondents with 14 items, with which they rated their agreement on a 6-point Likert scale. Correlations between the final item (which measured overall satisfaction) and the other items were analysed using Spearman's rho. Overall, respondents were satisfied with the virtual consultations. Respondents either agreed or strongly agreed with 13 of the 14 items; the only exception was ‘I obtained better access to healthcare services by use of telemedicine’. Most respondents were happy with the quality of communication and valued the time saved on travel, although one pointed out that this may not be an appropriate mode of service delivery for patients who are deaf. Virtual clinics can be an acceptable adjunct to traditional clinical consultations in an ear, nose and throat outpatient department for balance disorders and should be continued in future.
{"title":"Patient satisfaction with a virtual multidisciplinary team balance clinic: a pilot study","authors":"D. Chew, M. Stavrakas, Louise Mowforth, J. Ray","doi":"10.12968/bjhc.2021.0144","DOIUrl":"https://doi.org/10.12968/bjhc.2021.0144","url":null,"abstract":"The COVID-19 pandemic led to many services being conducted remotely, including ear, nose and throat services. Although much in-person activity has now resumed, some services are still being provided remotely. This pilot study explored patients' satisfaction with the virtual multidisciplinary team balance clinics established at the authors' practice, looking at the feasibility of continuing this model of service delivery in the future. Self-administered questionnaires were posted to the 56 patients who had received a virtual consultation with the service between March and September 2020, of which 22 were returned. The questionnaire presented respondents with 14 items, with which they rated their agreement on a 6-point Likert scale. Correlations between the final item (which measured overall satisfaction) and the other items were analysed using Spearman's rho. Overall, respondents were satisfied with the virtual consultations. Respondents either agreed or strongly agreed with 13 of the 14 items; the only exception was ‘I obtained better access to healthcare services by use of telemedicine’. Most respondents were happy with the quality of communication and valued the time saved on travel, although one pointed out that this may not be an appropriate mode of service delivery for patients who are deaf. Virtual clinics can be an acceptable adjunct to traditional clinical consultations in an ear, nose and throat outpatient department for balance disorders and should be continued in future.","PeriodicalId":35342,"journal":{"name":"British Journal of Health Care Management","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-01-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49122828","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Anton Emmanuel of the Bowel Interest Group explains how gaps in education regarding opioid-induced constipation is exacerbating this condition for patients taking opioid pain medication.
{"title":"The cost of opioid-induced constipation","authors":"A. Emmanuel","doi":"10.12968/bjhc.2022.0092","DOIUrl":"https://doi.org/10.12968/bjhc.2022.0092","url":null,"abstract":"Anton Emmanuel of the Bowel Interest Group explains how gaps in education regarding opioid-induced constipation is exacerbating this condition for patients taking opioid pain medication.","PeriodicalId":35342,"journal":{"name":"British Journal of Health Care Management","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-12-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45000018","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Patients with urinary stone disease often experience a variety of problems relating to quality of life, and require complex, multi-staged treatment. This means that holistic, patient-centred care is particularly important for this patient group. This study explored the experiences of patients who had undergone treatment for urinary stone disease, looking at the dimensions of patient-centred care. Purposeful sampling was used to select 30 participants from five private clinics in Jordan. Semi-structured open-ended interviews, lasting an average of 15 minutes, were conducted to gather data. The audio recording were transcribed and translated into English, then content analysis was performed to identify themes relating to the dimensions of patient-centred care. Participants valued all aspects of patient-centred care except the involvement of friends and family, which many did not think was important. Overall, most patients had experienced patient-centred care during their treatment, although some reported problems with certain areas, such as communication, care coordination and the provision of emotional support. The provision of patient-centred care is important for patients with urinary stone disease, although their specific needs should be considered in relation to the personality and circumstances of the individual. Further research is needed on how patient-centred care can be embedded into the entire patient journey, looking particularly at care coordination and communication.
{"title":"Patient-centred care for urinary stone disease: a qualitative study","authors":"Malik Ayyad","doi":"10.12968/bjhc.2021.0092","DOIUrl":"https://doi.org/10.12968/bjhc.2021.0092","url":null,"abstract":"Patients with urinary stone disease often experience a variety of problems relating to quality of life, and require complex, multi-staged treatment. This means that holistic, patient-centred care is particularly important for this patient group. This study explored the experiences of patients who had undergone treatment for urinary stone disease, looking at the dimensions of patient-centred care. Purposeful sampling was used to select 30 participants from five private clinics in Jordan. Semi-structured open-ended interviews, lasting an average of 15 minutes, were conducted to gather data. The audio recording were transcribed and translated into English, then content analysis was performed to identify themes relating to the dimensions of patient-centred care. Participants valued all aspects of patient-centred care except the involvement of friends and family, which many did not think was important. Overall, most patients had experienced patient-centred care during their treatment, although some reported problems with certain areas, such as communication, care coordination and the provision of emotional support. The provision of patient-centred care is important for patients with urinary stone disease, although their specific needs should be considered in relation to the personality and circumstances of the individual. Further research is needed on how patient-centred care can be embedded into the entire patient journey, looking particularly at care coordination and communication.","PeriodicalId":35342,"journal":{"name":"British Journal of Health Care Management","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-12-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42137159","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
京公网安备 11010802042870号
京ICP备2023020795号-1
扫码关注我们
求助内容：
应助结果提醒方式：