Pub Date : 2023-11-30DOI: 10.24083/apjhm.v18i3.2473
Rebecca Eckersley, Jennifer Kosiol
Transitioning from paediatric healthcare into an adult healthcare system is a high-risk time for people with complex epilepsy. This can be a period of significant upheaval as a young person moves away from familiar and safe paediatric environments into unfamiliar adult healthcare. This is compounded by normal adolescent development, the challenges of epilepsy and the lifestyle conditions it demands, including restrictions on driving and levels of independence. Such factors can contribute to suboptimal health engagement which result in increased seizure activity, hospital admissions and reduction in community participation. Effective, well implemented transition programs are key to reducing risks, however little is known about which features of transition pathways define success or best practice. A scoping review was used to examine a broad range of peer-reviewed literature published between 2017 and 2022. This review examined evidence-based literature relating to experiences of people with epilepsy as they transitioned between paediatric and adult healthcare environments. Specifically, exploring practices that offered benefits, recognising barriers, and identifying findings to inform future research and advance transition practices. This review found that key to reducing transition-related health impacts for young people was patient-centred, engaging care that acknowledges their psychosocial and mental health needs specific to their level of development. Evidence suggests that engagement is built through multidisciplinary clinics that facilitate education and self-management. This review found that successful programs can deliver this by focusing on four key areas; relationships and continuity, capacity building, processes, and health services and systems. At a paediatric level this involves timely, age-appropriate preparation that builds skills and knowledge through tailored care-plans. At the transfer phase this means coordinated teams that work together across systems to ensure handover continuity, reduce stressors, and to aid navigation. At the adult level, care-teams that welcome young patients with protocols for continued capacity building are required.
{"title":"Benefits And Challenges for Young Australians with Epilepsy Transitioning Into Adult Healthcare: A scoping review","authors":"Rebecca Eckersley, Jennifer Kosiol","doi":"10.24083/apjhm.v18i3.2473","DOIUrl":"https://doi.org/10.24083/apjhm.v18i3.2473","url":null,"abstract":"Transitioning from paediatric healthcare into an adult healthcare system is a high-risk time for people with complex epilepsy. This can be a period of significant upheaval as a young person moves away from familiar and safe paediatric environments into unfamiliar adult healthcare. This is compounded by normal adolescent development, the challenges of epilepsy and the lifestyle conditions it demands, including restrictions on driving and levels of independence. Such factors can contribute to suboptimal health engagement which result in increased seizure activity, hospital admissions and reduction in community participation. Effective, well implemented transition programs are key to reducing risks, however little is known about which features of transition pathways define success or best practice. A scoping review was used to examine a broad range of peer-reviewed literature published between 2017 and 2022. This review examined evidence-based literature relating to experiences of people with epilepsy as they transitioned between paediatric and adult healthcare environments. Specifically, exploring practices that offered benefits, recognising barriers, and identifying findings to inform future research and advance transition practices. This review found that key to reducing transition-related health impacts for young people was patient-centred, engaging care that acknowledges their psychosocial and mental health needs specific to their level of development. Evidence suggests that engagement is built through multidisciplinary clinics that facilitate education and self-management. This review found that successful programs can deliver this by focusing on four key areas; relationships and continuity, capacity building, processes, and health services and systems. At a paediatric level this involves timely, age-appropriate preparation that builds skills and knowledge through tailored care-plans. At the transfer phase this means coordinated teams that work together across systems to ensure handover continuity, reduce stressors, and to aid navigation. At the adult level, care-teams that welcome young patients with protocols for continued capacity building are required.","PeriodicalId":42935,"journal":{"name":"Asia Pacific Journal of Health Management","volume":"50 1","pages":""},"PeriodicalIF":0.6,"publicationDate":"2023-11-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139198285","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}
Pub Date : 2023-11-30DOI: 10.24083/apjhm.v18i3.2565
Liswandi L, Rifqi Muhammad
The existence of an association between work-life balance and mental health in employees has not been found. The purpose of the systematic review is to assess the relationship between work-life balance and mental health among employees. This study used the SLR method; a literature search was conducted on the PubMed, Scopus, Google Scholar, and Crossref databases in early January 2023. The results showed n = 79 on Scopus, n = 2 on PubMed, n = 147 on Google Scholar, and n = 4000 on Crossref. After PRISMA analysis, n = 30 studies were included in the review. Number of reviews Positive correlation between work-life balance and positive mental health (n = 19); positive correlation between work-life balance and positive mental health (n = 7); positive correlation between work-life imbalance and positive mental health (n = 4). Countries where research was conducted: Malaysia, South Korea, India, Indonesia, Pakistan, Spanish, Nigeria, Ghana, Australia, New Zealand Maori, China, UK, Chinese, New Zealand European, French, Italian, Brazil, Canada, Taiwan, Egyptian, Saudi, Switzerland, and America. Positive mental health variations that have a positive relationship with work-life balance are psychological well-being, resilience, life satisfaction, well-being, positive mental health, higher job satisfaction, lower turnover intention, psychological well-being, well-being, job performance, and work involvement. There are a variety of workers: priests, public servants, lecturers, campus administrative staff, bankers, high school teachers, academics, media workers, midwives, and professors. Depression, anxiety, mental burden, work stress, the severity of insomnia, burnout, turnover intention, and technostress are all variations of mental health problems that have a positive relationship with work-life balance. Worker variations include bankers, health care professionals, work-from-home moms, working students, bus transportation workers, and full-time insurance tech employees.
{"title":"The Association Between Work-life Balance and Employee Mental Health: A systemic review","authors":"Liswandi L, Rifqi Muhammad","doi":"10.24083/apjhm.v18i3.2565","DOIUrl":"https://doi.org/10.24083/apjhm.v18i3.2565","url":null,"abstract":"The existence of an association between work-life balance and mental health in employees has not been found. The purpose of the systematic review is to assess the relationship between work-life balance and mental health among employees. This study used the SLR method; a literature search was conducted on the PubMed, Scopus, Google Scholar, and Crossref databases in early January 2023. The results showed n = 79 on Scopus, n = 2 on PubMed, n = 147 on Google Scholar, and n = 4000 on Crossref. After PRISMA analysis, n = 30 studies were included in the review. Number of reviews Positive correlation between work-life balance and positive mental health (n = 19); positive correlation between work-life balance and positive mental health (n = 7); positive correlation between work-life imbalance and positive mental health (n = 4). Countries where research was conducted: Malaysia, South Korea, India, Indonesia, Pakistan, Spanish, Nigeria, Ghana, Australia, New Zealand Maori, China, UK, Chinese, New Zealand European, French, Italian, Brazil, Canada, Taiwan, Egyptian, Saudi, Switzerland, and America. Positive mental health variations that have a positive relationship with work-life balance are psychological well-being, resilience, life satisfaction, well-being, positive mental health, higher job satisfaction, lower turnover intention, psychological well-being, well-being, job performance, and work involvement. There are a variety of workers: priests, public servants, lecturers, campus administrative staff, bankers, high school teachers, academics, media workers, midwives, and professors. Depression, anxiety, mental burden, work stress, the severity of insomnia, burnout, turnover intention, and technostress are all variations of mental health problems that have a positive relationship with work-life balance. Worker variations include bankers, health care professionals, work-from-home moms, working students, bus transportation workers, and full-time insurance tech employees.","PeriodicalId":42935,"journal":{"name":"Asia Pacific Journal of Health Management","volume":"27 1","pages":""},"PeriodicalIF":0.6,"publicationDate":"2023-11-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139202076","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}
Pub Date : 2023-11-30DOI: 10.24083/apjhm.v18i3.2817
Michael Chuang, Yu-Sheng Lee
Objective: Technology innovation emerged in diabetic care and management during COVID-19. To tackle emerging opportunities, this scoping review aims to analyze current technology used for diabetic care by employing WHO technology initiatives to reveal technology use potentials for future research and development. Materials and Methods: We conducted a review following PRISMA. We initiated a search of related terms for peer-reviewed publications in PubMed and Web of Science, including those themed in diabetic care and management and published in English. Results: We reviewed 42 articles following the guidance of WHO technology conceptualization, including mHealth (12%), eHealth (76%), and dHealth (12%). These initiatives are used to reveal six areas of technology utilization for diabetes care during the pandemic, including (1) social media; (2) sensor; (3) teleconference; (4) virtual care; (5) artificial intelligence; and (6) data mining. Discussion: Based on the identified dimensions related to technology and health, we presented seven diabetes-related health events and their associations with technologies. Implications such as technology’s association with diabetes disease progression, technology diagramming for interdisciplinary collaboration, and technology features for health outcomes provide direction for future research and development. Conclusion: This review illustrates current technology utilization in diabetes care during the pandemic. It also uncovers innovation opportunities across technology and diabetic healthcare domains and provides direction for future pursuits in academia and practice.
目的：在 COVID-19 期间，糖尿病护理和管理领域出现了技术创新。为了抓住新出现的机遇，本范围综述旨在通过采用世界卫生组织的技术倡议，分析当前用于糖尿病护理的技术，以揭示未来研究和开发的技术使用潜力。材料与方法：我们按照 PRISMA 进行了综述。我们在 PubMed 和 Web of Science 中对同行评审过的出版物进行了相关术语的搜索，包括以糖尿病护理和管理为主题并以英文发表的出版物。结果：我们按照世界卫生组织的技术概念化指导对 42 篇文章进行了审查，包括移动医疗（12%）、电子医疗（76%）和数据医疗（12%）。这些举措揭示了大流行病期间糖尿病护理技术利用的六个领域，包括：(1) 社交媒体；(2) 传感器；(3) 远程会议；(4) 虚拟护理；(5) 人工智能；(6) 数据挖掘。讨论：根据已确定的技术与健康相关维度，我们介绍了七种与糖尿病相关的健康事件及其与技术的关联。技术与糖尿病疾病进展的关系、跨学科合作的技术图解以及促进健康结果的技术特征等方面的意义为未来的研究和发展提供了方向。结论： 本综述说明了糖尿病大流行期间糖尿病护理技术的使用现状。它还揭示了跨技术和糖尿病医疗保健领域的创新机会，并为学术界和实践界的未来追求提供了方向。
{"title":"Exploring Technology Domains for Diabetes Care and Management under Pandemic: A preliminary scoping review","authors":"Michael Chuang, Yu-Sheng Lee","doi":"10.24083/apjhm.v18i3.2817","DOIUrl":"https://doi.org/10.24083/apjhm.v18i3.2817","url":null,"abstract":"Objective: Technology innovation emerged in diabetic care and management during COVID-19. To tackle emerging opportunities, this scoping review aims to analyze current technology used for diabetic care by employing WHO technology initiatives to reveal technology use potentials for future research and development. Materials and Methods: We conducted a review following PRISMA. We initiated a search of related terms for peer-reviewed publications in PubMed and Web of Science, including those themed in diabetic care and management and published in English. Results: We reviewed 42 articles following the guidance of WHO technology conceptualization, including mHealth (12%), eHealth (76%), and dHealth (12%). These initiatives are used to reveal six areas of technology utilization for diabetes care during the pandemic, including (1) social media; (2) sensor; (3) teleconference; (4) virtual care; (5) artificial intelligence; and (6) data mining. Discussion: Based on the identified dimensions related to technology and health, we presented seven diabetes-related health events and their associations with technologies. Implications such as technology’s association with diabetes disease progression, technology diagramming for interdisciplinary collaboration, and technology features for health outcomes provide direction for future research and development. Conclusion: This review illustrates current technology utilization in diabetes care during the pandemic. It also uncovers innovation opportunities across technology and diabetic healthcare domains and provides direction for future pursuits in academia and practice.","PeriodicalId":42935,"journal":{"name":"Asia Pacific Journal of Health Management","volume":"1 1","pages":""},"PeriodicalIF":0.6,"publicationDate":"2023-11-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139197980","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}
Objective: To describe the development, implementation and governance of a structured education framework in a large Local Health District (LHD) in New South Wales, Australia. Outcomes: The Education Framework was developed to provide structure and governance to pre-existing education, and to meet the needs of both the individual and the organisation. The Framework provided guidance to educators on how to assess need, design and evaluate education to ensure alignment to organisational strategy. Conclusions; The LHD Education Framework supports a governance approach for education and assists educators, staff and managers to understand and navigate the LHD Education Environment. It supports staff to develop a road map for education that can be applied across the organisation or to individuals. It guides the development, structure and evaluation of all educational programs and activities (including Medicine, Nursing and Midwifery, Allied Health and Corporate) enabling those providing education to demonstrate alignment to organisational priorities. Within the “Excellence” Evidence Based Leadership Model, education is a key accelerator in aligning processes and for driving organisational performance.
{"title":"An Education Framework in a Health Organisation; Governance and Implementation","authors":"Phillip Way, Catherine Rutledge, Patricia Davidson","doi":"10.24083/apjhm.v18i3.2385","DOIUrl":"https://doi.org/10.24083/apjhm.v18i3.2385","url":null,"abstract":"Objective: To describe the development, implementation and governance of a structured education framework in a large Local Health District (LHD) in New South Wales, Australia. Outcomes: The Education Framework was developed to provide structure and governance to pre-existing education, and to meet the needs of both the individual and the organisation. The Framework provided guidance to educators on how to assess need, design and evaluate education to ensure alignment to organisational strategy. Conclusions; The LHD Education Framework supports a governance approach for education and assists educators, staff and managers to understand and navigate the LHD Education Environment. It supports staff to develop a road map for education that can be applied across the organisation or to individuals. It guides the development, structure and evaluation of all educational programs and activities (including Medicine, Nursing and Midwifery, Allied Health and Corporate) enabling those providing education to demonstrate alignment to organisational priorities. Within the “Excellence” Evidence Based Leadership Model, education is a key accelerator in aligning processes and for driving organisational performance.","PeriodicalId":42935,"journal":{"name":"Asia Pacific Journal of Health Management","volume":"21 1","pages":""},"PeriodicalIF":0.6,"publicationDate":"2023-11-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139200796","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}
Pub Date : 2023-11-30DOI: 10.24083/apjhm.v18i3.775
Jabarethina G
Objective: The purpose of the study is to examine patients’ Zone of Tolerance by measuring the gap between perceived and expected service quality and the waiting time to complete the service process during the provision of Master Health Checkups (MHC). Method: Service Quality was tested by using a questionnaire among patients who underwent an MHC in a multi-speciality hospital, in Chennai, India. The observation checklist was used to measure the waiting time. Results: The F test results revealed that demographic factors may affect the zone of tolerance. The empathy of health care professionals may affect qualified and employed groups’ Zone of Tolerance. The patients who were dissatisfied with time were satisfied and delighted with overall services. Conclusion: Patients who come for MHC will have certain expectations. The mean score results indicate that patients are delighted with the empathy of healthcare professionals during the test procedure patients' weighting time was highlighted as the main problem of many patients, which needs to be fixed but the customer perceived opinion on overall services may compensate for the time issue. If healthcare professionals and management can adhere to patients' expectations, the organization will be able to satisfy them, and if they go above and beyond, they will be able to delight them.
研究目的本研究旨在通过测量患者在接受主健康检查（MHC）过程中感知到的服务质量与预期服务质量之间的差距，以及完成服务流程所需的等待时间，来考察患者的 "容忍区"（Zone of Tolerance）。研究方法：在印度钦奈的一家综合专科医院中，通过对接受主健康检查的患者进行问卷调查，对服务质量进行测试。观察核对表用于测量等待时间。结果显示F 检验结果显示，人口统计学因素可能会影响耐受区。医护人员的同理心可能会影响合格群体和就业群体的容忍区。对时间不满意的患者对整体服务感到满意和高兴。结论前来就诊的患者会有一定的期望。平均得分结果表明，患者对医护人员在检查过程中的同理心感到满意。患者对时间的重视是许多患者的主要问题，这一点需要解决，但客户对整体服务的看法可能会弥补时间问题。如果医护人员和管理层能够满足患者的期望，组织就能让患者满意，如果他们能够超越患者的期望，就能让患者高兴。
{"title":"Patients’ Zone of Tolerance in The Service Process and Service Quality at A Multi-Specialty Hospital","authors":"Jabarethina G","doi":"10.24083/apjhm.v18i3.775","DOIUrl":"https://doi.org/10.24083/apjhm.v18i3.775","url":null,"abstract":"Objective: The purpose of the study is to examine patients’ Zone of Tolerance by measuring the gap between perceived and expected service quality and the waiting time to complete the service process during the provision of Master Health Checkups (MHC). Method: Service Quality was tested by using a questionnaire among patients who underwent an MHC in a multi-speciality hospital, in Chennai, India. The observation checklist was used to measure the waiting time. Results: The F test results revealed that demographic factors may affect the zone of tolerance. The empathy of health care professionals may affect qualified and employed groups’ Zone of Tolerance. The patients who were dissatisfied with time were satisfied and delighted with overall services. Conclusion: Patients who come for MHC will have certain expectations. The mean score results indicate that patients are delighted with the empathy of healthcare professionals during the test procedure patients' weighting time was highlighted as the main problem of many patients, which needs to be fixed but the customer perceived opinion on overall services may compensate for the time issue. If healthcare professionals and management can adhere to patients' expectations, the organization will be able to satisfy them, and if they go above and beyond, they will be able to delight them.","PeriodicalId":42935,"journal":{"name":"Asia Pacific Journal of Health Management","volume":"3 1","pages":""},"PeriodicalIF":0.6,"publicationDate":"2023-11-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139199640","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}
Pub Date : 2023-11-30DOI: 10.24083/apjhm.v18i3.2157
Jennifer Kosiol, R. Olley, Tracey Silvester, J. Vidal, Helen Cooper
Infectious disease outbreaks in aged care services present challenges for consumers and staff. The vulnerability of users of aged care services and a lack of preparedness on the part of aged care services to manage the risk associated with viral disease transmission was particularly evident during the COVID-19 pandemic.We used the PRISMA Method to review the available literature systematically. This qualitative review of the literature on pandemic preparedness assessed eight high-quality research papers and identified themes that emerged to support aged care services in preparing for future pandemics. These articles provided insight into what aged care services require to increase their capacity to respond to communicable disease outbreaks.Four themes emerged from the literature reviewed: Staff Training and Development, Safety Culture, Creating a Safe Environment by planning for contingencies and Risk and Resource Management (including resourcing for Personal Protective Equipment (PPE), Leader Presence and Time Responses and Clear, Consistent Messaging) were the dominant themes in the literature. The researchers found that using guidelines and checklists is helpful but only if they are clear, not complex and do not take too long to read. Risk strategies in future must also focus on the resources required to protect staff, families, and consumers. This paper also provides recommendations that will allow aged care services to respond to future communicable disease outbreaks more effectively. Such measures include the need for a planning methodology that incorporates ready access to PPE, the use of meaningful communication, increased hazard and risk awareness and the need to create a safety culture within the service based on sound values, attitudes and behaviours of leaders and staff.
{"title":"Pandemic Preparedness in the Aged Care Sector: A systematic literature review","authors":"Jennifer Kosiol, R. Olley, Tracey Silvester, J. Vidal, Helen Cooper","doi":"10.24083/apjhm.v18i3.2157","DOIUrl":"https://doi.org/10.24083/apjhm.v18i3.2157","url":null,"abstract":"Infectious disease outbreaks in aged care services present challenges for consumers and staff. The vulnerability of users of aged care services and a lack of preparedness on the part of aged care services to manage the risk associated with viral disease transmission was particularly evident during the COVID-19 pandemic.We used the PRISMA Method to review the available literature systematically. This qualitative review of the literature on pandemic preparedness assessed eight high-quality research papers and identified themes that emerged to support aged care services in preparing for future pandemics. These articles provided insight into what aged care services require to increase their capacity to respond to communicable disease outbreaks.Four themes emerged from the literature reviewed: Staff Training and Development, Safety Culture, Creating a Safe Environment by planning for contingencies and Risk and Resource Management (including resourcing for Personal Protective Equipment (PPE), Leader Presence and Time Responses and Clear, Consistent Messaging) were the dominant themes in the literature. The researchers found that using guidelines and checklists is helpful but only if they are clear, not complex and do not take too long to read. Risk strategies in future must also focus on the resources required to protect staff, families, and consumers. This paper also provides recommendations that will allow aged care services to respond to future communicable disease outbreaks more effectively. Such measures include the need for a planning methodology that incorporates ready access to PPE, the use of meaningful communication, increased hazard and risk awareness and the need to create a safety culture within the service based on sound values, attitudes and behaviours of leaders and staff.","PeriodicalId":42935,"journal":{"name":"Asia Pacific Journal of Health Management","volume":"280 ","pages":""},"PeriodicalIF":0.6,"publicationDate":"2023-11-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139204983","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}
Pub Date : 2023-11-30DOI: 10.24083/apjhm.v18i3.2293
Suha Tailakh, Muayyad Mustafa Ahmad
Background: Patients' discharge from the hospital is considered a crucial transition. Appropriate patient education about their condition and its treatment can reduce adverse events and improve health outcomes. Objective: Identifying high-risk patients for adverse events after hospital discharge and evaluating patient discharge information to ensure patients are safely discharged. Method: Between January 2019 and February 2020, a retrospective cross-sectional study examined hospital discharge notes. A random sample of 600 hospital discharges was audited, and a convenience sample of 150 patients was used to gauge patient satisfaction. Results: The patient's age, medical history, the presence of a physical limitation, and the presence of a surgical wound were all significantly related to readmission at p < .05. In addition, there was a significant correlation between emergency room visits, medical history, and physical or mental impairment p< .05. Lastly, the presence of complications was associated with physical restriction and surgical wound p < .05. The findings revealed that84.6% (n = 127) of patients did not appear to pay attention to the information on their discharge summaries, but they kept them as a reminder of their follow-up appointments. There were medical abbreviations in all of the discharge summaries (n = 150). Almost all discharge summaries contained at least 70% of the required information (diagnosis, past history, allergies, procedures, laboratory results, medications, and appointments). In contrast, the patients' level of satisfaction was lowest with respect to crucial aspects such as warning signs, recommendations, and educational materials. They were neither verbally nor in writing summarized. Conclusion: Patient-specific discharge information and summaries should be provided. It should be suitable for the patients' physical, educational, and psychological conditions. Important parts of post-discharge instructions should be provided in a straightforward, written format to improve health outcomes and reduce adverse events.
{"title":"Evaluation of Patient Discharge Information Between What Is Said and What Is Written","authors":"Suha Tailakh, Muayyad Mustafa Ahmad","doi":"10.24083/apjhm.v18i3.2293","DOIUrl":"https://doi.org/10.24083/apjhm.v18i3.2293","url":null,"abstract":"Background: Patients' discharge from the hospital is considered a crucial transition. Appropriate patient education about their condition and its treatment can reduce adverse events and improve health outcomes. Objective: Identifying high-risk patients for adverse events after hospital discharge and evaluating patient discharge information to ensure patients are safely discharged. Method: Between January 2019 and February 2020, a retrospective cross-sectional study examined hospital discharge notes. A random sample of 600 hospital discharges was audited, and a convenience sample of 150 patients was used to gauge patient satisfaction. Results: The patient's age, medical history, the presence of a physical limitation, and the presence of a surgical wound were all significantly related to readmission at p < .05. In addition, there was a significant correlation between emergency room visits, medical history, and physical or mental impairment p< .05. Lastly, the presence of complications was associated with physical restriction and surgical wound p < .05. The findings revealed that84.6% (n = 127) of patients did not appear to pay attention to the information on their discharge summaries, but they kept them as a reminder of their follow-up appointments. There were medical abbreviations in all of the discharge summaries (n = 150). Almost all discharge summaries contained at least 70% of the required information (diagnosis, past history, allergies, procedures, laboratory results, medications, and appointments). In contrast, the patients' level of satisfaction was lowest with respect to crucial aspects such as warning signs, recommendations, and educational materials. They were neither verbally nor in writing summarized. Conclusion: Patient-specific discharge information and summaries should be provided. It should be suitable for the patients' physical, educational, and psychological conditions. Important parts of post-discharge instructions should be provided in a straightforward, written format to improve health outcomes and reduce adverse events.","PeriodicalId":42935,"journal":{"name":"Asia Pacific Journal of Health Management","volume":"1 1","pages":""},"PeriodicalIF":0.6,"publicationDate":"2023-11-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139199213","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}
Pub Date : 2023-11-30DOI: 10.24083/apjhm.v18i3.2697
T. Verulava
Background: In order to better adapt to the constantly changing global environment, the main priority of the healthcare system is the stable functioning of the hospital sector, for which it is necessary to execute efficient strategic management processes. The purpose of the research is to study the barriers to effective implementation of strategic plans in hospitals in Tbilisi (Georgia). Methods: As part of the quantitative research, a survey of 23 top managers of 10 large hospitals was conducted. Research results: None of the hospitals employed external consultants for strategic planning. A small number of hospitals attended strategic planning training (13%), only one hospital had a strategic planning committee (4.3%), the majority of hospitals (87%) had a documented strategic plan; Strategic planning was primarily engaged by the management board (69.6%), with doctors participating to a lesser extent (30.4%). Only one-third (34.8%) of hospitals develop their budget according to the strategic plan. Resources (43.5%) and allocation of budget funds (47.8%) are not done in accordance with the goals of the strategic plan. The majority of hospitals are less likely to compare the results of the evaluation of goal achievement indicators with those of other hospitals (52.2%), Only a few of them report the values of actions taken to accomplish the strategic plan's goals to the hospital (43.5%), Most of the hospitals rarely do benchmarking of other hospitals' goal-achieving measures (78.3%). Discussion, Conclusion: Only a small number of hospitals have a strategic management process that as a consequence affects their success in the healthcare market. Due to inappropriate competence, physicians’ strategic planning skills are low. It is reasonable for the state to impose a requirement that the hospitals must produce a written strategic plan and employ a strategic management manager. It is essential to provide educational training on hospital strategic management processes.
{"title":"Strategic Management and Planning for Health Care Organizations in Georgia","authors":"T. Verulava","doi":"10.24083/apjhm.v18i3.2697","DOIUrl":"https://doi.org/10.24083/apjhm.v18i3.2697","url":null,"abstract":"Background: In order to better adapt to the constantly changing global environment, the main priority of the healthcare system is the stable functioning of the hospital sector, for which it is necessary to execute efficient strategic management processes. The purpose of the research is to study the barriers to effective implementation of strategic plans in hospitals in Tbilisi (Georgia). Methods: As part of the quantitative research, a survey of 23 top managers of 10 large hospitals was conducted. Research results: None of the hospitals employed external consultants for strategic planning. A small number of hospitals attended strategic planning training (13%), only one hospital had a strategic planning committee (4.3%), the majority of hospitals (87%) had a documented strategic plan; Strategic planning was primarily engaged by the management board (69.6%), with doctors participating to a lesser extent (30.4%). Only one-third (34.8%) of hospitals develop their budget according to the strategic plan. Resources (43.5%) and allocation of budget funds (47.8%) are not done in accordance with the goals of the strategic plan. The majority of hospitals are less likely to compare the results of the evaluation of goal achievement indicators with those of other hospitals (52.2%), Only a few of them report the values of actions taken to accomplish the strategic plan's goals to the hospital (43.5%), Most of the hospitals rarely do benchmarking of other hospitals' goal-achieving measures (78.3%). Discussion, Conclusion: Only a small number of hospitals have a strategic management process that as a consequence affects their success in the healthcare market. Due to inappropriate competence, physicians’ strategic planning skills are low. It is reasonable for the state to impose a requirement that the hospitals must produce a written strategic plan and employ a strategic management manager. It is essential to provide educational training on hospital strategic management processes.","PeriodicalId":42935,"journal":{"name":"Asia Pacific Journal of Health Management","volume":"339 ","pages":""},"PeriodicalIF":0.6,"publicationDate":"2023-11-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139204672","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}
Pub Date : 2023-11-30DOI: 10.24083/apjhm.v18i3.2523
Nitin Joseph, Kritika Chopra, R. K. Shiva
Aims: This study assessed occupational burnout and its determinants, causes of occupational stress, and its coping strategies amongst 13 nurses working in the psychiatry wards in India. Methods: This was a longitudinal mixed-method study. The qualitative component comprised interviewing each participant under the steps of “free listing” and “pile sorting” to assess the causes of occupational stress and its coping strategies. The occupational burnout experiences were assessed using the Maslach Burnout Inventory. Results: Low-level depersonalization scores were present among six (46.1%) participants. Scores under this component of burnout were negatively correlated with years of work experience in providing nursing care for admitted psychiatric patients (rs = -0.548, p=0.05). Median scores of the emotional exhaustion scale (p=0.047) and of the depersonalization scale (p=0.016) were significantly higher among participants working at the government hospital. The major cause of occupational stress was poor infrastructure and treatment facilities with a salience score of 0.154. The most adopted strategies to tide over occupational stress were reading books and meditation with a salience score of 0.128 and 0.109 respectively. Conclusion: Extended work experience of participants was associated with their better ability to understand and empathize more with the patients as reflected by the low depersonalization scores. Two components of occupational burnout were found to be higher among nurses working in the government hospital. Organizational relationships were a more common cause of occupational stress than client-related matters among the participants. Recreational activities were the most common coping strategies adopted by the participants to deal with stress.
{"title":"Assessment of Occupational Burnout And Its Determinants, Causes of Occupational Stress, And Its Coping Strategies Among Nurses Working In The Psychiatric Wards: A mixed-method study","authors":"Nitin Joseph, Kritika Chopra, R. K. Shiva","doi":"10.24083/apjhm.v18i3.2523","DOIUrl":"https://doi.org/10.24083/apjhm.v18i3.2523","url":null,"abstract":"Aims: This study assessed occupational burnout and its determinants, causes of occupational stress, and its coping strategies amongst 13 nurses working in the psychiatry wards in India. Methods: This was a longitudinal mixed-method study. The qualitative component comprised interviewing each participant under the steps of “free listing” and “pile sorting” to assess the causes of occupational stress and its coping strategies. The occupational burnout experiences were assessed using the Maslach Burnout Inventory. Results: Low-level depersonalization scores were present among six (46.1%) participants. Scores under this component of burnout were negatively correlated with years of work experience in providing nursing care for admitted psychiatric patients (rs = -0.548, p=0.05). Median scores of the emotional exhaustion scale (p=0.047) and of the depersonalization scale (p=0.016) were significantly higher among participants working at the government hospital. The major cause of occupational stress was poor infrastructure and treatment facilities with a salience score of 0.154. The most adopted strategies to tide over occupational stress were reading books and meditation with a salience score of 0.128 and 0.109 respectively. Conclusion: Extended work experience of participants was associated with their better ability to understand and empathize more with the patients as reflected by the low depersonalization scores. Two components of occupational burnout were found to be higher among nurses working in the government hospital. Organizational relationships were a more common cause of occupational stress than client-related matters among the participants. Recreational activities were the most common coping strategies adopted by the participants to deal with stress.","PeriodicalId":42935,"journal":{"name":"Asia Pacific Journal of Health Management","volume":"117 8","pages":""},"PeriodicalIF":0.6,"publicationDate":"2023-11-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139206136","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}
Pub Date : 2023-11-30DOI: 10.24083/apjhm.v18i3.2691
Eman Rafhi, I. Stupans, Joon Soo Park, Kate Wang
Objective: To quantitatively explore the social and individual factors (including beliefs, experiences, and health literacy) that may affect medicine use in older adults. Design: A descriptive research approach with quantitative-based methods was used. Individual structured interviews were completed for each participant where they were questioned on any health conditions, medicines, and healthcare utilisation. The following validated questionnaires were implemented in the interview; Beliefs about Medicines Questionnaire, Health Literacy Questionnaire, EQ-5D-5L scale, Barthel Activities of Daily Living Index, Perceived Sensitivity to Medicines Scale, Patients Attitudes Towards Deprescribing, Medication Related Burden Quality of Life, and Adherence to Refills and Medication Scale. Descriptive statistics were calculated using SPSS software. Setting: People ≥65 years living in the community in Australia. Main Outcome Measures: Suboptimal prescribing, including polypharmacy, potentially inappropriate medicines use, and adherence. Results: Twenty-four participants completed the study and reported a mean BMQ necessity score of 11/25, mean specific concerns score of 19/25, mean general overuse score of 12/20 and suggest general harm score of 16/20. Most participants believed that medicines do more harm than good and physicians are overprescribing medicines. The highest scoring HLQ domain was ‘Navigating the healthcare system’, while the lowest scoring domains were ‘social support’ and ‘having sufficient information to manage my health’. Additionally, individual experience was found to be an important factor in participants’ medication attitudes and participants who trusted their prescriber were more likely to adhere to their medication regimen. Conclusion: The influence of beliefs, experiences, and health literacy on medicine use in older adults remains unclear, and future studies will investigate the effects of these factors on a larger sample size.
{"title":"The Influence of Social and Individual Factors on Medicine Use in Older Adults","authors":"Eman Rafhi, I. Stupans, Joon Soo Park, Kate Wang","doi":"10.24083/apjhm.v18i3.2691","DOIUrl":"https://doi.org/10.24083/apjhm.v18i3.2691","url":null,"abstract":"Objective: To quantitatively explore the social and individual factors (including beliefs, experiences, and health literacy) that may affect medicine use in older adults. Design: A descriptive research approach with quantitative-based methods was used. Individual structured interviews were completed for each participant where they were questioned on any health conditions, medicines, and healthcare utilisation. The following validated questionnaires were implemented in the interview; Beliefs about Medicines Questionnaire, Health Literacy Questionnaire, EQ-5D-5L scale, Barthel Activities of Daily Living Index, Perceived Sensitivity to Medicines Scale, Patients Attitudes Towards Deprescribing, Medication Related Burden Quality of Life, and Adherence to Refills and Medication Scale. Descriptive statistics were calculated using SPSS software. Setting: People ≥65 years living in the community in Australia. Main Outcome Measures: Suboptimal prescribing, including polypharmacy, potentially inappropriate medicines use, and adherence. Results: Twenty-four participants completed the study and reported a mean BMQ necessity score of 11/25, mean specific concerns score of 19/25, mean general overuse score of 12/20 and suggest general harm score of 16/20. Most participants believed that medicines do more harm than good and physicians are overprescribing medicines. The highest scoring HLQ domain was ‘Navigating the healthcare system’, while the lowest scoring domains were ‘social support’ and ‘having sufficient information to manage my health’. Additionally, individual experience was found to be an important factor in participants’ medication attitudes and participants who trusted their prescriber were more likely to adhere to their medication regimen. Conclusion: The influence of beliefs, experiences, and health literacy on medicine use in older adults remains unclear, and future studies will investigate the effects of these factors on a larger sample size.","PeriodicalId":42935,"journal":{"name":"Asia Pacific Journal of Health Management","volume":"40 1","pages":""},"PeriodicalIF":0.6,"publicationDate":"2023-11-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139200829","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}
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