Hospital Topics最新文献

Aim: In this study we develop and standardize an instrument to measure hospital quality from the perspective of attendants in district hospitals of an Indian Union Territory. We also measure the hospital quality across dimensions and the overall service quality. Subject and Methods: We used performance only model with attendant as a proxy respondent to measure the hospital service quality. Multistage purposive sampling technique was used to select the sample hospitals and sample respondents. Results: The results revealed that hospital service quality in district hospitals of UT of J and K, India, consists of seven dimensions. It was also found that the perceived hospital quality is moderate with an overall score of 3.26 on a five-point scale and needs significant improvement. Conclusion: The study concludes that the service quality in district hospitals of UT of J and K, India is relatively poor and needs immediate attention.

Healthcare quality is affected by inefficient resource allocation, including the mismatch between trained professionals and available jobs. This study estimates the need for replacement doctors due to retirement in Alicante from 2025 to 2032. Medical graduates in the Valencian Community increased by 172 between 2015/2016 and 2020/2021, with 75 additional places in a new medical school. Projections indicate a surplus of up to 100 doctors annually. Without creating new specialist positions aligned with population growth, the number of trained doctors will exceed available jobs, risking unemployment and job insecurity in the public healthcare system.

In Canada, hospitalized patients aged 65 and older with dementia as a primary diagnosis often face delayed discharges due to limited access to long-term care (LTC) facilities and homecare services. This study compares patients aged 65 and older with dementia as the primary diagnosis to those with 16 broad categories of other primary diagnoses-excluding dementia-related conditions where applicable-across three key outcomes: (1) the likelihood of experiencing a delayed discharge, (2) the length of delay among those who experienced one, and (3) among delayed discharge patients, the likelihood of being discharged to one of three destinations-homecare, long-term care with 24-h nurse care (LTC-24), or other post-acute residential care (PARC), including rehabilitation, complex continuing care, group living, or supportive housing. Using 2023-24 data from the Discharge Abstract Database (DAD), this study applies logistic, negative binomial, and multinomial logit models. After adjusting for other factors, patients with primary diagnoses other than dementia were about 35% to 95% less likely to experience a delayed discharge, and when delays occurred, their expected duration was roughly 32% to 65% shorter. All estimates were statistically significant at the 1% level. Among patients who experienced delays, those with other primary diagnoses were also less likely to be discharged to homecare, PARC, or LTC-24 rather than home. These findings highlight the urgent need to expand access to specialized, affordable post-discharge care for patients with dementia, as their complex needs strain hospital capacity.

Background: Remote patient monitoring (RPM) involves the digital transmission and follow-up of health data. While its implementation has impacted healthcare professionals (HCPs), real-word evidence remains limited. We provide insights on the experiences, barriers and challenges faced by HCPs using RPM for chronic heart failure (CHF) management in a multisite hospital setting.

Methods: A descriptive pilot study was conducted from October 31, 2022 to April 11, 2023 in three hospitals in Nouvelle Aquitaine, France. Patients with CHF were manually enrolled in a web-based RPM platform (Satelia^® Cardio). HCPs were invited to participate in semi-structured interviews to describe their experiences and perceptions of RPM implementation.

Results: A total of 379 patients were enrolled to use RPM, most were male (61.5%) with a mean age of 75.2 years. Three HCPs (one cardiologist and two ambulatory care nurses) were interviewed. Key challenges identified were limited human resources, difficulty managing alerts due to scheduling constraints and the transition from traditional care models. The need to recruit and train dedicated RPM-specialised nurses was emphasized to support the growing volume of patients, particularly following the COVID-19 pandemic. Initial resistance encountered from hospital administration was reported, largely due to concerns about changing established care practices.

Conclusions: Our findings offer practical first insights into the implementation of RPM for CHF. RPM was generally well accepted by HCPs in a multisite hospital setting. Addressing staffing needs and investing in training could be essential for scaling up RPM as reimbursement becomes integrated into the French healthcare system.

Rapid advancements in science and technology have led to intense yet often hidden competition across various fields. Innovations in the technologies used within healthcare services both influence and are influenced by the nursing profession and its practices. These technological developments help create new roles, support nurses in fulfilling their responsibilities, and enable the delivery of more efficient and safer patient care. To meet the demands of the future, nurses must adapt to emerging technologies and provide evidence-based care using these innovations. For instance, future gerontological nurses may act as care supervisors, overseeing robots tasked with monitoring vital signs, checking blood glucose levels, detecting pressure ulcers, or assessing fall risks. While technological advancements may reduce the demand for nursing labor, they also offer protective benefits. During the COVID-19 pandemic, the use of humanoid robots helped minimize the exposure of healthcare workers, including nurses, to the virus-thus reducing physical contact while maintaining essential care. In Wuhan, where the outbreak was first reported, robots were employed to perform tasks traditionally carried out by healthcare professionals, such as taking oral swabs, conducting basic diagnostics (e.g., using ultrasound or stethoscopes), cleaning and disinfecting patients, administering medications, delivering meals, and monitoring vital signs and body temperature. Despite a potential decrease in the number of nurses required for routine procedures, the demand for professional nurses to manage complex tasks and provide emotional care will increase. Therefore, this study aims not only to inform readers about the impact of technology on nursing practice and the profession but also to support future research in this area. To adequately prepare the nurses of tomorrow, it is essential for nurse educators, administrators, and students both undergraduate and graduate to embrace technology and actively work to expand their knowledge. Enhancing technological literacy is critical to ensuring competent and future-ready nursing professionals.

Hospital accreditation serves as a systematic approach to improving the quality of healthcare services and ensuring patient safety. The success of such programs depends heavily on the awareness, attitude, and perception of healthcare providers, particularly nurses. This study, conducted in 2024 at Imam Khomeini Educational-Therapeutic Hospital in Khalkhal, assessed these factors among 156 nurses using a self-administered questionnaire. The results revealed that the mean scores for knowledge, attitude, and perception were 25.66 (SD = 8.38), 26.23 (SD = 8.91), and 31.58 (SD = 9.53), respectively. Most participants were female (73.7%), held a bachelor's degree (98.1%), and were aged between 30 and 40 years. Knowledge levels varied significantly with age and education, with nurses aged 40-50 and those with postgraduate qualifications demonstrating higher scores. Attitudes toward accreditation were more positive among male nurses, those aged 30-40, and those with less than five years of experience. Interestingly, perception scores were highest among nurses with more than ten years of work experience. These findings suggest that while general awareness of accreditation was moderate, attitudes and perceptions were relatively favorable, particularly among specific demographic subgroups. Given that the effectiveness of accreditation relies on informed and engaged nursing staff, these variations highlight the need for targeted interventions, such as continuous education and motivational programs, to improve knowledge levels and sustain positive attitudes across all groups. Strengthening these areas is essential for the successful implementation of accreditation standards and for driving continuous quality improvement in hospital care.

Background: Efficient wastewater management is crucial for hospitals, where water demand is high and sustainability is essential. This study aims to estimate the daily clean water requirement and determine the optimal sewage treatment plant (STP) capacity for a secondary care hospital. The objective was to assess water reuse potential and the compliance of treated wastewater with pollution control standards.

Methodology: A descriptive observational study was conducted over six months in a secondary care teaching hospital. Primary data were collected on occupancy rates and water use, while secondary data were obtained from national building codes and BIS norms to guide tank capacity planning. Physical characteristics of treated water were monitored to assess plant performance.

Results: For 95 functional beds in this hospital, 200 daily outpatients visiting, and 200 staff working, a water requirement of ∼80 KLD was projected. An STP of equivalent capacity was constructed. Post-treatment, 49% of the water was reused for flushing and gardening, while the remaining 51% was supplied to nearby agricultural fields. Treated water met pollution control standards for reuse.

Conclusion: Proper estimation of hospital water needs and tank capacity at the planning stage enables long-term water sustainability and cost efficiency. Reusing treated water reduces operational costs and contributes to SDG 6 goals for clean water and sanitation in healthcare settings.

Background: The elderly population of India has been growing exponentially over the past few decades, caused by a decline in fertility and an increase in life expectancy. The growth eventually has transcended the disease burden on the public healthcare system. This calls for a need to evaluate the healthcare utilization pattern of the elderly based on their socioeconomic and working condition.

Methods: Study used access to public and private healthcare services to measure healthcare utilization. Descriptive analysis and multivariable logistic regression were used to understand utilization patterns by working status and some selected sociodemographic parameters. All the results were reported at a 95% confidence interval.

Results: Using the data from the first wave of Longitudinal Ageing Study in India (LASI) with a sample of 22,680 older persons 60 years and above. The study identified that 50% of the working elderly access private services; however, 26% access public healthcare services. It was found that the working status of the elderly alone did not influence access to healthcare services, but education is also an essential indicator for utilizing healthcare services. Further, factors such as gender, marital status, religion, wealth, tobacco usage, self-rated health, ADL and IADL were significant predictors of healthcare services' utilization for the elderly.

Conclusion: This study suggests that there are not many differences found among working and non-working status with healthcare utilization, although some sociodemographic indicators are associated with the utilization of healthcare services, highlighting that increasing health needs among the elderly requires strengthening the quality and appropriate public investment in health.

The aim of the current research was determining the mediating role of workplace loneliness (WL) in the effect of resilience on work alienation (WA). This study was conducted in Istanbul, Türkiye, between June 2021 and November 2021. Research data were obtained from nurses working in private hospitals operating in Istanbul. The results of the research showed that resilience had a negative effect on WL and WA, and WL had a positive effect on WA. Finally, WL had a mediating role in the effect of resilience on WA. This study showed that resilience is a determinant of both WL and WA.

Using cell phones by nurses can affect the quality of care. This study aimed to explore the consequences of using cell phones by nurses in hospitals. A qualitative approach was used. Data were collected through semi-structured interviews. Nursing staff, patients, and their relatives participated in this study. Categories of "emotionless care," "neglect in care," "impaired professional behavior" and a main theme of "Personal cell phone is a barrier to effective nursing care" extracted. Using cell phone during work could jeopardize patients' safety and ruins the nursing profession image. It is necessary to formulate guidelines on how to use cell phones in hospitals.