Hospital Topics最新文献

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.

Introduction: Hospital-based violence intervention programs (HVIPs) have emerged nationwide to help address the societal and economic costs of violence. Little literature exists regarding selecting those patients most likely to benefit from intensive case management. The study aims to describe the pediatric patient population presenting at a Level 1 ACS trauma center with a chief complaint of violent trauma and identify the characteristics of patients most at risk.

Methods: This retrospective study examined patients between the ages of eight- and nineteen-years old presenting with traumatic injury during the year 2019. Child abuse and non-accidental trauma patients were excluded.

Results: A total of 333 patients were included in the analysis. They were predominantly African American and male. The three-group design included those 8-11, 12-13, and 14-19 years. Most patients were over 14 years old (60.2%). "Classmates" was the most common relationship between assailant and victim overall (33.9%) and most prevalent in the youngest age group (8-11 year). The middle age group (12-13 year) were two times more likely to suffer from ADHD, and ADHD was a risk factor for self-harm in this age category. The oldest age group (14-19 year) suffered higher rates of gun violence and were attacked more often by unknown assailants.

Conclusions: There was a difference in the needs of the older and younger pediatric patients cared for. HVIPs should tailor their interventions to address the different age groups' needs. HVIPs could also benefit from the integration of targeted mental health services and collaboration with local educational institutions.

Purpose: This study aims to identify and prioritize the reasons for social media use among medical practitioners to facilitate the selection of the most appropriate social media platforms for healthcare providers. The findings of this study will help address the challenges posed by the wide variety of available social media platforms and assist healthcare providers in choosing platforms that best meet their professional needs.

Design/methodology/approach: This cross-sectional study was conducted in the period of two months, i.e., August and September 2021. This study is based on the AHP (Analytic Hierarchy Process) method of the MCDM (Multi-Criteria Decision-Making) approach. In the first phase, a four-hour brainstorming session was held to identify the medical Practitioner's reasons for social media usage; in the second phase, the identified reasons were linked with the top five social media platforms to determine the prioritized order of preference.

Findings: The top three reasons driving medical practitioners' usage of social media platforms include "Getting an update on current affairs," "Network with industry professionals," and "Healthy Lifestyle and Wellness Promotion." In contrast, the bottom three causes include "Advocacy for causes," "Get Updates about friends and family members," and "Opinions and ideas sharing." The prioritized order of social media platforms is LinkedIn, followed by Instagram, WhatsApp, Facebook, and Twitter.

Practical implications: This study helps solve the medical Practitioner's dilemma of selecting suitable social media platforms that serve their intended functions. In the future, it is expected that the usage of SM platforms will increase for causes such as Institution Branding and Healthcare Issues related Advocacy as well.

Originality/value: Previous research has not adequately identified the reasons driving social media usage by physicians. This study is one of the few studies that has attempted to prioritize reasons for social media usage by physicians and has provided a prioritized list of social media platforms.

COVID-19 significantly altered the healthcare ecosystem and forced us to stretch the capacity to ensure healthcare delivery services. Physicians were on the frontline and acted as an important cog in the wheel of healthcare delivery. This unprecedented situation forced them to adopt to a new norm amidst uncertainty, potentially impacting their mental well-being and overall health. The study aims to investigate the coping strategies for physicians to maintain their psychological well-being during uncertain events such as COVID-19. By employing Analytic Hierarchy Process (AHP), the research prioritizes coping strategies that can improve physicians' psychological well-being. This study affirms that the physicians working in healthcare during pandemic preferred adaptive strategies over maladaptive strategies. Maintained exercise, yoga/meditation (or similar), and behavioral disengagement are the three most preferred coping strategies. The study will benefit physicians and the policy makers, to achieve their agenda of enhancing physicians' psychological resilience during uncertain events, ultimately contributing to the continuity and quality of healthcare delivery.

Nurses face various emotional challenges while providing care to burn patients. An existential-phenomenological approach was utilized to gain an insight into the emotional experiences of burn nurses. The semi-structured interviews were audio recorded with twenty-two burn nurses and analyzed with Colaizzi's phenomenological method. Three themes were revealed: Emotionally overwhelming environment; Psychological trauma; Impact on quality patient care. Implementing support strategies is crucial to retain the nurses in emotionally overwhelming burn unit and to provide quality care to burn patients.

Employee empowerment as a management intervention promotes employee engagement: Psychological empowerment is found to influence employee engagement and organizational commitment, but the effect of structural empowerment (SE) is not explored much. SE increases employees' self-esteem, which can encourage a dissatisfied employee to look for other better work options, thus influencing their continuance commitment (CC). Workplace bullying is associated with higher turnover intentions and reduced commitment. This study investigates the mediating effects of person-related bullying (PB) and work-related bullying (WB) on the relationship between SE and CC. The study findings highlight the partial mediation effect of PB and serial mediation of WB and PB on the relationship between SE and CC. This study establishes that in comparison to WB, PB causes more damage to employee relationships with the organization. Moreover, the serial mediation effect of WB and PB is also noticed on the relationship between SE and CC. Organizations should regularly measure their employees' CC, as SE negatively affects CC. Organizations should take adequate measures to curb PB to preserve employee morale and confidence. This study uniquely reports a negative relationship between SE and CC.

This study examines the concept of health advocacy and explores related scholarly material to understand its evolution from 1977 to 2021. The bibliometric analysis investigates the publication trends, most relevant authors, keywords-based clusters, research trends, author productivity, and future research areas in health advocacy. The relevant articles were extracted from the Scopus database and analyzed to identify and explore the most active authors, author-wise contribution to the sources, sub-research topics, core sources, top authors' production over time, global cited documents, thematic maps, word cloud, country-wise collaboration network and map, author keywords-based network, historiograph, and spectroscope. The study finds that health advocacy as a concept is under-explored and thus warrants a need for future research work. Limited authors have contributed to this theme, and the continuity of publication needs to be improved. The study highlights that there needs to be a robust framework to assess, evaluate, and implement health advocacy. The researchers are limited to only a few authors who have published in limited journals. The current study brings out the need for research and publications on health advocacy to develop a framework for assessing and implementing health advocacy. Also, the study highlights emerging themes of Coronavirus pandemic and emergency and disaster preparation. The niche themes that emerged during the survey highlight keywords such as agenda-setting and maternal health.

Hospitals are complex organizations which provide a wide array of health care services. This complexity creates challenges for stakeholders who wish to use financial accounting statements to make inferences about the productive choices made by a hospital's management. These challenges are especially salient when using data reported at the department (or cost center) level, or where the provision of care is coordinated across hospital departments. This study applies information entropy-based comparability analysis techniques to overall and department-level hospital financial data to identify hospital peer groups. Hospitals peer groups not only exhibit similar financial positions overall, but are also likely to exhibit operational similarities at the department level. Data for this analysis are drawn from the financial statements of Washington State critical access hospitals in the fiscal year 2019. The medical laboratory and pharmacy departments were specifically assessed because their services impact or support virtually every other revenue-producing department in the hospital. Findings suggest both departments significantly impact the formation of peer groups, with the pharmacy department contributing the largest impact.

Understanding characteristics of capital investment among community hospitals at the national level has been somewhat limited in the recent literature. The present study aimed to describe characteristics of hospital capital investment and its association with financial and organizational characteristics. This cross-sectional study utilized a secondary data analysis with the American Hospital Association (AHA) Annual Survey data from 2018 to 2020 (n = 7,492). We performed descriptive and inferential statistics. Multivariate regression was conducted to identify specific financial and organizational factors associated with hospital capital spending. Results of regression analyses shows that no financial factors were associated while select organizational factors were associated with capital spending. Specifically, capital spending was positively associated with urban hospitals, quality of care (e.g., the Joint Commission accreditation), teaching hospitals, while capital expenses were reversely associated with Medicare certified hospitals, ownership of separate nursing homes, and for-profit entities, and older facilities. It is unclear why those value-based payment models such as ACOs and value-based incentives were not associated with capital spending. This warrants further research efforts. In our study, only select organizational factors were associated with capital spending. Policy makers and hospital executives may want to consider evaluating which organizational factors would be positively or reversely linked to capital spending as they seek to maintain and modernize their physical facilities and hospital operations.

Objective: To evaluate the efficacy and cost-effectiveness of nurse-led telehealth interventions in patients with heart failure (HF).

Materials and methods: A structured literature review was conducted to analyze secondary data from Scopus, PubMed, and Google Scholar (2015-2024). Scopus queries and keywords, such as "telehealth" and "heart failure," were used for selection.

Results: Nurse-led telehealth reduced rehospitalization, enhanced self-management, and improved health-related quality of life (HRQoL). Remote monitoring, video conferencing, and personalized support optimize clinical outcomes and long-term cost efficiency. Despite the high initial costs, reduced hospitalizations and better resources demonstrate financial viability. This study highlights the efficacy and cost-effectiveness of nurse-led telemedicine in managing HFs.

Conclusion: Nurse-led telecare improves HRQoL, reduces rehospitalizations, and offers cost savings in managing chronic HF. These interventions are essential for addressing chronic disease challenges and improving healthcare efficiency. This study provides valuable data on the role of telemedicine in managing chronic conditions, particularly cardiovascular disease, in the digital age.