Hospital Topics最新文献

In Georgia, a prospective financing system for hospital services using diagnosis-related groups (DRGs) was introduced in 2022 to increase the efficiency and transparency of the healthcare system. The purpose of this study is to evaluate the impact of DRG-based hospital reimbursement on the efficiency of medical care for patients with myocardial infarction. Hospitalization data from three large hospitals in Georgia before and after the introduction of DRGs, covering the period from 2021 to 2024, were analyzed. The study found that the implementation of DRGs in cardiology hospitals reduced length of stay, readmission, and mortality rates. Although the prices for nosologies have increased, patients' direct out-of-pocket payments have decreased, thereby improving financial access to medical services. The introduction of the DRG payment system had a positive effect on patient financial accessibility.

Background: Artificial Intelligence (AI) has transformative potential in healthcare, and it is very useful in areas such as drug discovery, diagnostics, and patient management. However, there is a lack of tools to assess healthcare organizations' readiness to adopt AI technologies. This study introduces the AI Readiness Five Dimension (AIR-5D) framework, addressing this gap. Methods: The AIR-5D framework was developed using a two-step process: identifying dimensions of AI readiness from literature and weighing these dimensions through expert focus groups. The Analytical Hierarchy Process (AHP) was employed to calculate weights, ensuring consistency and reliability. Results: The results identified five key dimensions: Opportunity Discovery (0.44), Data Management 90.22), IT Environment and Security (0.194), Risk Privacy and Governance (0.101), and Adoption of Technology (0.043). "Opportunity Discovery" was the most critical dimension, while "Adoption of Technology" ranked lowest. Six case studies demonstrated varying AI readiness (score between 3 and 4 on a scale of 5), highlighting challenges in moving beyond AI collaboration to optimization. Conclusions: The AIR-5D framework offers a structured approach for healthcare organizations to assess and enhance their AI readiness. It emphasizes the importance of understanding value, robust data management, and strategic alignment in successful AI adoption.

The purpose of this study was to examine the effect of self-efficacy on the implementation of the adult trauma clinical practice guidelines (ATCPGs) on improving trauma patient outcomes, including missed injuries, and ED LOS. Nurses' and physicians' self-efficacy in performing ATCPGs skills were evaluated three months prior to and three months after the intervention's implementation. Multiple strategies of ATCPGs implementation improved the length of stay (LOS) in the ED for multiple trauma patients. The quasi-experimental design has been implemented in this interventional study. Post-intervention, the self-efficacy of ED healthcare providers in performing ATCPGs skills has increased. Implementation of the ATCPGs has improved the outcomes of patients with multiple traumas. There were 66 patients in this study, and 53 (80.3%) of them were male. The ATCPGs intervention resulted in a statistically significant decrease in the amount of time spent in the ED, as shown by a comparison of the ED LOS in minutes between the two groups (t = 2.56; p = 0.013). Implementing the ATCPGs has improved multiple trauma patients' outcomes. The results will help decision-makers at hospitals to facilitate interdisciplinary ATCPGs training sessions and establish policies and procedures to introduce adult trauma sheet in the ED to improve multiple trauma patients' outcomes.

There is growing interest in the association between COVID-19-related stressors and quality of life. This study aimed to extend current knowledge by investigating the potential mediating roles of COVID-19 anxiety and COVID-19 burnout in the association between fear of COVID-19 and COVID-19 quality of life in nurses. A total of 300 nurses were selected by convenience sampling approach from a training and research hospital serving as a pandemic hospital in Turkey. COVID-19 anxiety, COVID-19 burnout, and COVID-19 quality of life data were collected using the self-reported questionnaires using both online and paper-and-pencil versions of the questionnaires. Structural equation modeling was used to conduct serial multiple mediation analysis. We found statistically significant associations among fear of COVID-19, COVID-19 anxiety, COVID-19 burnout, and COVID-19 quality of life. Serial multiple mediation analysis revealed that the association of fear of COVID-19 with COVID-19 quality of life was partially mediated by COVID-19 anxiety and COVID-19 burnout. These results indicate that the association of fear of COVID-19 with COVID-19 quality of life in nurses may be changed through COVID-19 anxiety and COVID-19 burnout, which appear to play serial multiple mediating roles in this association. These findings enrich our understanding of the associations among these psychological factors and suggest that focusing solely on fear of COVID-19 without considering the mediating effects of COVID-19 anxiety and COVID-19 burnout might not be adequate for reducing the COVID-19-impact on the quality of life among nurses.

Background: To investigate evidence-based medicine (EBM) use by physicians and pharmacists in the United Arab Emirates (UAE).

Method: A cross-sectional study using a validated questionnaire. Results: Overall, 70.7% of physicians and 35.3% of pharmacists had positive attitude toward EBM. Physicians with 10-15 years of professional experience scored highest on EBM implementation; no statistical association was found (p = 0.099). Younger pharmacists aged 25-35 years were more interested in implementing EBM compared to older pharmacists (p = 0.011). Physicians in Al Ain performed better than those in other cities (p < 0.0001), and pharmacists in Abu Dhabi implemented EBM better than others (p = 0.014).

Conclusion: Age and years of experience could influence implementing EBM.

Purpose: Caregivers are key stakeholders in management of children with Type 1 Diabetes (T1D), but their perspectives have remained understudied, especially in the developing countries. This study explores their perspectives on the barriers and facilitators of management of a child with T1D in a resource-constrained setting.

Methods: This qualitative study, conducted in a tertiary level diabetes clinic in India, included parents of children with T1D, selected from subgroups varying in disease duration, education, habitat, and socioeconomic status, who participated in one of the five Focused Group Discussions (FGDs) of 60-90 min duration. The topic guide included questions like "What are the barriers you face related to diabetes care of your child at home or school?" and "What do you think helps you in managing a child with diabetes?" FGDs were audio-recorded, transcribed verbatim, and inductive coding was done independently by two authors.

Results: Twenty-eight parents (nineteen mothers and nine fathers, mean age: 35.1 years) of children aged between 2-13 years, were recruited till data saturation. Themes related to barriers of management were, 'balancing nutrition and glycemic control is challenging', 'diabetes management involves psychological burden' and 'operational challenges'. Parents opined that family support, gaining decision-making and problem-solving attitude and optimal school-time management helped.

Conclusion: Parents living in resource-constrained circumstances perceive unique challenges during management of T1D in their children like social stigma, illiteracy, financial and logistic issues like procuring and storing essential supplies. A better understanding of these factors can aid healthcare professionals in managing them.

This mixed-methods study examined the psychological well-being of registered nurses (RNs) working in a rural, acute care setting. The study used four instruments that measured anxiety, depression, stress, and burnout to determine psychological well-being. Data collection also included a demographic questionnaire and two open-ended questions. The quantitative findings of this mixed-methods study will be shared. The results found that participants experienced burnout, anxiety, depression, and stress. Using a post-pandemic lens this manuscript will discuss necessary traits that can be used by nurse leaders to initiate change, make improvements, and effectively prepare for the next healthcare crisis.

The COVID-19 crisis severely impacted healthcare centers in the pandemic's epicenter. The shortage of healthcare workers (HCW) frequently utilized for complex interventions in the intensive care unit (ICU), such as proning for acute respiratory distress syndrome (ARDS), inspired a team of ICU professionals to implement a task-shifting initiative. Thirty-three HCW from various departments participated in the training. The interdisciplinary team performed multiple proning sessions on 90 patients with COVID-19-related ARDS. Participants indicated that the training session equipped them with adequate skills to safely prone patients. The training emphasized effective teamwork and communication while also increasing trainees' awareness of proning benefits.

The nursing shortage in the US and all over the world continues to skyrocket. An untapped channel of recruitment that some are considering is men in the nursing profession. Currently a large disparity exists in the representation of men in nursing causing issues with quality of care, diversity, and staffing. Research suggests that nursing recruitment should occur before licensure in order to better address gender stereotypes and prejudice. Early exposure is revealed as a defining factor in enticing men into the profession. Further research reveals that issues related to nurse educator staffing must first be considered to include more men into the profession. Without nurse educators, schools are unable to increase class sizes and admit more men into programs.

The aim of this study was to determine the mediating role of work alienation in the effect of workplace ostracism on employee voice. The research was conducted between 11 December 2020 and 27 April 2021 in Istanbul, Turkey. The research data were collected from employees of private hospitals in Istanbul. The research showed that workplace ostracism has a positive effect on work alienation. It was also determined that both workplace ostracism and work alienation negatively affect employee voice. Finally, it was established that work alienation has a mediating role in the effect of workplace ostracism on employee voice.