Hospital Topics最新文献

Purpose: This study evaluates the knowledge, attitudes, and practices (KAP) of healthcare workers (HCWs) regarding disaster preparedness and management plans in hospitals across Goa, India. Methodology: A cross-sectional study was conducted in 46 hospitals in Goa using a standardized KAP questionnaire. The survey targeted emergency department doctors, nurses, and paramedical staff. Data were analyzed using descriptive statistics. Findings: Results indicate that while HCWs possess adequate knowledge and positive attitudes toward disaster preparedness, their practical readiness is insufficient. Only 60% had received formal training for handling disaster situations. Notably, 40% lacked training in using personal protective equipment (PPE). A significant portion of the participants relied on self-learning due to the absence of institutional training programs. Furthermore, only 67% of hospitals conducted disaster drills, with just 21% of staff participating in routine training sessions. Despite these limitations, 95% of participants emphasized the need for integrating disaster preparedness into medical education and ongoing professional development. Originality: This study addresses a gap in regional preparedness data and highlights the need for systemic improvements in disaster training programs among Indian healthcare workers, particularly in disaster-prone coastal regions like Goa.

The aim of this study is to determine the effect of nurses' calling levels on their organizational identification levels. The population of the study consists of nurses working in a training and research hospital in Ankara. Within the scope of the research, it was tried to reach all nurses without sample selection. Questionnaire method was used to obtain research data. As a result of the hypothesis test; it is seen that there is a significant and positive correlation between the identification levels of the participants and their level of calling (R = .62, p < .00). Calling has a significant and positive effect on nurses' organizational identification levels (F = 125.367; p < .00). This study is unique by examining the effect of calling on nurses' organizational identification. Moreover, considering the results of the current study, it was determined that nurses' calling for their profession is important in terms of organizational identification.

Significant efforts have been dedicated to reducing post-discharge adverse events (AEs) and improving patient satisfaction, but there are still many calls for improvements. Thus, this study aims to identify the underlying mechanism to aid US hospitals in reducing post-discharge AEs and improving patient satisfaction, thereby improving the quality of care. Based on Donabedian's structure-process-outcome (SPO) model of healthcare quality, we conducted a cross-sectional analysis of hospital performance and examined hospital structure, process, and outcomes in the USA using five data sources. Separate multiple linear regression analyses and ordinal regression analyses were conducted to analyze the quality of care. We found that hospital structure had associations with hospital process: lower provider-patient communication scores were associated with having a higher bed count, operating under a for-profit structure, having higher percentages of Medicare, and being in Metropolitan areas. Additionally, we found hospital process had associations with healthcare outcomes. In particular, provider-patient communication ratings, especially nurse-patient communication and care transition guidance, was positively related to patient satisfaction. Furthermore, having post-discharge medical primary care physician (PCP) follow-up visits within 14 d showed a lower incidence of AEs such as emergency room (ER) visits and readmissions within 30 d.

This study examined hospital-community partnership effects on 30-day readmission rates across 2,484 U.S. hospitals. Fixed effect linear models analyzed the impact of three partnership types across community strata. In average-to-low need communities, healthcare system partnerships reduced hospital-wide, heart failure, pneumonia, and THA/TKA readmissions, while local agency partnerships reduced hospital-wide, heart failure, and pneumonia rates. In high-need communities, all partnership types significantly decreased COPD and pneumonia readmissions, with community-based partnerships also reducing hospital-wide rates. Healthcare system partnerships showed the strongest effect on COPD reduction (β = -0.56, p < 0.001). These findings suggest partnerships may reduce readmissions, with stronger effects in high-need communities.

Situation awareness is vital for effective decision-making in emergency rooms. This study developed and validated the "Situation Awareness in the Emergency Room" questionnaire using a 6-month mixed-methods approach. Initial qualitative methods identified key components through interviews and focus groups, followed by quantitative validation with 569 respondents across 77 hospitals in Bali. Confirmatory factor analysis demonstrated excellent model fit (Root Mean Square Error of Approximation = 0.045, Comparative Fit Index = 0.96, Tucker-Lewis Index = 0.95) and strong factor loadings (>0.60). The questionnaire effectively measures General Awareness, Perception of Environment, Understanding of Situation, and Projection of Events, providing a reliable tool for clinical assessments and quality improvement.

Introduction: Along with bodily suffering, tuberculosis causes various socio-economic problems, including major crises on the personal end. For medically admitted chronic TB patients, a hospital is a place of more than only treatment that over time becomes a living place. The present study explored the individual patients' perspectives on TB treatment.

Methods: The present ethnographic study was undertaken among the admitted tuberculosis patients of both sexes in the 18-70 age group in a referral government TB hospital in Odisha. Thirty selected in-depth interviews and case studies were taken to collect the data.

Results: TB challenges and in several contexts shatters the socio-economic conditions of such patients bringing several crises at the individual and interpersonal levels. The findings of the study suggest that social marginalization, poor socio-economic conditions, loss of livelihood, desertion, and abandonment of women and elderly, gender disparity while seeking health and treatment, gender-based family negligence, stigma, superstitious beliefs, and traditional medicinal practices had heavy bearings in tuberculosis patients' lives.

Conclusion: The present hospital ethnography on TB patients indicates that emphasizing patients' perspectives, provision of socio-psychological support at community and institutional levels in the hospital ward, and addressing tuberculosis-associated concerns have important positive outcomes in patients' lives; it will also have major support in treatment adherence and early recovery by ensuring successful TB management and elimination.

Personnel in the health care system always suffer from a combination of terrifying or real physical attacks and verbal aggression when they are involved in hard work and emergency tasks. The aim of the study was to assess the nurse's workplace violence with the quality of nursing care in intensive care units (ICUs) in Iran. In this Descriptive-correlational study, 120 nurses working at general ICUs in six public teaching hospitals in Tehran completed a survey from 22 December to 29 February 2021. The research team gathered Data through demographic surveying, a modified workplace violence questionnaire adopted from the World Health Organization's (WHO's) questionnaire on workplace violence, and the Quality Patient Care Scale (QUALPAC). Of all participants, 80 were females, of which 66.7% were 35.13 ± 6.75 years old on average, and 85.8% had experienced verbal violence from the patient's companion in their workplaces. There was no meaningful correlation between physical abuse, verbal violence, and ethnic assaults and dimensions of quality of nursing care and the total score obtained (p > 0.05). Physical violence was not correlated with the communicative and psychosocial aspects of the quality of nursing care. At the same time, a meaningful but poor correlation (-0.27) was observed between physical abuse and the physical aspect of the quality of nursing care (p < 0.05). Although workplace violence was poorly correlated with the quality of nursing care in the intensive care units, further assessments of this phenomenon and establishing of a working group to achieve practical solutions that enhance the quality of nursing care in hospitals.

Purpose: This study was conducted to determine the relationship between the leadership competencies of staff holding managerial positions in university hospitals in Golestan province and its relationship with the hospital's performance.

Patients and methods: This cross-sectional study was conducted in 2022, during which 408 operational, middle, and senior managers from 17 affiliated hospitals of Golestan University of Medical Sciences were included in the study by census method. The data collection tools were the clinical leadership competency framework (CLCF) questionnaire and Iranian hospitals' managerial performance evaluation checklist. To analyze the data, descriptive indices and statistical tests were used.

Results: In total, 131 (32.1%) were men and 277 (67.9%) were women, 362 (88.7%) were married and 46 (11.3%) were single, and their average age, general work experience, and managerial experience were 42.28, 17.65, and 8, respectively. The average total score of leadership competencies was (63.06 ± 16.32) and hospital performance evaluation (786.12 ± 107.20). The overall score of leadership competencies (p-value = 0.041) and dimensions of individual characteristics (p-value = 0.020), working with others (p-value = 0.015), and improving services (p-value = 0.049) had a direct and significant relationship with the score of performance indicators.

Conclusion: In terms of leadership skills, the studied employees were in a weak state and the hospitals were in a good condition in terms of performance. Also, a direct and significant relationship was observed between the total score of leadership competencies and the dimension of performance indicators.

Diabetes mellitus, a non-communicable metabolic disorder, is a significant global health concern, with rising prevalence rates resulting in increased economic burdens on healthcare systems. Early detection and diagnosis are crucial for preventing severe complications. Artificial Intelligence (AI) offers immense potential to revolutionize diabetes management and early detection. This study aims to understand the factors influencing medical professionals' adoption of AI-based tools for diabetes intervention, develop predictive models to identify potential adopters and propose a Hub-and-Spoke model for diabetes screening in South India, particularly in segments with a predominantly rice-based diet. By leveraging machine learning techniques, the study identifies key demographic and professional factors that predict AI adoption intent. The proposed Hub-and-Spoke model addresses logistical challenges in diabetes screening, particularly in underserved regions. This research contributes to the global effort to combat diabetes, improve healthcare outcomes, and optimize resource allocation.

Background: According to the high prevalence of cardiovascular diseases and the need to know the factors associated with the important outcome of quality of life after therapeutic interventions, this study was conducted with the aim of determining the factors associated with health-related quality of life (HRQoL), one year after percutaneous coronary intervention (PCI). Methods: This cross-sectional study was conducted on 912 patients undergoing PCI in a referral-educational hospital in Iran. Data collection was done using a HRQoL questionnaire (SF-36) and a checklist containing other study variables by face-to-face interview. To analyze the variables, the descriptive statistics and multivariate linear regression were used. All statistical analyses were performed using IBM SPSS Statistics for Windows, Version 16.0 (IBM Corp., Armonk, NY, USA). In this study, the significance level is p < 0.05. Results: The mean ± SD age of the participants was 59.47 ± 9.94 years, and 62.94% of them were male. The mean score of HRQoL in men (69.44 ± 21.18) was significantly higher than women (60.26 ± 21.8) (p < 0.001). In linear regression analysis, the variables of unemployment, age, loss of spouse, comorbidity, re-angioplasty, rehospitalization after PCI were significantly associated with to HRQoL. Conclusions: Better HRQoL after PCI may be linked to a care strategy that takes into account both clinical and nonclinical aspects.