Hospital Topics最新文献

The article assists with understanding the need to change the current accessible clinical resources; as well as gauging and sorting out the devices needed to provide food the uncommon requirements of the COVID-19 patients without trading off the smooth working of the medical services office without taking a chance with the security of the medical care experts conveying it. A primary objective of this study is to provide interim guidance for planning the medical equipment for an isolation facility in a way that satisfies the needs of patients in an exact manner. Additionally, to assist healthcare facility to follow the accreditation standards and plan the modifications necessary to ensure the safety of patients and employees. The documents reviewed for this study mainly focus on providing interim guidance, specifications, and essential devices for setting up of quarantine facilities in a COVID-19 healthcare facility. This study assists with understanding the rules to keep up with the current accessible clinical supplies and intending to procure more and usage of them at which departments to cater the extraordinary necessities of the COVID-19 patients without bargaining the smooth working of the medical care office and not taking a chance with the wellbeing of the medical care experts conveying it.

The nurses experience burnout due to COVID-19 and their psychological state is adversely affected by the pandemic. This study aims to examine the relationships between nurses' COVID-19 burnout, life engagement, and well-being perceptions. The study was carried out on 310 nurses working in a university hospital. As a result of the regression analysis, it was determined that the perception of COVID-19 burnout explained 14.7% of the total variance of life engagement and 40.8% of the total variance of well-being. The study also revealed that the perception of well-being explained 25% of the total variance of life engagement.

India experienced a growing burden of elderly population associated with both physical and mental health challenges. Among the mental health problems, dementia, depression, anxiety and sleep disorder are of significant concern. This present study investigates the association between the types of living arrangement and the mental health of elderly in India. Comparison has been done between empty nest and non-empty nest elderlies. Data from first wave of Longitudinal Aging Study in India (2017-18) has been used. It is a nationally representative data which collected data from over 72,000 individuals aged 45 and above and their spouses irrespective of age. We used the Center for Epidemiological Studies Depression Scale (CES-D) to measure depression while living arrangement was self-reported by the respondents. Univariate and multivariate analyses were carried out to find significant association of the outcome and independent variables. Among the total elderlies, 11% were from empty nest single households, 20% were from empty nest couple households and others were from the non-empty households. At national level, 30% elderly suffered from depression. It was more among the elderly of empty nest single households (43%), compared to elderly of empty nest couple households (30%) and non-empty nest households (28%). Gender, socio economic status, self-rated health status, financial stability, place of residence plays a crucial role in the experience of depression among the elderlies. Results portray that household structure, especially living arrangement and familial support in old age can be associated with the overall health and wellbeing, more specifically depressive symptoms among the elderly.

Hospitals play a crucial role in providing medical care to patients, but they also have a significant environmental impact due to their high energy consumption and resource use. In recent years, there has been growing interest in the concept of green hospital design, which aims to reduce the environmental footprint of hospitals while simultaneously improving patient outcomes.10 articles were finalized for review and were coded in QDA Miner qualitative analysis software for descriptive and link analysis. Results indicated a strong correlation between green design aspects of hospital and patient well-being, it failed to provide any evidence of concrete relation between relation between green hospital design and lower operation cost."

Professionalism and safety in patient care are concepts nurses are expected to exhibit in practice. High fidelity simulation was explored to assist in teaching students the behaviors needed to succeed in nursing. Nursing leaders identified areas in which graduates struggle, including critical thinking, skills acquisition, time management, role responsibilities, delegation, and effective communication. The project's purpose was to analyze students' perceptions regarding professional nursing values, identify gaps in knowledge concerning professional behavior, and determine perception change of professional values. A pretest post-test simulation intervention was chosen. Improvement in communication and autonomy was noted with statistically significant findings.

Facility layout planning (FLP) is an integral part of the hospital layout design. The purpose of this article is to develop and elaborate a FLP method for a diabetes clinic using a case study approach. In this study, the Systematic Layout Planning (SLP) approach was used to design three alternatives to diabetes clinic design using group decision making. A multi-criterion decision-making (MCDM) approach, fuzzy-Technique for an order of preference by similarity to an ideal solution (fuzzy-TOPSIS) was used to select the best among the alternatives. The method used for the calculation of weight for various selection criteria was modified digital logic (MDL). The study elaborates the method using a diabetes specialty clinic but can be used for solving more complex selection problems as well. The research is the first of its kind to address the problem of FLP in the case of a diabetes clinic. The method can be easily adapted for layout selection in other specialty and multispecialty hospitals.

Job satisfaction of the employees represents the significant factor for the effective functioning of the medical facilities. The aim of this study is to examine job satisfaction of physicians and to explore its associated factors. Quantitative study method is applied in this study. Two hundred and nine physicians from the large medical facilities in Tbilisi (Georgia) are participated in the survey. The most important components of satisfaction were: relation with managers (78.5%), relations with colleagues (77%), communication with patients (73.5%), possibility of continuous medical education (74.2%), and service quality (66%). Younger physicians were more likely to be dissatisfied than older physicians. Women were less satisfied with workload rather than men, which can be related with burden of solving the family issues for them, besides the career. Majority of the inquired respondents are not satisfied with ongoing incomes and remuneration methods. Family physicians seemed to be especially dissatisfied with remuneration. Most of the interviewed physicians (76%) assessed work/life balance in range of 1-3 points. Particular dissatisfaction was stated by the doctor-specialists, referring that they do not work with normal work schedule and their work/life balance is infringed. Satisfaction level depends on multiple factors (communication with patients, intellectual stimulation, possibility of CME, relationship with colleagues and managers). The main recommendation is a need to address job satisfaction among physicians in order to improve the quality of health care. Attention to working conditions, career and professional development, and salary/incentives is critical for sustaining the continuity of quality health care in Georgia.

Telemedicine is utilized to deliver health care services remotely. TM gained popularity as a result of pandemics, it can help the patients to get required medical care while sitting in the comfortable environment of their homes. In the future, it will continue to be used as a convenient, cost-effective patient care modality. This cross-sectional study was conducted in a tertiary care hospital, the objectives were to identify challenges faced by physicians during teleconsultations, recognize the opportunities and strengths of this modality during pandemic in a lower-income country. The self-made questionnaire was filled through an online medium and responses were recorded on a five-point Likert scale. A total of 83 participants were enrolled in this study. Most of them were Associate professors (29.8%), Assistant professors (26.2%), the ratio of the females was (52.4%) greater than males (47.6%). 46 (54.8%) lie between the age group 30-40 years. Pediatricians and senior instructors faced more difficulty in using telemedicine. The ones having clinical experience of less than 15 years or categorized in the age of 50-60 years faced challenges while using this modality. During the current pandemic, situation telemedicine is the only glimmer of light to provide better quality health care. Telemedicine is an innovative strategy and it is important to understand the perception of physicians about it. Incomplete and inadequate infrastructure and attitude of the physicians are the main obstacles toward successful implementation of telemedicine. Successful installation and deployment of this technology require a complete grasp of the process among physicians.

Introduction: The aim of this study was to evaluate the physical structure, design, management, and organization of two emergency hospitals built in Istanbul within 45 days in the COVID-19 pandemic and the role played by these hospitals during the pandemic. A further aim was to determine the advantages and disadvantages of the emergency hospitals by comparing them with similar organizational models in other countries.

Methods: The pandemic hospitals established for the COVID-19 pandemic in Istanbul were investigated in a multi-faceted manner. The parameters investigated were physical structure, bed, and intensive care capacity, mechanics and infrastructure, medical equipment, personnel, organizational structures and management, and the medical services provided by both emergency hospitals during the outbreak.

Results: The pandemic hospitals were built on an open area of 125.000 m² as a hospital building of 75.150 m². Each hospital has a total bed capacity of 1008, with 576 being clinical and 432 being intensive care beds. The management of the pandemic hospitals is connected to two different hospital management structures, which are experienced in disasters and have all kinds of training, research clinics and academic personnel in this regard.

Conclusion: The healthcare services provided by both the pandemic hospitals fulfilled the purpose of those hospitals during the pandemic. As it is most likely that the world will face other serious disasters and epidemics in the future, the construction of multi-purpose and permanent emergency hospitals instead of emergency temporary hospitals would be more advantageous in terms of economy, medical service, and environment.

Introduction: Health care as a service organization is associated with hospital-acquired infection which is drawing attention. There are concerns raised by patients, attenders, stake holders, insurers, government agencies, and regulatory bodies. The study aims to evaluate the awareness and the rate of compliance with hand hygiene.

Methods: The audit methodology implemented is a concurrent medical record audit. The period of the audit was conducted for 6 months. A random sampling method was incorporated. The sample size was determined as 20% of the staff had been involved.

Results: The Total average level of awareness of hand hygiene and adherence to policy is 93.6%. The average of all the 3 categories of compliance at 5 levels of hand hygiene in percentage is 82.3%.

Discussion: Hand hygiene practices if stringently implemented will minimize the cross-transmission of infection in health care facilities. By knowing the awareness level and compliance level are measured with standardized training modules.

Applications: Create awareness on hand hygiene and provide training with respect to the effectiveness of implementation. Incorporate hand hygiene steps as well as in the audit process.

Conclusions: There is a requirement for training with respect to the effectiveness of the implementation of the techniques. The level of care and quality of services can be made better by incorporating quality improvement programs (QIPs). By regular audits, we can raise the service quality and benchmark it.