Journal articles on the topic 'Hospitals Victoria Staff Attitudes'
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Dow, Briony, Marcia Fearn, Betty Haralambous, Jean Tinney, Keith Hill, and Stephen Gibson. "Development and initial testing of the Person-Centred Health Care for Older Adults Survey." International Psychogeriatrics 25, no. 7 (April 29, 2013): 1065–76. http://dx.doi.org/10.1017/s1041610213000471.
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ABSTRACTBackground: Health services are encouraged to adopt a strong person-centered approach to the provision of care and services for older people. The aim of this project was to establish a user-friendly, psychometrically valid, and reliable measure of healthcare staff's practice, attitudes, and beliefs regarding person-centered healthcare.Methods: Item reduction (factor analysis) of a previously developed “benchmarking person-centred care” survey, followed by psychometric evaluations of the internal consistency reliability and construct validity, was conducted. The initial survey was completed by 1,428 healthcare staff from 17 health services across Victoria, Australia.Results: After removing 17 items from the previously developed “benchmarking person-centred care” survey, the revised 31-item survey (Person-Centred Health Care for Older Adults Survey) attained eight factors that explain 62.7% of the total variance with a Cronbach's α coefficient of 0.91, indicating excellent internal consistency. Expert consultation confirmed that the revised survey had content validity.Conclusions: The results indicated that the Person-Centred Health Care for Older Adults Survey is a user-friendly, psychometrically valid, and reliable measure of staff perceptions of person-centered healthcare for use in hospital settings.
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Thompson, Sandra C., and Maureen Norris. "Hepatitis B Vaccination of Personnel Employed in Victorian Hospitals: Are Those at Risk Adequately Protected?" Infection Control & Hospital Epidemiology 20, no. 01 (January 1999): 51–54. http://dx.doi.org/10.1086/501552.
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AbstractObjective:To examine the policies and practices in hospitals within the state of Victoria, Australia, with respect to vaccination of staff against hepatitis B infection.Design:A written self-administered questionnaire to be completed by the infection control officer (or designated officer for hepatitis B vaccination) within each hospital.Setting:Public (teaching and nonteaching) and private hospitals, including metropolitan and rural institutions in Victoria.Participants:A random sample of 30% of Victorian hospitals were asked to participate in the survey. Of 78 eligible institutions, 69 (88%) completed and returned questionnaires.Results:There was no consistent hepatitis B prevention policy in place across Victoria. Of the 69 responding hospitals, 63 (91%) offered hepatitis B vaccination to staff, and 58 (84%) of these also paid all costs of vaccination. Of the 63 hospitals offering vaccination to staff, 39 offered vaccination to all staff, 23 offered vaccination based on job title, and one offered vaccination based on anticipated exposure. In many institutions, postexposure protocols were recalled more readily than preexposure vaccination guidelines. Numerous respondents indicated a need for clear guidelines on policy and clarification on practical matters of management, such as acceptable immune levels, management of nonresponders to the primary series, and the need for, and timing of, booster doses of vaccine. Eleven (18%) of the 63 hospitals offering hepatitis B vaccination to staff undertook routine prevaccination screening, a practice not generally regarded as cost-effective in Australia. Fifty-five of these hospitals (91%) also undertook postvaccination screening.Conclusions:It is evident from this study that a considerable number of potentially susceptible healthcare personnel in Victorian hospitals remain unprotected against hepatitis B infection. A more reliable and consistent approach to preexposure hepatitis B vaccination is recommended
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Askarian, Mehrdad, Gholamhosein Kabir, Maria Aminbaig, Ziad A. Memish, and Peyman Jafari. "Knowledge, Attitudes, and Practices of Food Service Staff Regarding Food Hygiene in Shiraz, Iran." Infection Control & Hospital Epidemiology 25, no. 1 (January 2004): 16–20. http://dx.doi.org/10.1086/502285.
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AbstractBackground:The practice of safety measures by the food service staff in hospitals is necessary for the prevention of food-borne outbreaks. Hospitalized patients are more vulnerable to potential hazards, and neglecting these principles can lead to increased morbidity and mortality.Methods:We assessed the knowledge, attitudes, and practices of food service staff regarding food hygiene in government and private hospitals in Shiraz, Iran. Two questionnaires were designed, one for food service staff and the ofher for supervisors. Thirty-one hospitals were approached, and the response rate was 99.5%. Four models were developed regarding knowledge, attitudes, and practices, and a multiple logistic regression analysis was performed. Comparison among the government and private hospitals was done.Results:This study showed that personnel had little knowledge regarding the pathogens that cause food-borne diseases and the correct temperature for the storage of hot or cold ready-to-eat foods. Older personnel had better attitudes and practices. Females practiced safety measures less often than did males. Personnel working in hospitals with fewer than 300 beds also had better practices. Most of the personnel had positive attitudes, but disparity between attitude and practice was noted.Conclusion:There is a dire need for education and increased awareness among food service staff regarding safe food handling practices.
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Al Banna, Md Hasan, Md Shafiqul Islam Khan, Humayra Rezyona, Abdul-Aziz Seidu, Mohammad Tazrian Abid, Tasnu Ara, Satyajit Kundu, et al. "Assessment of Food Safety Knowledge, Attitudes and Practices of Food Service Staff in Bangladeshi Hospitals: A Cross-Sectional Study." Nutrients 14, no. 12 (June 18, 2022): 2540. http://dx.doi.org/10.3390/nu14122540.
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Food safety knowledge, attitudes and practices among hospital food service staff are crucial in the prevention of foodborne disease outbreaks, as hospitalized patients are more vulnerable to potential hazards. This study, therefore, sought to assess the food safety knowledge, attitudes and practices of food service staff in Bangladeshi hospitals. A cross-sectional study was conducted among 191 food service staff from seven different hospitals in Dhaka and Chattogram from October 2021 to March 2022 using pretested questionnaires. Multiple linear regression was used to identify the factors associated with the food safety knowledge, attitudes and practices. The findings showed moderate knowledge but high levels of attitudes and practices of food safety among hospital food handlers. Food safety knowledge was significantly higher among males, participants from private hospitals and participants working in a hospital that had a food service supervisor and dietitian in charge of food service operations. Moreover, participants from private hospitals and participants working in a hospital that had a food service supervisor and dietitian in charge of food service operations had more positive attitudes and better practices regarding food safety. Hospital management should consider these factors for enhancing food handlers’ knowledge and increase training and supervision on food safety practices to reduce foodborne diseases and outbreaks.
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Ardagh-Walter, Nick, Prakash Naik, and David Tombs. "Staff attitudes to a psychiatric hospital closure." Psychiatric Bulletin 21, no. 3 (March 1997): 139–41. http://dx.doi.org/10.1192/pb.21.3.139.
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Many psychiatric hospitals in the UK have closed. Factors influencing staff morale around the time of a hospital closure will affect the functioning of that institution. This study surveyed staff anxieties, attitudes and expectations in a major psychiatric hospital three weeks prior to its closure. We found evidence of widespread denial despite energetic dissemination of information. There were also significant differences between staff groups. Our findings will have implications for the management of future hospital closures.“We have to get it into our heads that a hospital is like a shell, a framework to contain certain processes, and when the processes are superseded, the shell must, most probably, be scrapped and the framework dismantled” (Enoch Powell, 1961).
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Ezeobele, Ifeoma E., Rachel McBride, Allison Engstrom, and Scott D. Lane. "Aggression in Acute Inpatient Psychiatric Care: A Survey of Staff Attitudes." Canadian Journal of Nursing Research 51, no. 3 (January 22, 2019): 145–53. http://dx.doi.org/10.1177/0844562118823591.
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Introduction Inpatient aggression poses consistent complications for psychiatric hospitals. It can affect patient and staff safety, morale, and quality of care. Research on staff attitudes toward patient aggression is sparse. Purpose The study explored staff attitudes toward patient aggression by hospital position types and years of experience in a psychiatric hospital. We predicted that staff experiencing patient aggression would be related to working in less trained positions, having less psychiatric work experience, and demonstrating attitudes that were consistent with attributes internal to the patient and not external. Methods Fifty-one percent completed online survey using Management of Aggression and Violence Attitude Scale, along with demographics, years of work experience, and number of times staff experienced aggressive event. Results Management of Aggression and Violence Attitude Scale scores, staff position types, and years of experience were related to the number of aggressive interactions. Nurses and psychiatric technicians reported highest number of exposures to patient aggression, followed by physicians; however, support staff reported less patient aggression. More years worked in a psychiatric hospital was associated with more aggressive experience. Conclusion Nurses, psychiatric technicians, and physicians reported greater exposure to patients’ aggression than support staff. Training programs, developed specifically to individual position types, focusing on recognition of sources of aggression, integrated into staff training, might reduce patient on staff aggression in psychiatric hospitals.
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Stephens, John, Mark Prunty, and Wojciech Falkowski. "Attitudes of mental health workers to treatment in their own workplaces." Psychiatric Bulletin 20, no. 1 (January 1996): 20–22. http://dx.doi.org/10.1192/pb.20.1.20.
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Recent questions have been raised regarding the development of policies by Trusts for the treatment of their locally resident staff outside the hospitals in which they work. A questionnaire was developed to elicit views of mental health care workers on this issue. Overwhelming agreement was found among a wide variety of staff groups on the need for provision of treatment options outside the local service. Considerable thought and planning are needed in the development of formal operational policies to ensure such a service is provided by all hospitals/Trusts.
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Fisher, P., and D. Protti. "Health Informatics at the University of Victoria." Yearbook of Medical Informatics 05, no. 01 (August 1996): 135–39. http://dx.doi.org/10.1055/s-0038-1638056.
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AbstractThe University of Victoria has the only program in Canada offering a Bachelor of Science degree in Health Information Science. To meet the requirements of the degree, students must complete 60 units of course work (normally 40 courses) and 4 CO-OP work terms over 4.3 years. The School admits approximately 30 students each year. Seventy-five percent of the students come from British Columbia, ranging in age from 18 to 50 years with the average age being 26 years. In addition to recent high school graduates, over 40% have previous degrees or diplomas, and 65% have over 5 years of work experience. The School’s teaching team consists of 4 full-time faculty, 2 professional staff, 2 clerical staff, 7 adjunct faculty and a variable number of sessional teaching staff. The majority of the faculty have health backgrounds, totalling 150 person-years of health care experience. As of November 1995, the School had 168 graduates 75% of whom are employed in British Columbia, 17% in other parts of Canada and 8% outside the country. Sixty-five percent of the graduates work in government departments including community health agencies; 10% work in hospitals, 20% work for management consulting firms, software houses, or computer hardware firms, and 5% are otherwise employed. Almost 100% of the graduates are gainfully employed in professional positions in which their health information science degree is valued. They work as systems analysts, system designers/developers, consultants, research assistants, health-care planners, information system-support staff/trainers and client-account representatives. Some are already in senior management positions.
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Halperin, Dafna, Michal Mashiach-Eizenberg, Hedva Vinarski-Peretz, and Nasra Idilbi. "Factors Predicting Older Patients′ Family Involvement by Nursing Staff in Hospitals: The View of Hospital Nurses in Israel." Healthcare 10, no. 10 (September 30, 2022): 1921. http://dx.doi.org/10.3390/healthcare10101921.
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According to the family-centered approach, the involvement of family in the care of hospitalized older patients is a crucial element of quality care. Active involvement of family in care by the nursing staff depends on different factors, including attitudes towards the importance of family in the care and perception of the interactions with the family. This study aims to identify the factors predicting staff behavior of involving the family in the care process. A cross-sectional study was conducted among 179 nursing staff at a hospital, using a self-report questionnaire examining staff attitudes towards the importance of family in care, the perception of the interactions with the family (family behavior, communication and conflicts), and staff behavior toward family involvement. The findings point out the importance that staff attitudes have on their behavior in the active involvement of family in the care of older patients. Staff behavior of family involvement was predicted by their perceptions of the family (as conversational partners and having their own resources), less conflicts with the family, and staff academic education. Staff behavior toward family is influenced by their attitude and staff–family relationships. Educational programs should emphasize the importance of family, as well as dealing with conflicts.
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Russell, Lahiru, Rachel Whiffen, Lorena Chapman, Jasmine Just, Emma Dean, Anna Ugalde, and Sarah White. "Hospital staff perspectives on the provision of smoking cessation care: a qualitative description study." BMJ Open 11, no. 5 (May 2021): e044489. http://dx.doi.org/10.1136/bmjopen-2020-044489.
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ObjectiveTo explore the perspectives of hospital staff regarding the provision of smoking cessation care.Study designA qualitative description study using focus group discussions.Study settingData were collected across metropolitan regional and rural hospitals in Victoria, Australia, between November and December 2019.ParticipantsClinical and non-clinical hospital staff.ResultsFive focus groups were conducted across four hospitals. Staff (n=38) across metropolitan regional and rural hospitals shared similar views with regards to barriers and facilitators of smoking cessation care. Four themes were present: (1) Clinical Setting wherein views about opportunity and capacity to embed smoking cessation care, relevant policies and procedures and guidelines were discussed; (2) Knowledge consisted of the need for training on the provision of pharmacotherapy and behavioural interventions, and awareness of resources; (3) Consistency represented the need for a consistently applied approach to smoking cessation care by all staff and included issues of staff smoking; and (4) Appropriateness consisted of questions around how smoking cessation care can be safely delivered in the context of challenging patient groups and different settings.ConclusionsStaff across metropolitan regional and rural hospitals experience similar views and identified shared barriers in implementing smoking cessation care. Responding to staff concerns and providing support to address smoking with patients will help to foster a consistent approach to cessation care. Clear practice guidelines for multidisciplinary clinical roles need to underpin staff training in communication skills, include priorities around smoking cessation care, and provide the authorising environment in which clinical staff actively provide smoking cessation care.
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Watson, Lyndsey F., Jo-Anne Rayner, and Judith M. Lumley. "Hospital ethics approval for a population-based case–control study of very preterm birth." Australian Health Review 31, no. 4 (2007): 514. http://dx.doi.org/10.1071/ah070514.
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Aim: To describe the process involved in obtaining ethics approval for a study aiming to recruit women from all maternity hospitals in Victoria, Australia. Design: Observational data of the application process involving 85 hospitals throughout Victoria in 2001. Results: Twenty-three of the 85 hospitals had a Human Research Ethics Committee (HREC) constituted in accordance with the National Health and Medical Council requirements; 27 agreed to accept decisions from other hospitals having HRECs and 27 relied on ethics advisory committees, hospital managers, clinical staff, quality assurance committees or lawyers for ethics decisions. Four of the latter did not approve the study. Eight hospitals no longer provided maternity services in the recruitment period. The process took 16 months, 26 000 sheets of paper, 258 copies of the application and the cost was about $30 000. Approval was eventually obtained for recruitment at 73 hospitals. Discussion: Difficulties exist in obtaining timely ethics approval for multicentre studies due to a complex uncoordinated system. All hospitals should have explicit protocols for dealing with research ethics applications so that they can be processed in a straightforward and timely manner. To facilitate this, those without properly constituted HRECs should be affiliated with one hospital that has an HREC.
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Suokas, Jaana, Kirsi Suominen, and Jouko Lönnqvist. "The Attitudes of Emergency Staff Toward Attempted Suicide Patients." Crisis 30, no. 3 (May 2009): 161–65. http://dx.doi.org/10.1027/0227-5910.30.3.161.
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Background: The staff in the emergency room of general hospitals are under heavy work pressure and seem to reveal negative attitudes toward suicide attempters. From earlier studies there is indirect evidence that the attitudes of staff who have the opportunity to consult a psychiatrist are less negative. Aims: The study compare the attitudes of emergency room staff in a general hospital toward patients who had attempted suicide before and after establishment of a psychiatric consultation service. Methods: Attitudes were measured on the Understanding Suicidal Patients (USP) Scale. A total of 100 participants returned the questionnaire. Results: General understanding and willingness to nurse patients who attempted suicide did not increase. Conclusion: The results suggest that providing a psychiatric consultation service did not significantly affect attitudes among general hospital emergency room staff toward attempted suicide patients during its first year of operation, but in general, the emergency room staff was content with the opportunity for psychiatric consultation.
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Samaroo, Bethan. "Assessing Palliative Care Educational Needs of Physicians and Nurses: Results of a Survey." Journal of Palliative Care 12, no. 2 (June 1996): 20–22. http://dx.doi.org/10.1177/082585979601200205.
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The Greater Victoria Hospital Society (GVHS) Palliative Care Committee surveyed medical and nursing staff from four hospitals and The Victoria Hospice Society in February, 1993. The purpose of the survey was to identify physicians’ and nurses’ perceived educational needs related to death and dying. Programs that focus on the dying process; patient pain, symptom, and comfort control; and patient and family support were identified as necessary to meet the educational needs of physicians and nurses in providing quality palliative care. Physicians and nurses identified communication skills as being paramount. Communications concerning ethical issues were highlighted as the most difficult to cope with.
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Bregar, Branko, Brigita Skela-Savič, Karmen Kajdiž, and Blanka Kores Plesničar. "The Heyman Survey of nursing employees' attitudes towards mechanical restraints in Slovenia." Obzornik zdravstvene nege 53, no. 1 (March 15, 2019): 18–30. http://dx.doi.org/10.14528/snr.2019.53.1.275.
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Introduction: Attitudes of nursing employees towards mechanical restraint are directly connected to their incidence. The purpose of this research was to examine the attitudes of psychiatric nursing staff towards the use and administration of mechanical restraints.Methods: The cross-sectional descriptive study was conducted using a structured Heyman-type survey. All the Slovenian nursing staff in psychiatric hospitals participated on a given day (n = 367).Results: Differences were observed in the average duration of administered mechanical restraint between individual hospitals (χ2 = 43.770, p < 0.001). Staff most often stated that patients felt angry when subjected to mechanical restraint (n = 328, 89.4 %). Nonetheless, the majority of respondents believe that mechanical restraints can be an effective therapeutic tool (n = 343, 91.6 %). Females (U = 11450.50, p = 0.025) and with higher education (U = 9527.00, p = 0.002) experience statistically significantly more negative emotions and are less inclined to use mechanical restraints.Discussion and conclusion: It is evident that in addition to the factors we researched some other factors are more influential when the incidences of coercive measures are closely studied. Due to some variation between hospitals it would be advisable to review the current clinical practices in this field. The management of health institutions should be considered an essential factor in the efforts to decrease mechanical restraint use.
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Angelillo, Italo F., Nunzia M. A. Viggiani, Rosa M. Greco, and Daniela Rito. "HACCP and Food Hygiene in Hospitals Knowledge, Attitudes, and Practices of Food-Services Staff in Calabria, Italy." Infection Control & Hospital Epidemiology 22, no. 6 (June 2001): 363–69. http://dx.doi.org/10.1086/501914.
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AbstractObjectives:To determine adherence to Hazard Analysis and Critical Control Points (HACCP) methods and to evaluate knowledge, attitudes, and practices of food-services staff with regard to food hygiene in hospitals.Design:A survey.Participants:Hospital medical directors and food-services staff of 36 hospitals in Calabria, Italy.Methods:A questionnaire about hospital characteristics, food-services organization, and measures and procedures for the control and prevention of foodborne diseases was sent to medical directors; a questionnaire about demographic and practice characteristics, knowledge, attitudes, and behaviors about control and prevention of foodborne diseases was sent to food-services staff. Multiple logistic regression analysis was performed.Results:Only 54% of the 27 responding hospitals were using the HACCP system and, of those using HACCP, 79% adopted a food-hygiene–practice manual; more than one half already had developed written procedures for food storage, personal hygiene, cleaning and disinfection; one half or less performed microbiological assessment of foods and surfaces. Of the 290 food-services staff who responded, 78.8% were aware of the five leading food-borne pathogens; this knowledge was significantly higher among those with a higher educational level and those who worked in hospitals that had implemented the HACCP system. Younger staff and those who had attended continuing educational courses about food hygiene and hospital foodborne diseases had a significantly higher knowledge of safe temperatures for food storage. A positive attitude toward foodborne-diseases prevention was reported by the great majority, and it was significantly higher in older respondents and in those working in hospitals with a lower number of beds. Only 54.9% of those involved in touching or serving unwrapped raw or cooked foods routinely used gloves during this activity; this practice was significantly greater among younger respondents and in those working in hospitals using HACCP.Conclusion:Full implementation of the HACCP system and infection control policies in hospital food services is needed.
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Mellor, Emily, and Simon Duff. "A quantitative analysis of attitudes toward pornography use in secure hospitals: sexual, violent and non-offenders." Journal of Forensic Practice 21, no. 2 (May 13, 2019): 112–23. http://dx.doi.org/10.1108/jfp-12-2018-0049.
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Purpose The purpose of this paper is to investigate the attitudes of staff members in secure hospitals and the general population towards pornography use and their decision-making regarding access to pornography. Design/methodology/approach A between participants design was used whereby 324 participants, including 162 staff members and 162 people of general population, answered an online questionnaire. Vignettes were presented of six hypothetical patients in a secure hospital, based on gender (male/female) and offence type (sexual/violent/non-offender). Participants were required to decide whether the individual depicted in the vignette should have access to pornography. Finally, participants were given a psychometric assessment of their own attitudes towards pornography. Findings Participants were less likely to decide that the sex offender should have access to pornography than the violent or non-offender, thus the offence type of the patient was a significant predictor. There was a significant relationship between attitudes to pornography and whether the individual in the vignette should be given access to pornography. There was no significant difference between attitudes towards pornography of the general public and staff members or for male and female participants. Gender of the patient described in the vignette was not a significant predictor. Practical implications The research highlights the importance of our own attitudes towards pornography, our possible beliefs about sexual offenders and the effects these may have on decision-making. Originality/value The research determines attitudes towards pornography and explores how attitudes influence decision-making.
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Agba, A. M. Ogaboh, Felix E. Ojong, Abayomi I. Akintola, Gbadebo S. Maruf, Hannah T. Udom, and Essienawan U. Usung. "Attitudes of health workers and outpatients’ recovery in public hospitals in Calabar Metropolis, Nigeria: An Information Analysis." JINAV: Journal of Information and Visualization 2, no. 2 (March 11, 2021): 83–92. http://dx.doi.org/10.35877/454ri.jinav351.
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The study is an information analysis about the assessed awareness of the attitudes of health workers and outpatients’ recovery in public hospitals in Nigeria. Specifically, the study examined negligence and aggressive behaviour by health workers on outpatients’ recovery in public hospitals. The study was carried out in public hospitals in Calabar Metropolis, Nigeria. The cross-sectional design method was adopted to collect empirical data from outpatient in the hospitals for three months. The study adopted the purposive and volunteer sampling techniques in identifying 400 respondents for the study. Data collected were analysed using simple percentages and Chi-squared statistical tools. Results revealed that there is significant relationship between negligence by health workers and outpatients’ recovery (χ2 = 13.45 ≥ 7.815), health workers’ aggression significantly affect outpatients’ recovery (χ2 = 97.09 ≥ 7.815). Based on these findings, it was recommended among others that management of public hospitals should put on measures to curtail attitudes of negligence by staff towards patients, by installing closed-circuit television (CCTV) cameras specifically along service points. Management of public hospitals should impose stiff and stringent penalties on staff found to be aggressive towards patients.
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Taylor, Ann, Mary Lynn Andriuk, Paule Langlois, and Eric Provost. "Staff Rotation: Implications for Occupational Therapy." Canadian Journal of Occupational Therapy 62, no. 4 (October 1995): 208–11. http://dx.doi.org/10.1177/000841749506200405.
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Occupational therapy departments of tertiary care hospitals can provide staff with opportunities to gain diverse clinical experience if they rotate through the various services such as surgery, medicine, geriatrics, plastic surgery and orthopedics. The system of rotation offers both advantages and disadvantages for the staff and the institution. The Royal Victoria Hospital in Montreal, a large university teaching hospital, had traditionally offered staff the opportunity to rotate. Changes in staffing and their needs however, resulted in rotation becoming an important issue within the department. This article presents the pros and the cons of rotation and non-rotation systems as identified by therapists and administrators across Canada. Staff rotation was found to have an effect on job satisfaction and a therapist's career orientation. Given these findings, administrators may want to reconsider the role of the generalist and specialist in their facilities.
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Cerci, Deniz. "Attitudes of staff towards smoke-free environments in psychiatric hospitals in Germany." Tobacco Induced Diseases 20, September (September 5, 2022): 1–10. http://dx.doi.org/10.18332/tid/152252.
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Tsai, Jack, Michelle P. Salyers, and Angela L. Lobb. "Recovery-Oriented Training and Staff Attitudes over Time in Two State Hospitals." Psychiatric Quarterly 81, no. 4 (June 30, 2010): 335–47. http://dx.doi.org/10.1007/s11126-010-9142-2.
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Wangoo, Laltaksh, Robin A. Ray, and Yik-Hong Ho. "Staff Attitudes and Compliance Toward the Surgical Safety Checklist in North Queensland." International Surgery 103, no. 5-6 (May 1, 2018): 270–79. http://dx.doi.org/10.9738/intsurg-d-16-00013.1.
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The Surgical Safety Checklist (SSC) has been reported to decrease complications and mortality; however, it is unclear which aspects are most crucial in producing its associated benefits and whether the positive attitudes of the operating room (OR) staff toward the SSC translates into better checklist compliance. This study aims to compare staff attitudes about reported benefits of and potential barriers to the SSC against observed compliance in 3 multispecialty North Queensland hospitals. SSC compliance, attitudes, and socio-professional factors were assessed via a staff survey consisting of a modified OR version of the Surgical Attitudes Questionnaire. A direct observation study of 165 procedures was concurrently performed to assess compliance with and accuracy of SSC completion at The Townsville Hospital. A total of 205 responses were received (response rate, 70%). Of these, 29.6% of responses were from private hospital staff. Survey responses versus observations indicated a 20% margin between satisfactory initiation and verbal completion of the SSC, with Sign Out both unsatisfactorily initiated (26%) and verbally completed (18%) (P < 0.05). “Staff introduction” was poorly completed and reported as not important (P = 0.005). Disinterest from other staff as perceived by nurses was seen as the greatest barrier to SSC completion. Surgeons and anesthesiologists valued the importance and benefits of the checklist less than half as much as nurses (P < 0.05). The SSC in its present form is not fully embraced in North Queensland hospitals. Making amendments to the checklist and its implementation protocols that reflect local cultural and social settings is desirable to improve compliance.
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Mellor, Emily, and Simon Duff. "Exploring pornography use in secure hospitals: a qualitative analysis." Journal of Forensic Practice 21, no. 4 (November 11, 2019): 248–63. http://dx.doi.org/10.1108/jfp-07-2019-0030.
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Purpose This research paper reports findings from a qualitative analysis which explored pornography use in secure hospitals. The purpose of this paper is to investigate what attitudes staff working in secure hospital have towards patients having access to pornography, how they make decisions regarding access to pornography and what factors they take into account during this process. This research is an extension of a prior quantitative research study (Mellor and Duff, 2019). Design/methodology/approach The study utilised a qualitative approach using semi-structured interviews to explore professionals’ attitudes towards pornography use in a secure hospital. The sample comprised of six volunteers who had taken part in a previous research study (Mellor and Duff, 2019) requesting to discuss the topic area further. As such this research study was developed. Thematic analysis (Braun and Clarke, 2006) was used to analyse the qualitative data and the Attitudes towards Pornography Scale (Evans-DeCicco and Cowan, 2001) was used to collect demographic information. Findings Six themes were identified from the transcripts. The first theme explores staff members’ attitudes towards pornography. The second relates to the use of boundaries and monitoring of pornography. The third theme looks at the potential impact that pornography could have on the patient, either positive or negative. The fourth theme explores the extent to which patients are still considered as human beings, whereas the fifth theme explores the vulnerabilities that may make patients more at risk of being negatively influenced by pornography. The final theme looks at decision making regarding access to pornography. Practical implications The research offers an insight into how pornography within secure hospitals is managed. The research also provides an exploration into multi-disciplinary team decision making with regard to pornographic material and notes the general openness of staff towards patients having access to pornography. Originality/value The findings have important messages for services with regard to policy making. The findings are also relevant for understanding how pornography is managed with in secure hospitals.
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Tobin, Margaret J. "Inquiries at Lakeside and Aradale Hospitals: Lessons and Advances?" Australian & New Zealand Journal of Psychiatry 27, no. 2 (June 1993): 333–40. http://dx.doi.org/10.3109/00048679309075787.
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The release of reports of inquiries into two related psychiatric hospitals (Lakeside and Aradale) in Victoria occurred in 1991. These inquiries identified deficiencies in patient care standards and organisational dynamics. Knowledge of institutional dysfunction was available from similar Australian and overseas inquiries but nonetheless this knowledge had not prevented organisational inertia and decline in these two psychiatric hospitals. This paper examines the possible contribution of a failed medical hegemony model to organisational dysfunction and discusses organisational life-cycles. It reaches the conclusions that politically motivated inquiries do not achieve long term positive outcomes and that there is a need for academic research into the organisation of psychiatric services and staff productivity and morale.
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Degeling, P., D. Black, G. Palmer, and J. Walters. "Attitudes and Knowledge about Case Mix Reform among Hospital Staff in Australia." Health Services Management Research 9, no. 4 (November 1996): 223–37. http://dx.doi.org/10.1177/095148489600900402.
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This paper reports some of the findings of a national survey of staff in acute care hospitals about their knowledge of case mix and their attitudes towards it. Our findings suggest that, despite the range and scope of activities that have been pursued under the Australian Casemix Development Program (ACDP), knowledge of case mix among acute care hospital staff remains patchy. The evidence also shows that significant aspects of the DRG classification system and the uses to which it can be put are not accepted by many hospital staff, particularly medical staff. The paper concludes with a discussion of what some of these findings imply for future activity on case mix reform.
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Malinowska-Lipień, Iwona, Agnieszka Micek, Teresa Gabryś, Maria Kózka, Krzysztof Gajda, Agnieszka Gniadek, Tomasz Brzostek, and Allison Squires. "Nurses and physicians attitudes towards factors related to hospitalized patient safety." PLOS ONE 16, no. 12 (December 7, 2021): e0260926. http://dx.doi.org/10.1371/journal.pone.0260926.
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Introduction The attitudes of healthcare staff towards patients’ safety, including awareness of the risk for adverse events, are significant elements of an organization’s safety culture. Aim of research To evaluate nurses and physicians’ attitudes towards factors influencing hospitalized patient safety. Materials and methods The research included 606 nurses and 527 physicians employed in surgical and medical wards in 21 Polish hospitals around the country. The Polish adaptation of the Safety Attitudes Questionnaire (SAQ) was used to evaluate the factors influencing attitudes towards patient safety. Results Both nurses and physicians scored highest in stress recognition (SR) (71.6 and 80.86), while they evaluated working conditions (WC) the lowest (45.82 and 52,09). Nurses achieved statistically significantly lower scores compared to physicians in every aspect of the safety attitudes evaluation (p<0.05). The staff working in surgical wards obtained higher scores within stress recognition (SR) compared to the staff working in medical wards (78.12 vs. 73.72; p = 0.001). Overall, positive working conditions and effective teamwork can contribute to improving employees’ attitudes towards patient safety. Conclusions The results help identify unit level vulnerabilities associated with staff attitudes toward patient safety. They underscore the importance of management strategies that account for staff coping with occupational stressors to improve patient safety.
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Larson, Elaine L., Dave Quiros, Tara Giblin, and Susan Lin. "Relationship of Antimicrobial Control Policies and Hospital and Infection Control Characteristics to Antimicrobial Resistance Rates." American Journal of Critical Care 16, no. 2 (March 1, 2007): 110–20. http://dx.doi.org/10.4037/ajcc2007.16.2.110.
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• Background Antibiotic misuse and noncompliance with infection control precautions have contributed to increasing levels of antimicrobial resistance in hospitals. • Objectives To assess the extent to which resistance is monitored in infection control programs and to correlate resistance rates with characteristics of antimicrobial control policies, provider attitudes and practices, and systems-level indicators of implementation of the hand hygiene guideline of the Centers for Disease Control and Prevention. • MethodsAn on-site survey of intensive care unit staff and infection control directors of 33 hospitals in the United States was conducted. The following data were collected: antimicrobial control policies; rates during the previous 12 months of methicillin-resistant Staphylococcus aureus, vancomycin-resistant enterococci, and ceftazidime-resistant Klebsiella pneumoniae; an implementation score of systems-level efforts to implement the guideline; staff attitudes toward practice guidelines; and observations of staff hand hygiene. Variables associated with resistance rates were examined for independent effects by using logistic regression. • ResultsResistance rates for S aureus, enterococci, and K pneumoniae were 52.5%, 18.2%, and 16.0%, respectively. Ten (30.3%) hospitals had an antibiotic control policy. No statistically significant correlation was observed between staff attitudes toward practice guidelines, observed hand hygiene behavior, or having an antibiotic use policy and resistance rates. In logistic regression analysis, higher scores on measures of systems-level efforts to implement the guideline were associated with lower rates of resistant S aureus and enterococci (P=.046). • Conclusions Organizational-level factors independent of the practices of individual clinicians may be associated with rates of antimicrobial resistance.
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Panta, Gopal, Ann K. Richardson, Ian C. Shaw, and Patricia A. Coope. "Healthcare workers’ knowledge and attitudes towards sterilization and reuse of medical devices in primary and secondary care public hospitals in Nepal: A multi-centre cross-sectional survey." PLOS ONE 17, no. 8 (August 1, 2022): e0272248. http://dx.doi.org/10.1371/journal.pone.0272248.
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Background Healthcare facilities reprocess and sterilize reusable medical devices before each invasive clinical procedure, such as surgery, to prevent person-to-person or environmental transmission of pathogens through medical devices. We conducted a nationwide multi-centre cross-sectional survey in primary and secondary-care public hospitals in Nepal to assess the knowledge and attitudes of healthcare workers towards sterilization and reuse of medical devices. Methods We carried out a multi-centre cross-sectional survey comprising eleven primary-care (two district-level and nine district hospitals) and two secondary-care (zonal hospitals) public hospitals which covered all seven provinces of Nepal. Survey questionnaires were distributed to 234 healthcare workers including doctors, nurses, paramedics, and office assistants (involved in medical device reprocessing); 219 (93.6%) returned the completed questionnaire. Descriptive analyses of demographic information, knowledge and attitude responses of survey participants were performed. Logistic regression and ordinal regression models for complex samples were used to investigate associations between responses and independent variables. Results Except for a few areas, more than 70% of healthcare workers had proper knowledge about different aspects of sterilization and reuse of medical devices. Paramedics and office assistants were less likely to have the correct knowledge in different aspects compared to nurses. Permanent staff were more likely to give correct answers to some knowledge questions compared to temporary staff. Previous infection control training was positively associated with correct responses to some knowledge items. Most of the healthcare workers had positive attitudes towards different aspects of sterilization and reuse of medical devices, and nurses were more likely to have positive attitudes compared with other staff categories. Conclusions Most of the healthcare workers had correct knowledge and positive attitudes towards most areas of sterilization and reuse of medical devices. However, they need proper education and training in some areas such as sterilization procedures, storage of sterilized devices, prion decontamination and standard precautions.
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Scerri, Anthony, Anthea Innes, and Charles Scerri. "Using appreciative inquiry to implement person-centred dementia care in hospital wards." Dementia 18, no. 1 (October 6, 2016): 190–209. http://dx.doi.org/10.1177/1471301216663953.
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The quality of care of persons with dementia in hospitals is not optimal and can be challenging. Moreover, staff may find difficulty in translating what they have learned during training into practice. This paper report the development and evaluation of a set of workshops using an appreciative inquiry approach to implement person-centred dementia care in two hospital wards. Staff worked collaboratively to develop a ward vision and to implement a number of action plans. Using appreciative inquiry approach, staff attitudes towards persons with dementia improved, inter-professional collaboration was enhanced and small changes in staff practices were noted. Dementia care in hospitals can be enhanced by empowering staff to take small but concrete actions after they engage in appreciative inquiry workshops, during which they are listened to and appreciated for what they can contribute.
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Bodner, E., S. Cohen-Fridel, and I. Ianco. "Staff attitudes towards patients with borderline personality disorder." European Psychiatry 26, S2 (March 2011): 1010. http://dx.doi.org/10.1016/s0924-9338(11)72715-8.
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IntroductionBDP is a common diagnosis in hospitals and community settings, estimated at 20% and 11%, respectively. Nevertheless, the attitudes and skills of all mental health professionals regarding the treatment of these patients had hardly been studied.ObjectivesDevelop tools and use them to understand staff attitudes towards BDP patients.Aims(1)To develop two inventories for the measurement of cognitive and emotional attitudes towards borderline personality disorder (BPD) patients and their treatment;(2)To use these tools to understand and compare attitudes of psychiatrists, psychologists and nurses toward BPD patients.MethodTwo lists of items referring to cognitive and emotional attitudes towards BPD patients were formulated. Nurses, psychologists and psychiatrist (n = 57), working in public psychiatric institutions rated their level of agreement with each item. Both lists of attitudes yielded three factors (cognitive: required treatment, suicidal tendencies, and antagonistic judgment, and emotional: negative emotions, experienced difficulties in treatment, and empathy, respectively).ResultsPsychologists scored lower than psychiatrists and nurses on antagonistic judgments. Nurses scored lower than psychiatrists and psychologists on empathy. Regression stepwise analyses on the three emotional attitudes separately showed that suicidal tendencies of BPD patients mainly explained negative emotions and difficulties in treating these patients. All groups were interested in learning more about the treatment of these patients.ConclusionsSuicidal tendencies of BPD patients provoke antagonistic judgments among the three professions. Psychiatrists, psychologists and nurses hold distinctive cognitive and emotional attitudes towards these patients. Staff training programs regarding BDP patients should consider these differences and concerns.
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Yu, Brian, Cheng-Fan Wen, Heng-Lien Lo, Hsun-Hsiang Liao, and Pa-Chun Wang. "Improvements in patient safety culture: a national Taiwanese survey, 2009–16." International Journal for Quality in Health Care 32, no. 1 (January 9, 2020): A9—A17. http://dx.doi.org/10.1093/intqhc/mzz099.
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Abstract Objective To assess national trends in patient safety culture in Taiwan. Design A safety attitudes questionnaire (SAQ) was distributed to 144 hospitals from 2009 to 2016 (n = 392 341). Setting Taiwan’s medical centers, regional hospitals and community hospitals. Participants Hospital staff in Taiwan. Interventions None. Main Outcome Measures 5-point Likert scale to assess changes in patient safety culture dimensions (teamwork, safety climate, job satisfaction, stress recognition, management and working conditions) converted to positive response rate (percentage of respondents who answered slightly agree or strongly agree on Likert scale). Results Dimensions for patient safety culture significantly increased in Taiwan over a period of 8 years, with an all-composite improvement in positive response rate of 4.6% (P < 0.001). Regional hospitals and community hospitals registered an all-composite improvement of 6.7 and 7.0%, respectively, while medical centers improved by 4.0%. Improvements for regional and community hospitals primarily occurred in teamwork (regional hospitals, 10.4% [95% confidence interval [CI], 10.2–10.6]; community hospitals, 8.5% [95% CI, 8.0–9.0]) and safety climate (regional hospitals, 11.1% [95% [CI], 10.9–11.4]; community hospitals, 11.3% [95% CI, 10.7–11.8]) (P < 0.001, all differences). Compared with nurses (5.1%) and pharmaceutical staff (10.6%), physicians improved the least (2.0%). Improvements for nurses and pharmacists were driven by increases in perceptions of teamwork (nurses, 9.8% [95% CI, 9.7–10.0]; pharmaceutical staff, 14.2% [95% CI, 13.4–14.9]) and safety climate (nurses, 9.0% [95% CI, 8.8–9.1]; pharmaceutical staff, 16.4% [95% CI, 15.7–17.2]) (P < 0.001, all differences). At study end, medical centers (55.1%) had greater all-composite measurements of safety culture than regional hospitals (52.4%) and community hospitals (52.2%) while physicians (63.7%) maintained greater measurements of safety culture than nurses (52.1%) and pharmaceutical staff (56.6%). Conclusion These results suggest patient safety culture improved in Taiwan from 2009 to 2016.
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Zaaijman, John Du Toit. "Rural district hospitals: Ambulance services, staff attitudes, and other impediments to healthcare delivery." South African Medical Journal 105, no. 12 (November 3, 2015): 1001. http://dx.doi.org/10.7196/samj.2015.v105i12.10174.
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Mester, Roberto, Paz Toren, Yosefa Ben-Moshe, and Abraham Weizman. "Survey of Smoking Habits and Attitudes of Patients and Staff in Psychiatric Hospitals." Psychopathology 26, no. 2 (1993): 69–75. http://dx.doi.org/10.1159/000284802.
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Shi, Yudong, Juan Wang, Yating Yang, Zhiqiang Wang, Guoqing Wang, Kenji Hashimoto, Kai Zhang, and Huanzhong Liu. "Knowledge and attitudes of medical staff in Chinese psychiatric hospitals regarding COVID-19." Brain, Behavior, & Immunity - Health 4 (April 2020): 100064. http://dx.doi.org/10.1016/j.bbih.2020.100064.
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Koivula, Ulla-Maija, and Sirkka-Liisa Karttunen. "Volunteers in a hospital – opportunity or threat? Exploratory study from Finland." Journal of Health Organization and Management 28, no. 5 (September 9, 2014): 674–95. http://dx.doi.org/10.1108/jhom-10-2013-0218.
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Purpose – Finland represents one of the Nordic welfare states where the role of the public sector as the organiser and provider of health and social care is strong. However, the amount of voluntary work in social and health care services is surprisingly big. The strongest advocates for keeping the volunteers outside are hospitals and health centres while at the same time they are suffering from shortages of staff and staff is reporting lack of time to provide needed care for their patients. The purpose of this paper is to report the results of a study of the attitudes of professionals towards voluntary work in hospitals. Design/methodology/approach – The paper is based on an exploratory study done in three hospitals, two from an urban area and one in a rural area. The interviewees represent nursing and care staff (n=21). The main questions were how staff members see options, constraints and drawbacks of volunteering regarding professional roles, work division, coordination and management. Findings – Attitudes of staff varied from positive to conditional. The approaches towards voluntary work varied from holistic to task-centred or patient-centred and were linked with organisational approach, professional approach or considerations of patients’ well-being. Critical views were expressed related to managerial issues, patients’ safety and quality of care. Increasing the amount of voluntary work done in hospitals would require a considered strategy and a specifically designed process for coordination, management and rules on the division of labour. Research limitations/implications – The research raised themes for further quantitative studies to elaborate the findings on the similarities and differences of the opinions of different staff categories and to be able to develop further the heuristic model of volunteer management triangle suggested in the paper. Social implications – The study raises questions of the need and promotion of volunteers in general and especially in health care services. It also raises critical views related to voluntary work in hospitals. Originality/value – The study is a new initiative to discuss voluntary work and how to manage volunteers in hospitals. It provides valuable knowledge for practitioners in health care involved in volunteer management and coordination.
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Pilcher, David V., Graeme Duke, Melissa Rosenow, Nicholas Coatsworth, Genevieve O’Neill, Tracey A. Tobias, Steven McGloughlin, et al. "Assessment of a novel marker of ICU strain, the ICU Activity Index, during the COVID-19 pandemic in Victoria, Australia." Critical Care and Resuscitation 23, no. 3 (September 6, 2021): 300–307. http://dx.doi.org/10.51893/2021.3.oa7.
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OBJECTIVES: To validate a real-time Intensive Care Unit (ICU) Activity Index as a marker of ICU strain from daily data available from the Critical Health Resource Information System (CHRIS), and to investigate the association between this Index and the need to transfer critically ill patients during the coronavirus disease 2019 (COVID-19) pandemic in Victoria, Australia. DESIGN: Retrospective observational cohort study. SETTING: All 45 hospitals with an ICU in Victoria, Australia. PARTICIPANTS: Patients in all Victorian ICUs and all critically ill patients transferred between Victorian hospitals from 27 June to 6 September 2020. MAIN OUTCOME MEASURE: Acute interhospital transfer of one or more critically ill patients per day from one site to an ICU in another hospital. RESULTS: 150 patients were transported over 61 days from 29 hospitals (64%). ICU Activity Index scores were higher on days when critical care transfers occurred (median, 1.0 [IQR, 0.4–1.7] v 0.6 [IQR, 0.3–1.2]; P < 0.001). Transfers were more common on days of higher ICU occupancy, higher numbers of ventilated or COVID-19 patients, and when more critical care staff were unavailable. The highest ICU Activity Index scores were observed at hospitals in north-western Melbourne, where the COVID-19 disease burden was greatest. After adjusting for confounding factors, including occupancy and lack of available ICU staff, a rising ICU Activity Index score was associated with an increased risk of a critical care transfer (odds ratio, 4.10; 95% CI, 2.34–7.18; P < 0.001). CONCLUSIONS: The ICU Activity Index appeared to be a valid marker of ICU strain during the COVID-19 pandemic. It may be useful as a real-time clinical indicator of ICU activity and predict the need for redistribution of critical ill patients.
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Zdziarski, Krzysztof, Paulina Zabielska, Sylwia Wieder-Huszla, Iwona Bąk, Katarzyna Cheba, Mariola Głowacka, and Beata Karakiewicz. "Existential and Spiritual Attitudes of Polish Medical and Nursing Staff towards Death." International Journal of Environmental Research and Public Health 19, no. 15 (August 2, 2022): 9461. http://dx.doi.org/10.3390/ijerph19159461.
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Issues related to death are difficult areas of human existence and are most often considered in terms of ethical or non-ethical behaviour. The aim of the research was to examine the attitudes of Polish medical and nursing personnel towards death. The research was conducted among medical (110 people) and nursing staff (110 people) working in Polish hospitals and representing 16 regions. The Questionnaire About Attitudes to Death (DAP-R-PL) was used. The attitude of medical staff, taking into account the holistic approach to the patient in his existential–spiritual dimension, is an extremely important element of professional care. The study outlines the attitudes of medical and nursing staff towards death. Medical personnel under examination demonstrate a mature attitude towards death. In light of this research, health care workers show great commitment to helping dying people with existential and spiritual needs.
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Alwatifi, Mohammed Hindi, and Wafaa Abd Ali Hattab. "Attitudes to Hand Hygiene Performance among Nursing Staff during Covid-19 Pandemic." Pakistan Journal of Medical and Health Sciences 16, no. 3 (March 31, 2022): 909–11. http://dx.doi.org/10.53350/pjmhs22163909.
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Background: Proper hand hygiene was identified as one of the simplest most cost-effective Covid-19 prevention measures. However, there is no available evidence indicating that hand hygiene is fully practiced by health care workers Objectives: This study aimed to fill this gap by assessing the attitudes regarding hand hygiene practice among nursing staff during the Covid-19 pandemic Methodology: A descriptive cross-sectional design was carried out in three hospitals' Intensive Care Units from the period (20th December 2021 to 30th January 2022). A non-probability sampling method consists of (130) nurses who were selected purposively based on the study criteria Results: The majority of the study participants (73.1%) had negative attitudes towards hand hygiene. Conclusion: There were an overall high proportion of participants with negative attitudes level toward hand hygiene. Keyword: Attitudes, Hand Hygiene, Nurse, Covid-19
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Weller, Jennifer M., Tanisha Jowsey, Carmen Skilton, Derryn A. Gargiulo, Oleg N. Medvedev, Ian Civil, Jacqueline A. Hannam, Simon J. Mitchell, Jane Torrie, and Alan F. Merry. "Improving the quality of administration of the Surgical Safety Checklist: a mixed methods study in New Zealand hospitals." BMJ Open 8, no. 12 (December 2018): e022882. http://dx.doi.org/10.1136/bmjopen-2018-022882.
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While the WHO Surgical Safety Checklist (the Checklist) can improve patient outcomes, variable administration can erode benefits. We sought to understand and improve how operating room (OR) staff use the Checklist. Our specific aims were to: determine if OR staff can discriminate between good and poor quality of Checklist administration using a validated audit tool (WHOBARS); to determine reliability and accuracy of WHOBARS self-ratings; determine the influence of demographic variables on ratings and explore OR staff attitudes to Checklist administration.DesignMixed methods study using WHOBARS ratings of surgical cases by OR staff and two independent observers, thematic analysis of staff interviews.ParticipantsOR staff in three New Zealand hospitals.Outcome measuresReliability of WHOBARS for self-audit; staff attitudes to Checklist administration.ResultsAnalysis of scores (243 participants, 2 observers, 59 cases) supported tool reliability, with 87% of WHOBARS score variance attributable to differences in Checklist administration between cases. Self-ratings were significantly higher than observer ratings, with some differences between professional groups but error variance from all raters was less than 10%. Key interview themes (33 interviewees) were: Team culture and embedding the Checklist, Information transfer and obstacles, Raising concerns and ‘A tick-box exercise’. Interviewees felt the Checklist could promote teamwork and a safety culture, particularly enabling speaking up. Senior staff were of key importance in setting the appropriate tone.ConclusionsThe WHOBARS tool could be useful for self-audit and quality improvement as OR staff can reliably discriminate between good and poor Checklist administration. OR staff self-ratings were lenient compared with external observers suggesting the value of external audit for benchmarking. Small differences between ratings from professional groups underpin the value of including all members of the team in scoring. We identified factors explaining staff perceptions of the Checklist that should inform quality improvement interventions.
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Beryl, R., and B. Völlm. "Attitudes to personality disorder of staff working in high-security and medium-security hospitals." Personality and Mental Health 12, no. 1 (October 11, 2017): 25–37. http://dx.doi.org/10.1002/pmh.1396.
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Xenodoxidou, Elizabeth, Panagiotis Theodorou, Roxani Karagianni, Georgios Intas, and Charalampos Platis. "Factors that determine parents’ satisfaction with the care given to their children in two Greek public hospitals." Health & Research Journal 8, no. 2 (April 3, 2022): 87–100. http://dx.doi.org/10.12681/healthresj.26774.
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Background: Patient satisfaction is a valuable measure of the healthcare quality, which in turn is the most necessary condition for effective healthcare services. Aim: To evaluate the inpatient children’s parental satisfaction, in order to assess the quality and outcomes of the public healthcare services. Method and Material: A cross-sectional study was conducted, on a random sample of 120 parents of children who were hospitalized in the two major public pediatric hospitals of Athens, using the Greek version of the Swedish Pyramid Quality of Care Questionnaire - Parents version. Results: Parental satisfaction was at high levels (overall index 80.2%), mainly due the medical and nursing staff attitudes (93.11%), medical & nursing care (92.32%) and information about the child’s illness / condition provided (84.75%). Low satisfaction observed due the accessibility of health services (66.16%) and the working environment of the staff (68.14%), and also in respect of waiting times for clinical and laboratory tests, in low-moderate severity cases. Conclusions: The high levels of parents' satisfaction with hospital pediatric care is a result of the attitudes, knowledge and skills of the medical and nursing staff.
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Diab, Hannah, and Taghrid S. Suifan. "Work-life Balance Practices and Workplace Attitudes in Private Hospitals in Jordan." International Business Research 9, no. 9 (July 27, 2016): 98. http://dx.doi.org/10.5539/ibr.v9n9p98.
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<p>The main aim of this research is to contribute to the body of literature revolving around work-life balance (WLB) and its causal relationship with desired workplace outcomes. Particularly, the interest was directed towards investigating the linkage between WLB practices and workplace attitudes of job satisfaction and organizational commitment along with the mediation effect of work-life conflict. The research also sought to differentiate between formal and informal WLB practices in order to examine the more influential of the two.</p><p>This research was applied to the context of private hospitals in Jordan targeting medical-staff. With 450 questionnaires randomly distributed to medical-staff working in private hospitals in Jordan, 363 responses were obtained and analyzed yielding a response rate of 81 percent. Fitness-of-measure tests (reliability and validity) were first carried out to assess the suitability and generalizability of the obtained sample. Subsequently, data was analyzed and the research hypotheses were tested for possibility of rejection.</p><p>Results revealed the rejection of all hypotheses implying a statistically significant relationship between WLB practices and workplace attitudes of job satisfaction and organizational commitment with the former being more affected by the relationship than the latter. The findings also confirmed the mediation effect of work-life conflict. Furthermore, informal WLB practices were found to be superior to formal practices in terms of attaining desirable organizational outcomes. Finally, the research disclosed the fact that physicians—of all the segments under study—had the most conflict between work and life responsibilities.</p>
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Thienprayoon, Rachel, Ryan Campbell, and Naomi Winick. "Attitudes and Practices in the Bereavement Care Offered by Children’s Hospitals." OMEGA - Journal of Death and Dying 71, no. 1 (March 9, 2015): 48–59. http://dx.doi.org/10.1177/0030222814568287.
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Fifty thousand children die annually in the United States. No best practice standard exists regarding what services should be offered by children’s hospitals to grieving families. We sought to identify the bereavement services most commonly offered, the departments primarily responsible for their dissemination, whether resources differ based on the patient’s diagnosis or place of death, and whether the services offered are adequate. A 13-item anonymous online survey was emailed to 201 pediatric chaplains using the Pediatric Chaplains Network email list. Seventy respondents (34.8%) participated. Respondents described offering a variety of resources, but 47.8% of respondents believe the resources provided are not adequate. Increased staff and financial resources, and more consistency in services provided, were cited as needing improvement. The breadth and depth of bereavement services varies among children’s hospitals. More studies are warranted to define the optimal approach to care for families grieving the loss of a child.
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Tan, Heather, Bruce Rumbold, Fiona Gardner, David Glenister, Annie Forrest, and Luke Bowen. "How is spiritual care/pastoral care understood and provided in general hospitals in Victoria, Australia? – Staff perspectives." Journal for the Study of Spirituality 10, no. 2 (July 2, 2020): 114–26. http://dx.doi.org/10.1080/20440243.2020.1812886.
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Gkioka, Mara, Birgit Teichmann, Despina Moraitou, Sotirios Papagiannopoulos, and Magda Tsolaki. "Effects of a Person Centered Dementia Training Program in Greek Hospital Staff—Implementation and Evaluation." Brain Sciences 10, no. 12 (December 12, 2020): 976. http://dx.doi.org/10.3390/brainsci10120976.
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People with Dementia (PwD) are frequently admitted in general hospitals. However, health care professionals have lack of dementia knowledge, negative attitudes toward dementia, and lack of confidence in caring those patients. The aim of this study is to develop, implement and evaluate a dementia staff training program in Greek general hospitals. It was a repeated-measures research design. Fourteen (14) two-day workshops were conducted, consisting of six targeted and interactive modules. Staff members (N = 242) attended the program and were assessed according to (1) individual performance: questionnaires about attitudes towards dementia, confidence in care, knowledge about dementia and anxiety before, immediately after the training and three months later, (2) an overall training evaluation immediately after the training and (3) an evaluation of training implementation three months later. Positive attitudes towards dementia, improvement of confidence in care and decrease of feeling of anxiety as a trait, were sustained over time. Knowledge about dementia also increased after the training and sustained, with, however, a slight decrease over time. A well applied training program seems to provide the basis of a better care in PwD during hospitalization. However, changes in the organizational level and a transformation of care culture are necessary for training sustainability over time.
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Gamondi, Claudia, Angèle Gayet-Ageron, Gian Domenico Borasio, Samia Hurst, Ralf J. Jox, and Bara Ricou. "Attitudes of university hospital staff towards in-house assisted suicide." PLOS ONE 17, no. 10 (October 27, 2022): e0274597. http://dx.doi.org/10.1371/journal.pone.0274597.
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Objective To investigate staff attitudes toward assisted suicide in the hospital setting in Switzerland. Design Cross-sectional study. Setting Two University Hospitals in French speaking regions of Switzerland. Participants 13’834 health care professionals, including all personnel caring for patients, were invited to participate. Main outcome measures and other variables Attitudes towards the participation of hospital health care professionals in assisted suicide were investigated with an online questionnaire. Results Among all invited professionals, 5’127 responded by filling in the survey at least partially (response rate 37.0%), and 3’683 completed the entire survey (26.6%). 73.0% of participants approved that this practice should be authorized in their hospital and saw more positive than negative effects. 57.6% would consider assisted suicide for themselves. Non-medical professionals were 1.28 to 5.25 times more likely to approve assisted suicide than physicians (p<0.001). 70.7% of respondents indicated that each professional should have the choice of whether to assist in suicide. Conclusions This multiprofessional survey sheds light on hospital staff perceptions of assisted suicide happening within hospital walls, which may inform the development of rules considering their wishes but also their reluctances. Further research using a mixed-methods approach could help reach an in-depth understanding of staff’s attitudes and considerations towards assisted suicide practices.
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Gaynes, Robert P., Carolyn V. Gould, Jonathan Edwards, Theresa L. Antoine, Henry M. Blumberg, Kathryn DeSilva, Mark King, et al. "A Multicenter Study on Optimizing Piperacillin-Tazobactam Use: Lessons on Why Interventions Fail." Infection Control & Hospital Epidemiology 30, no. 8 (August 2009): 794–96. http://dx.doi.org/10.1086/599002.
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We examined interventions to optimize piperacillin-tazobactam use at 4 hospitals. Interventions for rotating house staff did not affect use. We could target empiric therapy in only 35% of cases. Because prescribing practices seemed to be institution specific, interventions should address attitudes of local prescribers. Interventions should target empiric therapy and ordering of appropriate cultures.
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Wilson, Lionel L. "What's wrong with our hospitals?" Australian Health Review 28, no. 1 (2004): 20. http://dx.doi.org/10.1071/ah040020.
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EVENTS occurring from 1999 to 2003 at Campbelltown and Camden hospitals within the South Western Sydney Area Health Service received extensive coverage in the media during the first half of 2004 and led to significant government intervention. It has been claimed that some 17 deaths could have been avoided. Other accusations of less than appropriate care by both nurses and doctors have also been made. A group of nurses complained about mismanagement and patient neglect, and alleged that management failed to address their concerns. Medical staff claimed serious under-funding of the two hospitals were reasons for these events. The media and political debate that erupted was highly emotive and further muddied and confused the issues. This article draws on these events to explore the issues of quality and risk management generally in Australian hospitals. Gaps in current approaches and attitudes particularly prevalent in NSW are analysed and suggestions made as to how these gaps should be eliminated.
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Baysan Arabacı, L., E. Engin, N. Yetmiş, G. Şen, and T. Ozturk. "The perception and attitudes of nursing staff in state psychiatric hospitals regarding the causes and treatment of substance abuse and effecting factors." European Psychiatry 41, S1 (April 2017): s858. http://dx.doi.org/10.1016/j.eurpsy.2017.01.1710.
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ObjectiveThis study was performed with the aims of determining the perceptions of nursing staff in psychiatric hospitals regarding the causes and treatment of substance addiction as well as their attitudes towards people with substance abuse problems.MethodThis study was carried out with 389 nurses working at 5 state psychiatry hospitals in Turkey. In this study, demographic questionnaire, the causes of drug abuse scale (CADAS), drug abuse scale (CUDAS), attitudes scale (AS), and a demographic questionnaire were used. Independent sample t-test, variance, correlation, and linear regression analyses were used.ResultsIn this study, 82.8% of the nurses were female, and the mean age was 33.79 ± 7.58. We found that the demographic characteristics of the nurses did not affect their perception regarding the causes of addiction and treatment (P > 0.05); but it did have an effect upon their attitude towards people with substance use problem (P < 0.05). Also, it was established that there was a negative relationship between their perception regarding causes of substance misuse and their attitude towards a person with substance use problem; and a positive relationship between their perception regarding substance misuse treatment and their attitude towards the person with substance use problem (P < 0.05).ConclusionNursing staff working in psychiatric hospitals in Turkey have the perception that a person takes substances in order to “cope with problems”and for reasons pertaining to his/her “social environment”. Nursing staff tends to indicate a negative attitude towards persons with substance abuse problems, such distancing themselves socially from the patients.Disclosure of interestThe authors have not supplied their declaration of competing interest.
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Protti, D. J. "Health Information Science at the University of Victoria: The First Ten Years." Methods of Information in Medicine 33, no. 03 (1994): 268–72. http://dx.doi.org/10.1055/s-0038-1635025.
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Abstract:The University of Victoria has the only program in Canada offering a Bachelor of Science degree in Health Information Science. To meet the requirements of the degree, students must complete 40 courses and 4 CO-OP work terms over 4.3 years. The School admits 30 students each September of which 60% are normally female. Seventy-five percent of the students come from British Columbia, ranging in age from 18 to 42 with the average age being 26 years. In addition to recent high school graduates, over 40% have previous degrees or diplomas, and 65% have over 5 years of work experience. The School’s teaching team consists of 5 full-time faculty, 3 professional staff and 4 part-time faculty. The majority of the faculty have health backgrounds, totalling 135 person-years of practising health care experience. As of November 1992, the School had 113 graduates; 75% are employed in British Columbia, 18% are in other parts of Canada and 7% outside the country. Forty-five percent of the graduates work in government departments including community health agencies; 29% work in hospitals; 26% work in management consulting firms, software houses, or computer hardware firms. They work as systems/project analysts, systems consultants, research assistants, planning analysts, system-support staff, trainers/developers and client account representatives. Some are already in senior management positions.
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Bulajić, Maša, Tonći Lazibat, and Davor Plavec. "VALIDATION OF THE SAFETY ATTITUDES QUESTIONNAIRE (SHORT FORM 2006) IN MANAGEMENT STAFF OF CROATIAN HOSPITALS." Poslovna izvrsnost - Business excellence 12, no. 1 (June 2018): 55–70. http://dx.doi.org/10.22598/pi-be/2018.12.1.55.
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