ABSTRACT Background On February 24th, 2022, a full-scale armed conflict broke out in Ukraine, resulting in a significant impact on the healthcare system, as well as extensive damage to the country's infrastructure. The aim of this study was to assess the challenges faced by oncologists in providing cancer care to patients. Methods Data were collected through a structured self-administered questionnaire administered using the Google survey tool and distributed to all participants. Results This was a cross-sectional study that involved 111 oncology specialists. Physicians practising in regions that were partially or temporarily occupied by the Russian army (Chernihiv and Zaporizhzhia) reported a significantly higher decline in patient numbers compared to physicians in unoccupied regions (70.0% vs 20.9%; p < 0.0001). Most physicians from both occupied and unoccupied regions reported an increase in the number of patients with advanced disease (65.0% vs. 65.9%; p = 0.735). The majority of physicians from both occupied and unoccupied regions did not see loss of information, changes in cancer treatment phases, and self-medication as a concern. The majority were satisfied with the availability of medicines and equipment. Conclusion This needs-based assessment is crucial for improving the quality of cancer care as it provides valuable information for designing public health interventions.

ABSTRACT Considering the importance of getting prepared for biological accidents and emergencies caused by the spread of biological agents, it seems necessary to design and codify a specific structural model for the establishment of temporary medical centers and hospitals. The present study was designed to provide a structural model of temporary medical centers in biological emergencies. This is a mixed-method study devised to present a model for the establishment of temporary medical centers. Multi-criteria decision-making methods were implemented in the quantitative section. Multi-criteria decision-making (MCDM) techniques, including Shannon entropy and TOPSIS, were used in this study to prioritize the components. The forms related to multi-criteria decision-making were designed by researchers according to the initial model, which were then completed by 15 experts. Also, 23 structural components of the model were prioritized and classified into four main categories (effective management, resources, infrastructure, and ideas). The categories were prioritized in terms of conceptual relevance as effective management, resources, infrastructure, and ideas, respectively. The results of this study can help to design temporary medical centers and manage biological emergencies more effectively in the future.

ABSTRACT Introduction Falls are a significant threat to older adults' health. The home falls and accidents screening tool (HOME FAST) was introduced as a screening tool for identifying hazards inside the home. This study aimed to investigate the ability of this tool to predict older adults at risk of falls. Materials and methods This study analyzed cross-sectional data from the Ardakan Cohort Study on Aging (ACSA) participants. HOME FAST was collected through home visits by interviewers. Fall history during the last 12 months was collected as a self-report. The discrimination was assessed by the receiver operating characteristic curve. Results A total of 4990 adults older than 50 participated in the current study, of which 47.65% were female, and the mean age was 61.5. Among them, 19.9% reported falls during the last year. The mean HOME FAST score was 6.2 for non-fallers, 6.5 for one-time fallers, and 6.4 for multipletime fallers (P = 0.047). The HOME FAST score over the optimal cut-point (five) was not associated with increased fall risk in the multivariate model. Conclusion Based on the findings, the HOME FAST score failed to be a screening tool for falls in the Iranian population. However, further prospective studies are required to investigate this point.

ABSTRACT Background Burnout and social support have been widely examined, but how these factors relate to preventive behaviours against COVID-19 has not yet been studied. This study investigated the relationship among burnout, perceived social support and cognitive factors affecting preventive behaviours of healthcare workers (HCWs) during the pandemic period. Methods A survey was conducted with 360 HCWs working in a large public hospital in Turkey during the pandemic. The survey included the Maslach Burnout Inventory, the Multidimensional Scale of Perceived Social Support, and two subscales of the Affecting Factors on Preventive Behaviours of COVID-19 Scale, which is based on the Protection Motivation Theory. Data were analysed using descriptive statistics, between-group comparison tests, and binary logistic regression. Results Of the HCWs, 38.1% reported high burnout, 20.3% inadequate social support, 51.4% low perceived self-efficacy, and 52.2% low protection motivation. Working in COVID-19 wards and having low perceived self-efficacy increased burnout (OR:1.96, 1.62; P < 0.050). Receiving adequate social support and higher protection motivation increased the perceived self-efficacy (OR:2.03, 4.92; P < 0.025). Lower education and higher perceived self-efficacy increased protection motivation (OR:2.32, 4.24; P < 0.025). Conclusion The results revealed that burnout, protection motivation, and perceived self-efficacy were significantly affected by some risk factors that policymakers should address.

ABSTRACT Despite notable advancements, person-centered implementation is still propelled at a service level. This study aims to empirically determine organizational actions to achieve a person-centered culture through conceptual mapping of essential strategies. A participatory, multi-staged, group concept-mapping approach was employed. Mid and high-level healthcare managers responsible for managing healthcare delivery within the Malaysian Ministry of Health were recruited. In two separate meetings, 12 managers provided a set of related concepts and strategies, while 17 rated the importance and feasibility of implementation strategies. Cluster labels generated from the multidimensional scaling and hierarchical clsuter analysis were: multidisciplinary team, training and education, service user empowerment and quality assurance. The rating of statements created go-zone maps to determine the relative importance and feasibility of each person-centered strategy. Extending professional activities that cover a comprehensive spectrum of services and training healthcare providers on person-centered competency were rated the most important and feasible strategies. Nevertheless, these strategies must be balanced with additional resources to avoid the increasing workload to healthcare providers juggling many different tasks. In conclusion, the participatory evaluation allowed a better understanding of stakeholder-perceived priorities in developing short and long-term strategic plans for person-centered transformational practice and culture development.

ABSTRACT This study aimed to determine the relationship between nurses’ personality profiles, perception of conscience, and their tendency to medical error. This cross-sectional study was conducted with 241 nurses between 05.03.2023 and 10.04.2023 in two private hospitals in Türkiye. There was a negative correlation between neuroticism and tendency to medical error (r = −0.348; p < 0.05) and a positive correlation between agreeableness, extroversion, conscientiousness, and openness and tendency to medical error (r = 0.157; r = 0.248; r = 0.276; r = 0.241; p < 0.05, respectively). A positive correlation (r = 0.172; p < 0.05) was revealed between the authority subscale of the Perception of Conscience Questionnaire and hospital infection subdimension. According to the regression analysis conducted to determine the predictive levels of conscience and personality traits, it was found that conscientiousness, neuroticism, and authority explained 17.4% of the tendency to medical error. Accordingly, it was revealed that the neuroticism personality trait (β = −0.260, p < 0.05) increased the tendency to medical error, whereas the conscientiousness personality trait (β = 0.165, p < 0.05) and the authority subscale (β = 0.164, p < 0.05) decreased the tendency to medical error. In this regard, managers should determine the work and responsibility areas of nurses by making personality and perception of conscience evaluations to reduce the tendency to medical error.

ABSTRACT Patient experience of healthcare is increasingly recognized as a key dimension of healthcare quality, alongside clinical effectiveness and patient safety. While the focus of many developed countries is increasingly shifting from patient satisfaction to monitoring and evaluating patients’ care experiences, the concentration of many sub-Saharan African (SSA) countries is still on the evaluation of patient satisfaction with care. The aim of this paper, therefore, is to provide a narrative overview of patient experience of care (PEC) research and initiatives in SSA. A non-systematic literature search for relevant published and unpublished records was conducted on five electronic databases: Medline/PubMed, Scopus, Web of Science, Google Scholar, and African Index Medicus (AIM). The health ministry/department websites of the various SSA countries were also searched manually for additional information on nationally established patient experience survey programs. This review has established that few individual PEC research activities have been undertaken in SSA, and these have been concentrated in Ethiopia and South Africa. It could, therefore, be concluded, based on the available evidence, that PEC is under-researched in the SSA region. This paper has provided a broad perspective on the concept of PEC within the SSA region.

ABSTRACT This study objective is twofold: First, we investigate the post-Covid-19 medical tourists’ hospitalization procedures. Next, we explore the post-Covid-19 medical tourism service provider’s challenges from the immediate healthcare stakeholders and agencies insights and perspectives. This study utilizes the Business Continuity Management (BCM) model as the grounded theory. Using the qualitative method, ten informants from the senior-ranking medical tourism personnel related to the medical tourism industry were interviewed. The interview data were transcribed and analysed using thematic analysis. This research manifestly revealed: (i) uncertain standard operating procedures; (ii) limited awareness of the availability of treatment among medical tourists; (iii) overreliance on a single medical tourist’s origin; (iv) reluctance rising from risks of travelling are some of the challenges medical tourism service providers faced post-Covid-19 pandemic. This research is among the first to reveal uncertain standard operating procedures, limited awareness of the availability of medical treatment, reliance on a single medical tourist’s origin, reluctance and risks of travelling are the main threats that affect medical tourism service providers.

ABSTRACT As in every sector, organizational management in the health sector plays an important role in the institution being successful and achieving its goals. Health care is a phenomenon that reminds individuals of the need for collective work. The aim of this study was to determine the relationship between the perceptions of mushroom management and collective justice in healthcare organizations. The sample for the study, using the relational survey model, consisted of 410 healthcare professionals. The “Mushroom Management Scale” and “Collective Justice Scale” were used to collect data. SEM path analysis revealed that there was a significant negative relationship between the mushroom management scale sub-dimensions and collective justice variable. In addition, a significant effect was found between these variables. Based on the demographic data of the participants, mushroom management sub-dimensions and collective justice perceptions of participants differed significantly according to the institution they worked in. It is thought that health institution managers who are transparent, honest and open, especially in information sharing, instead of using mushroom management style, who include employees in decision-making processes, and who adopt a more sharing management style will increase employees' trust in the organization and management as well as their perceptions of collective justice.

ABSTRACT Background Academic burnout is a concern among students. The research aimed to depict the current situation and examine several factors associated with academic burnout among students of Hanoi Medical University in 2023. Methods A cross sectional study was carried out on a sample of 300 randomly selected students from Hanoi Medical University. The study employed demographic questionnaires and the Maslach Burnout Inventory Student Survey (MBI-SS) to assess the level of burnout. Statistical analyses, including descriptive statistics and regression analysis, were performed to evaluate burnout-related factors. Results The study findings revealed that the overall prevalence of burnout was 16.33%. Factors associated with burnout syndrome included being female (OR = 0.42, 95% CI 0.19 −0.93) with a lower level of burnout than males, fourth-year students (OR = 0.06, 95% CI 0.01 −0.72) had a lower level of burnout compared to other academic years, and students pursuing pre-clinical courses (OR = 4.07, 95% CI 1.17 −14.29) had a higher level of burnout. Conclusion The study findings highlight that academic burnout is a noteworthy issue among students. Examining burnout-related factors, including gender, academic year, and field of study, can assist universities in developing specific interventions to support students in managing burnout and enhancing the quality of education.