Attitudes Of Hospital Staff Research Articles

Epilepsy-related knowledge and attitudes toward people with epilepsy among hospital staff in Van City, Turkey

BackgroundThe level of knowledge and exhibited attitudes of hospital staff may affect the quality of healthcare for people with epilepsy, and they may have a direct impact on epilepsy stigma in the general population. AimThe aim of this study was to evaluate knowledge and attitudes of hospital staff regarding epilepsy at a hospital located in the eastern side of Turkey. MethodThis study was conducted with 210 hospital staff working at Van Regional Educational and Training Hospital in Van, Turkey. Data regarding the demographics and familiarity with epilepsy were obtained. Epilepsy knowledge scale and epilepsy attitude scale were used to evaluate the level of knowledge and attitudes regarding epilepsy, respectively. ResultsThe mean score of epilepsy knowledge scale was 11.3 ± 3.8 and the mean score of epilepsy attitude scale was 58.2 ± 6.3. The level of knowledge was positively associated with being familiar with epilepsy. Positive attitudes regarding epilepsy correlated with higher level of knowledge (p < 0.001). Negative attitude regarding epilepsy was particularly present toward relationship and marriage involving people with epilepsy. ConclusionOur study results showed that hospital staff had a moderate level of knowledge regarding epilepsy. The study sample generally displayed a positive attitude, but not in the items related to relationship and marriage involving people with epilepsy. More knowledge was associated with a more positive attitude. Education programs can help to increase knowledge, and thus to improve attitudes regarding epilepsy.

Safety attitudes in hospital emergency departments: a systematic review

PurposeThe purpose of this paper is to perform and report a systematic review of published research on patient safety attitudes of health staff employed in hospital emergency departments (EDs).Design/methodology/approachAn electronic search was conducted of PsychINFO, ProQuest, MEDLINE, EMBASE, PubMed and CINAHL databases. The review included all studies that focussed on the safety attitudes of professional hospital staff employed in EDs.FindingsOverall, the review revealed that the safety attitudes of ED health staff are generally low, especially on teamwork and management support and among nurses when compared to doctors. Conversely, two intervention studies showed the effectiveness of team building interventions on improving the safety attitudes of health staff employed in EDs.Research limitations/implicationsSix studies met the inclusion criteria, however, most of the studies demonstrated low to moderate methodological quality.Originality/valueTeamwork, communication and management support are central to positive safety attitudes. Teamwork training can improve safety attitudes. Given that EDs are the “front-line” of hospital care and patients within EDs are especially vulnerable to medical errors, future research should focus on the safety attitudes of medical staff employed in EDs and its relationship to medical errors.

Understanding the Heterogeneity of Labor and Delivery Units: Using Design Thinking Methodology to Assess Environmental Factors that Contribute to Safety in Childbirth.

There is limited research exploring the relationship between design and patient safety outcomes, especially in maternal and neonatal care. We employed design thinking methodology to understand how the design of labor and delivery units impacts safety and identified spaces and systems where improvements are needed. Site visits were conducted at 10 labor and delivery units in California. A multidisciplinary team collected data through observations, measurements, and clinician interviews. In parallel, research was conducted regarding current standards and codes for building new hospitals. Designs of labor and delivery units are heterogeneous, lacking in consistency regarding environmental factors that may impact safety and outcomes. Building codes do not take into consideration workflow, human factors, and patient and clinician experience. Attitude of hospital staff may contribute to improving safety through design. Three areas in need of improvement and actionable through design emerged: (1) blood availability for hemorrhage management, (2) appropriate space for neonatal resuscitation, and (3) restocking and organization methods of equipment and supplies. Design thinking could be implemented at various stages of health care facility building projects and during retrofits of existing units. Through this approach, we may be able to improve hospital systems and environmental factors.

Validating the Press Ganey Questionnaire (Bahasa Melayu version)

PurposeThe purpose of this paper is to validate the Press Ganey Questionnaire (PGQ) (Bahasa Melayu version) using Hospital Universiti Sains Malaysia (HUSM) patients.Design/methodology/approachThis cross-sectional study comprised 252 patients visiting HUSM. Patients were selected using the convenience sampling method. The PGQ (Bahasa Melayu version) had three main factors: during your visit; your care provider and overall assessment. Data were analyzed using the structural equation modeling.FindingsThe exploratory factor analysis resulted in item reduction from 21 to 17, which contained four factors with eigenvalues greater than 1. Meanwhile, confirmatory factor analysis results showed that data fitted the model: χ2/df at 1.764, comparative fit index at 0.952, Tucker–Lewis index at 0.941 and root mean square error of approximation at 0.073. The average variance extracted value for the four factors was greater than 0.50, which indicated that PGQ convergent validity was met. Overall, PGQ produced good reliability with composite reliability score equals to 0.966. Four factors were reclassified as “during your registration,” “hospital staff attitude,” “doctor’s attitude” and “overall assessment.”Research limitations/implicationsPatient satisfaction is an important and frequently used indicator for measuring healthcare quality; hence, a validated and reliable instrument is important for measuring patient satisfaction that leads to healthcare service quality assessment.Practical implicationsValidated PGQ provides some useful information for doctors, medical assistants, nurses and staff in the emergency department to help them become more prominent and efficient in their role as healthcare providers.Social implicationsValidated PGQ will help healthcare providers to deliver the best and exceptional care toward emergency patient, and thus improve their quality of work life. The findings in this study can be used as a guide or as baseline data for further research in this area.Originality/valueThe PQG (Bahasa Melayu version) was confirmed as a reliable and valid instrument for measuring patient satisfaction. This research is the first PGQ validation study in Southeast Asia, specifically focusing on Malaysian respondents.

An Investigation of the Job Performance of Administrative Staff in Government Hospitals, Malaysia

Stress can cause a negative effect on the psychological condition and affect the overall job performance of an employee. The aim of this study is to examine the relationship between job stress and job performance among administrative staff in Selangor (state of Malaysia) Hospitals. Probability sampling techniques were used as the name of the respondents and a simple random sampling was used to conduct this study. List of Government Hospitals has been obtained from the official website and the directory of Ministry of Health Malaysia. The results show that all the variables such as work stress, workload, work-life conflict time pressure, and social pressure significantly influence the job performance of Hospital administrative staffs. The research results help to improve employee performance by understanding the behavior and attitudes of hospital staff against work stress. The implication of the study has been explaining in detail with limitation and future research study for his current research.

A Qualitative Study on the Pathways to Evidence-Based Antenatal Care in Periurban Ghana.

Maternal health care has become a major concern on international fora in the 21st century. Even though major interventions have been taken to scale up maternal health care locally, nationally, and globally, adequate utilisation has not been achieved due to system-induced setbacks, especially in sub-Saharan Africa. The study explored the facilitators and barriers to antenatal care use in periurban Ghana. Seventeen (17) respondents consisting of four mothers receiving ANC services, four mothers receiving postnatal care with their ANC experience, four midwives, and four nurses with the District Public Health Nurse were involved in the study. The exploratory case study design was used with respondents comprising two focus groups and interview participants. Using thematic analysis, the results revealed that restrictive factors like travel time, long waiting time, transport cost, service cost, quality of service, and attitude of hospital staff still act as constraining factors even after the introduction of free maternal health care. The study concludes that practices like focused ANC and routine monitoring to facilities among others have increased utilisation. The study therefore recommends that to ensure adequate utilisation, the government and other stakeholders should offer support to the less-privileged mothers. Again, services should be easily available at facilities to pregnant women even if they are to be bought. It is further recommended that antenatal care services should be reoriented and clinical psychologists should be placed at all health centres to empower health staff on the best attitude towards clients. Interventions if mainstreamed into the national maternal health policy could be useful.

Attitudes towards female managers in hospitals: Case study of Turkey

ABSTRACT Health sector is the one of the main fields of work for females; yet they are underrepresented in senior management positions. This study was conducted to evaluate the attitudes of hospital staff towards female managers in a state hospital in Ankara and also to determine the variation in attitudes according to socio-demographic and occupational characteristics of the employees. Attitude towards Women Managers Scale, developed by Berkman (2005), was used. The sample consisted of a total of 348 subjects including managers, physicians, nurses, and other healthcare staff. The study found significant differences in the total scores of attitudes towards female managers between male and female subjects. The differences in attitude scores “work ethic” dimension regarding the total working time and working title were statistically found. Employees with 16 years and above at work also the technicians& administrative staff had a more unfavourable attitude towards female managers. Regarding the level of education, employees with a high school education had the most unfavourable attitude in the “professional behaviour” dimension. Results indicated that hospital management can develop institutional policies addressing social gender equality, implement training programmes and projects to promote positive attitudinal changes among employees especially towards female ones.

A UK hospital survey to explore healthcare professional views and attitudes to patients incorrectly labelled as penicillin allergic: an antibiotic stewardship patient safety project

ObjectivesTo ascertain the views, beliefs and attitudes of hospital staff to incorrect penicillin allergy records in order to determine healthcare worker motivation for the implementation of a penicillin de-labelling antibiotic...

Knowledge, Attitude and Practice of Staff on Segregation of Hospital Waste: A Case Study of a Tertiary Private Hospital in Kenya

This study set to find out the knowledge, attitude and practice of hospital staff in segregation of hospital waste. Specifically, the study sought to analyse how healthcare waste is segregated, what organizational factors affect the practice, knowledge on proper management of biomedical waste and the attitude of workers towards the practice. A sample size of 105 respondents was included in the study from a population of 442 members of staff. Stratified random sampling technique was used. A structured questionnaire was administered to the sample. The Statistical Package for the Social Sciences was used for the purpose of data analysis. Data was analyzed using descriptive statistical techniques. Inferences were drawn using chi-square test of significance. Results revealed that waste segregation was done across all the departments at the hospital except the accounts department. Syringes and needles made up most of the waste segregated from the various departments at the hospital. With the exception of surgical blades and needles which were disposed in yellow sharps containers, all the other healthcare wastes were disposed in any of the bins. Clear instructions and guidelines influenced the practice of waste segregation among staff at the hospital. The study recommended that training on health care waste management should be done on a regular basis. Adequate quantity of the right colour of waste disposal bags should be provided. Policies and guidelines should be introduced in order to guide and direct staff on what the institution expects of them. A waste segregation plan should be introduced.

Healthcare stakeholders’ perceptions and experiences of factors affecting the implementation of critical care telemedicine (CCT): qualitative evidence synthesis

Healthcare stakeholders’ perceptions and experiences of factors affecting the implementation of critical care telemedicine (CCT): qualitative evidence synthesis

Audiologists’ Role in Managing Patient Suicide Risk

Audiologists’ Role in Managing Patient Suicide Risk

일개 상급종합병원 직원들의 흡연 지식 및 태도에 영향을 미치는 요인

Objectives: The perceptions and attitudes of hospital staff to smoking directly affect patients and other staff. It is important to improve knowledge of smoking more than any other occupation to improve the health of the whole user and to fulfill the responsibility of the medical professional. Methods: This study was conducted by a self-reported survey from August to September 2015. 652(59%) out of about 1,100 staff participated. Statistical analysis methods used are chi-square tests, t-test, ANOVA, multiple regression analysis. The statistical program used SAS ver 9.4. Results: About 64% of hospital were smokers and 31% were currently smoking. 76% of people in the hospital experienced secondhand smoke. The scores of hospital workers’ smoking knowledge scores showed an average score of 74.4 on a scale of 100, and both smokers and non-smokers predicted smoking cessation. The factors influencing smoking knowledge were sex, marital status, having a smoker in family, and the factors influencing smoking attitudes were sex, drinking, exercise. Conclusions: This study investigated the smoking-related factors of hospital staff to establish healthy hospital environment. Most respondents respond negatively to their smoking behavior, and specific efforts will be needed to improve awareness of all employees’ smoking cessation.

Impact of State Legislation on Hospital Breastfeeding Support in New York

The purpose of this study was to evaluate whether 2 state mandates, both implemented in 2010, had an impact on NY hospitals providing maternity care. Specifically, we measured changes in hospital staff's awareness, attitudes, and promotion of breastfeeding (BF), maternity care practices, and hospital breastfeeding policies and tested whether they were related to implementation of the Breastfeeding Mothers' Bill of Rights or the mandate for public reporting of hospital-specific BF measures. In 2009 and 2011, written hospital BF policies were collected and evaluated using a 28-item review tool and hospital BF surveys were conducted. The surveys assessed hospital culture and staff attitudes associated with BF promotion and support and recommended maternity care practices. NY hospitals providing maternity care services and hospital staff. Changes over time in hospital BF policies (BF policy score) and implementation of recommended maternity care practices (9 of Ten Steps to Successful BF) were evaluated. The relationships and correlations between these changes in staff awareness, hospital culture, and BF promotion were determined. Between 2009 and 2011, there were increases in BF policy scores, maternity care practices implemented, and lactation staff (P < .001). Greater awareness by hospital administrators of BF measures was associated with more emphasis in promoting BF (P = .02). Hospitals reporting much more emphasis in promoting BF or reporting large changes in organizational culture had greater increases in BF policy scores and the recommended maternity care practices implemented (P < .05). These findings suggest that state mandates requiring key BF policies and support in hospitals and public reporting of BF rates may have led to increased emphasis and promotion of BF, improvement in hospital BF policies, and increased implementation of maternity care practices supporting BF. Implementation of similar policies by other states, combined with rigorous evaluation, is needed to replicate these findings and assess the long-term impact on maternal and infant health outcomes.

A multicentre study of hospital staff attitudes to homeless patients

Our aim was to assess attitudes of hospital staff to the management of homeless patients. An online questionnaire was sent to all hospital staff across four regional centres enquiring about their experience of homeless patients, their knowledge of appropriate management and their attitudes to

Attitudes of Hospital Staff about Performance Based Additional Payment System: An Investigation in Mugla Sitki Kocman University Training and Research Hospital

The aim of the hereby study is to analyze whether the work system, called ” Performance based additional payment” affects the employees of the institutions, emerged after the co-colcational use of the Universities and the relevant institutions of the Ministry of Health in a negative or positive manner. The study in this regard was initiated by conducting a literature review and the books, articles, published or unpublished post graduate or doctorate thesis as well as the internet based documents were studied. In order to determine the impact of the Performance Based Additional Payment System, that is currently being implemented in the Mugla Sitki Kocman University, Training and Research Hospital, on the efficiency of the employees of the said hospital, a survey was developed and implemented on the working personnel. The population of the research is comprised of the entire personnel, working in the Institution, renamed Mugla Sitki Kocman University Training and Research Hospital, upon undersigning the “protocol for cooperation and collocation” signed by The Mugla State Hospital under the Ministry of Health and by Mugla Sitki Kocman University by time the indicated research was being conducted. 550 surveys were presented in order to acquire the assessments of the employees but only 338 of them were filled in. The data, received from this were analyzed in SPSS 14.0. As a result of the study it was seen that staff had negative attitudes towards to the Performance Based Additional Payment System

Effectiveness of pharmacovigilance: multifaceted educational intervention related to the knowledge, skills and attitudes of multidisciplinary hospital staff

OBJECTIVES:Most educational interventions in pharmacovigilance are designed to encourage physicians to report adverse drug reactions. However, multidisciplinary teams may play an important role in reporting drug-related problems. This study assessed the impact of a multifaceted educational intervention in pharmacovigilance on the knowledge, skills and attitudes of hospital professionals.METHOD:This prospective, open-label, non-randomized study was performed in a medium-complexity hospital in São Paulo, Brazil. The intervention involved four activities: 1) an interactive lecture, 2) a practical class, 3) a pre-post questionnaire administered to professionals on a multidisciplinary team, and 4) educational material. The intervention’s impact on the professionals’ knowledge and skills was assessed using the World Health Organization’s definitions. The intervention’s effect on the professionals’ attitudes was analysed by the prevalence of adverse drug event reports (adverse drug reactions, medication errors, therapeutic failure and drug quality deviations) and the relevance (seriousness and expectancy) of the events.RESULTS:One hundred seventy-three professionals were enrolled. A 70-fold increase in the number of adverse drug event reports was observed during the 12 months post-intervention. The intervention improved the professionals’ form-completion skills (p<0.0001) and their knowledge of pharmacovigilance (p<0.0001). The intervention also contributed to detecting serious drug-induced events. The nursing staff reported medication errors, and pharmacists and physiotherapists recognized serious adverse drug reactions. Physicians communicated suspicions of therapeutic failure.CONCLUSIONS:A multidisciplinary approach to drug-safety assessments contributes to identifying new, relevant drug-related problems and improving the rate of adverse drug event reporting. This strategy may therefore be applied to improve risk communication in hospitals.

“I just don’t want to cause fires”: The attitudes of hospital patients and staff towards patient empowerment strategies to reduce healthcare acquired infections

“I just don’t want to cause fires”: The attitudes of hospital patients and staff towards patient empowerment strategies to reduce healthcare acquired infections

Assessment managers’ and hospital staff knowledge and attitude to accreditation

Assessment managers’ and hospital staff knowledge and attitude to accreditation

Attitudes of Psychiatric Hospital Staff Towards Mental Illness and Patients’ Satisfaction with Psychiatric Services

Patient’s satisfaction with the mental health care services is a vital component determining effectiveness of management, and is rarely studied. Attitudes towards mental illness of the staff delivering psychiatric services can have direct implication on the care they are providing. We aimed at assessing patients’ satisfaction with the psychiatric services, and exploring the attitudes of nursing and ward-attendant staff of a tertiary care mental health setup of India, towards mental illness and association with their social and job related factors. Thirty hospital staff were assessed on Community attitude towards mental illness scale and 30 in-patients on Client satisfaction inventory. The results showed positive attitudes in hospital staff (138 ± 13.6) with corroborative good satisfaction towards hospital care received by patients (69.6 ± 14.4). Nursing-staff had better attitude in comparison to ward-attendants, condemning authoritarianism and social restrictiveness, and encouraging community based treatment. History of suffering from a mental illness was associated with positive attitude(r = 0.415, p < 0.05).

Concerns and hopes about outsourcing decisions regarding health information management services at two teaching hospitals in Semnan, Iran.

Changes in health programs in Iran have led to an increase in administrative costs. One cost-saving option available to hospital administrators is to outsource administrative services. This study aimed to explore the attitudes of hospital staff towards outsourcing health information management services in advance of a decision being taken, to assist healthcare organisations to assess the potential benefits and challenges of outsourcing such services. Six hundred and four clinical and allied health employees in two hospitals in Iran, who had had prior experience with outsourcing hospital services, responded to a survey designed to measure staff attitudes towards outsourcing health information management services, based on their perceptions of potential costs and benefits for the organisation and their own employment prospects. A 16-item attitude scale, developed by the researchers, was used in the study and demographic data were also collected. Summary statistics showed that approximately one third of the sample (34.53%) had a negative view of outsourcing, one third (35.16%) had a positive view, and 30.31% were neutral. An exploratory factor analysis of items on the attitude scale identified three underlying constructs, labelled: data security and management; workplace environment; and staff and customer satisfaction. One item (concern about the impact of outsourcing on staffing levels) did not load on any of the factors. A separate analysis of this single item showed a significant relationship between the sex of participants and their views on the impact of outsourcing on the number of hospital staff employed (p<0.05). While results of this study indicated that staff in hospitals surveyed held both positive and negative views of outsourcing, a large number of staff in these hospitals (a third of the total sample) had reservations about the skills of outside providers to securely manage hospital data, and did not consider that outsourcing health information management services would be positive for the organisation, their working environment or for staff and patient satisfaction. These findings have important implications for healthcare organisations planning to outsource health information services. Further research that focuses on communication skills of senior managers and their ability to provide team leadership is needed, as is research into the impact of geographical location and current market forces that impact on outsourcing tasks.