Employees Of Health Care Facilities Research Articles

Examining the impact of managerial support on the performance of healthcare organizations - the mediating role of employee autonomy

Introduction/Objective. This paper aims to examine the influence of managerial support and employee autonomy on the performance of healthcare organizations. Additionally, it seeks to investigate the mediating influence of employee autonomy on the relationship between managerial support and organizational performance. Method. The study involved 165 employees from four healthcare organizations in the Branicevo District in the Republic of Serbia. Independent variable - Managerial support and mediating variable - employee autonomy was measured using Corporate Entrepreneurship Assessment Instrument (CEAI) scale. For dependent variable - organizational performance, a scale adapted from previous research was utilized, consisting of financial results, quality of service delivered, productivity, employee satisfaction, patient satisfaction, reputation, and adaptability to change dimensions. Employees of healthcare facilities were surveyed regarding their attitudes on a five-point Likert scale to statements designed to measure the aforementioned variables. The analysis employed descriptive statistics, internal reliability tests, normality distribution tests, correlation, and regression analysis. Results. The scales used for measurement achieved a high level of internal consistency, with Cronbach's alpha coefficients ranging from 0.870 to 0.937, indicating strong reliability. A high level of Cronbach's alpha coefficients was defined based on established thresholds, where scores above 0.7 were considered high. The regression analysis reveals a statistically significant and positive influence of managerial support and autonomy on organizational performance (? = 0.539, p < 0.000; ? = 0.301, p < 0.000, respectively). Additionally, a mediating effect of autonomy in the relationship between managerial support and organizational performance was identified (? = 0.5579; p < 0.0397). Conclusion. Managerial support significantly impacts the performance of healthcare organizations, with this effect being further enhanced by granting employees autonomy. Therefore, managers in these organizations can enhance organizational performance by improving support and fostering the development of employee autonomy.

Perception of blood donation among employees of healthcare organizations during COVID-19 pandemic: A national multicenter cross-sectional study.

Maintaining a safe and adequate blood supply during a crisis is a major challenge facing blood banks around the world. With the recent global COVID-19 crisis and the enforced "stay at home" lockdown, access to blood donors was limited. Since employees of healthcare facilities may act as potential blood donors, their perception of blood donation and their willingness to donate during the pandemic period is important to be assessed. A national cross-sectional study at six centers in Saudi Arabia was conducted using an online-based questionnaire that was distributed to all healthcare employees in these facilities between June and August 2020. Among the total of 1664 participants, 63.2% (n= 1051) did not donate blood during the last 2 years. However, 53% (n= 882) of participants reported they are likely to donate blood during the COVID-19 crisis. Furthermore, 85% (n= 1424) did not donate blood during the current pandemic, with the biggest worries of getting the COVID-19 infection in the donor center. The main concerns of participants were about adherence to physical distancing requirements and the safety of the donation procedure. The majority of health care participants (88.2%) support implementing a hospital policy for a voluntary blood donation by employees during crises. Recruitment of more blood donors among health care employees is a feasible solution to improve the blood supply during a crisis. This should be based on efforts throughout the year including regular awareness campaigns and effective communication.

Public administration as a subject of protection of the rights of the medical sphere

In this scientific article, the author conducted a study of public administration as a subject of protection of the rights of patients in the medical field. With the implementation of the health care reform, a new vision of providing medical care and medical services to patients is provided, new approaches to the system of financing health care facilities and paying for medical care and medical services by patients are introduced, levels of medical care are determined depending on complexity. medicine and state guarantees of medical care, etc. However, the successful implementation of the goals and objectives of medical reform is not possible without a legal basis and systematic and coordinated activities of authorized public administration entities in the study area of administration.
 The main task of public administration of the medical sphere is to ensure a patient-oriented system, to ensure fair universal coverage of health services for the entire population of the country.
 The system of public administration bodies that protect patients' rights has a hierarchical structure. The availability of electronic databases of patients, medicines and drugs, electronic health care system facilitates the diverse interaction of competent entities to ensure the rights, freedoms and interests of patients in the exercise of their constitutional right to health care.
 It is important to bring the guilty officials, officials and employees of health care facilities to criminal, administrative, disciplinary and civil liability in case of violation of patients 'rights, ie that these rules are not declarative, but are an effective mechanism for protecting patients' rights.
 It is determined that public administration as a subject of protection of patients' rights in the medical sphere is a system of executive bodies and bodies exercising delegated powers in the field of health care, the purpose of which is to guarantee the constitutional right to health care, ensuring timely, continuous, highly professional provision of health care services to patients in case they apply to health care institutions, as well as bringing persons who violate the rights of patients to justice.

Готовність закладів охорони здоров’я України до автономізації

Розглянуто рівень готовності та спроможності організаторів охорони здоров’я та працівників закладів охорони здоров’я різних рівнів надання медичної допомоги до проведення автономізації закладів охорони здоров’я. Доведено низький рівень готовності та спроможності організаторів охорони здоров’я та працівників закладів охорони здоров’я різних рівнів надання медичної допомоги до проведення автономізації закладів охорони здоров’я. Визначено, що цей рівень готовності організаторів охорони здоров’я та працівників фінансово-економічних служб не дозволить ефективно провести автономізацію закладів охорони здоров’я.

Waning of Anti-spike Antibodies in AZD1222 (ChAdOx1) Vaccinated Healthcare Providers: A Prospective Longitudinal Study.

IntroductionCoronavirus disease 2019 (COVID-19) vaccines are nothing short of a miracle story halting the pandemic across the globe. Nearly half of the global population has received at least one dose. Nevertheless, antibody levels in vaccinated people have shown waning, and breakthrough infections have occurred. Our study aims to measure antibody kinetics following AZD1222 (ChAdOx1) vaccination six months after the second dose and the factors affecting the kinetics.Materials and methodsWe conducted a prospective longitudinal study monitoring for six months after the second of two AZD1222 (ChAdOx1) vaccine doses in healthcare professionals and healthcare facility employees at Veer Surendra Sai Institute of Medical Sciences and Research (included doctors, nurses, paramedical staff, security and sanitary workers, and students). Two 0.5-mL doses of the vaccine were administered intramuscularly, containing 5 x 1010 viral particles 28 to 30 days between doses. We collected blood samples one month after the first dose (Round 1), one month after the second dose (Round 2), and six months after the second dose (Round 3). We tested for immunoglobulin G (IgG) levels against the receptor-binding domain of the spike protein of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) by chemiluminescence microparticle immunoassay. We conducted a linear mixed model analysis to study the antibody kinetics and influencing factors.ResultsOur study included 122 participants (mean age, 41.5 years; 66 men, 56 women). The geometric mean IgG titers were 138.01 binding antibody units (BAU)/mL in Round 1, 176.48 BAU/mL in Round 2, and 112.95 BAU/mL in Round 3. Seven participants showed seroreversion, and 11 had breakthrough infections. Eighty-six participants showed a substantial decline in antibody titer from Rounds 2 to 3. Persons aged 45 or older had higher mean titer than people aged younger than 45 years. Overweight and obese (BMI ≥ 25 kg/m2) had a higher mean titer than average or underweight persons. The only significant predictor of IgG titers at six months was SARS-CoV-2 infection on mixed model analysis.ConclusionWe found a substantial decline in antibody levels leading to seven cases of seroreversion in healthcare professionals who received the ChAdOx1 vaccine. History of prior COVID-19 was the only significant factor in antibody levels at six months. Seroreversion and breakthrough infection warrant further research into the optimal timing and potential benefits of booster doses of the AZD1222 (ChAdOx1) COVID-19 vaccine.

Information security cultural differences among health care facilities in Indonesia

BackgroundHealth information security (IS) breaches are increasing with the use of information technology for health care services, and a strong security culture is important for driving employees' information asset protection behavior. ObjectiveThis study aimed to analyze differences in information security cultures (ISCs) across health care providers based on factors drawn from the ISC model. MethodsWe used twelve factors to measure the ISCs of health care providers. This research applied a survey method with the Kruskal–Wallis H Test and the Mann–Whitney U Test as data analysis techniques. We collected the data through a questionnaire distributed to 470 employees of health care facilities (i.e. hospitals, community health centers, and primary care clinics) in Indonesia. ResultsThe results revealed the differences between health care provider types for 9 of the 12 security culture factors. Top management support, change management, and knowledge were the differentiating factors between all types of health care providers. Organizational culture and security compliance only differed in primary care clinics. Meanwhile, security behavior, soft issues and workplace independence, information security policies, training, and awareness only differed in hospitals. ConclusionThe results indicated that each type of health care provider required different approaches to develop an ISC considering the above factors. They provided insight for top management to design suitable programs for cultivating ISCs in their institutions.

Correlation of national and healthcare workers COVID-19 infection data; implications for large-scale viral testing programs.

Time analysis of the course of an infectious disease epidemic is a critical way to understand the dynamics of pathogen transmission and the effect of population scale interventions. Computational methods have been applied to the progression of the COVID-19 outbreak in five different countries (Ireland, Germany, UK, South Korea and Iceland) using their reported daily infection data. A Gaussian convolution smoothing function constructed a continuous epidemic line profile that was segmented into longitudinal time series of mathematically fitted individual logistic curves. The time series of fitted curves allowed comparison of disease progression with differences in decreasing daily infection numbers following the epidemic peak being of specific interest. A positive relationship between the rate of declining infections and countries with comprehensive COVID-19 testing regimes existed. Insight into different rates of decline infection numbers following the wave peak was also possible which could be a useful tool to guide the reopening of societies. In contrast, extended epidemic timeframes were recorded for those least prepared for large-scale testing and contact tracing. As many countries continue to struggle to implement population wide testing it is prudent to explore additional measures that could be employed. Comparative analysis of healthcare worker (HCW) infection data from Ireland shows it closely related to that of the entire population with respect to trends of daily infection numbers and growth rates over a 57-day period. With 31.6% of all test-confirmed infections in healthcare workers (all employees of healthcare facilities), they represent a concentrated 3% subset of the national population which if exhaustively tested (regardless of symptom status) could provide valuable information on disease progression in the entire population (or set). Mathematically, national population and HCWs can be viewed as a set and subset with significant influences on each other, with solidarity between both an essential ingredient for ending this crisis.

IDENTIFICATION OF RISKS IN THE FIELD OF HEALTHCARE AND THEIR INFLUENCE ON THE FUNCTIONING OF TERRITORIAL COMMUNITIES IN THE CONDITIONS OF IMPLEMENTATION OF MODERN REFORMS

Introduction. Among the measures to ensure the well-being of communities, one of the most important is health care, which in Ukrainian reality is largely due to high mortality rates, reduced life expectancy and low satisfaction of community residents with the quality of health care. Goal. Identification of health risks, identification of their impact on the functioning of local communities and development of a set of measures aimed at their leveling. Method (methodology). Methods of logical generalization, analysis, comparison and synthesis are used to identify risks in the health care system and justify measures to minimize them. Results. Identified organizational and institutional, functional, financial risks in the health care system; an analytical study was carried out and the peculiarities of their influence on the functioning of territorial communities were clarified. A set of measures aimed at the effective functioning of health care at the territorial community level and minimization of negative consequences in terms of identified risks, namely: organizational and institutional (legislative definition of secondary and tertiary levels of health care, taking into account administrative and territorial features of primary health care). Assistance in determining the capitalization rate and the abolition of limitation of declarations in rural areas); financial (establishment of an effective mechanism for financing primary health care in the local community, elimination of inefficient expenditures, application of financial incentives for employees of health care facilities of the local community); functional risks (establishing partnerships between local governments and the management of the primary care institution, stimulating and encouraging local governments to develop medicine in the local community, control over the conditions of remuneration of primary care physicians).

Klíčové kompetence pracovníků zdravotnických organizací potřebné pro výkon jejich práce v rámci pilíře sociální zralosti

In recent years, increased attention has been paid to the importance of social and emotional competencies or knowledge, skills and attitudes that must be personally and socially competent. The aim of the paper is to present the results of the research project, which is focused on the analysis of the use of key competencies of employees of health care facilities. In total, 987 questionnaires were evaluated. The research was realized in the months of February 2017 to March 2018. The author deals with the key competences that are part of the pillar of social maturity and they are empathy, will features, responsibility, emotional maturity, health and fitness and decency. There are two research hypotheses that are part of quantitative research. They are verified using the Pearson's Chi-square test method. One research question has been identified as part of qualitative research. The results indicate that there is a statistical dependence between the perception of individual characteristics and gender and the length of the employment relationship. Qualitative research has shown the importance of these features also from the point of view of employers.

Prevalence of smoking among employees of healthcare facilities

Prevalence of smoking among employees of healthcare facilities

The effect of creating new secondary health services on patients’ perceptions: a Kano service quality analysis approach

The emphasis of this study is on exploring the effects of new facilities on patients' perceptions regarding the quality of services. It investigates patients' perceptions of public secondary hospitals in Greece using the Kano model approach. A 22-item ServQual scale was used as the input of a Kano-type quantitative research questionnaire model. Face validity analysis based on the literature review and a panel of experts was established for the research questionnaire. Furthermore, an analysis of the basic satisfaction dimensions of the Kano model was established based on the specific service attributes that most affect the total satisfaction of the hospital patients. Kano model shows that ‘health care facility employees give patients personal attention’ and ‘health care facility employees tell patients exactly when services will be performed’ are two important areas where secondary hospitals in Greece can make improvements. These two attributes tend to affect, in a higher positive or negative manner, the patient's satisfaction level. This study indicates that several factors are pivotal attributes to create satisfied patients and positive revisiting behavioural intentions. Secondary hospital managers should reasonably allocate their limited resources to these attributes based on their contributions to patients’ satisfaction and behavioural intentions.

Croatian smoke-free law and smoking habits among employees of health care facilities in Koprivnica-Križevci County

Health consequences of tobacco smoke exposure are well documented and include cancer, cardiovascular disease, and respiratory disease (1). However, a significant body of evidence demonstrates that smoke-free laws are effective in protection from harmful effects of second-hand smoke and can also influence smoking behavior and smoking norms (2).

Level of job satisfaction among employees working at healthcare facilities in Nisava and Toplica district

The product of health system and its employees is health service whose quality is related to the satisfaction and motivation of people working in health system. The objective of this study was to assess and compare satisfaction with different aspects of work among different categories of employees in healthcare facilities on primary, secondary and tertiary level of health care in Nisava and Toplica districts. The study was conducted as a one-day study in 15 healthcare facilities on primary level, in two public hospitals and 27 clinics of Clinical Centre of Nis, using anonymous questionnaire. Out of 3,892 employees, who took part in this study, 2,227 were from primary and 1,665 were from secondary and tertiary level. All employees on primary level are more satisfied with the majority of aspects of job comparing with employees on secondary and tertiary level of health care. Administrative staff is in general more satisfied with all aspects of job comparing with other categories of employees. All employees on secondary and tertiary level are more physically and psychically exhausted than employees on primary level of health care. Health workers on secondary and tertiary level are most psychically exhausted. There is a difference in satisfaction with different aspects ofjob in different categories of employees, and on different levels of health, in healthcare facilities in Nisava and Toplica districts. Employees of healthcare facilities on primary level of health care are in general more satisfied than employees on se-condary and tertiary level of health care.

Immunization for Vaccine-Preventable Diseases: Why Aren’t We Protecting Our Students?

Affiliations: 1. Department of Medicine, University of North Carolina, Chapel Hill, North Carolina; 2. Department of Hospital Epidemiology, UNC Health Care, Chapel Hill, North Carolina; 3. Department of Preventive Medicine, Vanderbilt University School of Medicine, Nashville, Tennessee. Received June 29, 2011; accepted July 1, 2011; electronically published July 22, 2011. 2011 by The Society for Healthcare Epidemiology of America. All rights reserved. 0899-823X/2011/3209-0012$15.00. DOI: 10.1086/661791 Despite major advances in the prevention and treatment of infectious diseases, infections still remain a common reason for admission to US hospitals. Healthcare personnel (HCP) are at risk for acquiring infections from patients and, if they are infected, transmitting infections to patients. The risk of acquisition of an infectious disease during the care of a patient is a major reason physicians have been held in such high regard by the public. While this risk can be minimized by adherence to infection control guidelines, it cannot be entirely eliminated. For example, more than 20% of persons who acquired severe acute respiratory syndrome (SARS) were healthcare workers. In Vietnam, Canada, and Singapore, healthcare workers accounted for 57%, 43%, and 41% of SARS patients, respectively. Protection of HCP from acquisition of infectious diseases can be achieved by adherence to established infection control guidelines to include the following: (1) assuring that HCP are immune to vaccine-preventable diseases; (2) strict adherence to standard precautions when providing patient care, especially the performance of hand hygiene before and after patient care; (3) rapid evaluation and appropriate isolation of patients with potentially communicable diseases; (4) proper use of personal protective equipment, such as masks, N-95 respirators, eye protection, and gowns, for patients with potentially communicable diseases; and (5) evaluation of personnel with exposure to communicable diseases for receipt of postexposure prophylaxis (eg, pertussis). Immunity to vaccine-preventable diseases for which transmission has been shown in healthcare facilities is recommended by the Centers for Disease Control and Prevention (CDC), the Healthcare Infection Control Practices Advisory Committee, the Advisory Committee on Immunization Practices (ACIP), and the American Academy of Pediatrics. Failure to assure immunity to vaccine-preventable diseases had led to large institutional outbreaks in healthcare facilities, morbidity and mortality among hospitalized patients, and even morbidity and mortality among HCP. HCP not only have become infected with vaccine-preventable diseases through patient care but also have served to initiate or propagate hospital outbreaks. The CDC and ACIP in recent publications have replaced the term “healthcare workers” with “healthcare personnel” specifically to indicate that all persons providing patient care should be immunized, including healthcare facility employees (eg, nurses and environmental service workers), physicians (who are often independent contractors), students, volunteers, and contract workers. All HCP should be immune to measles, mumps, rubella, varicella, pertussis, and influenza. Immunity should be demonstrated by all HCP providing service in the medical facility, not just those providing direct patient care, as all of the diseases just listed are transmitted by the droplet or airborne routes and hence unimmunized HCP, if infected, could transmit infection to their colleagues or patients via close contact or in common areas (eg, cafeteria or gift shop). HCP with potential exposure to blood or contaminated fluids must be offered hepatitis B vaccine per regulations from the US Occupational Health and Safety Administration. Healthcare facilities should screen HCP prior to providing service in the healthcare facility for immunity by using current recommendations (Table 1). Unimmunized HCP should be immunized with the appropriate vaccines unless there is a medical contraindication. Religious and personal objections to vaccines should be accepted only if required by local and state regulations or laws, as susceptible HCP pose a substantial risk to the well-being of their patients. HCP should be provided vaccines that are recommended for adults, such as human papilloma virus, herpes zoster, and pneumococcal vaccines, or referred to their local medical provider. In special circumstances, HCP or laboratory personnel should be offered immunization with other vaccines, includ-

Latent TB Infection Treatment Acceptance and Completion in the United States and Canada

Treatment of latent TB infection (LTBI) is essential for preventing TB in North America, but acceptance and completion of this treatment have not been systematically assessed. We performed a retrospective, randomized two-stage cross-sectional survey of treatment and completion of LTBI at public and private clinics in 19 regions of the United States and Canada in 2002. At 32 clinics that both performed tuberculin skin testing and offered treatment, 123 (17.1%; 95% CI, 14.5%-20.0%) of 720 subjects tested and offered treatment declined. Employees at health-care facilities were more likely to decline (odds ratio [OR], 4.74; 95% CI, 1.75-12.9; P = .003), whereas those in contact with a patient with TB were less likely to decline (OR, 0.19; 95% CI, 0.07-0.50; P = .001). At 68 clinics starting treatment regardless of where skin testing was performed, 1,045 (52.7%; 95% CI, 48.5%-56.8%) of 1,994 people starting treatment failed to complete the recommended course. Risk factors for failure to complete included starting the 9-month isoniazid regimen (OR, 2.08; 95% CI, 1.23-3.57), residence in a congregate setting (nursing home, shelter, or jail; OR, 2.94; 95% CI, 1.58-5.56), injection drug use (OR, 2.13; 95% CI, 1.04-4.35), age >or= 15 years (OR, 1.49; 95% CI, 1.14-1.94), and employment at a health-care facility (1.37; 95% CI, 1.00-1.85). Fewer than half of the people starting treatment of LTBI completed therapy. Shorter regimens and interventions targeting residents of congregate settings, injection drug users, and employees of health-care facilities are needed to increase completion.

Why AMDA Is Still on Sidelines Over AEDs

Why AMDA Is Still on Sidelines Over AEDs

HIV/AIDS Training for Healthcare Facility Employees Mandated by the State of Washington

HIV/AIDS Training for Healthcare Facility Employees Mandated by the State of Washington