Hospital Administrative Staff Research Articles

Family-Centered Approaches to Pediatric Tuberculosis and Nutritional Challenges in North Aceh: A Qualitative Study

Background: Pediatric tuberculosis (TB) remains a major global health issue, particularly in low- and middle-income countries. In areas such as Aceh, the nutritional needs of pediatric TB patients are frequently neglected, with treatment primarily addressing the causes of infection and insufficient family involvement. This study aimed to analyze the nutritional problems related to pediatric TB in North Aceh Regency, Aceh Province, Indonesia. Methodology: This qualitative study employed phenomenological analysis through in-depth face-to-face interviews with pediatric patients, their guardians, healthcare professionals, and hospital administrative staff at Cut Meutia General Hospital, North Aceh, from July to September 2024. Conducted in Indonesian, the interviews were audio-recorded with consent and analyzed using thematic analysis. Results: This study examined 28 pediatric TB patients, equally divided by sex, with a mean age of 2.6 years. Most were normally nourished, and nearly half had pulmonary TB, primarily contracted from household contact. This study identified five key themes: increasing TB incidence, pediatric TB treatment challenges, nutritional concerns, inadequate sanitation, and strategies to address treatment and nutritional issues in children with TB. Conclusions: The proposed interventions include increasing TB awareness, promoting BCG vaccination, considering socioeconomic factors, enhancing treatment adherence, and integrating nutritional support into management strategies.

Analysis Protecting The Health Workers from the Transmission of Tuberculosis at Teaching Hospital: A Review of Policy and Practice

The Tuberculosis (TB) remains a significant threat, especially to healthcare workers exposed by the infected patients in hospitals. Hospital staff with latent TB are at risk of developing active TB. To mitigate this risk, enhancing hospitals through infection prevention and control (IPC) measures is essential. This study aimed to identify policies and practices related to TB prevention, particularly in a teaching hospital where healthcare workers, including medical students, need protection. The research was conducted at a teaching hospital in Depok, West Java, from January to February 2024. The research took place at a teaching hospital in Depok, West Java, from January to February 2024. A qualitative method was used, including in-depth interviews with hospital committee members, nurses, and administrative staff to gather insights, along with policy analysis regarding TB. In the Indonesian hospital TB health services, the regulation of occupational health regarding TB protection for hospital workers state from constitution law, presidential regulation, ministry of health and ministry of Manpower. However, the findings revealed that there are no policies specifically addressing TB to protect the workers in the hospital. Challenges such as financing TB screenings and raising healthcare workers' awareness of TB were highlighted as crucial factors. The study emphasizes the importance of improving risk management strategies and IPC to safeguard healthcare workers, recommending specific regulations for hospitals with national policy. These results highlight the urgent need for specific TB prevention policies, particularly from the government, to ensure implementation across all hospitals.

병원행정직원들의 MBTI 성격유형이 직무만족, 조직몰입에 미치는 영향

The purpose of this study was to determine the impact of MBTI personality types on job satisfaction and organizational commitment among administrative workers at hospital-level medical institutions. As for the research method, 140 structured questionnaires were used in the final analysis, focusing on research subjects who agreed to the questionnaire, targeting administrative staff at hospitals located in Busan and Ulsan. Descriptive statistics, t-test, ANOVA, and correlation were used using the SPSS 27.0 program. Analysis, multiple regression analysis was performed. The results of the study showed that in job satisfaction, the NT type was higher than the ST type in system-related satisfaction (p=.028), and in emotional commitment, the NF type was higher than the ST type (p=.033). This significant difference appeared. In terms of decision-making type, the EF type was found to have significant differences in job satisfaction and organizational commitment compared to the IT and IF types. Based on these research results, the NF emotional type was found to be more suitable to increase work satisfaction and organizational commitment of workers in health care institutions. Hospitals are institutions that provide medical services, and for efficient work response and patient safety, it is believed that it is necessary to confirm the satisfaction, emotional commitment, and continued commitment of hospital administrative staff with their work and system.

Case cancellations and associated factors on the day of surgery in hospitals of Wolaita Zone, South Ethiopia

BackgroundCancellations of elective surgery cases are frequent and have significant negative consequences. It causes wasting of valuable resources, patient unhappiness, and psychological stress of patients. Despite this, little is known about the case cancellation and associated factors on the day of surgery in Ethiopia, particularly in the study area.ObjectiveThis study aimed to assess the magnitude of case cancellation and associated factors on the day of surgery in hospitals in Wolaita zone, South Ethiopia, from May 17 to June 17, 2023.MethodsA hospital-based cross-sectional study involving 322 patients was conducted at Wolaita Sodo Zone, South Ethiopia. All elective surgical cases scheduled during the study period were included. The entire number of participants was selected using a systematic random sampling process. Epidata V.3 was used to enter data, and SPSS V.25 was used to analyze it. Binary logistic regression was used to check for a possible association. P-values < 0.05 and 95% CI were used on multi-variable analysis as the threshold for the significant statistical association.ResultA total of 313 study participants were scheduled for elective surgical procedures during the study period and gave a response rate of 97.2%. The mean (± SD) age of the study participants was 39.18 (± 10.64) years. The two-third of patients, 53(64%) were rural residents, and more than half (178, or 55.3%) of the participants were female. This finding showed that the case cancellation was 22.4% (95% CI: 19.3 -25.9%). Among the total canceled cases, 49(58.3%) were males. Variables like rural residence (AOR = 3.48 95% CI: 1.22–9.95), Lack of lab result (AOR = 2.33, 95%CI:1.20–4.51), ophthalmology dept. (AOR = 2.53 95% CI:1.52–4.49), HTN (AOR = 2.53, 95% CI:1.52–4.49), patient refusal (AOR = 3.01 95% CI:1.22–5.05), and age b/n 31 and 43 (AOR = 1.50, 95% CI:1.02–2.01) were significantly associated factors with cancellation of elective surgical cases.ConclusionIn this study schedule of case cancellation was high. The contributing factors of case cancellation were rural residence, Lack of lab results, ophthalmology dept, HTN, patient refusal, and age. To decrease unnecessary cancellations and increase cost efficiency, hospital administration and medical staff must plan ahead carefully, communicate effectively, and make efficient use of hospital resources.

Analysis of Hospital Readiness to Face the 'Smart Hospital' Era

Introduction : Smart hospital is an emerging and fast-developing innovation in the context of a rapid increase of internet users, an increasing demand for high-quality medical resources, and an aging population worldwide. It generally involves the use of the optimized and automated processes built on an information and communications technology (ICT) environment, especially based on the Internet of things (IoT), to offer assessment, consultation, direct treatment, services, and integrated care. This innovation has the potential and has already gained initial evidence to improve healthcare access, efficiency, or even effectiveness. Yet, along with these positive impacts and promises, a number of issues and challenges also appear.Methods: Study This is study quantitative with design survey research. Study This done on the month of June 2023. Instruments used in study This use questionnaire with the HOT-Fit method consisting of the 47 questions divided in 6 groups question namely: Human, Organization, Technology, Knowledge Users Regulations and Benefits. Subject for this study is hospital managers, administration staff and health workers. Data analysis using analysis multivariate .Result: 22 hospital state that digitization service health to a very smart hospital important one of them is applied For increase quality service House hurts and improves satisfaction patient. In application of smart hospital Sick need integrate between technology, service and regulation.Conclusion : Smart hospitals can influence health and medical policies and create new medical values by defining and quantitatively measuring detailed indicators based on data collected from existing hospitals. Simultaneously, appropriate government incentives, consolidated interdisciplinary research, and active participation by industry are required to foster and facilitate smart hospitals. Keywords: ,

Evaluation of non-healthcare professional women’s knowledge regarding ionizing radiation exposure hazards during pregnancy

Evaluation of non-healthcare professional women’s knowledge regarding ionizing radiation exposure hazards during pregnancy

INCONSISTENT AND UNPREPARED: HOW FAMILY CAREGIVERS AND OLDER ADULTS EXPERIENCE HOSPITAL DISCHARGE

Abstract Family caregivers and older adult patients report confusion, inconsistency, and a lack of preparation for post-discharge activities after a hospital stay, leading to hospital readmissions. This multi-disciplinary research project investigated how family caregivers, older adult patients, and hospital clinical and administrative staff experienced the hospital discharge process at a midwestern hospital system. The research team brought together expertise in community-engaged research and bridged multiple specializations, including personal family caregiver experience, community service expertise, community engaged research leadership, and instruction of medical students and social work students. Together, we conducted semi-structured interviews with family caregiver, older adult patients, and hospital personnel via video conference and telephone. We analyzed the data using open coding strategies and principles of thematic analysis. Themes included the importance of the timing of discharge planning, communication between all systems and individuals included in the discharge process, a lack of clarity regarding the roles in the process, inconsistent identification of the family caregiver, conflicting priorities, and the impact of medication errors. Implications are (1) each organization within the older adult/family caregiver system must determine their role in the post discharge process including the type of services and resources that support older adults and family caregivers and (2) the current system of healthcare, public sector, and community must determine how to adapt and change to support older adults and their family caregivers during the post-discharge period.

Perlindungan Hukum Terhadap Tenaga Kesehatan Dan Gugus Tugas Percepatan Covid-19 Di Puskesmas

At the beginning of 2020 the world was shocked by a new virus thought to have originated from Wuhan, China. named 2019 Novel Corona virus. The World Health Organization (WHO) names the new virus as corona virus disease 2019 (Covid-19), that health workers, both doctors, nurses and hospital administration staff, need legal protection from the government. Health workers are willing to devote themselves to serving public health and even sacrifice their lives and those of their families to tackle the spread of Covid-19. The formulation of the problem in this study is How is legal protection for health workers and the Covid-19 acceleration task force? and How is the form of guidance and supervision of the implementation of Covid-19 prevention services, the method used is a normative juridical approach. The work safety of health workers due to the Covid-19 pandemic has not been carried out properly as mandated in laws and regulations, in the implementation of the rights of health workers During the Covid-19 pandemic, it is still neglected and has not been fulfilled. Therefore, the role and responsibility of the government is needed to fulfill the rights of health workers as the frontline.

Hodgkin lymphoma in the bone marrow aspirate of a young patient with human immunodeficiency virus.

Hodgkin lymphoma in the bone marrow aspirate of a young patient with human immunodeficiency virus.

Assessment patient satisfaction after total hip replacement in Indian population

Background: We aim to assess the satisfaction of patients after total hip replacement in Indian population. Nоwаdаys tоtаl hiр аrthrорlаsty is the finаl treаtment орtiоn рrоvided tо раtients with unsаlvаgeаble, severely аrthritiс, раinful аnd defоrmed hiрs. Раtient sаtisfасtiоn hаs been meаsured in multiрle оrthораediс рrосedures, inсluding tоtаl hiр аrthrорlаsty. THА is а соmmоn surgiсаl рrосedure thаt imрrоves the lives оf раtients with end-stаge аrthritis by deсreаsing раin, аnd imрrоving mоtоr function and mоbility аs measured by vаlidаted heаlth-relаted оutсоme tооls. Methods: Patients were assessed at OPD visit or with telephonic conversation scores are calculated and mentioned in excel sheet. Post-surgery satisfaction score is the score created to measure the satisfaction after total hip replacement. This score contains different questionnaires. These questions include inquiry about relieve of pain, ability to do daily routine activities, requirement of walking aids etc. Score contains total 7 questions with answers. Results: Out of 95 patients we found through this study that about 92.63% of patients are satisfied after total hip replacement. 7.37% of patients are dissatisfied. Satisfaction rate is more as compared to dissatisfaction rate. Conclusions: In present study we have tried to eliminate other factors responsible for dissatisfaction such as hospital ward cleanliness, hospital administration, patient and hospital staff communication. We recommend total hip replacement surgery for end stage arthritis and is more beneficial to the patients in terms of improvement in post-operative pain and function.

Continuous quality improvement strategy for increasing immediate postpartum long-acting reversible contraceptive use at Jimma University Medical Center, Jimma, Ethiopia

BackgroundEven though the immediate postpartum period is a golden time and a great opportunity to provide long-acting reversible contraceptives to prevent unintended pregnancy, its utilisation is very low in Ethiopia....

Επαγγελματική Εξουθένωση Διοικητικού Προσωπικού σε Νοσοκομείο Αναφοράς COVID-19 στον Ένα Χρόνο Πανδημίας

Administrative staff of Hospitals was exposed to stressors that exacerbated negative emotions and exhaustion during the SARS-CoV-2 period. The purpose of the study is to determine the degree of occupational burnout of the administrative staff in a CoViD-19 Reference Hospital in Attica, and to analyze the effect of socio-demographic characteristics on the aforementioned variable. A quantitative synchronous approach has been used. As the research instrument, the Maslach Burnout Inventory was used to measure burnout levels in terms of the dimensions of emotional exhaustion, depersonalization, and personal accomplishment. T-test, analysis of variance (ANOVA), as well as non-parametric tests of Mann Whitney U and Kruskal Wallis tests, were applied. The level of statistical significance was set at 0.05. In this study, 69 women (72.6%) and 26 men (27.4%) participated. The age of majority is 45-55 years (58.95%), University/ATEI graduates (30.5%), and with 15-25 years of service (56.8%). The occupational burnout of administrators is high. High levels of emotional exhaustion are observed with moderate degree of depersonalization and moderate degree of personal achievement. A statistically significant difference between gender and burnout is found, with women exhibiting higher levels of emotional exhaustion (p&lt;0.05). The educational level is statistically significant to the degree of depersonalization (p&lt;0.05). Age, job status, employment relationship, and years of service are statistically significant and associated with emotional exhaustion (p&lt;0.05). The findings clearly indicate that socio-demographic and occupational factors affect the burnout that hospital administrative staff expe- rience during the coronavirus period. The implementation of actions of psychological support, upskilling, develop- ment, and empowerment of administrative staff will contribute positively to the benefit of employees and the quality of services provided.

Factors affecting hospital services overutilization and reductive strategies in Iran: a qualitative study to explore experts’ views

ABSTRACT Objectives This study aimed to investigate the viewpoints of the main stakeholders of the Iranian healthcare system about the overutilization of hospital services and strategies to eliminate or reduce it in Iran. Methods This is a qualitative study and thematic data analysis using face-to-face semi-structured interviews and Focus Group Discussions (FGDs). We conducted eight interviewers and two FGDs with hospital stakeholders including faculty members, insurance organizations’ authorities, experienced hospital administrative staff, hospital managers, and health-care providers. Results The factors leading to the overutilization of hospital services were categorized into four main themes including site of service, quality, supplier push, and demand pull. Strategies for eliminating or reducing the overutilization of hospital services are also identified based on the influential factors. Conclusion Addressing overutilization of hospital services in the health system and adherence to policies for reducing or eliminating overutilization is a way to make preventive strategies to overcome overutilization. Developing a national plan to integrate utilization management into health system programs is a strategy to combat overutilization in various levels of the health system including hospital setting.

Impact of COVID-19 first wave on the in-hospital length of stay of operated proximal femur fracture patients in an industrial hospital in Eastern India.

Objective:The objective of this article is to study the impact of coronavirus disease 2019 (COVID-19) pandemic first wave on the in-hospital length of stay of operated proximal femur fractures.Materials and Methods:A retrospective analysis of data collected through the electronic record system of the hospital, after applying inclusion and exclusion criteria, was done. The data were collected from the pre-pandemic, early part first wave and later part first wave of COVID-19 pandemic to calculate the average preoperative stay (POS) and total length of stay (LOS) of operated proximal femur fracture patients. Also, a sub-analysis of POS and LOS was done as per age (male/female), sex (<60/≥60 years) and fracture subtype (intertrochanteric, neck of femur and subtrochanteric fracture) of the patients to study if any of these had a significant direct impact on the POS and LOS.Results:The LOS and POS were found to be significantly increased during early part of first wave of COVID-19 pandemic in comparison to the pre-pandemic era (13.6 ± 7.7 days vs. 11.1 ± 5.7 days). The later part of the first wave of the pandemic however saw the LOS and POS to return to near pre-pandemic values, although still remaining higher.Conclusion:The study highlights that unpreparedness during the early part of the unprecedented pandemic event leads to a significant increase in LOS of operated patients with its associated implications; however, prompt action by the government, hospital administration and hospital staff the LOS could be reduced to near pre-pandemic values in the later part of the first wave of the pandemic. Analysis of the causes that lead to a significant increase in LOS can help for better future management of similar events in future.

Influential Effects of Emotional Intelligence on the Relationship between Job Stress and Burnout among General Hospital Administrative Staff.

Emotional intelligence plays an important role at the time of determination of job stress or in controlling emotions arising from job stress. This study uses a cross-sectional descriptive design to assess the extent of job stress, emotional intelligence, and burnout of general hospital administrative staff, and to identify an influencing effect of emotional intelligence on the relationship between job stress and burnout. Data were collected by using a structuralized questionnaire survey conducted on 191 administrative staff at 4 general hospitals in a metropolitan city in Korea in September 2021. The effects of emotional intelligence on the relationship between job stress and burnout were analyzed by using hierarchical multiple regression analysis. The results of analysis showed: (a) job stress and burnout displayed positive correlation (r = 0.57, p < 0.001) while (b) emotional intelligence and burnout displayed negative correlation (r = −0.26, p < 0.001), and (c) factors with significant effects on burnout included age (≥40 years), job stress, and emotional intelligence. Emotional intelligence had direct (independent) effects on burnout. Thus, the improvement of emotional intelligence is necessary to decrease burnout levels in general hospital administrative staff.

Anti-NMDAR Encephalitis: Multidisciplinary Development of a Clinical Practice Guideline.

Anti-NMDAR Encephalitis: Multidisciplinary Development of a Clinical Practice Guideline.

Let Them All Discuss: Realizing Organizational Moral Agency through Collective Sensemaking

This paper explores how the moral agency is realized in organizations through collective sensemaking of the lived experiences of the organizational actors and organization virtues. In this ethnographic study, we use the strategy-as-practice perspective to examine the micro-social activities undertaken by doctors, nurses, hospital administrative staff, and frontline workers (community counselors) during a bi-weekly maternal healthcare review meeting at a community service hospital. These meetings are a salient platform facilitating interaction between the clinical and social actors delivering neonatal and antenatal care to a tribal community with high incidents of sickle-cell anemia. By illustrating the examination of an incident across two meetings, our findings demonstrate the subtle and intricate nature of interaction a) amongst the actors belonging to different professions and b) between the actors and the organization through the spiritual readings discussed at the beginning of every meeting. It is noted that collective sensemaking of the actors’ experiences, their professional expertise, and the guiding philosophy of the organization symbiotically interact towards shaping the moral agency of the organization. We identify four inter-related collective sensemaking practices by these actors which are central to the process of realizing organizational moral agency. The practices a) exchanging information and b) experiencing liminality are mediated by c) engaging in organizational identification by reflecting on the foundational values and these linearly drive towards the fourth practice i.e. d) taking responsible actions towards the community. Implications of the study are discussed.

Analysis of the Relationship between Emotional Intelligence and Convergence Factors in Hospital Administrative Staffs

Analysis of the Relationship between Emotional Intelligence and Convergence Factors in Hospital Administrative Staffs

Occupational Stress of Hospital Administrative Staff During the COVID-19 Pandemic

Occupational Stress of Hospital Administrative Staff During the COVID-19 Pandemic

A step toward understanding the mechanism of action of audit and feedback: a qualitative study of implementation strategies

BackgroundAudit and feedback (A&F) is a widely used implementation strategy. Understanding mechanisms of action of A&F increases the likelihood that the strategy will lead to implementation of an evidence-based practice. We therefore sought to understand one hospital’s experience selecting and implementing an A&F intervention, to determine the implementation strategies that were used by staff and to specify the mechanism of action of those implementation strategies using causal pathway models, with the ultimate goal of improving acute stroke treatment practices.MethodsWe selected an A&F strategy in a hospital, initially based on implementation determinants and staff consideration of their performance on acute stroke treatment measures. After 7 months of A&F, we conducted semi-structured interviews of hospital providers and administrative staff to understand how it contributed to implementing guideline-concordant acute stroke treatment (medication named tissue plasminogen activator). We coded the interviews to identify the implementation strategies that staff used following A&F and to assess their mechanisms of action.ResultsWe identified five implementation strategies that staff used following the feedback intervention. These included (1) creating folders containing the acute stroke treatment protocol for the emergency department, (2) educating providers about the protocol for acute stroke, (3) obtaining computed tomography imaging of stroke patients immediately upon emergency department arrival, (4) increasing access to acute stroke medical treatment in the emergency department, and (5) providing additional staff support for implementation of the protocol in the emergency department. We identified enablement, training, and environmental restructuring as mechanisms of action through which the implementation strategies acted to improve guideline-concordant and timely acute stroke treatment.ConclusionsA&F of a hospital’s acute stroke treatment practices generated additional implementation strategies that acted through various mechanisms of action. Future studies should focus on how initial implementation strategies can be amplified through internal mechanisms.