Health Facility Managers Research Articles

Human resources challenges in the management of diabetes and hypertension in Mozambique.

The major burden of non-communicable diseases (NCDs) globally occurs in low-and middle-income countries, where this trend is expected to increase dramatically over the coming years. The resultant change in demand for health care will imply significant adaptation in how NCD services are provided. This study aimed to explore self-reported training and competencies of healthcare providers, and the barriers they face in NCD services provision. A qualitative design was used to conduct this study. Data was collected through semi-structured interviews with government officials within the Mozambican Ministry of Health, district health authorities, health facility managers, and health providers at urban and rural health facilities of Maputo, in Mozambique. The data was then analyzed under three domains: provider´s capacity building, health system structuring, and policy. A total of 24 interviews of the 26 planed with managers and healthcare providers at national, district, and health facility levels were completed. The domains analyzed enabled the identification and description of three themes. First, the majority of health training courses in Mozambique are oriented towards infectious diseases. Therefore, healthcare workers perceive that they need to consolidate and broaden their NCD-related knowledge or else have access to NCD-related in-service training to improve their capacity to manage patients with NCDs. Second, poor availability of diagnostic equipment, tools, supplies, and related medicines were identified as barriers to appropriate NCD care and management. Finally, insufficient NCD financing reflects the low level of prioritization felt by managers and healthcare providers. There is a gap in human, financial, and material resources to respond to the country's health needs, which is more significant for NCDs as they currently compete against major infectious disease programming, which is better funded by external partners. Healthcare workers at the primary health care level of Mozambique's health system are inadequately skilled to provide NCD care and they lack the diagnostic equipment and tools to adequately provide such care. Any increase in global and national responses to the NCD challenge must include investments in human resources and appropriate equipment.

ORGANIZATIONAL CITIZENSHIP BEHAVIOR AND PERFORMANCE OF NURSES IN THE PUBLIC HEALTH SECTOR IN NIGERIA: A STUDY OF TERTIARY HEALTHCARE FACILITIES IN BENUE STATE

Purpose: This study investigates the effect of organizational citizenship behavior (OCB) on the performance of nurses in the public health sector in Benue State, Nigeria, with a particular focus on nurses in the tertiary healthcare facilities in Benue State. The specific objectives of this study were to examine, evaluate, ascertain, determine, and establish the effect of altruism, civic virtue, conscientiousness, courtesy, and sportsmanship on the task and contextual performance of nurses in tertiary healthcare facilities in Benue State, Nigeria. Methodology: This study adopts and uses a descriptive research design using a survey method. The study population comprised 587 nurses from Benue State University Teaching Hospital Makurdi (BSUTH) and Federal Medical Centre Makurdi (FMC). The study used Taro Yamene’s formula to determine a sample size of 238 nurses. 238 questionnaires were issued out to nurses, of which 221 were usable and returned for analysis. Data were statistically analyzed after being collected from the field using Multiple Regression Analysis as the main statistical tool with the aid of SPSS to explain the relationship between variables under study. Findings: The findings from this study indicated that there was actually an established effect of all the dimensions of organizational citizenship behavior on the task and contextual performance of nurses working in tertiary healthcare facilities in Benue State, Nigeria. Originality/Value: The study revealed that all the OCB constructs examined significantly positively affect the task and contextual performance of nurses working in tertiary healthcare facilities in Benue State, Nigeria. Part of the recommendations made is that the management of tertiary healthcare facilities in Benue State should do everything possible to create a working environment that will motivate nurses to engage in citizenship behaviors since it has been scholarly proven that citizenship behaviors positively affect task and contextual performance of nurses working in tertiary healthcare facilities.

Comprehensive Public Place Sanitation Evaluation Based on the Complete Component in Community-Based Total Sanitation

Purpose: This study addresses the need for comprehensive analysis of sanitation in public places in Indonesia, particularly focusing on community behavior aspects based on the complete components of Community-Based Total Sanitation (STBM). Recognizing the limitations of previous research, which primarily focused on sanitation facilities and affordability, the research aims to provide a holistic evaluation of public place sanitation to better understand the implementation of sanitary community behavior. Methods: The evaluation of public place sanitation is conducted in various facilities including traditional markets, terminals, stations, and educational institutions such as Islamic boarding schools in Surabaya. A sanitation-inspection instrument, developed based on government regulations, is utilized for the evaluation process. The assessment focuses on different aspects such as physical condition, garbage disposal, bathroom and toilet facilities, waste water disposal, parking, construction, firefighting provisions, medical facilities, and handwashing facilities. Results and Discussion: The findings reveal areas requiring improvement in public place sanitation across different facilities. Railway stations and bus stations exhibit deficiencies in the physical condition of external buildings, garbage disposal, bathroom and toilet facilities, and waste water disposal. Islamic boarding schools necessitate enhancements in parking lots, construction, firefighting provisions, medical rooms, and handwashing facilities. Traditional markets require improvements in construction, clean water supply facilities, firefighting provisions, and medical rooms. The study emphasizes the importance of managerial commitment to enforcing sanitary conditions to meet environmental health requirements in public places. Implications of the Research: The research outcomes have implications for public health policymakers, facility managers, and stakeholders involved in environmental health management. By identifying areas for improvement in public place sanitation, the study provides actionable insights for enhancing community health and well-being. The findings underscore the significance of effective sanitation management practices and highlight the role of stakeholders in ensuring compliance with sanitation standards and regulations. Originality/Value: This study contributes to the existing literature by offering a comprehensive evaluation of public place sanitation based on the complete components of STBM in Indonesia. By addressing the gap in research focusing solely on sanitation facilities and affordability, the research provides a holistic perspective on community-based sanitation behavior. The findings offer practical implications for improving sanitation practices in public places, ultimately enhancing environmental health and community well-being.

Perceived progress toward scale of 14 maternal, newborn, child health, and nutrition (MNCHN) assets at subnational level in Burkina Faso, Ethiopia, India, Kenya, and Nigeria.

Inequitable coverage of evidence-based MNCHN interventions is particularly pronounced in low and middle income countries where access and delivery of these interventions can vary dramatically at the subnational level. We conducted health system assessments in nine subnational geographies in five countries (Burkina Faso, Ethiopia, India, Kenya and Nigeria) to explore progress toward scale of 14 evidence-based MNCHN interventions (iron-folic acid, oxytocin, magnesium sulfate, misoprostol; 7.1% chlorhexidine for umbilical cord care, neonatal resuscitation, kangaroo mother care, community regimen for the treatment of possible severe bacterial infection; amoxicillin dispersible tablets, multiple micronutrient supplements, balanced energy protein supplementation, early and exclusive breastfeeding, feeding of small and sick newborns, and management of severe and moderate acute malnutrition in children less than five years old). Between March and October 2021, we conducted key informant interviews with a purposive sample of 275 healthcare providers and 94 district health management (DHMT) staff to better understand bottlenecks, facilitators and uptake of the interventions across varied subnational settings. Across all interventions and geographies, providers and DHMT staff perceived lack of robust HMIS data as the most significant barrier to scale followed by weak facility infrastructure. DHMT staff viewed limited budget allocation and training as a much larger barrier than healthcare providers, most likely given their purview as subnational managers. Healthcare providers were focused on supply chain and staffing, which affect workflows and service provision. Understanding provider and health facility management views of why interventions do or do not advance towards effective coverage can assist in creating enabling environments for the scale of best practices. These types of data are most helpful when collected at the subnational level, which allows for comparisons both within and between countries to show health disparities. Importantly, this strategic data collection can provide a starting point for improvement efforts to address existing health system gaps.

Gender lens review of adolescent health care services: a mixed methods study in Bangladesh

Background The application of a gender lens enables the identification of gendered power dynamics that are deeply embedded within structures and institutions. This study delved into a comprehensive analysis of gender norms of male and female adolescents in terms of their health needs, the type of health services offered to them, the barriers and facilitators for utilization of health services at the adolescent-friendly health services (AFHS) across different tiers of government health facilities through a gender lens. Methods The study was conducted at 23 health facilities across four districts of Bangladesh from February 2022 to June 2022. The study design was cross-sectional with a mixed methods approach. A total of 304 adolescents completed the survey, and 28 adolescents participated in in-depth interviews (IDI). Key-informant interviews (KII) were conducted with 48 key stakeholders, including parents, teachers, health service providers, facility managers, and health managers. Quantitative data were analyzed using descriptive statistics, and qualitative data was analyzed using thematic analysis. Results Adolescents have different needs for information about services, types of services provided, and use based on gender. There was a significant association between the marital status of adolescents and the need for different types of health services (P<0.05). Female adolescents receive tetanus-diphtheria (TD) vaccinations and iron folic acid (IFA) tablets, while male adolescents can receive them upon request. TD immunization is common among married female adolescents (14.9%) compared to unmarried female adolescents (11.8%) and unmarried male adolescents (1.1%). Unmarried female adolescents (36.1%) seek help more frequently for menstrual problems, while unmarried male adolescents (24%) are more likely to seek services related to puberty. Parents, teachers, and health service providers have different gendered perceptions of male and female adolescents’ health needs and use of health services. These perceptions contribute to understanding male and female adolescents’ utilization of services. Conclusions This study reveals that gender norms influence adolescents’ health needs, types, and utilization of services. This is probably due to differences in gendered perception of the critical stakeholders for adolescents, who sometimes face barriers in the utilization of health services at the facilities.

Web-Based Geographic Information System for Location Based Healthcare Service Delivery within Akure Metropolis

Purpose: This research project addresses the pressing issue of healthcare access within Akure Metropolis, Nigeria, through the development of a web-based Health Geoinformation System (HGS). Akure, like many urban centers in developing countries, faces significant challenges in healthcare delivery, including uneven distribution of facilities and limited access to reliable health information. In response to these challenges, this study leverages Geographical Information System (GIS) technology to create an innovative solution aimed at enhancing accessibility and information dissemination. Grounded in the context of Nigeria's healthcare system, the research identifies the need for an integrated approach to address the complex spatial dynamics of healthcare provision.
 Materials and Methods: Methodologically, the project combines primary data collection on the characteristics of health facilities in Akure with secondary data sources, including existing health records. A total of 100 healthcare facilities were located and identified for this study, with comprehensive information collected through three sets of questionnaires directed to healthcare facility managers and professionals, hospital management bodies, and the public. The data collection process employed Binary Logistic Regression to test research hypotheses, with charts utilized to represent public responses to the posed questions. Spatial representation and analysis were central to this study, with techniques such as Nearest Neighbor Analysis employed to assess the distribution and accessibility of health facilities.
 Findings: The results from this analysis revealed significant spatial patterns and disparities in healthcare facility distribution within Akure Metropolis. Notably, the study found that a developed web-based system having user-friendly functionalities like facility search, mapping, and route selection, among others, aids individuals in making informed decisions about their healthcare options.
 Implications to Theory, Practice and Policy: The results underline the potential of web-based systems to enhance healthcare access and decision-making processes in urban areas like Akure and further emphasize the significance of incorporating GIS technology into healthcare service delivery.

Clinical Outreach Training and Supportive Supervision Quality-of-Care Analysis: Impact of Readiness Factors on Health Worker Competencies in Malaria Case Management in Cameroon, Mali, and Niger.

Improving the quality of malaria clinical case management in health facilities is key to improving health outcomes in patients. The U.S. President's Malaria Initiative Impact Malaria Project has supported implementation of the Outreach Training and Supportive Supervision (OTSS) approach in 11 African countries to improve the quality of malaria care in health facilities through the collection and analysis of observation-based data on health facility readiness and health provider competency in malaria case management. We conducted a secondary analysis of longitudinal data collected during routine supervision in Cameroon (April 2021-March 2022), Mali (October 2020-December 2021), and Niger (November 2020-September 2021) using digitized checklists to assess how service readiness affects health worker competencies in managing patients with fever correctly and providing those with confirmed uncomplicated malaria cases with appropriate treatment and referral. Linear or logistic regression analyses were conducted to assess the effect of facility readiness and its components on observed health worker competencies. All countries demonstrated significant associations between health facility readiness and malaria case management competencies. Data from three rounds of OTSS visits in Cameroon, Mali, and Niger showed a statistically significant positive association between greater facility readiness scores (including the availability of commodities, materials, and trained staff) and health worker competency in case management. These findings provide evidence that health worker performance is likely affected by the tools and training available to them. These results reinforce the need for necessary tools and properly trained staff if high-quality malaria case management services are to be delivered at health facilities.

The Impact of Artificial Intelligence Applications on the Digital Transformation of Healthcare Delivery in Riyadh, Saudi Arabia (Opportunities and Challenges in Alignment with Vision 2030)

This research aimed to assess the current applications of AI in the healthcare sector in Riyadh and their influence on digital transformation, and to identify the opportunities presented by expanding AI adoption to improve healthcare services in alignment with Vision 2030, and to examine the challenges facing greater integration of AI technologies into Riyadh's healthcare system. The research addresses the challenges faced by Riyadh's health sector and examines how artificial intelligence can be used to overcome these challenges, including improving the quality of health services, enhancing operational efficiency, and supporting scientific research, By analyzing data and reviewing previous studies, the research shows how AI technologies can contribute to the early detection of diseases, providing dedicated health care, and improving the management of health facilities. The research also discusses the impact of artificial intelligence on medical education and training and explores how it can enhance scientific research in the field of health. The findings indicate that AI has the potential to significantly transform Riyadh's healthcare sector, contributing to the realization of Vision 2030. The research concludes with recommendations for the effective application of artificial intelligence in the health system, emphasizing the importance of innovation and technical integration for the future of healthcare in the Kingdom.

Roles of health system leadership under emergency in drought-affected districts in northeast Uganda: a mixed-method study

ObjectiveHealth system leadership plays a critical role in sustaining healthcare delivery during emergencies. Thus, we aimed to assess the contribution of health system leadership in sustaining healthcare delivery under emergency...

Criminal Sanctions For B3 Waste Management in Hospitals or Health Facilities

As a health service facility, the hospital is a gathering place for sick and healthy people, can be a place for disease transmission and allows environmental pollution and health problems. Today's management of the hospital environment is no longer a consumptive partial part but is a series of cycles and management strategies for homes. Hospitals need to develop hospital environmental management capacity to provide direct and indirect benefits to improve the quality of hospital services. Hospital environmental management has complex problems. One of them is the problem of hospital waste, which is very sensitive to government regulations. Hospitals, as one of the largest waste generators, have the potential to cause pollution to the surrounding environment, which will harm the community and even the hospital itself. Hospital environmental management is no longer a consumptive partial part but a series of hospital management cycles and strategies to develop hospital environmental management capacity to provide direct and indirect benefits to improving the quality of hospital services. Hospital environmental management has complex problems. One of them is the problem of hospital waste, which is very sensitive to government regulations. Hospitals, as one of the largest waste generators, have the potential to cause pollution to the surrounding environment, which will harm the community and even the hospital itself.

Prototype Design of Web-Based Drug Inventory Prediction Application Using Multiple Linear Regression Methods at the X District Health Office

<div><table cellspacing="0" cellpadding="0" align="left"><tbody><tr><td align="left" valign="top"><p><em>The need for information systems is currently becoming very important, especially in terms of predicting drug needs in health care facilities, one of which is the health department. The availability of drug inventory prediction applications is expected to help health facility management optimize drug inventory levels so that they can use budgets effectively. The research aims to design an application that can meet the needs and facilitate the process of planning drug needs in health care facilities. This research is highly relevant to the aspects of pharmacy management, pharmacy data analysis, and information systems in the field of health, all of which are important topics in the development of effective and efficient health services. The research method used in this study is a qualitative method using the System Development Life Cycle (SDLC) model approach to develop information systems. The information system developed is a web-based information system that adopts a multiple linear regression system and the use of data mining as an algorithm in predicting drug needs. This is so that the allocation of drug provision budgets can be used effectively. The design of a drug data prediction information system using a linear regression method is intended to facilitate the process of planning drug needs that must be met in healthcare facilities. If this application design is implemented, it will help the management of healthcare facilities to optimize the level of drug inventory. This is because there is already a drug needs selection process that is in accordance with the drug needs condition needed by the hospital formation installation. Suggestions for further research can be developed to obtain information quickly about significant changes in drug needs or the potential risk of stockouts.</em></p><p><em><br /></em></p></td></tr></tbody></table></div><strong><em>Keywords: Data Mining, Drug Procurement, Medicine Needs</em></strong>

Healthcare facilities management: A novel data-driven model for predictive maintenance of computed tomography equipment

BackgroundThe breakdown of healthcare facilities is a huge challenge for hospitals. Medical images obtained by Computed Tomography (CT) provide information about the patients' physical conditions and play a critical role in diagnosis of disease. To deliver high-quality medical images on time, it is essential to minimize the occurrence frequencies of anomalies and failures of the equipment. MethodsWe extracted the real-time CT equipment status time series data such as oil temperature, of three equipment, between May 19, 2020, and May 19, 2021. Tube arcing is treated as the classification label. We propose a dictionary-based data-driven model SAX-HCBOP, where the two methods, Histogram-based Information Gain Binning (HIGB) and Coefficient improved Bag of Pattern (CoBOP), are implemented to transform the data into the bag-of-words paradigm. We compare our model to the existing predictive maintenance models based on statistical and time series classification algorithms. ResultsThe results show that the Accuracy, Recall, Precision and F1-score of the proposed model achieve 0.904, 0.747, 0.417, 0.535, respectively. The oil temperature is identified as the most important feature. The proposed model is superior to other models in predicting CT equipment anomalies. In addition, experiments on the public dataset also demonstrate the effectiveness of the proposed model. ConclusionsThe two proposed methods can improve the performance of the dictionary-based time series classification methods in predictive maintenance. In addition, based on the proposed real-time anomaly prediction system, the model assists hospitals in making accurate healthcare facilities maintenance decisions.

GIS in healthcare facility planning and management: A review

This paper explores the transformative role of Geographic Information Systems (GIS) in healthcare facility planning and management. Tracing the historical evolution, theoretical frameworks, applications, benefits, and challenges of GIS reveals its pivotal contribution to spatially informed decision-making. GIS optimizes resource allocation, enhances accessibility, and streamlines facility management. The integration with emerging technologies, including AI and IoT, propels healthcare infrastructure into an era of predictive modelling and real-time analytics. Addressing challenges such as data quality, privacy, and integration complexities requires comprehensive policies. Looking ahead, GIS in healthcare promises innovations like augmented reality and advanced remote sensing technologies, fostering resilient, patient-centric healthcare ecosystems. This abstract encapsulates the journey of GIS in healthcare, emphasizing its potential to revolutionize the spatial frontier of healthcare planning and management.

Prevalence of occupational injury and its associated factors among emergency department physicians in China: A large sample, cross-sectional study

BackgroundMedical personnel, particularly emergency department (ED) physicians, face a variety of occupational hazards. However, the current state of occupational injuries among ED physicians remains unknown. This study aimed to assess the occupational injury of Chinese ED physicians and to identify its associated factors. MethodsFrom July to August 2018, a cross-sectional survey was conducted in Chinese emergency departments. A structured questionnaire covering sociodemographic characteristics, individual health behaviours, and work-related characteristics was completed by 10,457 ED physicians. Binary logistic regression was used to analyse the factors associated with occupational injuries. ResultsIn this study, 81.13% of ED physicians reported occupational injuries in the previous 12 months. All participants who had experienced occupational injuries had suffered verbal violence. Among physicians who experienced at least one injury, 76.57% and 71.30% reported injuries sustained while moving patients and from falls, slips, and sprains during office visits, respectively. Occupational injuries were significantly associated with gender, education level, drinking behaviour, sleep quality, the frequency of night shifts per month, self-perceived physician shortage, and work-family conflict. Physicians who experienced effort–reward imbalance were at a higher risk of occupational injury. ConclusionIn China, occupational injuries are common among ED physicians. Individual factors as well as work-related factors are independently linked to occupational injuries. To reduce the rate of occupational injuries among ED physicians, health policymakers and healthcare facility managers should consider multi-injury interventions.

Implementasi Manajemen Sumber Daya Manusia Di Fasilitas Kesehatan: Kajian Studi Literatur

Health human resource management is a crucial aspect in efforts to improve the level of public health and improve the quality of services in health facilities. Health resources play a key role in the transformation of health development in Indonesia. Good implementation of health service management in health facilities is needed so that health development in Indonesia can run optimally. This research uses a literature review method with an article search strategy via Google Scholar. Articles were selected based on the inclusion criteria in this study. The research results show that the implementation of health human resource management in health facilities is still not optimal, which causes a shortage and inequality of health human resources in these facilities. The government and related agencies are expected to be able to improve the health resource management system by analyzing health human resource needs. In addition, efforts need to be made to educate and distribute health human resources in health facilities to ensure more equitable and quality health services.

Perceived barriers of family-centred care in neonatal intensive care units: A qualitative study.

Family-centered care (FCC) approach in neonatal intensive care units (NICUs) has been shown to improve family satisfaction and quality of care. However, several contextual barriers influence its use in NICUs, and these barriers are understudied in Ghana. To describe FCC practice in Ghanaian NICUs in order to understand the contextual barriers. The study employed a descriptive qualitative design. The researchers used a structured interview guide to collect the data in 24 interviews and 12 focus group discussions. We engaged families (n = 42), nurses and midwives (n = 33), and doctors (n = 9) to describe their perspectives on the barriers to FCC in two public tertiary hospital NICUs. The data were mapped, triangulated, and aggregated to inform the findings. Thematic analysis and MAXQDA qualitative software version 2020 were employed to analyse the data. This qualitative study followed the COREQ guidelines and checklist. Perceived family barriers and perceived facility barriers to FCC were the two main themes. The perceived family barriers include family stress and anxiety, inadequate information sharing and education, culture and religion. The perceived facility barriers are inadequate space and logistics, workload and inadequate staff, restricted entry, and negative staff attitudes. The findings of this study shed light on the barriers to FCC practice in neonatal care in Ghanaian NICUs. Family stress and anxiety, a lack of information sharing, cultures and religious beliefs, NICU workload and staffing shortages, restrictions on family entry into NICUs, and staff attitudes towards families are all contextual barriers to FCC practice. Health facility managers and NICU staff may consider addressing these barriers to implement FCC in the NICU in order to enhance family satisfaction and quality neonatal care. The design of future NICUs should consider family comfort zones and subunits to accommodate families and their sick infants for optimal health care outcomes. The development of communication models and guidelines for respectful NICU care may aid in integrating families into ICUs and promoting quality health care outcomes.

Leveraging ICT for improved quality services in secondary healthcare facilities in Nigeria: Evidence from Kogi State

This study focused on investigating the relationship between Information and Communication Technology (ICT) and the provision of high-quality healthcare services. The research employed a survey research design and concentrated on secondary healthcare facilities within the state. A total of 273 healthcare personnel were randomly selected from these facilities using a simple random sampling technique. Data was collected through a well-structured questionnaire. The secondary information was provided through the Kogi State Strategic Health Development Plan, textbooks, journal articles, conference papers, theses, and the internet. The gathered information was analysed using descriptive statistics and linear regression. Data on respondents’ demographic characteristics and ICT utilisation were presented using simple percentages in tables. The findings of the study demonstrated that the adoption of ICT significantly influences the delivery of quality healthcare services in secondary healthcare facilities. Specifically, the utilisation of ICT can enhance patient safety by facilitating comprehension of medical information, enabling online treatment evaluations, monitoring patient progress, and predicting potential medical complications. Based on the results, it can be concluded that improving ICT adoption is crucial for enhancing and sustaining the provision of quality healthcare services. Therefore, the study recommends that the management of secondary healthcare facilities should prioritise efforts to enhance ICT adoption within their operations. The practical implication of the study is that incorporating ICT in healthcare practices can contribute to more informed decision-making and proactive measures, ultimately fostering a safer and more effective healthcare environment in secondary healthcare facilities.

Patient knowledge of surgical informed consent and shared decision-making process among surgical patients in Ethiopia: a systematic review and meta-analysis

BackgroundInformed consent is one of the safeguarding of the patient in medical practice at different standards such as ethical, legal, and administrative purposes. Patient knowledge and perception of informed consent are one of the priority concerns in surgical procedures. Patient knowledge and perception towards informed consent increased patient satisfaction, feeling high power on their determination, and accountability for the management, and facilitated positive treatment outcomes. Despite this, in Ethiopia, there are small-scale primary studies with inconsistent and inconclusive findings. Therefore, this systematic review and meta-analysis study estimated the pooled prevalence of patient knowledge and perception of informed consent and its determinants in Ethiopia.MethodsWe searched major databases such as PubMed, Hinary, MEDLINE, Cochrane Library, EMBASE, Scopus, African Journal Online (AJO), Semantic Scholar, Google Scholar, google, and reference lists. Besides this, University databases in the country were also searched from August 20, 2023, until September 30, 2023,. All published and unpublished studies that report the prevalence of patient knowledge and perception toward informed consent and its associated factors were included. All studies reported in English were included. Studies conducted between January 01, 2015 to September 30, 2023 were included. There are three outcome measurements pooled level of patient knowledge towards informed consent, pooled level of patient perception towards informed consent, and pooled effect that affects patient knowledge of informed consent. Three reviewers (MMM, NK, and YT) independently screened the articles that fulfilled the inclusion criteria to avoid the risk of bias. The studies’ quality was appraised using a modified Newcastle-Ottawa Scale (NOS) version.ResultsThe pooled prevalence of appropriate patient knowledge and perception towards informed consent was 32% (95% CI: 21, 43) and 40% (95% CI: 16, 65) respectively. Having formal education 2.69 (95% CI: 1.18, 6.15) and having a history of signed informed consent before 3.65 (95% CI:1.02,13.11) had a statistically significant association with good patient knowledge towards informed consent.ConclusionThe appropriate patient knowledge and perception of informed consent in Ethiopia is low. Formal education and history of signed informed consent were positive factors for appropriate patient knowledge of informed consent in Ethiopia. Physicians, policymakers, and health facility managers should focus on patients without prior experience with signed informed consent and not have formal education to improve patient knowledge towards informed consent. The protocol was registered at Prospero with number CRD42023445409 and is available from: https://www.crd.york.ac.uk/PROSPERO/#myprospero.

Study on Causal Effects of Occupational Stress on Healthcare Workers at a selected Healthcare Facility in Oman

Introduction: Occupational stress (OS) can be described as any physical or psychological change in an individual due to immediate or long-term reactions to workplace conditions that pose perceived threats or challenges to that employee. Typically, since work environments differ worldwide, scientists posit that the nature, sources, and causes of OS and the solutions proffered to address its impacts among healthcare workers (HCWs), differ markedly. The study aims to identify and examine the causal effects of OS on HCWs at the selected health facility in Oman. Methods: The study adopted a quantitative design that utilized questionnaires to examine the causes and effects of OS on selected health workers. Data was collected from December 2021 to January 2022 from 150 health facility employees to obtain their opinions on the causes and effects of OS on their health, work life, and productivity. Results: Findings revealed that 47% of the respondents were male and 53% were female. Further, the results also revealed that HCWs at the selected health facility have experienced a high prevalence of OS due to various factors ranging from staff shortages, as revealed by 56.2% of the participants, to work duration and loads, as revealed by 69.0% of the participants, and staff working conditions. Conclusion: As a panacea, recommend management of healthcare facilities engage more highly qualified staff and create highly conducive work environments and training. Likewise, the management can provide modern-day facilities and amenities. It is envisaged that such measures will also reduce workloads, which will help the HCWs to rest, resuscitate, re-energize, and nurture effective stress. Furthermore, the measures will help create a stress-free, healthy, and conducive environment for the HCWs and greatly improve quality healthcare delivery services.

Hodnotenie organizačnej kultúry zdravotníckeho zariadenia z aspektu behaviorálneho manažmentu

Background: The implementation of behavioral management in the personnel policy of health care facilities is a necessity. Organizational culture and behavior of employees and managers are important aspects that affect the performance and success of the organization. Objective: To assess the organizational culture of selected health care facilities from the aspect of behavioral management. Methodology and sample: 136 nurses participated in the survey. The data were collected in September - November 2022. The answers were statistically processed. Results: 78% of nurses confirmed that health care facilities have developed rules of conduct and ethical regulations. 40.4% of nurses consider themselves loyal employees. 63.2% of nurses said that working conditions, communication and relationships in the workplace, whether in a team or with a superior, significantly influence their satisfaction or dissatisfaction with work and, based on this, they perceive the organizational culture of the organization in which they are employed. Conclusion: Changes in the behavior of the management of health care facilities affect the behavior of employees and their contribution to the organization. The implementation of behavioral management will fundamentally make it possible to change the dysfunctional organizational culture and change the outdated organizational structure of our hospitals.