Private Multi-specialty Hospital Research Articles

Health problems among radiographers: A comparative study in Tirunelveli city

This survey based descriptive research work has been undertaken in Tirunelveli city, Tamil Nadu with the objective of examining various health problems of radiographers working in private multi-speciality hospitals and diagnostic centres. In order to know the health-related problems, the present study has examined nine variables related to both physical and mental health. The study has sampled 120 radiographers (60 respondents from private multi-speciality hospitals and 60 from diagnostic centres) using both convenience and judgement sampling techniques. Primary data for the study were collected using questionnaire method. Secondary data were collected from books, journals and websites. Percentage, Mean and Standard Deviation have been administered to understand perception of radiographers towards various health related problems. The result of the study has discovered that tiredness and low energy; body pain; difficulties in sleeping; depression, anger and emotional disturbances; and digestive disorders have been highly perceived by radiographers working in private multi-speciality hospitals than diagnostic centres. Skin and eye problems; urinary tract infection; diabetes mellitus and hypertension; and irregular menstrual, weight loss and hair loss have been equally perceived by radiographers working both in private multi-speciality hospitals and diagnostic centres. The perception of the respondents of both kinds of organizations towards the discussed variables is moderate.

Health problems among radiographers: An empirical study in private hospitals

Diagnosis is essential in health care management, because upon the results of diagnosis doctors and surgeons decide their treatment plan. Accurate diagnosis of the diseases is crucial to initiate the right treatment whereas inaccurate diagnosis will cause negative outcome, which will put patients at risk. Radiographers play a crucial role in diagnostic profession and contribute to the medical personnel to diagnose the diseases accurately. At the same time, radiographers, among other categories of paramedical employees in the health care sector, are more vulnerable to numerous health related issues (varying from headache to cancer in light of their nature of job – continuous exposure to high radiation rays). It not only endangers their physical health, but also impinges on their mental health. Sound health of radiographers is paramount to support them delivering productive outcomes, which assists the medical personnel to diagnose the underlying diseases of patients accurately and initiate the right treatment. On the contrary, the ill-health of radiographers not only distresses their own health and stakes the routine function of the department. It can also be a main source of reason for the inaccurate diagnosis by the medical personnel, which will eventually endanger the treatment of patients and also put the reputation of organizations at risk. Thus, since the health problems of radiographers remain a serious threat to patients and reputation of organizations, it is inevitable to analyse their health issues and find out the appropriate ways to prevent them from occurring. In view of this concept, this survey based on descriptive research has been undertaken in Tirunelveli City, Tamil Nadu with the objective of examining various health problems of radiographers working in private multi-speciality hospitals. In order to know the health-related problems, the present study has examined nine variables related to both physical and mental health. The study has sampled 60 radiographers using both convenience and judgement sampling techniques. Primary data for the study have been collected using the questionnaire method. Secondary data have been collected from books, journals and websites. Percentage has been administered to understand perception of radiographers towards various health-related problems. The result of the study has discovered that tiredness and low energy, body pain, difficulties in sleeping, depression, anger, emotional disturbances and digestive disorders are the foremost health-related problems. Skin and eye problems, urinary tract infection, diabetes mellitus and hypertension, irregular menstruations, weight loss and hair loss are the next foremost health-related problems of radiographers. The perception of the respondents to the discussed variables is moderate.

Managerial practice and skills related factors affecting productivity: An empirical study among the managers

The aim of this empirical, quantitative and survey based descriptive research undertaken in Tirunelveli city of Tamil Nadu, India is to examine the perception of the managers working in non-medical departments in private multi-speciality hospitals towards managerial practice and skills related factors affecting their productivity. The study has sampled 50 managers from the leading private multi-speciality hospitals using convenience and judgement sampling techniques. Primary data were collected using structured self-made questionnaire. Secondary data were collected from books, journals, thesis, projects, and conference proceedings. Percentage, mean, and standard deviation were administered to analyse the data. The analysis of the study have revealed that the factors, lack of freedom for initiative, risk taking and decision making and lack of respect for own value; too much responsibility with inadequate authority which delay and affect taking decision; insufficient guidelines to solve problems and take decisions especially when higher officials are not available; difficulty to comply with some kind of people such as those who pass negative information to management to safeguard the job; and higher expectation from superiors, co-workers, subordinates and patients and feeling of inadequacy to fulfil it are the foremost managerial practice and skills related factors affecting their productivity. Lack of ability to influence other departments which are not under direct control as part of work; fear to communicate to higher officials and to answer their phone call with regard to the work assigned; feeling of inadequate skills to deal with emotional distress, rumours and criticism of superiors, coworkers and patients; and feeling difficult to take decision when the superior or Director is unavailable are the next foremost managerial practice and skills related factors affecting their productivity.

Assessing the Risk of Occupational Hazard Using the FMEA Tool Among Hospital Staff at Multispecialty Hospital

Considering the importance of occupational hazard assessment, this study has been performed to identify the risks for employees who especially undergo a major occupational hazard that affects their efficiency and productivity. The study aimed to assess the risk of occupational hazard using Failure Mode and Effect Analysis (FMEA) and strategy to modify the healthcare packages provided by the hospital to the staff. A survey and personal interviews were done at a private multispecialty hospital in Chennai using a descriptive study methodology. The survey included 150 hospital employees from four departments: CSSD (6 participants, covering all available samples), Maintenance (41 participants, chosen at random), Nursing (60 participants, chosen at random), and Housekeeping (43 participants, chosen at random). To collect data, a standardized questionnaire aligned with the Occupational Safety and Health Administration (OSHA) was used (https://www.osha.gov/laws-regs/standardinterpretations/1987-08-06). In addition, unstructured personal interviews with key workers were undertaken. The data revealed that CSSD workers encountered most of the stated dangers, with 100% admitting to workplace risks such as needle sticks, chemical allergies, the risk of burns, and awkward ergonomic postures. Maintenance workers reported a 54% risk of pain and discomfort, 32% of sleep loss following night shifts, and 37% of chemical risks. Nursing personnel cited poor ergonomic posture (68%) as a key concern, followed by sleep loss (62%), and the risk of cuts (52%). Housekeeping personnel cited hazards of falls (69%), poor ergonomic postures (40%), and infectious disease exposure (31%). The study emphasizes the need to address occupational health risks in healthcare settings by thoroughly reviewing the many occupational health hazards that impact healthcare professionals. However, it is important to remember that the study relied on data from the previous six months, potentially leaving out undetected risks. Furthermore, the study emphasized the impact of these dangers on healthcare personnel, emphasizing the problem of events being underreported inside the institution. Notably, the study emphasized the importance of paying close attention to occupational dangers such as needle sticks, chemical exposure, burns and ergonomic concerns in healthcare professionals' daily health management.

Shift work, workload, and professionalism related motivators affecting job satisfaction: An empirical study among medical laboratory technicians

In health care industry, satisfaction of employees of all categories (medical, paramedical, and non-medical) towards their work and organization is paramount, because it determines not only commitment, involvement, morale, and productivity of employees, but also decides satisfaction of patients and promotion of organization’s reputation. Although all categories of employees contribute, in different ways, to the patient care activities, the contribution of medical laboratory technicians plays a crucial role in assisting doctors and surgeons to diagnose the underlying diseases of patients. Thus, medical laboratory technicians play a supplier role, and their primary duty is to satisfy the doctors and surgeons, who are actually their internal customers. Therfore, job satisfaction of laboratory technicians is paramount in bringing out right outcome from medical personnel. Lack of satisfaction of medical laboratory technicians would paralyse right diagnosis of the patients, which in turn not only endangers the life of patients, but also paralyses the reputation of organizations. In view of this concept, this survey, as a quantitative and empirical based descriptive research work, has been undertaken in Tirunelveli city of Tamil Nadu, India with the objective of analysing the perception of the medical laboratory technicians working at the private multi-speciality hospitals. The study has chosen 100 respondents using both convenience and judgement sampling techniques, and from the chosen respondents the primary data have been collected administering the structured self-made questionnaire. The secondary data have been collected from both books and journals. The study has used the tools – percentage, mean, standard deviation and co-efficient of variation – to analyse the primary data. The analysis of the data have discovered that majority of the respondents has perceived the following factors as “highly dissatisfied”: two-shift work system with 12-hour duty, equality in allocation of work load, unambiguous job description, and clarity of what management expects from employees, performing multiple tasks at the same time, respect from higher authorities and medical personnel, receiving orders from multiple sources bypassing the hierarchy. Similarly, most respondents have perceived the following factors as “dissatisfied”: fairness in the work schedule, fairness in changes made in the work, approach of the higher officials in front of patients and other staffs and performing non-professional tasks.

Household catastrophic health expenditures for rheumatoid arthritis: a single centre study from South India

Rheumatoid arthritis (RA) not only has a physical and emotional toll but also has a substantial economic impact. This study aims to estimate the burden of catastrophic health expenditure (CHE) on households due to RA in Tamil Nadu, India. We conducted cross-sectional descriptive hospital-based single-centre study at a tertiary care private multispecialty hospital in Tamil Nadu, India. The study comprised 320 RA patients who visited the outpatient clinic from April to October 2022. Demographic and baseline descriptive characteristics were reported. Multivariable logistic regression analyses were performed to identify major determinants associated with CHE. We also examined the inequality in household annual income and CHE. Most study participants were females (88.1%) with a mean age (SD) of 55.57 ± 12.29 years. About 93% of RA patients were from urban areas, and 89.4% were literate. Only 8.1% of respondents reported having health insurance. Households experiencing CHE owing to RA were 51.4% (n = 162). The mean (95% CI) annual health expenditure for treating RA is ₹44,700 (₹41,710 to 47,690) with a median (IQR) of ₹39,210 (₹25,500) [$476 ($310)]. The corresponding mean (95% CI) and median (IQR) Out of pocket expenditure among RA patients per household were ₹40,698 (₹38,249 to 43,148) [$494 ($464 to $524)] and ₹36,450 (23,070) [$442 ($280)] respectively. Nearly half of the households with RA patients had a financial catastrophe due to healthcare costs being paid out-of-pocket and limited health insurance coverage. The results underscore the need for comprehensive approaches to strengthening public health policies along with financial risk protection and quality care in India.

Analysing Competencies of Health Care Workers of Private Multispecialty Hospital toward Responsibility of Job the Training Need Analysis Approach

The healthcare and hospital industry in India has grown rapidly. People are conscious about their health and well-being. Multi-specialty and super-specialty hospitals have been established in many urban and semi-urban areas of our country. Several and super hospitals offer quality medical and technological services. There is no doubt that these hospitals have highly qualified doctors, but the support staff has been neglected. Nursing plays a key role in this hospital industry. The need for training, which is the skills of the employee and the required training skills, has never been evaluated for nursing staff. A Training Needs Analysis (TNA) is a job needs analysis that aims to identify which training needs are truly a priority. Roles and responsibilities must be considered when assessing these training needs. Communicating these needs helps the organization use resources effectively and efficiently. It also helps to avoid unnecessary exercise. Analysis of training needs can also mean a systematic and comprehensive study of various problems to accurately identify the dimensions of any organizational problem. Therefore, the organization will determine whether the problem will be solved through a training program or in some other way. Organizational problems refer to a lack of skills or knowledge when normal results cannot be achieved; the above explanation explains the difference between real and situational performance.

Sequential treatment with transurethral resection and hormonal therapy for bladder endometriosis of vesicoureteric junction

Objective: To estimate the efficacy of sequential treatment of bladder endometriosis (BE) of the vesicoureteric junction using transurethral resection (TUR) and hormonal therapy. Design: Case report. Setting: Private multispecialty hospital. Patient: A multiparous woman presented with perimenstrual lower urinary tract symptoms, cyclic chronic pelvic pain, and left loin pain. Intervention[s]: Ultrasonography revealed marked left renal dilatation. Computed tomography confirmed the presence of a bladder mass. A diagnostic cystoscopy revealed compression of the left vesicoureteral junction. Complete TUR BE with release of chocolate material during resection, followed by ureteric double J stent insertion for 3 months, was performed. Histopathology confirmed the diagnosis of BE, followed by adjuvant hormonal therapy (dienogest) for 3 months. Followup for about 2 years revealed complete relief of the symptoms without any recurrence. Main Outcome Measure[s]. Success and recurrence rates of sequential TUR and hormonal therapy of BE of the vesicoureteric junction. Result[s]. TUR BE followed by adjuvant hormonal therapy was very effective in eradicating BE of the vesicoureteric junction in a safe manner without recurrence on follow-up for 2 years. Conclusion[s]. BE of the vesicoureteric junction can be properly treated by sequential TUR and hormonal therapy without recurrence over a 2-year follow-up.

Physical working environment and welfare facilities related factors causing heavy workload: an empirical study among sanitary workers

This survey, quantitative and empirical based descriptive research has the objective of analysing the perception of sanitary workers working in private multi-speciality hospitals in Tirunelveli city of Tamil Nadu, India towards various physical working environment and welfare facilities related factors causing heavy workload. In order to achieve this objective, the study has sampled 80 respondents using both convenience and judgement sampling techniques; and from the chosen respondents the primary data were collected using schedule method with the help of questionnaire (translating the questions in respondents’ mother language, ‘Tamil’) along with interview. The secondary data were collected from journals, conference proceedings and government websites to add appropriate significance to the study. Percentage method has been administered to analyse both demographic characteristics of the study and perception of the respondents towards physical working environment and welfare facilities related factors causing heavy workload. The result of the analysis has discovered that majority of the respondents strongly agreed that the factors: location of the hospital and absence of transport facilities by the hospital, distance between departments and garbage storage, lack of technical support to transport garbage and disposal wastes, not allowed to use the life and need to use the steps compulsorily, complex layout of both the departments and the entire hospital, and size of the hospital are associated with heavy workload under physical working environment related factors. Similarly, majority of the respondents have agreed that the factors: absence of accommodation facilities to stay, absence of dedicated break areas and dress changing room, absence of convenience facilities (drinking water and separate toilet), absence of maternity related aids (crèche and feeding room), and no free lunch or no food with concession rate under welfare facilities related factors.

Isoniazid resistance in patients with Extrapulmonary Tuberculosis using line probe assay in a private multispecialty hospital in Bangalore, India

We aimed to study the rate of isoniazid (INH) resistance in Extrapulmonary Tuberculosis samples from a private care setting.A Line probe assay was performed on 74 culture isolates of Mycobacterium tuberculosis or directly on extrapulmonary samples received in our laboratory from 2018 to 2021.The INH mono-resistance among these extrapulmonary samples was 6.7%. (5 among 74) (95% CI: 1.04%–12.48%) Resistance to rifampicin was not detected.Increasing the availability and leveraging public private partnerships in hospitals for universal testing for INH resistance may increase detection of INH monoresistance in EP-TB and improve the strategy for TB elimination.

Awareness About Impacts of Heavy Workload on Health: An Empirical Study Among Sanitary Workers

This survey, quantitative and empirical based descriptive research study has the objective of identifying the perception of the sanitary workers towards the impacts of heavy workload on their health. In order to achieve this objective, the study sampled 80 sanitary workers from the leading private multi-speciality hospitals in Tirunelveli city of Tamil Nadu, India using convenience and judgement sampling techniques. From the chosen respondents the primary data were collected using schedule method of data collection with the help of structured self-made questionnaire. The secondary data were collected from journals and projects to add appropriate significance to the study. The result of the study analysed having administered the percentage method discovered that majority of the respondents reported that: ‘they know somewhat’ that heavy workload causes tiredness, disturbance in sleeping, weight loss and getting the appearance of old age; ‘they know less’ that heavy workload causes generalised body pain and joints pain; and ‘they do not know anything’ that heavy workload causes stress, issues in appetite, respiratory and stomach disorders, diabetes mellitus, hypertension and cardio vascular disorders

Organization Structure and Management Practice Related Factors Causing Heavy Workload: An Empirical Study Among Sanitary Workers

This survey, quantitative and empirical based descriptive research has the objective of analysing perception of sanitary workers working in private multi-speciality hospitals in Tirunelveli city of Tamil Nadu, India towards various organization structure and management practice related factors causing heavy workload. In order to achieve the objective, the study sampled 80 respondents using both convenience and judgement sampling techniques; and from the chosen respondents the primary data were collected using schedule method with the help of questionnaire (translating the questions in respondents’ mother language, ‘Tamil’) along with interview.  The secondary data were collected from books, journals and conference proceedings to add appropriate significance to the study. Percentage method was administered to analyse both demographic characteristics of the study and perception of the respondents towards role and compensation related factors causing heavy workload.  The result of the analysis has discovered that all the factors discussed in this study: complex organization structure; not communicating the objectives of the task and its importance towards organization to the sanitary workers; orientation and clear communication about work processes; lack of participation at departmental and organizational level decision making; frequent changes made in the organization and inadequate information about them; inadequate welfare facilities for sanitary workers; autocratic leadership style with lack of motivation; inadequate respect for sanitary workers and huge discrimination; and low and unfair salary system; discrimination in salary and other benefits were strongly agreed by majority of the respondents.  The study has given suitable suggestions as to how to rationalize the organization structure and management practice related factors causing heavy workload.

Assessment of Causality, Preventability and Severity of Cutaneous Adverse Drug Reactions: A Prospective Observational Study

Background: All drug regulatory authorities have to ensure the safety, efficacy and quality of all the marketed products. Quality and efficacy can be determined by the data from preclinical and clinical trials. In clinical trials at the pre-marketing stage, it is challenging to identify rare Adverse reactions (ADR) and delayed side effects or effects due to long-term exposure because of lack of follow-up. In this case, pharmacovigilance comes into picture where it plays a significant role in marketed drugs safety profile establishment.
 Aim: This study helps in safety profile establishment for drugs.
 Methodology: It was conducted by the Department of pharmacy practice at drug information Centre in collaboration with Department of pharmacology at private multi-specialty Hospital. ADR reporting forms of the Central Drug Standard Control Organization has been used for collecting the data, and this form includes patient demographic details like clinical history, co-morbid conditions like Diabetes mellitus, Hypertension, Asthma, history of any drug allergies etc. were collected. The chance of preventability modified Schumock and Thornton criteria was found to be very less, and it was evident that most of them were not. By using Hartwig et al., scale, the severity of ADRs were of moderate severity. The reason behind this moderate severity was a history of allergy and multiple drug therapy.
 Result: It was observed that preventability 86% were not preventable whereas 14% were preventable as per Schumock and Thornton scale. In these cases of definitely preventable cases were due to history of reaction upon administration of the same drug. It is advised that in such cases usage of drug alert card is preferred.
 Conclusion: The major risk factor for the development of ACDR includes self-medication, patients’ lack of awareness regarding the dose and frequency of administration, polypharmacy. This can be avoided by prescribing the required drugs only and by educating the patients regarding the drugs.

Role and Compensation Related Factors Causing Heavy Workload: An Empirical Study among Sanitary Workers

This survey, quantitative and empirical based descriptive research has the objective of analysing perception of sanitary workers working in private multi-speciality hospitals in Tirunelveli city of Tamil Nadu, India towards various role and compensation related factors causing heavy workload. In order to achieve the objective, the study sampled 80 respondents using both convenience and judgement sampling techniques, and from the chosen respondents the primary data were collected using schedule method with the help of questionnaire (translating the questions in respondents’ mother language, ‘Tamil’) along with interview. The secondary data were collected from books, journals and conference proceedings to add appropriate significance to the study. Percentage method was administered to analyse both demographic characteristics of the study and perception of the respondents towards role and compensation related factors causing heavy workload. The result of the analysis has found that all the factors discussed in this study such as ill-defined roles and responsibilities, receiving conflicting messages from two or more heads at the same time, person’s interest remain contradict with the job role, salary is not adequate in accordance with the work performed, discrimination and bias in fixing salary and inadequate non-monetary rewards for effective contribution at work were strongly agreed by majority of the respondents. The study has given suitable suggestions as to how to rationalize the role and compensation related factors causing heavy workload.

Donor notification and counseling: Experiences and challenges from a private multi-specialty hospital in South India.

BACKGROUND:Donor notification and counseling plays a vital role in both blood safety and comprehensive donor care. This process informs donors about their status as to transfusion-transmitted infections (TTI), modes of transmission of such infections and helps prevent secondary transmission of these infections in the community.AIMS AND OBJECTIVES:This study was initiated to see the response rate of notified reactive donors for counseling and to propose useful recommendations that could probably improve the response rate.MATERIALS AND METHODS:Total of 17025 donations was screened for TTIs, namely, human immunodeficiency virus (HIV), hepatitis B virus (HBV), hepatitis C virus (HCV), and syphilis, by serology. All TTI reactive donors were retested and notified of their status by telephone and called for repeat testing followed by face-to-face counseling and referral for treatment.RESULTS:We evaluated 183(1.07%) donors with reactive screening test results, i.e., 106(57.9%) HBV, 38(20.7%) HCV, 29(15.8%) HIV, and 11(0.6%) were syphilis reactive and all (100%) were from replacement blood donations. Only 58.4%(107) of donors could be personally communicated over telephone and only 49 (45.79%) of them returned for counseling. Three (6.1%) among the reactive donors knew their results earlier and 11(22.4%) donors had history of high-risk behavior.CONCLUSION:In spite of strict donor screening and self-exclusion option, donors conceal their high-risk behaviors or their reactive status and continue to donate blood. It reflects the need to implement thorough predonation counseling to extract the history of high-risk factors from the donors.

Probable horizontal transmission of SARS-CoV-2 in an asymptomatic neonate: A case report

Horizontal transmission of SARS-CoV-2 is the more likely mode of transmission in this neonate rather than vertical transmission. Neonates are more likely to be asymptomatic carriers of SARSCoV- 2 therefore health care workers should observe strict infection control practices, like hand hygiene and use of PPE (including face shield) during all clinical encounters. Parents may not provide a history suggestive of COVID-19 clinical symptoms in the family members, unless specifically asked for. We report a case of SARS-CoV-2 in an asymptomatic neonate who presented to the outpatient clinic of a private multispecialty hospital for routine follow up. The hospital caters for approximately 5000 deliveries per year with pediatric inpatient and outpatient facilities, neonatal intensive care unit with facilities for advanced respiratory support, therapeutic cooling, with supporting radiology and full laboratory services.

Predominance of Multidrug-Resistant Gram-Negative Organisms as Cause of Surgical Site Infections at a Private Tertiary Care Hospital in Mumbai, India

AbstractBackground: This study aims to study the incidence, microbial aetiology and antimicrobial susceptibility of surgical site infections (SSIs) at a private tertiary care hospital in Mumbai, India, and compare it with previously published data from the same institute as well as literature. Methods: This is a prospective observational study done over 6 years (January 2013–December 2018) at a 750-bed private multi-specialty hospital in Mumbai, India, among all patients undergoing clean and clean-contaminated surgeries. Standard guidelines for preventing, diagnosing and classifying SSIs were followed. The incidence rates of SSI (overall and specialty specific), microbial aetiology and antibiotic susceptibility of SSI were calculated and expressed as percentages. Results: A total of 55,553 patients underwent clean and clean-contaminated surgeries during the study period. The overall SSI rate was 1.0% (555 cases). The SSI rate in clean surgeries was 0.97% and in clean-contaminated surgeries was 1.03%. Sixty-five per cent of SSIs were due to Gram-negative bacilli, 30% were due to Gram-positive cocci and 4% were due to Candida. Klebsiella pneumoniae (19%), Escherichia coli (17%), Pseudomonas aeruginosa (13%), Staphylococcus aureus (12%) and Enterococcus (10%) were the top five organisms. The overall susceptibility rate of the Gram-negative isolates to beta-lactam–beta-lactamase inhibitor combinations was 60% and carbapenems was 73%. The prevalence of methicillin resistance in S. aureus was 44% and coagulase-negative Staphylococcus was 84%. The crude mortality rate was 1%. Conclusions: Although the SSI rate is comparable to established international benchmarks, the predominance of multidrug-resistant Gram-negative organisms is a matter of serious concern.

Optimization of inbound vehicle routes in the collection of bio-medical wastes

In Multi-specialty hospitals, the quantity of accumulation of Bio-Medical Waste (BMW) is enormous when compared to clinics. The safe and timely disposal of BMW is very essential to avoid harmful effects to humans and environment. In this article, the inbound logistics involved in the collection of Bio-Medical Waste at a Private Multi-Specialty Hospital located in Coimbatore which contains 59 wards has been improved to avoid time delay. An optimized vehicle routing model has been framed for a set of 6 dedicated vehicles with the objective to minimize the time taken during the collection of BMW. For this purpose a mathematical model is generated and solved using Particle Swarm Optimization Algorithm (PSO). The results infer that, by following the optimized vehicle routes, the time delay is totally eliminated and in addition the time taken for collecting the BMW is reduced by 42%, i.e. from 6 h to 3 h 46 min.

Employee Turnover and Organization Performance: A Comparative Study

This survey based descriptive research work has been undertaken as a comparative study to examine and differentiate the perception of administrators towards the impact of employee turnover on organization performance. This study has sampled 40 administrators (20 from private multi speciality hospitals and 20 from private single speciality hospitals) using both convenient and judgement sampling methods. Primary data have been collected by a constructed questionnaire along with personal discussion. Percentage method has been administered to analyse the profile of the respondents. Mean, standard deviation and coefficient of variation have been administered to examine and differentiate the impact of employee turnover of nurses on organization performance. The research has found the perception of administrators working in both kinds of organizations towards impact of employee turnover of nurses is equal. This study has given suitable suggestions to control and prevent turnover of nurses.

Leadership-Related Factors Causing Heavy Workload: An Empirical Study among Sanitary Workers

This quantitative-, empirical- and survey-based descriptive research has been undertaken in Tirunelveli city, Tamil Nadu, India, with the objective of analysing perception of sanitary workers towards leadership qualities of the housekeeping managers that cause heavy workload among them. To achieve the objective, the study has sampled 80 sanitary workers from selected leading private multi-speciality hospitals using both convenient and judgement sampling techniques and collected primary data using scheduled method with the help of structured questionnaire which was constructed based on personal observation and experience of the researcher in the field of hospital administration. The secondary data have been collected from books and journals. Percentage method which has been applied to analyse both demographic characteristics of the respondents and perception of the respondents towards qualities of the housekeeping managers has found that the factors, bias in workload allocation, not observing and enquiring about health condition, bias in work area allocation, taking revenge and purposefully assigning work, not allowing employees to rest in the course of work during tired, treating employees based on caste, community and religion, allocating work area without consent of the employees, preparing work schedule in bias, not introducing any advanced technology to replace manual work, not stopping or questioning other department employees when they assign work, behaving rudely and disrespectfully and not supplying adequate manpower have been strongly agreed by majority of the respondents. The factors, not listening to personal and health issues, not controlling seniors when they pass their work over shoulder of the juniors and not communicating properly about the tasks and how to perform it have been agreed by majority of the respondents. The study has given suitable suggestions to enrich leadership qualities and approach of the managers and thereby reduce heavy workload of the sanitary workers.