Private Multi-specialty Hospital Research Articles

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.

Training Effectiveness: A Comparative Study among Nurses

This survey-based descriptive study has been undertaken in private multi-speciality hospitals in Tirunelveli, Tamil Nadu, India, with the objective of understanding and differentiating the effectiveness of training among nursing employees of various categories. The nursing employees who have been qualified with Diploma in General Nursing and Midwifery (DGNM) and Bachelor of Science in Nursing (B. Sc. Nursing), Diploma in Nursing Assistant (DNA) and Female Nursing Assistant (FNA) courses and have undergone 3 years on the job training have been chosen for this study. The study has sampled 120 (30 respondents from each category, respectively) respondents using judgment sampling technique. The primary data have been collected using structured questionnaire constructed by the researcher. The secondary data have been collected from books, journals and websites to add significant impact to the study. Result of the study shows that training has not made significant changes among nursing employees qualified with DNA and FNA when compared with nurses qualified with B. Sc. Nursing and DGNM.

Training needs analysis: A study of managers

This research work is intended to analyse training needs of the managers by understanding their perception towards various factors. Training needs of the managers have been analysed under the dimensions of leadership, interpersonal relationship, patient, superior and management- and personality-related factors. The study has sampled 60 managers from four paramedical areas, namely nursing, pharmacy, medical laboratory and radiography, in private multi-speciality hospitals in Tirunelveli city, Tamil Nadu using both convenient and judgement sampling techniques. Structured questionnaire prepared by the researcher using Likert's 5-point scale has been used to collect primary data. Percentage analysis has been used to understand perception of managers towards various training needs. Mean, standard deviation and coefficient of variation were administered to compare dimensions of training needs analysis. The results of the study proved that majority of the respondents are in need of training almost in all dimensions of training needs discussed in this study.

Bio-Medical Waste Management System in Multi-Specialty Hospital Using Birnbaum's Measures-A Case Study

In the present scenario medical waste produced in health care is a special kind of waste which causes for several possible health and safety hazards to the public and environment, if inadequately treated. In general the bio-medical wastes in hospitals are accumulated everyday which is to be properly disposed or incinerated so that it won't cause pollution and harmful effects to the society. This should be carried out within the working hours every day without any delay, but there is an undesired event of time delay in the collection of BMW. The aim of this research is to identify the events which are highly influencing the time delay in BMW management in a private multi-specialty hospital, Chennai. The fault tree analysis method is used to trace out the events, which could contribute for the delay in BMW collection and it focuses on the qualitative and quantitative aspects. Finally, all the basic events were ranked based on their effects on the undesired top event related to time delay using Birnbaum's importance measures. It was found that there are ten basic factors having higher contribution over the time delay and these factors should be prevented or eliminated to avoid the time delay during BMW collection.

Telemedicine for diabetic retinopathy screening using an ultra-widefield fundus camera

ObjectiveTelemedicine reporting of diabetic retinopathy (DR) screening using ultra-widefield (UWF) fundus camera.Materials and methodsCross-sectional study of diabetic patients who visited the endocrinology department of a private multi-specialty hospital in United Arab Emirates between April 2015 and January 2017 who underwent UWF fundus imaging. Fundus pictures are then accessed at the Retina Clinic in the Department of Ophthalmology. Primary outcome measure was incidence of any form of DR detected. The secondary outcome measure was failure to take good image and inability to grade.ResultsA total of 1,024 diabetic individuals were screened for DR from April 2015 to January 2017 in the department of Endocrinology. Rate of DR was 9.27%; 165 eyes of 95 individuals were diagnosed to have some form of DR. Mild non-proliferative DR (NPDR) was seen in 114 of 165 eyes (69.09%), moderate NPDR in 32 eyes (19.39%), severe NPDR in six eyes (3.64%), and proliferative DR (PDR) in 13 eyes (7.88%). The secondary outcome measure of poor image acquisition was seen in one individual who had an image acquired in one eye that could not be graded due to bad picture quality.ConclusionsThe present study has shown the effectiveness of DR screening using UWF fundus camera. It has shown the effectiveness of trained nursing personnel taking fundus images. This model can be replicated in any private multi-specialty hospital and reduce the burden of DR screening in the retina clinic and enhance early detection of treatable DR.

Employee Turnover and Employee Performance: A Study among Nurses

This descriptive research study has been undertaken in private multispeciality hospitals, Tirunelveli City, Tamil Nadu to examine the perception of nurses towards the impact of employee turnover on employee performance. The study has sampled 60 nurses qualified with Diploma in General Nursing and Midwifery (DGNM) and Bachelor in Nursing (B.Sc Nursing) courses using judgement sampling technique. Primary data have been collected through a constructed questionnaire. Secondary data have been collected from books, journals, projects and journals. Percentage method has been applied to analyse profile of the respondents. The study has administered mean and standard deviation to understand perception of nurses towards impact of employee turnover on performance of the existing nurses. The results of the study has found that more workload for the existing employees, inability to leave the duty on time, health issues, inadequate care for the patients, conflict and dispute among the coworkers, stress, inability to take decisions on time and inability to segregate biomedical wastes are the foremost impact of employee turnover on performance of existing employees.

Occupational Hazards Impact Among Medical Laboratory Technicians

This descriptive research aims at examining the impact of occupational hazards of medical laboratory technicians. The study has sampled 60 medical laboratory technicians by simple random sampling technique from private multi speciality hospitals in Tirunelveli city, Tamilnadu. The study has examined 24 factors to understand the effect of occupational hazards. Mean and standard deviation which has examined the impact of occupational hazards shows that the factors pain in neck, shoulder, upper and lower back, waist and leg and joints, eye problem, tiredness, fatigue, weight loss, stomach ulcer and loss of appetite or changes in appetite are the foremost impact of occupational hazards of medical laboratory technicians. The extent of perception of the respondents towards these factors is at medium level.

Motivation and Job Performance:A Comparative Study among Pharmacists

This comparative study is survey based descriptive research. The objectives of this research are to identify and differentiate the factors affecting motivation in the context of organization structure and policy and pharmacy profession and also to examine and compare impact of lack of motivation on job performance of pharmacists working in single-speciality hospitals and multi-speciality hospitals in Tirunelveli city, Tamilnadu. The study has sampled 60 pharmacists using judgement sampling technique after they were stratified into two groups; namely, pharmacists working in private multi-speciality hospitals and pharmacists working in single-speciality hospitals using stratified sampling technique. Primary data have been collected by means of selfprepared questionnaires and analyzed using mean and standard deviation. The results of the study has shown that there has been no major difference in perception of majority of the pharmacists working in both kinds of hospitals towards most of the factors affecting the motivation and impact of lack of motivation on job performance and their perception level has also been at medium level.

Work Stress among Receptionists: A Comparative Study

This descriptive research work has been undertaken in Tirunelveli city, Tamilnadu as a comparative study to identify and differentiate the sources stress and impact of stress among the receptionists working in both private multi-specialty hospitals and private single specialty hospitals. The sources of stress has been identified under two dimensions namely organization structure and processes related stressors and receptionists' specific stressors. Sampling has been done in two phases. In the first phase, the subject has been stratified into two groups: the receptionist working in private multi-specialty hospital and the receptionist working in private single specialty hospitals using stratified random sampling technique. In the second phase, 100 receptionists have been sampled from both divisions (50 respondents from private multi-specialty hospitals and 50 respondents from private single specialty hospitals) using judgement sampling technique. The study has applied mean, standard deviation, coefficient of variation and Kruskal Wallis test to analyze the data. The result of the study has proved that most of the stressors discussed under the headings of organization structure and processes related stressors and receptionists' specific stressors have equally perceived by the receptionists working in both kinds of hospitals.

A Study to Identify the Training and Development Needs of Nurses Working at a Private Multispecialty Hospital in Delhi

A Study to Identify the Training and Development Needs of Nurses Working at a Private Multispecialty Hospital in Delhi

A 4-year prospective study to determine the incidence and microbial etiology of surgical site infections at a private tertiary care hospital in Mumbai, India

There is limited single-center data on the incidence and microbial etiology of surgical site infections (SSIs) from developing countries. This is a prospective observational study over 4-year period (April 2009-March 2013) at a 750-bed private multispecialty hospital in Mumbai, India, among patients undergoing clean and clean-contaminated surgeries. Standard guidelines for preventing, classifying, and diagnosing SSI were followed. A total of 24,355 patients underwent clean and clean-contaminated surgeries during the study period. The overall SSI rate was 1.6% (389 cases). The SSI rate in clean surgeries was 1.57%, and the SSI rate in clean-contaminated surgeries was 1.64%. Of the SSIs, 66% were caused by gram-negative bacilli (GNB) (Escherichia coli [22.9%], Klebsiella [18.2%], Pseudomonas [12.7%], and Acinetobacter [6.0%] were the top 4), 31.7% were caused by gram-positive bacilli (Staphylococcus: 70.5%, Enterococcus: 23.8%, Streptococcus: 1.8%), and 2.1% were caused by Candida. A total of 64% of the E coli and Klebsiella isolates were extended spectrum β-lactamase producing, 6% of the GNB were carbapenem resistant, and only 17.3% of S aureus isolates were methicillin resistant. Although the SSI rate is comparable with established international benchmarks, increasing prevalence of antimicrobial resistance in GNB is a matter of serious concern.

Awareness about Impact of Work Stress: An Empirical Study

The objective of this survey based descriptive research is to understand the level of awareness of sanitary workers about impact of work stress on health related problems. The study has sampled sanitary workers from private multi-speciality hospitals in Tirunelveli city, Tamil Nadu. A percentage analysis method has been administered to analyze profile of the respondents and weighted average method has been employed to analyze awareness of sanitary workers about impact of stress on health related problems. The result of the study has explained that majority of the respondents have not known anything about the impact of work stress on health related problems. The study has given suggestion to improve the awareness level of sanitary workers about impact of work stress on health related problems.

Occupational Hazards: A Comparative Study among Medical Laboratory Technicians

This descriptive research work has been undertaken as a comparative study to identify and to differentiate the occupational hazards of medical laboratory technicians working in private hospitals and private diagnostic centres in Tirunelveli city, Tamil Nadu, India. A total of 200 medical laboratory technicians (100 from private hospitals and 100 from private diagnostic centres) have been sampled using the judgement sampling technique after stratified the subject into medical laboratory technicians working in private multispeciality hospitals and diagnostic centres using stratified random sampling. Sources of occupational hazards have been identified and differentiated under nine dimensions, namely organisation structure and policy, ergonomics, fear and safety, resources, workload and work shift, environment and hygiene, interruption, patient and communication, and training-related factors. The primary data have been collected using the questionnaire method. The secondary data have been collected from books, journals and websites. Weighted average, mean, standard deviation and coefficient of variation test have been administered to analyse the data. The analysis of the study also shows that all factors of occupational hazards are perceived at the medium level by the majority of the respondents working in both kinds of organisations. The study has given suitable suggestions to prevent and control the factors related to occupational hazards of medical laboratory technicians.

Awareness about Occupational Hazards: An Empirical Study

This descriptive research aimed at analysing the level of awareness about safety measures of occupational hazards of medical laboratory technicians. This study sampled sixty medical laboratory technicians from twenty leading private multi-speciality hospitals in Tirunelveli city, Tamilnadu, using the simple random sampling technique. This study analysed fifteen variables to understand the level of awareness of occupational hazards. Percentage analysis and weighted average methods were used to analyse the data. The weighted average method that analysed the level of awareness of safety measures shows that variables such as use of hand gloves and face masks when collecting fluids from patients, washing hands with bactericidal soap, use of footwear to cope with chillness of the floor and vaccination occupied a high total score, and safety measures such as breathing exercises, cleaning eyes with cold water at frequent intervals, regular breaks and physical exercises occupied a lesser total score. This study gave suitable suggestions to improve the awareness of medical laboratory technicians in terms of safety measures of occupational hazards.

Low Tuberculosis Knowledge among HIV-Infected Patients in a High HIV Prevalence Region within Southeast India

A private multispecialty hospital in Kakinada, Andhra Pradesh, India. A survey of knowledge, attitudes, and perceptions adapted from a pretested questionnaire was administered to 128 HIV-infected adults, from July to August 2008. A total of 31% had not heard of tuberculosis (TB), with 15 (38%) currently receiving anti-TB therapy or had received it in the past. Of those familiar with TB, 70% could not list a method by which it was spread. Low education attainment, female sex, and less frequent television exposure were associated with low TB literacy. HIV-infected patients in southeast India have poor knowledge of TB and the methods by which it is spread. Scale-up of patient-directed educational programs is necessary to help control TB in India.

Security and privacy at the private multispecialty hospital Istituto Clinico Humanitas: strategy and reality

Istituto Clinico Humanitas (ICH) is a multispecialty private hospital in Rozzano (Milan, Italy) that is accredited by the Italian National Health Service and forms part of what is known as the Humanitas Project. This project was endowed by the Techosp Group, a consortium of industrialists and insurance companies established in 1988 with the aim of constructing and managing private healthcare centres characterised by quality, efficiency, scientific expertise, humaneness and innovative investments. After building and opening ICH (1996), the Group acquired the Gavazzeni Clinics of Bergamo (now Humanitas Gavazzeni) in 1999, and has since been joined by the Fornaca di Sessant and Cellini Clinics of Turin, and the ARAS Day Clinic (2000) and Centro Oncologico Catanese of Catania (2002). The objective of the project is to put private energy and resources at the service of the public by creating a healthcare environment that emphasises the centrality of patients and their personal dignity, and privileges human relationships. This philosophy is consistently applied to all aspects of hospital management from the architectural design and physical distribution of the individual departments, to doctor/patient relationships and communication systems as a whole. ICH has 473 beds (including 47 in its Day Hospital and 28 in its Intensive Care Unit), 18 operating