Staff Behavior Research Articles

A qualitative study of the influence of childcare on high antibiotic use in a multicultural, lower socioeconomic community

IntroductionThis qualitative study explored factors associated with childcare affecting antibiotic use in a lower socioeconomic, culturally diverse community. Little is known about the knowledge, attitudes and behaviours of parents and childcare providers that influence childhood antibiotic use at a local level.MethodsParents and childcare workers from the Fairfield Local Government Area of Sydney were sampled to maximise diversity, including English speakers and those preferring other languages. Recruitment was hampered by the COVID-19 epidemic. Semi-structured telephone interview transcripts were thematically analysed.ResultsEighteen childcare staff and 20 parents were interviewed, drawn from 7 participating childcare services. Interview findings were grouped under two major themes: the culture regarding antibiotic use and the regulatory and administrative environment of childcare centres. Interview responses demonstrated interaction between themes and provided insights into the knowledge, attitudes, and behaviours of staff and parents/carers in relation to antibiotic use.DiscussionThe determinants of high use of antibiotics in childcare in a multicultural community are multifactorial, inter-related and complex. The two interacting themes, cultural factors and regulatory/administrative environment, appear to capture these determinants. The study did not find evidence of explicit pressure on parents to obtain antibiotics for children. However, the themes described appear to work together to increase antibiotic prescriptions. Parents and care providers expressed beliefs in antibiotic efficacy for numerous conditions, contrary to scientific knowledge and public health messaging. Respondents were not aware that antibiotic use in the region is unusually high. The regulatory and administrative context determining childcare attendance during illness does not seem to overtly drive antibiotic seeking behaviour. However, parents expressed an imperative to work which appeared to drive adoption of strategies perceived to shorten illness, including using antibiotics. These factors may also increase doctor attendance seeking certificates to facilitate early return to childcare. Doctor attendance may increase antibiotic prescriptions. These issues deserve further investigation which should also include doctors’ perspectives.

A Study on Influence of Ujjivan Small Finance on Customers Satisfaction of Banks in Ramanagara District

This study explores the influence of Ujjivan Small Finance Bank on customer satisfaction in Ramanagara, focusing on service quality, staff behavior, transparency, and personalization. With the rise of small finance banks in India, understanding their effectiveness in fulfilling customer expectations is vital. The study employed a structured questionnaire using a five-point Likert scale to gather responses from 100 customers of Ujjivan Small Finance Bank in Ramanagara. Key areas assessed include staff politeness, service transparency, financial need fulfillment, personalized attention, and overall customer perception. Descriptive statistics, correlation analysis, and chi-square tests were used to analyze the data. Findings indicate that while many customers express satisfaction with staff behavior and overall perception of the bank, there are mixed views regarding the bank’s transparency and ability to meet individual financial needs. The study highlights the importance of improving service personalization and communication to build greater trust and long-term customer loyalty. The results provide valuable insights for bank management to enhance service strategies and customer relationship models. This study contributes to the broader understanding of customer satisfaction in the context of emerging small finance banks in semi-urban regions like Ramanagara.

<b>EFFECTS OF LONG HOSPITAL WAITING TIME: A STUDY AT THE OUTPATIENT DEPARTMENT AT A PRIVA</b>TE HOSPITAL IN GHANA

Background: Long waiting times in hospital outpatient departments (OPDs) are a major contributor to patient dissatisfaction, reduced health service utilization, and increased patient churn. Despite global attention to this issue, limited research has been conducted within Ghana's private healthcare system. Objective: This study explores the effects of prolonged outpatient waiting times on patient satisfaction and retention at a private hospital in Ghana, with a specific focus on operational inefficiencies contributing to patient churn. Methods: A retrospective data analysis was conducted using the JMED Pro version 22.00 hospital management system at the Rock Hospital Accra Ghana. Attendance data from 2019 to 2024 were extracted and analyzed using descriptive statistics, linear regression and chi squared test to assess trends in OPD registration, turnover, and churn rates and variations across National Health Insurance Scheme (NHIS), private, and corporate patient categories. Operational inefficiencies—such as delayed staff reporting and extended breaks—were also reviewed as potential contributing factors. Results: OPD attendance declined significantly over the study period (p = 0.002), with average yearly reductions of 3,679 visits with highly significant variations (P= 0.00e+00). NHIS and private registrations also decreased significantly (p = 0.0019 and p = 0.0064, respectively) and highly significant variations p = 1.10e-12 and p = 2.23e-08 respectively), while corporate registrations rose (p = 0.0033) with high significant variations Corporate: p = 0.026. Churn rates increased steadily across all categories, reaching a high of 4.56% overall in 2024. Notably, corporate churn rose more than sixfold from 2019 to 2024 (p = 0.010). Operational delays linked to staff behavior were identified as key contributors to increased pending attendance and premature patient departure. Conclusion: The study highlights a statistically significant decline in patient attendance and a rising churn rate, closely tied to long waiting times and internal workflow inefficiencies. These findings underscore the urgent need for targeted interventions to streamline OPD operations, enhance patient experience, and reduce attrition in Ghana’s private healthcare facilities

Penguatan Pendidikan Karakter Peserta Didik Melalui Budaya Sekolah di SMP Negeri 3 Jawai Selatan Kabupaten Sambas

One important aspect to form a generation with morals and integrity in the midst of increasingly complex developments is character education. The purpose of this study was to analyze the strengthening of character education with school culture at SMP Negeri 3 Jawai Selatan which consists of routine activities, spontaneous, exemplary, and conditioning. This study uses a qualitative descriptive method. Data were taken through observation, interviews with informants, namely the principal, social studies teachers, and 6 students, and through documentation. Data analysis used data reduction techniques, and data presentation, as well as drawing conclusions and verification. The result is the strengthening of character education at SMP Negeri 3 Jawai Selatan with routine activities, spontaneous, exemplary, and conditioning. Routine activities consist of flag ceremonies, congregational Dzuhur prayers, singing national songs during ceremonies, reading the Qur'an, and hair raids. Spontaneous activities include giving sanctions to students who fight, litter, are not neat in their clothes, are caught cheating, are caught stealing, and say bad words. Exemplary activities are the exemplary behavior of teachers, principals, students, school staff, and school residents in attitudes and behaviors such as dressing, speaking, acting, personal hygiene, and discipline. Conditioning activities are creating a clean school environment, clean toilets, clean classrooms, clean teachers' rooms, clean gardens, posting motivational/wise words containing character, and extracurricular activities.

Contrasting cultures of emergency department care: a qualitative study of patients' experiences of attending the emergency department for low back pain in the UK.

This article aimed to explore patients' experiences of attending the emergency department (ED) for low back pain (LBP) and provides a theoretically informed analysis of the ED cultures perceived by patients to inform their experiences of care. Multisite, cross-sectional qualitative interview study. Four NHS Emergency Departments located in the UK. 47 adults (aged 23-79 years) who, in the past 6 weeks, had attended the ED for LBP (all types and durations). Purposive sampling was used to gain variation in the recruiting sites, and participants' LBP and demographic characteristics. Data were collected using individual, semistructured, telephone interviews (median 45 min duration) which were audio-recorded and transcribed verbatim. Analysis was informed using reflexive thematic analysis and ideal type analysis. Cycles of inductive and deductive analysis were undertaken, with Bourdieu's concepts of field and habitus employed to help explain the findings. We present three contrasting cultures of ED care for LBP, comprising (1) emergency screening only, (2) 'cynicism and neglect' and (3) appropriate and kind care. Taking each culture (field) in turn, we explore important differences in the content and delivery of care. Drawing on Bourdieu's concepts of field and habitus, we consider the social and institutional norms and misrepresentations likely to underpin the thoughts and behaviours of ED staff (their habitus), and why these tended to vary based on where and by whom the patient was managed in the ED. Strategies to improve patients' experience need to review the social and institutional norms that underpin staff habitus, the assumptions informing these norms and the voices that validate and reproduce them. ISRCTN77522923.

Performance Optimization of the an Health Tourism Organization: An Integrated Approach Based on Resilience Engineering and Emotional Intelligence

ABSTRACTEvery year, health tourism organizations (HTOs) provide numerous patients worldwide with specialized or less costly medical services. Any crisis or uncertainty can have detrimental effects on the performance of these organizations, the behavior and emotions of staff, as well as the economy of the host country. Therefore, it is essential to evaluate the resilience of these organizations and the behavior of their staff in facing challenges and crises. In this study, we assessed the performance of an HTO in Tehran using resilience engineering and emotional intelligence indicators. The required data were collected using standard questionnaires, and data envelopment analysis was employed to study the performance of this HTO. Sensitivity analysis was applied to evaluate the performance of the HTO concerning each indicator. Finally, the strengths, weaknesses, opportunities, and threats matrix was applied to propose strategies aimed at enhancing the performance of the studied HTO.

Maternal satisfaction in health facilities during childbirth and Newborn survival in Bihar State of India

India has made significant strides in reducing neonatal mortality rate (NMR) from 52 per 1000 live births in 1990 to 20 per 1000 live births in 2020. Nevertheless, the decline is not uniform across the states including Bihar the state of India. Even though Bihar has seen a considerable increase in institutional deliveries, a crucial health intervention to reduce NMR, the decline is gradual with 21 per 1000 live births in 2020, accounting almost 78% of infant deaths. This underscores the disparities in standard of care provided at health facilities which could have an adverseimpact on NMR. Using a mixed method approach in eight selected districts of Bihar, the present study explores mothers’ satisfaction through care provided in facilities and examines the association between maternal satisfaction from the quality of services and neonatal survival. The study finds that improved quality of institutional care is significantly associated with lower neonatal deaths. The study also identifies gaps in providing quality care, including long waiting times, inappropriate staff behavior, and provision of poor postnatal care. Addressing these gaps through appropriate policy measures is essential to accelerate progress towards reducing neonatal mortality in the state and achieving the Sustainable Development Goals. Efforts to improve the public health system in Bihar should prioritize enhancing the quality of services to ensure better maternal and neonatal outcomes.

A Research on The Relationship Between Trust in Physician and Hospital and Hospital Preference

The aim of the study is to determine the relationship between the level of trust in physicians and hospitals of patients applying to health institutions and the factors that are effective in hospital preference. In order to collect data in the study, data were collected from patients who came to two hospitals, one public and one private, to receive outpatient services. In the study, convenience sampling method was used as sample selection and data were obtained from 436 participants. A questionnaire form consisting of four sections was used to collect data. The sections of the questionnaire are; socio-demographic information form, two parts of the patient's trust in physician and hospital scale as trust in physician and trust in hospital, and finally the factors affecting hospital preference scale. Before the data analysis, reliability analyses of the scales were performed and found to be reliable for analysis. SPSS 25 package programme was used for data analysis. Since the data did not show normal distribution, Independent Sampels test and Spearman Correlation test from nonparametric methods were applied. As a result of the analyses, a statistically significant relationship was found between trust in physicians and the staff attitude and behaviour dimension of hospital preference. A statistically significant relationship was found between trust in hospital and consumer cost dimension of hospital preference. In addition, a moderate positive relationship was found between trust in hospital and trust in physician. The results of the difference analysis of socio-demographic characteristics are as follows; trust in physician was found to be significantly related to hospital type variable; trust in hospital was found to be significantly related to gender variable; and four dimensions of hospital preference were found to be significantly related to gender, marital status, age, hospital type and occupation variables. In the light of the findings, it is concluded that hospitals should give importance to the staff attitude and behaviour dimension of hospital preference in order to increase trust in physicians and to the consumer cost dimension of hospital preference in order to increase trust in hospitals. In addition, the most effective factor in hospital preference is service quality. As a result, significant relationships were found between trust in physician and hospital and hospital preference factors.

Patient Agitation in the Intensive Care Unit: A Concept Analysis.

Exploring the concept of patient agitation in the intensive care unit. Patient agitation in the intensive care unit is of widespread concern and linked to negative outcomes for patients, staff, and family members. There is currently no consensus on what constitutes agitation in the intensive care context, hindering effective and tailored prevention and management. Concept Analysis. Walker and Avant's eight-step concept analysis approach. A comprehensive search was carried out in the databases MEDLINE, PsychINFO and CINAHL. A total of 32 papers published between 1992 and 2023 were included, reviewed, and analysed to explore definitions, attributes, antecedents and consequences of patient agitation. Patient agitation in the intensive care unit is characterised by excessive motor activity, emotional tension, cognitive impairment, and disruption of care, often accompanied by aggression and changes in vital signs. Antecedents encompass critical illness, pharmacological agents and other drugs, physical and emotional discomfort, patient-specific characteristics and uncaring staff behaviours. Consequences of agitation range from treatment interruptions and poor patient outcomes to the psychological impact on patients, families, and staff. Agitation in the intensive care unit is a complex issue which significantly impacts patient treatment and clinical outcomes. For healthcare professionals, patient agitation can contribute to high workloads and job dissatisfaction. Due to the complex nature of agitation, clinicians must consider multifaceted strategies and not rely on medication alone. Further research is needed to fully understand patient agitation in the ICU. Such understanding will support the development of improved strategies for preventing and managing the behaviours. A clearer understanding of patient agitation supports the development of tailored interventions that improve patient care, guide ICU training, and inform future research. This concept analysis was developed with input from a patient representative.

Transforming Infectious Waste Management Through Digital Dashboards: The Napalai Hospital Experience, Thailand.

Effective infectious waste management in healthcare facilities is critical to public health and environmental safety. This study aims to develop and implement a scalable digital dashboard with real-time analytics to enhance infectious waste management. It also evaluates staff knowledge, attitudes, and behaviors (KAB) while monitoring how these factors evolve over time following dashboard implementation. The ADDIE model guided the development of the dashboard. A pre- and post-intervention survey approach was used to assess changes in KAB. Data trends and waste generation rates were analyzed over time, with departmental breakdowns to identify areas for improvement. Data from 29 staff members revealed that 79.3% demonstrated high knowledge, 82.76% had positive attitudes, and 89% exhibited effective behaviors. Strong correlations were found between knowledge and attitudes (r = 0.602, p < 0.001) and attitudes and behaviors (r = 0.673, p < 0.001). Over time, post-intervention surveys showed improvements in knowledge retention and behavioral compliance. The dashboard, integrated with IoT and BI analytics, provided real-time tracking, compliance alerts, and waste trend analysis. The study highlights the effectiveness of digital interventions in optimizing infectious waste management and ensuring regulatory compliance.

Balancing Infection Risks and Residents Social Activity Preferences: Nursing Home Staff Risk Perceptions.

Social activities are recognized as vital for older adults' quality of life. The COVID-19 pandemic presented challenges for nursing home (NH) staff as they attempted to balance infection risks with residents' preferences for social activities. The purpose of this study was to gain an understanding of NH staff's experiences and actions accommodating resident preferences for social activities during pandemic restrictions. This study used a convergent mixed methods approach to provide an in-depth description of NH staff's (N=24) risk propensity and decision-making. Quantitative data included self-reported demographics and risk perceptions using the Risk Propensity Scale. Qualitative data included semi-structured individual interviews. Data were integrated to explain the link between individual risk perceptions and infection control practices related to social activities. Participants were purposively sampled to reflect a range of direct care NH staff roles including certified nursing assistants (29%), activities staff (25%), social workers (25%), and licensed nurses (21%). Participants were on average 39 years of age, mostly white (79%), and female (88%). Most identified as risk-avoiders (58%). Guided content analysis of interviews revealed two main themes that describe staff's behaviors while balancing infection control and residents' social activity preferences: factors of decision-making (family influence, organizational, staff and resident characteristics) and staff influencing preference-based care (cognitive skills and technical skills). Risk perceptions and resultant decision-making vary among direct care NH staff. Mixed interpretation offers insight on staff's attempt to balance infection risks with residents' preferences to engage in social activities.

Comprehensive lifecycle quality control of medical data - automated monitoring and feedback mechanisms based on artificial intelligence.

BackgroundDigital healthcare's advance has underscored an urgent requirement for solid medical record quality control, critical for data integrity, surpassing manual methods' inadequacies.ObjectiveThe goal was to develop an AI system to manage medical record quality control comprehensively, using advanced AI like reinforcement learning and NLP to boost management's precision and efficiency.MethodsThis AI system uses a closed-loop framework for real-time record review using natural language processing techniques and reinforcement learning, synchronized with the hospital information system. It features a data layer for monitoring, a service layer for AI analysis, and a presentation layer for user engagement. Its impact was evaluated by comparing quality metrics pre- and post-deployment.ResultsWith the AI system, quality control became fully operational, with review times per record plummeting from 4200 s to 2 s. The share of Grade A records rose from 89.43% to 99.21%, and the system markedly minimized formal and substantive record errors, enhancing completeness and accuracy. The implementation of the artificial intelligence-based medical record quality control system optimizes the quality control process, dynamically regulates the diagnostic behavior of medical staff, and promotes the standardization and normalization of clinical medical record writing.ConclusionsThe AI-driven system significantly upgraded the management of medical records in terms of efficiency and accuracy. It provides a scalable approach for hospitals to refine quality control, propelling healthcare towards heightened intelligence and automation, and foreshadowing AI's pivotal role in future healthcare quality management.

Implementing psychosocial guidelines into specialized spinal cord injury rehabilitation services to strengthen person-centred health care: protocol for a mixed methods study.

Spinal cord injury (SCI) is a severe neurological disorder resulting in loss of movement and altered sensation with lifelong impacts on health, function, and social integration. Multidisciplinary SCI rehabilitation primarily focuses on enhancing function and independence while simultaneously managing secondary health conditions and providing psychosocial support. Therefore, a major goal in SCI rehabilitation should be strengthening patients' capacity to cope with and adjust to challenges they encounter. Using a mixed methods design, the primary aim of this study is to integrate psychosocial guidelines that promote psychological adjustment into SCI rehabilitation, and second, to evaluate facilitators and barriers to their successful implementation. To determine perceived depth of knowledge, beliefs, and attitudes about psychosocial care, and usage of psychosocial guidelines, healthcare professionals in the three specialist SCI services in New South Wales, Australia will be invited to complete a baseline survey. Following the survey, semi-structured one-to-one interviews and focus groups will be conducted with healthcare professionals representing different health disciplines to understand the context and generate ideas about how best to integrate these guidelines into clinical practice. Based on the surveys, interviews, and focus groups, an implementation intervention employing educational strategies, structural, and nudge (behavioural change) approaches will be designed and implemented over a period of 18-months to facilitate integration of the guidelines into the SCI services. A post-intervention survey with healthcare workers will then be conducted. Focus groups from each SCI service, with representation across the different healthcare professions, will also be conducted to identify facilitators and barriers to implementing the guidelines. Success of implementation will be determined by analyzing any shifts in perceived knowledge, attitudes, and behaviour of staff and cultural/structural processes observed through comparing baseline and post-intervention qualitative and quantitative data. To capture lived experience insight, 10 patients with SCI currently undergoing rehabilitation will be interviewed. This study will establish the success of implementing psychosocial guidelines into three specialist SCI services. It is hypothesized that constructive changes will occur in the knowledge, attitudes, and behaviour of the SCI Unit healthcare professionals, leading to improved psychosocial practices and patient outcomes that will strengthen person-centred healthcare in SCI rehabilitation. This study has been retrospectively registered with the Australian New Zealand Clinical Trials Registry on the 7th of May 2024. The registration number is: ACTRN12624000581561.

A Study on Customer Satisfaction with Reference to the Café Coffee Day (CCD), Delhi-NCR

This research paper explores the customer satisfaction levels at Cafe Coffee Day (CCD) outlets in the Delhi-NCR region. The study aims to analyse various factors influencing customer satisfaction, including service quality, product offerings, ambience, and pricing. Data was collected through surveys conducted among CCD customers, and both quantitative and qualitative analysis methods were employed to draw conclusions. The findings provide valuable insights into enhancing customer satisfaction and improving the overall cafe experience at CCD outlets in Delhi-NCR.Sample size of 100 respondents included in the research and data were analyzed and interpreted. This study examines how CCD's pricing strategies, staff behaviour, promotional activities, and product diversification impact overall customer satisfaction. It highlights the significance of consistency in service quality, the introduction of innovative menu options, and the effectiveness of CCD’s promotional campaigns. The findings contribute to the broader understanding of consumer behavior in the café industry and provide valuable insights for businesses looking to enhance customer satisfaction and long-term profitability

Ethical Leadership and Academic Staff Behaviour: Ethical Climate's Role and Moral Identity's Limit

Ethical behaviour among academic staff is essential for maintaining the integrity and reputation of educational institutions. However, there is limited understanding of the factors that influence such behaviour, especially among academic staff, in the context of Malaysian public universities. This study aims to investigate the effect of ethical leadership on ethical behaviour among academic staff, with a focus on the mediating role of ethical climate and the moderating effect of moral identity. Employing a quantitative research methodology, data were collected from 601 academic staff across five selected Malaysian public universities through a structured questionnaire. The principal results reveal that ethical leadership does not have a significant direct relationship with ethical behaviour. However, ethical climate significantly mediates the relationship between ethical leadership and ethical behaviour. Contrary to expectations, moral identity does not moderate the relationship between ethical leadership and ethical behaviour. These findings emphasize the importance of creating a supportive ethical climate to encourage ethical behaviour among academic staff. The study extends existing literature by providing new insights into the mechanisms underlying employee ethical behaviour and offers practical recommendations for public universities aiming to promote ethical conduct.

Goal-oriented temperature management in severely traumatized children in the emergency department: a best practice implementation project.

Hypothermia commonly occurs in trauma patients. Evidence-based practices for hypothermia prevention are not strictly followed by all medical staff in the emergency department. This study aimed to assess compliance with evidence-based practices regarding goal-oriented temperature management for severely traumatized children in a Chinese hospital. This project used the JBI Evidence Implementation Framework to translate evidence into practice. The Integrated-Promoting Action on Research Implementation in Health Services (i-PARIHS) framework was used to identify barriers to compliance with best practices. A goal-oriented temperature management strategy for trauma patients was developed based on the identified barriers, along with a simulation training module, and the supply of warming materials. Field observation, review of medical records, and interviews with medical staff and patients were used to assess baseline and follow-up audit compliance with best practices. Twelve criteria were audited in the baseline and follow-up audits, with 11 and 37 trauma patients, respectively. In the follow-up audit, compliance with all criteria increased, with a reduction in shivering and cold discomfort scores. Except for two patients who died, hypothermia did not occur in any of the patients. The JBI Evidence Implementation Framework was used to successfully improve compliance with best practices. Future audits should be conducted to sustain the evidence-based behavior of all medical staff. http://links.lww.com/IJEBH/A234.

A Study on Heritage Hotels Performance towards Customer Services in Madhya Pradesh

This study examines the role of heritage hotels in Madhya Pradesh, focusing on customer service performance, satisfaction, and loyalty. Heritage hotels, with their historical and cultural significance, provide a unique hospitality experience, yet balancing high service standards with historical preservation presents challenges. The research analyzes how service quality, staff behavior, amenities, and heritage characteristics influence customer loyalty. A quantitative survey-based approach was conducted among tourists and employees of eight heritage hotels, including Ahilya Fort Maheshwar, Amar Mahal Orchha, and Jehan Numa Palace Bhopal. Data were analyzed using statistical methods such as correlation analysis, ANOVA, and One-Sample t-tests. Findings reveal a strong positive relationship between service variety and customer satisfaction (r = 0.928, p = 0.000), with staff behavior and personalized services significantly impacting service quality and loyalty. Heritage hotel characteristics, including architecture and cultural elements, also play a crucial role. The study concludes that service diversification, improved staff engagement, and personalized experiences can enhance customer satisfaction while maintaining cultural authenticity, ensuring the sustainable growth of heritage hotels in the evolving hospitality industry.

Patient satisfaction with healthcare services and associated factors at public health centers in Addis Ababa, Ethiopia

IntroductionInvestigating patient satisfaction is a critical metric in healthcare quality assessment and improvement efforts. Patient satisfaction not only reflects the quality of care provided but also influences patient outcomes and adherence to treatment plans. However, little is known about patient satisfaction and associated factors with healthcare services at the public health centers of Addis Ababa. Understanding the unique challenges and experiences of patients in this context is essential for identifying areas for improvement. Factors such as staff behavior, availability of medical resources, wait times, and the overall environment of care can significantly impact patient perceptions. This study aims to explore these factors in depth, providing insights that can inform policies and practices to enhance patient satisfaction in Addis Ababa’s public health centers.MethodsAn institution-based cross-sectional study was conducted. A simple random sampling method was used to select 633 participants who were interviewed via a structured questionnaire. Binary and multivariable logistic regression analyses were conducted.ResultsIn this investigation, patient satisfaction with healthcare services was 77.4%. Obtain necessary drugs [adjusted odds ratio (AOR) = 17.5, 95% CI 5.29–57.81), access all lab services (AOR) = 15, 95% CI 4.91–46.40], easy access to parking and transportation (AOR = 15, 95% CI 2.02–111.80), providers’ respect for patients’ values, beliefs, and culture (AOR = 9, 95% CI 1.93–43.56), good patient handling practices (AOR = 7.7, 95% CI 2.25–26.03), receiving services at health centers with attractive compounds and green spaces (AOR = 7.7, 95% CI 1.98–30.18), receiving services at health centers with clean and comfortable environments (AOR = 5.6, 95% CI 1.06–29.61), adequate healthcare providers (AOR = 4.8, 95% CI 1.29–17.78), effective communication with healthcare providers (AOR = 3.9, 95% CI 1.18–13.22), and modern equipment and technology (AOR = 4, 95% CI 1.23–13.25) were significantly associated with patient satisfaction.ConclusionAssessing patient satisfaction with healthcare services is an important activity for improving quality services. The majority of the patients were satisfied with the healthcare services, indicating generally positive experiences with healthcare services. However, a notable number of participants still felt dissatisfied with the healthcare services. Therefore, to improve patient satisfaction with healthcare services, public health centers should develop new initiatives, such as fostering and sustaining a culture of change and patient safety and continuous professional training for staff. Furthermore, the government should provide essential drugs and medical resources to public health centers.

Food provision and healthy eating environments in before school care: an observational study.

Australian children fall short of national dietary guidelines with only 63% consuming adequate fruit and 10% enough vegetables. Before school care operates as part of Out of School Hours Care (OSHC) services and provides opportunities to address poor dietary habits in children. The aim of this study was to describe the food and beverages provided in before school care and to explore how service-level factors influence food provision. A cross-sectional study was conducted in OSHC services. Services had their before school care visited twice between March and June 2021. Direct observation was used to capture food and beverage provision, and child and staff behaviour during breakfast. Interviews with staff collected information on service characteristics. Foods were categorised using the Australian Dietary Guidelines, and frequencies calculated. Fishers Exact Test was used to compare food provision with service characteristics. The before school care of OSHC services in New South Wales, Australia. 25 OSHC services. Fruit was provided on 22% (n=11) of days and vegetables on 12% (n=6). Services with nutrition policies containing specific language on food provision (i.e. measurable) were more likely to provide fruit compared to those with policies using non-specific language (p = 0.027). Services that reported receiving training in healthy eating provided more vegetables than those who had not received training (p = 0.037). Before school care can be supported to improve food provision through staff professional development and advocating regulatory bodies for increased specificity requirements in the nutrition policies of service providers.

Assessment of Patient Satisfaction: Experience from Eye Department in a Tertiary Care Public Hospital

Patient satisfaction is to considered is an integral part of hospital management and quality services of healthcare system. A descriptive cross-sectional study will be conducted to understand the relationship between patient satisfaction and trigger factors and for this purpose data will be collected from three public tertiary hospitals (National Institute of ophthalmology &amp; hospital, Dhaka. Government of Bangladesh allocated remarkable proportion of GDP for health and education. This effort has a positive impact on health and education sector in Bangladesh. Every year the demand of health care is increasing and health sector facing difficulties to maintaining the principle of high quality health care delivery. The objective of the study is to assess the level of satisfaction of patients attending the eye department of National institute of ophthalmology &amp; Hospital, Dhaka medical college hospital, Rangpur medical college hospital and utilize the hospital service and determine the factors related to their satisfaction. The quantitative data has been collected from the hospital setting following a descriptive cross-sectional study method. Age, gender, education, occupation, marital status and number of visits were considered as an independent variable whereas as convenience, courtesy, care quality, pocket cost and physical environment will identify as dependent variables. Per capita income, distance from the hospital etc will consider as Confounding variables. A total 384 patients were interviewed following random sampling techniques from outdoor and inpatient department. Collected data was entered into SPSS for analysis. Appropriate statistical analysis were done here. An ethical approval was obtained from the NSU public health department. The patients were asked to evaluate the overall performance of the hospital. The majority (60.5%) said average and 39.5% said good. So we could conclude that the patient satisfaction is very important to increase the flow of patient and reduce the burden of eye related service. Quality of care, doctor and staff attitude and behavior need to improve to enhance the satisfaction level of patient. Hospital general hygiene facility also need to improve. J.Natl.Inst.Ophthalmol. 2023; 6(2):58-66