Service Staff Research Articles

Prävalenz ausgewählter Erkrankungen bei prähospitalen Rettungskräften in Deutschland

Prevalence of selected diseases among pre-hospital emergency services personnel in Germany – results of the EMS Health Study 2023 Objective: The health of pre-hospital emergency medical services (EMS) staff is crucial for the provision of high-quality medical care. However, currently only limited data on the health monitoring of German EMS staff is available. The aim of the study was therefore to analyse the 12-month prevalence of selected diseases and symptoms among German EMS staff. Methods: A nationwide survey study was conducted. Questions from the GEDA2019/2020 study were used to collect information on the health status of EMS staff. Subsequently, 12-month prevalences were calculated with the corresponding 95 % confidence intervals (95 % CI). Results: In the end, 1,171 active German EMS staff (67.9 % male/31.9 % female) with a median age of 32.0 years were included in the analysis. The results indicate that excess weight and obesity are common health problems among EMS staff, with men (68.4 % [95 % CI: 64.8 %; 71.4 %]) being more affected than women (45.0 % [95 % CI: 39.9 %; 50.2 %]). The highest 12-month prevalence was calculated for lower back pain (51.8 % [95 % CI: 48.9 %; 54.7 %]), followed by pain in the cervical spine (41.9 % [95 % CI: 39.1 %; 44.8 %]), allergies (34.1 % [95 % CI: 31.4 %; 36.9 %]), hypertension (19.1 % [95 % CI: 16.9 %; 21.5 %]) and depression (16.2 % [95 % CI: 14.2 %; 18.5 %]). Compared to the German general population, the 12-month prevalence of obesity, asthma, COPD, hypertension, elevated blood lipid levels, arthritis, depression and obesity was higher for certain gender and age groups of emergency workers. Conclusion: The result of this study indicate a poor health state among German pre-hospital EMS staff and the need for preventive measures. Keywords: 12-month prevalence – emergency medical services – health – obesity – epidemiology

Antecedents and Consequences of Violence in Homeless Shelters: Perspectives and Experiences of Service Users and Shelter Staff.

Violence is a critical issue in homeless shelters that affects service users and staff, yet there is limited evidence on how shelter-based violence occurs. The objective of this qualitative study was to investigate the antecedents and consequences of shelter-based violence from the perspectives of service users and staff. Purposive sampling was used to recruit individuals experiencing homelessness and shelter staff in a large metropolitan city in Ontario, Canada. Data from in-depth interviews with 56 individuals experiencing homelessness and 30 shelter staff were analyzed. Findings showed that shelter-based violence toward service users and staff was perceived to manifest in response to three interacting factors: (a) burden of homelessness and shelter living, (b) individual histories and marginalization, and (c) interpersonal conflict. These antecedents had a hierarchical structure in that each subsequent factor exacerbated the risk of previous ones and culminated with the most proximal factor for violence. There were three primary outcomes of shelter-based violence reported by service users and staff: (a) health and environmental harms, (b), procedural enforcement, and (c) avoidant behaviors. Avoidance was often a subsequent impact following health harms, as was procedural enforcement to a lesser extent. Overall, the study findings demonstrate that shelter-based violence is a complex and dynamic problem that is perceived to be the result of interacting structural, environmental, programmatic, interpersonal, and individual factors, with similar consequences for service users and staff. Implications for preventing violence through shelter design and service delivery are discussed.

Pengaruh Promosi dan Kualitas Pelayanan Terhadap Keputusan Pembelian Konsumen di Indomaret Wilayah Kecamatan Gubeng Kota Surabaya

This study aims to analyze the influence of promotions and service quality on consumer purchasing decisions at Indomaret stores in the Gubeng District of Surabaya City. The background of this research stems from intense competition in the retail industry, which demands companies to enhance attractiveness through optimal promotional strategies and improved service quality. In facing these challenges, it is crucial for retail companies like Indomaret to understand the factors influencing consumer purchasing decisions to formulate appropriate strategies. This research employs a correlational method to measure the relationship between the variables of promotion and service quality with consumer purchasing decisions. Data were collected through a survey conducted among Indomaret customers in the Gubeng District of Surabaya City, with a sample size of 100 randomly selected consumers to ensure the representativeness of the research findings. The survey included various questions designed to evaluate consumer perceptions of Indomaret's promotions and the service quality they received. Data analysis utilized multiple linear regression to determine the influence of each independent variable—promotion and service quality—on the dependent variable, consumer purchasing decisions. The results indicate that both promotion and service quality significantly influence consumer purchasing decisions at Indomaret in the Gubeng District of Surabaya City. This suggests that effective promotional strategies such as discounts and loyalty programs, along with high service quality such as staff friendliness and service speed, can enhance consumer purchasing decisions. The conclusion emphasizes the importance for retail companies to develop and implement innovative promotional strategies and continuously improve service quality. Thus, Indomaret can maintain and increase consumer loyalty, and compete more effectively in the competitive retail industry. This research contributes significantly to understanding consumer behavior in the retail context and serves as a reference for other retail companies in designing effective marketing strategies.

Structural associations between self-perception of support and knowledge of disability characteristics of autism spectrum disorder among staff in facilities providing after-school day services.

We constructed a hypothetical model of the knowledge of autism spectrum disorder (ASD) and self-perception of support of staff working in after-school day services to clarify structural relationships. A questionnaire survey was conducted at 194 facilities providing after-school day services in Fukushima Prefecture (October 2020), including a basic attributes questionnaire, the Literacy Scale of Characteristics of Autistic Spectrum Disorder (LS-ASD), and a staff questionnaire. We developed a hypothetical model of the relationship between self-perception and LS-ASD total scores of after-school service staff. To obtain latent variables for structural equation modeling (SEM) to confirm factor extraction and the interrelationships among variables, exploratory factor analysis was performed. SEM was used to examine the fit of the hypothetical model to the data and the relationships among variables. The study included 302 staff members from 58 of 194 facilities. Four factors (Factor 1, motivation; 2, self-perception of knowledge; 3, information sharing; 4, self-confidence) were extracted. The final model showed that Factor 2 had a positive direct effect (path coefficient = 0.64) and Factor 4 had a negative direct effect (path coefficient = -0.22) on LS-ASD scores. The model goodness of fit was acceptable (Goodness-of-Fit Index = 0.890; Comparative Fit Index = 0.912; Root Mean Square Error of Approximation = 0.086; Akaike's Information Criterion = 392.7). Self-perception of knowledge contributes greatly to knowledge acquisition, while excessive confidence may hinder knowledge retention.

COMMUNITY EMPOWERMENT AND IT’S INFLUENCE ON IMPLEMENTATION OF WATER PROJECTS IN MACHAKOS COUNTY OF KENYA

Objective: This study focused on the extent to which Community empowerment influence Implementation of water projects in Machakos County of Kenya. Accessibility to safe water has been a great challenge not only in Machakos County but to the developing world. The purpose of this study was to establish Community empowerment influence on Implementation of water projects in Machakos County of Kenya. Theoretical Framework: The study was anchored on Pragmatic paradigm and used descriptive survey research design. The target population for this study was Machakos County water representatives both staff and Community. Research sample comprised of, Water Resources Users Association officials, Water Resource Management Authority employees, County Ministry of Water and Irrigation staff, Water Services Trust Fund staff and Tana Athi Water Services Agency Staff, giving a total target population of 572 individuals. Method: The sample size of the study was derived from the various strata’s by using Krejcie and Morgan Table for sample size determination which gave a sample size of 226 participants. The research instruments used included: questionnaires; Key informant Interviews, Focus Group discussions, observation, documents review and Interview guides. Data was analysed using descriptive statistics and inferential statistics. Quantitative data was analysed using frequencies, percentages, mean, standard deviation, composite mean and standard deviation. Qualitative data was analysed by content analysis. Research Implications: This Study is significant to policy makers, students, water agency managers and primary stakeholders in the research region. It was concluded that Community empowerment significantly influence implementation of water projects in Machakos County in Kenya.

Factors Affecting Foreign Patients’ Satisfaction towards Medical Tourism Services in Jordan

Governments invest a great deal of time, resources, and money in promoting medical tourism, which seeks to satisfy patients by offering them medical care. This study examined the impact of various factors, including quality of care, cost, medical staff services, and hospital environment, on foreign patients' satisfaction with Jordanian medical tourism services. To collect data, a questionnaire was distributed to a sample of 320 foreign patients in the public and private hospitals in Amman, Jordan. To analyze the data, the Social Statistical Package for Social Sciences (SPSS) was used. The findings of the study were that of the environment of the hospital and the service of medical staff had the most significant impact factors. Overall, the findings supported a positive effect quality of medical care, cost of medical care, services of medical staff, and the environment of the hospital on the level of satisfaction among foreign patients about Jordanian medical tourism. Lastly, the study recommends that have the capacity of the Ministry of Tourism, the Ministry of Health, and practitioners to uphold the standard of care and attract a sizable influx of international medical patients to Jordan.

Unveiling Excellence in Service: from Exceptional Staff to Exceptional Guest

This research aim at exploring excellence service in hospitality industry. The research method was deep interview with the management of AH hotel and resort. The focus was unveiling service excellence on the pivotal role of exceptional staff in catering to the needs of exceptional guests. Drawing upon literature on service excellence, staff engagement, and guest satisfaction, the abstract highlights the importance of personalized experiences and genuine dedication in surpassing guests' expectations. The result were through a commitment to understanding guests' preferences and fostering a culture of excellence among staff, hotels can elevate the guest experience and cultivate long-term loyalty. The uniqueness of excellence service at the accounting department lies in its precision, efficiency, personalized financial solutions, proactive management, and transparent communication, all of which contribute to a seamless guest experience and the hotel's success. The symbiotic relationship between excellence staff and excellence guests in the pursuit of service excellence. Hotel management is advised to constantly remind employees about the importance of maintaining service quality to avoid complaints from management, colleagues, and hotel guests.

‘I just feel very dispensable’: Exploring the connections between precarity and identity for academic literacy developers

Precarious employment is a well-established feature in academia, with many lecturers, tutors and professional services staff on forms of fixed-term contract. It is especially a feature of academic development spaces, such as English for Academic Purposes (EAP) programmes, and academic staff and student development programmes. Precarity results in high staff turnover and undermines staff credibility and capacity; these issues may impact student success. Further, for lecturers and tutors themselves, there are implications for their professional identity and sense of legitimacy within their role, department, and university. Using data from qualitative surveys and interviews with academic literacy practitioners in South Africa, this article explores how being precariously employed affects agency and the development of a professional practitioner identity for those on fixed-term contracts. Using aspects of Archer's social realist framework to theorise agency, we show how precarity impacts a sense of purpose and professional self within the university in relation to other academics and students.

Exploration of Guest Preferences toward Quality of Hotel Staff Service

This study explores guests' preferences regarding the quality of service provided by hotel employees, particularly those in the accounting department of SI Hotel in Denpasar. The research was conducted using a qualitative method, involving in-depth interviews with five individuals who visited SI Hotel. The results were deterioration in service standards among staff working in the accounting division of hospitality businesses comprises an incapacity to address customer grievances, tardiness in completing tasks, inaccuracies in calculations or reporting, negligence towards protocols, inconsistent attendance, and resistance to adaptation to change. To enhance service excellence within the accounting department of SI Hotel, management should consider implementing measures such as training sessions, constructive feedback mechanisms, fostering employee engagement, offering incentives, and promoting work-life balance initiatives.

Food service management perspectives on reducing sodium content in foods served: Opportunities and challenges

Abstract Between Fall 2017 and Spring 2018, the Los Angeles County Sodium Reduction Initiative interviewed food service management leaders and staff from eight public and private institutions in Southern California (three universities, four hospitals, and one senior meal program) to identify opportunities and challenges in reducing sodium content for the foods they sell, serve, and produce. Interviews were transcribed, collated, and analyzed using content analysis with thematic sorting and coding. Interviewees identified several opportunities: (1) group purchasing through a large organizational membership; (2) a supportive organizational culture; (3) organized strategies to replace high-sodium products; and (4) access to software resources to manage food inventories. Challenges included (1) negative customer/staff receptivity to low-sodium options; (2) lack of kitchen infrastructure/equipment; (3) low availability of healthy foods; and (4) limited program evaluation capacity. Collectively, these findings provide practice-based insights into how these factors contributed to sodium reduction efforts in these institutions.

Exploring barriers and solutions to consumer involvement in health service research using a nominal group technique

BackgroundConsumer involvement in health research is when patients, their families and caregivers work with researchers on research projects. Despite the growing expectation for health services to facilitate the involvement of consumers in research, the practical integration of this approach is an ongoing process, with limited research conducted into how Australian health services can support this practice. This study explored consumer perspectives on the barriers and solutions to enabling consumer involvement in research within an Australian tertiary hospital and health service, and staff perspectives on the solutions to facilitating consumer involvement. A prior survey had identified barriers to consumer involvement from the staff perspective. The broad aim was to inform the development of a framework to help promote consumer involvement in research within the health service.MethodsA Nominal Group Technique (NGT) was utilised with groups comprised of health service consumers and staff. Three health consumers were co-researchers in the full life-cycle of this study and are included as authors.ResultsTen consumers and 14 staff participated across three sessions ranging from one to three hours. For consumers, barriers to their involvement were grouped into seven domains: (1) lack of connection with researchers/research projects, (2) low research literacy, (3) structural barriers, (4) lack of acknowledgement, (5) implementation challenges, (6) inadequate information provision, and (7) representation concerns. Solutions to enabling involvement were grouped into five domains: (1) support to connect with researchers/research projects, (2) adequate information provision, (3) incentive for involvement, (4) acknowledgement, and (5) balanced representation. Staff ideas for solutions were grouped into five domains: (1) support to connect with consumers, (2) support to involve consumers, (3) access to funds to remunerate consumers, (4) more time to involve consumers, and (5) staff training.ConclusionThrough an NGT methodology, this study delivered a nuanced comprehension of perspectives on involving consumers in research from both health service consumers and staff. These findings serve as a foundation for identifying strategies that foster enhanced and refined relationships between consumers and researchers, advancing the collaborative landscape in health research. The findings from this project offer valuable strategies for researchers to better engage consumers in research and for consumer groups to enhance their involvement. Additionally, these insights could be used by other health services to advocate for essential resources.

Development of a Model of Care resource for FASD in the justice system

ABSTRACT This article describes the development of a Model of Care (MoC) resource to support youth involved with the justice system where a neurodevelopmental disability such as Fetal Alcohol Spectrum Disorder (FASD) is suspected. Service staff within the Youth Justice sector were engaged in an iterative process of resource development over a 9-month period. A reference group was established for feedback at each stage, expert advice was sought from the Australian and New Zealand FASD Clinical Network. Five phases of iterative resource development occurred; the first three covered function, form and content of the resource while iterations 4 and 5 mainly pertained to usability. Referral pathway schematics, poster style resources and a user manual were developed and distributed to Youth Justice affiliated organizations. The aim is for the resource to assist in early and appropriate intervention and support for youth with suspected neurodevelopmental disabilities involved in the justice system.

“If you’re struggling, you don’t really care” – what affects the physical health of young people on child and adolescent mental health inpatient units? A qualitative study with service users and staff

BackgroundPhysical health inequalities of people with serious mental illness (SMI) have been labelled an international scandal; due to the 15–20-year reduction in life expectancy associated with poor physical health. This occurs at an early stage and evidence shows young people with and at risk for SMI are a particularly vulnerable group requiring intervention and support. However, most work has been conducted with adults and little is known about what affects physical health for young people, specifically those receiving inpatient care.MethodsWe conducted semi-structured qualitative interviews with 7 service users and 6 staff members (85% female, age 14–42) on a generic mental health inpatient unit for children and adolescents. Interviews aimed to identify how young people viewed theirphysical health and factors affecting physical health and lifestyle and identify any support needed to improve physical health. Thematic analysis was conducted. .ResultsThematic analysis revealed the main factors affecting physical health and lifestyle for young people. Three main themes were individual factors (subthemes were mental health symptoms, knowledge, attitudes and beliefs), environmental factors (subthemes were opportunities in a restricted environment and food provision), and the influence of others (subthemes were peers, staff, family members). These factors often overlapped and could promote a healthy lifestyle or combine to increase the risk of poor physical health. Young people discussed their preferences for physical health initiatives and what would help them to live a healthier lifestyle.ConclusionsPromoting physical health on inpatient units for young people is an important, yet neglected area of mental health research. We have identified a range of complex factors which have an impact on their physical health, and there is a pervasive need to address the barriers that young people experience to living a healthy lifestyle. There is an increasingly strong evidence base suggesting the benefits of physical health interventions to improve outcomes, and future work should identify ways to implement such interventions considering the barriers discussed in this article. Further collaborative research is needed with young people, clinical teams, caregivers, and commissioners to ensure improvements are made to clinical care provision and optimisation of the inpatient environment.

Remote Learning in Military Higher Education During Covid-19: Challenges and Strategies for Student Officers in Sri Lanka

The COVID-19 pandemic precipitated a global shift in higher education toward remote learning, prompting diverse adaptations to ensure continuity in student education. This transition was particularly impactful in Sri Lanka, where the tri-forces' student officers, crucial for national defense, underwent remote postgraduate studies. This study investigates the challenges, perceptions, and proposed strategies of these officers pursuing the PSC (Master’s degree at Defence Services Command and Staff College) during the pandemic. Grounded in Anderson's Theory and Practice of Online Learning, the research employed a descriptive cross-sectional design, surveying 30 male student officers via an online questionnaire. Results indicate a generally positive reception of remote learning, with 61.9% expressing satisfaction, despite encountering technical barriers, limited peer interaction, motivation issues, and content comprehension difficulties. While 52.4% reported moderate engagement levels, 66.7% acknowledged satisfactory lecturer support. The study suggests enhancing infrastructure, fostering interactive learning environments, and improving teacher-student interaction to mitigate challenges and bolster remote learning effectiveness. Notably, 85.7% of respondents advocate for hybrid learning, blending online and traditional methods. However, limitations include a small, male-only sample, limiting generalizability, and neglecting perspectives of officers with lower IT and English proficiency. Recommendations include policy interventions to enhance teacher-student interaction, promote engagement, and optimize remote learning quality, recognizing its pivotal role in future higher education. This study contributes insights into the challenges and prospects of remote learning in a unique military educational context, informing strategies for its effective implementation amidst crises and beyond.

Time spent on activities that can be delegated and reasons for not delegating among acute care nurses: A mixed-methods study.

To describe the activities nurses perceived to be delegable to other staff (delegable activities) in order to estimate the time nurses spend on delegable activities and explore nurses' reasons for not delegating these activities. Mixed-methods explanatory sequential. In total, 236 nurses from 27 medical and surgical wards of five hospitals in northern Italy completed a web-based survey during a single shift between June and July 2022. Minutes spent on delegable activities, staff member to whom participants could have delegated and reason(s) for not delegating were reported. Chief nurses provided specific wards' characteristics using a paper-and-pencil questionnaire. Twenty semi-structured interviews were conducted to explore delegable activities and reasons for not delegating. Quantitative and qualitative results were merged using joint displays. Participants spent approximately one-quarter of their time performing delegable activities, mainly delegable to nurse aides or nurse clerks, and performed due to a lack/shortage of staff or their concurrent participation in other activities. Participants recognized that activities requiring clinical assessment and decision-making skills cannot be delegated, whereas technical activities and indirect care should be delegated. Organizational, structural and cultural factors, as well as patient characteristics, available staff and experience affected delegation, leading nurses to perform delegable activities to ensure patient care. Nurses spend a considerable part of their time on delegable activities due to a lack of staff or support services and suboptimal organization, which could be addressed by optimal staff management, but also to the complexity of the contexts, including individual and cultural factors that should be addressed through policy interventions. This study estimates the time nurses spend on delegable activities in acute care settings. Our findings highlighted the reasons that sustain the decision not to delegate that policymakers, healthcare managers, and nurse educators should consider to promote nurses' delegation skills. MMR checklist. None.

Clinicians' perspectives on remote patient management: A qualitative exploration of physiotherapists using the DiAL (Direct Access Line) programme

BackgroundIn response to the COVID-19 pandemic, face-to-face consultations within healthcare settings were suspended. Remote consultations became crucial for managing musculoskeletal conditions alongside Patient Initiated Follow-ups, leading to the development of the DiAL programme at a large National Health Service Community Trust. Previous research has focused on quantitative data, little is known about staff experiences with this programme. ObjectivesTo explore the perceptions and opinions of physiotherapy staff using DiAL, in order to highlight the benefits and challenges of this service with identification of areas for future development. DesignQualitative focus groups. MethodsTwo virtual focus groups were conducted via Microsoft Teams, involving a purposive sample of physiotherapy staff in the musculoskeletal services known to have used DiAL. Thematic analysis was conducted. ResultsTen clinicians participated in the study, generating two main themes: Clinician Autonomy and Institutional Needs. These themes encompassed several subthemes. ConclusionsClinicians reported higher job satisfaction and improved accessibility for patients, attributing these positive outcomes to the autonomy and flexibility provided by the platform. While the programme met National Health Service targets for Patient Initiated Follow-ups, there was a desire for ongoing improvements and a recognition that previous audits failed to capture all the benefits. DiAL serves as a treatment choice, supporting evidence on the advantages of remote consultations and contributing to the National Health Services’ goal of reducing its carbon footprint. There is a collective desire for the platform to continue with future recommendations including expanding its use and exploring additional audit metrics.

Aplikasi Sistem Laporan Kerja Harian Staf Pelayanan PT. Securindo Packatama Indonesia Berbasis Web dengan Metode Rapid Application Development

This study aims to develop a web-based daily work report information system that is more effective, efficient, and computerized. The application is designed to assist service staff in preparing daily reports and provides a data backup medium for work programs. The study employs the Rapid Application Development (RAD) method, which emphasizes fast development through iterative prototyping and active user involvement. RAD consists of several phases, including planning, design workshops, and implementation, allowing continuous user feedback to incrementally improve the system. Data was collected through field studies with direct observation, discussions with colleagues, and interviews with relevant parties. The application was built using PHP and MySQL and tested comprehensively to ensure performance and accuracy. The study concludes that the system effectively facilitates report recapitulation and performance data presentation, improving operational efficiency at PT. Securindo Packatama Indonesia.

The impact of sensory modulation in acute mental health units: an organisational case study analysis

PurposeSensory modulation intervention involves using calming and grounding sensory stimuli to support coping with distress and intense emotions. Evaluating the impact of sensory modulation is challenging in inpatient settings due to the numerous variables influencing outcomes in ward environments. This study aims to determine the impact of sensory modulation across all organisational levels including service users, staff confidence and attitudes, ward climate and seclusion events.Design/methodology/approachOrganisational case studies were conducted in two Aotearoa New Zealand inpatient mental health services, using qualitative and quantitative data to explore the effects of a sensory modulation programme.FindingsResults showed that sensory modulation enhanced staff knowledge and confidence in fostering therapeutic relationships and reducing restrictive practices, positively impacted ward climate and provided service users with sensory strategies to use in everyday life.Practical implicationsThe findings captured the complexity of implementation and impact of sensory modulation programmes at individual, group and organisational levels. It is important to recognise the influencing factors and impact of sensory modulation across all levels of service delivery.Originality/valueOrganisational case study methodology offered a unique approach to evaluating the impact of sensory modulation within inpatient mental health services. Data analysis suggests that in addition to managing acute service user distress, sensory modulation impacts broader staff, team and service level outcomes.

Information Systems Facilitate the UK Ambulance Service Transition towards an Omni-Channel Service

This paper represents a description of those ‘hidden’ policies supported by information systems that currently influence the direction of change within the UK ambulance service. When an ambulance service displays poor response times it may have reached a situation where demand exceeds supply regularly, then using ‘critical thinking’ the management should reconstruct their approach and focus exclusively on patient needs and the sources of appropriate help. The UK ambulance service has developed three strategic approaches; firstly, a single-channel strategy employing ambulance service staff only (‘hear and treat, or ‘see and treat’); secondly, a multi-channel strategy involving other NHS services (from call to on–scene then accident and emergency or direct to a hospital ward); and thirdly, a new omni-channel strategy where the patient is directed on a pathway from the ambulance service to a combination of other NHS or voluntary services. The key element in developing an omni-channel strategy is a secondary triage system, supported by a new database, which ensures patients are directed to a specialist service that could provide them with the most immediate help to meet their needs. Some of these services to patients (for example, the Falls team) are provided by the ambulance service directly. Patients are directed to alternative services, identified in the database, this system allows the ambulance service to bypass accident and emergency and monitor the patient’s pathway from the initial call to the outcome. Initial small projects indicate that the omni-channel system reduces duplication of effort, improves system productivity, reduces cost and shortens patients call to outcome time.

Cost Awareness of Anaesthetic Consumable Items Among the National Health Service (NHS) Staff and the Financial Impact on the NHS.

Background The financial burden of running the National Health Service (NHS) is high. Staff members should be aware of the cost of the equipment they use to enable efficient use of resources, reduce waste, and control spending. However, limited financial education at undergraduate and junior stages has contributed to relatively poor knowledge among healthcare workers at all levels. Anaesthetics is a speciality which uses a large amount of equipment; therefore, we aim to assess the cost awareness among staff for commonly used consumables. Furthermore, we aim to assess staff members' attitudes towards the financial and environmental impact of the equipment they use and whether this would change their practice. Methodology An electronic survey was sent to staff members from the anaesthetic department of the Medway NHS Foundation Trust during a one-month period. Respondents were asked to estimate the cost of 19 commonly used anaesthetic consumables, with an estimate categorised as correct if it was within 20% of the actual cost. At the end of the survey, there were five questions for respondents to answer regarding the financial and environmental impact of their current healthcare practice and possible alternatives. Results There were 69 respondents within the anaesthetic department from a variety of roles. Overall, only 9.37% of items were estimated correctly, with cheaper items commonly being overestimated and more expensive items being underestimated. Overall, 60% of respondents said the cost of an item would influence their use. The overwhelming majority claimed that the environmental impact was a concern, and most would favour recyclable/reusable alternatives. Conclusions Cost awareness among anaesthetic staff for commonly used equipment is poor. More education and training are necessary in this area as limited knowledge of service costs restricts the ability to make cost-efficient choices which are needed in the current NHS.