British Journal of Health Care Management最新文献_第3页

Increasing joy in work in UK healthcare teams: a national quality improvement collaborative 在英国医疗保健团队中增加工作乐趣:国家质量改进协作

British Journal of Health Care Management Pub Date : 2023-06-02 DOI: 10.12968/bjhc.2022.0139

Amar Shah, S. Akhtar, Tom Ayers, Rosanna Bevan, E. Cannon, Matthew Milarski, R. Souza, Ros Warby

{"title":"Increasing joy in work in UK healthcare teams: a national quality improvement collaborative","authors":"Amar Shah, S. Akhtar, Tom Ayers, Rosanna Bevan, E. Cannon, Matthew Milarski, R. Souza, Ros Warby","doi":"10.12968/bjhc.2022.0139","DOIUrl":"https://doi.org/10.12968/bjhc.2022.0139","url":null,"abstract":"In 2021, 38 healthcare teams across England and Wales took part in the national enjoying work quality improvement collaborative, which aimed to enhance staff wellbeing and create joy in work. Participating teams were supported to use quality improvement methodology and tools as part of a national learning network. At the end of the programme, 16 teams saw an improvement in at least one outcome measure, while 17 teams saw a sustained deterioration in at least one outcome measure. Aggregate data from all teams demonstrated improvements from baseline in all three outcome measures, with a 51% average improvement in the percentage of people who frequently enjoyed being at work, a 41% average improvement in the percentage of people experiencing no symptoms of burnout and a 42% average improvement in the percentage of people who were extremely likely to recommend their team as a place to work. As the first programme on this topic at a national scale, these findings provide ideas for change that can be adapted or replicated by clinical and non-clinical teams to improve their joy and wellbeing at work, and build their understanding of the barriers they may face and what is needed to overcome them. From the ideas tested and the learning from across the collaborative, a theory of change for enhancing staff wellbeing and joy in work has been created to inform future work in this area.","PeriodicalId":35342,"journal":{"name":"British Journal of Health Care Management","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-06-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45612592","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

The impact of poorly applied human resources policies on individuals and organisations 人力资源政策应用不当对个人和组织的影响

British Journal of Health Care Management Pub Date : 2023-05-02 DOI: 10.12968/bjhc.2022.0130

A. Neal, Andrew Cooper, Benna Waites, N. Bell, Adam Race, Martin Collinson

{"title":"The impact of poorly applied human resources policies on individuals and organisations","authors":"A. Neal, Andrew Cooper, Benna Waites, N. Bell, Adam Race, Martin Collinson","doi":"10.12968/bjhc.2022.0130","DOIUrl":"https://doi.org/10.12968/bjhc.2022.0130","url":null,"abstract":"Recent incidents have raised awareness about how corporate decisions and behaviour can negatively affect the health and wellbeing of healthcare professionals. This article uses a case study to explore the harm that failing to follow human resources procedures can cause to individuals, organisational culture and effectiveness, and make recommendations to improve practice. Seven experts from a range of professional backgrounds offered opinions on an individual case study involving the misapplication of a human resources policy, considering how it may have deviated from lawful practice and the potential impact this had on both the individual and the organisation. Thematic analysis was carried out on this qualitative feedback to identify superordinate and subordinate themes. The thematic analysis identified four superordinate themes: failure to follow organisational policies; impact on the individual; impact on the organisation; and failure to learn. Poor application of human resources procedures can cause harm to individuals and organisations in a number of different ways. Human resources departments need to actively protect the health and wellbeing of the individual/s involved in investigative procedures, rather than focusing solely on executing the process.","PeriodicalId":35342,"journal":{"name":"British Journal of Health Care Management","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-05-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49214930","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 1

Homelessness and equity of access to NHS eye care: the urgent need for reform 无家可归者和国民保健制度眼科护理的公平性:迫切需要改革

British Journal of Health Care Management Pub Date : 2023-05-02 DOI: 10.12968/bjhc.2023.0029

David Brown, E. Styles, S. Burridge

引用次数: 0

The technology acceptance model and beyond: factors influencing physicians' intention to use teleconsultations 技术接受模式及其超越：影响医生使用远程会诊意愿的因素

British Journal of Health Care Management Pub Date : 2023-05-02 DOI: 10.12968/bjhc.2021.0154

S. Ranjeni, P. Vasumathi, J. Arun

{"title":"The technology acceptance model and beyond: factors influencing physicians' intention to use teleconsultations","authors":"S. Ranjeni, P. Vasumathi, J. Arun","doi":"10.12968/bjhc.2021.0154","DOIUrl":"https://doi.org/10.12968/bjhc.2021.0154","url":null,"abstract":"The COVID-19 pandemic accelerated the implementation of telehealth and virtual care services. Clinicians must be comfortable using this technology in order for it to be developed effectively and implemented consistently. This study evaluated the influence of various factors, including those theorised in the technology acceptance model, on physicians' intention to use teleconsultations in their clinical practice in Chennai, India. A snowball sampling method was used to distribute an online survey to physicians in Chennai, India. The survey measured respondents' intention to use teleconsultations (dependent variable), along seven independent variables relating to this technology (perceived usefulness, perceived ease of use, physicians' attitudes, social influences, facilitating conditions, perceived compatibility with the clinical area and trust). A total of 165 responses were collected. Results were analysed using descriptive and correlational statistics, along with multiple linear regression. All seven independent variables were found to be significantly associated with the dependent variable (P<0.01). Multiple linear regression analysis indicated that the independent variables accounted for 67.8% of the variance in respondents' intention to use teleconsultations. Physicians' intention to use teleconsultations is complex and multi-faceted. Although the factors theorised by the technology acceptance model were significantly associated with intention to use telemedicine, other factors were also found to be important, including social influences, external facilitating factors, perceived compatibility with the clinical area and personal trust in technology.","PeriodicalId":35342,"journal":{"name":"British Journal of Health Care Management","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-05-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49254218","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Partnering to transform healthcare with artificial intelligence 携手用人工智能改造医疗保健

British Journal of Health Care Management Pub Date : 2023-05-02 DOI: 10.12968/bjhc.2023.0048

引用次数: 0

The impact of hospital regionalisation policies on treatment costs: a systematic literature review 医院区域化政策对治疗费用的影响：系统文献综述

British Journal of Health Care Management Pub Date : 2023-05-02 DOI: 10.12968/bjhc.2021.0121

S. Hekmat, Ali Sadatmoosavi, Z. Zare

{"title":"The impact of hospital regionalisation policies on treatment costs: a systematic literature review","authors":"S. Hekmat, Ali Sadatmoosavi, Z. Zare","doi":"10.12968/bjhc.2021.0121","DOIUrl":"https://doi.org/10.12968/bjhc.2021.0121","url":null,"abstract":"This systematic literature review and meta-synthesis aimed to explore the impact of regionalisation of hospital services on healthcare costs. The authors searched PubMed, Scopus, EMBASE, EBSCO, Google Scholar, Web of Science and Cochrane Library databases to identify relevant studies, with no limits based on year of publication or country. Search terms included the key words ‘regionalisation’, ‘hospital’ and ‘cost’, along with related terms. Of the 310 identified studies, 37 were included in the final review. A meta-synthesis was carried out to assess the primary outcome measure of costs in regional hospitals, as well as the secondary outcome measures of patient mortality rates, length of stay and accessibility. A total of 28 studies suggested that regional hospitals had lower long-term costs than non-regional hospitals, largely because of the skills and experience of the clinical teams, as well as investment in specialist medical equipment. Other identified benefits were reduced length of stay and lower patient mortality rates. However, some studies indicated that regionalisation did not entirely eliminate problems relating to patient access, with implications for further study and policy considerations.","PeriodicalId":35342,"journal":{"name":"British Journal of Health Care Management","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-05-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47969432","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Nurses' perceptions of patient safety culture: a local phenomenon? 护士对患者安全文化的认知:一种地方性现象?

British Journal of Health Care Management Pub Date : 2023-05-02 DOI: 10.12968/bjhc.2021.0133

Maria José Reyes Ramos, Joan M Ferrer Tarrés, S. Costa Abós

{"title":"Nurses' perceptions of patient safety culture: a local phenomenon?","authors":"Maria José Reyes Ramos, Joan M Ferrer Tarrés, S. Costa Abós","doi":"10.12968/bjhc.2021.0133","DOIUrl":"https://doi.org/10.12968/bjhc.2021.0133","url":null,"abstract":"Patient safety culture is the product of values, beliefs, attitudes, perceptions, competencies and individual and collective behaviour patterns. Nurses often have the most contact with patients, so their perceptions of patient safety are crucial. This study aimed to assess perceptions of patient safety culture among nurses at a hospital in Spain. A cross-sectional study was conducted using an adapted version of the Hospital Survey on Patient Safety Culture questionnaire. All 244 nurses working in a hospital in Spain took part. Respondents reported their perceptions of patient safety culture in their department in 12 domains using a 5-point Likert scale, with additional questions measuring overall perceptions of patient safety culture, personal and professional characteristics, and the proportion of respondents who had reported a patient safety incident in the previous year. Univariate and bivariate data analysis was performed using Jamovi software to identify relationships between variables. None of the 12 domains had a positive response rate (over 75%), indicating a generally weak patient safety culture. Perceptions of patient safety culture varied between departments, and were also affected by respondents' professional characteristics, such as their years of experience and whether they held a managerial role. Further research and intervention is needed to improve patient safety cultures. It may be useful to assess patient safety culture and tailor strategies for improvement according to the specific needs of individual departments.","PeriodicalId":35342,"journal":{"name":"British Journal of Health Care Management","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-05-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46834216","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Bringing creativity into healthcare leadership 为医疗保健领导带来创造力

British Journal of Health Care Management Pub Date : 2023-05-02 DOI: 10.12968/bjhc.2023.0047

M. Naidoo

引用次数: 0

Work environment and job satisfaction among nurses in Jordan: a systematic literature review 约旦护士的工作环境与工作满意度:一项系统的文献综述

British Journal of Health Care Management Pub Date : 2023-04-02 DOI: 10.12968/bjhc.2021.0128

Rania Wa'el Mohammad Alabed Hasan

引用次数: 0

Workforce retention of junior doctors in Ireland: what can be learnt from the literature and international experience? 爱尔兰初级医生的劳动力保留:可以从文献和国际经验中学到什么?

British Journal of Health Care Management Pub Date : 2023-04-02 DOI: 10.12968/bjhc.2023.0013

引用次数: 0