{"title":"Job satisfaction among NHS and private orthotists: a cross-sectional comparative study","authors":"K. Prosser, N. Achour","doi":"10.12968/bjhc.2021.0081","DOIUrl":"https://doi.org/10.12968/bjhc.2021.0081","url":null,"abstract":"The orthotic profession is facing a national staff shortage, which has been compounded by high attrition rates. Overall, 70% of NHS orthotic services in the UK are subcontracted out to private companies, but there has been little investigation of how this has affected job satisfaction and intention to remain in the profession among orthotists. This study evaluated and compared job satisfaction among orthotists employed by the NHS and private organisations. A mixed-methods, cross-sectional comparative study was conducted. A total of 123 orthotists (36 employed by the NHS, 82 employed privately) completed an online questionnaire comprising 32 questions regarding their working conditions and job satisfaction, with a combination of free-text and 5-point Likert scale formats. Quantitative analysis was performed using the Statistical Package for Social Sciences (version 24), with P≤0.05 indicating significance. Over a third (37.4%, n=46) of respondents indicated that they would leave the orthotic profession if they could. The strongest predicting variable for intent to leave was how well staff felt that they were treated by their employer. Respondents consistently reported that their working environments were poor, but this was worse for those who were privately employed. Overall job satisfaction was low in both groups. The orthotic profession may be facing a staff retention crisis. Employers should focus on improving working environments and ensuring that staff feel appreciated. Further research is required to investigate the impact of these issues on patient care.","PeriodicalId":35342,"journal":{"name":"British Journal of Health Care Management","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-01-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45430805","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}
{"title":"Providing structured stoma care through established patient pathways","authors":"Petya Marinova, Ralitza Marinova","doi":"10.12968/bjhc.2022.0104","DOIUrl":"https://doi.org/10.12968/bjhc.2022.0104","url":null,"abstract":"Marinova and Marinova outline the stoma patient pathway at St Mark's Hospital, London, highlighting how care provision throughout the stoma journey can improve patient outcomes and reduce costs to the NHS.","PeriodicalId":35342,"journal":{"name":"British Journal of Health Care Management","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-01-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46754057","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}
{"title":"The growing risk of cyber attacks in the NHS","authors":"J. Penfold","doi":"10.12968/bjhc.2022.0132","DOIUrl":"https://doi.org/10.12968/bjhc.2022.0132","url":null,"abstract":"Julie Penfold describes the impact that cyber attacks can have on health and social care services, highlighting the need to continuously improve cyber security to keep up with increasingly sophisticated threats.","PeriodicalId":35342,"journal":{"name":"British Journal of Health Care Management","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-01-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47324192","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}
{"title":"Why all the ROTT in the NHS?","authors":"R. Atenstaedt","doi":"10.12968/bjhc.2022.0094","DOIUrl":"https://doi.org/10.12968/bjhc.2022.0094","url":null,"abstract":"","PeriodicalId":35342,"journal":{"name":"British Journal of Health Care Management","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-01-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41920615","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}
{"title":"Cyber attacks in healthcare: why they matter and how to defend against them","authors":"G. Memmi","doi":"10.12968/bjhc.2022.0134","DOIUrl":"https://doi.org/10.12968/bjhc.2022.0134","url":null,"abstract":"Professor Gérard Memmi, head of the computer sciences and networks department at Télécom Paris, highlights the potentially severe consequences of cyber attacks in healthcare, with recommendations of how to prevent data theft and reduce the damages of a data breach.","PeriodicalId":35342,"journal":{"name":"British Journal of Health Care Management","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-01-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41526867","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}
{"title":"Machine learning for enhanced healthcare: an overview for operational and clinical leads","authors":"L. Roberts, H. Dhanoa, Sadie Lanes, J. Holdship","doi":"10.12968/bjhc.2022.0096","DOIUrl":"https://doi.org/10.12968/bjhc.2022.0096","url":null,"abstract":"Machine learning has the potential to transform how healthcare is delivered. It can support clinical decision making, determine the risk, presence and prognosis of disease and help optimise patient pathways. Widespread use and access to digital health records mean implementing machine learning models is quicker and easier than ever before. It is imperative for clinical and operational leads to understand the principles behind machine learning, so they can evaluate how it may be helpful to them and their teams. This article provides an overview of machine learning and how it can be used to help solve common healthcare-related problems.","PeriodicalId":35342,"journal":{"name":"British Journal of Health Care Management","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-01-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44052101","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}
{"title":"The role of pharmacies in modern healthcare","authors":"T. Harvey","doi":"10.12968/bjhc.2022.0137","DOIUrl":"https://doi.org/10.12968/bjhc.2022.0137","url":null,"abstract":"","PeriodicalId":35342,"journal":{"name":"British Journal of Health Care Management","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-01-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42766826","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}
{"title":"Patient satisfaction with a virtual multidisciplinary team balance clinic: a pilot study","authors":"D. Chew, M. Stavrakas, Louise Mowforth, J. Ray","doi":"10.12968/bjhc.2021.0144","DOIUrl":"https://doi.org/10.12968/bjhc.2021.0144","url":null,"abstract":"The COVID-19 pandemic led to many services being conducted remotely, including ear, nose and throat services. Although much in-person activity has now resumed, some services are still being provided remotely. This pilot study explored patients' satisfaction with the virtual multidisciplinary team balance clinics established at the authors' practice, looking at the feasibility of continuing this model of service delivery in the future. Self-administered questionnaires were posted to the 56 patients who had received a virtual consultation with the service between March and September 2020, of which 22 were returned. The questionnaire presented respondents with 14 items, with which they rated their agreement on a 6-point Likert scale. Correlations between the final item (which measured overall satisfaction) and the other items were analysed using Spearman's rho. Overall, respondents were satisfied with the virtual consultations. Respondents either agreed or strongly agreed with 13 of the 14 items; the only exception was ‘I obtained better access to healthcare services by use of telemedicine’. Most respondents were happy with the quality of communication and valued the time saved on travel, although one pointed out that this may not be an appropriate mode of service delivery for patients who are deaf. Virtual clinics can be an acceptable adjunct to traditional clinical consultations in an ear, nose and throat outpatient department for balance disorders and should be continued in future.","PeriodicalId":35342,"journal":{"name":"British Journal of Health Care Management","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-01-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49122828","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}
{"title":"The cost of opioid-induced constipation","authors":"A. Emmanuel","doi":"10.12968/bjhc.2022.0092","DOIUrl":"https://doi.org/10.12968/bjhc.2022.0092","url":null,"abstract":"Anton Emmanuel of the Bowel Interest Group explains how gaps in education regarding opioid-induced constipation is exacerbating this condition for patients taking opioid pain medication.","PeriodicalId":35342,"journal":{"name":"British Journal of Health Care Management","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-12-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45000018","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}
{"title":"Patient-centred care for urinary stone disease: a qualitative study","authors":"Malik Ayyad","doi":"10.12968/bjhc.2021.0092","DOIUrl":"https://doi.org/10.12968/bjhc.2021.0092","url":null,"abstract":"Patients with urinary stone disease often experience a variety of problems relating to quality of life, and require complex, multi-staged treatment. This means that holistic, patient-centred care is particularly important for this patient group. This study explored the experiences of patients who had undergone treatment for urinary stone disease, looking at the dimensions of patient-centred care. Purposeful sampling was used to select 30 participants from five private clinics in Jordan. Semi-structured open-ended interviews, lasting an average of 15 minutes, were conducted to gather data. The audio recording were transcribed and translated into English, then content analysis was performed to identify themes relating to the dimensions of patient-centred care. Participants valued all aspects of patient-centred care except the involvement of friends and family, which many did not think was important. Overall, most patients had experienced patient-centred care during their treatment, although some reported problems with certain areas, such as communication, care coordination and the provision of emotional support. The provision of patient-centred care is important for patients with urinary stone disease, although their specific needs should be considered in relation to the personality and circumstances of the individual. Further research is needed on how patient-centred care can be embedded into the entire patient journey, looking particularly at care coordination and communication.","PeriodicalId":35342,"journal":{"name":"British Journal of Health Care Management","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-12-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42137159","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}