Health Care Manager最新文献_第7页

From the Editor. 来自编辑。

Health Care Manager Pub Date : 2019-01-01 DOI: 10.1097/HCM.0000000000000245

引用次数: 0

Staff Perceptions of Improving Emergency Care for Children: A Qualitative Study. 员工对改善儿童急救护理的看法:一项定性研究。

Health Care Manager Pub Date : 2019-01-01 DOI: 10.1097/HCM.0000000000000251

Savithiri Ratnapalan, Chris Bennett, Sue Dopson, Melanie Darwent

{"title":"Staff Perceptions of Improving Emergency Care for Children: A Qualitative Study.","authors":"Savithiri Ratnapalan, Chris Bennett, Sue Dopson, Melanie Darwent","doi":"10.1097/HCM.0000000000000251","DOIUrl":"https://doi.org/10.1097/HCM.0000000000000251","url":null,"abstract":"The objective of this study was to identify staff perceptions of a service improvement for pediatric emergency care at a university teaching hospital. Semistructured qualitative interviews of stakeholders were conducted, and grounded theory approach was used for analysis. Forty-one interviews were conducted with physicians, nurses, managers, and health care workers. Major themes emerging from the analysis included the physical space of and flow within the pediatric emergency department (ED), impact of technology, staffing in the ED, the effects of frontline pediatricians and emergency physicians managing children in the ED, and the need for and expectations of a pediatric emergency medicine (PEM) consultant. Human interactions among health care providers, leadership, and teaching are considered as equally important as providing the appropriate environment and qualified professionals for improving care for children in the ED. Appointment of a PEM consultant was suggested to provide leadership and education to manage relationships and implement changes. Subsequent to the study, the model of care for PEM was changed, the pediatric care delivery became more integrated with the main ED, and two PEM consultants were appointed to the institution.","PeriodicalId":46018,"journal":{"name":"Health Care Manager","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2019-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1097/HCM.0000000000000251","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"36862219","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: 2

Still an Epidemic: The Burnout Syndrome in Hospital Registered Nurses. 仍然是一种流行病:医院注册护士的职业倦怠综合症。

Health Care Manager Pub Date : 2019-01-01 DOI: 10.1097/HCM.0000000000000243

Lama Bakhamis, David P Paul, Harlan Smith, Alberto Coustasse

{"title":"Still an Epidemic: The Burnout Syndrome in Hospital Registered Nurses.","authors":"Lama Bakhamis, David P Paul, Harlan Smith, Alberto Coustasse","doi":"10.1097/HCM.0000000000000243","DOIUrl":"https://doi.org/10.1097/HCM.0000000000000243","url":null,"abstract":"The number of registered nurses (RNs) in the United States is roughly 3 times the number of physicians and surgeons, making RNs a critically important component of the US health care system. Registered nurse burnout-the state of emotional exhaustion in which the individual feels overwhelmed by work to the point of feeling fatigued, unable to face the demands of the job, and unable to engage with others-is a real concern, having been reported in many hospitals. The purpose of this research was to examine the causes and consequences of burnout syndrome among RNs in US hospitals and its role in the RN shortage in hospitals. The methodology involved a review of the literature and semistructured interviews. Seven primary databases, 2 websites, and 43 articles were consulted in this project. Findings indicated that burnout syndrome in RNs can be analyzed in terms of 4 clusters of characteristics: individual, management, organizational, and work. The consequences of burnout syndrome have increased RN turnover rates, poor job performance, and threats to patient safety. Burnout syndrome was more prevalent in hospitals with a higher number of patients per nurse and among younger RNs. Registered nurse burnout in hospitals has negatively impacted the quality of care, patient safety, and the functioning of staff workers in the health care industry.","PeriodicalId":46018,"journal":{"name":"Health Care Manager","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2019-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1097/HCM.0000000000000243","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"36904243","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: 69

Estimation of Government Health Expenditures in Iran During 2006 to 2011, Using Panel Data. 2006 - 2011年伊朗政府卫生支出估算(使用面板数据)

Health Care Manager Pub Date : 2019-01-01 DOI: 10.1097/HCM.0000000000000252

Ramin Ravangrad, Rouhollah Shahnazi, Fereshteh Karimi, Abdosaleh Jafari, Nasrin Shokrpour

{"title":"Estimation of Government Health Expenditures in Iran During 2006 to 2011, Using Panel Data.","authors":"Ramin Ravangrad, Rouhollah Shahnazi, Fereshteh Karimi, Abdosaleh Jafari, Nasrin Shokrpour","doi":"10.1097/HCM.0000000000000252","DOIUrl":"https://doi.org/10.1097/HCM.0000000000000252","url":null,"abstract":"The status of public resources in health has a positive and direct impact on this sector's outcomes because of its effect on the increase of social services. The government's ability to manage health expenditures greatly depends on identifying the determinants of these expenditures. Therefore, this study aimed to determine factors affecting the government health expenditures and estimate the related function in Iran during 2006-2011 using panel data. This was a cross-sectional and time-series study that was conducted using panel data analysis. In this study, the data were collected and categorized separately for each province from documents in the Ministry of Health and the Statistical Center of Iran. The results showed that there were positive associations between health expenditures and some factors including age group of 20 to 39 years (P = .04), the number of women (P = .001), the number of physicians, the number of hospital beds, and annual budget (P < .001). According to the results, it seems that allocating a part of health subsidies for increasing the insurance coverage of the age group of 20 to 39 years and also starting saving accounts can have an important effect on reducing health expenditures of this age group.","PeriodicalId":46018,"journal":{"name":"Health Care Manager","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2019-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1097/HCM.0000000000000252","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"36882084","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

Designing a Performance Measurement System for Accountability, Quality Improvement, and Innovation. 为问责制、质量改进和创新设计一个绩效评估系统。

Health Care Manager Pub Date : 2019-01-01 DOI: 10.1097/HCM.0000000000000250

D David Persaud

引用次数: 1

From the Editor. 来自编辑。

Health Care Manager Pub Date : 2018-10-01 DOI: 10.1097/HCM.0000000000000232

引用次数: 0

Nurses' Perceptions of Engaging With Patients to Reduce Restrictive Practices in an Inpatient Psychiatric Unit. 护士参与病人的观念，以减少限制做法在住院精神科。

Health Care Manager Pub Date : 2018-10-01 DOI: 10.1097/HCM.0000000000000235

Marianna Martello, Olena Doronina, Angelina Perillo, Pina La Riccia, Mélanie Lavoie-Tremblay

{"title":"Nurses' Perceptions of Engaging With Patients to Reduce Restrictive Practices in an Inpatient Psychiatric Unit.","authors":"Marianna Martello, Olena Doronina, Angelina Perillo, Pina La Riccia, Mélanie Lavoie-Tremblay","doi":"10.1097/HCM.0000000000000235","DOIUrl":"https://doi.org/10.1097/HCM.0000000000000235","url":null,"abstract":"Despite the evidence of harmful effects of restrictive practices on patients and nurses, restrictive practices are still commonly used in the inpatient psychiatric settings. There has been a paradigm shift of a collaborative approach and implementation of patient engagement to reduce the use of restrictive practices. The purpose of this study was to explore nurses' perceptions of engaging with patients to reduce the use of restrictive practices in an inpatient psychiatric unit. This qualitative-descriptive study was conducted on an inpatient psychiatric unit of a large university hospital in Canada. Semistructured individual interviews were conducted with 6 nurses in 2016. Data generated by the interviews were coded and analyzed by thematic analysis. Four major themes emerged from the data analysis: unit engagement practices, managing the escalation by engaging with patient, engaging during the use of restrictive practices, and factors influencing engaging with patient to reduce restrictive practices. It is concluded that nurses perceive engaging with patients as possible and effective to reduce the use of restrictive practices despite identified barriers.","PeriodicalId":46018,"journal":{"name":"Health Care Manager","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2018-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1097/HCM.0000000000000235","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"36489923","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: 2

Case Study of Nurses' Experiences Related to the Deaths of Their Patients. 护士与病人死亡相关经验的个案研究。

Health Care Manager Pub Date : 2018-10-01 DOI: 10.1097/HCM.0000000000000236

Miriam Mast, Deborah Gillum

引用次数: 3

Resource Dependency and Hospital Performance in Hospital Value-Based Purchasing. 医院价值采购中的资源依赖与医院绩效。

Health Care Manager Pub Date : 2018-10-01 DOI: 10.1097/HCM.0000000000000239

Aaron Spaulding, Mei Zhao, D Rob Haley, Xinliang Liu, Jing Xu, Nicole Homier

{"title":"Resource Dependency and Hospital Performance in Hospital Value-Based Purchasing.","authors":"Aaron Spaulding, Mei Zhao, D Rob Haley, Xinliang Liu, Jing Xu, Nicole Homier","doi":"10.1097/HCM.0000000000000239","DOIUrl":"https://doi.org/10.1097/HCM.0000000000000239","url":null,"abstract":"To help influence the health care environment as well as the flow of resources into and out of hospitals, the Centers for Medicare & Medicaid Services has implemented a performance incentive initiative called the Hospital Value-Based Purchasing (HVBP) program. As such, this study utilizes the lens of Resource Dependency Theory to evaluate the effect of the external environment on hospital performance as measured by the HVBP program. This study utilizes data from the 2014 American Hospital Association (AHA) Annual Survey database, 2014 Area Health Resource File (AHRF), the 2014 Medicare Final Rule Standardizing File, and the 2014 Medicare Hospital Compare database. The associations between external environment and hospital performance are assessed through multiple regression analysis. Hospital performance scores in the HVBP program are sensitive to environmental factors; however, not all domains are influenced to the same degree. It would seem that hospitals do not have either the same ability or motivation to make changes in each of the value-based purchasing domains. Ultimately, the findings from this study indicate that environmental forces do play a role in hospitals' performance in the HVBP program.","PeriodicalId":46018,"journal":{"name":"Health Care Manager","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2018-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1097/HCM.0000000000000239","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"36505975","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: 4

Wolcott-Rallison Syndrome With Different Clinical Presentations and Genetic Patterns in 2 Infants. 2例婴儿Wolcott-Rallison综合征的不同临床表现和遗传模式。

Health Care Manager Pub Date : 2018-10-01 DOI: 10.1097/HCM.0000000000000238

Mohamad Ahangar Davoodi, Zohreh Karamizadeh, Fatemeh Ghobadi, Nasrin Shokrpour

{"title":"Wolcott-Rallison Syndrome With Different Clinical Presentations and Genetic Patterns in 2 Infants.","authors":"Mohamad Ahangar Davoodi, Zohreh Karamizadeh, Fatemeh Ghobadi, Nasrin Shokrpour","doi":"10.1097/HCM.0000000000000238","DOIUrl":"https://doi.org/10.1097/HCM.0000000000000238","url":null,"abstract":"Wolcott-Rallison syndrome is a rare disease presenting with insulin-dependent diabetes mellitus (DM) before 6 months old, skeletal dysplasia after 6 months old, and liver failure. Other manifestations are renal failure, microcephaly, epilepsy, central hypothyroidism, neutropenia, and dental and dermal problems. The cases were 2 patients from 2 different states of Iran (Khoozestan and Fars) who had developed DM before 6 months old. The first one was a 7-month-old infant who was healthy; in the genetic study (screening), autosomal recessive pattern and novel deletion in EIF2AK3 were reported; her sister had died at 5.5 years old due to diabetic ketoacidosis (DKA) that was associated with liver and renal failure. The second patient had developed DKA at 45 days old, which was associated with mild acute tubular necrosis and abnormal coagulation tests at onset clinical presentation, which were then resolved. He was treated with insulin, and at follow-up, the laboratory data are normal; in the genetic study, EIF2AK3 nonsense homozygous mutation was diagnosed. Genetic study of patients with insulin-dependent DM before 6 months old, especially those with DKA and associated with or without other disorders; attention to novel deletion of in EIF2AK3 gene; screening for skeletal dysplasia after 1 year old; and renal, liver, pancreatic, and thyroid function tests are recommended.","PeriodicalId":46018,"journal":{"name":"Health Care Manager","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2018-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1097/HCM.0000000000000238","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"36505978","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: 4