Hospital Topics最新文献

{"title":"Comparing Gender and Role Differences in Clinician Performance and Well-Being: Focus on Advanced Practice Providers.","authors":"Hillary E Swann-Thomsen, Elyse A C Palumbo, Krispen Hartung, Kathryn R Schneider","doi":"10.1080/00185868.2026.2740456","DOIUrl":"https://doi.org/10.1080/00185868.2026.2740456","url":null,"abstract":"<p><p>Burnout in physicians and advanced practice providers (APPs) remains a priority for health systems. Existing literature has often focused on physicians. The purpose of this study was to examine gender and role differences in well-being. A single health system conducted a cross-sectional survey evaluating well-being metrics. Female physicians and APPs differed from their male colleagues on some well-being metrics. Female APPs reported more favorable outcomes compared to female physicians on some outcomes. Physicians and APPs did not significantly differ on burnout rates. These findings highlight the need to understand how gender and role uniquely contribute to well-being and performance.</p>","PeriodicalId":55886,"journal":{"name":"Hospital Topics","volume":" ","pages":"1-9"},"PeriodicalIF":0.0,"publicationDate":"2026-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149118969","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 Relationship Between Leadership Styles Based on the DISC Model and Conflict Management: A Cross Sectional in Hospital Setting.","authors":"Ayoub Rashidi, Jamil Sadeghifar, Khalil Momeni, Babak Rastgarimehr","doi":"10.1080/00185868.2026.2724244","DOIUrl":"https://doi.org/10.1080/00185868.2026.2724244","url":null,"abstract":"<p><strong>Background: </strong>Leadership styles and conflict management strategies are key factors in improving organizational performance and enhancing the quality of healthcare services. Given the complexity of hospital systems, understanding the interaction between leadership styles and conflict management is of particular importance for hospital managers. This study aimed to examine the relationship between leadership styles based on the DISC model and conflict management strategies among senior, middle, and operational managers in hospitals.</p><p><strong>Methods: </strong>This descriptive-analytical cross-sectional study was conducted in 2025 among a sample of 248 senior, middle, and operational hospital managers in western Iran. Data were collected using the standardized DISC personality assessment and the Thomas-Kilmann Conflict Mode Instrument (TKI). Data analysis was performed using independent t-tests, ANOVA, Pearson correlation, and multiple regression in SPSS version 26 with a significance level of 0.05.</p><p><strong>Results: </strong>The highest mean scores for conflict management strategies were observed in the areas of accommodation (18.69) and avoidance (17.95). Among leadership styles, conscientious (15.27) and steadiness (14.84) were the most prevalent. Significant differences were found between management levels in conflict management strategies; senior managers showed a greater tendency toward collaboration, while middle managers more frequently adopted avoidance. Correlation analysis revealed that the dominant style was positively associated with collaboration, and the conscientious style was positively associated with avoidance.</p><p><strong>Conclusion: </strong>The findings indicate that leadership styles based on the DISC model are significantly associated with conflict management strategies. Developing targeted training programs to strengthen collaboration and compromise strategies, along with integrating the DISC model into leadership development initiatives, may improve performance and enhance the quality of hospital services.</p>","PeriodicalId":55886,"journal":{"name":"Hospital Topics","volume":" ","pages":"1-9"},"PeriodicalIF":0.0,"publicationDate":"2026-09-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148914540","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":"Hospital-Based Multidisciplinary Postnatal Care for Holistic Maternal Recovery: A Collaborative Assessment of Long-Term Outcomes after Maternal Near Miss.","authors":"Nisha Singla, Amol N Patil, Aseem Mehra, Pooja Sikka, Vanita Jain, Vanita Suri, Pankaj Khatri, Aashima Arora","doi":"10.1080/00185868.2026.2724240","DOIUrl":"https://doi.org/10.1080/00185868.2026.2724240","url":null,"abstract":"<p><strong>Background: </strong>Maternal near-miss (MNM) survivors face unique long-term reproductive, sexual, and mental health challenges.</p><p><strong>Aim: </strong>This study compared MNM survivors with women who had uncomplicated deliveries.</p><p><strong>Methods: </strong>A cross-sectional study was conducted among 75 MNM women and 150 age-matched controls with uncomplicated delivery at a tertiary care center in North India. Recruitment was carried out at least 1 year after the life-threatening event and at most within 2 years of the event. Reproductive capacity, menstrual resumption, contraception use, sexual function (FSFI), and mental health (GAD-7, PHQ-9) were assessed one year post-delivery.</p><p><strong>Results: </strong>Forty percent of MNM women underwent peripartum hysterectomy, resulting in a significant loss of reproductive capacity compared to controls (42.7% vs. 6.7%; <i>p</i> < .001). The mean time to resumption of menses was shorter in the MNM group (3.10 ± 2.29 months vs. 3.93 ± 3.15 months; <i>p</i> = .04). Menstrual irregularity and secondary amenorrhea were more common among MNM survivors. The desire for future pregnancy was lower among cases (13.9% vs. 25%, ANCOVA <i>p</i> = .02). Contraception use was comparable, but the duration of continuous use was significantly longer in MNM women (12.5 vs. 7.1 months; <i>p</i> < .001). FSFI total scores were similar between groups, but MNM women had lower satisfaction and desire scores after adjusting for confounders. Anxiety (24% vs. 6%) and mean depression scores (2.28 vs. 1.70; <i>p</i> = .02) were significantly higher in the MNM group.</p><p><strong>Conclusion: </strong>MNM survivors experience significant loss of reproductive potential, altered fertility intentions, extended contraception use, sexual dissatisfaction, and higher anxiety. Integrated reproductive, sexual, and mental health services are needed to address these unmet needs in MNM survivors.</p>","PeriodicalId":55886,"journal":{"name":"Hospital Topics","volume":" ","pages":"1-9"},"PeriodicalIF":0.0,"publicationDate":"2026-09-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148901552","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":"Knowledge and Practices of Biomedical Waste Management Among Health Professionals and Waste Handlers in Hospitals of Kaski Districts of Nepal.","authors":"Damaru Prasad Paneru, Anushka Shrestha, Ganesh Dhakal, Nishchal Devkota, Rabina Thagunna, Muna Silwal, Kalpana Jnawali, Jagat Prasad Upadhyay, Chandra Prasad Acharya","doi":"10.1080/00185868.2026.2724238","DOIUrl":"https://doi.org/10.1080/00185868.2026.2724238","url":null,"abstract":"<p><strong>Background: </strong>Biomedical waste management (BWM) is an essential element of health safety and environmental protection. Government of Nepal introduced the Health care waste management guideline-2014; however, its implementation remains inconsistent.</p><p><strong>Objective: </strong>To assess knowledge of BWM and practices of Personal protection measures and waste filled containers management in hospitals of Kaski district, Nepal.</p><p><strong>Methods: </strong>A cross-sectional study was conducted among 252 Health professionals (HP) and Waste Handlers (WH) of 14 selected hospitals of Kaski, Nepal. Participants were selected using stratified sampling. Data were collected through interview and analyzed using IBM-SPSS 22. Descriptive statistics were applied.</p><p><strong>Results: </strong>Knowledge and practices were categorized based on Blooms Taxonomic classification. Only 2.2% of HP and 2% of WH had good knowledge of BWM. Majority (61.3%) of HP and WH (59.0%) had moderate knowledge while over one-third (HP-36.3% and WH-39%) had poor knowledge. Similarly, 5.3% HP and 19.2% WH had good practices; 72.7% of HP and 68.3% WH had moderate practices; and 22% HP and 12.5% WH had poor practices regarding BWM.</p><p><strong>Conclusion: </strong>HP and WH have considerably poor knowledge on different dimensions of BWM. Meanwhile, there was better waste management practices with WH having better practices than HP. There needs continuous knowledge enhancement, practice monitoring and motivational interventions for safety.</p>","PeriodicalId":55886,"journal":{"name":"Hospital Topics","volume":" ","pages":"1-9"},"PeriodicalIF":0.0,"publicationDate":"2026-09-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148898441","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":"Knowledge, Attitude and Acceptance on Human Papilloma Virus (HPV) Vaccination: An Educational Intervention Impact Study Among Healthcare Providers.","authors":"Sabrina Bharti, Anushka Dhawan, Chandani Kumari, Yashvi, Manisha Choudhary, Jasmeet Kaur, Geetanjali Kalyan, Nitasha Sharma, Rimpi Singla, Pradip Kumar Saha","doi":"10.1080/00185868.2026.2724582","DOIUrl":"https://doi.org/10.1080/00185868.2026.2724582","url":null,"abstract":"<p><p>Cervical cancer is the second most common cancer among Indian women, yet HPV vaccine coverage remains below 1% due to high cost, limited awareness, cultural barriers, and weak healthcare provider (HCP) endorsement. This pre-experimental study among 286 HCPs at a tertiary center in North India evaluated the effectiveness of an HPV Vaccine Awareness Intervention (HVAI), which included expert-led seminars and month-long digital follow-up. Knowledge and attitudes improved significantly post-intervention (<i>p</i> < 0.001); however, while 77.2% expressed willingness to be vaccinated, only 9.9% received the vaccine. These findings highlight a knowledge-practice gap, emphasizing the need for integrated awareness and accessible, on-site vaccination services.</p>","PeriodicalId":55886,"journal":{"name":"Hospital Topics","volume":" ","pages":"1-8"},"PeriodicalIF":0.0,"publicationDate":"2026-09-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148892952","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":"Explainability in Forecasting Hospital Readmissions with Machine Learning.","authors":"Hendra Raman C, K Somasundaram","doi":"10.1080/00185868.2026.2725165","DOIUrl":"https://doi.org/10.1080/00185868.2026.2725165","url":null,"abstract":"<p><p>Predictive modeling of healthcare needs to strike a balance between performance and interpretability-especially when used to guide decisions regarding resource allocation and patient risk. Here is a full machine learning workflow for predicting 30-day hospital readmission among diabetic patients based on the Diabetes 130-US Hospitals data. Following aggressive preprocessing, feature engineering, and deduplication, five classifiers were considered (logistic regression, decision trees, and ensemble learners such as Random Forest, XGBoost, and LightGBM). Although ensemble approaches had high accuracy (LightGBM: 91.4%), they had low recall because of readmission label imbalance (8.6%). To close the gap between performance and clinical confidence, we incorporated explainable AI (XAI) tools-SHAP for global and local model attributions, and LIME for case-by-case interpretability. SHAP explanations consistently pointed to length of stay, age, discharge disposition, and metabolic control (A1C values, glucose levels) as top drivers. LIME explanations served to distinguish true positives from missed cases and detected signal dilution in some medication or diagnostic patterns. In addition, we characterized high-risk patients based on SHAP-derived scores, demonstrating that they exhibited increased prior utilization, abnormal labs, and complicated discharge plans. Our framework illustrates how EHR-based classifiers enhanced with transparent XAI outputs can facilitate actionable, auditable, and clinically meaningful forecasting in the hospital environment. We publish reproducible pipelines and provide directions for next steps such as external validation and model threshold optimization for deployment-readiness.</p>","PeriodicalId":55886,"journal":{"name":"Hospital Topics","volume":" ","pages":"1-9"},"PeriodicalIF":0.0,"publicationDate":"2026-09-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148889337","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":"How Do Professional Nurses Practice Happiness in the Unstable Work Environment? Qualitative Inquiry.","authors":"Charles Kawalya, Fiona Mulira, Joshua Gukiina, Freddie Lwanga","doi":"10.1080/00185868.2026.2724241","DOIUrl":"https://doi.org/10.1080/00185868.2026.2724241","url":null,"abstract":"<p><p>This study explores how professional nurses practice happiness in the unstable environment of Uganda's public hospitals. The study adopted an exploratory qualitative methodology using data collected through an open-ended instrument. Utilizing the qualitative data analysis software QSR NVivo 9, the data were analyzed following Gioia's methodology. Verbatim text was used to explain the emergent themes. The study findings show that to successfully perform happiness practices, public hospital managers in Uganda engage, set positive goals, and put in place meaningful duties. The practices undertaken include socializing, saving lives, shift work, job fit, good working conditions, having a career, and calling. In future studies, it would be valuable to use longitudinal observations and experiments of the actual happiness practices. With the CAS of the dynamic environment, HR managers, hospital managers, and senior professional nurses can help health employees update their deep sense of purpose, and care delivery. It could help professional nurses and public hospitals address major happiness practices. The study produces a pioneering result on how professional nurses practice happiness in unstable work environments.</p>","PeriodicalId":55886,"journal":{"name":"Hospital Topics","volume":" ","pages":"1-11"},"PeriodicalIF":0.0,"publicationDate":"2026-08-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148842428","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":"Analysis of the Interactive Relationships Between Barriers Affecting Patients' Informed Consent.","authors":"Sanaz Zarin, Mohammadkarim Bahadori, Khalil Alimohammadzadeh","doi":"10.1080/00185868.2026.2724237","DOIUrl":"https://doi.org/10.1080/00185868.2026.2724237","url":null,"abstract":"<p><strong>Introduction: </strong>Getting informed consent right isn't just a box to check. It's a vital part of building trust and ensuring the best possible care. When done well, it can make patients feel more confident and involved in their treatment, which often leads to better outcomes and higher satisfaction. The goal of this study was to thoroughly explore the challenges that stand in the way of obtaining informed consent from patients. It also sought to map out the complex connections between these barriers, shedding light on how they influence one another.</p><p><strong>Method: </strong>This study, conducted in early 2025, using a descriptive and analytical cross-sectional approach. It was carried out in two phases: a scoping review based on the Arksey and O'Malley framework and a quantitative phase using the DEMATEL method, which relies on expert judgments and pairwise comparisons to map causal relationships among factors. Data were collected <i>via</i> a researcher-made questionnaire from a purposively selected sample at a private hospital in Tehran, with analysis performed using SPSS, MATLAB, and EdrawMax software.</p><p><strong>Results: </strong>The barriers affecting informed satisfaction were categorized into seven communicative, economic, psychological, cultural and social, organizational, legal, ethical, and informational components. Also, communicative and psychological barriers were identified as the most influential and most affected factors, respectively.</p><p><strong>Conclusion: </strong>Informed consent is a dynamic, system-driven process wherein communicative barriers act as primary drivers and psychological barriers as key outcomes. Theoretically, this supports causal, multi-level modeling of health communication; practically, it calls for clinician training, adaptable protocols, and policy reforms prioritizing patient comprehension and equity.</p>","PeriodicalId":55886,"journal":{"name":"Hospital Topics","volume":" ","pages":"1-9"},"PeriodicalIF":0.0,"publicationDate":"2026-08-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148834792","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 Correlation Between Nurses' Workplace Violence with Quality of Nursing Care at Intensive Care Units.","authors":"Amin Mohammadi Nochaman, Marzieh Pazokian, Zahra Molaei","doi":"10.1080/00185868.2025.2490976","DOIUrl":"10.1080/00185868.2025.2490976","url":null,"abstract":"<p><p>Personnel in the health care system always suffer from a combination of terrifying or real physical attacks and verbal aggression when they are involved in hard work and emergency tasks. The aim of the study was to assess the nurse's workplace violence with the quality of nursing care in intensive care units (ICUs) in Iran. In this Descriptive-correlational study, 120 nurses working at general ICUs in six public teaching hospitals in Tehran completed a survey from 22 December to 29 February 2021. The research team gathered Data through demographic surveying, a modified workplace violence questionnaire adopted from the World Health Organization's (WHO's) questionnaire on workplace violence, and the Quality Patient Care Scale (QUALPAC). Of all participants, 80 were females, of which 66.7% were 35.13 ± 6.75 years old on average, and 85.8% had experienced verbal violence from the patient's companion in their workplaces. There was no meaningful correlation between physical abuse, verbal violence, and ethnic assaults and dimensions of quality of nursing care and the total score obtained (<i>p</i> > 0.05). Physical violence was not correlated with the communicative and psychosocial aspects of the quality of nursing care. At the same time, a meaningful but poor correlation (-0.27) was observed between physical abuse and the physical aspect of the quality of nursing care (<i>p</i> < 0.05). Although workplace violence was poorly correlated with the quality of nursing care in the intensive care units, further assessments of this phenomenon and establishing of a working group to achieve practical solutions that enhance the quality of nursing care in hospitals.</p>","PeriodicalId":55886,"journal":{"name":"Hospital Topics","volume":" ","pages":"233-239"},"PeriodicalIF":0.0,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144030265","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":"Improved Ventilator Weaning and Decannulation Outcomes with Enhanced Staffing Model.","authors":"Heather Carney, Astha Chichra, Nicole Schneider, Robert L Fogerty, Tooba Kazmi","doi":"10.1080/00185868.2025.2464129","DOIUrl":"10.1080/00185868.2025.2464129","url":null,"abstract":"<p><p><b>Introduction:</b> Provider continuity can improve many aspects of an inpatient stay however, there is little data on whether it could affect mechanical ventilation weaning and tracheostomy decannulation. This study evaluated whether provider continuity could increase mechanical ventilation weaning and decannulation rates in the inpatient setting. <b>Methods:</b> Data was collected retrospectively from April 2020 to May 2022 for patients admitted to a pulmonary stepdown unit (SDU). A new staffing model was started in February 2021, in which a small group of physicians and advanced practice providers (APPs) continuously rotated through the unit. Ventilator weaning and decannulation protocols were used before and after initiating the new staffing model. <b>Results:</b> A total of 185 patients were reviewed and included in the study. During the 2‑year timeframe, 46% of the patients were weaned off the ventilator (<i>n</i> = 86), with 26% of the patients weaned occurring before the staffing model (<i>n</i> = 22) and 74% of patients weaned after (<i>n</i> = 64). Of the patients weaned from the ventilator, 56% were decannulated (<i>n</i> = 48), with 10% occurring before the staffing model started (<i>n</i> = 5) and 90% occurring afterward (<i>n</i> = 43). The increase in patients weaned from the ventilator and decannulated after the staffing model was statistically significant (<i>P</i> = 0.01 and <i>P</i> = 0.001, respectively). <b>Conclusion:</b> There was a significant increase in both mechanical ventilator weaning and decannulation rates after initiating the new staffing model. This study shows how continuity of care can have a positive effect on mechanical ventilation weaning and decannulation rates in the inpatient setting.</p>","PeriodicalId":55886,"journal":{"name":"Hospital Topics","volume":" ","pages":"264-270"},"PeriodicalIF":0.0,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143411714","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}