Hospital Topics最新文献

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Standard Inpatient Class Policy Implementation in Public Hospitals in Indonesia: Strengthening Strategy.
Hospital Topics Pub Date : 2025-02-19 DOI: 10.1080/00185868.2025.2464135
Risky Kusuma Hartono, Putri Candaika, Made Indra Wijaya, Malihah Ramadhani Rum
{"title":"Standard Inpatient Class Policy Implementation in Public Hospitals in Indonesia: Strengthening Strategy.","authors":"Risky Kusuma Hartono, Putri Candaika, Made Indra Wijaya, Malihah Ramadhani Rum","doi":"10.1080/00185868.2025.2464135","DOIUrl":"https://doi.org/10.1080/00185868.2025.2464135","url":null,"abstract":"<p><p>The implementation of Standard Inpatient Classes (SIC) in hospitals presents a significant challenge for Indonesia in its efforts to achieve Universal Health Coverage (UHC). This study aims to strengthen the strategy of public hospitals in Indonesia to face the SIC policy. The study design is qualitative with a case study approach. Data were collected through in-depth interviews and observations were conducted in the 1<sup>st</sup>, 2<sup>nd</sup>, and 3<sup>rd</sup> inpatient rooms. Data analysis was carried out by using the Atlas-TI software and Strength, Weakness, Opportunity, and Threat (SWOT) analysis. Based on the results of this study, it was found that general hospitals are ready for the implementation of SIC. Public hospital is ready for SIC implementation. Hospitals must also consider a work plan for managing and observing the current condition of hospital infrastructure, a compatible hospital infrastructure management system, and an adequate budget for procuring hospital infrastructure. This study concluded that the main effort to deal with the SIC implementation is to strengthen the infrastructure of hospital inpatient rooms by optimizing funding from the Government.</p>","PeriodicalId":55886,"journal":{"name":"Hospital Topics","volume":" ","pages":"1-9"},"PeriodicalIF":0.0,"publicationDate":"2025-02-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143460925","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
Effectiveness of Interdisciplinary Simulation Training on the Self-Efficacy and Anxiety of Healthcare Professionals in Managing a Medical Emergency.
Hospital Topics Pub Date : 2025-02-17 DOI: 10.1080/00185868.2025.2464125
Brandy Simpler, Stacey Jones, Kasey Chance
{"title":"Effectiveness of Interdisciplinary Simulation Training on the Self-Efficacy and Anxiety of Healthcare Professionals in Managing a Medical Emergency.","authors":"Brandy Simpler, Stacey Jones, Kasey Chance","doi":"10.1080/00185868.2025.2464125","DOIUrl":"https://doi.org/10.1080/00185868.2025.2464125","url":null,"abstract":"<p><p>Basic life support and advanced cardiovascular life support training are required every two years; however, these skills often deteriorate due to lack of routine practice which can increase anxiety in healthcare workers. The purpose of this project is to determine the effect of interdisciplinary simulation training on self-efficacy and anxiety levels of healthcare professionals in managing a medical emergency. Sessions simulating emergent situations were held every two weeks for eight weeks. Surveys (GAD-7) were completed two weeks pre- and postintervention, and an effectiveness questionnaire (SET) was completed immediately post-intervention. Participants agreed that the simulation sessions were an effective means of increasing confidence in responding to a medical emergency. Overall anxiety was decreased post-intervention.</p>","PeriodicalId":55886,"journal":{"name":"Hospital Topics","volume":" ","pages":"1-8"},"PeriodicalIF":0.0,"publicationDate":"2025-02-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143434391","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 Continuing Debate: Do For-Profit Hospitals Provide More Charity Care as Compared to Not-For-Profit Hospitals?
Hospital Topics Pub Date : 2025-02-15 DOI: 10.1080/00185868.2025.2464121
Philip Cendoma, Devdutt Upadhye, Ria Hearld, Nancy Borkowski
{"title":"The Continuing Debate: Do For-Profit Hospitals Provide More Charity Care as Compared to Not-For-Profit Hospitals?","authors":"Philip Cendoma, Devdutt Upadhye, Ria Hearld, Nancy Borkowski","doi":"10.1080/00185868.2025.2464121","DOIUrl":"https://doi.org/10.1080/00185868.2025.2464121","url":null,"abstract":"<p><p>Hospitals are required to provide a social safety-net through charity care to indigent populations. This study aims to build upon previous research by examining the provision of charity care by hospitals using national, longitudinal data. We found no significant difference in the provision of charity care. However, we did find that hospital charity care ratio may be influenced by type of care, location, and market conditions. Policymakers need to determine the appropriate level of charity care to be provided by non-profit hospitals. Managers need to determine the appropriate cost management strategy to support their hospitals' financial sustainability.</p>","PeriodicalId":55886,"journal":{"name":"Hospital Topics","volume":" ","pages":"1-8"},"PeriodicalIF":0.0,"publicationDate":"2025-02-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143426687","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
Improved Ventilator Weaning and Decannulation Outcomes with Enhanced Staffing Model.
Hospital Topics Pub Date : 2025-02-13 DOI: 10.1080/00185868.2025.2464129
Heather Carney, Astha Chichra, Nicole Schneider, Robert L Fogerty, Tooba Kazmi
{"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":"https://doi.org/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":"1-7"},"PeriodicalIF":0.0,"publicationDate":"2025-02-13","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}
引用次数: 0
Assessment of Climacteric Symptoms and Its Impact on Daily Lives of Employed and Unemployed Perimenopausal Women in Selected Rural Villages in South India. 评估南印度部分农村地区有工作和无工作的围绝经期妇女的更年期症状及其对日常生活的影响。
Hospital Topics Pub Date : 2025-01-01 Epub Date: 2023-02-01 DOI: 10.1080/00185868.2023.2171936
Tenzin Phagdol, Sushmitha R Karkada, Laveena Barboza, Brayal D'Souza, Varalakshmi Chandra Sekaran
{"title":"Assessment of Climacteric Symptoms and Its Impact on Daily Lives of Employed and Unemployed Perimenopausal Women in Selected Rural Villages in South India.","authors":"Tenzin Phagdol, Sushmitha R Karkada, Laveena Barboza, Brayal D'Souza, Varalakshmi Chandra Sekaran","doi":"10.1080/00185868.2023.2171936","DOIUrl":"10.1080/00185868.2023.2171936","url":null,"abstract":"<p><p>Perimenopause is a transitional state which occurs in women in their mid-life. These women may experience climacteric symptoms that affect their day-to-day life. The aim of the study was to assess and compare climacteric symptoms and their impact on daily lives among employed and unemployed perimenopausal women. A cross-sectional survey was done on 160 rural south Indian women aged 40 to 55 years who were identified as symptomatic of perimenopause as per the Stages of Reproductive Aging Workshop 10+ (STRAW) staging criteria. The study participants were grouped as employed and unemployed. Climacteric symptoms were assessed using Greene Climacteric Scale and climacteric symptoms' impact on daily lives was measured using a structured self-administered questionnaire. Both descriptive and inferential statistics were used to compare the variables between the two groups. The total Greene Climacteric score for unemployed perimenopausal women were found to be significantly higher than the employed group of perimenopausal women (14.5 ± 7.23 versus 12.52 ± 4.9, <i>p</i> < 0.05). The majority (58.8%) of the employed group had minimum impact whereas; the majority (51.2%) of the unemployed group had an average impact score. There was a strong positive correlation between climacteric symptoms and their impact on the daily lives of perimenopausal women. Employment status is a significant factor in causing variation in the climacteric symptoms. Unemployed perimenopausal women suffered more climacteric symptoms than their employed counterparts.</p>","PeriodicalId":55886,"journal":{"name":"Hospital Topics","volume":" ","pages":"20-27"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10674367","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
Prolonged Length of Stay as a Contributor to Burnout, Interprofessional Conflict and System Fatigue: A Qualitative Study of Inpatient Team Perspectives. 住院时间延长对倦怠、跨专业冲突和系统疲劳的影响:住院团队视角的定性研究
Hospital Topics Pub Date : 2025-01-01 Epub Date: 2022-11-03 DOI: 10.1080/00185868.2022.2140731
Lucy Gao, Robert Fogerty, Gretchen K Berland
{"title":"Prolonged Length of Stay as a Contributor to Burnout, Interprofessional Conflict and System Fatigue: A Qualitative Study of Inpatient Team Perspectives.","authors":"Lucy Gao, Robert Fogerty, Gretchen K Berland","doi":"10.1080/00185868.2022.2140731","DOIUrl":"10.1080/00185868.2022.2140731","url":null,"abstract":"<p><p>Prolonged lengths of stay (PLOS) impact patient outcomes, healthcare spending, and bed availability. Many patients stay beyond medical necessity due to complex barriers to discharge, including conservatorship applications and insurance coverage, shifting the provision of care from acute to chronic on medicine wards. We aim to understand the impact of this shift on healthcare staff workflow, interactions, and wellbeing through 23 key informant interviews analyzed using grounded theory. Our findings highlight PLOS as a contributor to burnout, with implications for patient care and staff job satisfaction that necessitate additional support for caring for this vulnerable patient population.</p>","PeriodicalId":55886,"journal":{"name":"Hospital Topics","volume":"1 1","pages":"1-9"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48741223","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
Knowledge, Attitude and Practice of Personnel Involved in Bio Medical Waste Handling about COVID-19 & Its Bio-Medical Waste Management: A Descriptive Analysis. 生物医疗废物处理人员对 COVID-19 及其生物医疗废物管理的认识、态度和做法:描述性分析。
Hospital Topics Pub Date : 2025-01-01 Epub Date: 2023-02-06 DOI: 10.1080/00185868.2023.2176389
Arvind Joshi, Joshna Chatada, Sobha Kummari, Roli Tripathy
{"title":"Knowledge, Attitude and Practice of Personnel Involved in Bio Medical Waste Handling about COVID-19 & Its Bio-Medical Waste Management: A Descriptive Analysis.","authors":"Arvind Joshi, Joshna Chatada, Sobha Kummari, Roli Tripathy","doi":"10.1080/00185868.2023.2176389","DOIUrl":"10.1080/00185868.2023.2176389","url":null,"abstract":"<p><p><b>Background:</b> The COVID-19 pandemic has led to an increased amount of biomedical waste, worsening the already strained biomedical waste management system in India. As biomedical waste handlers are the core of biomedical waste handling, their knowledge, attitude, and practices regarding sorting, segregation, transport, and storage of the waste are of prime concern. This study aims to evaluate the knowledge, attitude and practices of personnel involved in biomedical waste handling about COVID-19 and its biomedical waste management at All India Institute of Medical Sciences Mangalagiri. <b>Design:</b> Cross-sectional survey. <b>Setting:</b> AIIMS Mangalagiri and common bio-medical waste treatment facility at Guntur. <b>Participants-</b> Personnel involved in bio-medical waste handling <b>Methodology:</b> The study enrolled a total of 139 participants from December 2020 to January 2021. A convenient sampling technique was used and a questionnaire was administered by face-to-face interview. <b>Results:</b> The study showed that half of the participants had favorable knowledge about bio-medical waste management (average score 5.08 and range 1-9). Two-thirds of the respondents felt that handling COVID-19 waste is necessary to contain the infection. Conversely, the practices regarding COVID-19 and its biomedical waste management were not in conformity with attitudes and knowledge. Fewer participants knew the exact sequence of donning (15.80%) and doffing (31.70%). Majority of participants (72.7%) desired a hands-on training for handling biomedical waste. <b>Conclusion:</b> Participants have good knowledge and attitudes regarding COVID-19 bio-medical waste management, but are not adhering to it. This explains the need for comprehensive training programs for all those involved in bio-medical waste management of COVID-19.</p>","PeriodicalId":55886,"journal":{"name":"Hospital Topics","volume":" ","pages":"28-37"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10650634","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
An Interview with Cheryl Dalton-Norman: President and Co-Founder of Conduit Health Partners. 采访谢丽尔-达尔顿-诺曼(Cheryl Dalton-Norman):Conduit Health Partners 总裁兼联合创始人。
Hospital Topics Pub Date : 2025-01-01 Epub Date: 2023-02-09 DOI: 10.1080/00185868.2023.2169375
Dennis Palkon
{"title":"An Interview with Cheryl Dalton-Norman: President and Co-Founder of Conduit Health Partners.","authors":"Dennis Palkon","doi":"10.1080/00185868.2023.2169375","DOIUrl":"10.1080/00185868.2023.2169375","url":null,"abstract":"","PeriodicalId":55886,"journal":{"name":"Hospital Topics","volume":" ","pages":"38-42"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10672709","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
Patients' Perception of Quality Nursing Care and Services in Emergency Department in Jordan. 约旦患者对急诊科优质护理和服务的看法。
Hospital Topics Pub Date : 2025-01-01 Epub Date: 2022-11-12 DOI: 10.1080/00185868.2022.2144577
Hamza M Al-Saidat, Malakeh Z Malak, Ahmad H Alnawafleh
{"title":"Patients' Perception of Quality Nursing Care and Services in Emergency Department in Jordan.","authors":"Hamza M Al-Saidat, Malakeh Z Malak, Ahmad H Alnawafleh","doi":"10.1080/00185868.2022.2144577","DOIUrl":"10.1080/00185868.2022.2144577","url":null,"abstract":"<p><p>Patients are the main users of every hospital service particularly the emergency department. Hence, patients' perception is one of the quality care measures. Thus, this study purposed to assess the patients' perception of quality nursing care and services in emergency department in Jordan. A cross-sectional, descriptive correlational design was adopted on a sample of patients who attended the emergency department (N = 427). Findings demonstrated that most of the health sectors in Jordan had a high level of patients' perception of quality nursing care and related emergency department services (M = 3.93, SD = 0.72). Furthermore, the private sector had the highest mean score (M = 4.18, SD= 0.70), while the government sector had the lowest mean (M = 3.11, SD= 0.38). The level of perception had positive relationship with income (r = 0.097; p < 0.05) and qualifications (r p.b = 0.093; p < 0.05). The number of visits showed a significant negative correlation with patients' perception level (r = - 0.095; p < 0.05). Thus, there is a need for improving the quality of nursing care and services in the emergency department at hospitals by strengthening the policy and enhancing the nursing services supporting system. Establishing plans to develop the infrastructures, equipment, physical environment, sanitation, and facilities in the emergency department to meet the patients' needs to enhance the quality of care and services are needed.</p>","PeriodicalId":55886,"journal":{"name":"Hospital Topics","volume":" ","pages":"10-19"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40683079","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
Nurse Unemployment in the Country Which Has Nursing Shortage: Investigation of the Reasons in the Aspect of Nurses. 护理短缺国家护士失业:护士方面原因调查。
Hospital Topics Pub Date : 2024-12-12 DOI: 10.1080/00185868.2024.2437406
Kübra Soydaş, Arzu Kader Harmancı Seren
{"title":"Nurse Unemployment in the Country Which Has Nursing Shortage: Investigation of the Reasons in the Aspect of Nurses.","authors":"Kübra Soydaş, Arzu Kader Harmancı Seren","doi":"10.1080/00185868.2024.2437406","DOIUrl":"https://doi.org/10.1080/00185868.2024.2437406","url":null,"abstract":"<p><p>Turkey is the country which has serious nursing shortage. However, still there are many nurses unemployed and looking for an appropriate job. Therefore, this descriptive study aimed to examine unemployment reasons among nurses in Turkey. The study collected data from 266 unemployed nurses through an online questionnaire included demographic, socioeconomic, professional, and working characteristics, job expectations, and reasons for unemployment. Descriptive statistics were used in data analysis. The study findings revealed that the nurses thought they were unemployed due to a lack of information exchange between educational institutions and health labor markets, low wages, and intense workload.</p>","PeriodicalId":55886,"journal":{"name":"Hospital Topics","volume":" ","pages":"1-7"},"PeriodicalIF":0.0,"publicationDate":"2024-12-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142820337","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
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