Hospital Topics最新文献_第2页

Optimizing Patient Flow Using Value Stream Mapping in the Chemotherapy Unit: Quality Improvement. 利用价值流图优化化疗单元的病人流：质量改进。

Hospital Topics Pub Date : 2026-07-01 Epub Date: 2025-04-07 DOI: 10.1080/00185868.2025.2488252

Zibel Koc, Ahmet Demır, Sule Ecevıt Alpar, Tugcehan Aleyna Koc

{"title":"Optimizing Patient Flow Using Value Stream Mapping in the Chemotherapy Unit: Quality Improvement.","authors":"Zibel Koc, Ahmet Demır, Sule Ecevıt Alpar, Tugcehan Aleyna Koc","doi":"10.1080/00185868.2025.2488252","DOIUrl":"10.1080/00185868.2025.2488252","url":null,"abstract":"Purpose: Inefficient patient flow in chemotherapy units is often caused by improper resource allocation, delays, and excessive workloads. Lean healthcare practices offer process visualization and waste reduction, addressing these issues. This project aims to optimize chemotherapy patient flow by improving care coordination, reducing waiting times, and shortening hospital stays.Methods: The project employed Value Stream Mapping methodology from May 2022 to May 2023. The team mapped the chemotherapy administration process, identified inefficiencies, and evaluated factors influencing patient flow, including delays and resource utilization.Results: Prior to the intervention, the percentage of value-added time from patient admission to discharge was 47.35%. After applying lean principles, the total hospital stay was reduced by 56.8%, treatment duration decreased by 31.57%, and unscheduled patient visits decreased by 22.93%. The evaluation of test results, chemotherapy drug transfer, and drug preparation processes were identified as the least efficient, with value-added time percentages of 12.87%, 17.12%, and 28.89%, respectively. The longest waiting time was recorded before the start of chemotherapy, averaging 72 minutes.Conclusions: Lean practices were effective in reducing waiting times and hospital stays, improving patient flow. Key improvements included enhanced coordination, streamlined drug preparation, and reduced delays in patient assessments. The project is reinforced with field data, which enhances the applicability of the findings in clinical practice. The success and sustainability of these improvements are dependent on ongoing management support and the adoption of lean practices across the hospital. Implementing lean practices in high-volume units is recommended to further enhance operational efficiency.","PeriodicalId":55886,"journal":{"name":"Hospital Topics","volume":" ","pages":"325-336"},"PeriodicalIF":0.0,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143804852","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

Estimating the Cost of Alternate Level of Care When It Is Inextricably Linked to the Cost of Acute Care: A Canadian Example. 当它与急症护理成本不可分割地联系在一起时，估计替代护理水平的成本：一个加拿大的例子。

Hospital Topics Pub Date : 2026-07-01 Epub Date: 2025-03-07 DOI: 10.1080/00185868.2025.2474761

Kisalaya Basu

{"title":"Estimating the Cost of Alternate Level of Care When It Is Inextricably Linked to the Cost of Acute Care: A Canadian Example.","authors":"Kisalaya Basu","doi":"10.1080/00185868.2025.2474761","DOIUrl":"10.1080/00185868.2025.2474761","url":null,"abstract":"In Canada, hospitals designate patients as Alternate Level of Care (ALC) after they have completed all the necessary treatments and are ready for discharge, but remain in the hospitals and await transfer to an appropriate destination, such as a facility-based long-term care bed, home with care services, or palliative care bed. Provincial governments fund acute care in hospitals. However, hospitals have to divert funds to serve ALC patients. In 2019-20, ALC accounted for 19.31% of total bed-days. Yet, there is no comprehensive estimate of the cost of ALC. Therefore, the objective is to estimate the ALC cost, which is challenging, as the cost data for ALC days is lacking. However, the hospitalization cost (acute care plus ALC costs) and the number of acute and ALC days are available. Applying the log-log regression model with interaction terms between provinces and the natural logarithm of ALC length-of-stay to the hospital discharge data, supplemented by hospitalization cost data, the cost elasticity of ALC length-of-stay was estimated for each province. Then, the estimated cost elasticity, average hospitalization cost, average ALC length-of-stay, and total ALC bed-days for each province were utilized to estimate the province-specific cost of ALC in Canada. Summing these costs across provinces, the total expenditure for ALC services in Canadian provinces was estimated at $2.48 billion in 2019-20. This funding could potentially be redirected to improve value for money and enable timely acute care. Additionally, the study identified key diagnoses driving ALC costs.","PeriodicalId":55886,"journal":{"name":"Hospital Topics","volume":" ","pages":"308-318"},"PeriodicalIF":0.0,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143574423","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 Hospitalist Physician Assistant/Associate in American Medicine. 美国医学医院医师助理/助理医师。

Hospital Topics Pub Date : 2026-07-01 Epub Date: 2025-06-16 DOI: 10.1080/00185868.2025.2514667

Roderick S Hooker, James F Cawley, Mirela Bruza-Augatis, Kasey Puckett, Andrzej Kozikowski

引用次数: 0

The Professional Self-Concept and Problem-Solving Ability in Different Career Stages Among Jordanian Registered Nurses. 约旦注册护士职业生涯不同阶段的职业自我概念与问题解决能力。

Hospital Topics Pub Date : 2026-07-01 Epub Date: 2025-03-05 DOI: 10.1080/00185868.2025.2474754

Tahani R Al Manaseer, Nidal F Eshah, Ahmad Rayan, Anas H Khalifeh

{"title":"The Professional Self-Concept and Problem-Solving Ability in Different Career Stages Among Jordanian Registered Nurses.","authors":"Tahani R Al Manaseer, Nidal F Eshah, Ahmad Rayan, Anas H Khalifeh","doi":"10.1080/00185868.2025.2474754","DOIUrl":"10.1080/00185868.2025.2474754","url":null,"abstract":"Background: Professional self-concept and problem-solving abilities could differ over career stages, thereby enabling graduate nurses to plan appropriate care.Aim: This study aimed to assess professional self-concept and problem-solving abilities over career stages and examine the association between professional self-concept and problem-solving ability among Jordanian registered nurses (RNs).Methods: A descriptive cross-sectional correlational design was performed. A self-administered questionnaire was used to collect demographic data, the Nurses Self-Concept Questionnaire (NSCQ), and the Problem-Solving Inventory (PSI).Results: Female was 162 (58.4%) of 277 RNs, with a mean age of 29.55 (SD 5.97). Professional self-concept and problem-solving abilities were moderate. Moreover, professional self-concept and problem-solving ability differed based on marital status, the educational track at university, monthly income, working area, shift system, and career stages. The results showed a negative relationship between the professional self-concept and problem-solving ability (r = -0.29, P < 0.001).Conclusion: Jordanian RNs have a high general perception level of professional self-concept and moderate problem-solving ability. Nurses with a higher professional self-concept would promote their ability to solve problems.","PeriodicalId":55886,"journal":{"name":"Hospital Topics","volume":" ","pages":"281-290"},"PeriodicalIF":0.0,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143558894","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

Implementation of a Medical Emergency Team to Improve the Quality of the Acute Emergency Management System in the Accident Service of National Hospital, Sri Lanka: Impact on Staff Perception in in-Ward Emergency Care. 在斯里兰卡国立医院事故服务中实施医疗急救小组以提高急性急救管理系统的质量：对病房内急救护理工作人员认知的影响。

Hospital Topics Pub Date : 2026-07-01 Epub Date: 2026-04-13 DOI: 10.1080/00185868.2026.2652289

Dilrukshi Deerasinghe, Ranga Sabhapathige, Samidhdhi Samarakoon, Aruna Munasinghe, Regie Perera

引用次数: 0

Parental Perceptions of Childhood Obesity Rates Among Hispanic and Black Children in New Jersey. 父母对新泽西州西班牙裔和黑人儿童肥胖率的看法。

Hospital Topics Pub Date : 2026-07-01 Epub Date: 2025-07-23 DOI: 10.1080/00185868.2025.2531420

Hengameh Hosseini, Girmachew Wasihun, Sunhyang An, Rebkha Atnafou

{"title":"Parental Perceptions of Childhood Obesity Rates Among Hispanic and Black Children in New Jersey.","authors":"Hengameh Hosseini, Girmachew Wasihun, Sunhyang An, Rebkha Atnafou","doi":"10.1080/00185868.2025.2531420","DOIUrl":"10.1080/00185868.2025.2531420","url":null,"abstract":"Childhood obesity is a growing public health concern in the United States, affecting children of all ethnic backgrounds, with disproportionate impacts on African American and Hispanic children. While many studies attribute these disparities to cultural factors, there is limited research examining how environmental conditions may also shape parental perceptions and childhood obesity rates. This study hypothesizes that parental perceptions of obesity may be influenced more by socio-economic environments than by cultural differences. Using data from the New Jersey Childhood Obesity Study (2009-2010), we compare childhood obesity rates and parental perceptions of weight status among Hispanic American and African American populations in three economically comparable cities: Camden, Trenton, and New Brunswick. By comparing children's actual weight status with their parents' perceptions, we explore whether differences in obesity rates and perceptions exist between these two cultural groups. Our findings show no significant differences between Hispanic and African American families across the three cities, supporting the hypothesis that obesity rates and parental misperceptions are more strongly influenced by shared environmental factors than by cultural or racial backgrounds.","PeriodicalId":55886,"journal":{"name":"Hospital Topics","volume":" ","pages":"217-226"},"PeriodicalIF":0.0,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144692552","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

Improving Critical Care Nurses' Waste Management Standards: A Knowledge, Attitude, Practice, and Risk Perception Study. 提高重症护理护士废物管理标准：一项知识、态度、实践和风险认知研究。

Hospital Topics Pub Date : 2026-07-01 Epub Date: 2025-06-16 DOI: 10.1080/00185868.2025.2514666

Shimmaa Mohamed Elsayed, Sameer A Alkubati, Basma Salameh, Awatif M Alrasheeday, Salam Bani Hani, Mohammed ALBashtawy, Asem Abdalrahim, Zaid ALBashtawy, Sa'd ALBashtawy, Abdullah Alkhawaldeh

{"title":"Improving Critical Care Nurses' Waste Management Standards: A Knowledge, Attitude, Practice, and Risk Perception Study.","authors":"Shimmaa Mohamed Elsayed, Sameer A Alkubati, Basma Salameh, Awatif M Alrasheeday, Salam Bani Hani, Mohammed ALBashtawy, Asem Abdalrahim, Zaid ALBashtawy, Sa'd ALBashtawy, Abdullah Alkhawaldeh","doi":"10.1080/00185868.2025.2514666","DOIUrl":"10.1080/00185868.2025.2514666","url":null,"abstract":"Background: Hospital waste has the potential to contain dangerous microorganisms. Potentially harmful bacteria found in hospital waste can cause infections in the public, healthcare personnel, and workers.Aim: The study aimed to determine waste management knowledge, attitudes, and practice and their relationship with risk perception among critical care nurses.Methods: A cross-sectional study was used. Data was collected using self-reported questionnaires to measure nurses' knowledge, attitude, practice, and risk perception toward waste management. The study was conducted in intensive care units at two major hospitals in the Alberehria government in Egypt.Results: A total of 300 nurses were recruited. The risk perception measure revealed a slight positive association with nurses' practice and attitude, but a strong positive correlation with their knowledge. Furthermore, over two-thirds of the nurses scored moderate practice for waste management, and over half showed strong knowledge of waste management.Conclusion: The results suggest that factors such as level of education, gender, type of working units, experience years, and the number of working hours may influence waste management knowledge, attitudes, practice, and risk perception among nurses.","PeriodicalId":55886,"journal":{"name":"Hospital Topics","volume":" ","pages":"298-307"},"PeriodicalIF":0.0,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144310885","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 Serial Mediation Effect of COVID-19 Anxiety and COVID-19 Burnout on the Relationship Between the Fear of COVID-19 and COVID-19 Quality of Life in Nurses. COVID-19焦虑和COVID-19职业倦怠对护士COVID-19恐惧与COVID-19生活质量之间关系的序列中介效应。

Hospital Topics Pub Date : 2026-07-01 Epub Date: 2024-11-06 DOI: 10.1080/00185868.2024.2422128

İbrahim Gün, Murat Yıldırım, Feyza Çetinkaya Kutun, Selma Söyük

{"title":"The Serial Mediation Effect of COVID-19 Anxiety and COVID-19 Burnout on the Relationship Between the Fear of COVID-19 and COVID-19 Quality of Life in Nurses.","authors":"İbrahim Gün, Murat Yıldırım, Feyza Çetinkaya Kutun, Selma Söyük","doi":"10.1080/00185868.2024.2422128","DOIUrl":"10.1080/00185868.2024.2422128","url":null,"abstract":"There is growing interest in the association between COVID-19-related stressors and quality of life. This study aimed to extend current knowledge by investigating the potential mediating roles of COVID-19 anxiety and COVID-19 burnout in the association between fear of COVID-19 and COVID-19 quality of life in nurses. A total of 300 nurses were selected by convenience sampling approach from a training and research hospital serving as a pandemic hospital in Turkey. COVID-19 anxiety, COVID-19 burnout, and COVID-19 quality of life data were collected using the self-reported questionnaires using both online and paper-and-pencil versions of the questionnaires. Structural equation modeling was used to conduct serial multiple mediation analysis. We found statistically significant associations among fear of COVID-19, COVID-19 anxiety, COVID-19 burnout, and COVID-19 quality of life. Serial multiple mediation analysis revealed that the association of fear of COVID-19 with COVID-19 quality of life was partially mediated by COVID-19 anxiety and COVID-19 burnout. These results indicate that the association of fear of COVID-19 with COVID-19 quality of life in nurses may be changed through COVID-19 anxiety and COVID-19 burnout, which appear to play serial multiple mediating roles in this association. These findings enrich our understanding of the associations among these psychological factors and suggest that focusing solely on fear of COVID-19 without considering the mediating effects of COVID-19 anxiety and COVID-19 burnout might not be adequate for reducing the COVID-19-impact on the quality of life among nurses.","PeriodicalId":55886,"journal":{"name":"Hospital Topics","volume":" ","pages":"240-254"},"PeriodicalIF":0.0,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142585182","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 Role of Managers' Leadership Competencies in Hospital Performance: Evidence From a Developing Country. 管理者领导能力在医院绩效中的作用：来自发展中国家的证据。

Hospital Topics Pub Date : 2026-07-01 Epub Date: 2025-04-11 DOI: 10.1080/00185868.2025.2490103

Abbas Badakhshan, Alireza Heidari, Zahra Khatirnamani, Sekineh Beygom Kazemi, Mahin Gholipour, Behnaz Kermani, Mohammad Mehdi Zargaran, Abdolreza Fazel

{"title":"The Role of Managers' Leadership Competencies in Hospital Performance: Evidence From a Developing Country.","authors":"Abbas Badakhshan, Alireza Heidari, Zahra Khatirnamani, Sekineh Beygom Kazemi, Mahin Gholipour, Behnaz Kermani, Mohammad Mehdi Zargaran, Abdolreza Fazel","doi":"10.1080/00185868.2025.2490103","DOIUrl":"10.1080/00185868.2025.2490103","url":null,"abstract":"Purpose: This study was conducted to determine the relationship between the leadership competencies of staff holding managerial positions in university hospitals in Golestan province and its relationship with the hospital's performance.Patients and methods: This cross-sectional study was conducted in 2022, during which 408 operational, middle, and senior managers from 17 affiliated hospitals of Golestan University of Medical Sciences were included in the study by census method. The data collection tools were the clinical leadership competency framework (CLCF) questionnaire and Iranian hospitals' managerial performance evaluation checklist. To analyze the data, descriptive indices and statistical tests were used.Results: In total, 131 (32.1%) were men and 277 (67.9%) were women, 362 (88.7%) were married and 46 (11.3%) were single, and their average age, general work experience, and managerial experience were 42.28, 17.65, and 8, respectively. The average total score of leadership competencies was (63.06 ± 16.32) and hospital performance evaluation (786.12 ± 107.20). The overall score of leadership competencies (p-value = 0.041) and dimensions of individual characteristics (p-value = 0.020), working with others (p-value = 0.015), and improving services (p-value = 0.049) had a direct and significant relationship with the score of performance indicators.Conclusion: In terms of leadership skills, the studied employees were in a weak state and the hospitals were in a good condition in terms of performance. Also, a direct and significant relationship was observed between the total score of leadership competencies and the dimension of performance indicators.","PeriodicalId":55886,"journal":{"name":"Hospital Topics","volume":" ","pages":"337-346"},"PeriodicalIF":0.0,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144030267","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

A Study of Assessing the Knowledge and Attitude of Nurses Regarding Medication Administration and Barriers in Reporting Medication Error in a Tertiary Care Teaching Hospital in Gangtok. 甘托克某三级护理教学医院护士用药知识态度及用药差错报告障碍的研究

Hospital Topics Pub Date : 2026-07-01 Epub Date: 2025-03-14 DOI: 10.1080/00185868.2025.2474756

Kreeti Pal, Bidanisa Shira, Bandana Moktan, Sanjay Kumar

{"title":"A Study of Assessing the Knowledge and Attitude of Nurses Regarding Medication Administration and Barriers in Reporting Medication Error in a Tertiary Care Teaching Hospital in Gangtok.","authors":"Kreeti Pal, Bidanisa Shira, Bandana Moktan, Sanjay Kumar","doi":"10.1080/00185868.2025.2474756","DOIUrl":"10.1080/00185868.2025.2474756","url":null,"abstract":"Medication administration is a complex multistep process with a role of clinician in prescribing and transcribing, and nurse in administering drugs and monitoring patient's response. Error in any step can be a major threat to the safety of patients. Thus, the present study was trying to assess the level of knowledge and attitude of nurses regarding medication administration, pharmacology applied to nursing and barriers in reporting medication error. Also, its correlations with demographic variables. After obtaining the ethical clearance, a cross-sectional study with 141 nurses was conducted using a set of self-administered questionnaires. The questionnaire included demographic details, multiple choice question and five points of Likert scale related to nursing pharmacology, medication administration, reasons for committing medication error, and the barriers in reporting medication errors. Data was analyzed using both descriptive and inferential statistics (Pearson correlation). The findings of the study showed that only 38% nurses had an adequate knowledge regarding drug calculation and pharmacology applied to nursing, scoring more than 80%. A significant correlation (0.184) was found between knowledge and education level of nursing staffs (p = 0.05). But at the same time nurses follow proper medication administration process and had a favorable attitude toward medication error in real practice. Fear of getting blamed was found to be the highest perceived barrier in reporting medication error. The study concluded that a regular update in knowledge regarding medication administration of nurses is required and trust building by the organization among their staff is required to overcome the fear of getting blamed.","PeriodicalId":55886,"journal":{"name":"Hospital Topics","volume":" ","pages":"291-297"},"PeriodicalIF":0.0,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143627204","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