Hospital TopicsPub Date : 2025-01-01Epub Date: 2022-11-03DOI: 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}
{"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}
Hospital TopicsPub Date : 2025-01-01Epub Date: 2023-02-06DOI: 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}
Hospital TopicsPub Date : 2025-01-01Epub Date: 2023-02-09DOI: 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}
Hospital TopicsPub Date : 2025-01-01Epub Date: 2022-11-12DOI: 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}
Hospital TopicsPub Date : 2024-12-12DOI: 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}
Hospital TopicsPub Date : 2024-11-26DOI: 10.1080/00185868.2024.2433243
Tengiz Verulava, Revaz Jorbenadze
{"title":"The Impact of DRG-Based Payment Reform on the Efficiency of Medical Care for Patients with Myocardial Infarction: Evidence from Georgia.","authors":"Tengiz Verulava, Revaz Jorbenadze","doi":"10.1080/00185868.2024.2433243","DOIUrl":"https://doi.org/10.1080/00185868.2024.2433243","url":null,"abstract":"<p><p>In Georgia, a prospective financing system for hospital services using diagnosis-related groups (DRGs) was introduced in 2022 to increase the efficiency and transparency of the healthcare system. The purpose of this study is to evaluate the impact of DRG-based hospital reimbursement on the efficiency of medical care for patients with myocardial infarction. Hospitalization data from three large hospitals in Georgia before and after the introduction of DRGs, covering the period from 2021 to 2024, were analyzed. The study found that the implementation of DRGs in cardiology hospitals reduced length of stay, readmission, and mortality rates. Although the prices for nosologies have increased, patients' direct out-of-pocket payments have decreased, thereby improving financial access to medical services. The introduction of the DRG payment system had a positive effect on patient financial accessibility.</p>","PeriodicalId":55886,"journal":{"name":"Hospital Topics","volume":" ","pages":"1-6"},"PeriodicalIF":0.0,"publicationDate":"2024-11-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142734464","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}
Hospital TopicsPub Date : 2024-11-14DOI: 10.1080/00185868.2024.2427641
Vinaytosh Mishra
{"title":"Five Dimensions of AI Readiness (AIR-5D) Framework- A Preparedness Assessment Tool for Healthcare Organizations.","authors":"Vinaytosh Mishra","doi":"10.1080/00185868.2024.2427641","DOIUrl":"https://doi.org/10.1080/00185868.2024.2427641","url":null,"abstract":"<p><p><b>Background</b>: Artificial Intelligence (AI) has transformative potential in healthcare, and it is very useful in areas such as drug discovery, diagnostics, and patient management. However, there is a lack of tools to assess healthcare organizations' readiness to adopt AI technologies. This study introduces the AI Readiness Five Dimension (AIR-5D) framework, addressing this gap. <b>Methods</b>: The AIR-5D framework was developed using a two-step process: identifying dimensions of AI readiness from literature and weighing these dimensions through expert focus groups. The Analytical Hierarchy Process (AHP) was employed to calculate weights, ensuring consistency and reliability. <b>Results</b>: The results identified five key dimensions: Opportunity Discovery (0.44), Data Management 90.22), IT Environment and Security (0.194), Risk Privacy and Governance (0.101), and Adoption of Technology (0.043). \"Opportunity Discovery\" was the most critical dimension, while \"Adoption of Technology\" ranked lowest. Six case studies demonstrated varying AI readiness (score between 3 and 4 on a scale of 5), highlighting challenges in moving beyond AI collaboration to optimization. <b>Conclusions</b>: The AIR-5D framework offers a structured approach for healthcare organizations to assess and enhance their AI readiness. It emphasizes the importance of understanding value, robust data management, and strategic alignment in successful AI adoption.</p>","PeriodicalId":55886,"journal":{"name":"Hospital Topics","volume":" ","pages":"1-8"},"PeriodicalIF":0.0,"publicationDate":"2024-11-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142633536","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}
Hospital TopicsPub Date : 2024-11-14DOI: 10.1080/00185868.2024.2427640
Muayyad Ahmad, Ali Qurneh
{"title":"Self-Efficacy of Nurses and Physicians in the Emergency Department and Its Influence on the Outcomes of Trauma Patients.","authors":"Muayyad Ahmad, Ali Qurneh","doi":"10.1080/00185868.2024.2427640","DOIUrl":"10.1080/00185868.2024.2427640","url":null,"abstract":"<p><p>The purpose of this study was to examine the effect of self-efficacy on the implementation of the adult trauma clinical practice guidelines (ATCPGs) on improving trauma patient outcomes, including missed injuries, and ED LOS. Nurses' and physicians' self-efficacy in performing ATCPGs skills were evaluated three months prior to and three months after the intervention's implementation. Multiple strategies of ATCPGs implementation improved the length of stay (LOS) in the ED for multiple trauma patients. The quasi-experimental design has been implemented in this interventional study. Post-intervention, the self-efficacy of ED healthcare providers in performing ATCPGs skills has increased. Implementation of the ATCPGs has improved the outcomes of patients with multiple traumas. There were 66 patients in this study, and 53 (80.3%) of them were male. The ATCPGs intervention resulted in a statistically significant decrease in the amount of time spent in the ED, as shown by a comparison of the ED LOS in minutes between the two groups (<i>t</i> = 2.56; <i>p</i> = 0.013). Implementing the ATCPGs has improved multiple trauma patients' outcomes. The results will help decision-makers at hospitals to facilitate interdisciplinary ATCPGs training sessions and establish policies and procedures to introduce adult trauma sheet in the ED to improve multiple trauma patients' outcomes.</p>","PeriodicalId":55886,"journal":{"name":"Hospital Topics","volume":" ","pages":"1-9"},"PeriodicalIF":0.0,"publicationDate":"2024-11-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142633541","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}
Hospital TopicsPub Date : 2024-11-06DOI: 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":"<p><p>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.</p>","PeriodicalId":55886,"journal":{"name":"Hospital Topics","volume":" ","pages":"1-15"},"PeriodicalIF":0.0,"publicationDate":"2024-11-06","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}