Asia-Pacific Journal of Health Management (ACHSM)
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Investigating The Impact of Physicians' Attitudes Towards Death And Their Demographic Factors On Disclosure Of Bad News To Cancer Patients
No full textBackground: This study aimed to investigate the attitudes of physicians towards death and cancer patients as well as to examine the relationship between physicians' demographic variables, their death anxiety, their attitudes and avoidance behavior towards informing patients about their diagnoses, and physicians' opinions about the necessity of education on how to approach patients with terminal illness.
Methods: The study involved 90 physicians who completed a questionnaire on sociodemographic information, the Death Anxiety Scale, and a 21-item questionnaire prepared by the authors to evaluate physicians' attitudes.
Results: The results showed that 87.8% of the physicians believed that patients had the right to be informed of their diagnoses and disease condition completely. However, only 52.2% of the physicians accepted that the diagnosis should be announced. Moreover, when the patient was a physician themselves with cancer, 94.4% of the physicians agreed that they prefer to be informed about the diagnosis and survival. This ratio decreased to 56.7% when the patient was a physician's relative. Additionally, 94.4% of the physicians (n=287) agreed that education on how to approach death and cancer patients should be given during or after medical education. The responses to the questionnaire differed according to the variables of death anxiety, practice area, gender, and marital status.
Conclusion: According to the results, this paper shows the importance of the socio-demographic factors and the physicians attitude toward dealing with patients and giving bad news, and try to unify it by using a written training program in dealing with patients and giving bad news and reducing the effect of individual factors of physicians in dealing with Patients
Public Health Emergency Management (PHEM) for the COVID-19 Pandemic: Lesson learned from Public Health Region 10th Ubon Ratchathani, Thailand
No full textThe COVID-19 pandemic affected the health of the Thai people. The PHEM was essential for the surveillance, prevention, and control of COVID-19. This study aimed to present the process of the PHEM for COVID-19 from February 29, 2021, to April 30, 2022, and the factors affecting the successful outcome. The study area covered three provinces. The Target group included 37 public health personnel. The data were collected through in-depth interviews and focus group interviews based on the non-structure interview guideline and were analyzed by content analysis. The components of COVID-19 prevention and control in the process of PHEM included (1) Emergency Operation Center (EOC) with the incidence command system (ICS) from the district to the provincial level to propose the provincial measure, (2) Provincial Communicable Disease Committee (PCDC) to manage the provincial measure, (3) the measure for surveillance, prevention, control, and treatment of COVID-19, and (4) outcomes and best practices for surveillance and control of COVID-19. The success factors of 4S and EC included Space to prepare the quarantine (HQ, LQ), Cohort Ward (CW), field hospitals, community isolation, and home isolation to face the patient and risky group, Staff from various organizations, and groups including the community leader and Health Volunteer (HV), Stuff to manage and share the medical and non-medical equipment, System of Covid-19 response including EOC, ICS, Joint Investigation Team (JIT) and Communicable Disease Control Unit (CDCU) for monitoring the real-time of surveillance and control of COVID-19 output, Environment to conduct management in hospital and the community with Infections Control (IC), and Culture in term of social capital on “the relationship of Isan people” to provide the good care and support for the patients. The structure of PHEM, Isan’s culture, and good preparation were the significant factors in the three provinces
Key Dissemination Learnings from an Innovative, Value-Based Emergency Department Prevention Program: - ACHSM Asia-Pacific Health Leadership Congress in Brisbane 2024
No full textThe Caboolture and Redcliffe regions of North Brisbane have experienced rapid population growth in recent years, with high levels of emergency department (ED) use, an ageing population, and a high proportion of complex health and psychosocial needs. An innovative intervention was co-designed to reduce unnecessary emergency department (ED) presentations by those with chronic complex conditions in the selected regions. Local general practices (GPs) were approached to participate in the program, now titled the ‘Care Collective,’ and provided with a funding package to build the capacity of the practice to employ an existing practice nurse or utilise a contracted nurse to upskill in a coordination role. The nurses, titled Complex Care Coordinators (CCCs), connect eligible clients with existing services in the community, aiming to improve patient quality of life, health literacy, and ability to self-manage their condition; in turn reducing unnecessary ED presentations and hospital admissions. The program has been funded by the Department of Health and Aged Care Primary Pilots Program
Harnessing the Power of Co-design: Insights from Barwon Health, Victoria, Australia: - ACHSM Asia-Pacific Health Leadership Congress in Brisbane 2024
No full textThis report describes how Barwon Health, a regional public health service in Geelong, Victoria, has incorporated co-design methodologies and mindsets into creating and implementing new mental health programs and services. It outlines challenges, processes, learnings, and impacts and offers practical insights for other health services aiming to implement co-design. By involving diverse perspectives at every step, from problem definition to solution implementation, Barwon Health has become a leader in creating person-centred mental health services that begin to address known systemic challenges
Supporting Nurses’ Commitment Towards Voluntary Error Reporting: A discursive paper of current policies and recommendations: - ACHSM Asia-Pacific Health Leadership Congress in Brisbane 2024
No full textMedical error is a serious public health concern and undermines healthcare organizations' commitment to drive safe, high-quality patient care. Voluntary error reporting (VER) is one key solution to address this concern because it is through conducting root cause analysis that constructive retrospective learning can take place to improve future practice. Nurses form the largest health workforce and are key stakeholders contributing to the institutional error management culture. While the significance of VER and nurses' role in driving this initiative cannot be further emphasized, studies revealed that nurses failed to engage in VER due to less positive experiences towards VER. Nurses' negative attitude towards VER can be attributed to unsupportive organizational responses to their act of VER, underpinned by the endorsement of blame, shame, and punitive culture consistent with the human approach to error management. This induces fear of speaking up for error among nurses, creating a culture of silence. This paper examines and discusses current policies underpinning the error management system and identifies the contemporary factors that challenge these policies, followed by proposing recommendations to support these policies to drive nurses' commitment to VER and improve the overall error management system
Just Give Me A Reason: How goal setting increases the number of blood donations
No full textIn general, there is a positive attitude towards blood donation but only a very small percentage of the population are eligible to donate blood actually does. Based on ability-opportunity-motivation theory and goal-setting theory, we espouse that asking potential donors to commit to a donation goal in the form of a specific reason for donating blood increases donation frequency.
In an online experiment with a sample of 168 respondents conducted in Austria, different donation goals were developed based on medical data and tested. As a result, we were able to show that asking people to “just” donate, which is currently the standard communication approach of many blood donation organizations, if applied to 100 potential donors would result in 98 blood donations. However, motivating blood donors to reach a goal that requires multiple blood donations more than doubles the number of blood donations over the course of a year. If we think one step further and have potential blood donors select the most appropriate donation goal for them based on the effectiveness, this will triple the amount of blood donated compared to "just donate blood again”.
The goal of blood donor organizations should therefore be to use appropriate communication measures to encourage potential blood donors to commit to a blood donation goal that suits them best. This could then motivate them to donate blood more frequently, which would increase the amount of blood donated and secure a continuous supply of much-needed blood
The Impact of Job Stress on Job Satisfaction among Nurses during Covid-19 Pandemic: The Moderating Role of Psychological Capital
No full textThe COVID-19 disease is a calamity that may leave a dreadful psychological indentation on nurses. Nurses take all the necessary measures to protect themselves physically and psychologically.
This global pandemic demands a firmly secured nursing staff engagement in clinical management in pursuance of public safety. In the interest of sustaining psychological and physical well-being, nurses should be entitled to fair compensation, access to counseling for mental health care support, and provide job satisfaction, empowering these professionals to survive this crisis and beyond.
This study is proposed to provide baseline information on the impact of job stress on Al Dhafra hospitals nurses' job satisfaction during the covid-19 pandemic and the effect of psychological capital as a moderator. Furthermore, the study will open a new aspect for further research to improve and reduce its adverse effects. In addition, it can be used as a reference to create, improve, or modify guidelines and existing protocols, and it can also serve as a reasonable contribution study for further nursing management in future crises.
The study employed a quantitative correlation research design, and an online survey was conducted and participated in by 255 nurses who are in direct contact with COVID-19 patients in Al Dhafra hospitals in UAE.
The present study's findings indicate a negative relationship between job stress and job satisfaction; on the other hand, The findings also revealed a positive moderating effect of psychological capital on the relationship between job stress and satisfaction.
The current study has important implications for hospitals in developing managerial, training, and strategic policies. According to the findings of this study, job stress has a significant impact on nursing satisfaction. In light of this study, hospitals can improve their job satisfaction. Furthermore, this study can be applied to other cultural and demographic contexts to reduce employee stress
Adding Life to Years: Comprehensive end-of-life care for all: - SHAPE Health Conference In Hong Kong 8-9 July 2024
No full textThis study builds upon our 2019 End-of-Life Care (EoLC) research, focusing on enhancing the quality and accessibility of EoLC in Hong Kong. With the introduction of the Advance Decision on Life-sustaining Treatment Bill, we identified the need for a more comprehensive approach to address the full spectrum of care needs beyond medical decisions. Our methodology leveraged insights from diverse stakeholders across various sectors and disciplines.
The study revealed critical gaps in the system, service provision, and education related to EoLC. We propose six key recommendations: (1) develop a territory-wide standardised advance care planning (ACP) framework, (2) formulate an EoLC service strategy, (3) establish clear communication pathways to connect EoLC services, (4) promote public life and death education, (5) equip community professionals with ACP training, and (6) enhance university curriculum and on-the-job training in health and social care.
These recommendations aim to create a cohesive EoLC ecosystem that respects individual preferences, optimises resource allocation, and addresses the challenges of an aging population. By implementing changes at system, service, and education levels, we envision EoLC in Hong Kong to be delivered in a person-centred, dignified, and coordinated manner, ensuring compassionate care at the final stage of life
Antecedents For the Adoption of Telemedicine in India: Scale development and validation
No full textBackground: Telemedicine is increasingly recognized as a promising solution to healthcare challenges in India, particularly in remote areas. However, the country's vast population and geographic diversity present significant obstacles to providing accessible and high-quality healthcare services to all citizens. By leveraging technology, telemedicine has the potential to bridge this gap and enable remote delivery of medical services.
Objective: This study aims to develop and validate a scale that assesses the factors influencing the adoption of telemedicine in the Indian context. Understanding these factors is crucial for identifying key drivers and barriers to telemedicine adoption in India.
Design: Quantitative methods were employed for scale development. The instrument development process involved several stages: factor identification, item generation, pre-testing, pilot testing, and scale validation. A structured questionnaire was administered to healthcare professionals, industry experts, and patients who have used or intend to use telemedicine.
Setting: Confirmatory factor analysis and subsequent tests, such as reliability and validity tests were conducted to establish the internal consistency of the scales. These statistical analyses aimed to identify underlying factors and ensure accurate measurement of latent variables that affect the adoption of telemedicine.
Results: The study established a robust scale to assess the five key factors, which are the vital explanatory variables in telemedicine adoption in India. These meticulously validated scales, encompassing technology, government policy, user attitudes, societal demand, and healthcare professional perspectives, demonstrate high reliability and validity in understanding the adoption dynamics of telemedicine in the context of India.
Conclusion: This research offers a validated scale for assessing telemedicine adoption in India, crucial for healthcare service providers, policy makers, and researchers in this field. It enables informed decisions in implementing telemedicine, addressing unique challenges and opportunities, and significantly contributing to optimizing healthcare delivery across India's diverse socio-economic and geographical landscape
Being An Wholistic and Developmental Healthcare Leader: Insights from a grounded theory research study
No full textBackground: Healthcare is becoming increasingly complex, requiring leaders to cope with a significant degree of uncertainty, change and ambiguity. In this environment, the healthcare leader’s ability to make sense of their experiences and thrive as a leader, is crucial to the efficient functioning of the healthcare system.
Objective: To explore how the healthcare leader understands and makes sense of their leadership experiences and to develop a theoretical model which reflects contemporary leadership in a complex healthcare environment.
Methods: A constructivist grounded theory methodology provided a comprehensive and rigorous model for the flexible exploration and analysis of the personal experiences and perspectives of the participant healthcare leaders. The rich and varied data was co-created through researcher interviews with participants, where participants engaged in two, one-hour interviews. Memo writing throughout the data collection and analysis process afforded additional valuable data.
Results: Coding of data using constant comparative analysis rendered six key categories: Broadening perspectives and abilities as a leader, Creating the best possible healthcare environment, Experiencing and making sense of the bad times, Leading in alignment with personal values, Communicating and building relationships, Experiencing and making sense of the rewarding times. An overarching core category emerged of Being an wholistic and developmental leader, which connected all the categories.
Conclusion: This research provides an understanding of how healthcare leaders make meaning from their leadership experiences. A comprehensive model has been constructed to describe how contemporary healthcare leaders make sense of their leadership experiences in complex environments both wholistically and developmentally. This is useful for both informing and supporting the developmental growth of healthcare leaders