Asia-Pacific Journal of Health Management (ACHSM)
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'Learning the Ropes' in a Psychologically Safe Healthcare Environment
No full textObjectives: The main objective of the study is to examine the associations between organizational socialization, psychological safety and job involvement of newly hired nursing professionals in India through the lens of ‘Conservation of resources theory’. The study also explored psychological safety as a mechanism linking organizational socialization and job involvement.Design/Methodology: Data was collected from 286 Indian nursing professionals who recently joined their respective organizations. The cross-sectional data was analyzed using IBM SPSS and POCESS macro model 4.
Outcomes: The results reveal that organizational socialization is positively associated with nursing professionals' job involvement, and that this relationship is mediated by feelings of psychological safety.
Conclusions: Healthcare organizations can translate the findings into organizational advantages by institutionalizing organizational socialization and thereby increasing job involvement. It was identified that nursing professionals who have undergone organizational socialization processes experience psychological safety, and that it is the latter that is the link between organizational socialization and job-involvement
Carbon Emission Reduction Associated With Utilisation Of Telehealth In Outpatient Clinics In An Australian Quaternary Health Service
No full textObjective: To assess the impact of implementing telehealth in outpatient clinics on the carbon emissions associated with the delivery of health care.
Design & Setting: Retrospective cohort study in large metropolitan quaternary referral health service from January 2021- December 2022.
Participants: All patients who attended an outpatient clinic appointment during the study period, either in-person, via telehealth or via telephone.
Main outcome measures: The estimation of carbon emissions in tonnes (t) of CO2-equivalent (CO2-e) associated with in-person and telehealth appointments based on emissions associated with travel, telehealth platform usage and N95 mask usage.
Results: There were 571,121 outpatient clinic appointments during the study period. Of the appointments, 251,458 (44%) were conducted remotely, resulting in an estimated reduction in 3,629t of CO2-e emissions in the two-year period. Telehealth consultations in this time contributed 4.5t of CO2-equivalent emissions. The total emission usage of telehealth clinic was only 0.12% of emissions generated from face-to-face clinic appointments.
Conclusion: Telehealth offers the opportunity of substantial carbon emissions reduction within the healthcare sector, while also providing cost and time-saving benefits for healthcare services and patients. Limitations include generalisation of transportation modes and the retrospective nature of the data collection
Has the Code Been Successful? An integrative review of the impact of the WHO Global Code of Practice on the International Recruitment of Health Personnel
No full textInternational migration of health human resources (HHR) from low- and middle-income (LMIC) countries to high-income countries has been addressed on several international platforms since the late 1990s. World Health Organization (WHO) adopted the WHO Global Code of Practice on the International Recruitment of Health Personnel in 2010 to mitigate the adverse effects of HHR migration, but like other codes of practice aiming to provide ethical guidelines for international recruitment, the impact of the code is not clear so far. This study is an integrative review of past studies assessing the impact and adherence of the code in WHO state members and regions. This review follows the Whittemore & Knafl 2005 guidelines for conducting the review. A total of eleven studies were included in the review. The study results suggest that the code has not yet realized its full potential, especially in the countries that are more in need of health human resources. The direct impact of the code was found to be limited in areas such as key legislation in migration or bi-lateral agreements between source and destination countries or any financial mechanism to compensate source countries for the loss of HHR. However, as intended the code has been able to promote a global discussion and awareness of the issue related to migration and catalyse a few developmental changes. The study is limited by geographical regions as it does not represent all geographical regions such as regions of the Americas or western Pacific regions. This study provides a future direction to evaluate the code’s impact on LMICs and amendments to be made in the code to make it more effective
Identifying Potentially Modifiable Factors To Reduce Hospital Readmissions In A Tertiary Care Hospital In Sri Lanka
No full textIdentifying potentially modifiable factors associated with hospital readmissions would lead to reduction of the burden on healthcare expenditure and improvement of quality of life of patients.
A cross sectional descriptive study was carried out on medical inpatients of University Medical Unit, National Hospital of Sri Lanka. Among the 425 participants, 178 (41.9%) had at least one prior admission over the preceding year. Participants with readmissions were significantly older than those with single admissions. The onset of illness/time since diagnosis, number of chronic illnesses, number of long-term medications, compliance with medications, compliance with follow-up, availability of family support, depression, anxiety, stress and alcohol use were associated with readmissions, whereas the location of follow-up, living arrangement and level of activity was not. A significant proportion of the study population had readmissions. Interventions aiming to reduce pill burden and to improve compliance with medications and follow-up are suggested, and further studies are recommended to assess their impact. Where appropriate, patients should be directed to local hospitals/clinics for follow-up. Early identification of depression, anxiety and stress among patients and assessing each patient’s alcohol intake, and making recommendations for them to obtain necessary help would be beneficial
Newly Hired Nurses: Learning needs, challenges, satisfaction, and support strategies In the clinical setting
No full textWith a growing shortage of nurses globally, there is a deep concern to address the transition to practice and effectively prepare newly hired nurses to become skilled to enable them to deliver essential health services without compromising the safety and effectiveness of patient care. This study utilizes a descriptive cross-sectional correlational design which elicited responses from 100 newly hired Filipino nurses (local & international) with the use of a validated self-constructed purpose designed survey.
Results revealed that there is a need to address the learning requirements of newly hired nurses. Challenges at various degrees were also identified during this stage and that learning and development support is necessary. It was found that there are significant relationships between the clinical learning needs and transition challenges; support strategies and transition challenges; and clinical learning needs and support strategies for newly recruited nursing personnel.
It is therefore evident that the healthcare system and organizations need to systematically meet the developmental requirements of newly trained nurses. Healthcare organizations need to utilize international standards that are effective, relevant, and supportive of clinical practice to address these essential needs during the transition to newly hired nurses
Social Media Induced FOMO Effect on Depression: A serial mediation analysis towards problematic social networking usage and phubbing behaviour
No full textBackground: Depression is a major mental health disorder with severe personal and societal effects. It is characterised by a variety of feelings that are present at the same time (Pessimism, frustration, sadness, etc.). Many issues or worries in the modern world have been heightened by fears such as running out of mobile phones, out of internet packages, or Fear of missing out (FOMO). Despite this, little research on the relationship between these social media-induced FOMO has been undertaken on Depression.
Objective: The present study intended to investigate the relationship between FOMO and depression through the serial mediation effect of problematic social networking usage and phubbing behaviour.
Methodology: SPSS 23 with Process Macro and AMOS 21.0 were used to evaluate the survey data of 379 respondents from universities in North India.
Results: FOMO has a significant detrimental effect on depression among its users. Also, this relationship was significantly mediated by both problematic social media usage and phubbing behaviour which supports the serial mediation model. Hence, the results exhibit that FOMO predicts problematic social media usage and phubbing behaviour, which in turn causes depression among users.
Conclusions: Since most students use social media activity in the digital era, there is a significant risk that these students may be exposed to the negative impacts of problematic social networking usage, phubbing behaviour and depression. Therefore, students, parents, educators, and policymakers need to promote responsible social media use and teach students about detrimental behaviours including FOMO, problematic social media usage, and phubbing
Work Overload, Emotional Exhaustion, Emotional Contagion, And Compassion Fatigue In Nurses During COVID-19 Pandemic: A moderated mediation model
No full textObjective: Burnout is stated as a major problem for nurses. The relationship between work overload and burnout, another problem experienced by nurses, has been examined by different authors. However, the effect of mediation and moderation mechanisms that may affect the relationship between work overload and emotional exhaustion in nurses has yet to be clarified to a great extent. This study aims to fill this research gap by examining the mediating role of compassion fatigue and moderating role of emotional contagion in the relationship between work overload and emotional exhaustion.
Methods: This descriptive cross-sectional study was conducted in Istanbul, Turkey, with the participation of 330 nurses. The research model was tested with Hayes' PROCESS macro.
Results: The result shows that the indirect effect of work overload on emotional exhaustion through compassion fatigue is positive and significant (b = 0.335, 95% confidence intervals (CIs) = (0.243, 0.430)). Also, the indirect effect was found to vary depending on emotional contagion (Index of moderated mediation (IMM) = 0.076, 95% CIs = (0.029, 0.132)). In this context, the effect of work overload on emotional exhaustion through compassion fatigue is stronger in nurses with high emotional contagion levels.
Conclusions: The study's findings revealed that emotional contagion and compassion fatigue variables are important mechanisms for clarifying the relationship between work overload and the emotional exhaustion of nurses
Continuing Professional Development (CPD) Impact to Clinical and Nursing Practice: A systematic literature review
No full textIntroduction and aims: Professionalism is an obligation for nurses in carrying out nursing care in hospitals and this is obtained from continuing professional development (CPD). The aim of this research is to review the benefits of CPD in nursing practice.
Material and methods: This paper is a literature review using several databases, namely Scopus, PubMed, Science Direct. Articles were searched with the keywords /MeSh “[Continuing Professional Development]” OR “[CPD] AND “[Nursing]”AND [Professional].
Result: Based on the search results, 9 articles were found with mixed methods n=2, qualitative n= 2 and quantitative n=5.
Conclusion: CPD impacts nurses' knowledge, skills, job retention, patient safety and quality of care
Patient and Family Satisfaction with Intensive Care in a Mega University Hospital: An exploratory study
No full textBackground: Being admitted to the ICU is stressful for both patients and families, in addition to being very costly. Therefore, the ICU was chosen for conducting the study in this university hospital, the New Kasr Al-Ainy Hospital (NKHICU). This was the first such study.
Objective: Identify NKHICU patient and family satisfaction to prioritize opportunities for quality improvement.
Methods: This was health-system research, exploratory design. Work began by providing training for selected NKHICU administrative staff to help with data collection activities. Next, a well-prepared checklist was used to observe some quality dimensions. Finally, satisfaction was identified using two ICU-designed interview questionnaires for patients and family members who matched the eligibility criteria. Quantitative and qualitative findings were analyzed independently and combined in the discussion. The mean % satisfaction scores of the participants were calculated. The reliability of questionnaires was measured using Cronbach's Alpha.
Results: The observation revealed 'excellent' results, except for some inconvenient conditions in the family waiting areas. The highest mean % score of patient and family satisfaction was for the neat appearance of NKHICU staff (96.4%, and 97.1%, respectively) and the continuous availability of nurses to respond to patient needs (94.7%, and 94.3%, respectively). The least mean % score of patient and family satisfaction was for the shortage of required drugs/supplies (51.5%, and 40.7%, respectively). The top suggestions raised by the participants were increasing the availability of medications/supplies and reduction in hospital bills.
Conclusion: The provision of adequate drugs/supplies, reduction in bills, and addressing patients' and families' concerns will improve their satisfaction with services
There Is A Need To Further Strengthen Clinical System Governance
No full textThe introduction of general management in healthcare has enabled the development of elaborate general management and corporate governance structures. This is supported by significant resourcing and complex committee structures.
Whereas healthcare has seen the development of a whole new general management industry to `manage’ healthcare, clinical system governance over matters to do with clinical care delivery, quality and safety have not attracted the same amount of attention and resourcing. There is an opportunity to use available expertise within healthcare systems to clinically govern clinical care delivery, quality and patient safety