Asia-Pacific Journal of Health Management (ACHSM)
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Safeguarding Patient Information as an Issue Faced by Nurses: A policy brief
No full textIn an era of advancing technology, nurses find themselves at the forefront of protecting patient information. Safeguarding patient information is a critical concern in healthcare settings due to the potential adverse effects that can result from breaches or mishandling of this data. This invasion of privacy can have profound emotional, social, and financial repercussions for patients. In this article, possible and effective approaches were provided under Evolving cybersecurity threats, balancing access and privacy, human error and insider threats, education and training, interoperability and data sharing headings. Patient information security is a complex and ever-evolving challenge for nursing professionals. Nurses must remain vigilant, well-informed, and proactive in implementing cybersecurity best practices
Building Healthcare Brand: Role of service, image, and trust
No full textObjective: Healthcare branding is a recent concept, and its theoretical modeling is still somewhat inadequate. This paper examines how perceived service quality affects healthcare brand performance, brand image, and behavioral intention.
Methods: The present study uses survey responses from 678 patients who have taken treatment in multi-specialty medical institutes. Standard scales were used from the literature to measure the variables used. The conceptual model was validated using structural equation modeling using AMOS. SPSS was used to determine the validity and reliability of the questionnaire.
Results: The theoretical model has a relatively high and significant coefficient path for each of the hypotheses. The R2 value for satisfaction was 0.70 or 70 percent. The R2 value for the trust was 0.78. For Brand performance, Brand image and behavioral intentions were 81, 82.5, and 74%, respectively. Overall, the scores suggest an acceptable level of measure score and predictive ability of the relevant constructs. The results disclose the dimensions of service quality in the circumstances of healthcare. The patients place relatively more importance on healthcare service quality than any other attributes of healthcare institutions. Service quality has a high beta value of 0.98 and p p-value of 0.000.
Conclusion: The study makes an innovative theoretical contribution by establishing a relationship between experience-centric healthcare brand performance and brand image. Patient satisfaction and trust were demonstrated to mediate the relationship between perceived service quality, brand performance, brand image, and behavioral intention in a healthcare context. The study established the novel finding that trust and satisfaction play a significant role in service quality, brand performance, and brand image of healthcare institutions. This study also shows that brand performance has a positive and significant direct effect on brand performance. This shows the dependency of brand image on brand performance in the healthcare institution context
A Focused Literature Review of Missed Care in Residential Aged Care
No full textMissed care is any aspect of required care that is omitted (either in part or whole) or delayed. Residential Aged Care Facilities (RACFs) are susceptible to missed care due to a range of factors, including residents’ complex needs, workforce composition, and constraints placed on resource availability. This focused literature review aims to evaluate the current evidence on missed care, including an analysis of the concept, causes, and outcomes of missed care in residential aged care in Australia.
Within most of the available literature, missed care is typically considered only within the context of nursing. It is noted that although the nature and identification of missed care were discussed extensively to provide a broad picture of the phenomenon, including possible prevalence and outcomes, they need to explicitly discuss the impact of missed care on residents, families, and other clinical and operational staff. Further research is needed to inform and improve the care of the elders in RACFs, considering this gap in the literature. This review has identified potential areas for enquiry into missed care to inform policy and practice to improve the care of elderly residents in RACFs
The Impact of Job Crafting Dimensions on Work Engagement Among Nurses: The mediating role of psychological capital
No full textWork significantly influences individual well-being and human growth. Jobs are not solely formulated by companies based on their needs but are also actively modified by the individuals who hold those positions. High-stress professions, such as nursing, highlight how stress levels are influenced by factors like resource availability, patient demands, colleague interactions, and workplace cultural dynamics. Hence, this study investigates the effect of job crafting dimensions on work engagement, and examines psychological capital's mediating role in this relationship. It aims to reveal how job crafting can improve both personal and organizational well-being.
This study is a descriptive cross-sectional study. The study was conducted with 348 nurses at Al Dhafra Hospitals in Abu Dhabi, UAE. The analysis utilized in this study was conducted using Structural Equation Modeling (SEM) through SmartPLS 4 and SPSS version 27 for descriptive and correlation analysis.
The findings demonstrate that the impacts of job crafting dimensions—task crafting, cognitive crafting, and relational crafting—on work engagement and psychological capital are statistically significant. Additionally, the influence of psychological capital on work engagement is statistically significant. Path analysis revealed that psychological capital mediates the interaction between job crafting dimensions and work engagement. These relationships were shown to be statistically significant.
This study reinforces the significance of psychological capital and job crafting dimensions as crucial attributes in the workplace. Hence, it advocates for the healthcare industry to consider the implementation of targeted programs aimed at fostering these attributes within nursing teams. Such strategic initiatives are poised to improve individual well-being among nurses, which is expected to result in enhanced organizational efficiency and a notable decrease in turnover rates over time
Managers of Aged Care Residential Services in Australia 2006-2021: Transformation reform
No full textObjectives: This article provides analyses of the number and characteristics of managers of aged care residential services in relation to number of aged people, residents of aged care facilities and people employed in them.
Design: The research design follows specifications provided by the authors for tabulations prepared by the Australian Bureau of Statistics (ABS) from the censuses of population conducted by ABS in 2006 and 2021. Analyses undertaken by the authors show changes that have taken place in the number of managers of aged care residential facilities in relation to the number of aged people, residents of aged care facilities, and people employed in them. Further, the analyses examine changes in the demographic characteristics of managers, their working hours and income, over time.
Findings: There was a substantial decline in the proportion of the growing number of people aged 70 years and over who lived in aged care residential services during the 15-year period. While there was a large increase in the number of employees and managers per resident, and a slight increase in the number of managers per employee. The proportion of female managers fell, and the average age of managers increased slightly. The proportion of managers at graduate level rose substantially. Although the average income of aged care residential services managers was similar to that in all industries in 2021, their increase was larger than in all industries during the 15-year period. Average hours worked remained similar over time. The proportion of Australia-born managers declined while that of managers born in Asia rose substantially, and the proportion of indigenous managers about doubled during the 15-year period.
Implications: Relevance to those concerned with the evolving transformation of aged care in Australia and those interested with management training of the growing number of managers of aged care residential services
The Road Home: Building the evidence base for a service delivery model that integrates housing, mental health, medical and legal services.: - SHAPE Health Conference In Hong Kong 8-9 July 2024
No full textThe evaluation of the Road Home (RH) program has revealed many learnings of interest to practitioners, researchers and evaluators. The focus of this analysis is twofold - on an innovative approach to building an evidence base using a developmental evaluation and action learning design and how research knowledge and skills can be applied in practitioner contexts and be robust, rigorous and above all useful. It particularly features the role of reflective practice, an affordable, underutilised and easy to access evaluation and program improvement method for practitioners working with evaluators and researchers. Appreciating what is involved in approaching evaluation and other forms of organisational research in this way is important if industry collaborations and innovations that bring theory to practice and practice to theory are to be successful
Healthcare at Arm's Length: Exploring the association of distance and household wealth index in Odisha, India: - SHAPE Health Conference In Hong Kong 8-9 July 2024
No full textIntroduction: Location or distance from healthcare facilities affects the use of health facilities of households. Use of health facilities also have an impact on the socioeconomic conditions. Distance from healthcare facilities significantly affects catastrophic health expenditures. This study aimed to determine the association of physical distance to healthcare facilities with the economic deprivation of households.
Objective: This study aims to analyze the distance of healthcare facilities from households in different wealth index categories of Odisha. The study argues that the household wealth index is associated with the distance to healthcare facilities.
Methodology: This study is based on six purposively selected districts in Odisha: Rayagada, Kalahandi, Angul, Keonjhar, Khordha, and Kendrapara. A cross-sectional household survey was conducted to collect the data. A total of 902 household data points were collected. Data analysis was carried out in SPSS version 25.
Results: A difference is observed among households that need to travel more than one hour to reach a private doctor or private hospital: 42.6% of poor households face this challenge, whereas only 25% of wealthy households do. Among those who cannot reach a public hospital in less than an hour, a larger proportion are from poor households (62.6%). The poor and wealthy segments of the population have nearly equal access to NGO-run healthcare facilities in terms of proximity. We observe that poor households are less likely than wealthy households to reach private pharmacists in less than an hour and are more likely to require over an hour to reach them.
Conclusion: Ensuring healthcare facilities is the minimum requirement within one hour of reach for every household in India. Underreporting of illnesses and diseases is one of the major factors of high mortality in the population. Physical accessibility to healthcare facilities can reduce the mortality burden on the population
Resilience Capacity of Pre-hospital Emergency Medical Service (EMS) Providers and the Future Agenda for Sustainable Development of A Resilient EMS System in Thailand: - SHAPE Health Conference In Hong Kong 8-9 July 2024
No full textIn the current scenario, demand for emergency care is rising due to the shift in disease pattern all around the world, from growing burden of non-communicable diseases to the pre-existing communicable diseases. The principle aim of an emergency medical service (EMS) system is to prevent premature mortality, reduce pain and prevent long term disability. EMS workers serve on the front lines of emergency medical care, which is one of the most important components in an EMS system of any country. Since the latest pandemic has caused increased burn out and stress among the service providers with long term mental and physical effect which is yet to be researched in Thailand, and no study in particular have addressed to evaluate the resilience capacities of the front-line EMS workforce and identify components that influence their performance and response to emergencies.
This study aims to measure the resilience capacity of pre-hospital EMS providers of Thailand along with providing recommendations to policy makers regarding EMS service provider future agendas and standard methods for proper workforce development in order to tackle future public health emergency situations. The respondents were EMTs, ENPs, paramedics, frontline rescuers working in the provinces as an EMS service provider under the ministry of public health (MOPH), National Institute of Emergency Medicine (NIEM), Thailand. Total 500 participated in the survey from 32 different provinces.
Resilience capacity was divided into high, moderate and low; Components and factors were developed through literature review and grouping was done. With total 41 questions: Safety, Competencies, Wellness and Behavioral Health. Open ended questions reflected the perception and experiences of the EMS service providers regarding the strength and improvement areas of the EMS system in Thailand.
The result from the survey shows that the EMS service providers have moderate resilience in terms of Behavioral Health which is related to their psychometric properties and main components to measure the resiliency scales. Similarly, in terms of Safety, Wellness and Competencies components the EMS services have shown moderate level of resilience capacity as a front-line worker in the emergency medical service system to prepare for the future public health emergencies.
The findings of the research present the perception and opinions of various EMS providers working in different provinces of Thailand. This study explores the present status/situation of front-line workers of the EMS system in Thailand. The findings provide crucial recommendations to health policy makers for developing resilient EMS system and their workforce in Thailand focusing on pre-hospital care setting. This research suggests measurement tools and plans focusing on the EMS future agenda 2050
Nurses' Metaphorical Perceptions About Their Managers: A mixed-method research
No full textBackground: Research in literature have examined the leadership styles of nurse managers. However, no qualitative study based on metaphors could be found to determine the perceptions of nurses regarding their managers in depth and without limitations where they could freely express their opinions. The purpose of this study is to determine the perceptions of nurses regarding their nurse managers with the help of metaphors.
Methods: This study used a mixed methods approach to including both quantitative and qualitative research methods. This study was conducted in a total of 118 nurses between August and November 2022. The data were collected as online by the researchers through personal information form and an questionnaire including a semi-structured open-ended form. In the first part of the questionnaire, questions about socio-demographic characteristics were included, and in the second part, the sentence "My nurse manager is like…, because…" was included to determine the metaphors developed by the nurses about their nurse managers. The nurses’ answers to this question were analyzed with content analysis.
Results: The metaphors formed by the participants regarding their nurse managers were gathered under 1 positive theme and 1 negative theme covering 20 categories (13 positive categories and 7 negative categories). In the study, 94 different metaphors were identified, and 53 of these were positive metaphors, while 41 were negative metaphors. In the positive sense, the participants perceived their managers as trustworthy, supportive family members, individuals who restore/coordinate, individuals who protect/defend, hardworking, source of happiness, just/fair, source of power, source of support, problem-solver, nutrition, source of knowledge, and guiding. In the negative sense, the participants perceived their managers as harming/harmful, passive, unstable/inconsistent, coercive/oppressive, opportunistic, useless, and biased.
Conclusion: The results of this study showed that most nurses perceived their managers positively
Implementing My PreHab Program: How digital technology helped to bridge the hospital-community gap and streamline hospital processes : - ACHSM Asia-Pacific Health Leadership Congress in Brisbane 2024
No full textSurgery is a key component of healthcare systems, however, a patient’s journey to surgery can be long and complicated. Public patients awaiting non-urgent surgery, frequently experience significant periods on ‘hidden’ outpatient and surgical waitlists. Post-operative complications are also common, affecting 20% of procedures, placing a substantial burden on both patients and the healthcare system. These complications are associated with worse psychosocial outcomes, delayed function recovery, financial costs and reduced patient flow. With increasingly constrained resources, an ageing population and growing burden of chronic disease, there are challenges in providing accessible, affordable, and safe elective surgery. Prehabilitation (prehab) is any intervention prior to surgery aimed at improving health and wellbeing and developing physiological reserve to cope with the stress of surgery. With a clear need for earlier health optimisation, the challenge was supporting patients to prepare well for surgery without dedicated funding to support on-site, in-person prehab