Asia-Pacific Journal of Health Management (ACHSM)
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Building Psychological Health in Undergraduates with the Application of A Classroom-Based Positive Psychology Educational Intervention: A pilot study
No full textBackground: Stress and depression have been increasing among undergraduates in India. The psychological wellbeing of undergraduates in India has become a critical focus of attention for the education community. Evidence shows that positive psychology interventions can be effective in enhancing psychological wellbeing and may help prevent stress and depression in undergraduates. In this study, we aimed to explore the potential effect of positive psychology educational interventions on improving the psychological health of Indian undergraduates.
Methods: A 10-week classroom-based positive psychology educational intervention was conducted at the Bhopal School of Social Sciences, Undergraduate Institute (MP), India. Institute undergraduates in their second and third years participated . The participants’ self-reported data on psychological health and self-efficacy were collected and analyzed at pre-intervention (n= 45) and post-intervention (n=45) times. The instrument's reliability and validity were checked with the help of SEM (Structural Equation Model) software. The same software was used for data analysis.
Results: The analysis showed that the psychological health of the undergraduates improved after the intervention. Their mean scores on psychological health and self-efficacy were significantly improved, while the symptoms of stress and depression were significantly reduced.
Conclusions The study highlighted that a positive psychological intervention improves the psychological health and self-efficacy of undergraduates, even mitigating digital fatigue challenges
The Effect of Nurses' Psychological Climate Perceptions on Their Professionality in The Context of Work Engagement
No full textBackground: The psychological climate of the organization, the individual's perspective on work and whether they are engaged are meaningful in terms of the professionalism level of nurses. Because work engagement, as a concept completely opposite to burnout, refers to the emotional and motivational state of the employee towards his work.
Aim: The aim of this study is to determine the effect of nurses’ positive psychological climate perception on their professionalism and to investigate the mediation role of work engagement in this relationship.
Method: Related data were gathered from 190 nurses who are working in a public hospital belonging to Health Ministry Erzurum Public Hospitals Union. In the research, the questionnaire form was used as data collection method. The questionnaire consists of statements determining the participants' perceptions of psychological climate, work engagement and professionalism. Validity and reliability of the scales were measured by item analysis, exploratory and confirmatory factor analysis and internal consistency coefficient method. The model, which was developed to analyze the relations between the variables, was tested by structural equation modeling.
Findings: In the research model and correlations between the variables were determined, and it was concluded that the relationships between all three variables were significant at the level of p <0.001. In the second stage of the analysis, a structural equation test was applied to the research model and the relationships between the variables were determined. Then, Baron and Kenny approach and bootstrap analysis were used to determine the mediating effect related to the structural model. By testing the structural model, it was determined that the results of the goodness of fit index values were within the specified reference ranges.
Result: According to the analyze results, it is seen that work engagement has a partial role on the effect of positive psychological climate perception on professionalism
Leading During A Public Health Crisis
No full textLeading teams during the COVID-19 pandemic had unique challenges often requiring timely decisions based on emerging new information to then rapidly implement changes. The usual scaffolding for system changes lagged behind the implementation. The command and control of crisis management blended with traditional health leadership styles as the emergency response became protracted and building sustainable teams became a focus of the response.
This paper presents the results of a survey of the leadership cohort at the Centre for National Resilience, a large quarantine facility in northern Australia, that managed over 30,000 people requiring quarantine and isolation.
Methods: A grounded explorative theory approach was implemented, with descriptive data analysis and thematic analysis of an online Leadership survey in conjunction with site data and information specific to the leadership structure.
Results: The core challenges for leaders were identified as establishing a workforce combining health and non-health resident care roles, rapid changes in legislation, communication, site logistics, and resident management and support.
Conclusion: The survey highlights lessons for sustaining high-performing leadership in future protracted health emergencies such as the importance of peer support, attention to work-life balance, sharing positive work outcomes, early, clear communication and collaboration, and the need for flexibility and adaptability
Development and Validation of A Questionnaire Assessing Challenges and Competencies of Crisis Leadership in The Public Healthcare System
No full textIntroduction: During the pandemic, crisis leadership is being tested in ways the world hasn’t seen in generations, and leading through it has become a severe challenge for leadership in public health organisation. Therefore, this study aims to develop and validate a self-administered questionnaire (Crisis Leadership Questionnaire, CLQ) to assess the challenges and competencies faced and needed in crisis leadership.
Methods: The questionnaire describes the general sociodemographic data of the participant, assesses challenges in the organisation in the categories of structural (4 domain), political (3 domain), and cultural (3 domain), and also on the nine (9) competencies needed in crisis leadership. Ten (10) sociodemographic data-related questions with 90 questions (53 on the challenges and 37 on competencies) were reviewed by two experts for face validity, and exploratory factor analysis was performed, using principal axis factoring with Promax rotation, to establish the construct validity of the questionnaire. The internal consistency of the questionnaire was tested using Cronbach’s α coefficient.
Results: The final CLQ contained ten (10) sociodemographic questions, thirty-three (33) items focus on challenges categorized into structural (3 domains), political (2 domains), and cultural (3 domains) aspects, and twenty-two (22) items assess five key competencies required for crisis leadership. The content validity index (CVI) value is 0.96 for the challenges construct and 1.0 for the competencies construct, respectively, while the internal consistency reliability analysis (Cronbach’s alpha = > 0.6) is for all the domains.
Conclusion: The developed questionnaire will help better understand the challenges and competencies of crisis leadership for current and future preparedness
Welcome to the Final Issue of the College’s Asia Pacific Journal of Health Management for 2024
No full textI want to take this opportunity to thank all the volunteers who support the Australasian College of Health Service Management. It is the work of dedicated volunteer College members, alongside our hardworking staff, which ensure we can continue to deliver the multitude of free and other programs that support the development of health managers and leaders, wherever our members are.
Without those willing to give of their time, we would not be able to offer such a volume and variety of support. To the Branch Councils, to the Committee members, to those who offer their time as a Mentor – we thank you
Factors Associated with Work Motivation For Hospital Nurses: A scoping review
No full textIntroduction: The performance and quality levels of care by the nursing service system depends on the motivation levels of nurses. The aim of this research is to map the factors related to the work motivation of nurses in hospitals.
Methods: The literature search was conducted using PubMed, Science Direct, ProQuest, Garuda Portal, and the National Library. Articles included in the search were primary cross-sectional, case-control, cohort, randomized control trials (RCT), and non-RCT studies.
Results: This review identified 12 studies that were eligible for inclusion. Five studies were conducted in Indonesia. All articles were cross-sectional. Based on the results of the research, it was indicated that there are intrinsic and extrinsic factors involved in motivation for nurses. Intrinsic factors identified were associated with potential development needs, reward, nature of work, intrinsic effort, experience, commitment, intrinsic motivation, interest in community nursing, interest in basic nursing, interest in gerontological nursing, careful nursing, age, recent education, achievement, recognition, responsibility, shared values. Extrinsic factors related to working environment conditions, living conditions, salary, supervision, benefits, coworkers, communication, extrinsic effort, having children, marital status.
Conclusion: Factors associated with the work motivation of nurses in hospitals can be grouped as intrinsic and extrinsic factors
Welcome to the first issue of the College’s Asia Pacific Journal of Health Management for 2024.
No full textThe College is going from strength to strength with membership increasing notably over the past few months and great attendance at College free webcast events as well as growing participation in other ACHSM professional development opportunities.
In March a very successful one day Conference was held in Auckland, New Zealand with many from Australia and nearby countries amongst the more than 250 who attended this event. Through attending that conference, we now have 58 new College members in New Zealand who can take advantage of the benefits of College membership like this Journal, free webcasts, local networking events and access to bespoke professional development for health leaders.
Our Fellowship Program for 2024 has commenced with 46 Associate Fellows applying themselves to our most prestigious capstone program. Further we have over 30 current enrolments to undertake Certification with those College members committing to maintaining their profession through the expectations of this credential. We also launched a Managing Digital Health micro credential that aligns fully with the digital health competencies in the ACHSM Master Health Service Management Competency Framework.
We are in the process of distributing digital badges to all membership levels and Certified Health Managers and Executives for use on media such as LinkedIn, CVs and email signatures. These badges provide and outline of what it means to be a Fellow, Certified Health Manager or Executive of ACHSM.
In this issue, as is the purpose of the Journal, there are learned articles on the importance of continuing to self-reflect on our leadership behaviours and workplace relationships. I take this opportunity of thanking Prof Mark Avery our Editor for his great work in maintaining a high quality of publication and ensuring relevancy to leaders in all sectors. I commend these to you and continue to wish you success in your ongoing leadership journey
Leaders, Followers and Depth of Connection
No full textLeading and leadership are fundamentally about relationships between a leader and those who want to follow to achieve directions through an influencing relationship [1]. Critical relationship issues involve trust, communication and mutual respect. In healthcare, how these issues are nurtured and managed enhances teamwork, quality, productivity and impact or success of organisation and systems.
A key aspect of the leadership process is for leaders and followers to engage effectively and constructively to achieve the articulated goals and objectives set out by the leader(s). Various leadership styles articulate the mechanisms and ways of leaders and followers connecting. An interesting way of looking at how a leader might relate to a team or group is to consider social identity theory......
Unveiling the Nexus: Elevating marketing strategies for enhancing satisfaction and loyalty in elderly health care services
No full textThe study aimed to examine whether there is an association of marketing mix, and perception with customer’s satisfaction, and loyalty among elderly people. A total of 400 participants were included in the study. The study population comprised individuals aged 65 years and above from Assam, India including both males and females. Participants were primarily selected from residential homes, old age homes, and various common gathering places such as parks, shops, Namghar (a holy place), and community halls. The study indicated a significant correlation between the dimensions of the marketing mix, perception, satisfaction, and loyalty. Moreover, the findings from the linear regression analysis, revealed customer satisfaction towards the marketing of healthcare services can be attributed to product, price, place, process, and physical evidence (7 P’s) and customer perception (R2=.54; .53 respectively). Additionally, customer loyalty towards the marketing of healthcare services is influenced by product and price (7P’s), and customer perception (R2=.54; .2 respectively). This study contributes to understanding the overlooked aspect of marketing to the elderly population, providing valuable insights for healthcare companies to develop improved marketing strategies. Hence, irrespective of the organization's size, type, or location, whether it's a startup or an established entity, privately owned or government-operated, local or global, the role of business managers is vital in making informed decisions and establishing strategic priorities to allocate resources efficiently in order to meet evolving customer demands and achieve business success. As a result, commercial enterprises need to develop tools, concepts, and strategies to effectively navigate the dynamic and unpredictable marketing landscape
Role of Social Determinants of Health in Reproductive Cancer Care Among Women: A cross-sectional survey from diverse demographic and regional settings in India: - SHAPE Health Conference In Hong Kong 8-9 July 2024
No full textAccess to reproductive cancer care in India is significantly affected by social determinants of health. Reproductive cancers, including cervical, ovarian, and uterine cancers, constitute a significant health challenge for women in India. This cross-sectional survey aims to comprehensively assess the landscape of reproductive cancer care among women in India, exploring access, awareness, and barriers to timely diagnosis and treatment. This study highlights challenges in delivering care for reproductive cancers among women in India. A cross-sectional survey design was adopted, involving a representative sample of women from four diverse geographical regions, urban and rural settings, and varying socioeconomic backgrounds. Structured interviews were conducted, and questionnaires were used to collect data on participants’ awareness of reproductive cancers, utilization of healthcare facilities, and experiences related to access to cancer care. The study adopted a convenient sampling approach and captured data from 509 women diagnosed with reproductive cancer. The collected data were analysed using the SPSS 25 version. Univariate, bivariate and multivariate analyses were performed. The survey identified one-fourth of the respondents as having ovarian cancer, and 23.4% were diagnosed with cervical cancer. One-third of the study respondents were diagnosed with breast cancer, and 18% had other reproductive system cancers. The survey also assesses the prevalence of risk factors contributing to the incidence of reproductive cancers. Socioeconomic status, education level, rural‒urban settings, and cultural beliefs influence the healthcare-seeking behavior of the study participants. Insufficient knowledge, the stigma of reproductive health problems, and a lack of family income frequently discourage women from obtaining timely medical treatment