Asia-Pacific Journal of Health Management (ACHSM)
Not a member yet
640 research outputs found
Sort by
Does Employment Status Associate with Physical and Mental Health Status? A Cross-Sectional Study on Working-age Population
No full textAim: The study aims to investigate the implication of employment status on individuals’ mental and physical health status in Bangladesh.
Method: Administering a semi-structured interview schedule, data were collected from 320 participants applying the multi-stage random sampling technique from the metropolitan area of Khulna city. An unpaired t-test was executed to observe the comparative scenario of mental health and socio-demographic conditions of different health-bearing classes. Also, logistic regression and the OLS model were executed to assess the association between employment status and physical and mental health status. BMI and Depression Anxiety Stress Scales 21 (DASS-21) were applied to measure the physical and mental health status, respectively.
Results: Results revealed that employed individuals were more exposed to physical and mental health disorders compared to unemployed individuals. The employed individuals were at higher risk of being unhealthy, and suffering from back pain and sickness than the unemployed individuals. Results suggested that the employed individuals were expected to get involved more in mental health risk behavior (0.766, p <0.01); however, they possessed a lower extent of anxiety (-0.532, p <0.05).
Recommendations:Insurance coverage, motivational programs, change in lifestyle and workplace environment development can be initiated from both employer and government levels for better health outcomes
Nutrition Information Post COVID-19: A twitter content analysis: - Global Conference on Emerging Technologies, Business, Sustainable Innovative Business Practices, And Social Well-Being
No full textRealizing social media's importance, many doctors, nutritionists, health coaches and general users have registered on social media and actively share health information. Users may easily access and exchange health information. It benefits both users and practitioners. Qualitative data analysis is employed to study Twitter communication content to understand better the relationship between users’ interest in healthy eating. The research examined Twitter nutrition health information using hashtags. The frequency of hashtags was ranked. The content analysis quantifies social media healthy diet hashtags. Theme modification and word and phrase recurrence analysis to identify two primary themes and significant sentiments relating to Covid-19 and nutrition. Python and NLP are used to analyze and interpret the data to help acquire in-depth information
Emergency Department Nurses’ Clinical Competence and Its Related Factors: A cross-sectional study
No full textObjectives: This study aimed to assess perceived clinical competence levels of emergency department nurses in Iran and to identify association with the demographic variables.
Methods: In this cross-sectional study, all 131 employed nurses from emergency departments of four educational hospitals were included in the study using a census method. Data collection tools included a demographic information form and the “Nurse Competence Scale”. Data were analyzed using descriptive and analytical statistics.
Results: The mean age of the nurses was 32.41± 6.35 years. 14 nurses were male and 117 nurses were female, the average work experience of the nurses was 8.48±5.98 years. The mean score of nurses' clinical competence score of the nurses was 68.68 ± 3.24 out of 100, which was a “good level”. Among the subscales of clinical competence, the highest mean score was related to “managing situation” and lowest to “ensuring quality”. There was no statistically significant difference of clinical competence by gender, age, and academic degree. However, the level of clinical competence differed significantly depending on work experience.
Conclusions: The emergency department nurses at Mazandaran University of Medical Sciences, Iran, reported a good level of clinical competence across all categories. Hospital managers’ awareness of the level clinical competence of emergency department nurses helps them design educational programs and effective training session to improve the quality of nursing services. Moreover, it is necessary to upgrade nursing education programs at all levels of nursing education in to improve graduating nurses’ clinical competences
Counseling Skill, Knowledge, And Self-Confidence of Adolescent Health Counselors Working In West Bengal, India
No full textIntroduction: The impact of counseling on adolescent health and well-being has been well documented. The task-shifting in India’s Adolescent health program, from medical to non-medical cadres, necessitates understanding and capacity building of workers’ knowledge and skills.
Objective: To assess distribution and determinants of self-rated knowledge, skill and confidence of counseling among adolescent counselors and to explore the demand for learning new skills.
Methods: This was an observational study of cross-sectional design on adolescent counselors working under the National adolescent health program. Participants completed a self-administered electronic survey form, where they self-rated their knowledge, counseling skill and confidence on a six-point Likert scale. Mean ratings were dichotomized into high (≥4) or low (<4). Nominal regression analysis was performed to identify predictors of high rating. Counselors were also asked to identify areas where they require additional training.
Results: The mean age of counselors was 36.22 years (SD 6.08) and mean service duration was 7.37 years (SD 4.51); 80.2% had completed refresher training. Post-graduation level of education has been achieved by 87.2% of counselors and 86% gave high rating for all domains. High rating was associated with the participant’s mother tongue, place of service and education level by univariate analysis but on nominal regression, it was associated with education level only. The need for additional training was expressed by 67.4% of participants, among which the most common was mental health.
Conclusion: The rating of knowledge, counseling skill and confidence was high. Recruiting qualified counselors and clearly defined procedures appears to help in smooth task shifting
The Effect of Leader-Member Exchange On Job Crafting in Nursing: The mediating role of psychological safety
No full textBackground: Nurses are expected to make prompt and accurate decisions, have high crisis management skills, and exhibit proactive behaviors due to the nature of their service. Nevertheless, this situation is thought to be affected by the directors' approach and the working environment's structure. Therefore, this study aims to determine the mediating role of psychological safety in the effect of leader-member exchange on job crafting.
Methods: This study is a descriptive cross-sectional study. The study was conducted with 782 nurses in Istanbul, Turkey. Structural equation modeling was used in the study. AMOS software was used for model analysis, and SPSS software was used for descriptive statistics and correlation analysis.
Results: The results indicate that the effects of leader-member exchange on job crafting (β = .541, p < .05) and psychological safety (β = .430, p < .05) are statistically significant. Moreover, the effect of psychological safety on job crafting is statistically significant (β = .453, p < .05). Based on the path analysis, it was determined that psychological safety has a mediating role in the relationship between leader-member exchange and job crafting (Confidence Interval; LB=0.059, UB=0.172).
Conclusion: This study revealed that psychological safety is a mechanism that contributes to the explanation of the relationship between leader-member exchange and job crafting. The findings will create ideas for directors to provide a healthier working environment. This situation is predicted to bring more positive results for employees and patients.
The Effect of Psychological Empowerment on Job Satisfaction: Regulatory role of generations X and Y
No full textThe objective of this study is to determine the moderator role of generation gap in the effect of psychological empowerment perception on job satisfaction. The population (N: 200) and sample (n=136) of the study consists of health professionals working in the Karaman Provincial Health Directorate, Türkiye. In the research data were collected with a questionnaire technique and the hypotheses were tested through the SPSS Macro Process program. The significance of the regulatory role (statistically) was calculated by the bootstrap test. As a result of the analyzes made, it was found that the moderator effect of psychological empowerment perception on job satisfaction differed between the X and Y generations.
While the effect of the psychological empowerment perceptions of the X Generation employees on job satisfaction did not show a statistically significant difference, this effect was found to be statistically significant in the Y Generation employees. It has been found that generations have a moderator effect on the effect of psychological empowerment perceptions of health workers on job satisfaction (X and Y)
A Survey of the Side Effects of Pfizer/BioNTech COVID-19 Vaccine among Vaccinated Adults in Iraq
No full textBackground: Pfizer-BioNTech vaccine was one of the first vaccines developed for COVID-19 to be used in Iraq. While the benefits of the vaccine outweigh the risks, potential side effects remain major concerns for people and can increase vaccine hesitancy despite usually being short-lasting and mild. This study aimed to evaluate the side effects of Pfizer-BioNTech vaccination among vaccinated adults in Erbil city, Iraq.
Methods: A cross-sectional study was carried out with a convenience sample of 401 subjects who received the Pfizer vaccine in nine public healthcare centres in Erbil, Iraq, on February 20th, 2022, and April 17th 2022. Data was collected through interviews with the patients using a questionnaire designed by the researchers; a p-value ≤ 0.05 was considered statistically significant.
Results: The prevalence of side effects was 84.4%. Among participants who experienced side effects, the most common was pain at the injection site (93.1% for the first dose and 88% for the second dose). For the first dose, the onset of side effects on the vaccination day (day zero) was reported by 78.9% of those experiencing side effects, and the duration was one day for 45.4% of participants. Severity was rated as mild by 54.3%, and similar results were found for the second dose. Analgesics were used following the first dose by 47% of participants, which resulted in good relief for 96.6% of patients using them, and similar results were found for the second dose.
Conclusions: Most participants who received the Pfizer-BioNTech vaccine experienced side effects, the most common of which was pain at the injection site, which was reported for both the first and second doses
The Analysis of Maternal Characteristics and Regulation of Antenatal Care on Pregnancy Risk Status Based on The Independent Family Health Evaluation (IFHE)
No full textBackground: High-risk pregnancy is a serious problem and needs to be detected early. Pregnant women with risk categories have a direct impact on the fetus. This study aimed to analyze maternal characteristics and the consistency of antenatal care visits in relation to the pregnancy risk status of pregnant women using the Independent Family Health Evaluation (IFHE)
Methods: This study used a cross-sectional study with a correlational design. The sample was the third-trimester pregnant women who have a maternal and child health record booklet, with a total sample of 128 respondents. The instrument used was a questionnaire adopted from the identification of family health in the IFHE application system. Data analysis was carried out using multiple logistics regression.
Results: The results showed that age (p = 0.004), height (p = 0.027), number of pregnancies (p = 0.0001), history of pregnancy (p = 0.0001), history of childbirth (p = 0.001), having children under 2 years of age (p = 0.001), pregnancy complications (p = 0.0001), and history of regular antenatal care (p = 0.0001) had a significant effect on pregnancy risk status. While history of tetanus toxoid immunization showed no relationship with pregnancy risk (p = 0.332). The final modelling of multiple logistic regression showed that the influential variables were age, the number of pregnancies and consistency of antenatal care. The number of pregnancies was the variable that had the strongest influence on pregnancy risk status (OR= 40.192).
Conclusion: This research contributes valuable insights into the factors influencing pregnancy risk, providing a foundation for more effective antenatal care and ultimately better health for expectant mothers and their infants. Healthcare providers can use this information to identify pregnant women at higher risk and implement targeted interventions, thereby improving maternal and fetal outcomes
An Education Framework in a Health Organisation; Governance and Implementation
No full textObjective: To describe the development, implementation and governance of a structured education framework in a large Local Health District (LHD) in New South Wales, Australia.
Outcomes: The Education Framework was developed to provide structure and governance to pre-existing education, and to meet the needs of both the individual and the organisation. The Framework provided guidance to educators on how to assess need, design and evaluate education to ensure alignment to organisational strategy.
Conclusions; The LHD Education Framework supports a governance approach for education and assists educators, staff and managers to understand and navigate the LHD Education Environment. It supports staff to develop a road map for education that can be applied across the organisation or to individuals. It guides the development, structure and evaluation of all educational programs and activities (including Medicine, Nursing and Midwifery, Allied Health and Corporate) enabling those providing education to demonstrate alignment to organisational priorities. Within the “Excellence” Evidence Based Leadership Model, education is a key accelerator in aligning processes and for driving organisational performance
The Association Between Work-life Balance and Employee Mental Health: A systemic review
No full textThe existence of an association between work-life balance and mental health in employees has not been found. The purpose of the systematic review is to assess the relationship between work-life balance and mental health among employees. This study used the SLR method; a literature search was conducted on the PubMed, Scopus, Google Scholar, and Crossref databases in early January 2023. The results showed n = 79 on Scopus, n = 2 on PubMed, n = 147 on Google Scholar, and n = 4000 on Crossref. After PRISMA analysis, n = 30 studies were included in the review. Number of reviews Positive correlation between work-life balance and positive mental health (n = 19); positive correlation between work-life balance and positive mental health (n = 7); positive correlation between work-life imbalance and positive mental health (n = 4). Countries where research was conducted: Malaysia, South Korea, India, Indonesia, Pakistan, Spanish, Nigeria, Ghana, Australia, New Zealand Maori, China, UK, Chinese, New Zealand European, French, Italian, Brazil, Canada, Taiwan, Egyptian, Saudi, Switzerland, and America. Positive mental health variations that have a positive relationship with work-life balance are psychological well-being, resilience, life satisfaction, well-being, positive mental health, higher job satisfaction, lower turnover intention, psychological well-being, well-being, job performance, and work involvement. There are a variety of workers: priests, public servants, lecturers, campus administrative staff, bankers, high school teachers, academics, media workers, midwives, and professors. Depression, anxiety, mental burden, work stress, the severity of insomnia, burnout, turnover intention, and technostress are all variations of mental health problems that have a positive relationship with work-life balance. Worker variations include bankers, health care professionals, work-from-home moms, working students, bus transportation workers, and full-time insurance tech employees