Asia-Pacific Journal of Health Management (ACHSM)
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Welcome to the Inaugural Issue For Our New Chief Editor
No full textWelcome to the inaugural issue of the College’s flagship journal with our new Editor-in-Chief, Dr Mark Avery. On behalf of all members, contributors and readers we wish him and the editorial team all the best.
Firstly, I would like to thank all members and all those health professionals across our regions for your dedicated service, commitment and support of the community in the past two years during the COVID-19 Pandemic. In Australia we have also seen natural disasters add to workloads and from time to time it really is important to take a moment to acknowledge the fantastic job being done managing through these crises. Thank you.
We now have some wonderful analysis from the vast number of College members who have completed the self-assessment against the ACHSM Master Health Service Competency Framework. This report was generated in October last year with 864 overall completions, 732 of those from Australia. Thanks to The Screening Lab who provide the platform for this self-assessment survey and have generated this report from your feedback....
Shield or Sword? Moral Distress in Aged Care Employees Related to Regulation and Compliance
No full textThis paper reports on one finding of a qualitative study using interpretive phenomenological analysis (IPA) in a mixed-methods study examining the relationship between leadership style and job satisfaction in Australian aged care employees. The qualitative data suggest that aged care employees are experiencing moral distress relating to the regulatory environment that governs the aged care sector and the compliance processes adopted by regulators and accreditors.
One of the reasons for the design and operationalisation of the regulatory environment is to protect vulnerable consumers, the public and the workforce. However, the findings of this research are that it is this environment that also causes damage to the aged care workforce. The question is whether compliance requirements and the regulatory scheme are a shield or sword. The causes of the moral distress were different for leaders and raters. This paper reports on this finding. Moral distress is one of three undesirable outcomes identified in the study and labelled as Workplace Maladies.
Moral distress due to regulatory systems and processes experienced by leaders appears to be caused by different factors than the moral distress experienced by raters. Leaders experienced moral distress because of the system and methods of regulatory and standards compliance. In contrast, their followership experienced other regulatory processes such as the scope of practice for health professionals and the requirement to supervise and accept responsibility for unregulated workers who do not have a scope of practice. Unregulated workers reported that the absence of scope of practice is a cause of moral distress.
Recommendations are made for changes to the system and processes of compliance assessment and action and for developing a scope of practice for unregulated workers to reduce the moral distress experienced by aged care employees and thus reduce workforce turnover in an already scarce workforce
Effect of Leadership Style on Employee Performance in Health Care Industry in India: ---7th International Conference on Embracing Change & Transformation Innovation and Creativity
No full textLeadership is a vital component in increasing employee performance in business. Under leadership, personnel are led, inspired, assigned, and assisted in carrying out tasks efficiently. The present study aimed at examining the function and influence of leadership style on employee performance in the health care business in India.
The researchers employed a questionnaire to collect primary data using a simple random sampling approach to fulfill the study objectives. The data demonstrated that transactional leadership, transformational leadership, and delegating leadership styles had a substantial influence on the employee performance in the health care business at (β= 0.42 p<0.005, β= 0.36 p<0.005, β= 0.38, p<0.005) accepting the hypothesis H1 (The effect of transformational leadership is positive on employee performance in health care institutions.), H2 (The effect of transactional leadership is positive on employee performance), and H5 (The effect of delegating leadership is positive on employee performance).
*(The paper presented at the 7th International Conference on Embracing Change & Transformation Innovation and Creativity 26-28 May 2022
Career Satisfaction among Physicians, Dentists and Pharmacists: A study from Jordan
No full textObjective: Career satisfaction experienced by healthcare professionals has an impact on the quality of health care. This study aims to evaluate career satisfaction perceived by physicians, dentists and pharmacists working in Jordan.
Design: The study utilized an online questionnaire distributed among a sample of pharmacists, dentists and physicians working in Jordan. The questionnaire addressed career satisfaction as well as satisfaction regarding family and workplace aspects, relations with patients, colleagues, and society.
Setting: Healthcare institutions in Jordan.
Main outcome measures: Physicians, dentists and pharmacists were surveyed for factors influencing their career satisfaction.
Results: A total of 294 healthcare personnel participated in this study with a mean age of 37.65±11.7 years (range= 23-68 years). Participants included 46 (15.6%) pharmacists, 128 (43.5%) physicians and 120 (40.8%) dentists with a female majority (76.9%). Only 165 (56.1%) expressed career satisfaction. Marriage, having children, a high monthly income, and house ownership were associated with a significantly higher career satisfaction (≤0.050). Moreover, professionals working in academic or non-governmental organizations had a significantly higher career satisfaction (P=0.001). Most practitioners were not satisfied with a work- family relation (51.8%), however, they were mostly satisfied with relationships with colleagues (65.9%), and perceived they received appreciation from patients and society (60.5%).
Conclusions: Social and financial stability are associated with career satisfaction among healthcare professionals working in Jordan. Further, participants are generally satisfied with relationships with colleagues, supporting staff and patients. They are also satisfied with respect and appreciation offered from society. More attention is warranted for assessment of challenges and problems faced by practitioners in the private sector, particularly economic aspects to improve career satisfaction and mitigate turnover intention
What ‘Sparks’ Innovation in Rural Health Settings: A case study
No full textObjective: To determine how innovation occurs and identify the factors that support innovation in a rural hospital in New South Wales, Australia.
Design: Situated within a larger case study, this research collected qualitative data using semi-structured interviews.
Setting: Inner regional hospital, located in a city, providing a broad range of acute and primary health services to a rural community.
Participants: Hospital executives, department managers, consultant and staff specialist surgeons, physicians, nursing, nursing managers and allied health staff were recruited after a phone, personal or email approach.
Main Outcome measure: Qualitative interviews (n=25) conducted in a rural hospital.
Results: Fourteen innovations were identified. Factors supporting innovation were when individuals who were valued by team members had the ability to make within team innovations with ease; clinicians with ideas for improvement led innovation; external agencies- the Clinical Excellence Commission and the Agency for Clinical Innovation provided expertise, ideas, and motivation for innovation. Limiting factors included time for innovation, creative thinking, planning, and implementation. Funding, the bureaucracy and multiple points of consultation to make changes were also identified.
Conclusions: Innovation occurred despite the absence of factors theory suggests are required. In rural settings, there are limited staff and resources leading to scarcity with no additional capacity in the system and innovation is a necessity. Further innovation could be unleashed if small amounts of resourcing and time were provided to staff with innovative ideas to improve services, change processes or introduce new ways of working
Evaluation of Service-Oriented Nursing Supervisor Strategy Based on Data Envelopment Analysis (DEA)
No full textBackground: This study introduced a service-oriented nursing supervisor strategy to increase the performance efficiency of different hospital wards. The efficiency of this strategy in 12 wards under the supervision of 12 supervisors was evaluated using Data Envelopment Analysis (DEA).
Materials and Methods: The efficiency of the service-oriented nursing supervisor strategy was evaluated using DEA. This study aims to evaluate the relative efficiency of hospital wards before and after implementing the service-oriented nursing supervisor strategy at Milad hospital. Data were evaluated using two basic models of data envelopment analysis technique, i.e., CCR and BCC output-oriented methods. Then, the relative performance efficiencies of 12 wards in 2 periods, including the first half of 2020 (before service-oriented nursing supervisor strategy) and the second half of 2020 (after service-oriented nursing supervisor strategy) were analyzed. Finally, efficient wards were ranked using the Anderson-Peterson method based on the results.
Results: According to the CCR output-oriented method, after implementing service-oriented nursing supervisor strategy, Urology, Gastroenterology, and Neurosurgery wards, as well as ENT, had the highest and lowest efficiency rates, respectively. Based on the BCC output-oriented method, Urology, Renal Transplant, Neurosurgery, and Gynecology wards had the highest efficiency in performance, while ENT had the lowest efficiency.
Conclusion: In conclusion, the findings of this study offer a service-oriented nursing supervisor strategy that improves the efficiency of different wards of the hospital
The Importance of Environmental Sustainability for Healthy Ageing and The Incorporation of Systems Thinking in Education for A Sustainable Environment
No full textEnvironmental sustainability is important to public health and of particular significance considering the rapidly growing ageing population. While advancement in chemical science has contributed to enhanced quality of life, increasing levels of chemical pollutions and the impact of chemicals on human health and the environment have led to serious concern. The deterioration of environmental quality has been largely due to chemical pollution and the elderly group are being more susceptible to the hazardous effects of industrial chemicals and airborne pollutants. It has also presented uphill challenges to the promotion of healthy ageing which requires a sustainable clean environment, contributed by the advancement of sustainable and green chemistry. However, innovations in green chemistry require a systems thinking mindset which is also important in realizing the impact of chemicals on human health and the environment. The adoption of the Sustainable Development Goals (SDGs) by the United Nations has called for immediate actions in adopting the SDGs as a central concern in the reform of different domains for the invention of a sustainable future. The practice of chemistry has various impacts on many interconnected systems, re-orientation of chemistry education has been proposed with the implementation of inter-disciplinary approaches as informed by systems thinking, with a growing number of reports suggesting its potentials and applications in chemical education. Despite the vast opinions suggesting the promising prospects of applying systems thinking in education, reports on the development of relevant tools and educational resources are only of a limited amount, with recent perspectives identifying the design of educational tools and resources as one of the priority areas. In this study, we report the collaborative work across the disciplines of health and chemical sciences in the pedagogic design of incorporating systems thinking in chemistry education adopting the theoretical framework. The design of a system-oriented concept map extension (SOCME) diagram is described, with reference to a case study of chemicals released from the degradation of plastics. The work presented illustrates the potential of systems thinking in sustainable education and adds to the collections of educational resources for incorporation of systems thinking in teaching and learning
An Overview of Job Satisfaction of Emergency Healthcare Providers In Northern Cyprus: Job Satisfaction Health-Workers in North Cyprus
No full textIntroduction: Emergency calls are a challenging triangle that requires quick assessment, immediate action, and correct decision-making. The appropriate work environment and conditions of emergency healthcare workers result in this triangle's flawless functioning. This study aims to evaluate and overview the job satisfaction of the personnel working in emergency healthcare in Northern Cyprus.
Methods: This descriptive study was conducted to evaluate the job satisfaction of the personnel working in emergency healthcare in Northern Cyprus. This research involved nurses, paramedics, and EMTs, who intervene in an emergency call. The participants' job satisfaction was evaluated by the scale developed by Güneri (2011). The scale score range was 47-235. A high score was considered as increased job satisfaction.
Results: 132 personnel who work in emergency healthcare in Northern Cyprus participated in this study. 31.82% were aged between 36 and 49 years, 81.6 % were women, and 42.42% were undergraduates. 31.6% had worked for more than ten years. 39.39% (52) declared that they had occupational disease/accidents. 43.18% said they had received training more than two years ago. The participants' mean job satisfaction score was moderate (143.59 ± 26.86). Job satisfaction was higher in emergency call center personnel, high school graduates, and head nurses, working 40-50 hours a week, with seniority 1-4 years, and had integration training (p<0.05).
Conclusion: Emergency healthcare personnel in Northern Cyprus are primarily nurses. Most of them have not received updated training recently. Studies in which most participants are paramedics will reflect the current situation more objectively. Therefore, structuring emergency health services as a separate unit within the Ministry of Health and the necessary regulations can increase job satisfaction even more
Effect of Patients’ Attitude on their Satisfaction and Switching Intention in Generic Medicine Industry: An Empirical Analysis in India: ---7th International Conference on Embracing Change & Transformation Innovation and Creativity
No full textPeople are now more health-conscious to live safe and hazard-free lives in modern society. If people are affected by any disease, choosing doctor services and medicines involves many complex decisions. Generic drugs seem to be a significant and well-known source of competition for labelled drugs, but they can likewise be a major idea for lowering costs in the pharmaceutical industry. This might result in savings for either the government or the patients. Given this perspective, it is critical to understand a patient's preferences amongst both drug kinds (brand and generics) as well as to discover what are the attitudes of patients on those and whether this impacts the actual behaviour and purchases in future because of their satisfaction levels. In this context, this paper is an early effort to investigate patients' attitudes and their effect on their level of satisfaction and switching intention in the pharmaceutical industry (i.e., generic and brand choices).
Responses were collected from 537 patients residing in different cities of Odisha state of India by survey method and analysis. In line with the study's results, patient satisfaction and switching intentions were positively affected by their attitude. In addition to patient pleasure, introducing generic drugs creates competition, which is necessary for originator businesses to innovate. Because of their lower costs and the competition, they foster, generic medications contribute to constructing a more sustainable healthcare system.
*(The paper presented at the 7th International Conference on Embracing Change & Transformation Innovation and Creativity 26-28 May 2022
Evaluation of Research Capacity in A State Health District
No full textObjective: To describe the perceived research capacity and support at the individual, department and organisation levels among clinicians in a state funded health district in Sydney, Australia.
Methods: We asked allied health, medical, nursing, management and administrative staff across Nepean Blue Mountains Local Health District to fill in the Research Capacity in Context survey online. The survey includes questions about individual skills and capacity regarding research, available support and encouragement for research from the department and organisation, and motivators and barriers to involvement in research. Descriptive analyses (means and proportions) were reported separately for each staff category.
Results: Four hundred and thirty-nine people responded, approximately 7% of total staff, of whom around 80% were clinicians. Response rate was highest from allied health clinicians (approx. 26%), rates were 4-6% for the other staff categories. Participants rated their individual research capacity as poor to good for most aspects, medical staff rated themselves higher than allied health and nursing. Respondents identified the lack of quarantined time and necessity to prioritise clinical duties as the key barriers to engaging with research. The most identified motivators were desire to improve services and outcomes for patients and resolving clinical problems.
Conclusions: Clinicians in the public health service are motivated to engage with research to improve services for their patients but they lack the time and support. If health services wish to encourage research activity among clinicians they need to free up time from delivering clinical care and provide access to training and operational support