Bachchu K A I L A S H Kaini | Anglia Ruskin University (original) (raw)

Papers by Bachchu K A I L A S H Kaini

Global Journal of Medical Research, 2024

Adverse events are still one of the major issues for healthcare organisations even though many in... more Adverse events are still one of the major issues for healthcare organisations even though many initiatives have been launched in the past for patient safety. There are many reasons of patient safety incidents and avoidable harms to service users, such as human factors, medical factors, system wide problems, lack of technology, poor communication and teamwork. By developing and implementing proper system, effective teamwork, good communication channels and means, standardised procedural documents, patient safety training and education programme, healthcare professionals and institutions can deliver safe patient care and improve the quality of healthcare.

The Rising Nepal, 2024

While Nepal has made significant strides in improving health indicators in recent decades, numero... more While Nepal has made significant strides in improving health indicators in recent decades, numerous inefficiencies continue to hinder optimal healthcare delivery. The government is under tremendous pressure to use its scarce resources wisely and sensibly. Every year, there are more demands to increase the budget in healthcare by the three tiers of government-federal, provincial, and local. In this context, ensuring efficient and effective healthcare delivery is a top priority for politicians, policymakers, and healthcare managers. The uneven distribution of medical personnel, with a concentration in urban areas, widens the gap in access to specialised care for rural populations. Additionally, inadequate training opportunities and limited career progression options lead to brain drain, further strain the healthcare system, and create pressure for more investment.

Journal of Vaccines, medicine and Health Care, 2024

In today's dynamic healthcare landscape, achieving a delicate balance between efficiency, product... more In today's dynamic healthcare landscape, achieving a delicate balance between efficiency, productivity and maintaining quality of care is crucial for healthcare organisations striving to deliver optimal outcomes to patients while managing costs effectively. This research explores the intricacies of balancing efficiency, productivity and quality of care in a healthcare setting, providing a good example and drawing from credible sources to elucidate strategies for achieving this equilibrium. This study examines the effectiveness of a programme called 'Efficiency Saving, Cost Improvement and Productivity (ESCIP)', which was implemented in a tertiary care specialised hospital in Nepal. This study was carried out by using case study research method. The ESCIP Programme was divided into three phases (planning, intervention and assessment) and all these phases are evaluated and discussed in this paper. The best practices, lesson learnt and challenges are shared.

IntroductionHealth care is a multifaceted activity which requires health care professionals to wo... more IntroductionHealth care is a multifaceted activity which requires health care professionals to work together for the patient or service users in a collaborative way to deliver the desired outcome. Hospitals are complex organisations humming with activities of heterogeneous groups of people such as doctors, nurses, paramedical and administrative staff, all working with a common goal of providing health care to service users (Kaini 2005, p.1). Health care professionals work together in a collaborative manner in various forms. It involves complex interactions between two or more members of different professional disciplines (Reel and Hutchings, 2007, pp.137). In a basic form, health care professionals consult their patients or service users and, each other as required, about the services needed by their service users. In more complex form of care, health care professionals work more closely, identifying together with service users what care services are required, who provides them and ...

Interprofessional working is an essential part of a health service delivery system. Effective del... more Interprofessional working is an essential part of a health service delivery system. Effective delivery of health services relies on the contribution of health care professionals with different types of expertise. Interprofessional working occurs in all parts of the health system, but it occurs in different ways depending upon the organisational circumstances and the needs of service users. The aim of the study is to examine how health care professionals collaborate and to assess their perceptions of interprofessional working on health care delivery. This study discusses different sides of professional power, identity and autonomy between medical, nursing and allied health professionals. A power perspective of the theory of professions is followed in order to analyse different perceptions of professionals involved in this study. A qualitative research case study was used in this study. The fieldwork was conducted in three hospitals in Nepal by using a semi-structured interview schedu...

Nepal Development Forum, 2020

Paper presented at Nepal Development Conference organised by Embassy of Nepal, London on 7th Nove... more Paper presented at Nepal Development Conference organised by Embassy of Nepal, London on 7th November 2020.

Professional Power in Health Care, 2020

Health care professionals exercise professional power which is set by their training, education, ... more Health care professionals exercise professional power which is set by their training, education, skills, regulation etc. 'Professions' are seen as a source of power (by the use of knowledge, skills and expertise) in professional power perspectives of theory of professions, which is mainly focuses on control over professions, dominance, autonomy and professional relationships. In this perspective, health care professionals gain such professional power from knowledge, training, education and form their interprofessional team and organisations, and professional power has a great influence in determining professional behaviour and dominance. As a result of advancement in therapeutic technologies, emergence of new specialities in health care and managerial control, power dynamics between health care professionals are changing. Relative power between health care professionals is evident and health care professionals complement to each other for flawless health services and learning from each other. Abstract-Health care professionals exercise professional power which is set by their training, education, skills, regulation etc. 'Professions' are seen as a source of power (by the use of knowledge, skills and expertise) in professional power perspectives of theory of professions, which is mainly focuses on control over professions, dominance, autonomy and professional relationships. In this perspective, health care professionals gain such professional power from knowledge, training, education and form their interprofessional team and organisations, and professional power has a great influence in determining professional behaviour and dominance. As a result of advancement in therapeutic technologies, emergence of new specialities in health care and managerial control, power dynamics between health care professionals are changing. Relative power between health care professionals is evident and health care professionals complement to each other for flawless health services and learning from each other.

Clinical Governance for Improving Quality of Healthcare

Introduction- Health care is a multifaceted activity which requires health care professionals to... more Introduction-
Health care is a multifaceted activity which requires health care professionals to work together for the patient or service users in a collaborative way to deliver the desired outcome. Hospitals are complex organisations humming with activities of heterogeneous groups
of people such as doctors, nurses, paramedical and administrative staff, all working with a common goal of providing health care to service users (Kaini 2005, p.1). Health care professionals work together in a collaborative manner in various forms. It involves complex interactions between two or more members of different professional disciplines (Reel and Hutchings, 2007, pp.137). In a basic form, health care professionals consult their patients or service users and, each other as required, about the services needed by their service users. In more complex form of care, health care professionals work more closely, identifying together with service users what care services are required, who provides them and what adjustments need to be made to the health care plan and management. WHO (2010) asserts that ‘it is no longer enough for health workers to be professional, in the current global climate, health workers also need to be interprofessional (WHO, 2010, pp.36).

Interprofessional care is joint working between health care professionals by pooling their skills... more Interprofessional care is joint working between health care professionals by pooling their skills, knowledge and expertise, to make joint decisions and learn from each other for the benefits of service users and healthcare professionals. Service users involvement is considered as one of the important aspects of planning, management and decision making process in the delivery of health care to service users. Service users’ involvement is not the same as public involvement and partnership arrangements in health care. The active involvement and engagement of service users in health care positively contributes to improve quality of care, to promote better health and to shape the future of health services. Service users are always at the centre of health care professionals’ values, work ethics and roles. Moreover, service users centred interprofessional team collaboration is very important to deliver effective health services.

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