Public Art Hospitals Research Papers (original) (raw)

To investigate the incidence of pain following discharge from reproductive day surgery. Cross-sectional descriptive study. A public hospital for women in Melbourne. 315 women participated in phone interviews and 10 in face-to-face... more

To investigate the incidence of pain following discharge from reproductive day surgery. Cross-sectional descriptive study. A public hospital for women in Melbourne. 315 women participated in phone interviews and 10 in face-to-face interviews. Self-reports of pain were assessed in relation to age, English and non-English speaking background, prior experience of day surgery, type of surgery, time in recovery, information provision prior to surgery, and access to significant others at home. Older women were less likely to report having pain immediately following discharge (regression coefficient = -0.72, 95% CI, 0.58 to 0.88, p < or = 0.01), or within 48 hours following discharge (regression coefficient = - 0.71, 95% CI, 0.57 to 0.88, p < or = 0.05). Women with a prior experience of day surgery were 1.9 times more likely to be in pain within 48 hours following surgery (regression co-efficient 1.88, 95% CI, 1.134 to 3.10, p < or = 0.05). Women who understood information were le...

In the UK, hospitals are being encouraged to introduce booked admissions policies for elective inpatient services whereby patients are given a date for hospital admission months in advance rather than being put on a waiting list and then... more

In the UK, hospitals are being encouraged to introduce booked admissions policies for elective inpatient services whereby patients are given a date for hospital admission months in advance rather than being put on a waiting list and then informed of their admission date at short notice. We address the question of what level of capacity is required to operate such a system if cancellations of booked elective patients are to be kept to a low level. Methods are presented for quantifying the day to day variation in bed demand due to emergency admissions, patient initiated cancellations and variable lengths of stay amongst patients.

This study sought to explore the job satisfaction level of migrant nurses working in a multicultural society and, more specifically, the relationship between their job satisfaction levels, work environment, their intentions to leave and... more

This study sought to explore the job satisfaction level of migrant nurses working in a multicultural society and, more specifically, the relationship between their job satisfaction levels, work environment, their intentions to leave and the predictors of their intentions to leave. Nursing shortages have led to the increasing trend of employing migrant nurses, which necessitated studies examining nurses' migration. A cross-sectional, correlational design using a stratified random sample was conducted on 495 migrant nurses working in a tertiary public-funded hospital in Singapore. The results showed that migrant nurses were satisfied with their jobs; with job satisfaction negatively correlated with work environment. Interestingly, pre-existing groups of Chinese migrant nurses did not help newly arrived Chinese migrant nurses to assimilate better. Predictors of migrant nurses' intentions to leave included having supportive nurse managers and nursing practice environment. The pr...

Objective To identify the etiology and current clinical characteristics of male urethral stricture disease (USD) in Senegal. Patients and methods A retrospective and mono-centric study over a 10-year period (between January 1999 and... more

Objective To identify the etiology and current clinical characteristics of male urethral stricture disease (USD) in Senegal. Patients and methods A retrospective and mono-centric study over a 10-year period (between January 1999 and December 2008) was carried out and included all male patients with USD admitted to the Urology Department of Aristide Le-Dantec Hospital (Dakar). Results We recorded 414 USD cases. The maximum annual incidence was observed in 2004, and from then, the incidence tended to decrease gradually. The mean age of patients was 43.7 ± 19.6 years (1–89 years), and 43% of patients were younger than 40 years old. The mean time from symptoms onset to the consultation was 20.1 ± 24.9 months (1–120 months). Most patients (42.2%) were admitted because they suffered dysuria. In 57.8% of patients, USD was diagnosed with complications. The most common site of stricture was at the bulbar urethra (72.7%). The length of the urethral stricture was smaller than 1 cm in 59.6% of patients, between 1 and 3 cm in 28.5% and between 3 and 5 cm in 7.7%. The stricture was longer than 5 cm in eight patients and was staged (multifocal) in nine patients. The etiology of urethral stricture was infectious in 63% of patients, traumatic in 13.7% and iatrogenic in 8.2%. The etiology was not identified in 14.9% of cases. The infectious etiology was urethritis in 259 cases and urogenital schistosomiasis in 12 cases. A study of the etiology according to stricture site showed that bulbar USD was infectious in 77.7% of cases and that all membranous USD cases were traumatic. Conclusion Male urethral stricture in Senegal is often a sequela of gonococcal urethritis and is frequently detected because of infectious complications such as gangrene of the genitalia or urinary tract infections. Its prevention in this geographical region thus requires fighting against sexually transmitted infections and treating appropriately and effectively all urethritis.

By nature, hospitals are extremely complex organizations, combining many different professional groups within an intricate administrative structure. Conflicts therefore expectedly arise between individuals, groups, and departments. It is... more

By nature, hospitals are extremely complex organizations, combining many different professional groups within an intricate administrative structure. Conflicts therefore expectedly arise between individuals, groups, and departments. It is in the interest of health care administrators to periodically assess the major factors giving rise to these conflicts. In this study, a questionnaire designed to measure sources of conflict in the workplace was completed by 204 staff members at Gazi University Hospital. Of the participants, 30.9% were physicians, and 12.5% were administrators at various levels; 61.5% were female, and 38.5% were male. In terms of work experience, 52.6% of participants had worked less than 5 years at the hospital. The results of the study show that educational differences among the hospital staff were a major barrier to good communication and information flow between groups. Professionals in the same specialties experienced fewer conflicts. Another source of conflict was that resource allocation was considered unfair across departments. Although the hospital management provided an ombudsman for staff concerns, staff rarely resorted to the ombudsman because of the stigma associated with complaining. A lack of opportunity for career advancement was mentioned by 52% of the participants as a source of conflict. At present, job performance and rewards are not closely related in public university hospitals in Turkey because promotions and pay raises are strictly limited by law. Bureaucracy was also perceived to be a source of conflict, with 48.4% of participants saying that their performance was less than optimal because of the presence of multiple supervisors. This pilot study suggests that in Turkey, legislative reform is needed to give public university hospitals more flexibility regarding work incentives, open-door policies at the administrative level, and social interactions to improve teamwork among hospital staff.

The antimalarial drug piperaquine is associated with delayed ventricular depolarization, causing prolonged QT interval (time taken for ventricular de-polarisation and re-polarisation). There is a lack of safety data regarding... more

The antimalarial drug piperaquine is associated with delayed ventricular depolarization, causing prolonged QT interval (time taken for ventricular de-polarisation and re-polarisation). There is a lack of safety data regarding dihydroartemisinin/piperaquine (DHA/PPQ) for the treatment of uncomplicated malaria, which has limited its use. We created a platform where electrocardiograms (ECG) were performed in public hospitals for the safety assessment of DHA/PPQ, at baseline before the use of dihydroartemisinin/piperaquine (Eurartesim®), and on day 3 (before and after administration of the final dose) and day 7 post-administration. Laboratory analyses included haematology and clinical chemistry. The main objective of the ECG assessment in this study was to evaluate the effect of administration of DHA/PPQ on QTc intervals and the association of QTc intervals with changes in blood biochemistry, full and differential blood count over time after the DHA/PPQ administration. A total of 1315 p...

Validation of the Questionnaire of Emotional Maladjustment and Adaptive Resources in Infertility (DERA). Given the absence of measures to help psychologists working with infertile couples, this paper presents the process of developing a... more

Validation of the Questionnaire of Emotional Maladjustment and Adaptive Resources in Infertility (DERA). Given the absence of measures to help psychologists working with infertile couples, this paper presents the process of developing a standardized measure to assess emotional maladjustment and adaptive resources in this population. A cross-sectional design was utilized to gather data from the assisted reproduction units of two public hospitals. Preliminary analyses were performed with a sample of 85 infertile patients. Psychometric properties of the measure were tested with a second sample of 490 infertile patients. Concerning reliability analyses, alpha indexes were adequate both for the measure and its factors. Concerning validity, second-order factor analysis yielded a four-factor solution that conjointly explains 56% of the total variance. Additional analyses with a third sample of 50 participants from the general population matched with a sample of 50 infertile participants we...

In India, the increasing awareness with respect to the quality of critical services, as that in hospitals, have paved way for the improvement in the quality of these services. These factors further lead to the healthcare facilities being... more

In India, the increasing awareness with respect to the quality of critical services, as that in hospitals, have paved way for the improvement in the quality of these services. These factors further lead to the healthcare facilities being chosen by different patients. The patients’ opinion and voice if implemented would give a competitive advantage and notch up the service quality on the whole. In many countries, the general perception is that the service quality is better in private hospitals, than in public hospitals. This paper aims to find the perceptions and behavioral intentions of customers towards public and private hospitals based on the quality of services rendered during their experiences. Therefore, this study is patient centered, both outpatients and inpatients to get a complete perspective on their perceptions. It considers different geographical areas in India, which is a developing country with advancements in the health sector at a fast pace. Upon conducting the field survey through a questionnaire, scores on different dimensions of evaluation of service quality was obtained to draw inferences. With the aid of Multiple Linear Regression, dependencies on various significant levels for different dimensions was obtained. These relationships helped in the understanding of factors influencing the customer satisfaction maximum, thereby being the ones majorly deciding the service quality of the hospitals.

Background: Health Care Waste (HCW) is considered as the second dangerous waste in the World that needs to be properly disposed by trained health care staff. Good knowledge, positive attitude and safe practices of medical staff is very... more

Background: Health Care Waste (HCW) is considered as the second dangerous waste in the World that needs to be properly disposed by trained health care staff. Good knowledge, positive attitude and safe practices of medical staff is very imperative while managing this infectious waste. This assessment has been conducted to determine the situation and KAP of infectious waste management in health care workers working at tertiary care settings health facilities of Rawalpindi, Pakistan. Methods: This study was part of an ongoing quasi-experimental with control and intervention design and was conducted in tertiary care governmental hospitals of Rawalpindi by interviewing healthcare workers (HCWs) who were selected randomly after the sample size calculation. The participants were selected according to the proportional size of the each HCWs for their equal representation from all the groups. Selfadministered valid and reliable questionnaire were adapted after taking the written consent. Ethi...

This paper discusses models for the impact on patient referral flows from homes to hospitals of reconfigurations of emergency hospital services. Such system change might involve new hospital sites, or expanded bed numbers at some sites,... more

This paper discusses models for the impact on patient referral flows from homes to hospitals of reconfigurations of emergency hospital services. Such system change might involve new hospital sites, or expanded bed numbers at some sites, together with possible closure of emergency units at other hospitals. In terms of a gravity model for the flows of patients, this corresponds to removing a destination or adding a new one. While retaining a gravity type approach to this problem, the relevance of supply weighting by distance within the broader accessibility concept is stressed since the independence from irrelevant alternatives property is generally inapplicable. This accessibility based approach may be implemented as a general linear model, with a Poisson outcome, and a Bayesian estimation and predictive approach is adopted. In the context of patient hospitalisations, this facilitates prediction of new patient flows following hospital reconfiguration. A UK based case study of small r...

Aim: This study of verbal and physical abuse against nurses in Turkey aimed to describe prevalence, sources, important effects on work, family and social life of the nurses, coping methods and factors.Methods: A sample of 622 nurses... more

Aim: This study of verbal and physical abuse against nurses in Turkey aimed to describe prevalence, sources, important effects on work, family and social life of the nurses, coping methods and factors.Methods: A sample of 622 nurses working in eight hospitals located in the capital city of Turkey was surveyed using verbal and physical abuse questionnaires.Results: The prevalence of verbal and physical abuse against nurses in the sample of this study were found to be as 91.1% and 33.0% respectively. Colleagues were found to be the most important source of verbally abusive behaviours while patients and patients’ relatives were the important sources of physically abusive behaviours. Disturbed mental health, decreased job performance and headache were the more frequently reported negative effects of verbal and physical abuses on nurses. The most common reactions against abusive behaviours were anger, helplessness, humiliation and depression. It is interesting to find that ‘did nothing’ was the most reported coping method with verbal abuse. The findings also suggested that working in inpatient units and increasing work experience in the nursing profession were statistically significant variables increasing the likelihood of being abused physically.Discussion: All the results on sources, negative effects, feelings and coping methods on verbally and physically abusive behaviours lead us to discuss that lower working status and power of the nurses at the work, poor working conditions in healthcare settings and insufficient administrative mechanisms as well as law and regulations against the abusers are the important factors forcing the nurses to work in an inappropriate work environment in Turkey.

Managers within the U.S. healthcare system are becoming more aware of the impact of variation in demand on healthcare processes. The UK National Health Service provides a prime example of a system that has experienced the consequences... more

Managers within the U.S. healthcare system are becoming more aware of the impact of variation in demand on healthcare processes. The UK National Health Service provides a prime example of a system that has experienced the consequences when the issue is not dealt with satisfactorily, having suffered from excessive queues for a prolonged period. These delays are mostly caused by a lack of attention to variation and inappropriate responses to the queues, rather than a capacity shortage. A number of collaborative programs recently have come to grips with many of the causes of the queues in both elective care and emergency care. Although there are still areas that need large-scale improvement, good progress has been made, especially within emergency care. The authors of this article have acted as technical advisors to a number of these improvement programs and have been able to document many of the practices that have helped to reduce or eliminate unnecessary queues and delays across the...

Maternal factors comprising of social, obstetric and anthropometric are fund to influence LBW. The present study had found association between obstetricrisk factors like age of the mother, parity and gravida with LBW. Similar association... more

Maternal factors comprising of social, obstetric and anthropometric are fund to influence LBW. The present study had found association between obstetricrisk factors like age of the mother, parity and gravida with LBW. Similar association was also observed between maternal height, and maternal weight with LBW. However, social factors were not found to be associated with LBW. This could probably be due to RUHSA’s intervention which requires a further inquiry.

To assess the quality of the information included in the minimum basic data set (MBDS) of the eight public hospitals of the Murcia region in order to ascertain what should be improved to be valid and reliable. An external encoder... more

To assess the quality of the information included in the minimum basic data set (MBDS) of the eight public hospitals of the Murcia region in order to ascertain what should be improved to be valid and reliable. An external encoder performed a recoding of a random sample of hospital discharges, using the patients hospital records and comparing afterwards the information

AIM Well know in USA, Australia and then in western European countries, day surgery is still at the beginning in Romania and eastern European countries. In this paper we want to analyze the evolution and actual situation of day surgery in... more

AIM Well know in USA, Australia and then in western European countries, day surgery is still at the beginning in Romania and eastern European countries. In this paper we want to analyze the evolution and actual situation of day surgery in Romania and in County Emergency Hospital Timisoara (CEHT). MATERIAL AND METHODS In the implementation of day surgery in our country there were two distinct periods. Between 2007- 2013 the CEHT negotiated its own day surgery baskets with Local Health Insurance Company (LHIC). Starting from 2014 until now, the National Health Insurance Company has established new day surgery baskets which can be negotiated between CEHT and LHIC. RESULTS Our study shows that day surgery in CEHT has had an undulating evolution - after a rising development at the beginning it stopped for a few years and now it has an ascendant evolution. DISCUSSION In this context, International Association for Ambulatory Surgery (IAAS) has initiated a series of actions to support imple...

REIMER-KIRKHAM S, SHARMA S, PESUT B, SAWATZKY R, MEYERHOFF H and COCHRANE M. Nursing Inquiry 2011 Sacred spaces in public places: religious and spiritual plurality in Health care Several intriguing developments mark the role and... more

REIMER-KIRKHAM S, SHARMA S, PESUT B, SAWATZKY R, MEYERHOFF H and COCHRANE M. Nursing Inquiry 2011 Sacred spaces in public places: religious and spiritual plurality in Health care Several intriguing developments mark the role and expression of religion and spirituality in society in recent years. In what were deemed secular societies, flows of increased sacralization (variously referred to as 'new', 'alternative', 'emergent' and 'progressive' spiritualities) and resurgent globalizing religions (sometimes with fundamentalist expressions) are resulting in unprecedented plurality. These shifts are occurring in conjunction with increasing ethnic diversity associated with global migration, as well as other axes of difference within contemporary society. Democratic secular nations such as Canada are challenged to achieve social cohesion in the face of growing religious, spiritual and ethnic diversity. These challenges are evident in the high-paced, d...

Abstract The objective of this study was to examine the reliability, effectiveness, accuracy and timeliness of hospital to general practitioner (GP) information transfer by discharge summaries produced in a general public hospital in New... more

Abstract The objective of this study was to examine the reliability, effectiveness, accuracy and timeliness of hospital to general practitioner (GP) information transfer by discharge summaries produced in a general public hospital in New South Wales, Australia. A retrospective audit of 569 patient discharge summaries and related medical records with a targeted GP interview was performed to determine receipt and clinical value of the recorded information. The main outcome measure was the number and quality of discharge summaries received by patient-nominated GPs. Summaries written for patients discharged from hospital were estimated to be received by the patient-nominated GP in 27.1% of cases. Discharge summaries audited were rated as being 63.6% accurate, with errors occurring in all facets of production. The current method of discharge summary production and distribution is unacceptable. The high number of errors (36.4%) and the low rate of receipt (27.1%), indicates that resources invested in the production of the discharge summary could be better utilized to improve information transfer.