Cross‐sectional survey of rehabilitation service availability for stroke and hip fracture in Australian public hospitals

2021 ◽  
Author(s):  
Angela Vratsistas‐Curto ◽  
Christine T. Shiner ◽  
Linda Klein ◽  
Steven G. Faux
Keyword(s):  
Hip Fracture ◽  
Public Hospitals ◽  
Rehabilitation Service ◽  
Service Availability ◽  
Cross Sectional Survey ◽  
Cross Sectional

scholarly journals Healthcare workers’ compliance and its potential determinants to prevent COVID-19 in public hospitals in Western Ethiopia

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Werku Etafa ◽  
Gosa Gadisa ◽  
Shibiru Jabessa ◽  
Tagay Takele
Keyword(s):  
Healthcare Workers ◽  
Preventive Measures ◽  
Binary Logistic Regression ◽  
Multivariate Regression Analysis ◽  
Public Hospitals ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Healthcare Associated ◽  
Staff Commitment ◽  
Western Ethiopia

Abstract Background Globally, Coronavirus disease-19 has created unprecedented challenges to public health. Healthcare workers (HCWs) are at risk of COVID-19 because of their profession. There are limited studies conducted in Ethiopia among HCWs regarding their compliance with COVID-19 preventive measures. Therefore, this study intended to assess HCWs’ compliance with measures to prevent COVID-19, and its potential determinants in public hospitals in Western Ethiopia. Methods A self-administered, multicenter hospital-based cross-sectional survey was proposed to 422 randomly selected HCWs working in seven public hospitals in Western Ethiopia identified as COVID-19 referral centers. Data were entered into Epi Data version 3.1 and analyzed using SPSS version 24. Binary logistic regression was used to identify potential determinants of outcome variables at p-value < 0.05. Results Out of 422 completed questionnaires, the overall HCWs’ compliance with COVID-19 prevention is 22% (n = 404). In multivariate regression analysis, factors such as spending most of caring time at bedside (AOR = 1.94, 95%CI, 1.06–3.55), receiving training on infection prevention/COVID-19 (AOR = 1.86, 95%CI, 1.04–3.33), reading materials on COVID-19 (AOR = 2.04, 95%CI, 1.14–3.63) and having support from hospital management (AOR = 2.09, 95%CI, 1.20–3.64) were found to be significantly associated with COVID-19 preventive measures. Furthermore, inadequate supplies of appropriate personal protective equipment (83.2%), insufficient supportive medications (78.5%), and lack of provision of adequate ventilation (77.7%) were the barriers to COVID-19 prevention most frequently mentioned by participants. Conclusion Our findings highlight HCWs’ poor compliance with COVID-19 preventive measures. Providing information and refreshing training to improve the level of healthcare workers’ adherence with COVID-19 prevention is as imperative as increasing staff commitment to supply resources necessary to protect HCWs and to reduce healthcare-associated infections transmission of SARS-COV-2.

Matching Ethical Climate to Nurses’ Service Behaviors in Public and Private Hospitals: A Cross-Sectional Study

2020 ◽  
Author(s):  
Na Zhang ◽  
Jingjing Li ◽  
Xing Bu ◽  
Zhenxing Gong
Keyword(s):  
Ethical Climate ◽  
Cross Sectional Study ◽  
Public Hospitals ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Private Hospitals ◽  
Public And Private ◽  
Service Behavior ◽  
Public And Private Hospitals ◽  
The Relationship

Abstract Background: Workplace climate is great significant element that has impact on nurses’ behavior and practice; moreover, nurses’ service behavior contributes to the patients’ satisfaction and subsequently to the long-term success of hospitals. Few studies explore how different types of organizational ethical climate encourage nurses to engage in both in-role and extra-role service behaviors, especially in comparing the influencing process between public and private hospitals. This study aimed to compare the relationship between the five types of ethical climate and nurses’ in-role and extra-role service behaviors in public and private hospitals.Methods: This study conducted a cross-sectional survey on 559 nurses from China. All participants were investigated using the Ethical Climate Scale and Service Behavior Questionnaire. SPSS 22.0 was used for correlation analysis, t-test and analysis of variance test, and Mplus 7.4 was used for group comparison.Results: The law and code climate has a much greater influence on nurses’ in-role service behavior in private hospitals than on that in public hospitals (β = -.277; CI 95% = [-.452, -.075]; p < .01), and the instrumental climate has a stronger influence on nurses’ extra-role service behavior private hospitals than on that in public hospitals (β = -.352; CI 95% = [-.651, -.056]; p < .05). Meanwhile, the rules climate has a greater effect on nurses’ extra-role service behavior in public hospitals than it does in private hospitals (β = .397; CI 95% = [.120, .651]; p < .01). Conclusions: As the relationship between the five types of ethical climate and nurses’ in-role and extra-role service behaviors in public and private hospitals were different, the strategies used to foster and enhance the types of ethical climate are various from public to private hospitals. The caring and instrumental climate are the key to promote extra-role service behavior for nurses in private hospitals. And independent climate has great effect on extra-role service behaviors for nurses in public hospitals.

scholarly journals Geographical variation in musculoskeletal surgical care in public hospitals in Ireland: a repeated cross-sectional study

BMJ Open ◽  
2019 ◽  
Vol 9 (5) ◽  
pp. e028037 ◽  
Author(s):  
Mary E Walsh ◽  
Fiona Boland ◽  
John M O’Byrne ◽  
Tom Fahey
Keyword(s):  
Hip Fracture ◽  
Hip Replacement ◽  
Geographical Variation ◽  
Private Health Insurance ◽  
Knee Arthroscopy ◽  
Cross Sectional Study ◽  
Public Hospitals ◽  
Sectional Study ◽  
Cross Sectional ◽  
Referral Hospitals

ObjectiveTo examine the extent of geographical variation across musculoskeletal surgical procedures and associated factors in Ireland.DesignRepeated cross-sectional study.Setting36 public hospitals in Ireland.ParticipantsAdult admissions for hip fracture, hip and knee replacement, knee arthroscopy and lumbar spine interventions over 5 years (2012–2016).Primary outcome measureStandardised discharge rate (SDR).AnalysisAge and sex SDRs were calculated for 21 geographical areas. Extremal quotients, coefficients of variation and systematic components of variance were calculated. Linear regression analyses were conducted exploring the relationship between SDRs and year, unemployment, % urban population, number of referral hospitals, % on waiting lists>6 months and % with private health insurance for each procedure.ResultsAcross 36 public hospitals, n=102 756 admissions were included. Hip fracture repair showed very low variation. Elective hip and knee procedures showed high variation in particular years, while variation for lumbar interventions was very high. Knee arthroscopy rates decreased over time. Higher unemployment was associated with knee and hip replacement rates and urban areas had lower hip replacement rates. Spinal procedure rates were associated with a lower number of referral hospitals in a region and spinal injection rates were associated with shorter waiting lists. A higher proportion of patients having private health insurance was associated with higher rates of hip and knee replacement and lumbar spinal procedures.ConclusionsVariation and factors associated with SDRs for publicly funded hip and knee procedures are consistent with similar international research in this field. Further research should explore reasons for high rates of spinal injections and the impact of private practice on musculoskeletal procedure variation.

Level of Disaster Preparedness in Patients Visiting the Emergency Department: Results of the Civilian Assessment of Readiness for Disaster (CARD) Survey

2013 ◽  
Vol 28 (2) ◽  
pp. 127-131 ◽  
Author(s):  
Nicholas A. True ◽  
Juliana D. Adedoyin ◽  
Frances S. Shofer ◽  
Eddie K. Hasty ◽  
Jane H. Brice
Keyword(s):  
Emergency Department ◽  
Vulnerable Populations ◽  
Disaster Preparedness ◽  
Single Parents ◽  
Public Hospitals ◽  
University Hospital ◽  
Future Research ◽  
Cross Sectional Survey ◽  
Publication Type ◽  
Cross Sectional

AbstractBackgroundPatients seeking care in public hospitals are often resource-limited populations who have in past disasters become the most vulnerable. The objective of this study was to determine the personal disaster preparedness of emergency department (ED) patients and to identify predictors of low levels of preparedness. It was hypothesized that vulnerable populations would be better prepared for disasters.MethodsA prospective cross-sectional survey was conducted over a one-year period of patients seeking care in a public university hospital ED (census 65,000). Exclusion criteria were mentally impaired, institutionalized, or non-English speaking subjects. Subjects completed an anonymous survey detailing the 15 personal preparedness items from the Federal Emergency Management Agency's disaster preparedness checklist as well as demographic characteristics. Summary statistics were used to describe general preparedness. Chi-square tests were used to compare preparedness by demographics.ResultsDuring the study period, 857/1000 subjects completed the survey. Participants were predominantly male (57%), Caucasian (65%), middle-aged (mean 45 years), and high school graduates (83%). Seventeen percent (n = 146) reported having special needs and 8% were single parents. Most participants were not prepared: 451 (53%) had >75% of checklist items, 393 (46%) had food and water for 3 days, and 318 (37%) had food, water, and >75% of items. Level of preparedness was associated with age and parenting. Those aged 44 and older were more likely to be prepared for a disaster compared to younger respondents. (43.3% vs 31.1%, P = .0002). Similarly, single parents were more likely to be prepared than dual parenting households (47.1 vs 32.9%, P = .03).ConclusionsThis study and others have found that only the minority of any group is actually prepared for disaster. Future research should focus on ways to implement disaster preparedness education, specifically targeting vulnerable populations, then measuring the effects of educational programs to demonstrate that preparedness has increased as a result.TrueNA, AdedoyinJD, ShoferFS, HastyEK, BriceJH. Level of disaster preparedness in patients visiting the emergency department: results of the Civilian Assessment of Readiness for Disaster (CARD) survey. Prehosp Disaster Med.2013;28(2):1-5.

scholarly journals Health facility service availability and readiness for intrapartum and immediate postpartum care in Malawi: A cross-sectional survey

PLoS ONE ◽  
2017 ◽  
Vol 12 (3) ◽  
pp. e0172492 ◽  
Author(s):  
Naoko Kozuki ◽  
Lolade Oseni ◽  
Angella Mtimuni ◽  
Reena Sethi ◽  
Tambudzai Rashidi ◽  
...  
Keyword(s):  
Health Facility ◽  
Postpartum Care ◽  
Service Availability ◽  
Cross Sectional Survey ◽  
Cross Sectional

scholarly journals Factors influencing HIV testing uptake among priority populations in a resettlement colony of a North Indian city

2020 ◽  
Vol 32 (1) ◽  
pp. 31-38
Author(s):  
Ishita Choudhary ◽  
Venkatesan Chakrapani ◽  
Manmeet Kaur ◽  
Sandeep Mittal ◽  
Rajesh Kumar
Keyword(s):  
Hiv Testing ◽  
Public Hospitals ◽  
North India ◽  
People Living With Hiv ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Non Invasive ◽  
Hiv Test ◽  
Populations At Risk ◽  
Priority Populations

Background: The recent adoption of HIV ‘test and treat’ strategy by India’s National AIDS Control Organization (NACO) necessitates an urgent need to improve HIV testing among priority populations at risk for HIV. Aim & Objectives: To identify barriers to and facilitators of HIV testing among priority populations such as pregnant women, tuberculosis patients, sexual partners of people living with HIV (PLHIV) and key populations; and to examine the role of new HIV testing modalities (e.g., non-invasive HIV testing) in improving HIV testing. Settings and Design: A cross sectional survey was conducted among priority populations in a resettlement colony of Chandigarh, North India. Materials and methods: A total of 160 participants were recruited using non-probability-based sampling. Statistical analysis used: Chi-square test was used to assess differences between priority populations who had been tested or not tested for HIV. Multivariable logistic regression was conducted to identify significant predictors of HIV testing status. Results: Participants with higher HIV knowledge (Adjusted Odds Ratio [aOR] =1.7, 95% CI 1.2 to 2.5) and family support (aOR=8.2, 95% CI 1.9 to 35.3) had higher odds of getting tested for HIV. Major barriers identified were fear of anticipated discrimination and previous bad experiences in government HIV testing centres, and key facilitators were empathetic attitude of the staff and government initiatives (e.g., free-of-cost tests, reimbursements of travel costs). For periodic testing, priority populations preferred non-invasive (non-blood-based) HIV tests. Conclusions: Interventions to promote HIV testing among priority populations need to reduce HIV-related stigma, and offer non-invasive HIV testing in public hospitals.

scholarly journals Factors associated with seeking post-abortion care among women in Guangzhou, China

2020 ◽  
Author(s):  
Hui Wang ◽  
Yan Liu ◽  
Ribo Xiong
Keyword(s):  
Contraceptive Use ◽  
Public Hospitals ◽  
Multivariate Logistic Regression Model ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
National Network ◽  
Factors Associated ◽  
Abortion Care ◽  
Post Abortion Care ◽  
Post Abortion

Abstract Background: In China, the vast majority of induced abortions are performed in public hospitals. However, post-abortion care (PAC) services are provided through the national network of family planning clinics, which are independent of the health care system. The integration of PAC services into abortion clinics in public hospitals is a new concept. This study aimed to assess PAC utilization among abortion patients, and identify the possible factors associated with PAC uptake in Guangzhou, China. Methods: A cross-sectional survey was conducted among 431 women aged 15-43 years in Tianhe district of Guangzhou, China from June to September 2018. We estimated multivariate logistic regression model to examine the factors associated with utilization of PAC services. Results: Less than half (42%) of the participants used PAC services. Married women were 2.7 times significantly more likely to use PAC services than their unmarried counterparts. Immigrants were 52% significantly less likely to use PAC services than non-immigrants. Women who perceived that their fertility could return later and those who did not know were 45% and 61% significantly less likely to use PAC services compared to those who knew that their fertility could return soon after an abortion. Women with limited decision-making autonomy regarding contraceptive use were 54% significantly less likely to use PAC services than those who made such decisions themselves.Conclusions: The findings suggest the need for policies and programs to not only strengthen the provision of PAC services but also promote uptake among disadvantaged sub-groups of women in the study setting.

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