Medical Staff Services Quality to Patients Satisfaction Based on SERVQUAL Dimensions

Hospital service quality was a degree of discrepancy between patients\u27 perceptions and their expectations about hospitals services. Service quality which was provided by medical staff emphasizes the actual hospital service process. In the hospital, patients\u27 satisfaction could be widely used to determine hospital service quality. The purpose of this study was to analyze the influence of medical staff services quality on patients satisfaction based on SERVQUAL dimensions. This study used an analytic observational design with cross-sectional approach. There were 314 respondents taken from inpatients hospital admission using simple random sampling. Based on regression analysis results, five dimensions of health services quality affect patients\u27 level of satisfaction and obtained the equation of Y = 0.026 + 0.226X1 + 0.332X2 + 0.1X3 + 0.075X4 + 0.235X5, this explained that patients\u27 satisfaction was affected by all dimensions of health service quality (RATER) simultaneously. However, different values will be obtained if all dimensions were measured separately, range from 10% to 33.2%. It could be concluded that patients\u27 satisfaction were influenced by the quality of medical staff services through its five components: reliability, assurance, tangible, empathy and responsiveness

Family influence and psychiatric care: physical treatments in Devon mental hospitals, c. 1920 to the 1970s

‘What is it that appears to make the mentally ill so vulnerable to therapeutic experimentation?’1 One commentator wrote in the 1990s, regarding mental hospitals as repressive, coercive and custodial institutions where medical staff subjected patients to orgies of experimentation. A careful study of surviving documents of the Devon County Lunatic Asylum (DCLA), however, paints a different picture. Rather than medical staff, patients’ relatives and the wider community exercised a considerable influence over a patient's hospital admission and discharge, rendering the therapeutic regime in the middle of the 20th century the result of intense negotiations between the hospital and third parties

Wearable proximity sensors for monitoring a mass casualty incident exercise: a feasibility study

Over the past several decades, naturally occurring and man-made mass casualty incidents (MCI) have increased in frequency and number, worldwide. To test the impact of such event on medical resources, simulations can provide a safe, controlled setting while replicating the chaotic environment typical of an actual disaster. A standardised method to collect and analyse data from mass casualty exercises is needed, in order to assess preparedness and performance of the healthcare staff involved. We report on the use of wearable proximity sensors to measure proximity events during a MCI simulation. We investigated the interactions between medical staff and patients, to evaluate the time dedicated by the medical staff with respect to the severity of the injury of the victims depending on the roles. We estimated the presence of the patients in the different spaces of the field hospital, in order to study the patients' flow. Data were obtained and collected through the deployment of wearable proximity sensors during a mass casualty incident functional exercise. The scenario included two areas: the accident site and the Advanced Medical Post (AMP), and the exercise lasted 3 hours. A total of 238 participants simulating medical staff and victims were involved. Each participant wore a proximity sensor and 30 fixed devices were placed in the field hospital. The contact networks show a heterogeneous distribution of the cumulative time spent in proximity by participants. We obtained contact matrices based on cumulative time spent in proximity between victims and the rescuers. Our results showed that the time spent in proximity by the healthcare teams with the victims is related to the severity of the patient's injury. The analysis of patients' flow showed that the presence of patients in the rooms of the hospital is consistent with triage code and diagnosis, and no obvious bottlenecks were found

Supporting general hospital staff to provide dementia sensitive care: A realist evaluation

© 2019 The Authors. Published by Elsevier Ltd. This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0).Background: There are an increasing number of interventions to improve hospital care for patients with dementia. Evidence for their impact on staff actions and patient outcomes is, however, limited and context dependent. Objective: To explain the factors that support hospital staff to provide dementia sensitive care and with what outcomes for patients with dementia. Design: A realist evaluation using a two-site case study approach. Setting: Two hospital trusts in the East of England. Site 1 had a ward for patients with dementia that would address their medical and mental health needs. Site 2 used a team of healthcare assistants, who had support from dementia specialist nurses, to work with patients with dementia across the hospital. Participants: Hospital staff who had a responsibility for inpatients with dementia (healthcare assistants, nurses, medical staff, allied healthcare professionals and support staff) (n = 36), patients with dementia (n = 28), and family carers of patients with dementia (n = 2). Methods: A three stage realist evaluation: 1) building the programme theory of what works and when; 2) testing the programme theory through empirical data (80 h non-participant observation, 42 interviews, 28 patient medical notes, 27 neuropsychiatric inventory, and documentary review); 3) synthesis and verification of findings with key stakeholders. Findings: The programme theory comprised six interconnected context-mechanism-outcome configurations: 1) knowledge and authority to respond to an unmet need; 2) role relevant training and opportunities for reflection; 3) clinical experts and senior staff promoting practices that are patient-focused; 4) engaging with opportunities to spend time with patients; 5) risk management as an opportunity for person-centred care; 6) valuing dementia care as skilled work. Effective interactions reduced patient distress and supported patient orientation. Training and allocation of staff time were of themselves insufficient to ensure dementia care was prioritised and valued as skilled work. Staff concerns about the consequences of adverse incidents and work pressures on the ward, even with support, took precedence and influenced the quality of their interactions with patients with dementia. A key finding linked to staff retention and developing capacity in the workforce to provide expert dementia care was that despite extra training and organisational endorsement, nursing staff did not regard dementia care as skilled nursing work. Conclusions: There is increased awareness and organisational commitment to dementia-friendly healthcare in general hospitals. However, in addition to training and adapting the environment to the patient, further work is needed to make explicit the specialist skills required for effective dementia care.Peer reviewe

What is the job satisfaction and active participationof medical staff in public hospital reform: a studyin Hubei province of China

Background: In China, public hospital reform has been underway for almost 5 years, and 311 pilot county hospitals are the current focus. This study aimed to assess the job satisfaction and active participation of medical staff in the reform. A total of 2268 medical staff members in pilot and non-pilot county hospitals in Hubei, China, were surveyed. Methods: Questionnaires were used to collect data. The Pearson chi-square statistical method was used to assess the differences between pilot and non-pilot county hospitals and identify the factors related to job satisfaction as well as the understanding and perception of the reform. Binary logistic regression was performed to determine the significant factors that influence the job satisfaction of medical staff in pilot county hospitals. Results: Medical staff members in pilot county hospitals expressed higher satisfaction on current working situation, performance appraisal system, concern showed by leaders, hospital management, and compensation packages (P < 0.05). They were exposed to work-related stress at a higher extent (P < 0.05) and half of them worked overtime. Within pilot county hospitals, less than half of the medical staff members were satisfied with current job and they have evidently less satisfaction on compensation packages and learning and training opportunities. The working hours and work stress were negatively related to the job satisfaction (P < 0.05). Satisfaction on the performance appraisal system, hospital management, compensation packages, and learning and training opportunities were positively related to job satisfaction (P < 0.05). Medical staff in pilot county hospitals exhibited better understanding of and more positive attitude towards the reform (P < 0.05). Conclusions: Pilot county hospitals have implemented some measures through the reform, but there still are deficiencies. The government officials and hospital administrators should pay attention to influencing factors of job satisfaction and focus on the reasonable demands of medical staff. In addition, the medical staff in pilot county hospitals exhibited a better understanding of the public hospital reform programme and showed more firm confidence, but there still were some medical staff members who hold negative attitude. The publicity and education of the public hospital reform still need improvement. Keywords: Medical staff, China, Public hospital reform, Working situation, Satisfaction, Understanding, Perceptio

Perbandingan Pengetahuan Infeksi Nosokomial Pada Tenaga Kerja Medis Dan Non Medis Di Rumah Sakit (Studi Analitik Di Rumah Sakit Bhakti Asih Brebes)

Background. Hospital is a complex place. People met in there. Diseases exist in there. Hospital is a source of disease for people, include patients and also medical staff. Nosocomial infection is kind of infection that be got by patients when they stayed for hospitalization. Cutting the chain of infection journey, we can avoid it happened. One of many ways to cut the chain of infection journey is improving the staff's nosocomial infection knowledge.Aims. The research wanted to know the awareness of hospital staff about the dangerous of nosocomial infection. The research wanted to measure the quality of facilities in RS Bhakti Asih Brebes, and wanted to improve the awareness of staff medical about medical treatments that make nosocomial infection. This research also wanted to improve the cleaning service in hospital room.Methods. This research used descriptive analytic observational method with survey collecting method. The research design was cross sectional which is no intervention by researcher. This research population is staff in RS BhaktiResult. Most of respondents are female with 5 – 7 year work experiences. Medical and non medical staff in RS Bhakti Asih had good knowledge about nosocomial infection. The knowledge about it and how to avoid it were analyzed, and there were no significance differences (p&gt;0,05) between knowledge in medical staff and non medical staff.Conclusion. There were no significance differences in medical staff and non medical staff about nosocomial infection knowledge and how to avoid

PERILAKU PETUGAS KEBERSIHAN DALAM PENGELOLAAN SAMPAH RUMAH SAKIT (STUDI KASUS DI RUMAH SAKIT NIRMALA SURI SUKOHARJO TAHUN 2003)

Rumah Sakit Nirmala Suri merupakan rumah sakit yang memberikan pelayanan kesehatan kepada masyarakat. Kegiatan yang dilakukan rumah sakit menimbulkan berbagai dampak, baik dampak positif maupun dampak negatif. Salah satu dampak negatif adalah rumah sakit menghasilkan sampah, yaitu sampah medis dan sampah non medis. Apabila keberadaan sampah tersebut tidak dikelola dengan baik dan benar, akan menimbulkan dampak negatif bagi masyarakat rumah sakit maupun sekitar rumah sakit. Keberhasilan pengelolaan sampah ditentukan banyak faktor, salah satunya adalah perilaku petugas. Penelitian ini untuk mengetahui gambaran karakteristik petugas kebersihan, pengetahuan, sikap, dan praktek petugas kebersihan dalam pengelolaan sampah di Rumah Sakit Nirmala Suri Sukoharjo. Metode penelitian ini adalah metode kualitatif. Subyek penelitian adalah seluruh petugas kebersihan Rumah Sakit Nirmala Suri Sukoharjo sebanyak 12 orang. Teknik pengumpulan data dengan cara Focus Group Discussion (FGD) dan wawancara mendalam. Analisis data secara analisis isi. Hasil penelitian menunjukkan bahwa karakteristik petugas kebersihan berdasarkan umur, pendidikan, dan masa kerja pegawai bervariasi. Umur pegawai termuda 21 tahun dan tertua 50 tahun. Pendidikan paling rendah SD dan paling tinggi Diploma III. Rata-rata masa kerja pegawai adalah 6 tahun. Pengetahuan petugas mengenai pengelolaan sampah mulai dari proses penimbulan sampah sampai dengan penanganan akhir sampah cukup bagus. Sikap petugas dalam pengelolaan adalah positif. Petugas dalam pengelolaan sampah mengacu pada prosedur tetap (protap) yang berlaku. Namun demikian, dalam pelaksanaannya terkadang petugas tidak mealkukan sebagaimana yang tertulis dalam protap. Kata Kunci: Petugas Kebersihan, Pengelolaan Sampah, Rumah Sakit THE BEHAVIOUR OF THE CLEANING STAFF IN THE MANAGEMENT OF HOSPITAL WASTE (A CASE STUDY IN NIRMALA SURI HOSPITAL IN SUKOHARJO 2003) Nirmala Suri Hospital is a hospital that gives health service to society. The activities which are done by the hospital cause many effects either positive or negative. One of the negative effects is the hospital produces waste, namely medical and non medical waste. If the existence of the waste is not managed well and properly, it will cause negative effect to the hospital staff and the people around the hospital. The success of the management of waste is determined by many factors, one of them is the behaviour pf the cleaning staff. The research is to know the characteristic description of the cleaning staff that includes knowledge, attitude and practice in the management of waste in Nirmala Suri Hospital in Sukoharjo. The method of research is qualitative method. The subject of research is all cleaning staff of Nirmala Suri Hospital as many as 12 persons. The tehnique of collecting data by Focus Group Discussion (FGD) and indepth interview. The data analysis is content analysis. The result of the research has shown that the characteristics of the cleaning staff based on age, education and work span are various. The youngest age of the staff is 21 and the oldest one is 50. The lowes education is Elementary School and the highest one is Diplima III. The average of work span of the cleaning staff is six years. The knowledge of the staff about the management of the waste from the process of pilling to the final process is good enough. The attitude of the staff in the management of the waste is positive. In doing the management of the waste, the cleaning staff refer to the fixed procedure. However, in doing the job, the cleaning staff sometimes do not do it as written on the fixed procedure. Keyword: Cleaning Staff, waste management, hospita

Nurses\u27 Alumnae Association Bulletin - Volume 6 Number 9

Remember the Relief Fund Welcome! Miss Childs Financial Report Calendar of Coming Events Lest You Forget! Attention Review of the Alumnae Association Meetings Institutional Staff Nurses\u27 Section Report of Staff Activities - 1947-1948 Private Duty Section The White Haven Division Barton Memorial Division Remember the Relief Fund Student Nurses\u27 Activities Jefferson Scores Again The Clara Melville Scholarship Fund Interesting Activities of the Nurses\u27 Home Committee of the Women\u27s Board Exclusive for Nurses Changes in the Maternity Division Gray Lady Musical Therapy Service Memorial Service Honoring Mrs. Bessie Dobson Altemus The Blood Donor Center The Hospital Pharmacy Medical College News Remember the Relief Fund Administrative Staff and Faculty of the School of Nursing Streptomycin Changes in the Staff at Jefferson Hospital Care of the Thoracic Surgical Patient Miscellaneous Items Marriages New Arrivals Deaths The Bulletin Committee Attention, Alumnae New Addresse