Military Hospital from N. W.

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SOCIAL EXCLUSION IN INDONESIA MILITARY HOSPITAL

Background: In the era of the COVID-19 pandemic, one of the social protections in Indonesia that still requires special attention is the protection of public health. Aims: This study aims to analyze the principles of social protection in the Social Security Agency for Health (BPJS Kesehatan) and the implementation of inclusive health services in Indonesia Military Hospital. Methods: This study used a qualitative approach by conducting in-depth interviews and made direct observations for one month by observing the processes and phenomena that occurred at the dr. Esnawan Antariksa Air Force Hospital as a case study. Results: The root cause of social exclusion in health services in military institutions was an aspect of the inherent hierarchy that caused exclusion in the income dimension triggered by socioeconomic level, status, and background of patients so that patients did not get the same rights in obtaining health services. Conclusion: Implementing social protection through BPJS Kesehatan in military-based hospitals caused patients with specific groups to experience layered exclusion. Patients who wanted to receive healthcare at military hospitals had differences in the stages of receiving them. However, the quality of medical services doctors and other health workers provided were not discriminatory. Keywords: BPJS kesehatan, health services, military hospital, social exclusion, social protectio

Service quality at a military hospital

M.A. (Business Management)With the raise of competition in the Gabonese health industry and increased costs, most health service providers in Gabon have become under pressure to deliver good service quality. This also relates to the military hospital in Libreville in Gabon striving to provide adequate health services to its patients. The cost for hospitals to attract patients through several means such as providing good service quality has become crucial. Patient loyalty and retention can have an important financial advantage for a hospital, thus it has become essential for hospitals to create a sustaining relationship with their patients. The question of assessing service quality presents itself. This study investigated service quality at a military hospital in Libreville in Gabon. It was the objective of this study to establish if there is a difference in how patients rate doctors and nurses on the service quality dimensions. This research was quantitative and descriptive in nature. Theory relating to service quality and patient satisfaction was provided. The population for the study consisted of patients who were at least 18 years old, males and females, who have experienced medical services and stayed over at the military hospital for at least one night. A self administered questionnaire was designed based on the theoretical literature illustrated in the study. The questionnaire assessed various elements that were identified through the literature review. The questionnaire was based on a set of statements linked to the literature theory, and a 7-point Likert scale which enabled respondents to choose from seven different alternatives ranging from strongly disagree to strongly agree. A number of statistical analysis techniques were undertaken to achieve the objectives of the study, such as factor analysis. The conclusion and findings of the research assisted in explaining the objectives of the study and the results of the statistical analysis were found to reject the hypotheses that there is no significant difference in how patients rate the reliability, responsiveness, assurance and empathy of doctors and nurses and to reject the hypothesis that patients do not have a positive perception of the tangible aspects of a military hospital in Libreville, Gabon. In terms of the doctors’ services, patients felt a need for more privacy in terms of the confidentiality of their treatment, a need for more individual attention, a need to be heard, and to trust doctors. Therefore such needs could be addressed through improved compassion, communication and understanding of doctors during the diagnosis of the problem. The feeling expressed was that doctors should pay more attention to patients’ problems and share with them their experience. Doctors at the military hospital should develop more work ethic where patients’ records and cases should never be discussed with anyone without patients’ permission. The military hospital should employ highly trained and qualified doctors to address the trust issue with patients. Lastly, consultation time may need to be reviewed to add some extra time to better address patients’ needs during their consultation with doctors. In terms of the services delivered by nurses towards patients, the latter were of the opinion that there was a need for more individual attention from nurses. Such individual attention could include greater information sharing when a patient is treated, friendlier communication to install greater trust and respect. Such needs could be addressed through improved patience, compassion and understanding by nurses during their dealings with patients. Nurses should also develop more work ethic regarding patients’ records, and cases should never be discussed with anyone without their permission. Officials in the hospital should hire highly trained and qualified nurses to address the issue of trust in patients and consultation time may need to be reviewed to add some extra time to better address patients’ needs during their dealings with nurses

The Achievements of Trooper Mulloy

In the summer of 1900 Lorne Mulloy, a wounded Canadian soldier serving with the second Canadian contingent in South Africa, wrote from a military hospital in Johannesburg to his family about serious wounds to his eyes received in battle: “I have not experienced even the faintest sensation of light since that shot was fired. My left eye is totally destroyed and my right one is so badly injured that it is like a man halting between life and death undecided to advance or retreat.” Although totally blind because of these wounds Mulloy went on to obtain three university degrees, and became a respected professor and speaker on political issues in Canada and Britain and a prominent figure in his local community. His life is a remarkable story of achievement in the face of adversity

MS – 198: Letters of Leonard G. Roberts

The letters from Leonard (Mike) Roberts to Geraldine Smith Roberts are very much the correspondence of a young, homesick husband in love. The first series of the collection includes five letters from Mike dated 1937 and two notes presumed to be circa the same time, marking the progress of their teenage courtship. The collection resumes in 1944 when Roberts begins his military service. Drafted late in the war, Roberts was not posted overseas until January, 1945. The letters detail his deployment and military life with a hiatus between February 3rd April 6th as Roberts is taken prisoner by the Germans. His letters continue after his release, detailing his mental, physical, and spiritual condition. With a keen awareness of the censors, Mike reports as much as he is able to on the conditions in camp, traveling through France, his desire for the Germans to surrender and the war to end, his treatment and daily life in a military hospital, and events back home in Coffeyville, Kansas. One letter in the collection, dated February 19th, 1945 was sent from Geraldine to Mike. It is as heartsick as Mike’s letters are to her, full of news from home and fantasies about their life after the war. Series 5 contains 3 newspaper clippings that offer information on Mike’s liberation from prison camp and post-war career. The Roberts’ letters offer an intimate look at one of many long distance relationships between deployed men and their wives during the Second World War. This collection has research potential for anyone interested in correspondence, the daily duties and lives of soldiers in WWII France, German prison camps, or recovery in a military hospital. Special Collections and College Archives Finding Aids are discovery tools used to describe and provide access to our holdings. Finding aids include historical and biographical information about each collection in addition to inventories of their content. More information about our collections can be found on our website https://www.gettysburg.edu/special-collections/collections/.https://cupola.gettysburg.edu/findingaidsall/1207/thumbnail.jp

Assessing Nurse Manager Competencies in a Military Hospital

Military health care organizations need competent frontline managers with knowledge and skills to manage health care complexity and ensure evidence-based practice. With systematic, planned turn over of military managers, more civilian managers are needed to fill permanent positions in military hospitals. The purpose of this project was to provide a better understanding of the competencies perceived by nurse managers at a military medical center and whether they differed by military or civilian status. The American Organization of Nurse Executives competency model and framework provided the theoretical framework for the project. The design was nonexperimental, with an observational, descriptive, cross-sectional approach. The Chase Nurse Manager Competency Instrument was used to collect data from 53 military and civilian nurse managers who ranked the top 10 competencies needed for effective leadership. The top competencies chosen by the managers were the knowledge and ability to use effective communication, decision making, problem solving, nursing practice standards, time management, and effective staffing strategies. Using t test statistics, only minimal differences were identified between military and civilian nurse managers\u27 perceptions of the top competencies, which allows the medical center to create one integrated leadership curriculum to assist in the development of a competent, unified leadership team of civilian and military managers. Social change to improve patient outcomes can occur within military health care organizations by assessing and developing leadership competencies in all nurse managers to ensure reliable cultures of safety, quality, and value-based productivity within their military hospital environments

Physical Activity Among Nurses in Kanombe Military Hospital

Low back pain is said to be a major health threat which leads to disability in high and low-income countries. Nurses have been singled out amongst professional workers as one of those that are most prone to suffer from occupation-related low back pain. Physical activity has been recommended for the health and well-being of individuals, as well as in the management of low back pain. The aim of this study was to determine the relationship between low back pain and physical activity levels among nurses in Kanombe Hospital, Kigali, as well as other confounding factors that lead to low back pain. This study adopted a cross-sectional and descriptive design. A total of 133 nurses participated in this study. Three self- administered questionnaires were used: socio-demographic data questionnaire, international physical activity questionnaire (IPAQ) and the Nordic musculoskeletal questionnaire (NMQ). More than three-quarters of the participants had low back pain (78%) and female nurses were more affected than their male counterparts (84%). Low back pain was significantly associated with gender (P=0.001) and marital status (P=0.020). Higher job-related physical activity (84%) and lower leisure-time physical activity (5%) were reported among nurses. Age (P=0.033), marital status (P=0.001) and working experience (P=0.026) of nurses were significantly associated with physical activity, but not with low back pain. There is a need for leisure-time physical activity to be promoted among nurses at Kanombe Hospital, as this would reduce the risk of back injury due to the high level of job-related physical activity