Suchergebnisse

In 1984 Congress revamped Medicare to save a financially distraught health care system, thus transforming the hospital as an organization. Diagnosis Related Groups (DRGs) -- the cornerstone of this extensive reorganization -- have triggered repercussions that are still adversely affecting health care professionals. This volume cuts to the heart of this crisis, examining the difficulties and foibles of going from DRG Legislation to DRG practices and giving voice to the professionals who must carve out a new reality under DRGs. It exposes the disputes between the various professional groups --

Hospital waste has been one of the major problems in underdeveloped and developing countries in recent times. The present study is an attempt to analyze hospital waste generation of Faisalabad city. Forty four hospitals were selected out of which five were public, two were semi-government, six were trust and thirty one were private hospitals with a minimum capacity of ten beds. It was very difficult to acquire exact data related to the waste generated by hospitals as these health care centers were not following the international standards to handle waste generation. The primary data were collected through questionnaire, formal and informal meetings, interviews with the hospital staff and through personal observations. The secondary data were collected from the office of the Executive District Officer Health and Environment Protection | department, Faisalabad. Data analysis showed that about 7646 kg/day waste was generated by these hospitals out of which 6529 kg (85.40%) was non-infectious and 1117 kg (14.60%) was infectious waste. The government hospitals' waste generation rate was 1.51 kg/bed/day, semi government 1.49 kg/bed/day, trust hospitals rate was 1.29 kg/bed/day and private hospitals 0.99 kg/bed/day. The overall waste generation rate of the hospitals of the study area was 1.28 kg/bed/day. It was recommended that the hospital staff must be trained to handle hospital waste so that the garbage should not create problems to human health.

This study aims to analyze the effect of the dimensions of quality nursing of work life on turnover intention in RSIA Ananda and RSKD Mother and Children Pertiwi. This type of research is a quantitative research using an observational study with a cross sectional study design. The sample in this study were nurses who worked at RSIA Ananda as many as 72 nurses who were representatives of private hospital nurses and nurses who worked at RSKD Mother and Children Pertiwi as many as 70 nurses who were representatives of government hospital nurses. The results showed that there was no statistically significant effect of worklife/homelife dimension on turnover intention at RSIA Ananda (p=0.239) and RSKDIA Pertiwi (p=0.055), there was no statistically significant effect of work design dimension on turnover intention at RSIA Ananda. (p=0,260) and RSKDIA Pertiwi (p=1,000), there was no statistically significant effect of work context dimension on turnover intention at RSIA Ananda (p=0,093) and RSKDIA Pertiwi (p=1,000), there was a statistically significant effect work world dimension on turnover intention at RSIA Ananda (p = 0.016) and there is no statistically significant effect of work world dimension on turnover intention at RSKDIA Pertiwi (p = 0.684), and work world dimension variables that have an influence on turnover intention at RSIA Ananda (p=0.047). It is suggested to the hospital management to review the situation of the nurse's work environment in order to improve the quality of her work life and commitment to the organization in the hospital and to pay more attention to the fulfillment of the nurse's personal needs.

Purpose: This study attempts to evidence the economic and financial health of Spanish hospital companies in the period 2008-2015 and discover the variables that explain their profitability for survival and the opportune performance of their assets during a period of technological revolution and austerity. Design/methodology: The study methodology consists of the short and long-term financial analysis of the companies in the study sample during the period 2008-2015, together with analysis is of their economic state, equity and treasury. To add value to the research, the profitability of the hospital companies has been explained in terms of the following independent variables: short-term solvency, debt, business size, legal form, GDP per capita, population density of and indicators of Corporate Social Responsibility. Findings: In the analyzed period, the economic and financial health of hospital companies is characterized by acceptable liquidity and indebtedness that significantly influence its profitability; this is accompanied by good financial and expenditure management, though it is necessary to improve the management of assets. Research limitations/implications: It was not possible to obtain data for 2016, as it was not available in the database used (SABI). These data would have been useful to evaluate the changes in trends that are taking place in the health sector due to the technological revolution and economic policies affecting it. Practical implications: The health sector is one of the pillars on which society is based, and therefore knowing detailed economic and financial information allows us to make appropriate decisions, both on the hospital level and in terms of the economic policies of governments. Social implications: This study provides evidence of the financially relevant indicators that healthcare companies must control for their survival and to provide proper service to society in general. The research also identifies non-financial variables that contribute to improving the profitability of ...

In an effort to examine translation of family nursing knowledge to practice, the Landspitali University Hospital Family Nursing Implementation Project (2007-2011), was thoughtfully initiated in Reykjavik, Iceland and systematically evaluated. The mission was to implement family nursing in every department of the hospital. This publication is the first formal research report from this landmark project. The purpose of this research was to evaluate the effectiveness of a short-term therapeutic conversation intervention with families who were receiving health care services at the Children's Hospital at Landspitali University Hospital in Iceland related to childhood and adolescent acute and chronic illnesses. The therapeutic conversation was guided by Family Systems Nursing and used the Calgary Family Assessment and Intervention Models (Wright & Leahey, 2005, 2009). Families ( N = 76) were randomly assigned to either an experimental group (short-term therapeutic conversation: n = 41) or to a control group (traditional care: n = 35). Parents in the experimental group reported significantly higher family support after the intervention, compared to the parents in the control group. Differences were noted between families experiencing acute versus chronic illnesses. Recommendations are made for conducting and designing intervention research with families experiencing the hospitalization of a child or adolescent.