BMC HEALTH SERVICES RESEARCH

Transforming nursing work environments: the impact of organizational culture on work-related stress among nurses: a systematic review
Kiptulon EK, Elmadani M, Limungi GM, Simon K, Tóth L, Horvath E, Szőllősi A, Galgalo DA, Maté O and Siket AU
Creating a healthy and conducive nursing work environment is a universal global nursing concern. Work-Related Stress, global nursing and a public health problem that has continued to bedevil the world healthcare systems is of a particular interest. It has not only compromised the quality of patient care but also negatively impacted nurses' quality of work life and adversely affected global healthcare management. Organizational culture is an important determinant of nurses' work-related stress, yet it remains systematically under-researched. Despite a plethora of research on work-related stress in nursing environments, there are few dedicated systematic literature reviews, and this study aimed to fill this gap.
Acute remote home monitoring of acutely ill patients with COVID-19: how Dutch home monitoring initiatives were organized during the pandemic
Smit K, van Uum RT, Rijks S, van de Pol AC, Ahmad A, Venekamp RP, Rutten FH, Zwart DLM and
Acute remote home monitoring of acutely ill patients with COVID-19 holds potential for early detection of deterioration and thus subsequentearly intervention that may prevent or mitigate progression to severe illness and need for respiratory support. Our aim was to describe common features of acute remote home monitoring programs for acutely ill patients with COVID-19 in the Netherlands.
Co-developing a theory of change for a personalised multimodal cancer prehabilitation programme in South Wales
Walklett J, Christensen A, Grey CNB, Barlow RC, McDonald R, Davies AR and Mugweni E
Evidence suggests that prehabilitation interventions, which optimise physical and mental health prior to treatment, can improve outcomes for surgical cancer patients and save costs to the health system through faster recovery and fewer complications. However, robust, theory-based evaluations of these programmes are needed. Using a theory of change (ToC) approach can guide evaluation plans by describing how and why a programme is expected to work. Theories of Change have not been developed for cancer prehabilitation programmes in the literature to date. This paper aims to provide an overview of the methodological steps we used to retrospectively construct a ToC for Prehab2Rehab (P2R), a cancer prehabilitation programme being implemented by the Cardiff and Vale University Health Board.
Further analysis of determinants of Pentavalent and Measles immunizations dropouts among children under five years of age in Ethiopia from Mini-EDHS 2019
Tolera M, Birhanu A, Regassa LD, Getachew T, Negash A, Jibro U, Deressa A, Abdurahman D, Motuma A, Gamachu M, Mohammed F, Balis B and Mussa I
Globally, immunization prevents an estimated 2-3 million deaths from illnesses that can be prevented by vaccination. The predictors of Pentavalent and Measles immunization dropout were not investigated sufficiently. Therefore, this analysis was meant to determine the coverage, burden, and predictors of Pentavalent and Measles immunizations in Ethiopia.
Integration of psychological interventions in multi-sectoral humanitarian programmes: a systematic review
Ndlovu JN, Lind J, Patlán AB, Upadhaya N, Leku MR, Akellot J, Skovdal M, Augustinavicius JL and Tol WA
Every year, millions of people are affected by humanitarian crises. With a growing population of people affected, the need for coordination and integration of services aiming to improve the effectiveness of mental health and psychosocial support also grows. In this study, we examine how psychological interventions in humanitarian settings globally have been implemented through integration into programming outside of formal healthcare delivery through multisectoral integration.
The South African Competition Commission COVID-19 easing of competition rules for private healthcare to facilitate public-private interaction - a media content analysis
Abdullah A, Sefuthi T, Ramokgopa M, Fonn S and Nkonki L
Future emergencies from climate degradation or diseases are likely, prompting ongoing investment in emergency readiness and learning from country responses. South Africa's healthcare system, divided into public and private sectors, required a coordinated, intersectoral response to the COVID-19 pandemic. A coordinated action that the South African government took was adapting competition regulations. The South African Department of Trade, Industry and Competition on 19 March 2020, published a block exemption (easing of competition rules) for healthcare to promote standardization of practices across the health sector and facilitate agreements between the National Department of Health and the private sector to ensure adequate service delivery to all South Africans.
Transition for people with dementia from day respite services to permanent residential care: a realist synthesis
Meyer C, Golenko X, Sinclair R and Lowthian J
Respite and permanent transition to residential aged care are processes that are designed to support preferences and needs of people living with dementia and their carers as the disease progresses. These services are highly variable in acceptability, accessibility, and availability for the caregiving dyad, often not reflecting a person-centred, co-ordinated and cohesive approach. This study aimed to use a two-phase realist synthesis to explore how respite and permanent transition models of care work in different contexts, through different mechanisms to produce varying outcomes.Phase 1 explored preliminary theories and assumptions of the respite care journey, including (a) identification of systematic reviews and innovative programs, and (b) semi-structured interviews sessions with key stakeholders. Phase 2 involved an iterative scoping review to identify and map the available evidence, with a synthesis designed to unpack underlying program theories of why, for whom and in what circumstances respite/transition models of care works.Phase 1(a) identified ten citations from 126 systematic review abstracts. Fourteen residential care managers participated in a contextual scan - Phase 1(b). Phase 2 expanded this knowledge, identifying a further 13 studies. Three program theories, at the macro, meso and micro level, were elucidated: (1) system-level evidence-based integration, through collaboration and co-ordination; (2) inclusive, quality care, with supportive environmental design; and (3) trust, autonomy, and meaning-making.A novel realist synthesis approach was used to explore respite and permanent transition models of care beyond 'what works'. Importantly, findings at the macro, meso and micro level context, suggest nuance, with a shared decision-making approach, is needed to optimise the ever-changing dementia care journey.
Preferences of cancer survivors for follow-up care: a systematic review of discrete choice experiments
Hua R, Fu H, Liang G and Yang F
The unmet post-treatment needs and issues of cancer survivors for follow-up care are still significant, matching appropriate and acceptable follow-up care to cancer survivors' preferences, may increase adherence of survivors to health programs and quality of life. There is a knowledge gap about how cancer survivors measured their choices between different aspects of follow-up care. As discrete choice experiments (DCE) have been widely used in patient preference elicitation, we reviewed DCE on follow-up care for cancer survivors.
Illness perception and self-care in hypertension treatment: a scoping review of current literature
de Santana Silva JP, Cruz HRA, Silva GAG, Gualdi LP and Lima ÍNDF
Self-care and self-perception of the disease are of fundamental importance in the management of systemic arterial hypertension. Therefore, the objective of this study is to identify identified how "illness perception and self-care" concepts are reported in scientific evidence regarding Systemic arterial hypertension treatment.
Flourishing and job satisfaction in employees working in UK clinical trial units: a national cross-sectional survey
Hall SS, Riga E, Sprange K, Hagan P, Carr L, Taylor J, Thomson L and Mitchell EJ
To evaluate healthcare interventions in clinical trials, it is crucial to attract and retain a skilled workforce. The job demands associated with developing and running clinical trials have been linked with difficulties in recruiting and retaining skilled Clinical Trial Unit (CTU) staff. Flourishing conceptualises positive aspects of wellbeing which may help staff to thrive within a demanding job role. This study explored the association between flourishing and job satisfaction among staff based in UK Clinical Research Collaboration (UKCRC)-registered CTUs.
Improving medical certification of cause of death in Assiut University Children Hospital: an intervention study
El-Gibaly O, Elela MGMA, Rizk YFA and Mahmoud SHH
Death certification is a health indicator and a public health surveillance tool. High-quality death certificate ensures reliability of mortality statistics used to direct the arranging of health-related programs and leading assessments of research and proper healthcare outcomes. The World Health Organization (WHO) puts Egypt in the group of 'low quality' death registration data. The aim of this study was to evaluate the impact of composite training and audit intervention on accurate completion of death notification forms (DNFs) in Assiut University Children Hospital (AUCH) that has an average monthly mortality of 120 children's deaths.
Public perception of the physician associate profession in the UK: a systematic review
Swainston R, Zhao Y, Harriss E, Leckcivilize A, English M and Nagraj S
The physician associate (PA) role within the NHS is currently under scrutiny due to recent legislative changes and concerns about their scope of practice within primary and secondary healthcare. There is currently limited knowledge of public understanding of PAs and their levels of satisfaction with PAs. This review synthesises the evidence relating to patients' and potential patients' understanding of and satisfaction with the PA profession in the UK.
A look back at the strike by Mozambican doctors in 2013: what can we learn?
Manguele ALJ, Craveiro I, Sidat M, Sengo DB, Cabral AJR and Ferrinho P
The occurrence of strikes in the health sector has been an increasing concern around the world, given their negative impact on the provision of services and care to patients. The Mozambican doctors' strike in 2013 2013 is considered by many to be the largest of a kind in the country's history, and marked the changes which are still a matter of debate. The aim of this study is to understand the causes, strategies and perceived impact of this strike from the perspective of the main actors involved, taking a look back at everything that happened, including the backstage and tense moments during the negotiations. These details have been little covered in similar studies and are important for a better understanding and management of this type of movement.
Challenges and executive requirements of advanced health system governance based on general health policies in Iran: qualitative research
Aboulhallaj M, Mousavi SM, Jafari M, Vosoogh-Moghaddam A, Bahariniya S, Ghasemyani S and Far SST
The optimal management of the health system depends on its functions. The functional issues of Iran's health system are organized in a scattered manner and it has many challenges, especially in the field of stewardship. In order to achieve sustainable health-oriented development, bold and smart policy reforms in the main components of the health system are essential. The purpose of this study was to identify challenges and institutional-operational requirements in order to promote stewardship based on the general health policies of the country.
A systematic review and meta-analysis of evidence-based practice and its associated factors among health professionals in Ethiopia
Gudeta TG, Terefe AB, Mengistu GT and Sori SA
Evidence-based practice (EBP) entails utilizing the most up-to-date information to inform clinical decisions. Healthcare professionals at all levels are encouraged to integrate the latest research evidence to ensure high-quality care. In Ethiopia, there is a lack of comprehensive, nationally representative data on the prevalence of EBP among healthcare workers. This systematic review and meta-analysis aims to assess the overall prevalence of EBP and its associated factors among health professionals in Ethiopia.
Analysis of the impact of China Healthcare Security diagnosis-related groups payment reform on the hospitalization costs for uvulopalatopharyngoplasty in obstructive sleep apnea patients at Hospital C
Li M, Yang J, Shen J, Xu J and Gu D
As part of China's medical insurance-related grouping payment reform, public hospitals, which are the primary providers of medical insurance services, face remarkable pressure to control costs. This study examined uvulopalatopharyngoplasty (UPPP) surgery for patients with obstructive sleep apnea (OSA) at Hospital C to identify factors influencing inpatient costs and assess the impact of payment reform on treatment practices.
Effect of WhatsApp Messenger-based education on the knowledge of health ambassadors about home care for minor illnesses
Abbasian F, Naghizadeh MM and Ahmadian L
In the digital era, virtual education has become one of the most effective educational methods, in which, the latest educational materials can be made available to people using social network platforms. Health ambassadors are mediators for transferring health-related knowledge to the public, so, they must be aware of various health topics, such as home care for minor illnesses. This study aimed to determine the effects of social media-based interventions (using WhatsApp) on the knowledge of health ambassadors concerning home care for minor illnesses.
Revealing disparities in representation in knowledge generation and guideline development
Almeida CPB, Andom AT, Casseus A, Do JM, Gelin A, Lecca L, Luma M, Mazzi M, Mitnick CD, Mugunga JC, Ndayizigiye M, Nguyen N, Tamirat M, Tefera G, Toussaint S, Tovar M and Tzelios C
Multidrug-resistant tuberculosis (MDR/RR-TB) is a major global health challenge, disproportionately affecting low- and lower-middle-income countries (LLMICs). The World Health Organization (WHO) generates guidance to address the problem. Here, we explore the extent to which guidance and related knowledge are generated by experts living in the most-affected countries and consider the results in the context of the movement to decolonize global health.
The impact of insurance status on psoriasis patients' healthcare-seeking behavior: a population-based study in the United States
Sadrolashrafi K, Hao A, Yamamoto RK, Guo L, Kikuchi R, Tolson HC, Bilimoria SN, Yee DK and Armstrong AW
Psoriasis is a chronic, inflammatory skin condition requiring long-term care. However, many psoriasis patients may not regularly receive care. Several factors affect access to care in the United States, including health insurance status. Additionally, it is unknown how health insurance status impacts the healthcare-seeking behavior of psoriasis patients. Healthcare-seeking behavior is broadly defined as an individual's actions to prevent or treat a perceived health problem, such as visiting a physician's office. Because early diagnosis and timely treatment improve patient outcomes, determining how insurance status impacts psoriasis patients' healthcare-seeking behavior and their ability to get care is important. This allows us to identify patients at risk for being untreated or undertreated. In this study, we aimed to assess the relationship between insurance status and (1) the degree to which psoriasis patients delay seeking or receiving care and (2) the degree to which psoriasis patients are unable to obtain care.
Investigation of treatment delay in a complex healthcare process using physician insurance claims data: an application to symptomatic carotid artery stenosis
van Gaal SC, Alimohammadi A, Karim ME, Zhang W and Sutherland J
Delays in diagnostic and therapeutic processes are a potentially preventable cause of morbidity and mortality. Process improvement depends on accurate knowledge about as-is processes, historically collected from front-line workers and summarized in flowcharts. Such flowcharts can now be generated by process discovery algorithms supplied with chronological records from real-world cases. However, these algorithms may generate incomprehensible flowcharts when applied to complex unstructured processes, which are common in healthcare. The aim of this study is to evaluate methods for analysing data from real-world cases to determine causes of delay in complex healthcare processes.
The emergency medical service dispatch recommendation system using simulation based on bed availability
Xu YY, Weng SJ, Huang PW, Wang LM, Chen CH, Tsai YT and Tsai MC
The number of patients using emergency medical services (EMS) through ambulance dispatch has been increasing annually in Taiwan. Due to limited medical resource allocation, patients may not get on-time admission after they are sent to a hospital Emergency Department. This study aimed to construct a forecasting system to predict the availability of ED and ICU beds.