Public Health Management

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https://hdl.handle.net/20.500.11888/18811

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    NURSES’ PERCEPTION OF THE DISCHARGE PLANNING PROCESS FOR ADULT PATIENTS IN AN ACUTE MEDICAL CARE DEPARTMENTS IN RAMALLAH HOSPITALS
    (2023-10-18) Ali Thaher Mohamed Gawabreh
    Introduction: Discharge planning is an integral part of patient care in hospital departments because the goal for all patients is that they will leave this setting once acute healthcare needs have been managed or it is clear what the next phase of care will be. All patients who leave hospitals require discharge planning. The discharge planning is different for each patient as a result of the different needs after discharge, from simple and straightforward needs to more complex requirements . Aim: To investigate the nurses’ perception of the discharge planning process for adult patients in acute medical care departments in Ramallah hospitals. Method: 400 modified questionnaires were distributed to fit this study to 400 nurses working in acute departments in several hospitals in Ramallah. Results: The survey consisted of 300 nurses, with a response rate of 75%. 50.7% of the nurses participating in the study were male; 53.3% of them work in government hospitals. Also, most study participants are registered nurses (61.7%), as well as full-time employees (83.3%) and (54.3%) with experience of 5 years or less. 63.8% of nurses have perceptions about discharge planning, and 74.2% are familiar with the coordination of discharge planning and the timing of discharge. In the multivariate analysis models, perception was a strong predictor for discharge planning, skills, and barriers. Conclusion: The results showed a Preparing or implementing discharge planning is one of the tasks of the nurse following up on the patient. and implementing a discharge plan effectively requires nurses' administrative or interpersonal skills. In addition, future research should be directed toward discovering factors that improve the discharge process, and it is recommended that frequent nursing development courses be established in the communication process, especially in cases of developing discharge planning for patients. Keywords: Discharge Planning, Adult Patients, Acute Medical Care.
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    EFFECTIVENESS OF QUALITY HEALTHCARE SERVICES FROM A PATIENT PERSPECTIVE: A HOSPITAL BASED CASE STUDY
    (2023-02-13) Ahmad Nidal Ahmad Rashid
    Abstract This study aims to identify the effectiveness of quality healthcare services from a patient perspective: a hospital based case-study. To achieve the objectives of the study and answer its hypotheses the researcher used the descriptive analytical approach which is based on the study of the problem, a method that does not stop at collecting information. The research instrument used to collect data was the questionnaire: The sample of the study consists of (365) patients in governmental hospitals (Rafidia Hospital and the Ittihad Hospital) and private (Arab Specialist Hospital and Nablus Specialist Hospital) in Nablus Governorate. Results show that the degree of tangibility factor practice, that 80% of the participants have agreed on considering it as one of the factors of the effectiveness of healthcare services quality from patient perspective to the extent that its degree has been very high. Hence, 67.9% of the participants agreed on considering the degree of reliability factor practice as one of effectiveness healthcare services quality factors from patient perspective that its degree has been "high". Also, 65.6% of the participants have agreed on considering the degree of empathy factor practice as one of effectiveness healthcare services quality factors from patient perspective that its degree has been "high". Furthermore, 72% of the participant considered the degree of responsiveness factor practice as one of effectiveness healthcare services quality factors from patient perspective that its degree reaches "high". Thus, 66.4% of the participants have agreed that the degree of assurance factor practice as one of effectiveness healthcare services quality factors from patient perspective reaching "high" degree. Finally, 70.8% of the participants have agreed that the degree of doctor’s skills from patient perspective indicating a "high" degree. In addition, the results of Pearson correlation test of the hypotheses shows that doctors skills in dealing with patients is jointly affected quality healthcare services factors including tangibility, reliability, empathy, responsiveness, and assurance. Based on the results of the previous study, the researcher recommends a set of recommendations, which focus on developing assessment tool for patients to detect the healthcare services quality, arranging training courses for doctors to train them to help patients during their treatment in hospitals, and providing a fully organized structure that illustrate the main criteria for healthcare services quality. Keywords: Effectiveness; Hospitals; Nablus city; Patients; Quality healthcare services
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    ASSOCIATION BETWEEN NURSES’ QUALITY OF WORK LIFE AND COMPLIANCE WITH STANDARD PRECAUTIONS: A CROSS-SECTIONAL STUDY FROM PALESTINE
    (2023-06-11) Salwa Mohammad Asaad
    In nearly all healthcare facilities globally, nurses constitute the most populous cadre of healthcare practitioners. The quality of nursing work life and adherence to the standard precautions were less than optimal. The objective of this investigation was to evaluate the degree to which nurses in governmental healthcare institutions in Palestine adhere to established guidelines for universal precautions and to assess the quality of their professional livelihood. This study was carried out in a descriptive cross-sectional design in six government hospitals in the West Bank. The questionnaire contained compliance with the standard precautions scale (CSPS) and the Brooks Quality of nursing work life (BQNWL) survey. A total of 257 nurses participated in this study and returned completed questionnaires. The mean percentage of ideal compliance was 77.1% ± 9.8% and 10 (3.9%) nurses had a CSPS % of ideal compliance of < 60%. Nurses in obstetrics, operations room, incubator unit, internal medicine, surgery, and renal unit were more likely to score ≥ 60% of ideal compliance. The BQNWL total score mean was found to be 177.0 ± 30.2. In detail, the mean scores were 28.5 ± 6.5, 43.2 ± 7.8, 88.5 ± 17.3, and 16.8 ± 5.5 in the work life-home life, work design, work context, and work world domains, correspondingly. Moreover, a statistically significant weak positive association was observed between CSPS scores and BQNWL scores, with a Pearson’s r of 0.16 and p-value of 0.011. Furthermore, a significantly low positive correlation was identified between CSPS scores and work context scores, with a Pearson’s r of 0.19 and p-value of 0.003. Nurses working in different hospitals in Palestine reported moderate adherence to standard precautions. Conversely, the nurses who participated in the study reported a moderately elevated quality of professional nursing livelihood. Specifically, female nurses reported a greater degree of compliance with universal precautions and a higher caliber of nursing work in comparison to their male counterparts. Additionally, a statistically significant weak positive correlation was detected between CSPS and BQNWL scores. In light of these results, healthcare policymakers and administrators may benefit from taking these findings into account to enhance nurses' adherence to established protocols and to improve the quality of their professional work life. Keywords: Infection control; Nursing; Quality of nursing work; Standard precautions.