Background: Management capability index presents the management assessment of any organizations. Therefore, we aimed to compare Mongolian maternity hospitals with the ones that have and have not implemented the quality management system. Methods: This study was performed at the three main maternity hospitals, in Mongolia, between July 2019 and September 2019 employing the cross-sectional study method. The study involved 480 employees. We used 9 chapters and 90 criteria that were used in over 30 Mongolian Governmental Organizations for capability assessment to determine management capability index of Maternity Hospitals. The organizational management capability was 71.8, 73.6 and 93 at Urguu Maternity Hospital, Khuree Maternity Hospital and Amgalan Maternity Hospital, respectively. It is obvious that there is a need to improve organizational knowledge, innovation, resource utilization, behavior, culture and activate their organization. In the results, there is a positive correlation between organizational capability and employee’s satisfaction. Conclusion: Employee’s satisfaction increases when organizational management capability improves.
Objective: To evaluate the level of job satisfaction among the employees of maternity hospitals and to describe variables related to their job satisfaction. Methods: A cross-sectional study was undertaken that focused on 480 full time staff of three maternity hospitals located in the capital city of Mongolia, Ulaanbaatar. Data was collected between July 2019 and September 2019. We selected 3 hospitals as our sample target in order to assess an organizational management capability index using 9 chapters with 90 criteria that used over 30 local public organizations. The Minnesota Satisfaction Questionnaire was used as a data gathering tool to assess employee's satisfaction which measures on a five-point Likert scale. Results: Overall, 48.0 % of participants had low levels of satisfaction with their jobs. Factors that were statistically significant to employees' job satisfaction in the univariate analysis were entered into the logistic regression analysis including employees' professional title, department work hours, work requirements, and life and work stress. The results of the logistic regression analysis suggested that employees' job satisfaction was related to their age, working hours, leadership attention, wage and promotion as well as cooperation with colleagues. Conclusion: There is an urgent need for maternal hospitals in Mongolia to establish a more reasonable promotion and management system for employees and pay more attention to less-experienced staff and help them release their work stress.
Healthcare organizations are implementing quality management system by forming legal entity, by carrying out administrative structural changes and developing healthcare organization’s structure, set-up, functional standards, clinical guideline, rules and employee´ moral principles. Introduction of accreditation system into healthcare organizations is becoming an accepted standard, however, healthcare paradigm shift outcome is insufficient. In this connection, researchers, citizens and policy makers are speaking out that the quality of and access to healthcare service is getting worse than before. Management capability index presents management assessment by score, assesses outcome of organizational functions and makes it possible to measure management capability. This study was performed at the Amgalan maternity hospital, Urguu maternity hospital and Khuree maternity hospital between July 2019 and September 2019 and cross-sectional study method was used. The study involved 480 employees of above-mentioned hospitals. We used 9 chapter and 90 criteria that were used in more than 30 Mongolian Public (i.e., Governmental) Organizations for capability assessment to determine management capability index of the maternity hospitals. Organization management capabilities, as an organizational goal and task, leadership skill in an organization, appropriate structure and set-up, organization’s incentive and motivation leverage schemes, organization’s relationship and collaboration, organizational behavior and culture, resource utilization, knowledge and innovation, organizational productivity, quality and performance were included in the questionnaire. Organizations capability index was calculated with a score point of 1 to 5 for each question. A total 480 employees, including 220 from the Urguu maternity Hospital, 125 from the Khuree maternity hospital and 135 from the Amgalan maternity hospital were included in this study. When responses to the question of management capability were according to duties and functions, not much difference was observed among the three hospitals, but when the responses were compared with that provided by doctors, nurses, obstetricians and other medical staff, a 1.8 percentage higher point was given by the administrative and service staff. Regression analysis showed strong relation between management capability assessment of doctors, nurses, obstetricians and other employee of the select hospitals (p<0.001 and R=0.89). Organizational management capabilities of Urguu and Khuree Maternity Hospitals, which have not yet introduced quality management system, are different from the Amgalan maternity hospital’s organizational management capability (p=.000). Doctors, obstetricians, nurses and other employee’ assessed organizational management capability by 73.5 percent respectively. There is a positive correlation ship between organizational capability and employee satisfaction. Better and higher management capability of an organization results in higher employee satisfaction.
Women’s experiences of childbirth have a significant impact on mother and child health and well-being as well as quality of care. A valid and reliable tool is needed to assess women's experience. This study aim was to adapt the Childbirth Experience Questionnaire to the Mongolian context and assess its psychometric properties. The study conducted between October and January 2019 at the public maternity hospital in Ulaanbaatar by recruiting a total of 828 low-risk postpartum women. The response rate was 92% (n = 761). Confirmatory factor analysis indicated a good fit for the 4-factor model. Reliability was good for the overall instrument (Cronbach's alpha = 0.83) and for individual domains (Cronbach's alphas ranging from 0.45 to 0.80). The overall and domain scores were significantly higher among women who had previous birth experience, who did not receive oxytocin augmentation, and who experienced a shorter labor duration (<12 h).The Mongolian version of the Childbirth Experience Questionnaire is a valid and reliable tool for exploring the childbirth experience. It can be used to promote women-centered, respectful care in maternity hospitals.
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