COVID-19 pandemic expedites the development of digital technologies to tackle the spread of the virus. Several digital interventions have been deployed to reduce the catastrophic impact of the pandemic and observe preventive measures. However, the adoption and utilisation of these technologies by the affected populace has been a daunting task. Therefore, this study carried out exploratory investigation of the factors influencing the behavioural intention (BI) of people to accept COVID-19 digital tackling technologies (CDTT) using the UTAUT (Unified Theory of Acceptance and Use of Technology) framework. The study applied principal components analysis and multiple regression analysis for hypotheses testing. The study revealed that performance expectancy (PE), facilitating conditions (FC) and social influence (SI) are the best predictors of people's BI to accept CDTT. Also, organizational
influence and benefit (OIB) and government expectancy and benefits (GEB) influence the people's BI. However, variables such as age, gender and voluntariness to use CDTT have no significance to influence BI because the CDTT is still nascent and not easily accessible. The results show that the decision-makers and regulators should consider inciting variables such as PE, FC, SI, OIB and GEB, that motivate the acceptance and use of CDTT. Furthermore, the populace must be sensitized to the availability and use of CDTT in all communities. Also, the path diagram and hypothesis testing results for CDTT acceptance and use, will help government and private organizations in planning and responding to the digitalization of COVID-19 protective measures and hence revise the COVID-19 health protection regulation.
Turnover among registered nurses (RNs) produces a negative impact on the health outcomes of any health care organization. It is also recognized universally as a problem in the nursing profession. Little is known about the turnover intentions and career orientations of RNs working in Calgary, Alberta, Canada. The aim of this study is to contribute to the knowledge of and to advance the discussion on the turnover of nursing professionals. The study population consisted of RNs employed in the five major hospitals in Calgary. There were 193 surveys returned, representing a response rate of 77.2%. The results show that age and education have a negative effect on turnover intention. Education was found to have a significant negative effect on career satisfaction but not on job satisfaction and organizational commitment. Length of service has a significant negative effect on turnover intention. Role ambiguity has significant highly negative effect on career satisfaction. Growth opportunity and supervisor support have a very significant positive effect on job satisfaction, career satisfaction, and organizational commitment. External career opportunities and organizational commitment do not seem to have a significant effect on turnover intention. Career satisfaction, on the other hand, had negative significant effects on turnover intention.
Electronic commerce (e‐commerce) is rapidly gaining a prominent place in the global marketing matrix. The volume of transactions that are carried out over the Internet globally is extremely huge. It is estimated that in the next decade, e‐commerce activities would be a major source of foreign exchange, and a key indicator of national development. Studies show that e‐commerce development in developing countries, especially in Africa is comparatively very low. Infrastructural, economic, and management factors have been previously identified as contributing to the low level of e‐commerce development in developing countries. This study focuses on behavioural factors in the adoption of e‐commerce in developing countries. The results of the study show that perceived advantages, Internet and complexity, accessibility, and management support have statistically significant influence on the adoption of e‐commerce, while perceived disadvantages and other facilitating conditions do not significantly affect the decision to adopt e‐commerce. The study results tend to agree with the theory of planned behaviour, but attitude seems to weigh more than subjective norm and perceived behavioural control.
Background
The need for increased attention to surgical safety in low- and middle-income countries invited organizations worldwide to support improvements in surgical care. However, little is written about issues in instrument sterilization in low- and middle-income countries including Ethiopia.
Objective
The study aims to identify the impact of a sterile processing course, with a training-of-trainers component and workplace mentoring on surgical instrument cleaning and sterilization practices at 12 hospitals in Ethiopia.
Method
A mixed-methods research design that incorporates both qualitative and quantitative research approaches to address issues in sterile processing was used for this study. The quantitative data (test results) were validated by qualitative data (hospital assessments, including observations and participant feedback). Twelve hospitals were involved in the training, including two university teaching hospitals from two regions of Ethiopia. In each of the two regions 30 sterile processing staff were invited to participate in a three-day course including theory and skills training; 12–15 of these individuals were invited to remain for a two-day training of trainers course. The collected quantitative data were analysed using a paired t-test by SPSS software, whereas comparative analysis was employed for the qualitative data.
Results
Process, structural, and knowledge changes were identified following program implementation. Knowledge test results indicated an increase of greater than 20% in participant sterile processing knowledge. Changes in process included improved flow of instruments from dirty to clean, greater attention to detail during the cleaning and decontamination steps, more focused inspection of instruments and careful packaging, as well as changes to how instruments were stored. Those trained to be trainers had taught over 250 additional staff.
Conclusions
Increased attention to and knowledge in sterile processing practices and care of instruments with a short, one-week course provides evidence that a small amount of resources applied to a largely under-resourced area of healthcare can result in decreased risks to patients and staff. Providing education in sterile processing and ensuring staff have the ability to disseminate their learnings to other health care providers results in decreasing risks of hospital associated infections in patients.
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