Purpose The purpose of this paper is to assess the association between shift schedule realignment and patient safety culture. Design/methodology/approach Using difference in differences model, BIMC Hospitals and Siloam Hospital Bali were compared before and after shift schedule realignment to test the association between shift schedule realignment and patient safety culture. Findings Shift schedule realignment was associated with a significant improvement in staffing (coefficient 1.272; 95% CI 0.842 – 1.702; p<0.001), teamwork within units (coefficient 1.689; 95% CI 1.206 – 2.171; p<0.001), teamwork across units (coefficient 1.862; 95% CI 1.415 – 2.308; p<0.001), handoffs and transitions (coefficient 0.999; 95% CI 0.616 – 1.382; p<0.001), frequency of error reported (coefficient 1.037; 95% CI 0.581 – 1.493; p<0.001), feedback and communication about error (coefficient 1.412; 95% CI 0.982 – 1.841; p<0.001) and communication openness (coefficient 1.393; 95% CI 0.968 – 1.818; p<0.001). Practical implications With positive impact on patient safety culture, shift schedule realignment should be considered as quality improvement initiative. It stretches the compressed workload suffered by staff while maintaining 40 h per week in accordance with applicable laws and regulations. Originality/value Shift schedule realignment, designed to improve patient safety culture, has never been implemented in any Indonesian private hospital. Other hospital managers might also appreciate knowing about the shift schedule realignment to improve the patient safety culture.
Junk food consumption increases the risk of having symptoms of mental health problems. This study aimed to conduct a meta-analysis to assess the association between junk food and symptoms of mental health problems. Six researchers, two primary researchers, and four assistant researchers, from October to December 2020 conducted a systematic literature review. The data sources were selected from Pubmed and Science Direct articles published from 2010 to 2020. Those websites were check-marked for text availability for original articles, using keywords for junk foods and mental health. This study had inclusion criteria for selecting and organizing articles using the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guideline. The full-text articles were selected for conducting a meta-analysis using R Studio Software. The 5,079 article titles were obtained, seven of which met the relevant requirements for meta-analysis. The range of respondents who experienced symptoms of mental illness was 1.38%–79.8%. There was no heterogeneity based on the Tau-square test. The correlation coefficient was 0.11 (95% CI 0.09–0.14), with no publication bias based on Egger’s Regression test (0.6023 or p-value>0.05). The frequent consumption of junk food can contribute to mental illness symptoms, even with minimal effects.
Background:The incident of malignant cancer due to smoking habit becomes a public health problem especially in the developing countries. Active smokers neglect to stop smoking even though various studies proved that smoking increases the risk of cancer. While, previous studies have assessed the incident risk of cancer but have not performed the validity of the measurement. The aim of this study is to know the number of cigarettes that contribute to the incidence of malignant cancer. Methods: A study with retrospective cohort design has been conducted by using a set of public data of Indonesia Family Life Survey (IFLS) in 2007 and 2014. All active smokers (n= 748) who were in good health condition in 2007, were traced in 2014 and then being diagnosed with cancer with considering age, gender, healthy eating habit, and regular physical activity. Data has been analysed by using logistic regression by performing Adjusted Risk Ratio (ARR) and the result of validity measurement. Results: The incident of malignant cancer in 2014 were skin, liver, stomach and oral cavity. Smoking 21-30 per day in 2007 were significantly increased risk of having malignant cancer in 2014 at ARR: 6.88; SE:6.13 with the accuracy were 93.8%. The risk and accuracy were higher if smoke >30 cigarettes per day (ARR:7.523; SE:7.019; accuracy 95.5%). This study also found that the risk of cancer was significantly increase with age (99% CI; ARR: 1.065; SE: 0.026). Conclusions: Cigarette smoking behaviour increased the risk any types incident of cancer. Total number >20 cigarettes smoked per day contributes to the incidence of malignant cancer.
Patients with chronic obstructive pulmonary disease can face increased resistance of airflow, air trapping, and lung hyperinflation. This condition can also cause decreased lung ventilation functions. Using a pursed lips breathing exercise can strengthen respiratory muscles that can improve oxygen saturation by maintaining airflow to bronchus and its branches and alveolus which then can prevent collapse in bronchiolus. The purpose of the study was to identify the effect of pursed lips breathing exercises on the oxygen saturation levels in patients with chronic obstructive lung disease in Persahabatan hospital, Jakarta. The design was quasi experimental, with a control group pre-post test design. A random sampling technique was used in the study. The exercise was provided to the intervention group for six days. The findings showed that the lung ventilation function is significantly different between preand post-intervention for both groups (p=0.00). Further, the average lung ventilation function in the intervention group is significantly different from that of the control group after intervention (p=0.012). In addition, while there is a significant relationship between subject age and the increase of the lung ventilation score (p=0.001), there was no relationship between height and the increase of oxygen saturation (p=0.091) and no significant relationship between sex and the increase of oxygen saturation (p=0.346). Based on these findings, the pursed lips breathing exercise is recommended to patients with chronic obstructive lung disease in order to improve the level of oxygen saturation. Keywords: Oxygen saturation, Pursed lips breathing exercise, Chronic Obstructive Pulmonary Disease.
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