Administrative challenges of clinical governance in military and university hospitals of Kerman/Iran

Mirzaei, Saeid; Hekmat, Somayeh Noori; Oroomiei, Nadia; Vali, Leila

doi:10.1002/hpm.2774

Cited by 4 publications

(5 citation statements)

References 20 publications

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“…Furthermore, numerous researchers have developed models to examine the role and impact of these determinants on health, exploring their interplay in diverse health conditions and devising strategies to achieve health goals [12]. One such example is the County Health Rankings & Roadmaps (CHR&R) developed by the University of Wisconsin Population Health Institute in collaboration with the Robert Wood Johnson Foundation.…”

Section: Discussionmentioning

confidence: 99%

Assessing health determinants worldwide: Econometric analysis of the Global Burden of Diseases Study 2000–18 – Highlighting impactful factors on DALY, YLL, and YLD indicators

Irandoust,

Daroudi,

Tajvar

et al. 2024

J Glob Health

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Background As the health status of a population is influenced by a variety of health determinants, we sought to assess their impact on health outcomes, both at the global and regional levels. Methods This ecological study encompassed all 194 member countries of the World Health Organization (WHO) from 2000 to 2018. We first identified all health determinants and then retrieved the related data from various global databases. We additionally considered three indicators – disability-adjusted life years (DALYs), years of life lost (YLL), and years lived with disability (YLD) – in evaluating health outcomes; we extracted their data from the Global Burden of Disease (GBD) 2019 study. We then applied econometric analyses using a multilevel mixed-effects linear regression model. Results The analysis using the DALY indicator showed that the variables of sexually transmitted infections, injuries prevalence, and urbanisation had the highest effect size or regression coefficients ( β ) for health outcomes. The variables of sexually transmitted infection ( β = 0.75, P < 0.001) in the African region; drinking water ( β = −0.60, P < 0.001), alcohol use ( β = 0.20, P < 0.001), and drug use ( β = 0.05, P = 0.036) in the Americas region; urbanisation ( β = −0.34, P < 0.001) in the Eastern Mediterranean region; current health expenditure ( β = −0.21, P < 0.001) in the Europe region; injuries ( β = 0.65, P < 0.001), air pollution ( β = 0.29, P < 0.001), and obesity ( β = 0.92, P < 0.001) in the South-East Asia region; and gross domestic product ( β = −0.25, P < 0.001), education ( β = −0.90, P < 0.001), and smoking ( β = 0.28, P < 0.001) in the Western Pacific region had the most significant role in explaining global health outcomes. Except for the drug use variable in regional findings, the role of other variables in explaining the YLL indicator was greater than that of the YLD indicator. Conclusions To address global health disparities and optimise resource allocation, global and interregional policymakers should focus on determinants that had the highest β with health outcomes in each region compared to other regions. These determinants likely have a higher marginal health product, and investing in them is likely to be more cost-effective...

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Section: Discussionmentioning

confidence: 99%

Assessing health determinants worldwide: Econometric analysis of the Global Burden of Diseases Study 2000–18 – Highlighting impactful factors on DALY, YLL, and YLD indicators

Irandoust,

Daroudi,

Tajvar

et al. 2024

J Glob Health

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“…In Iran, nurses have faced a high volume of documentation work [41]. Although documenting care is vital, it may override patient care, causing nurses to unintentionally or intentionally exclude specifc care.…”

Section: Discussionmentioning

confidence: 99%

A Comparison of Nursing Activity Score Means for Missed Care Dimensions in Intensive Care Unit Patients

Mohammadi,

Souza Nogueira,

Hanifi

et al. 2023

Nursing Forum

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Background. The workload of nurses in the intensive care unit (ICU) can affect the quality of nursing services. Aim. This study aimed to determine the relationship between the nursing activity score and missed care in patients hospitalized in the ICU in Zanjan, Iran. Methods. This observational and prospective study was conducted from April 3 to September 18 in 2021. The study utilized a patient and nurse profile questionnaire, the Nursing Activity Score (NAS), and a checklist for missed care as research tools. Missed care was observed in the 301 patients for whom the NAS was calculated. Analysis of variance (ANOVA) was used to investigate the differences in mean levels of missed care. Logistic regression models were used to assess the association between factors and missed nursing care. Results. Results show that the medical ICU’s mean NAS was 76.31 (95% CI: −13.06–14.89). In 9 dimensions of care, the extent of missed care was 40.7%. In the care dimensions of assessment, hand hygiene, and infection control, the mean NAS had a statistically significant increase at higher levels of missed care ( P < 0.5). Furthermore, work experience was identified as a protective factor for missed care (OR = 0.59, 95% CI: 0.37–0.94, χ2 = = 4.97, p = 0.026). Conclusion. The study revealed a high incidence of missed care. The study revealed that the mean workload was high in certain dimensions of care such as assessment, hand hygiene, and infection control. The increase in workload for nurses results in lost care. Nonetheless, the utilization of experienced nurses can help mitigate this problem. However, utilizing experienced nurses can help reduce this problem.

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“…In Iran, nurses have faced a high volume of documentation work (40). Although documenting care is vital, it may override patient care, causing nurses to unintentionally or intentionally exclude specific care.…”

Section: Discussionmentioning

confidence: 99%

<strong>A comparison of Nursing Activity Score means for missed care dimensions in intensive care unit patients</strong>

Hanifi

2023

Preprint

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Background The workload of nurses in the intensive care unit (ICU) can affect the quality of nursing services. Aim This study aimed to determine the relationship between the nursing activity score and missed care in patients hospitalized in the ICU in Zanjan, Iran. Methods This observational and prospective study was conducted from April 3 to September 18 in 2021. In this study, the tools used included a patient and nurses' profile questionnaire, Nursing Activity Score (NAS). Missed care was observed in the 301 patients for whom the NAS was calculated. Analysis of variance (ANOVA) was used to investigate the differences in mean levels of missed care. Logistic regression models were used to assess the association between factors and missed nursing care. Results Results show that the Medical ICU's mean NAS was 76.31 (95% CI: -13.06 -14.89). In 9 dimensions of care, the extent of missed care was 40.7%. In the care dimensions of assessment, hand hygiene, and infection control, the mean NAS had a statistically significant increase at higher levels of missed care (P<.5). Furthermore, work experience was identified as a protective factor for missed care (OR =.59, 95% CI: .37–.94, χ2= =4.97, p =.026). Conclusion The study revealed a high incidence of missed care. The study revealed that the mean workload was high in certain dimensions of care such as assessment, hand hygiene, and infection control. The increase in workload for nurses results in lost care. Nonetheless, the utilization of experienced nurses can help mitigate this problem. However, utilizing experienced nurses can help reduce this problem.

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Administrative challenges of clinical governance in military and university hospitals of Kerman/Iran

Cited by 4 publications

References 20 publications

Assessing health determinants worldwide: Econometric analysis of the Global Burden of Diseases Study 2000–18 – Highlighting impactful factors on DALY, YLL, and YLD indicators

Assessing health determinants worldwide: Econometric analysis of the Global Burden of Diseases Study 2000–18 – Highlighting impactful factors on DALY, YLL, and YLD indicators

A Comparison of Nursing Activity Score Means for Missed Care Dimensions in Intensive Care Unit Patients

<strong>A comparison of Nursing Activity Score means for missed care dimensions in intensive care unit patients</strong>

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