RESUMEN
Implementation of an electronic medical record (EMR) system increases efficiency of health services, quality of care and patient satisfaction. Successful implementation depends on many factors, one of which is how users respond to the new system. We studied medical receptionists' appraisal of the newly implemented EMR system in primary healthcare centres in Kuwait. Four hundred receptionists were selected randomly from different healthcare centres and asked to complete a user interaction satisfaction questionnaire relating to their experience of the new system. The response rate was 80.5%. A large majority of the respondents considered the system to be flexible (83%), easy (89%), and satisfying (81%). However, more than one third of the respondents (36%) found the system inadequate. Bivariate and multivariate analyses found age, typing ability, ease of data entry and computer error as significant correlates with overall user response. These findings relating to users' reactions to various aspects of the EMR should assist policymakers to recognise the causes of dissatisfaction with the EMR among medical receptionists at health centre clinics that may adversely affect its successful implementation and regular use, as well as the quality of care provided by the clinics. In addition, the findings provide information to assist the development of guidelines for future implementation of the EMR system at the secondary healthcare level.
Asunto(s)
Actitud del Personal de Salud , Registros Electrónicos de Salud/organización & administración , Recepcionistas de Consultorio Médico/psicología , Atención Primaria de Salud/métodos , Adulto , Actitud hacia los Computadores , Escolaridad , Registros Electrónicos de Salud/normas , Femenino , Humanos , Entrevistas como Asunto , Kuwait , Modelos Logísticos , Masculino , Recepcionistas de Consultorio Médico/estadística & datos numéricos , Análisis Multivariante , Distribución de Poisson , Atención Primaria de Salud/tendencias , Encuestas y Cuestionarios , Recursos Humanos , Adulto JovenRESUMEN
BACKGROUND: Nurses working in Ministry of Health hospitals in Kuwait come from 35 countries, and only 12% of them are Kuwaitis. This study explores factors that influence the job satisfaction of nurses of multicultural background working in five general hospitals in Kuwait. OBJECTIVES: This study aims to identify factors related to the job satisfaction of nurses and the effect of selected background characteristics (e.g., age, gender, nationality, educational qualification, marital status, monthly salary, experience in other countries, and years of experience) on the global satisfaction scale by using the McCloskey-Mueller Satisfaction Scale. METHODS: A stratified random sample size of 500 subjects was selected, and a questionnaire was distributed among them. Four hundred thirty-six completed questionnaires were returned, resulting in a response rate of 87.2%. RESULTS: Factor analysis identified five factors: satisfaction with (a) professional opportunities; (b) praise and recognition; (c) scheduling of duty; (d) control and responsibility, and (e) extrinsic rewards. These together explained 59.5% of the total variance. Nurses were found to be dissatisfied with two of five factors: professional opportunities and extrinsic rewards. Nurses were satisfied with the remaining three factors, although levels of satisfaction were not very high. The relationship of job satisfaction with nationality and marital status was positive and significant. However, a higher level of educational qualification showed an inverse relationship with job satisfaction. CONCLUSIONS: Two issues identified here concerned aspects of nurses' professional development and extrinsic rewards, which have to be addressed as prerequisites to any improvement in the quality of nursing care in Kuwait. Based on our findings, we recommend a concerted action in developing a strategy to improve various aspects of nurses' professional development and extrinsic rewards. This will have a positive impact on the quality of health care of the Kuwaiti population.
Asunto(s)
Diversidad Cultural , Satisfacción en el Trabajo , Enfermeras y Enfermeros/psicología , Adulto , Análisis Factorial , Femenino , Humanos , Masculino , Encuestas y CuestionariosRESUMEN
This paper presents a computer program developed in S-plus to estimate the parameters of covariate dependent higher order Markov Chain and related tests. The program can be applied for two states Markov Chain with any order and any number of covariates depending on the PC capabilities. The program provides the maximum likelihood estimates of the parameters, together with their estimated standard error, t-value and significance level. It also produces the test results for likelihood ratio and model chi-square. To illustrate the program we have used a longitudinal data set on maternal morbidity of rural women in Bangladesh. The occurrences of haemorrhage, convulsion, or fits at different follow-ups were used as outcome variable. Economic status, wanted pregnancy, ages at marriage, and education of women were used as covariates.
Asunto(s)
Cadenas de Markov , Complicaciones del Embarazo , Programas Informáticos , Algoritmos , Bangladesh , Femenino , Humanos , Kuwait , Estudios Longitudinales , Embarazo , Población RuralRESUMEN
OBJECTIVE: Job satisfaction among nurses working in five general hospitals in Kuwait was analysed using a global scale based on the McClosky Mueller Satisfaction Scale (MMSS) in relation to selected background characteristics (eg age, gender, nationality, educational qualification, monthly salary and the departments in which they worked. DESIGN: The questionnaire was distributed to 500 nurses using a stratified random sample. The response rate was 87.2%. RESULTS: Age, nationality and the department worked in had a positive significant relationship with job satisfaction. However, a higher level of educational qualification and previous work experience in other countries showed an inverse relationship with job satisfaction. CONCLUSION: Based on our findings, we recommend that expatriate staff should be provided with an understanding of cultural differences and how to cope with them. Special attention should be paid to the norms regarding interaction among males and females and social interaction among professionals from the opposite gender. Intensive courses in the languages to be used in the care provision process should be provided to impart requisite language competency.
Asunto(s)
Satisfacción en el Trabajo , Enfermeras y Enfermeros/psicología , Femenino , Humanos , Kuwait , MasculinoRESUMEN
Job satisfaction and organisational effectiveness among health information administration professionals were analysed in relation to selected background, work environment and organisational characteristics. The data comprised a 15% (n = 171) random sample of health information administration professionals in Kuwait, of whom 91.2% (n = 156) responded. It was found that remuneration compatible with qualifications, opportunity for continuing education, and work experience had a significant and positive relationship to job satisfaction. It was concluded that the provision of continuing education, availability of orientation and job description, effective supervision, and remuneration compatible with qualifications are facilitators of job satisfaction and organisational effectiveness.
Asunto(s)
Personal Administrativo/estadística & datos numéricos , Gestión de la Información en Salud/organización & administración , Satisfacción en el Trabajo , Evaluación de Resultado en la Atención de Salud/estadística & datos numéricos , Adulto , Actitud del Personal de Salud , Educación Continua , Femenino , Humanos , Kuwait , Masculino , Servicio de Registros Médicos en Hospital/organización & administración , Encuestas y Cuestionarios , Lugar de TrabajoRESUMEN
International partnerships develop long-lasting friendships among colleagues. This is a dividend that is of immense value in this otherwise terribly divided globe with health care issues being a major concern. The framework and lessons learned proposed herein should be of value to individuals in colleges and universities to promote a true learning experience for both partners that are enduring and replicable models of international cooperation.