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Hospital nurse shift length, patient-centered care, and the perceived quality and patient safety

Jarrar M, Minai MS, Al-Bsheish M, Meri A, Jaber M

Int J Health Plann Manage, 2019 Jan;34(1):e387-e396.
PMID: 30221794 DOI: 10.1002/hpm.2656

BACKGROUND: There is no clear evidence that can guide decision makers regarding the appropriate shift length in the hospitals in Malaysia. Further, there is no study that explored the value of patient-centered care of nurses working longer shifts and its impact on the care outcomes.
OBJECTIVE: The study aims to investigate the effect of the hospital nurse shift length and patient-centered care on the perceived quality and safety of nurses in the medical-surgical and multidisciplinary wards in Malaysia.
METHODS: A cross-sectional survey has been conducted on 12 hospitals in Malaysia. Data have been collected via a questionnaire. A stratified sampling has been used. The Hayes macro regression analyses have been used to examine the mediating effects of patient-centered care between the effect of working long shifts on the perceived quality and patient safety.
RESULTS: There is a significant mediation effect of patient-centered care between the effect of shift length on the perceived quality (F = 42.90, P ˂ 0.001) and patient safety (F = 25.12, P ˂ 0.001).
CONCLUSION: Patient-centered care mitigates the effect of the shift length on the care outcomes. The study provides an input for the policymakers that patient-centered care and restructuring duty hours are important to provide high-quality patient care.
Fulltext Technology Applications in Tracking 2019-nCoV and Defeating Future Outbreaks: Iraqi Healthcare Industry in IoT Remote

Meri A, Dauwed M, Kareem HM, Hasan MK

Wirel Pers Commun, 2023 Mar 16.
PMID: 37360133 DOI: 10.1007/s11277-023-10358-8

A serious effect on people's life, social communication, and surely on medical staff who were forced to monitor their patients' status remotely relying on the available technologies to avoid potential infections and as a result reducing the workload in hospitals. this research tried to investigate the readiness level of healthcare professionals in both public and private Iraqi hospitals to utilize IoT technology in detecting, tracking, and treating 2019-nCoV pandemic, as well as reducing the direct contact between medical staff and patients with other diseases that can be monitored remotely.A cross-sectional descriptive research via online distributed questionnaire, the sample consisted of 113 physicians and 99 pharmacists from three public and two private hospitals who randomly selected by simple random sampling. The 212 responses were deeply analyzed descriptively using frequencies, percentages, means, and standard deviation.The results confirmed that the IoT technology can facilitate patient follow-up by enabling rapid communication between medical staff and patient relatives. Additionally, remote monitoring techniques can measure and treat 2019-nCoV, reducing direct contact by decreasing the workload in healthcare industries. This paper adds to the current healthcare technology literature in Iraq and middle east region an evidence of the readiness to implement IoT technology as an essential technique. Practically, it is strongly advised that healthcare policymakers should implement IoT technology nationwide especially when it comes to safe their employees' life.Iraqi medical staff are fully ready to adopt IoT technology as they became more digital minded after the 2019-nCoV crises and surely their knowledge and technical skills will be improved spontaneously based on diffusion of innovation perspective.
Adverse events in Malaysia: Associations with nurse's ethnicity and experience, hospital size, accreditation, and teaching status

Jarrar M, Al-Bsheish M, Dardas LA, Meri A, Sobri Minai M

Int J Health Plann Manage, 2020 Jan;35(1):104-119.
PMID: 31271233 DOI: 10.1002/hpm.2822

PURPOSE: In Malaysia, private healthcare sector has become a major player in delivering healthcare services alongside the government healthcare sector. However, wide disparities in health outcomes have been recorded, and adverse events in these contexts have yet to be explored. The purpose of this study was to explore associations between nurse's ethnicity and experience, hospital size, accreditation, and teaching status with adverse events in Malaysian private hospitals.
METHODS: A cross-sectional survey was conducted in 12 private hospitals in Malaysia. A total of 652 (response rate = 61.8%) nurses participated in the study. Data were collected using self-administered questionnaire on nurses' characteristic, adverse events and events reporting, and perceived patient safety.
RESULTS: Patient and family complaints events were the most common adverse events in Malaysian private hospitals as result of increased cost of care (3.24 ± 0.95) and verbal miscommunication (3.52 ± 0.87).
CONCLUSION: Hospital size, accreditation status, teaching status, and nurse ethnicity had a mixed effect on patient safety, perceived adverse events, and events reporting. Policy makers can benefit that errors are related to several human and system related factors. Several system reforms and multidisciplinary efforts were recommended for optimizing health, healthcare and preventing patient harm.
Fulltext Effect of Practice Environment on Nurse Reported Quality and Patient Safety: The Mediation Role of Person-Centeredness

Jarrar M, Al-Bsheish M, Aldhmadi BK, Albaker W, Meri A, Dauwed M, et al.

Healthcare (Basel), 2021 Nov 18;9(11).
PMID: 34828624 DOI: 10.3390/healthcare9111578

This study aims to explore the potential mediation role of person-centeredness between the effects of the work environment and nurse reported quality and patient safety. A quantitative cross-sectional survey collected data from 1055 nurses, working in medical and surgical units, in twelve Malaysian private hospitals. The data collection used structured questionnaires. The Hayes macro explored the mediation effect of person-centeredness between the associations of work environment dimensions and care outcomes, controlling nurses' demographics and practice characteristics. A total of 652 nurses responded completely to the survey (61.8% response rate). About 47.7% of nurses worked 7-h shifts, and 37.0% were assigned more than 15 patients. Higher workload was associated with unfavorable outcomes. Nurses working in 12-h shifts reported a lower work environment rating (3.46 ± 0.41, p < 0.01) and person-centered care (3.55 ± 0.35, p < 0.01). Nurses assigned to more than 15 patients were less likely to report a favorable practice environment (3.53 ± 0.41, p < 0.05), perceived lower person-centered care (3.61 ± 0.36, p < 0.01), and rated lower patient safety (3.54 ± 0.62, p < 0.05). Person-centeredness mediates the effect of nurse work environment dimensions on quality and patient safety. Medical and surgical nurses, working in a healthy environment, had a high level of person-centeredness, which, in turn, positively affected the reported outcomes. The function of person-centeredness was to complement the effects of the nurse work environment on care outcomes. Improving the nurse work environment (task-oriented) with a high level of person-centeredness (patient-oriented) was a mechanism through which future initiatives could improve nursing care and prevent patient harm.
ICU nurses' safety performance related to respect for safety and management commitment: A cross-sectional study

Al-Bsheish M, Jarrar M, Mustafa MB, Zubaidi F, Ismail MAB, Meri A, et al.

Contemp Nurse, 2022;58(5-6):446-459.
PMID: 35856481 DOI: 10.1080/10376178.2022.2104740

BACKGROUND: Healthcare work is one of the most accident-prone occupations globally. Nurses, especially those who work in Intensive Care Units (ICU), are very likely to experience mishaps on the job due to the complicated duties they perform. Safety performance through compliance and participation in safety is a proactive approach and a critical tool to measure the protection of employees, like these, in the workplace. Although interest in this tool has increased among hospital administrators and managers, scientific research has been limited in this area.
AIMS: The study's purposes were twofold: (1) to explore the effect of perceived respect safety on the safety performance of ICU nurses and (2) to explore the mediation effect of Management Commitment to Safety (MCS) between the relationship of perceived respect safety and safety performance.
METHODS: Eight public hospitals from the Jordanian Ministry of Health (JMoH) were selected randomly using cluster sampling, and their ICU nurses were surveyed. A total of 285 nurses completed questionnaires. The SmartPLS3 bootstrapping technique was used to analyse data.
RESULTS: The results established that the perceived respect for the safety of nurses has a significant and positive effect on their safety compliance (β = .39, p
Fulltext Organizational and behavioral attributes' roles in adopting cloud services: An empirical study in the healthcare industry

Meri A, Hasan MK, Dauwed M, Jarrar M, Aldujaili A, Al-Bsheish M, et al.

PLoS One, 2023;18(8):e0290654.
PMID: 37624836 DOI: 10.1371/journal.pone.0290654

The need for cloud services has been raised globally to provide a platform for healthcare providers to efficiently manage their citizens' health records and thus provide treatment remotely. In Iraq, the healthcare records of public hospitals are increasing progressively with poor digital management. While recent works indicate cloud computing as a platform for all sectors globally, a lack of empirical evidence demands a comprehensive investigation to identify the significant factors that influence the utilization of cloud health computing. Here we provide a cost-effective, modular, and computationally efficient model of utilizing cloud computing based on the organization theory and the theory of reasoned action perspectives. A total of 105 key informant data were further analyzed. The partial least square structural equation modeling was used for data analysis to explore the effect of organizational structure variables on healthcare information technicians' behaviors to utilize cloud services. Empirical results revealed that Internet networks, software modularity, hardware modularity, and training availability significantly influence information technicians' behavioral control and confirmation. Furthermore, these factors positively impacted their utilization of cloud systems, while behavioral control had no significant effect. The importance-performance map analysis further confirms that these factors exhibit high importance in shaping user utilization. Our findings can provide a comprehensive and unified guide to policymakers in the healthcare industry by focusing on the significant factors in organizational and behavioral contexts to engage health information technicians in the development and implementation phases.
Fulltext Knowledge sharing behaviour among head nurses in online health communities: The moderating role of knowledge self-efficacy

Shehab S, Al-Bsheish M, Meri A, Dauwed M, Aldhmadi BK, Kareem HM, et al.

PLoS One, 2023;18(1):e0278721.
PMID: 36656899 DOI: 10.1371/journal.pone.0278721

BACKGROUND: Head nurses are vital in understanding and encouraging knowledge sharing among their followers. However, few empirical studies have highlighted their contribution to knowledge-sharing behaviour in Online Health Communities (OHCs). In addition, scant literature has examined the moderating role of knowledge self-efficacy in this regard.
PURPOSES: This study examines the moderating role of self-efficacy between the association of four selected individual factors of head nurses (i.e., Trust, Reciprocity, Reputation, and Ability to Share) and their knowledge-sharing behaviour in OHCs in Jordan.
METHOD: The data were obtained by using a self-reported survey from 283 head nurses in 22 private hospitals in Jordan. A moderation regression analysis using a structural equation modelling approach (i.e. Smart PLS-SEM, Version 3) was utilised to evaluate the study's measurement and structural model.
RESULTS: Knowledge self-efficacy moderates the relationship between the three individual factors (i.e., Trust, Reciprocity, and Reputation) and knowledge-sharing behaviours. However, self-efficacy did not moderate the relationship between the ability to share and knowledge-sharing behaviours.
IMPLICATIONS: This study contributes to understanding the moderating role of knowledge self-efficacy among head nurses in online healthcare communities. Moreover, this study provides guidelines for head nurses to become active members in knowledge sharing in OHCs. The findings of this study offer a basis for further research on knowledge sharing in the healthcare sector.