Clinical governance and attention to human resources

Som, Chandra Vanu

doi:10.12968/bjhc.2011.17.11.531

Cited by 6 publications

(4 citation statements)

References 20 publications

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“…The importance of optimal health human resource management can be considered from the WHO's viewpoint. According to WHO report, a significant proportion of public governmental resources is allocated to healthcare sectors and the most fundamental part is related to health human resources [12][13][14]. A large amount of costs attributed to health human resources is related to the hospitals and health centers.…”

Section: Introductionmentioning

confidence: 99%

Health human resources challenges during COVID-19 pandemic; evidence of a qualitative study in a developing country

et al. 2022

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Background One of the main forthcoming challenges of healthcare systems against preparedness and management of the pandemic is the challenge of procurement and recruitment of the human resources. This study is aimed to explore the health human resources challenges during COVID-19 pandemic in Iran. Methods This qualitative content analysis study was conducted in 2020. The study population includes all the Iranian human resources managers affiliated in Universities of Medical Sciences, hospitals and health centers managers and the health networks managers all over the country. 23 participants were included via purposeful sampling considering the inclusion criteria and were interviewed individually. After 23 semi-structured interviews, data were saturated. Then the data were analyzed through content analysis approach applying MAXQDA10. Results Three main themes of “organizational challenges”, “legal challenges”, and “personal challenges” were explored as the main challenges of health human resources management during COVID-19. On the one hand, organizational challenges include restricted financial resources, compensation discrimination, staffing distinction points, imbalance in the workload, weak organizational coordination, inefficient inter-sectoral relationships, parallel decisions, inefficient distribution of the human resources, lack of applied education, lack of integrated health protocols, lack of appropriate evaluation of performance, employee turnover, lack of clear approaches for staffing, and shortage of specialized manpower, and on the other hand, the personal challenges include insufficient knowledge of the employees, psychological disorders, reduction of self-confidence, burnout, workload increase, reduced level of job satisfaction, effects of colleague and patients bereavement and unsafety sense against the work place. Finally, the legal challenges that mostly related to the governments laws and regulations include lack of protocols for continuous supportive services, inappropriate approaches and instructions for teleworking, and lack of alternative plans and regulations for the human resources. Conclusion Organizational, legal and personal challenges are among three main challenges of health human resources management during COVID-19 pandemic. Serious attention to these challenges should be considered by health policymakers in order to be prepared for facing new probable outbreaks and managing the present condition. The integrated comprehensive planning of human resources management for COVID-19 along with supportive packages for the personnel can be helpful.

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Section: Introductionmentioning

confidence: 99%

Health human resources challenges during COVID-19 pandemic; evidence of a qualitative study in a developing country

et al. 2022

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“…The shortage of staff is considered one of the most important challenges in health fields (17). The lack of human resources is a problem that can be seen in clinical environments, leading to extra workload that affects intradisciplinary and interdisciplinary collaboration and the quality of services (18,19).…”

Section: Discussionmentioning

confidence: 99%

Explaining the Obstacles of Interprofessional Communications of Nurses and Paramedics: A Qualitative Study

Faseleh Jahromi,

Eslami Akbar,

Badiyepeymaiejahromi

et al. 2023

Mod Care J

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Background: Interprofessional communication between nurses and paramedics is a crucial and challenging issue for safe and effective patient care, but it has not been addressed enough. The most important action for improving these communications is to identify their obstacles and challenges. Objectives: The aim of this study was to explain the obstacles to interprofessional communications between nurses and paramedics. Methods: This study used the qualitative content analysis method. The participants of this research were 11 nurses and paramedics who were selected using purposeful sampling and took part in semi-structured in-depth interviews. The data were collected from May to September 2022. Data analysis was carried out by the conventional content analysis method proposed by Graneheim and Lundman. Guba and Lincoln’s criteria were used to assess the rigor and accuracy of the collected data. Results: The findings of this research disclosed 3 main themes; human resources challenges, lack of coordination between nursing and paramedics departments, and emergency situations. Conclusions: The challenges of interprofessional communication between nurses and paramedics are influenced by different human and managerial factors, and identifying them is a significant step toward improving this communication. With regard to the findings of this study, managers and planners of healthcare centers can mitigate challenging factors and improve the communication between nurses and paramedical staff and, therefore, prepare the context for high-quality care of patients and boost the satisfaction of health professionals with their work conditions.

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“…The challenge of a shortage of person-power for implementing clinical governance was observed in many Iranian hospitals [33]. Various studies showed that managers need sufficient human resources to establish a proper system of clinical governance [45, 57].…”

Section: Discussionmentioning

confidence: 99%

The challenges of implementation of clinical governance in Iran: a meta-synthesis of qualitative studies

Behzadifar

Bragazzi

Arab‐Zozani

et al. 2019

Health Res Policy Sys

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BackgroundPolicy- and decision-makers seek to improve the quality of care in the health sector and therefore aim to improve quality through appropriate policies. Higher quality of care will satisfy service providers and the public, reduce costs, increase productivity, and lead to better organisational performance. Clinical governance is a method through which management can be improved and made more accountable, and leads to the provision of better quality of care. In November 2009, the Iranian Ministry of Health and Medical Education implemented new clinical guidelines to standardise and improve clinical services as well as to increase efficiency and reduce costs. The purpose of this study was to assess the challenges of implementing clinical governance through a meta-synthesis of qualitative studies published in Iran.MethodsTen databases, including ISI/Web of Sciences, PubMed/MEDLINE, Embase, PsycINFO, the Cochrane Library, CINAHL, Scopus, Barakatns, MagIran and the Scientific Information Database, were searched between January 2009 and May 2018. The quality of the included studies was assessed using the Critical Appraisal Skills Programme tool. This study was reported according to the Enhancing Transparency in Reporting the Synthesis of Qualitative Research guidelines. Thematic synthesis was used to analyse the data.ResultsTen studies were selected and included based on the inclusion/exclusion criteria. In the first stage, 75 items emerged and were coded, and, following comparison and combination of the codes, 32 codes and 8 themes were finally extracted. These themes included health system structure, management, person-power, cultural factors, information and data, resources, education and evaluation.ConclusionThe findings of the study showed that there exist a variety of challenges for the implementation of clinical governance in Iran. To successfully implement a health policy, its infrastructure needs to be created. Using the views and support of stakeholders can ensure that a policy is well implemented.Trial registrationCRD42017079077. Dated October 10, 2017.Electronic supplementary materialThe online version of this article (10.1186/s12961-018-0399-5) contains supplementary material, which is available to authorized users.

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Clinical governance and attention to human resources

Cited by 6 publications

References 20 publications

Health human resources challenges during COVID-19 pandemic; evidence of a qualitative study in a developing country

Health human resources challenges during COVID-19 pandemic; evidence of a qualitative study in a developing country

Explaining the Obstacles of Interprofessional Communications of Nurses and Paramedics: A Qualitative Study

The challenges of implementation of clinical governance in Iran: a meta-synthesis of qualitative studies

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