Management of public healthcare facilities in the Philippines: issues and concerns

Cruz, Ramiro Z. Dela; Cruz, Ruth A. Ortega-Dela

doi:10.12968/bjhc.2019.0018

Cited by 7 publications

(10 citation statements)

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“…Secondary hospitals—designated by the country's health agency—are departmentalized hospitals that deliver health services to address diseases, illnesses and injuries to the entire population (Department of Health, 2012). As most tertiary (level 3) hospitals in the region are privately owned, secondary hospitals received higher patient admission than permissible, as most of them are government‐owned and provide health services free of cost (Dela Cruz & Ortega‐Dela Cruz, 2019). Increased inpatient demands (e.g.…”

Section: Discussionmentioning

confidence: 99%

“…This model purports that stress creates negative emotions in bosses and managers, which forces them to engage in aggressive or hostile behaviour towards others, manifesting in the form of toxic behaviour directed at their subordinates (Einarsen et al., 2007). This scenario is further exacerbated by the year‐round shortage of nurses in many secondary hospitals in the region (Dela Cruz & Ortega‐Dela Cruz, 2019; Labrague et al., 2018), making it difficult for nurse managers to contribute positively to health care institutions with limited resources.…”

Section: Discussionmentioning

confidence: 99%

“…This scenario is further exacerbated by the year-round shortage of nurses in many secondary hospitals in the region (Dela Cruz & Ortega-Dela Cruz, 2019;Labrague et al, 2018), making it difficult for nurse managers to contribute positively to health care institutions with limited resources. specific to managing and addressing toxic behaviours can also help to deter toxic behaviours.…”

Section: Discussionmentioning

confidence: 99%

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Predictors of toxic leadership behaviour among nurse managers: A cross‐sectional study

et al. 2020

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Aim To identify the predictors of toxic leadership behaviour in nurse managers. Background Toxic leadership is becoming increasingly prevalent in nursing; however, the literature provides very limited evidence of the different factors that promote toxic leadership behaviour in nurse managers. Methods A descriptive, cross‐sectional design was used. Two hundred and forty nurse managers from ten hospitals in the Central Philippines were included in the study. Data were collected using the Nurse Information Form and the Toxic Leadership Behaviours of Nurse Managers Scale (ToxBH‐NM). Hierarchical multiple regression was used to analyse the data collected. Results The mean of average item score of the ToxBH‐NM was 1.250 (SD = 0.470). Multiple regression analyses identified the years of experience in a managerial role (β = −0.165, p = .031), job status (part time) (β = 0.177, p = .002), ward census (30 patients, 40 patients and above 40 patients) ([β = 0.231, p = .005]; [β = 0.345, p < .004]; [β = 0.262, p = .012]), number of units managed (2 units and > 3 units) ([β = 0.292, p < .001]; [β = 0.235, p < .001]), hospital type (private hospital) (β = 0.271, p = .007) and hospital level (secondary hospitals) (β = 0.226, p = .036) predicted toxic leadership behaviour in nurse managers. Conclusions Overall, nurse managers were appraised as non‐toxic leaders. Nurse managers who held a part‐time job status, those who had lower experience in the managerial role and those who were assigned to wards or units with high patient admission numbers reported increased toxic leadership behaviours. Further, nurse managers who managed more than 2 units, those who were employed in private hospitals and those who worked in secondary hospitals reported increased toxic leadership behaviours. Implications for Nursing Management Nurse administrators can consider the different predictors identified when planning and developing leadership interventions and organisational strategies (e.g. limiting the number of units per nurse manager, provision of full‐time job employment, assignment of assistant nurse managers, formulation of policy specific to managing toxic behaviours), which may assist in the determent of toxic behaviours in nurse managers.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Predictors of toxic leadership behaviour among nurse managers: A cross‐sectional study

et al. 2020

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“…Improving the current state of the hospital facilities takes on the primal step of identifying the areas which need improvement the most (Dela Cruz and Ortega-Dela Cruz, 2019).…”

Section: Discussionmentioning

confidence: 99%

“…Altogether, the hospitals are also among the facilities which require the most intensive facility management (FM) due to higher requirement specifications on cleanliness, laundry, disinfection, ventilation, safety, ambience and energy and water usage (EIA, 2012). Also, hospitals generate voluminous waste materials, most of which are hazardous (Dela Cruz and Ortega-Dela Cruz, 2019).…”

Section: Introductionmentioning

confidence: 99%

Facilities technology management framework for public health-care institutions in a developing country

Cruz¹,

Cruz

2021

JFM

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Purpose This study aims to develop a Facilities technology management framework for public health-care institutions in a developing country. Design/methodology/approach The study used descriptive research design to identify the specifications of the framework via strategic initiatives anchored on efficiency, sustainability, ecological-friendliness and technological innovation. These measures are wrapped into a facilities TM framework which incorporates concepts and practices on risk management, facility management (FM) and TM. Findings Results of the survey of the public HCIs in the Philippines, show high levels of acceptability of proposed measures which identify the technologies, innovations and materials which are in the viable context of public hospital circumstances in the country. Research limitations/implications The findings of this study are limited to the public HCIs in a developing country, and thus cannot be generalized to other HCIs particularly the private institutions. Practical implications The framework seeks to help improve the operational efficiency and sustainability of public HCIs in a developing country like the Philippines. The discussions on TM revolve around the application of TM approaches. Also, the study incorporates discussions on sustainability, technology innovation and the conformity of these with HCI standards, best practices and government requirements. Social implications The study takes into consideration the identification of FM principles and practices that are deemed suitable and applicable for public HCIs in a developing country. This study is intended to develop a TM framework for FM services which is cost-effective but not sacrificing safety, security, employees and the environment. Then the foremost consideration is the perceived suitability of the framework in the public HCI environment. Originality/value This is an original study. It has as its scope the fusion of FM and TM approaches that would help in the identification of challenges, requirements for manpower, processes and technologies (especially, information and communications technolog-based technologies), and a corresponding TM system framework for public HCI facilities in a developing country.

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Nurses' adherence to patient safety protocols and its relationship with adverse patient events

Labrague

2023

J of Nursing Scholarship

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IntroductionEnsuring patient safety is a critical component of healthcare delivery, and nurses play a vital role in adhering to patient safety protocols to prevent adverse events. However, studies linking nurses' adherence to these protocols with patient outcomes is scarce. This study has two‐fold purposes: (1) to examine determinants of nurses' adherence to patient safety protocols, and (2) to investigate the relationship between nurses' adherence to patient safety protocols and adverse patient events.DesignA cross‐sectional design.MethodsA total of 343 clinical nurses from five hospitals in the Philippines were included in this study. Two standardized scales were used to collect data, including the Patient Safety Adherence Scale and the Adverse Patient Events Scale. Data collection took place from April 2022 to August 2022.ResultsAdherence to patient safety protocols was generally moderate to high (M = 4.483), while nurse‐reported adverse events occurred at a lower frequency (M = 1.150). Lower adherence rates were identified in areas such as reporting safety errors (M = 3.950), conducting fall risk assessments (M = 4.299), and adhering to pressure ulcer prevention guidelines (M = 3.979). Patients' and their families' complaints (M = 2.129) and abuses (M = 1.475) were the most frequently reported adverse events. Increased adherence to safety protocols was associated with higher reporting of adverse patient events (β = 0.115, p < 0.001).ConclusionHigher adherence to patient safety protocols resulted in an increased reporting of adverse patient events. The factors identified that contributed to nurses' adherence to patient safety protocols can be utilized in the development of strategies aimed at improving compliance, especially in areas where adherence is currently low.Clinical RelevanceHealthcare organizations should prioritize efforts to enhance adherence to patient safety protocols, particularly in areas with lower compliance rates, through relevant trainings, resource provision, and support systems. Promoting a culture of open communication and reporting can significantly contribute to reducing adverse events and improving patient safety.

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Management of public healthcare facilities in the Philippines: issues and concerns

Cited by 7 publications

References 4 publications

Predictors of toxic leadership behaviour among nurse managers: A cross‐sectional study

Predictors of toxic leadership behaviour among nurse managers: A cross‐sectional study

Facilities technology management framework for public health-care institutions in a developing country

Nurses' adherence to patient safety protocols and its relationship with adverse patient events

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