Health Management


Recent Submissions

Now showing 1 - 5 of 55
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    Satisfaction with Performance Appraisal System and its Effect on Performance and Intention to Leave Work at Two East Jerusalem Hospitals
    (Al-Quds University, 2023-05-24) Nedaa Illyas Mousa Ghazawneh; نداء الياس موسى غزاونة
    Background: A performance management system involves all the organizational activities necessary to manage employees, including measuring performance. It is a tool for evaluating and improving performance and assessing the success of other human resources management functions. Performance appraisal (PA) is one of the critical practices of human resources management scheduled annually or semiannually to review and evaluate an individual or team's performance. Literature has revealed that satisfaction with the PA system affects employees' attitudes and behaviors. Also, employee satisfaction within the PA process would affect the effectiveness of the PA itself. The meant satisfaction could be with the system, implementation, perceived benefits, and the fairness and objectivity of PA. Employees who trust the PA process's fairness will be more likely to be satisfied and accept performance evaluation results. Aim: The study aims to assess the extent of employees' satisfaction with the PA system (appraisal interview, process, and outcome) and explore its relationships with self-rated work performance and intention to leave at two East Jerusalem hospitals Al-Makassed and Augusta Victoria Hospitals. Methods: A descriptive cross-sectional design was used for this study. A sample of 340 was drawn from the targeted population (nurses, pharmacists, and lab technicians), 204 from Al-Makassed Hospital, and 136 from AVH, with a response rate of 61.2%. Results: About 53.5% of participants were males, and 46.5% were females. Their distribution according to their specialization was as follows: 288 from the nursing department, 20 from the pharmacy, and 32 from the labs. Most participants (87.1%) were staff with no managerial roles, and 89.7% had a full-time job working 37.5 hours per week or more. Also, 70.9% of respondents had more than five years of hospital experience. And 64.1% of the total respondents worked for more than five years in their current position. The study illustrated that participants had moderate satisfaction with PA ( mean of 3.17 and SD of 0.53). Also, the respondents' total level of intention to leave is moderate, with a total mean of 2.76. On the other hand, the total level of self-rated work performance and organizational commitment is high, with a mean of 3.86 and 3.41, respectively. The results also indicated that organizational level and years of experience in the hospital affect organizational commitment and intention to leave. And there is a significant relationship between PA satisfaction and all the study domains. In addition, a significant positive relationship was found between PA satisfaction, self-rated work performance, and organizational commitment. And a significant negative relationship was found between PA satisfaction and intention to leave. Conclusion: The study found a significant positive relationship between satisfaction with PA and self-rated work performance and organizational commitment. However, at the same time, a significant negative relationship was found between satisfaction with PA and intention to leave. The study illustrated that participants had moderate satisfaction with PA. Even though they rated their work performance high and had a high organizational commitment, they intended to leave their work. Therefore, organizations should increase employee satisfaction with PA, which can, in turn, decrease the intention to leave and increase commitment.
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    Utilization of the operating theaters in governmental hospitals in Gaza Governorates
    (Al-Quds University, 2011-06-11) Tayser M. ELSultan; تيسير سلطان
    Extensive operating room utilization is a goal of most 0perating rooms directors and hospital administrators. Assessing the procedures and processes performed in operation rooms is the first step of evaluating the quality of care and efficiency of utilization of these rooms. This study aims to assess the current utilization of operating theaters and the time factor involved in these theaters in governmental hospitals in Gaza Governorates in order to improve the quality of current operation rooms and facilities. A triangulated cross sectional quantitative, qualitative study was conducted in order to assess the procedures and processes implemented in these theaters. The instruments used in this study were self-constructed questionnaire, reviewing of 100 medical records for availability and completeness of these records and in depth interview for 9 mangers (doctors and nurses). All the medical staff (220) who were working in the operating theaters in three governmental hospitals were included in the study, out of them, 198 responded and completed self-constructed questionnaires, with a response rate of 90%. The researcher collected the data by himself. General measures of reliability and validity were used, Cronbach s alpha reliability test was 0.8954. The study findings show that, most procedures which are done by doctors (surgeons and anesthesiologists) prior to surgery are done properly, but these procedures are not always done properly by the surgical department nursing staff. The study findings also show that most of needed records are available and completed in the patient s file but there is a real problem in completeness of some file records especially records related to the anesthesia and recovery sheets (80% are not completed), and also history and physical examination sheets(74% are not completed). The study results also show that there is absence of policy, standards and protocol which are essential for regulating the performance of the procedures, in addition to absence of job description which lead to role ambiguity. Moreover the number of daily working hours of the routine operating list are not appropriated with the number of operations, which it was considered the most important reason of the postponement of some cases from such list and then increasing the number of patients on the waiting list. The researcher concluded that most of procedures are performed in a traditional way and not regulated by protocols according to standards, and the policy is an old one and not revised or reformed since a long time passed on scientific base. The researcher recommended that the policy should be reformed, and standards and protocols should be established in order to improve the quality of health care services in operating theaters, the researcher also recommend for a further study to investigate barriers and motives for implementing procedures according to standards from healthcare providers perspectives
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    Perspectives of the MOH Hospitals' Nurses about the Impact of Training Programs on their Performance
    (Al-Quds University, 2011-04-18) Nayef Ibrahim Ouda; نايف ابراهيم عودة
    Universally, the area of health care delivery is highly affected by training. The need for training programs for hospitals' nurses is greater today than ever before in order to keep them exposed for the state-of-the art techniques in this field. The overall objective of this study is exploring the impact of nursing training programs on nurse's performance in Gaza hospitals in order to assess the effectiveness of these programs. This study is a descriptive, analytical cross-sectional one, conducted on a sample of 258 nurses selected from the three major general MOH hospitals in the Gaza Strip. The participants were selected through a systematic stratified sampling method in proportional to the total number of nurses in each of these three hospitals. The study covered nurses who had participated and those who did not participate in training programs to assess the impacts of the provided training programs. Also, the performance appraisal forms were reviewed and total scores were obtained. Data was collected through a self-administered questionnaire which was developed by the researcher. The research was conducted during the period from June through September 2010. Response rate was 81.5%. Data was entered and analyzed using the SPSS program. The study revealed that males constituted 58.6 % while females constituted 41.4 % of the sample. More than half of the respondents were less than 35 years old, 26.7% of them aged between 40-50 years. Half of the respondents were holding bachelor degree in nursing; 5.2% of the respondents were holding Master degree. The study findings revealed that respondents who participated in training course/s represented 39.0% of the total respondents. The general reactions of the trainees who participated in the provided training programs were positive (p-value less than 0.05). Around 70 % of the respondents reported having training programs at their hospitals while the remaining did not have. The Performance of those who participated in training programs did not improve at significant level (Mean in 2008 was 81.4, Mean in 2009 was 82.2), while the performance of those who did not participate in training programs has improved at significant level training (Mean in 2008 was 81.1, Mean in 2009 82.3). This implies that the provided training didn t improve trainees performance. There were no statistically significant variations in perceptions about the impact of training in reference to a particular hospital. Results showed statistically significant differences in gender as males showed more willingness to participate in training programs than their females counterparts (P value 0.01). Similarly, nurses aged less than 30 years were more motivated to take training than their older colleagues with statistically significant differences among the two groups (P value 0.01). Findings also showed inverse relationship between level of education and the desire to undertake further training courses. The majority of participants were uncertain about the appropriateness of the selection process for the training program (54%). The study recommended that policy makers at MOH should design more effective training programs and to pay more attention to follow up and monitoring the impact of training programs. Evaluation of the impact of the training programs should be given a priority and training should be assessed in reference to performance.
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    Evaluation of the Status of Strategic Management in Non-Governmental Health Organizations -Gaza Governorates
    (Al-Quds University, 2011-08-02) Samira khalil Ahmad Abu Hmaid; سميرة خليل ابو حميد
    Strategic management was recently adopted in health sector to cope with huge changes that have been occurring, it is the beginning of efficient and effective managerial system. Therefore, an evaluation of status of strategic management in non-governmental health organizations and identification of obstacles hindering health programming and strategic management in Gaza strip was done with cross-sectional descriptive analytical study. Using self –administered questionnaire , data were derived from 130 managers and chairpersons of 32 health NGOs in Gaza strip aged from 25-70 years,80% of them were males how were working in those organizations in the period of data collection which extend from December 29th, 2010 to January 25th,2011. Data was collected regarding demographic variables, organizational variables and strategic management practice. T test and one way ANOVA were used to analyze the association between dependent and independent variables. The respondent health organizations were providing different health care services; primary health care (46%), secondary and territory health care (15.6%), rehabilitation (68.8%), diagnostic services (50%), psychosocial support (50%), and most of them were providing health education (84%). High percentages of rehabilitations and psychosocial support services indicated to the quick response of NGOs toward the needs of local society as reports talking about increase incidence of mental illness and number of disables due to Israeli attacks and blockade of Gaza Strip, the total number of working health professionals were 1088, only( 35%) of them females. It was concluded that the overall strategic management practice mean scores was 79.8%, but the lowest main scores was for strategic plan (67%). Although the results indicated that 85% of the organization's employees have job description, only 42% of respondent agreed that their organizations conduct annual performance appraisal while 52% of them indicated that there were individual work plans for employees that was annual plan with 26% of respondent. Regarding financial resources of health NGOs,( 61.2%) are from external donation (Arab and foreign) while only 27% from its private revenues. There were statistically significant associations between genders, managerial years of experience, size of organization and strategic management practice (P<0.05). Most respondents considered the unstable political environment in Gaza strip as the main constrain for practice of strategic management followed by limited fund and financial flow instability . The findings of this study are important for understanding gaps of strategic management practice, and landmarks in improving its practice within health NGOs in Gaza Strip. So it is recommended to health NGOs to pay more attention for strategic plans formulation as perfect tool for seeking fund, human recourses management strategies as they the back bone of any organization through more capacity buildings , effective involvement in all management process, and creating culture encourages continuous education and facilitates information transferring. Finally, MOH is required to enforce the complementary relationship with local health NGOs to decrease its dependency on external fund.
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    Evaluation of the Current Documentation of Death Certificates in the Gaza Strip
    (Al-Quds University, 2011-07-13) Jawad Jaber Badwan; جواد جابر سلامة بدوان
    Death certificates represent a data source that many health researchers find useful and attractive for analysis. It is an official document that declares a person is died, how we document the death certificate affect our mortality statistics which are very important. Public health policies depend heavily on the mortality indicators derived from death certificates. Because they are the main source of information about the causes of death and illness preceding death. This study aimed to evaluate the current documentation of death certificates in the Gaza Strip. Triangulated cross sectional quantitative, qualitative study was conducted in order to evaluate the current documentation of death certificates in the Gaza Strip. The instrument used in this study were reviewing death notification certificates through self constructed checklist and in-depth interview with 12 managers. Total of 256 death notification certificates from 1-7-2009 to 31-12-2009 were chosen through systematic sampling method and Epi info program. 0ut of them, 237 death notification certificates were detective, so the detective rate was 92.5%. The study findings show that for reporting of original city, 28.7% was incomplete and 37% of birth dates were improperly reported. For occupation and addresses 56% and 67.9% respectively were incomplete. For data relating to death hour and if the baby live less than 24 hours, missing of these data were 19% and 97% of the certificates respectively. The findings of the study revealed that 38% of the cause of death is not documented completely nor accurately, 100% of the certificates did not mention if the deceased was pregnant or not at time of death, 10.5% of certificates were not certified by physician completely and 11.8% of PHC registration was incomplete. Finally results show that our physicians are not trained, but familial by experience on how to complete death notification certificate and the mortality and morbidity committees within hospital are not active. The researcher concluded that there is a serious problem regarding the documentation of death notification certificates in the Gaza Strip in personal and demographic section, cause of death section, certifying physician section and PHC governorate certification section. And that due to lack of formal training, medical inexperience and perceived lack of certificate importance. The researcher recommended that continuous training for physician on the proper way of completing death notification certificate, reactivation of mortality and morbidity committees within hospitals and initiating of professional committee in the MOH responsible for querying cause of death could help in promoting better and more accurate documentation of death certificates. Also the researcher recommended for further study to investigate the effect of good documentation of death certificates on mortality statistics and health status of the population.