PURPOSE Studies of certified nursing assistant (CNA) turnover in nursing homes are typically cross-sectional and include full-time and part-time workers. We conducted a longitudinal study to evaluate the job factors and work attitudes associated with just full-time staying or leaving. For those who did not stay, we assessed reasons for leaving and satisfaction following job transition. DESIGN...

BACKGROUND Health care infrastructure constitutes a major component of the structural quality of a health system. Infrastructural deficiencies of health services are reported in literature and research. A number of instruments exist for the assessment of infrastructure. However, no easy-to-use instruments to assess health facility infrastructure in developing countries are available. Present to...

introduction: one of the most fundamental duties of him professionals is the duty to maintain health information about their patients. this duty is imposed explicitly by state and federal statuted and regulations as well as by accreditation standards. also one of the most important responsibilities him professionals have is keeping confidential health information out of the hands of unauthorize...

As systems grow larger in size and complexity, it becomes increasingly difficult for administrators to maintain some shared sense of awareness of what's going on in the system. We implemented a large public display with appropriately designed visualizations that allow for rapid assessment and peripheral awareness of system health. By placing the visualizations on a large display in a shared, co...

Introduction The availability of adequate number of health professionals to manage health programmes alone may not necessarily lead to their successful implementation. The competencies and commitment of these professionals also need to be ensured. One of the biggest challenges, in this regard, has been poor capacity building at every rung of health care. The situation is further worsened by a s...

The intersection of the genetics era and information age poses unique and daunting challenges for health consumers who may not have the health literacy to keep pace. While rapid advances in genetics research promise enhanced care, the inherent complexities and individualistic nature of genetic information have resulted in a challenging information environment. The technical possibilities for ac...

Background. Despite the success of the Dominican Republic's National Immunization Program, homogenous vaccine coverage has not been achieved. In October 2012, the country implemented a study on missed opportunities for vaccination (MOVs) in children aged <5 years. Methods. A cross-sectional study of 102 healthcare facilities was implemented in 30 high-risk municipalities. Overall, 1500 parents ...

OBJECTIVE The economic benefits of reducing emergency department (ED) crowding are potentially substantial as they may decrease hospital length of stay. Hospital administrators and public officials may therefore be motivated to implement crowding protocols. We sought to identify a potential cost of ED crowding by evaluating the contribution of excess ED length of stay (LOS) to overall hospital ...

Given the significant global burden of human trafficking, the ability of clinicians to identify and provide treatment for trafficked persons is critical. Particularly in conflict settings, health care facilities often serve as the first and sometimes only point of contact for trafficked persons. As such, medical practitioners have a unique opportunity and an ethical imperative to intervene, eve...