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O compromisso com a carreira e a ambição por uma posição de gestão de profissionais de farmácias comunitárias: um estudo transversal

Thu, 01 Feb 2024 00:00:00 GMT

Title: O compromisso com a carreira e a ambição por uma posição de gestão de profissionais de farmácias comunitárias: um estudo transversal Authors: Ramos, André Filipe Ribeiro Abstract: O presente trabalho identifica os fatores associados ao compromisso com a carreira e à ambição por uma posição de gestão entre os profissionais de farmácias comunitárias. Para o efeito, foi usado o questionário como técnica de recolha de dados e uma técnica de amostragem não probabilística, conhecida como “bola de neve”. 188 indivíduos cederam a sua resposta, das quais 102 foram consideradas válidas, adotando-se como critério de seleção o grau de compromisso do respondente. Uma vez que o objetivo era modelizar dois construtos em simultâneo, os dados foram analisados com recurso ao Modelo de Equações Estruturais via Quadrados Parciais Mínimos (PLSSEM), que combina técnicas de análise fatorial confirmatória com regressão linear múltipla. Empiricamente, os resultados do nosso estudo mostram que a motivação intrínseca está positivamente associada ao compromisso com a carreira e que a idade tem um efeito quadrático positivo sobre o último. Todavia, não há relação estatisticamente significativa entre a capacidade de trabalho e o compromisso com a carreira. Além do mais, tanto esta última variável latente como a sensação de superioridade estão, individual e positivamente, associadas à ambição por uma posição de gestão, sendo que a mesma é maior entre indivíduos do sexo masculino do que do sexo feminino. Este estudo encerra relevantes contribuições teóricas e práticas. Do ponto de vista teórico, somos os primeiros – para aquela que foi a nossa melhor pesquisa – a modelizar o compromisso com a carreira e a ambição por uma posição de gestão entre profissionais de farmácias comunitárias. Do ponto de vista prático, e a partir da evidência empírica obtida, foi possível definir estratégias de retenção dos profissionais de farmácia, o que permite mitigar o impacto adverso do défice histórico de recursos humanos deste setor.

What Influences Patients Readiness for Discharge

Mon, 01 Apr 2024 00:00:00 GMT

Title: What Influences Patients Readiness for Discharge Authors: Li, Na; Moreira, Paulo; Guo, Manjie; You, Simeng; Dsouza, Brayal; Ji, Hong Abstract: Aims and Objectives. To identify and explore assess factors that influence patients’ readiness for hospital discharge (RHD) after total knee arthroplasty (TKA). Background. Evidence has suggested that most clinical staff use clinical laboratory indicators to determine discharge times, while paying little attention to patients’ feelings and needs. Additional research findings have suggested a relationship between patients’ self-reported readiness for hospital discharge and postdischarge complication rates, readmission rates, mortality, as well as quality of life. RHD is strongly associated with patient health outcomes. Identifying relevant influencing factors can provide guidance for early individualized interventions by healthcare professionals. Design. A cross-sectional study. Methods. During 2022, a total of 320 post-TKA patients were selected for this study. The patients were divided into the low-RHD group (<7 points) and the high-RHD group (≥7 points) according to the mean score of the Readiness for Hospital Discharge Scale (RHDS). Established scales were used to collect patients’ information and to adopt univariate and binary logistic regression analysis to screen for independent factors. Results. In this study, the RHDS score of patients after TKA is 91.90 ± 7.05, of which 12.8% are in the low-RHD group (mean score <7). The binary logistic regression results reveal that age, educational level, postactivity pain, self-efficacy, and family care have to be considered risk factors generating low-RHD in TKA patients. Conclusions. The present study suggests that over 1/8 TKA patients are not ready at the time of discharge. Physicians and nurses can improve patients’ RHD by reducing postactivity pain and improving self-efficacy during their rehabilitation period. Relevance to Clinical Practice. The results of this study can help physicians and nurses early identify high-risk patients with low RHD and provide them with individualized interventions. In addition to this, it is important that nurses use RHDS to assess the readiness of TKA patients before they are discharged from the hospital.

Undiagnosed Long COVID‑19 in China Among Non‑vaccinated Individuals:

Mon, 07 Nov 2022 00:00:00 GMT

Title: Undiagnosed Long COVID‑19 in China Among Non‑vaccinated Individuals: Authors: Zhang, Lin; Lei, Jie; Zhang, Jintao; Yin, Longlong; Chen, Yanjiao; Xi, Yan; Moreira, Joaquim Paulo Abstract: Is Long COVID-19 under-diagnosed? The definition of this new condition has received many contributions, and it is still under development as a great variety of symptoms have been associated to it. This study explores the possibility that there are non-diagnosed cases among individuals who have been infected by SARS-CoV-2 and have not been vaccinated. The long-term symptoms identified among a sample 255 individuals have been associated to Long COVID-19 by recent literature. The study relates these symptoms to risk factors and health-related quality of life (HRQoL) negative impacts. The individuals were screened 1 year after discharge to explore its potential relation to Long COVID-19. Patients diagnosed with COVID-19 and discharged from designated hospitals in a Chinese province between January and April 2020 were included in this study. They received computed tomography (CT) scans one month after discharge. One year after discharge, patients were invited to physical examination and interviewed with questionnaire on health-related quality of life (HRQoL) and post-COVID-19 symptoms. Tobit regression and Logistic regression were applied to evaluate the risk factors for health utility value and pain/discomfort and anxiety/depression. One year after discharge, 39.61% patients complained of several of the symptoms associated to Long COVID-19. More than half had abnormal chest CT. Previous studies focused on the post-COVID-19 symptoms and chest CT findings of patients, but few studies have assessed the COVID-19-associated risk factors for health-related quality of life.

The Effect of Total Quality Management, Perceived Service Quality and Expectation on Customer Satisfaction

Tue, 17 Oct 2023 00:00:00 GMT

Title: The Effect of Total Quality Management, Perceived Service Quality and Expectation on Customer Satisfaction Authors: Nguyen, Thi Le Ha; Moreira, Paulo Abstract: Objects: Total Quality Management (TQM), Perceived Service Quality (PSQ), and expectations are key factors that improve Customer Satisfaction (CS). This study investigates an integrated model that includes total quality management, perceived service quality, and expectations related to consumer satisfaction. Methods: A survey was conducted at the highest Hospital, Vietnam, in April 2018. A self-administered questionnaire was delivered to respondents. A confirmatory factor analysis was used to test the structural equation modelling of the proposed hypotheses. Findings: The study’s hypotheses are supported. Total quality management, perceived service quality, and expectations directly influence customer satisfaction. Originality: These findings reveal that TQM plays a mediator role in the PE and PSQ, PSQ is a mediating factor in the relationship between TQM and PS. Practice Implications: Our study has implications for managers and policymakers when considering factors’ effects on satisfaction, including total quality management, perceived service quality, and expectations in strategic planning, and aims to improve customer satisfaction.