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Health care staff turnover and quality of care at nursing homes

Por: Haghgoshayie · E. · Nazari · M. · Hasanpoor · E.

Commentary on: Shen K, McGarry BE, Gandhi AD. Health care staff turnover and quality of care at nursing homes. JAMA internal medicine. 2023 Nov 1;183(11):1247–54.

Implications for practice and research

  • Reducing staff turnover in nursing homes can lead to significant improvements in the quality of care.

  • Future research should focus on the factors influencing staff retention and the mechanisms through which turnover affects care quality.

  • Context

    This study investigates the association between healthcare staff turnover and quality of care in nursing homes.1 2 In recent years, the healthcare industry has faced serious challenges regarding workforce shortages. Particularly in long-term care facilities such as nursing homes, staff shortages and high turnover rates are considered major problems.1 2 This situation has not only negatively impacted patient care quality, but has also placed considerable pressure on healthcare systems...

    Magnitude of utilisation of ANC with eight or more contacts and its associated factors among pregnant women in Yayo District, Oromia, Ethiopia, 2023: a quantitative facility-based cross-sectional study

    Por: Sisay · W. Y. · Mulatu · G. · Gedefa · A. G. · Shayi · T. T.
    Background

    Antenatal care (ANC) is a critical component for improving maternal and newborn health. It provides a platform for essential healthcare services, including health promotion, screening and diagnosis, injury and disease prevention, birth preparedness and preparation for the postnatal period. By implementing timely and appropriate evidence-based practices, ANC can reduce maternal and child morbidity and mortality and optimise overall health and well-being.

    Objective

    To assess the magnitude of utilisation of ANC with eight or more contacts and its associated factors among pregnant women attending ANC in Yayo District, 2023.

    Methods

    A facility-based cross-sectional study was conducted among 301 randomly selected pregnant women attending ANC follow-up in selected health facilities in Yayo District, Southwest Ethiopia, from 1 June 2023 to 30 June 2023. Data were collected using an interviewer-administered structured questionnaire. The collected data were coded and entered into Epi Data V.4.6 and then exported to SPSS V.26 for descriptive and inferential analysis. Both bivariate and multivariate logistic regression models were fitted. Adjusted OR (AOR) with a 95% CI was estimated to assess the strength of associations. A p value

    Results

    A total of 298 pregnant women participated in the study, yielding a response rate of 99%. Most of the pregnant women, 139 (46.6%), were housewives, and the majority, 248 (83.2%), were married. Adequate utilisation of ANC with eight or more contacts was found to be 7.7%. Factors significantly associated with ANC 8+ contacts utilisation include previous pregnancy-related complications (AOR 5.238 (95% CI 1.004 to 27.31)) and early initiation of ANC (AOR 29.09 (95% CI 8.87 to 95.3)).

    Conclusion

    The magnitude of ANC 8+ contacts utilisation was remarkably low in the study area. Therefore, greater investment is needed to promote the new ANC approach, emphasising ANC 8+ contacts. Special attention should be given to mobilising mothers to initiate ANC before 12 weeks of gestation to reduce the risk of complications and ensure maximum utilisation of ANC 8+ contacts.

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