internal factors affecting health

Paralysis or numbness of the face, arm or leg. Family pediatrics: report of the Task Force on the Family. Global, regional, and national incidence, prevalence, and years lived with disability for 354 diseases and injuries for 195 countries and territories, 19902017: a systematic analysis for the global burden of disease study 2017. 2017. 2009;113(2):2107. This lack of clarity is because most clinical trial literature focuses on symptoms, functional measures, and judgment about possible discharge made by health care providers. Extrinsic or External Factors. 2016;10(5):17. Hence, professional mental health staffing, especially nurse staffing, was a critical mental health care system concerned because of its association with quality of care, patient needs, and health outcomes. Whiteford HA, Ferrari AJ, Degenhardt L, Feigin V, Vos T. The global burden of mental, neurological and substance use disorders: an analysis from the global burden of disease study 2010. 1. Staff to patient ratio was the specific variable that substantially impacted the quality of care concerning the risk of readmission within 30-days and patients health outcomes [36,37,38]. Some examples of disease caused by extrinsic factors are Kwashiorkor, Goitre, Malaria, Cholera, Tetanus etc. Having poor health status was more frequently reported in the younger age groups, single status, uneducated/ elementary and secondary/vocational, and unemployed, than among older, married status, and those having a higher educational level and employment. Multi-level logistic regression analysis is followed with all the significant elements found in the previous univariate analysis to assess their simultaneous effect on the health status. Not least from an ecological and health perspective, it can be posited that a broader part of consumers should practice sustainable diets. Privacy Glick ID, Stekoll AH, Hays S. The role of the family and improvement in treatment maintenance, adherence, and outcome for schizophrenia. Female participant patients decrease the odds of poor health status by .75 points (p<0.05), using males as the reference. J Clin Psychopharmacol. . The average nurse-patient ratio on the day shift was 8.41 (SD 2.34). The distillation of key contextual factors offers the potential to inform the design and development of context-sensitive interventions to enhance improvement initiatives and address the challenge of spread and sustainability. Cognitive Dimension What are the external variables affecting health status, beliefs, or practices? We are working to better understand these factors system-wide and identifying next steps. 2016;(1):1103. official website and that any information you provide is encrypted This study aimed to examine the patient factors (patient-level) and hospital factors (hospital-level) influencing health status among patients with schizophrenia 30 days after hospital discharge. Candidate, Faculty of Nursing, Mahidol University, Bangkok, Thailand, Department of Mental Health and Psychiatric Nursing, Faculty of Nursing, Mahidol University, 999 Phuttamonthon 4 Road, Salaya, Nakhon Pathom, 73170, Thailand, Faculty of Nursing HRH Princess Chulabhorn College of Medical Science, Chulabhorn Royal Academy, Bangkok, Thailand, Department of Epidemiology, Faculty of Public Health, Mahidol University, Bangkok, Thailand, You can also search for this author in Carpiniello B, Pinna F, Tusconi M, Zaccheddu E, Fatteri F. Gender differences in remission and recovery of schizophrenic and schizoaffective patients: preliminary results of a prospective cohort study. Eur Psychiatry. The disease caused by intrinsic factors is called organic diseases or metabolic diseases. ), educational level (no education, elementary, secondary, vocational, or higher education level), duration of illness (measured in the number of years), substance use (measured dichotomously as no=0 and yes=1). Organizational and Environmental Factors Associated with Hospital GLdP Z, Moro LM, Ferreira GS, KtB R. Factors associated with psychiatric readmissions: a systematic review. J Psychiatr Ment Health Nurs. Personal or patient factors as predisposing characteristics among patients with schizophrenia that are often associated with health status were young age, male gender, low level of education [5, 21,22,23], long duration of illness [24,25,26], and substance use [27, 28]. Mental health action plan 2013-2020. WHO document production services, Geneva, Switzerland. [43]. Transition between inpatient mental health settings and community or care home settings. NICE copyright material. To explore factors influencing the health-related quality of life of spouses of breast cancer patients and the suitable questionnaires for this purpose. 2013;2(2):36171. Lee Y, Lee M-S, Jeong H-G, Youn H-C, Kim S-H. Internal environmental factors can be defined as the tangible and intangible factors that are under the direct control of the organization in question. 2013;23(1):5764. These chemicals, which can cause cancer, are known as carcinogenic. The results of the best model (Model 3) show that patient levels do have an effect on the health status and do vary by hospital level. GBD 2017 Disease and Injury Incidence and Prevalence Collaborators. Deinstitutionalization of the mentally ill: evidence for transinstitutionalization from psychiatric hospitals to penal institutions. 2010;22(5):41728. Ethics approval was obtained from the Institutional Review Board Faculty of Nursing, Mahidol University (COA No.IRB-NS2018/434.0103), and the ethical review board of the Mental Health Department Institutional Review Board, Thailand (DMH-IRB.COA009/2561). The same internal factors that lead to an organization . J Nurs Scholarsh. PubMedGoogle Scholar. The positive aspect of caregiving (PAC) from caregivers is an enabling resource that influences treatment adherence and improves health status among patients with schizophrenia [29, 30]. This study focuses on 2059-year-old adult patients with schizophrenia from thirteen public mental hospitals invited to participate in the study. Each item was rated on a scale of 0 to 10 (0=not ready to 10=ready to discharge) with higher ratings indicating greater perceived readiness for discharge. and healthcare organizations' productivity and profitability . Moreover, poor transition planning is associated with a higher degree of non-adherence to treatment, worsened prognosis, and increased risk of relapse or readmission [12,13,14,15,16,17]. Soc Sci Med. Psychiatry Res. 2015;10(2):114. For this reason, constant evaluations and planning must take place within healthcare organizations. Provided by the Springer Nature SharedIt content-sharing initiative. A possible lesson from these findings is that it is vital to have an adequate ratio of providers to patients in psychiatric units, enabling nurses to devote more time to therapeutic interaction with the patients. Aiken LH, Clarke SP, Sloane DM, Sochalski J, Silber JH. Stroke - Symptoms and causes - Mayo Clinic 2004;155:1258. Development and validation of a questionnaire to examine determinants Novick D, Haro JM, Suarez D, Perez V, Dittmann RW, Haddad PM. The intraclass correlation coefficient indicated that 14% of the change in health status was explained by the differences between hospital. The health of the population is an insight into the society. PubMed Central Kassis IT, Ghuloum S, Mousa H, Bener A. Anthropology could be a bridge between biomedicine and social sciences and influence strategies in public health to prevent rather than cure and in education for fulfillment in life and improvement of society. Acharaporn Seeherunwong. Our findings revealed five patient factors (gender-difference, substance use, PAC from primary caregivers, perceived RHD, and treatment adherence) significantly influenced the health status among patients with schizophrenia, 30 days after hospital discharge. There are a number of different factors that can influence the development of a health and safety culture in an organization. Higashi K, Medic G, Littlewood KJ, Diez T, Granstrm O, De Hert M. Medication adherence in schizophrenia: factors influencing adherence and consequences of nonadherence, a systematic literature review. Int J Soc Psychiatry. PLoS One. Each questionnaire was given a code number for identification purposes and to assure confidentiality. However, there has been an inequitable distribution of PMHS in Thailand, which exists in several other countries. Logistic regression analysis was used to determine patient and hospital factors on health status and enter the base model of multi-level logistic regression analysis. Your organization gathers information related to internal and external factors, determines the right objectives and goals, and implements a strategy to achieve them. Moreover, it was confirmed by the findings that the participant patients who did not adhere to treatment, although graded mild or moderate of PAC from their caregivers, were likely to poor health status after hospital discharge. Terms and Conditions, Main factors affecting perceived quality in healthcare: a patient The regression coefficients for all of the patient factors are all significant except for substance use. Schweiz Arch Neurol Psychiatry. Health gradient in the society depends on the every day circumstances in which people live and work. Would you like email updates of new search results? Internal factors include the chain of command, leadership styles, information sharing, and quality control . Hospital nurse staffing and patient mortality, nurse burnout, and job dissatisfaction. Tarlow BJ, Wisniewski SR, Belle SH, Rubert M, Ory MG. Dolores Gallagher-Tho p. positive aspects of caregiving. Mrizak J, Ouanes SAMI, Lakhal M, Rafrafi RYM, El-Hechmi Z. Remission and recovery in schizophrenia: associated socio-demographic and clinical features. As expected, our findings showed non-adherence to treatment was influencing the health status among patients with schizophrenia in accord with past literature [63,64,65,66,67]. It is associated with the deterioration of health status, the risk for future non-adherence to treatment, relapse, and re-hospitalization [27, 28], and this study supports those findings. Unable to load your collection due to an error, Unable to load your delegates due to an error. 2005 Aug;61(4):745-50. doi: 10.1016/j.socscimed.2004.08.048. Bookshelf Biological, Behavioral, and Social Factors Affecting Health. Lin H-C, Lee H-C. Psychiatrists caseload volume, length of stay and mental healthcare readmission rates: a three-year population-based study. Your US state privacy rights, https://doi.org/10.3205/psm000089. 2013;3(4):20018. Internal And External Factors In Healthcare However, both patient and hospital factors are crucial in determining health status. The study also found that the participating patients who claimed they were ready for hospital discharge manifested similar health status effects as in previous studies [60,61,62]. Schizophr Res Treat. This study aimed to develop and validate a Persian version of the questionnaire for assessing determinants of organic food purchase intention among . PubMed Even though a growing research interest by nurses, mental health nursing research is still limited, and the nurse to patient ratio effects on health outcomes after hospital discharge are rarely discussed. Federal government websites often end in .gov or .mil. These considerations have important implications for mental health policymakers and enable us to obtain clarity through precise information and better allocation of resources. Springer Nature. Cancerous growths or tumors can be treated only at early stages. Some of these factors are internal, such as the management team's attitudes and beliefs about health and safety. Internal and External factors of MEntal health Flashcards by Oskar Proy | Brainscape Unit 4 States Of Consciousness Sleep Deprivation Sleep Disorders Treatments For Sleep Disorders Sleep Wake Cycle Normal Vs Altered States Of Consciousness Internal And External Factors Of M Ental Health Pricing Teachers & Schools iOS App Android App Help Center You may experience confusion, slur words or have difficulty understanding speech. 2012;44(3):26673. 2005;39:71925. 2013;22(1):4753. The PubMed wordmark and PubMed logo are registered trademarks of the U.S. Department of Health and Human Services (HHS). A key issue affecting patients health outcomes is the lack of a smooth transition into integrated and collaborative care planning by the mental health and social care services and inpatient, outpatient, and community mental health care [10]. Cheng K-D, Huang C-J, Tsang H-Y, Lin C-H. Factors related to missed first appointments after discharge among patients with schizophrenia in Taiwan. All authors read and approved the final manuscript before submission. 2015;20(2):769. The primary participant caregivers who had been most involved with participant patients in the last 3 months, living with the patient at home, able to understand and communicate in Thai, were invited to participate in the study as well. AS2, RP, MT were involved in developing and revising the manuscript. After the approval of the Mahidol University Institutional Review Board, Nursing (COA No.IRB-NS2018/434.0103) and the Mental Health Department Institutional Review Board (DMH-IRB.COA009/2561) for permission to collect the data from thirteen public mental hospitals, under the Ministry of Public Health Administration in Thailand, data collection commenced as 1) The researcher selected the research assistants (RA) who working as nurses in each hospital, then made an appointment to describe the research objectives, research procedures, criteria of samples, instruments and data collection process including human rights protections; 2) the RA attended and observed the researcher collecting data and any misunderstandings about data collection procedures were discussed and reviewed; 3) the RA practiced collecting data at hospitals where they worked while the researcher also observed until they were able to collect data independently. Afr J Psychiatry. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated in a credit line to the data. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/. Internal factors are factors. Positive aspects of caregiving as a moderator of treatment outcome over 12 months. Six essential factors that influences your health. 2012;2012:507. Austin PC, Merlo J. Unauthorized use of these marks is strictly prohibited. Thornton K. Associations between multi-level contextual factors and mental health service utilization in adolescents with comorbid depression and substance-use: moderating role of school connectedness on racial/ethnic disparities in service utilization. Carcinogenic agents in foods may be natural substances or they can be chemicals (food additives) which are deliberately added to food as flavouring agent, as colouring agent, as sweetener as a preservative. 2017;31(6):55360. Google Scholar. This analysis was conducted to understand the impact that the corresponding . 2015. This finding indicates the importance of enabling resources to primary caregivers for positive caregiving, continuing care with treatment, an appropriate discharge planning process, and adequate nurse staffing-patient ratio as effective strategies for improving patient health status and post-discharge outcomes. Thailand: Jakarta, ASEAN Secretariat; 2016. Copyright 10. 2018;28(2814):110. Educ Psychol Meas. Siddiqui MA, Pattojoshi A, Khess CRJ. Research suggests that low transition out of inpatient psychiatric hospitals and inadequate discharge planning may have adverse effects on patients and their families [11]. Penno SJ, Hamilton B, Petrakis M. Early intervention in psychosis: health of the nation outcome scales (HoNOS) outcomes from a five-year prospective study. For example, an infection was considered to result only from the proliferation of bacteria, while other kinds of ill . hospital nurse staffing and staffpatient interactions: an observational study. Part of Schennach-Wolff R, Jger M, Seemller F, Obermeier M, Messer T, Laux G, et al. An official website of the United States government. The inclusion criteria for the participant patients included: 1) being 20 to 59years of age; 2) principal or first diagnosis of either schizophrenia (F20.0F20.9) or schizoaffective disorders (F25.0, F25.1, F25.2, F25.8, F25.9) based on ICD-10; 3) were inpatients of public mental hospitals and whom their psychiatrist had permitted discharge from the hospital to return home during March 2018 to June 2019; 4) living with a close family member or caregiver; 5) able to understand and communicate in Thai, and 6) willing to participate in the study. 2014;113(7):43641. The process for primary caregivers included: 1) The researcher or RA entrusted the heads or senior nurses of each participating ward with the task of collecting data from the participating caregiver in the ward on the day that participating patients were to be discharged; 2) invited participating caregivers to a private area, gave them the information they required about the study, had them sign an informed consent document, and provided a questionnaire to measure PAC. Your privacy choices/Manage cookies we use in the preference centre. 12 Factors Affecting Sleep and Your Sleep Quality In the early years of scientific medicine, most clinicians and researchers thought only in terms of single causes: specific agents that cause specific disease. Ind Psychiatry J. Br J Med Med Rese. Psychol Aging. CAS All rights reserved | Email: [emailprotected], External factors affecting healthcare organizations, External factors in healthcare organizations, External factors in healthcare management, Internal factors in healthcare organizations, Behavioral health medication management cpt. Predictive factors of functional capacity and real-world functioning in patients with schizophrenia. The influence of contextual factors on healthcare quality improvement Accessibility Some of the factors, which increase the risk of cancer, are: Smoking: Tobacco smoke is a proven cause of lung cancer. Standards of living 3. Int Rev Psychiatry. Treatment non-compliance of psychiatric patients and associated factors: are patients satisfied from their psychiatrist? Soc Psychiatry Psychiatr Epidemiol. Psychological Dimension 3. Internal Factor: Leadership Leadership refers to the people in your organization that make all the major decisions regarding financing, budget, sales, marketing, and human resources. Each item was rated on a 5-point ordinal scale, ranging from 1 (strongly disagree) through 5 (strongly agree). They can look forward to applying more effective activity therapy such as psychoeducation or psychotherapy, for improving relationships with the patients. PubMed 2012;24(2):1403. We hypothesize that patient and hospital factors affect health status among these patients, 30 days after hospital discharge. Biologic Dimension 2. Our findings provide evidence that some patient and hospital factors influence health status among patients with schizophrenia, 30 days after hospital discharge. 2000;176(2):1605. Stem cell fate in cell culture depends on the composition of the culturing media. Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. Based on previous evidence, we assumed a 40% dropout rate due to uncompleted questionnaires and the inability to contact patients after hospital discharge. 2010;16(2):1628. PAC from primary caregivers was also a significant predictor that influenced health status among participant patients. Prog Neuro-Psychopharmacol Biol Psychiatry. Of the 1255 patients with schizophrenia, 14.26% had worsening or poor health status, 30 days after hospital discharge. 2012;60:8593. Balikci A, Erdem M, Zincir S, Bolu A, Zincir SB, Ercan S, et al. Schor EL; American Academy of Pediatrics Task Force on the Family. On average, the total HoNOS increased by 2.66 from the baseline, indicating worsening or poor health status. A Thesis Submitted to the Faculty of Drexel University in partial fulfillment of the requirements for the degree of Doctor of Nursing Practice. Top 10 external factors for EHR success in hospitals Predictors of functional status at service entry and discharge among young people with first episode psychosis. Account Disable 12. Health gradient in the society depends on the every day circumstances in which people live and work. J Nurs Meas. Mekuriaw B, Abera M, Tessema W, Agenagnew L, Dawud B, Abdisa E, et al. [47]. The following factors were included in descriptive statistics: gender (male or female), age-group (2032yrs., 3345yrs. For example, animal behavioral responses to pain are influenced by the timing of neuropathy induction, seasonal influences, air humidity, and social learning. Ventura J, Subotnik KL, Gitlin MJ, Gretchen-Doorly D, Ered A, Villa KF, et al. Bridges J. Griffiths P, Oliver E, Pickering RM. How does the environment affect our health? The external factors include light, jet lag, medications, sleep environment, sleep schedule, caffeine and alcohol, and certain foods. Babitsch B, Gohl D, Lengerke TV. Cancerous growths in advanced stages often result in death. Terms of Service 7. Social support networks Locus of control J Am Coll Surg. Parabiaghi A, Barbato A, DAvanzo B, Erlicher A, Lora A. Assessing reliable and clinically significant change on health of the nation outcome scales: method for displaying longitudinal data. Cite this article. 2009;166(1):1523. Nurse staffing levels make a difference on patient outcomes: a multisite study in Chinese hospitals. 2014;4(2):78596. CAS 2016. Khankeh H, Rahgozar M, Ranjbar M. The effects of nursing discharge plan (post-discharge education and follow-up) on self-care ability in patients with chronic schizophrenia hospitalized in Razi psychiatric center. Careers. . When working with patients with a mental illness, mental health care teams, especially nurse staff, must provide direct care in terms of prevention and in promoting and focusing on the patients health and potential during admission until discharge and post-discharge. Missed Appointments and Medication Non-compliance Among Consecutive Psychiatric Patients. BMJ. Psychiatry Res. Ngui AN, Perreault M, Fleury MJ, Caron J. The good news is that good internal communicationcan create a consistently calm harbor even in the stormiest environments. Arch Psychiatr Nurs. External factors pertain to the direct outer environment, the geographical location and micro-organisms that could affect an individual's health. The total number of nurses at each unit was collected from administration nurse reports and recorded by the RA working at each setting. Also, the health status varied with demographic characteristics; for example, males were more likely to have poor health status than females. Czobor P, Dorn RAV, Citrome L, Kahn RS, Fleischhacker WW, Volavka J. 2007;90(11):248793. Intermediate and advanced topics in multi-level logistic regression analysis. Meng N, Liu R, Wang M, Liao J, Feng C, Li X. Environment or hospital factors include the health care system and external environment, which refers to the amount and distribution of health service facilities or availability of service delivery that support the individual patient [35]. 2003 Jun;111(6 Pt 2):1541-71. IJNMR/Spring. The input factors affecting the performance were classified as either internal or external environmental factors. Health. Okumura Y, Sugiyama N, Noda T, Sakata N. Association of high psychiatrist staffing with prolonged hospitalization, follow-up visits, and readmission in acute psychiatric units: a retrospective cohort study using a nationwide claims database. Publications of the World Health Organization 2015. Weiss M, Piacentine L. Psychometric properties of the readiness for hospital discharge scale. Intrinsic or Internal Factors. Health status in this study refers to all aspects of health (behavioral, physical, clinical, and social) of people who use mental health services due to severe mental illness, including patients with schizophrenia. HHS Vulnerability Disclosure, Help Menendez-Miranda I, Garcia-Portilla MP, Garcia-Alvarez L, Arrojo M, Sanchez P, Sarramea F, et al. The HoNOS consists of 12-items, including symptoms, functioning, social relationships, and environmental issues. Abel KM, Drake R, Goldstein JM. Finally, the researcher or RA gave a small gift to both participating patients and their caregivers for participation. Nonthaburi, Bangkok, Thailand: WHO and Ministry of Public Health; 2006. The internal factors that affect sleep quality include physical pain, stress, mental health issues, snoring, and sleep disorders. What Factors Impact Our Mental Health? | JED . Int J Adv Med. 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