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Article
Publication date: 8 July 2019

Ioannis Moisoglou, Petros Galanis, Evangelia Meimeti, Angeliki Dreliozi, Petros Kolovos and Panagiotis Prezerakos

The purpose of this paper is to investigate the effect of nurse staffing, nurse education and work experience on patients’ length of stay (LOS) in the Greek public hospitals.

Abstract

Purpose

The purpose of this paper is to investigate the effect of nurse staffing, nurse education and work experience on patients’ length of stay (LOS) in the Greek public hospitals.

Design/methodology/approach

A cross-sectional study, with retrospective administrative data, was implemented. From all seven Regional Health Authorities of Greece, 25 general surgical units in 17 public hospitals participated in the study.

Findings

All over the hospitals were studied, 32,287 patients ⩾17 years old and 203 nursing staff, who were working in the study units, were included in the analysis. According to the multivariate linear regression model, increased years of experience as a nurse (b= −0.04, 95% CI= −0.06 to −0.02, p=0.001) and increased percentage of registered nurse to the total nursing staff (b= −1.18, CI= −1.88 to −0.47, p=0.03) were associated with decreased patient LOS.

Originality/value

This was the first extended study in Greece, which explored the relationship between nurse staffing, nurse education, work experience and the LOS. The role that nurse staffing play together with its characteristics in the provision toward the quality healthcare services has already been recognized worldwide. The findings revealed the great shortage of nursing staff and the significant correlation between the work experience and educational level to patients’ LOS.

Details

International Journal of Health Care Quality Assurance, vol. 32 no. 6
Type: Research Article
ISSN: 0952-6862

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Article
Publication date: 19 March 2018

Panagiotis Polychroniou and Panagiotis Trivellas

This study aims to investigate the relationship between organizational culture and performance. It concerns the aspects of culture related to culture strength and…

Abstract

Purpose

This study aims to investigate the relationship between organizational culture and performance. It concerns the aspects of culture related to culture strength and unbalance and its impact on introvert and extrovert firm performance, controlling for business environment and size.

Design/methodology/approach

Based on the competing values model (CVM), culture strength is measured as the intensity of the culture values driving the company. The cultural unbalance is measured by the sum of absolute deviations of organizational members’ culture perceptions across the four archetypes (adhocracy, clan, hierarchy and market) imposed by CVM from the individual “average” shared cultural value. Evidence is drawn upon a sample of 1,305 employees of 114 Greek firms.

Findings

The findings indicate a strong positive relationship between culture strength and internal performance (innovation competence and human relations) as well as firm outcomes (profitability, growth and reputational assets). On the contrary, culture unbalance exerts a negative influence to market position, growth and innovation competence.

Practical implications

Understanding the nature of the association between culture strength, unbalance and firm performance would enable academics and practitioners to reflect critically on the core culture values which shape employee involvement and formulate leaders’ quality improvement decisions and actions, so as to achieve sustainable competitive advantage at the organizational level.

Originality/value

This research provides supporting empirical evidence for the culture–performance link by identifying the principle culture value characteristics (strength and unbalance), which exert both direct and interaction effects on the introvert and extrovert aspects of firm performance.

Details

International Journal of Quality and Service Sciences, vol. 10 no. 1
Type: Research Article
ISSN: 1756-669X

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Article
Publication date: 24 May 2013

Angelos Pantouvakis and Panagiotis Mpogiatzidis

The purpose of this paper is to evaluate clinical departments' performance per clinical sector in the context of the Greek public hospital care system.

Abstract

Purpose

The purpose of this paper is to evaluate clinical departments' performance per clinical sector in the context of the Greek public hospital care system.

Design/methodology/approach

The sample consisted of 96 internal pathology and surgical clinical departments in 15 hospitals in Greece and their technical efficiency was assessed by the use of data envelopment analysis. The proposed model used the number of nursing staff, medical specialists and department beds, pharmaceutical expenditure and clinical leadership job satisfaction as inputs while the number of hospitalized patients was selected as an output. Clinical leadership job satisfaction was captured by the use of a specialized questionnaire. The methodology applied investigated variations in technical efficiency in the presence or absence of job satisfaction. The model proposed an efficiency improvement through the possible reduction of inputs (input oriented) variable returns to scale.

Findings

Processing the results revealed variations in the way clinical leadership job satisfaction affects efficiency assessments per clinical sector. The impact of job satisfaction is verified for the surgical sector and rejected marginally for the pathology sector. Applied methodology results proposed reductions in pharmaceutical expenditure, human resources and available beds. These are indications towards implementing rational economic and human resources management and productive factors development.

Originality/value

This research effort uses job satisfaction as a quantitative variable to assess efficiency, focusing on clinical efficiency per clinical sector. In all efforts to restrain health expenditure, measuring clinical department efficiency is critical for health policy makers.

Details

Benchmarking: An International Journal, vol. 20 no. 3
Type: Research Article
ISSN: 1463-5771

Keywords

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