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1 – 8 of 8Petros Kostagiolas, Anastasios Milkas, Panos Kourouthanassis, Kyriakos Dimitriadis, Konstantinos Tsioufis, Dimitrios Tousoulis and Dimitrios Niakas
The ultimate aim of this study is to investigate how health information needs’ satisfaction actually makes a difference to the patients' management of a chronic clinical…
Abstract
Purpose
The ultimate aim of this study is to investigate how health information needs’ satisfaction actually makes a difference to the patients' management of a chronic clinical condition. The literature falls short of providing evidence on the interaction between patients' health information seeking behaviour and the successful management of a clinical condition. On the other hand, patient education and good information seeking practices are deemed necessary for hypertension management daily decisions.
Design/methodology/approach
A specially designed questionnaire study was developed: The survey design was informed by the information seeking behaviour model of Wilson for studying hypertension patients' information needs, information resources and obstacles patients face while seeking hypertension-related information. Moreover, clinical information was collected in order to make associations and inference on the impact of information seeking on patients' clinical outcomes.
Findings
The study included 111 patients submitted to the outpatient hypertension clinic of a university hospital in Athens for a 24-h ambulatory blood pressure measurement (ABPM). The analysis showed that those reporting higher satisfaction level of their information needs achieved lower values in ABPM (ABPM<130/80mmHg, p = 0.049). Stepwise the logistic regression analysis revealed three independent factors to predict the possibility of being optimally treated (ABPM<130/80mmHg). Dipping status (OR: 14.052, 95% CI: 4.229–46.688, p = 0.0001) patients with high satisfaction level of their disease (OR: 13.450, 95% CI: 1.364–132.627, p = 0.026) and interpersonal relationships were used as the main source of information (OR: 1.762, 95% CI: 1.024–3.031, p = 0.41).
Originality/value
Hypertensive patients with high satisfaction level of information achieve better disease control. Among different sources of information, interpersonal relationships emerge as the most appropriate factor for patients' disease control.
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Petros Kostagiolas, Panagiotis Tsiligros, Panagiotis Theodorou, Nikolaos Tentolouris and Dimitrios Niakas
The purpose of this paper is the investigation of type 2 diabetes patients' information seeking behavior in terms of their information needs, sources and barriers faced by…
Abstract
Purpose
The purpose of this paper is the investigation of type 2 diabetes patients' information seeking behavior in terms of their information needs, sources and barriers faced by patients when seeking information. The information seeking behavior is associated with clinical patient data.
Design/methodology/approach
The relevant literature is reviewed, and the results of a cross-sectional survey informed by Wilson's macro-model of information seeking behavior are reported. The survey includes 106 outpatients from the diabetes clinic of a Greek major university hospital and includes information seeking behaviors and patient's clinical evidence.
Findings
The most important health information needs are related to the complications, symptoms and causes of diabetes, to the proper diet for diabetics and the measures adopted to avoid foot complications. Furthermore, the most important information resources were physicians, ophthalmologists, books, broadcast media and family members. Obstacles encountered during information seeking include the complicated nature of health information, which involves scientific terms as well as psychological issues. The diabetes stage is correlated with information needs for diabetes medication, while the years from the first diagnosis are negatively correlated with the use of informal sources.
Research limitations/implications
The information needs and sources of diabetic patients, as well as the main obstacles to this pursuit, could potentially have important implications in designing a future information campaign and information services for diabetes patients.
Originality/value
The Wilson's macro-model of information seeking has been applied to the diabetic patients' information seeking behavior; while information needs, information sources and information obstacles are correlated with clinical evidence from patients’ hospital records.
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Petros Kostagiolas, Panagiotis Gorezis, Konstantina Martzoukou, Dimitrios Deligeorgis and Dimitris Niakas
Medical doctors seek information in order to satisfy their demanding everyday work practices and professional development endeavours. Information seeking is a continuous…
Abstract
Purpose
Medical doctors seek information in order to satisfy their demanding everyday work practices and professional development endeavours. Information seeking is a continuous goal-related process that has impact on how they perceive and experience their job. The purpose of this paper is to explore the association of doctors’ awareness of medical practice information needs (MPIN), their frequency of using online information resources and the barriers they encountered during information seeking with their overall job satisfaction. More specifically, the research examined the mediating role of these information seeking related variables (information needs, online scholarly resources and information barriers) on doctors’ overall job satisfaction.
Design/methodology/approach
The study employed a questionnaire survey of 138 medical doctors working within the context of a University Hospital in Greece. The survey took place between February and March 2014. To test the hypotheses the authors conducted regression analysis, hierarchical moderated analysis and bootstrapping using SPSS macro developed by Preacher and colleagues.
Findings
The statistical analysis found that higher awareness of MPIN had an indirect effect on doctors’ overall job satisfaction when they used online information scholar resources. In addition, this indirect effect was contingent on information-related barriers.
Originality/value
This study provides evidence for supporting the pivotal role of doctors’ information seeking preferences in fostering job satisfaction. This is an understudied research area that deserves a unique focus particularly with the constantly expanding medical information space that has impact on doctors’ medical practices and professional activities.
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Petros Kostagiolas, Charalampos Platis, Alkeviadis Belitsas, Maria Elisavet Psomiadi and Dimitris Niakas
The higher-level aim of this study is to investigate the impact of health information needs satisfaction on the fear of COVID-19 for the general population. The investigation is…
Abstract
Purpose
The higher-level aim of this study is to investigate the impact of health information needs satisfaction on the fear of COVID-19 for the general population. The investigation is theoretically grounded on Wilsons’ model of information seeking in the context of inquesting the reasons for seeking health information as well as the information sources the general population deploy during the COVID-19 pandemic.
Design/methodology/approach
This cross-sectional survey examines the correlations between health information seeking behavior and the COVID-19 generated fear in the general population through the application of a specially designed structured questionnaire which was distributed online. The questionnaire comprised four main distinct research dimensions (i.e. information needs, information sources, obstacles when seeking information and COVID-19 generated fear) that present significant validity levels.
Findings
Individuals were motivated to seek COVID-related health information to cope with the pandemic generated uncertainty. Information needs satisfaction as well as digital health literacy levels is associated with the COVID-19 generated fear in the general population. Finally, a conceptual framework based on Wilsons’ macro-model for information seeking behavior was developed to illustrate information needs satisfaction during the pandemic period. These results indicate the need for incentives to enhance health information needs satisfaction appropriately.
Originality/value
The COVID-19 generated fear in the general population is studied through the information seeking behavior lenses. A well-studied theoretical model for information seeking behavior is adopted for health-related information seeking during pandemic. Finally, digital health information literacy levels are also associated with the fear of COVID-19 reported in the authors’ survey.
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Dimitrios M. Mihail and Panagiotis V. Kloutsiniotis
Following a social identity approach focussed in the Greek healthcare sector, the purpose of this paper is to investigate the mediating effects of social identification on the…
Abstract
Purpose
Following a social identity approach focussed in the Greek healthcare sector, the purpose of this paper is to investigate the mediating effects of social identification on the relationship between high-performance work systems (HPWS) and psychological empowerment, and the mediating role of psychological empowerment between HPWS and quality of patient care.
Design/methodology/approach
Partial least squares-structural equation modeling was used in a sample of 297 nurses, doctors, and allied health professionals across seven hospitals in Greece.
Findings
The findings suggest that HPWS has a strong effect on healthcare professionals’ social identification, which in turn partially mediates the relationship between HPWS and psychological empowerment. In addition, psychological empowerment indirectly mediates the relationship between HPWS and quality of patient care.
Practical implications
The findings not only validate previous studies’ conclusions, but also provide evidence for the potential fruitfulness of the HPWS approach from a social identity perspective. In addition, it is also confirmed that without the presence of psychological empowerment, HPWS may have limited impact on the quality of patient care.
Originality/value
Although HPWS have been generally connected with positive employee attitudes and behaviors, few studies choose to follow a social identity approach in examining these relationships. Finally, this study confirms the argument that HPWS can be a fruitful approach even in a country severely affected by Europe’s debt crisis over the last five years.
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Vasiliki Sionti, Giorgos Papageorgiou, Dimitrios Peschos, George Charalambous, Evangelia Kotrotsiou, Pavlos Christodoulides, Victoria Zakopoulou and Mary Gouva
The purpose of this paper is to investigate certain social and psychological parameters and to compare them with basic demographic information, such as the gender and the…
Abstract
Purpose
The purpose of this paper is to investigate certain social and psychological parameters and to compare them with basic demographic information, such as the gender and the education, of patients suffering from Type 2 diabetes mellitus (T2DM).
Design/methodology/approach
A cross-sectional study of Type 2 diabetic patients was conducted. In total, 200 patients with T2DM were enrolled in the study. Psychological factors were assessed with questionnaires, including the Symptom Checklist 90-R (SCL-90-R), the Short-Form Health Survey (SF-36), the Life Orientation Test-Revised (LOT-R) and the Cardiac Anxiety Questionnaire (CAQ). The associations of psychological with socio-demographic factors were assessed through logistic regression analyses.
Findings
Women patients had higher levels of heart-focused anxiety psychopathology than men, and therefore, women tend to avoid activities that burden the heart. Men patients had a significantly higher index of physical functionality than women. No differences were recorded by the SCL-90R questionnaire between men and women. For the patients with elementary education, lower levels of mental health (SF-36-MCS) were observed.
Originality/value
The chronicity of the disease aggravates the psychopathology of the patients thereby creating adverse impact not only on health but also on efforts for compliance. A personalized approach by the health professionals could contribute in addressing the psychological factors that accompany T2DM.
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Panagiotis V. Kloutsiniotis and Dimitrios M. Mihail
Following an “employee-centric” approach, the purpose of this paper is to examine the effects of high-performance work systems (HPWS) on employees’ work engagement and job…
Abstract
Purpose
Following an “employee-centric” approach, the purpose of this paper is to examine the effects of high-performance work systems (HPWS) on employees’ work engagement and job satisfaction, and the mediating effect of these variables on employees’ affective commitment and intention of leaving their hospital.
Design/methodology/approach
Structural equation modeling was used on a sample of 296 clinicians (doctors and nurses) across seven Greek regional hospitals.
Findings
The findings indicate a strong positive effect of HPWS on employees’ job satisfaction, affective commitment, and work engagement and a negative effect on their intention to leave. In addition, employees’ engagement and job satisfaction positively mediate the HPWS effects on employees’ affective commitment and negatively on their intention to leave.
Practical implications
The findings not only validate previous studies’ conclusions, but also provide evidence for the potential fruitfulness of the HPWS approach in improving employees’ outcomes and well-being in turbulent times.
Originality/value
Although the argument that HPWS has a positive effect on organizational performance and productivity is well established, there are considerably fewer studies that examine the positive effects of HPWS specifically on employees’ job attitudes and outcomes, and the processes through which HPWS influences health-related outcomes. Finally, this study confirms the argument that HPWS can be a fruitful approach even in a country severely affected by Europe’s debt crisis over the last five years.
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Vasiliki Amarantou, Stergiani Kazakopoulou, Dimitrios Chatzoudes and Prodromos Chatzoglou
Resistance to change (RtC) is widely recognized as the main reason of failure, when it comes to change initiatives. Despite its importance, there is still a rather limited…
Abstract
Purpose
Resistance to change (RtC) is widely recognized as the main reason of failure, when it comes to change initiatives. Despite its importance, there is still a rather limited knowledge concerning the factors that trigger this behavior at the workplace. The purpose of this paper is to identify the factors affecting RtC in healthcare organizations (namely, hospitals) and specifically, in emergency departments (EDs).
Design/methodology/approach
An original conceptual framework (research model) has been developed and empirically tested using primary data collected from EDs of six Greek hospitals. In total, the actual sample incorporates the responses of 158 ED health professionals who completed a structured questionnaire.
Findings
The findings verified the initial assumption that “disposition towards change (DtC),” “anticipated impact of change (AIC)” and “attitude towards change (AtC)” mediate the impact of various personal and behavioral characteristics on “RtC.” The results suggested that “RtC” is (indirectly) influenced by four main factors (“employee-management relationship,” “personality traits,” “employee participation in the decision-making process” and “job security”).
Originality/value
This study investigates how several factors affect, both directly or indirectly, employee reactions toward “RtC.” It also examines the mediating effect of three factors (“DtC,” “AtC,” “AIC”) that capture three different dimensions of individual evaluation toward change, something that goes beyond previous work. In addition, the present study examines a wide range of antecedents of RtC, including both personality-related and job-related factors.
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