Browsing by Author "Hardy, Anneli"

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    Open Access
    Does location matter? An investigation into the factors influencing employees' intention to stay in a multinational organisation
    (2018) Sampson, Samantha Ann; Goodman, Suki; Hardy, Anneli
    Globalisation and the skills shortage worldwide has increased the mobility of employees, and in turn, given employees access to more job opportunities globally. The mobility of employees makes employee retention more challenging than ever before. The topic of employee retention has been vastly researched over the years and human resource practitioners have identified multiple factors which influence employees’ intention to stay. This study focuses on six variables which were found to influence an employee’s intention to stay: job satisfaction, supervisor support, compensation, career advancement, work-life balance and affective commitment. The study assessed whether the factors which influence employees’ intention to stay differed between the locations of an international financial-technology organisation, Prodigy Finance. There are 98 participants in the sample. The data was collected via a selfadministered online survey. Results show that whilst the six variables do influence the employees’ intention to stay within the organisation as expected, the employees’ perception of work-life balance and compensation differed between locations. The employees’ perception of work-life balance in London and the employees’ perception of compensation in New York had more of on influence on their intention to stay, compared to the other locations. Suggestions for future research, limitations and other implications are discussed.
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    Open Access
    A retrospective descriptive analysis of non-physician-performed prehospital endotracheal intubation practices and performance in South Africa
    (2022-07-16) Wylie, Craig A; Araie, Farzana; Hendrikse, Clint; Burke, Jan; Joubert, Ivan; Hardy, Anneli; Stassen, Willem
    Introduction Prehospital advanced airway management, including endotracheal intubation (ETI), is one of the most commonly performed advanced life support skills. In South Africa, prehospital ETI is performed by non-physician prehospital providers. This practice has recently come under scrutiny due to lower first pass (FPS) and overall success rates, a high incidence of adverse events (AEs), and limited evidence regarding the impact of ETI on mortality. The aim of this study was to describe non-physician ETI in a South African national sample in terms of patient demographics, indications for intubation, means of intubation and success rates. A secondary aim was to determine what factors were predictive of first pass success. Methods This study was a retrospective chart review of prehospital ETIs performed by non-physician prehospital providers, between 01 January 2017 and 31 December 2017. Two national private Emergency Medical Services (EMS) and one provincial public EMS were sampled. Data were analysed descriptively and summarised. Logistic regression was performed to evaluate factors that affect the likelihood of FPS. Results A total of 926 cases were included. The majority of cases were adults (n = 781, 84.3%) and male (n = 553, 57.6%). The most common pathologies requiring emergency treatment were head injury, including traumatic brain injury (n = 328, 35.4%), followed by cardiac arrest (n = 204, 22.0%). The mean time on scene was 46 minutes (SD = 28.3). The most cited indication for intubation was decreased level of consciousness (n = 515, 55.6%), followed by cardiac arrest (n = 242, 26.9%) and ineffective ventilation (n = 96, 10.4%). Rapid sequence intubation (RSI, n = 344, 37.2%) was the most common approach. The FPS rate was 75.3%, with an overall success rate of 95.7%. Intubation failed in 33 (3.6%) patients. The need for ventilation was inversely associated with FPS (OR = 0.42, 95% CI: 0.20–0.88, p = 0.02); while deep sedation (OR = 0.56, 95% CI: 0.36–0.88, p = 0.13) and no drugs (OR = 0.47, 95% CI: 0.25–0.90, p = 0.02) compared to RSI was less likely to result in FPS. Increased scene time (OR = 0.99, 95% CI: 0.985–0.997, p < 0.01) was inversely associated FPS. Conclusion This is one of the first and largest studies evaluating prehospital ETI in Africa. In this sample of ground-based EMS non-physician ETI, we found success rates similar to those reported in the literature. More research is needed to determine AE rates and the impact of ETI on patient outcome. There is an urgent need to standardise prehospital ETI reporting in South Africa to facilitate future research.