The quality of nursing care on wards working eight and twelve hour shifts: a repeated measures study using the MONITOR index of quality of care

1989 ◽  
Vol 26 (4) ◽  
pp. 359-368 ◽  
Author(s):  
Chris Todd ◽  
Norma Reid ◽  
Gillian Robinson
Keyword(s):  
Quality Of Care ◽  
Nursing Care ◽  
Repeated Measures ◽  
Index Of Quality ◽  
Quality Of Nursing

scholarly journals Kepuasan Orang Tua Terhadap Pelayanan Keperawatan di Ruang Perinatologi

2019 ◽  
Vol 1 (2) ◽  
Author(s):  
Erna Julianti ◽  
Fajar Tri Waluyanti ◽  
Allenidekania Allenidekania
Keyword(s):  
Quality Of Care ◽  
Nursing Care ◽  
Sampling Technique ◽  
Parental Satisfaction ◽  
Nursing Service ◽  
Consecutive Sampling ◽  
Premature Babies ◽  
Pearson Test ◽  
Quality Of Nursing

The Parents' satisfaction of premature babies is very important as one of the basic steps in determining the quality of nursing service. This study aims to identify parental satisfaction in the perinatology. Consecutive sampling technique was conducted to select 59 parents of premature babies as research respondents. Instrument in this study uses EMPATHIC N. The data was analyzed with Pearson test. The results showed that the average of premature babies’ care score was 161.93 and the average of parents’ satisfaction score was 280.07. Nursing care should be evaluated to improve the performance of nurses and the quality of care of premature babies and parents’ satisfaction.

scholarly journals Individual and Social Factors Affecting Nurses’ Attitudes Toward and Quality of Care Given to Patients Who Attempted Suicide

2018 ◽  
Vol 3 (2) ◽  
pp. 82
Author(s):  
Fariba Bolourchifard ◽  
Fatemeh Basaadat Kavkouhi ◽  
Ali Darvishpoor Kakhaki ◽  
Maliheh Nasiri
Keyword(s):  
Quality Of Care ◽  
Nursing Care ◽  
Significant Relationship ◽  
Work Experience ◽  
Attempted Suicide ◽  
Factors Affecting ◽  
The Social ◽  
Critical Patients ◽  
Quality Of Nursing

Introduction: Nurses are the first healthcare professionals who meet patients who attempt suicide, and their attitudes toward these patients may be important. The purpose of this study was to evaluate the effect of demographic factors on nurses’ attitudes toward patients who attempt suicide and the quality of nursing care that these patients receive.Materials and Methods: This descriptive-correlational study was performed using the convenience sampling method on 182 nurses working at selected hospitals of medical universities in Tehran, Iran. Data were collected using questionnaires that gathered information about demographics, nurses’ attitudes toward patients who attempted suicide, and the quality of nursing care provided. Data were analyzed by the Statistical Package for the Social Sciences v.20 software and by the Pearson test and t-tests.Results: Regarding social and mental aspects, we found no significant statistical relationship between age and work experience with respect to nurses’ attitudes toward and the quality of care provided to patients who attempted suicide, but women provided higher-quality nursing care than men (P=0.046). Although the relationship between education and quality of nursing care was statistically significant (P=0.007), we found no significant relationship between education and attitude.Conclusion: We found no significant relationship between age and work experience with respect to nurses’ attitudes toward, and the quality of care provided to, patients who attempted suicide, but women provided higher-quality nursing care than men. Furthermore, quality of care was higher from nurses who had a bachelor-level education, suggesting that higher-educated nurses should be recruited to care for critical patients.

scholarly journals The Effect of Nurses’ Individual, Professional and Work Environment Characteristics on Their Perception of Quality of Nursing Care

2021 ◽  
Author(s):  
Nilgün Göktepe ◽  
Emine Türkmen ◽  
İbrahim Fener ◽  
Begüm Yalçın ◽  
Seda Sarıköse
Keyword(s):  
Regression Analysis ◽  
Quality Of Care ◽  
Work Environment ◽  
Nursing Care ◽  
Professional Experience ◽  
Nursing Work Environment ◽  
Perception Of Quality ◽  
Individual Professional ◽  
Quality Of Nursing

Aim: The aim of this study is to examine the effect of nurses’ individual, professional and work environment characteristics on their perceptions of quality of care. Method: This cross-sectional study was conducted in a university hospital where 400 nurses were employed, and conducted with 154 nurses who have been working in this hospital for at least one year and volunteered to participate in the study. The data were collected with an online questionnaire consisting of three parts. The survey form contained questions about the personal, professional characteristics, and workplace environment of the nurses, and their satisfaction levels about their perceptions of quality of nursing care, the Practice Environment Scale of the Nursing Work Index. Descriptive statistics and logistic regression analysis were used in data analysis. Results: Nurses rated their perceptions of quality of nursing care (mean score: 7.53±1.85; range: 0-10). The mean score of nursing work environment scale was 2.77±0.54. In the logistic regression analysis, it was determined that nurses’ perception of quality of nursing care was affected by “provision of necessary funding sources for quality of nursing care, competency level, staffing and resource adequacy total professional experience, nurse participation in hospital affairs (Nagelkerke R2=58%, p<.05). Conclusion: The nurses’ perception of the quality of care is closely related with nursing work environment in the hospital, their perceived self-competence and duration of their professional experience. Support provided by the managers about participation in management processes, providing opportunities for employees to develop their competencies, as well as providing adequate human and other resources in the working environment, will contribute and increase the quality of care.

scholarly journals Association between moral intelligence, burnout and quality of nursing care

2021 ◽  
pp. 147775092110401
Author(s):  
Tahereh Heidari ◽  
Hamideh Azimilolaty ◽  
Majid Khorram ◽  
Soraya Rezaei ◽  
Seyed-Nouraddin Mousavinasab ◽  
...  
Keyword(s):  
Quality Of Care ◽  
Nursing Care ◽  
Inverse Relationship ◽  
Quality Care ◽  
Maslach Burnout Inventory ◽  
Personal Accomplishment ◽  
Holistic Nursing ◽  
Moral Intelligence ◽  
Quality Of Nursing

Background Providing quality care is of the fundamental elements of holistic nursing practice, and burnout and moral intelligence of nurses be mentioned as the important factors influencing the quality of nursing care. The present study was conducted to investigate the relationship between moral intelligence, burnout, and the quality of nursing care. Methods This descriptive-correlative study was conducted on 125 nurses working in Sari-based Educational hospitals affiliated to Mazandaran University of Medical Sciences, Iran, between June and August 2020. The sample was selected via random sampling. The data were collected by the Maslach Burnout Inventory, Lennick and Kiel Moral Intelligence Scale, and Quality of Patient Care Scale. The data were analyzed by SPSS-21 and Amos-24. Results A direct and significant relationship was found between the quality of nursing care and moral intelligence ( r = 0.285, p = 0.001). Quality of care had an inverse relationship with subscales of frequency of burnout including emotional exhaustion ( r = −0.369, p < 0.001) and depersonalization ( r = −0.471, p < 0.001) and also, a direct relationship with personal accomplishment ( r = 0.226, p = 0.011). The findings also showed an inverse relationship between quality of care and subscales of the intensity of burnout. Amos software yielded results that demonstrated moral intelligence as a robust mediator between burnout and the quality of care. Conclusion The findings implied the necessity for more attention to moral intelligence as a mediator in order to come up with properly managing the personality traits influencing the nurses’ burnout reduction, which can ultimately lead to improved quality of nursing care.

scholarly journals CARING BEHAVIORS AND QUALITY OF CARE RENDERED BY COMMUNITY HEALTH NURSES IN PHILIPPINES

2021 ◽  
Vol 13 (2) ◽  
Author(s):  
Sheilomay A. Majait ◽  
Berna B. Sallave ◽  
Pearl Irish V. De Paz
Keyword(s):  
Quality Of Care ◽  
Community Health ◽  
Nursing Care ◽  
Community Healthcare ◽  
Caring Behaviors ◽  
Healthcare Facilities ◽  
Community Health Nurses ◽  
The Mind ◽  
Quality Of Nursing

Introduction: Nursing has been referred as a “caring profession” that requires the practitioner to exhibit and convey the art of caring which has also been the mind setting inculcated among nursing professionals in the community health setting. Hence, the study aimed to determine the caring behaviors and the quality of nursing care rendered by community health nurses. Methods: The study applied a quantitative correlational-predictive research design. A purposive sampling was employed to identify the 100 respondents who were nurses assigned in the different community healthcare facilities and centers of the different barangays in the Municipality of Biliran, Philippines. The self-administered questionnaires were distributed among the respondents. To analyze the data, descriptive statistics such as mean and weighted mean were used. Likewise, the regression analysis was also used to determine which of the caring factors predicts the quality of care. Results: The seven caring behaviors were highly evident among the community health nurses and a good quality of nursing care was reported. Likewise, all the seven caring behavior predicts the quality of nursing care. Conclusion: The outcome was found to be positive for the overall standard of treatment. The research concluded that the overall level of treatment revealed is predicted by caring behaviors.

scholarly journals A CROSS SECTIONAL STUDY TO MEASURE PATIENTS' PERCEPTION OF QUALITY OF NURSING CARE AT MEDICAL WARDS

2014 ◽  
Vol 04 (01) ◽  
pp. 021-023
Author(s):  
Tamilselvi A. ◽  
Rajee Reghunath
Keyword(s):  
Quality Of Care ◽  
Nursing Education ◽  
Nursing Care ◽  
Skill Training ◽  
Care Quality ◽  
Cross Sectional ◽  
Perception Of Quality ◽  
Medical Wards ◽  
Quality Of Nursing

Abstract:Traditionally quality of care has been measured against expectations of health professionals and standards rather than being grounded in the perspectives of patients. The most important aspect on which patients' perspective on quality of care depends is “nursing care” because nurses are involved in every aspect of patients' care in hospital. Thus, it is important to measure patients' perception of quality of nursing care in medical wards. A cross sectional descriptive study design was used and total of 50 patients recruited for the study by using purposive sampling technique. Patients' satisfaction with nursing care quality (PSNCQQ) questionnaire was used to measure the patients' perception of quality of nursing care after obtaining reliability. The results revealed that 34% of patients were between the age group of 21-40 years and half of them were males. The total mean score of patients' perception of quality of nursing care was 64.8 with standard deviation of (+) or (-) 13.2 and 40 patients' (80%) perceived overall aspect of quality of nursing care. There were 19 (38%) perceived low quality in the dimensions of providing information and skill and competency. This was supported by the results of the study revealed that almost 1/3 patients (31.6%) perceived that nurses did not offer adequate “explanation and information” about their treatment in hospital and home care and follow up advice. Thus, it was concluded that nurses need to improve their skill and competency and update their knowledge by attending continuing nursing education program and skill training workshops

The relationship between working environment and quality of nursing care: an integrative literature review

2021 ◽  
Vol 27 (7) ◽  
pp. 194-200
Author(s):  
Eli Amaliyah ◽  
Sansuwito Tukimin
Keyword(s):  
Quality Of Care ◽  
Work Environment ◽  
Nursing Care ◽  
Final Analysis ◽  
Working Environment ◽  
Healthcare Professions ◽  
Organisational Factors ◽  
The Relationship ◽  
Quality Of Nursing

Background/Aims There is evidence that work environment is positively related to quality of care in different healthcare professions, but the nature of this relationship needs further exploration. This study aimed to synthesise the evidence about the relationship between work environment and quality of care in nursing. Methods An integrative literature search was conducted to identify articles and studies investigating work environment and quality of care in nursing. Studies that were published between January 2000 and February 2020 in PubMed and EBSCOhost databases were included in the review. Results A total of 12 studies were included in the final analysis, of which four used an explicit theoretical framework to guide their research. Sample sizes were generally large. Work environmental was classified as consisting of physical, psychological, environmental and organisational factors. Most studies reported a direct positive correlation between work environment and quality of nursing care. Only one study found that work environment indirectly influenced quality of care through job satisfaction and burnout. Conclusions There is clear evidence that the quality of care delivered by nurses is influenced by the work environment. Particularly important factors were support from management and adequate staffing. To improve quality of care, healthcare leaders should focus on improving the work environment.

Nurses’ Perceptions of a Care Plan Information Technology Solution With Hundreds of Clinical Practice Guidelines in Adult Intensive Care Units: Survey Study (Preprint)

2018 ◽  
Author(s):  
Azizeh Khaled Sowan ◽  
Meghan Leibas ◽  
Albert Tarriela ◽  
Charles Reed
Keyword(s):  
Intensive Care ◽  
Quality Of Care ◽  
Clinical Practice ◽  
Nursing Care ◽  
Clinical Practice Guidelines ◽  
Practice Guidelines ◽  
Care Plan ◽  
System Use ◽  
Nurses Perceptions

BACKGROUND The integration of clinical practice guidelines (CPGs) into the nursing care plan and documentation systems aims to translate evidence into practice, improve safety and quality of care, and standardize care processes. OBJECTIVE This study aimed to evaluate nurses’ perceptions of the usability of a nursing care plan solution that includes 234 CPGs. METHODS A total of 100 nurses from 4 adult intensive care units (ICUs) responded to a survey measuring nurses’ perceptions of system usability. The survey included 37 rated items and 3 open-ended questions. RESULTS Nurses’ perceptions were favorable with more than 60.0% (60/100) in agreement on 12 features of the system and negative to moderate with 20.0% (20/100), to 59.0% (59/100) in agreement on 19 features. The majority of the nurses (80/100, 80.0% to 90/100, 90.0%) agreed on 4 missing safety features within the system. More than half of the nurses believed they would benefit from refresher classes on system use. Overall satisfaction with the system was just above average (54/100, 54.0%). Common positive themes from the narrative data were related to the system serving as a reminder for complete documentation and individualizing patient care. Common negative aspects were related to duplicate charting, difficulty locating CPGs, missing unit-specific CPGs, irrelevancy of information, and lack of perceived system value on patient outcomes. No relationship was found between years of system use or ICU experience and satisfaction with the system (P=.10 to P=.25). CONCLUSIONS Care plan systems in ICUs should be easy to navigate; support efficient documentation; present relevant, unit-specific, and easy-to-find information; endorse interdisciplinary communication; and improve safety and quality of care.

scholarly journals Effective coverage and budget implications of skill-mix change to improve neonatal nursing care: an explorative simulation study in Kenya

2019 ◽  
Vol 4 (6) ◽  
pp. e001817 ◽  
Author(s):  
Apostolos Tsiachristas ◽  
David Gathara ◽  
Jalemba Aluvaala ◽  
Timothy Chege ◽  
Edwine Barasa ◽  
...  
Keyword(s):  
Quality Of Care ◽  
Neonatal Mortality ◽  
Nursing Care ◽  
Public Hospitals ◽  
Sensitivity Analyses ◽  
Full Time ◽  
Skill Mix ◽  
Neonatal Nursing ◽  
Low Middle Income Countries

IntroductionNeonatal mortality is an urgent policy priority to improve global population health and reduce health inequality. As health systems in Kenya and elsewhere seek to tackle increased neonatal mortality by improving the quality of care, one option is to train and employ neonatal healthcare assistants (NHCAs) to support professional nurses by taking up low-skill tasks.MethodsMonte-Carlo simulation was performed to estimate the potential impact of introducing NHCAs in neonatal nursing care in four public hospitals in Nairobi on effectively treated newborns and staff costs over a period of 10 years. The simulation was informed by data from 3 workshops with >10 stakeholders each, hospital records and scientific literature. Two univariate sensitivity analyses were performed to further address uncertainty.ResultsStakeholders perceived that 49% of a nurse full-time equivalent could be safely delegated to NHCAs in standard care, 31% in intermediate care and 20% in intensive care. A skill-mix with nurses and NHCAs would require ~2.6 billionKenyan Shillings (KES) (US$26 million) to provide quality care to 58% of all newborns in need (ie, current level of coverage in Nairobi) over a period of 10 years. This skill-mix configuration would require ~6 billion KES (US$61 million) to provide quality of care to almost all newborns in need over 10 years.ConclusionChanging skill-mix in hospital care by introducing NHCAs may be an affordable way to reduce neonatal mortality in low/middle-income countries. This option should be considered in ongoing policy discussions and supported by further evidence.

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