An interdisciplinary symposium on dementia care improves student attitudes toward health care teams

2009 ◽  
Vol 22 (2) ◽  
pp. 312-320 ◽  
Author(s):  
Renée A. Zucchero ◽  
Edmond Hooker ◽  
Shelagh Larkin
Keyword(s):  
Older Adults ◽  
Health Care ◽  
Quality Of Care ◽  
Student Attitudes ◽  
Care Process ◽  
Health Care Teams ◽  
Educational Approach ◽  
International Consensus ◽  
Health Care Students

ABSTRACTBackground: Interdisciplinary teams are sometimes used in the provision of health care to populations who present with complicated needs, such as older adults experiencing dementia. Moreover, there is an international consensus that health care students should receive training in interdisciplinary care.Methods: 157 health care students from Xavier University's College of Social Sciences, Health, and Education in Cincinnati, U.S.A. participated in a five-hour symposium on an interdisciplinary approach to treating older adults with dementia. The Attitudes Toward Health Care Teams Scale (ATHCTS; Heinemann et al., 1999) was used to assess student attitudes before and after the symposium.Results: A paired-sample t-test was conducted to compare pre and post-test ATHCTS overall and subscale scores. There was a statistically significant increase in the overall pre-post ATHCTS scores and Quality of Care/Process Subscale scores. There was a significant decrease in the Physician Centrality Subscale scores.Conclusions: The findings suggest that, after the symposium, participants reported more positive overall attitudes about health care teams, and about the quality of care provided by such teams and the teamwork to achieve good patient care. Participants also displayed a decrease in their beliefs about how essential physicians are as leaders of health care teams. These results affirm the use of a brief interdisciplinary educational approach in changing student attitudes about the use of health care teams. Students who develop more positive attitudes about working on an interdisciplinary health care team recognize the team's value and therefore may be more receptive to and effective in working as professional team members in the future.

Health care process and patient experience

2013 ◽  
pp. 384-395
Author(s):  
Diana Delnoij
Keyword(s):  
Health Care ◽  
Quality Of Care ◽  
Patient Experiences ◽  
Care Process ◽  
Negative Experiences ◽  
Patient’S Perspective ◽  
Hands On ◽  
Improve Patient ◽  
Patients Perspective

This chapter will help you to analyse the health care process and, in particular, the quality of this process and its outcomes from the patient’s perspective. You will read how you can measure quality from the patient’s perspective, how to interpret the findings, and how to take action based on the results. This chapter provides hands-on guidance with respect to the development and implementation of surveys measuring patient experiences. However, keep in mind that this is only a first step in the quality cycle. The results of such a survey give you a ‘diagnosis’ of the quality of care from the patients’ perspective. It does not really tell you what you should do to improve patient experiences, however. To find effective remedies for negative experiences, often you will have to do additional research.

scholarly journals Satisfaction of patients received in emergencies in the department of obstetrics and gynecology at the Yalgado Ouedraogo teaching hospital: comparative study before and after the introduction of free care

2019 ◽  
Vol 8 (8) ◽  
pp. 3259
Author(s):  
Hyacinthe Zamané ◽  
Sibraogo Kiemtoré ◽  
Paul Dantola Kain ◽  
Lydie Zounogo Ouédraogo ◽  
Blandine Bonané Thiéba
Keyword(s):  
Health Care ◽  
Quality Of Care ◽  
Teaching Hospital ◽  
Health Care Services ◽  
Care Process ◽  
Important Indicator ◽  
Care Services ◽  
Before And After ◽  
Free Care

Background: The quality of care perceived by the users of health care services is an important indicator of the quality of care. The aim of this study was to assess the satisfaction of patients received in obstetric and gynecological emergencies department of Yalgado Ouedraogo Teaching Hospital before and after the introduction of free care.Methods: This was a cross-sectional investigation. Data collection was carried out from February to July 2016, covering the last three months before the start of free care and the first three months of implementation of this free policy in Burkina Faso.Results: A total of 620 patients formed the sample. The reception (p=0.0001), the waiting period (p=0.0001), respect for treatment schedules (p=0.0001), respect for intimacy (p=0.0001), communication between providers and patients (p=0.007), the comfort of the delivery room (p=0.003) and the comfort of the ward room (p=0.002) were more favorably appreciated by patients before the free treatment than during that period. Overall patient satisfaction was better before the effectiveness of free care (p=0.003).Conclusions: The realization of free care process was followed by a lower patient’s satisfaction reflecting an alteration in the quality of health care services. A situational analysis of this free health care process is necessary in order to make corrective measures. Also adequate preventive measures should be adopted before any implementation to a larger scale of this free policy.

A Scoping Review of the Evidence About the Nurses Improving Care for Healthsystem Elders (NICHE) Program

2019 ◽  
Author(s):  
Allison Squires ◽  
Komal Patel Murali ◽  
Sherry A Greenberg ◽  
Linda L Herrmann ◽  
Catherine O D’amico
Keyword(s):  
Older Adults ◽  
Health Care ◽  
Quality Of Care ◽  
Work Environment ◽  
Older Adult ◽  
Patient Outcomes ◽  
Scoping Review ◽  
Adult Care ◽  
Program Adoption

Abstract Background and Objectives The Nurses Improving Care for Healthsystem Elders (NICHE) is a nurse-led education and consultation program designed to help health care organizations improve the quality of care for older adults. To conduct a scoping review of the evidence associated with the NICHE program to (a) understand how it influences patient outcomes through specialized care of the older adult and (b) provide an overview of implementation of the NICHE program across organizations as well as its impact on nursing professionals and the work environment. Research Design and Methods Six databases were searched to identify NICHE-related articles between January 1992 and April 2019. After critical appraisal, 43 articles were included. Results Four thematic categories were identified including specialized older adult care, geriatric resource nurse (GRN) model, work environment, and NICHE program adoption and refinement. Specialized older adult care, a key feature of NICHE programs, resulted in improved quality of care, patient safety, lower complications, and decreased length of stay. The GRN model emphasizes specialized geriatric care education and consultation. Improvements in the geriatric nurse work environment as measured by perceptions of the practice environment, quality of care, and aging-sensitive care delivery have been reported. NICHE program adoption and refinement focuses on the methods used to improve care, implementation and adoption of the NICHE program, and measuring its impact. Discussion and Implications The evidence about the NICHE program in caring for older adults is promising but more studies examining patient outcomes and the impact on health care professionals are needed.

scholarly journals The association between culture, climate and quality of care in primary health care teams

2007 ◽  
Vol 24 (4) ◽  
pp. 323-329 ◽  
Author(s):  
M. Hann ◽  
P. Bower ◽  
S. Campbell ◽  
M. Marshall ◽  
D. Reeves
Keyword(s):  
Health Care ◽  
Quality Of Care ◽  
Primary Health Care ◽  
Health Care Teams ◽  
Primary Health

scholarly journals Homebound older adults: Prevalence, characteristics, health care utilization and quality of care

2015 ◽  
Vol 36 (6) ◽  
pp. 445-450 ◽  
Author(s):  
Shirley Musich ◽  
Shaohung S. Wang ◽  
Kevin Hawkins ◽  
Charlotte S. Yeh
Keyword(s):  
Older Adults ◽  
Health Care ◽  
Quality Of Care ◽  
Health Care Utilization ◽  
Care Utilization ◽  
Homebound Older Adults

scholarly journals Process, quality and challenges of diabetes care in primary care: a study of district health network in Thailand

2020 ◽  
Vol 21 ◽  
Author(s):  
Jumnean Somanawat ◽  
Kritsanee Saramunee ◽  
Suratchada Chanasopon
Keyword(s):  
Primary Care ◽  
Health Care ◽  
Quality Of Care ◽  
Health Care Providers ◽  
Diabetes Care ◽  
Care Process ◽  
Care Providers ◽  
District Health ◽  
Additional Support

Abstract This study aimed to describe the process of care, assess the quality of care based on defined indicators, and identify challenges associated with providing diabetes care via sub-district health promotion hospital (SHPH) facilities in Thailand. Primary care policy has directed that diabetes care be delivered via SHPH in order to reduce hospital congestion and minimize travel costs for patients. Limited data is available regarding the structure for providing care. Likewise, barriers to delivery of optimal care have not been well defined, especially from the perspective of health care providers. This study employed mixed-methods research, which included semi-structured interviews to gain insights into the current diabetes care process, a descriptive study to evaluate quality of care, and use of a focus group to identify challenges associated with delivery of diabetic care via SHPH. Diabetes care processes in primary care included multiple steps and involved collaboration between various health care providers at both the hospital and SHPH. Four process indicators and one outcome had been achieved but performance of other indicators was apparently low. Three factors were found to pose challenges to providing this service: the resources of the health service, the delivery of services, and patient factors. SHPH require additional support, particularly in the areas of primary care workforce, finance, medical device procurement, and patient information systems. While delivery of diabetes care via primary care centers has been well established in Thailand, regional differences in the quality of care persist. Additional support is required to strengthen the primary care system nationwide.

scholarly journals Examining Students’ Attitudes and Readiness for Interprofessional Education and Practice

2019 ◽  
Vol 2019 ◽  
pp. 1-7 ◽  
Author(s):  
Joan M. Groessl ◽  
Christine L. Vandenhouten
Keyword(s):  
Health Care ◽  
Interprofessional Education ◽  
Social Work Students ◽  
Care Process ◽  
Health Care Teams ◽  
Patient Centeredness ◽  
Master Of Social Work ◽  
Students Attitudes ◽  
Student Reactions

This study examined RN-to-BSN and Master of Social Work students’ attitudes and readiness for interprofessional (IP) practice and educational experiences. The Attitudes toward Health Care Teams Scale (ATHCTS) developed by Heinemann et al. measures attitudes toward health care teams including the quality of care/process and physician centrality. Students’ readiness for IP education was measured by the Readiness for Interprofessional Learning Scale (RIPLS) developed by Parsell and Bligh. Discussion of an interprofessional activity including student reactions is provided. Statistically significant differences were found in the mean scores for the Patient-Centeredness subscale of the RIPLS and in overall ATHCTS scores as well as the Physician Centrality subscale scores. Overall, participants demonstrated readiness and benefits of IP education.

Problems of pathology related to the dermatovenerology field in the emergency hospital

2020 ◽  
pp. 45-52
Author(s):  
I. Barsukova ◽  
I. Bagretsova
Keyword(s):  
Health Care ◽  
Quality Of Care ◽  
Emergency Care ◽  
Diagnostic Process ◽  
Emergency Hospital ◽  
New Models ◽  
Hospital Development

Development of a system for the delivery of emergency care in a hospital inevitably raises questions of its availability and quality. And, if the leading pathological syndrome which is a reason for hospitalization and posing a threat to the patient's life deserves priority attention, then the accompanying pathology often stays in the background. At the same time the accompanying pathology related to the field of dermatovenerology poses epidemiological threat. The aim of the study was to improve the organization of health care for patients with concomitant pathology related to dermatovenerology in an emergency hospital. Development of new models and principles of the organization of medical and diagnostic process, introduction of methods of express diagnostics is required; importance of a dermatovenerologist becomes obvious, it will increase the availability and quality of care for patients with dermatovenereological pathology in an emergency hospital.

Problems in the Health Care of Dying Old Men: Complaints by their Widows

1995 ◽  
Vol 31 (2) ◽  
pp. 121-141 ◽  
Author(s):  
Maria M. Talbott
Keyword(s):  
Health Care ◽  
Quality Of Care ◽  
Medical Care ◽  
Health Care Professionals ◽  
Lack Of Control ◽  
Old Men

Complaints of older widows regarding their husbands' health care are investigated in this study. Sixty-four older widows were interviewed several years after their husbands' deaths. The deaths occurred in the early 1980s. Forty-six percent reported problems in the health care their husbands had received. Widows whose husbands had not known in advance that they were going to die were more likely to complain about their husbands' medical care than widows whose husbands had known in advance. Complaints were also related to the frequency of several symptoms of grief. The widows' complaints about their husbands' care focus on quality of care, perceived insensitivity on the part of health care professionals, lack of control over the death, and the organization of services.

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