scholarly journals Going Mobile: Resident Physicians' Assessment of the Impact of Tablet Computers on Clinical Tasks, Job Satisfaction, and Quality of Care

2018 ◽  
Vol 09 (03) ◽  
pp. 588-594 ◽  
Author(s):  
Megan Sweeney ◽  
Kaavya Paruchuri ◽  
Saul Weingart
Keyword(s):  
Job Satisfaction ◽  
Quality Of Care ◽  
Clinical Teaching ◽  
Handheld Computers ◽  
Tablet Computers ◽  
Resident Physicians ◽  
Quality Of Patient Care ◽  
Before And After ◽  
The Impact

Background There are few published studies of the use of portable or handheld computers in health care, but these devices have the potential to transform multiple aspects of clinical teaching and practice. Objective This article assesses resident physicians' perceptions and experiences with tablet computers before and after the introduction of these devices. Methods We surveyed 49 resident physicians from 8 neurology, surgery, and internal medicine clinical services before and after the introduction of tablet computers at a 415-bed Boston teaching hospital. The surveys queried respondents about their assessment of tablet computers, including the perceived impact of tablets on clinical tasks, job satisfaction, time spent at work, and quality of patient care. Results Respondents reported that it was easier (73%) and faster (70%) to use a tablet computer than to search for an available desktop. Tablets were useful for reviewing data, writing notes, and entering orders. Respondents indicated that tablet computers increased their job satisfaction (84%), reduced the amount of time spent in the hospital (51%), and improved the quality of care (65%). Conclusion The introduction of tablet computers enhanced resident physicians' perceptions of efficiency, effectiveness, and job satisfaction. Investments in this technology are warranted.

scholarly journals Quality of care and job satisfaction in a Hospital Trust before and after The Coordination Reform in Norway

Nursing Open ◽  
2020 ◽  
Vol 7 (6) ◽  
pp. 1707-1714
Author(s):  
Irene Aasen Andersen ◽  
Ole T. Kleiven ◽  
Lars Kyte ◽  
Marny Alice Solhaug Pettersen
Keyword(s):  
Job Satisfaction ◽  
Quality Of Care ◽  
Hospital Trust ◽  
Before And After

The Impact of an Intensive Educational Program Regarding Preeclampsia on Health Professional Knowledge

2019 ◽  
Vol 70 (6) ◽  
pp. 2245-2251
Author(s):  
Carmen Liliana Soggiu-Duta ◽  
Dragos Valentin Crauciuc ◽  
Eduard Crauciuc ◽  
Allia Dmour ◽  
Tatiana Iov ◽  
...  
Keyword(s):  
Quality Of Care ◽  
Health Professionals ◽  
Educational Program ◽  
Obstetrics And Gynecology ◽  
Clinical Hospital ◽  
Resident Physicians ◽  
Post Test ◽  
The Impact ◽  
Category Score

Preeclampsia is a multi-system disorder unique to human pregnancy with multi-system involvement. Worldwide, it causes ]500,000 fetal and neonatal deaths and ]70,000 maternal deaths every year. Limited knowledge of health professionals in direct connection with complications of pregnancy, and inability to keep up with medical knowledge, has potentially severe effects on the quality of care and increases maternal and perinatal mortality. The aim has been to identify the impact of an intensive educational program regarding preeclampsia on health professionals knowledge at Clinical Hospital of Obstetrics and Gynecology Polizu in Bucharest, Romania. The study design was quasi-experimental. A total of 89 health professionals, including 12 resident physicians, 12 midwives and 65 nurses at Clinical Hospital of Obstetrics and Gynecology Polizu in Bucharest in the Department of Obstetrics and Gynecology participated in the study. The study was designed in three phases: Assessment phase, Implementation phase and Evaluation phase. The intensive educational program regarding preeclampsia has a highly significant positive influence on the knowledge of health professionals. There was a clear transfer of knowledge among the participants. The following resulted across all 31 examined knowledge areas: Resident physicians: Category Score /Criteria Pre-Test (No./%): Inadequate 1 (8.3%), Moderate 9 (75%), Adequate 2 (16.7%), Midwives: Category Score /Criteria Pre-Test (No./%): Inadequate 8 (66.7%), Moderate 4 (33.3%), Adequate 0 (0%), Nurses: Category Score /Criteria Pre-Test (No./%): Inadequate 60 (92.3%), Moderate 5 (7.7%), Adequate 0 (0%). After Trainingsprogramm, the amount of knowledge in the field preeclampsia increased impressively: Resident physicians: Category Score /Criteria Post-Test (No./%): Inadequate 0 (0%), Moderate 0 (0%), Adequate 12 (100%), Midwives: Category Score /Criteria Post-Test (No./%): Inadequate 0 (0%), Moderate 3 (25%), Adequate 9 (75%) with a (p[0.002), Nurses: Category Score /Criteria Post-Test (No./%): Inadequate 0 (0%), Moderate 10 (15.4%), Adequate 55 (84.6%) with a (p[0.001). Based on the findings of the study, it can be concluded that the intensive educational program regarding preeclampsia led up updating of the knowledge and improved qualification of the health professionals. This is expected to improve the quality of care for patients and reduce maternal and perinatal preeclampsia-related mortality in Romania.

scholarly journals Nurse Leadership Style and Quality of Care in Clinical Setting: a Systematic Review

2021 ◽  
Vol 6 (1) ◽  
pp. 45
Author(s):  
Sakti Oktaria Batubara ◽  
Hsiu Hung Wang ◽  
Kuei Min Chen
Keyword(s):  
Job Satisfaction ◽  
Quality Of Care ◽  
Organizational Commitment ◽  
Leadership Style ◽  
Critical Role ◽  
Well Being ◽  
Empirical Literature ◽  
Improve Quality ◽  
The Impact

Background: Nowadays there are mounting concerns about leadership style because of its critical role in job satisfaction and the quality of care of patients. Objectives: To explore different of leadership style to improve quality of care in healthcare setting upon empirical literature published in the last ten years. Design: Literature review. Data sources: A comprehensive electronic database search was conducted in PubMed (2010–2020), Web of Science (2010–2020), CINAHL (2010–2020), Cochrane (2010–2020), to retrieve relevant articles published in English April 2015 and Mei 2020. Review methods: Key terms and phrases associated with leadership style, quality of care and nurses. The abstracts or full texts of research papers were reviewed prior to their inclusion in the review. Results: A total of 9 papers were included in this review. The impact of leadership style to improve quality of care in decreasing cost, increasing patient satisfaction, and patient safety has been identified in a number of research studies.  Leadership style is closely related to quality of care, extra effort, effectiveness, job satisfaction, organizational commitment, staff intention to stay, inspirational motivation, general health well being, sex, age, educationl background and nurses’ assigned unit. Various mediating or moderating pathways have been identified with leadership style and quality of care such as work environment, structural empowerment, organizational commitment and job satisfaction. Conclusions: It is vital to choose effective leadership style because this has the potential both to improve quality of care and ensure an adequate nursing workforce. The indirect relationships and predictors of leadership style and quality of care contribute to a more comprehensive understanding of the complex phenomenon of leadership style which in turn may aid the development of effective strategies to address the nursing shortage and increase the quality of patient care.

Strategic Role of Zakat in Multidimensional Quality of Life in Sijunjung, Indonesia

2018 ◽  
Vol 15 (1) ◽  
pp. 55-72
Author(s):  
Herlin Hamimi ◽  
Abdul Ghafar Ismail ◽  
Muhammad Hasbi Zaenal
Keyword(s):  
Quality Of Life ◽  
Positive Impact ◽  
Wealth Distribution ◽  
Absolute Poverty ◽  
Before And After ◽  
The Status ◽  
Being There ◽  
The Impact

Zakat is one of the five pillars of Islam which has a function of faith, social and economic functions. Muslims who can pay zakat are required to give at least 2.5 per cent of their wealth. The problem of poverty prevalent in disadvantaged regions because of the difficulty of access to information and communication led to a gap that is so high in wealth and resources. The instrument of zakat provides a paradigm in the achievement of equitable wealth distribution and healthy circulation. Zakat potentially offers a better life and improves the quality of human being. There is a human quality improvement not only in economic terms but also in spiritual terms such as improving religiousity. This study aims to examine the role of zakat to alleviate humanitarian issues in disadvantaged regions such as Sijunjung, one of zakat beneficiaries and impoverished areas in Indonesia. The researcher attempted a Cibest method to capture the impact of zakat beneficiaries before and after becoming a member of Zakat Community Development (ZCD) Program in material and spiritual value. The overall analysis shows that zakat has a positive impact on disadvantaged regions development and enhance the quality of life of the community. There is an improvement in the average of mustahik household incomes after becoming a member of ZCD Program. Cibest model demonstrates that material, spiritual, and absolute poverty index decreased by 10, 5, and 6 per cent. Meanwhile, the welfare index is increased by 21 per cent. These findings have significant implications for developing the quality of life in disadvantaged regions in Sijunjung. Therefore, zakat is one of the instruments to change the status of disadvantaged areas to be equivalent to other areas.

Reduced influence of affective disorders on perioperative complication rates, length of hospital stay, and healthcare costs following spinal fusion for adolescent idiopathic scoliosis

2019 ◽  
Vol 24 (6) ◽  
pp. 722-727
Author(s):  
Aladine A. Elsamadicy ◽  
Andrew B. Koo ◽  
Megan Lee ◽  
Adam J. Kundishora ◽  
Christopher S. Hong ◽  
...  
Keyword(s):  
Quality Of Care ◽  
Idiopathic Scoliosis ◽  
Affective Disorder ◽  
Affective Disorders ◽  
Complication Rates ◽  
Total Cost ◽  
Adolescent Patients ◽  
Perioperative Complication ◽  
The Impact

OBJECTIVEIn the past decade, a gradual transition of health policy to value-based healthcare has brought increased attention to measuring the quality of care delivered. In spine surgery, adolescents with scoliosis are a population particularly at risk for depression, anxious feelings, and impaired quality of life related to back pain and cosmetic appearance of the deformity. With the rising prevalence of mental health ailments, it is necessary to evaluate the impact of concurrent affective disorders on patient care after spinal surgery in adolescents. The aim of this study was to investigate the impact that affective disorders have on perioperative complication rates, length of stay (LOS), and total costs in adolescents undergoing elective posterior spinal fusion (PSF) (≥ 4 levels) for idiopathic scoliosis.METHODSA retrospective study of the Kids’ Inpatient Database for the year 2012 was performed. Adolescent patients (age range 10–17 years old) with AIS undergoing elective PSF (≥ 4 levels) were selected using the International Classification of Diseases, Ninth Revision, Clinical Modification coding system. Patients were categorized into 2 groups at discharge: affective disorder or no affective disorder. Patient demographics, comorbidities, complications, LOS, discharge disposition, and total cost were assessed. The primary outcomes were perioperative complication rates, LOS, total cost, and discharge dispositions.RESULTSThere were 3759 adolescents included in this study, of whom 164 (4.4%) were identified with an affective disorder (no affective disorder: n = 3595). Adolescents with affective disorders were significantly older than adolescents with no affective disorders (affective disorder: 14.4 ± 1.9 years vs no affective disorder: 13.9 ± 1.8 years, p = 0.001), and had significantly different proportions of race (p = 0.005). Aside from hospital region (p = 0.016), no other patient- or hospital-level factors differed between the cohorts. Patient comorbidities did not differ significantly between cohorts. The number of vertebral levels involved was similar between the cohorts, with the majority of patients having 9 or more levels involved (affective disorder: 76.8% vs no affective disorder: 79.5%, p = 0.403). Postoperative complications were similar between the cohorts, with no significant difference in the proportion of patients experiencing a postoperative complication (p = 0.079) or number of complications (p = 0.124). The mean length of stay and mean total cost were similar between the cohorts. Moreover, the routine and nonroutine discharge dispositions were also similar between the cohorts, with the majority of patients having routine discharges (affective disorder: 93.9% vs no affective disorder: 94.9%, p = 0.591).CONCLUSIONSThis study suggests that affective disorders may not have a significant impact on surgical outcomes in adolescent patients undergoing surgery for scoliosis in comparison with adults. Further studies are necessary to elucidate how affective disorders affect adolescent patients with idiopathic scoliosis, which may improve provider approach in managing these patients perioperatively and at follow-up in hopes to better the overall patient satisfaction and quality of care delivered.

Effects of use of an eHealth platform e-Vita for COPD patients on disease specific quality of life domains

2020 ◽  
Keyword(s):  
Quality Of Life ◽  
Functional State ◽  
Mental State ◽  
Self Management ◽  
Copd Patients ◽  
Before And After ◽  
Ehealth Intervention ◽  
The Impact ◽  
Disease Specific

Background: Integrated disease management with self-management for Chronic Obstructive Pulmonary Disease (COPD) is effective to improve clinical outcomes. eHealth can improve patients’ involvement to be able to accept and maintain a healthier lifestyle. Eventhough there is mixed evidence of the impact of eHealth on quality of life (QoL) in different settings. Aim: The primary aim of the e-Vita-COPD-study was to investigate the effect of use of eHealth patient platforms on disease specific QoL of COPD patients. Methods: We evaluated the impact of an eHealth platform on disease specific QoL measured with the clinical COPD questionnaire (CCQ), including subscales of symptoms, functional state and mental state. Interrupted time series (ITS) design was used to collect CCQ data at multiple time points. Multilevel linear regression modelling was used to compare trends in CCQ before and after the eHealth intervention. Results: Of 742 invited COPD patients, 244 signed informed consent. For the analyses, we only included patients who actually used the eHealth platform (n = 123). The decrease of CCQ-symptoms was 0,20% before the intervention and 0,27% after the intervention; this difference was statistically significant (P=0.027). The decrease of CCQ-mental was 0,97% before the intervention and after the intervention there was an increase of 0,017%; this difference was statistically significant (P=0,01). No significant difference was found in the slopes of CCQ (P=0,12) and CCQ-function (P=0,11) before and after the intervention. Conclusion: The e-Vita eHealth platform had a potential beneficial impact on the CCQ-symptoms of COPD patients, but not on functional state. The CCQ-mental state remained stable after the intervention, but this was a deterioration compared to the improving situation before the start of the eHealth platform. In conclusion, this study shows that after the introduction of the COPD platform, patients experienced fewer symptoms, but their mental state deteriorated slightly at the same time. Therefore, health care providers should be aware that, although symptoms improve, there might be a slight increase in anxiety and depression after introducing an eHealth intervention to support self-management.

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