What is Important in Psychiatric Outpatient Care? Quality of Care from the Patient's Perspective

Purpose Building on previous research documenting differences in preventive care quality between cancer survivors and noncancer controls, this study examines comorbid condition care. Methods Using data from the Surveillance, Epidemiology, and End Results (SEER) –Medicare database, we examined comorbid condition quality of care in patients with locoregional breast, prostate, or colorectal cancer diagnosed in 2004 who were age ≥ 66 years at diagnosis, who had survived ≥ 3 years, and who were enrolled in fee-for-service Medicare. Controls were frequency matched to cases on age, sex, race, and region. Quality of care was assessed from day 366 through day 1,095 postdiagnosis using published indicators of chronic (n = 10) and acute (n = 19) condition care. The proportion of eligible cancer survivors and controls who received recommended care was compared by using Fisher's exact tests. The chronic and acute indicators, respectively, were then combined into single logistic regression models for each cancer type to compare survivors' care receipt to that of controls, adjusting for clinical and sociodemographic variables and controlling for within-patient variation. Results The sample matched 8,661 cancer survivors to 17,322 controls (mean age, 75 years; 65% male; 85% white). Colorectal cancer survivors were less likely than controls to receive appropriate care on both the chronic (odds ratio [OR], 0.88; 95% CI, 0.81 to 0.95) and acute (OR, 0.72; 95% CI, 0.61 to 0.85) indicators. Prostate cancer survivors were more likely to receive appropriate chronic care (OR, 1.28; 95% CI, 1.19 to 1.38) but less likely to receive quality acute care (OR, 0.75; 95% CI, 0.65 to 0.87). Breast cancer survivors received care equivalent to controls on both the chronic (OR, 1.06; 95% CI, 0.96 to 1.17) and acute (OR, 0.92; 95% CI, 0.76 to 1.13) indicators. Conclusion Because we found differences by cancer type, research exploring factors associated with these differences in care quality is needed.

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Optimalisasi peran & fungsi manajemen kepala ruangan dalam supervisi dokumentasi asuhan keperawatan di rumah sakit x Jakarta

HOLISTIK JURNAL KESEHATAN ◽

10.33024/hjk.v14i4.2705 ◽

2021 ◽

Vol 14 (4) ◽

pp. 536-544

Author(s):

Teresa Teresa ◽

Tuti Afrianti ◽

Tini Suminarti

Keyword(s):

Quality Of Care ◽

Nursing Care ◽

Health Care Quality ◽

Descriptive Analysis ◽

Pilot Project ◽

Poor Quality ◽

Care Quality ◽

Nursing Documentation ◽

Head Nurse

The role of a head nurse in optimizing of management function in supervision of nursing care documentation at X hospital in JakartaBackground: Nursing documentation is important thing that is indicator quality of care. Since the nursing documentation is still a poor quality, it requires a supervision by the head nurse.Purpose: The head of nursing is responsible for the direction, organization and strategic planning collaborate with nursing staffs in ensuring the quality of nursing care to achieve accurate, effective and efficient documentation and to complete supervision.Method: A pilot project using questionnaire and observation methods was conducted at difference times on two hospital units in Jakarta.Results: The descriptive analysis results showed that among 18 nurses, 4 nurses believed that nursing documentation is an important, effective and clear way to ease their job. Hence, supervision is continuity needed to support the improvement of health care quality. The innovative projects will be applied in health care.Conclusion: Nursing documentation must show continuity and quality of care nursing under the control and supervision of the head nurse and EMR is used as the instrument for documentation.Keywords : The role; Head nurse; Management; Supervision; Nursing care; DocumentationPendahuluan: Dokumentasi asuhan keperawatan adalah hal yang penting karena menjadi indikator kualitas perawatan. Penerapan dokumentasi asuhan keperawatan saat ini belum optimal sehingga membutuhkan arahan dan supervisi dari Kepala Ruang/Kepala Unit.Tujuan: Tercapainya supervisi dan keberhasilan pelaksanaan dokumentasi asuhan keperawatan yang komprehensif, berkesinambungan, efektif dan efisien.Metode: Metode pilot project di salah satu Rumah Sakit di Jakarta dengan pengambilan data melalui observasi dan kuestioner. Instrumen diujikan pada dua ruangan dalam waktu yang berbeda.Hasil: Analisis deskripsi pada sejumlah 18 perawat, 4 orang menyatakan bermanfaat, penting dan mudah dalam penerapannya. Supervisi dilakukan untuk memberikan support terhadap kelangsungan pendokumentasian asuhan keperawatan yang berkesinambungan. Proyek inovasi akan ditindaklanjuti dan diaplikasikan dalam program kerja bidang pelayanan keperawatan.Simpulan: Asuhan keperawatan yang berkualitas memerlukan adanya supervisi. Sarannya penggunaan Instrumen Supervise Dokumentasi Asuhan Keperawatan akan disesuaikan dengan penggunaan pencatatan asuhan keperawatan Elektronic Medical Record/EMR

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Is Digital Health Intervention Effective in Inflammatory Bowel Disease Patients?

Kompass Nutrition & Dietetics ◽

10.1159/000519080 ◽

2021 ◽

pp. 1-2

Author(s):

Bilge Roj Gunerhanal ◽

Merve Guney-Coskun

Keyword(s):

Inflammatory Bowel Disease ◽

Quality Of Care ◽

Health Monitoring ◽

Bowel Disease ◽

Digital Health ◽

Management Strategies ◽

Care Quality ◽

Technological Advances ◽

Inflammatory Bowel

Technological advances now permit self-management strategies using mobile applications which could greatly benefit patient care. The purpose of this study was to investigate whether the use of the inflammatory bowel disease (IBD) digital health monitoring platform, HealthPROMISE, leads to better quality of care and improved health outcomes in IBD patients. IBD patients were recruited in gastroenterology clinics and asked to install the HealthPROMISE application onto their smartphones. Patient satisfaction, quality of care, quality of life, patient symptoms, and resource utilization metrics were collected throughout the study and sent directly to their healthcare teams. Patients with abnormal symptom/SIBDQ scores were flagged for their physicians to follow up. After one-year, patient outcome metrics were compared to baseline values. Overall, out of 59 patients enrolled in the study, 32 patients (54%) logged into the application at least once during the study period. The number of IBD-related ER visits/hospitalizations in the year of use compared to the prior year demonstrated a significant decrease from 25% of patients (8/32) to 3% (1/32) (p = 0.03). Patients also reported an increase in their understanding of the nature/causes of their condition after using the application (p = 0.026). No significant changes were observed in the number of quality indicators met (p = 0.67) or in SIBDQ scores (p = 0.48). Given the significant burden of IBD, there is a need to develop effective management strategies. This study demonstrated that digital health monitoring platforms may aid in reducing the number of ER visits and hospitalizations in IBD patients.

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Refinement of the Questionnaire 'Quality of Care from the Patient's Perspective' using Structural Equation Modelling

CrossRef Listing of Deleted DOIs ◽

10.1080/02839319850163048 ◽

1998 ◽

Vol 12 (2) ◽

pp. 111-118 ◽

Cited By ~ 16

Author(s):

Gerry Larsson ◽

Bodil Wilde Larsson ◽

Ingrid M. E. Munck

Keyword(s):

Quality Of Care ◽

Structural Equation Modelling ◽

Structural Equation ◽

Patient’S Perspective ◽

Equation Modelling

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Relationship between nurses’ moral sensitivity and the quality of care

Nursing Ethics ◽

10.1177/0969733017745726 ◽

2018 ◽

Vol 26 (4) ◽

pp. 1265-1273 ◽

Cited By ~ 11

Author(s):

Elham Amiri ◽

Hossein Ebrahimi ◽

Maryam Vahidi ◽

Mohamad Asghari Jafarabadi ◽

Hossein Namdar Areshtanab

Keyword(s):

Quality Of Care ◽

Inverse Relationship ◽

Quality Care ◽

Care Quality ◽

Moral Sensitivity ◽

Medical Sciences ◽

Mean Values ◽

Significant Inverse Relationship ◽

Medical Wards

Background: To provide care with high quality, nurses face a number of moral issues requiring them to have moral abilities in professional performance. Moral sensitivity is the first step in moral performance. However, its relation to the quality of care patients receive is controversial. Research objective: This study aims to determine the relationship between the moral sensitivity of nurses and the quality of care received by patients in the medical wards. Research design: A descriptive correlational study using validated tools, including Moral Sensitivity Questionnaire and the Quality Patient Quality Scale. Participants and research context: In total, 198 nurses and 198 patients in 17 medical wards of hospitals affiliated with Tabriz University of Medical Sciences, Iran. Ethical considerations: The study was reviewed and approved by the Ethics Committee of Tabriz University of Medical Sciences. Findings: The mean values of nurses’ moral sensitivity and nurses’ quality care were 136.47 ± 13.30 and 196.36 ± 44.10, respectively. There was no significant relationship between the patient care quality and nurses’ moral sensitivity ( r = −.14, p = .5). However, there was a significant inverse relationship between the dimension of “Experiencing moral conflicts” and the overall score of quality care ( r = −.50, p = .04), the dimensions of “psychosocial ( r = −.50, p = .04)” and “physical ( r = −.50, p = .03).” Conclusion: Considering the significant inverse relationship between the score of patient quality care and the dimension of moral conflict experience, it seems when nurses make moral decisions, they experience a conflict between personal and professional values in their careers and thus experience moral tension. If this tension is not resolved properly, it can provide a way for them to distance themselves from patients, thereby making nurses indifferent to moral care.

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Health care process and patient experience

Oxford Handbook of Public Health Practice ◽

10.1093/med/9780199586301.003.0039 ◽

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.

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Exploring caregivers' perspectives on improving care for older people at the end of life in Thailand

International Journal of Palliative Nursing ◽

10.12968/ijpn.2019.25.7.326 ◽

2019 ◽

Vol 25 (7) ◽

pp. 326-332

Author(s):

Kanyanat Supaporn ◽

Sang-arun Isaramalai ◽

Wandee Suttharangsee

Keyword(s):

Quality Of Care ◽

Older People ◽

End Of Life ◽

Care Quality ◽

Ageing Population ◽

Home Setting ◽

Experience Of Care ◽

Care Recipients ◽

Care For Older People

Background: Older people in Thailand receive general medical and social care at the end of life, and many rarely access palliative services. In light of this, improving the quality of care for the ageing population relies on addressing the needs of family caregivers, who provide the majority of care in a home setting. Understanding caregivers' perspectives when caring for a friend or relative will help to improve the quality of care that they provide. Aim: To explore caregivers' perspectives on improving care for older people in Thailand in the palliative stage. Methods: A qualitative study using in-depth interviews and observation of 10 older people in the palliative stage and their caregivers was undertaken. Data were analysed using content analysis. Findings: Data analysis revealed three themes: caregivers cared to repay the older person's previous kindness, caregivers cared and changed their caregiving behaviour to minimise the older person's perception of being abandoned or being a burden, and to follow Thai ancestral traditions, so that the older person could die peacefully. Conclusion: This study provides specific instructions for those who provide care for older Thai people in the palliative stage. Finding ways to address caregivers' perspectives on improving care quality could enhance the experience of care recipients.

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