A pilot study of satisfaction in oncology nursing care: an indirect predictor of quality of care

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.

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

BMJ Global Health ◽

10.1136/bmjgh-2019-001817 ◽

2019 ◽

Vol 4 (6) ◽

pp. e001817 ◽

Cited By ~ 2

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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Prescriptions Ordered by Podiatrists for Ambulatory Patients

Drug Intelligence & Clinical Pharmacy ◽

10.1177/106002807801201204 ◽

1978 ◽

Vol 12 (12) ◽

pp. 720-727

Author(s):

T. Donald Rucker ◽

Leonard Janis ◽

Marialice Bennett

Keyword(s):

Quality Of Care ◽

Pilot Study ◽

Dosage Form ◽

Oral Dosage ◽

Survey Period ◽

Oral Dosage Form ◽

Ambulatory Patients

This pilot study describes and suggests quality of care considerations related to prescriptions ordered by podiatrists for ambulatory patients. During the four-month survey period, the average podiatrist initiated 120 prescription orders and utilized 26 different drug entities. The 44 practitioners employed 235 different preparations, headed by Lotrimin®, Mepergan Fortis® and erythromycin. Although refill orders were judged as conservative, questions are raised about the use of oral dosage form combination products, agents employed infrequently, and the desired therapeutic intention of some preparations.

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Kepuasan Orang Tua Terhadap Pelayanan Keperawatan di Ruang Perinatologi

Indonesian Journal of Nursing Research (IJNR) ◽

10.35473/ijnr.v1i2.182 ◽

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.

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Humanização da assistência de enfermagem em uma unidade de internação obstétrica

Enfermagem em Foco ◽

10.21675/2357-707x.2013.v4.n2.518 ◽

2013 ◽

Vol 4 (2) ◽

pp. 88 ◽

Cited By ~ 1

Author(s):

Natália Chantal Magalhães Da Silva ◽

Ludmila De Oliveira Ruela ◽

Zélia Marilda Rodrigues Resck ◽

Maria Betânia Tinti De Andrade ◽

Eliana Peres Rocha Carvalho Leite ◽

...

Keyword(s):

Quality Of Care ◽

Data Collection ◽

Nursing Care ◽

Nursing Staff ◽

Prospective Data ◽

Hospital Unit ◽

Strategic Actions ◽

Normal Birth ◽

Quantitative Descriptive

Resumo: O estudo objetivou verificar o atendimento prestado pela equipe de enfermagem durante o trabalho de parto e parto. Optou-se pelo método quantitativo, descritivo, transversal e prospectivo. A coleta de dados foi realizada no período de maio a junho de 2011, abrangendo uma amostra de 30 puérperas de parto normal. Os resultados evidenciam que algumas atividades ainda estão em discordância com o que é recomendado pelo Programa de Humanização. É necessário o desenvolvimento de ações estratégicas, buscando a melhoria da qualidade da assistência que ainda se encontra aquém das expectativas.Palavras-chave: Enfermagem; Humanização da assistência; Parto.Humanization Nursing Care in a Hospital Unit ObstetricalAbstrat:The study aimed to verify the care provided by nursing staff during labor and birth. We chose the method quantitative, descriptive, crosssectional and prospective. Data collection was conducted from May to June 2011, covering a sample of 30 mothers of normal birth. The results show that some activities are still in disagreement with what is recommended by the Humanization Program. It requires the development of strategic actions, seeking to improve the quality of care that is still below expectations.Keywords: Nursing; Humanization of assistance; Childbirth.Humanización de la Atención de Enfermería en una Unidad Hospitalaria ObstétricaResumen: El estudio tuvo como objetivo verificar la atención recibida por el personal de enfermería durante el parto y el nacimiento. Elegimos el método cuantitativo, descriptivo, transversal y prospectivo. La recolección de datos se llevó a cabo entre mayo y junio de 2011, que abarcó una muestra de 30 madres de nacimiento normal. Los resultados muestran que algunas actividades aún están en desacuerdo con lo que es recomendado por lo Programa de Humanización. Se requiere el desarrollo de acciones estratégicas, que buscan mejorar la calidad de la atención que todavía está debajo de las expectativas.Palabras clave: Enfermería; Humanización de la asistencia; Parto.

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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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Translation and validation of the Arabic version of the quality of oncology nursing care scale (QONCS): Psychometric testing in three Arabic countries

Journal of Healthcare Quality Research ◽

10.1016/j.jhqr.2020.07.004 ◽

2020 ◽

Author(s):

L. Abu Sharour ◽

S. Al Sabei ◽

M. Al Harrasi ◽

S. Anwar ◽

A.B. Salameh

Keyword(s):

Nursing Care ◽

Psychometric Testing ◽

Oncology Nursing ◽

Arabic Version ◽

Translation And Validation

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Patient-reported quality of care and pain severity in cancer

Palliative & Supportive Care ◽

10.1017/s1478951514000777 ◽

2014 ◽

Vol 13 (4) ◽

pp. 875-884 ◽

Cited By ~ 7

Author(s):

Kathryn A. Martinez ◽

Claire F. Snyder ◽

Jennifer L. Malin ◽

Sydney M. Dy

Keyword(s):

Quality Of Care ◽

Cancer Patients ◽

Nursing Care ◽

Care Coordination ◽

Symptom Burden ◽

Care Quality ◽

Pain Severity ◽

Physician Communication ◽

Patient Reported

AbstractObjective:Despite treatment availability, many cancer patients experience severe pain. Although patient assessments of care are increasingly employed to evaluate quality of care, little is known about its association with cancer symptom burden. The objective of our study was to examine the association between patient-reported quality of care and pain severity in a nationally representative cohort of cancer patients.Method:Quality of care was measured in three domains: physician communication, care coordination/responsiveness, and nursing care. Quality scores were dichotomized as optimal versus nonoptimal. Pain was measured on a scale of 0 (least) to 100 (worst). We utilized multivariable linear regression to examine the association between patient-reported quality of care and pain severity.Results:The analytic sample included 2,746 individuals. Fifty and 54% of patients, respectively, rated physician communication and care coordination/responsiveness as nonoptimal; 28% rated nursing care as nonoptimal. In adjusted models, rating physician communication as nonoptimal (versus optimal) was associated with a 1.8-point higher pain severity (p = 0.018), and rating care coordination/responsiveness as nonoptimal was associated with a 2.2-point higher pain severity (p = 0.006).Significance of results:Patient-reported quality of care was significantly associated with pain severity, although the differences were small. Interventions targeting physician communication and care coordination/responsiveness may result in improved pain control for some patients.

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The relationships between moral distress and quality of nursing care in oncology nurses

The Journal of Korean Academic Society of Nursing Education ◽

10.5977/jkasne.2020.26.4.366 ◽

2020 ◽

Vol 26 (4) ◽

pp. 366-373

Author(s):

Sae Mi Kim ◽

Yong Soon Shin

Keyword(s):

Nursing Care ◽

Moral Distress ◽

Correlation Study ◽

Oncology Nursing ◽

Cross Sectional ◽

Factors Affecting ◽

Distress Scale ◽

The Relationship ◽

Quality Of Nursing

Purpose: The study aimed to investigate the relationship between moral distress and the quality of nursing care.Methods: This cross-sectional correlation study included nurses working at oncology nursing units of two secondary general hospitals in Seoul and Gyeonggi-do, Korea. A total of 207 nurses participated. Moral distress was measured by the Moral Distress Scale-Revised Nurse Questionnaire and quality of nursing care was evaluated by the Quality of Oncology Nursing Care Scale. Data were collected from October 5 to 31, 2018. Data analysis included descriptive statistics, independent t-test, ANOVA, Pearson’s correlation coefficient and multiple regression analysis.Results: The quality of oncology nursing care showed a negative correlation with moral distress (r=-.19, p=.007). The factors affecting the quality of oncology nursing care were religion (β=-.22, p=.001), clinical experience in oncology units (β=.27, p=.007), and moral distress (β=-.16, p=.018). Moral distress showed a statistically significant predictive power of 13% in the regression model (F=8.70, p=<.001).Conclusion: The findings of this study suggest that management of moral distress is important to increase the quality of oncology nursing care.

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