Analyzing Low Patient Satisfaction at Herzog Memorial Hospital

2017 ◽  
pp. 1-18
Author(s):  
Jack Boepple
Keyword(s):  
Patient Satisfaction ◽  
Qualitative Data ◽  
Memorial Hospital ◽  
List Type ◽  
Nursing Unit ◽  
The Third ◽  
The Past ◽  
Care Services ◽  
Patient Satisfaction Scores ◽  
The Press

In late 2012 Adeline Herzog Memorial Hospital in Castle Rock, Colorado, was facing a problem with patient satisfaction. The Press-Ganey scores for the third-floor nursing unit–the primary destination (70 percent) for patients admitted through the emergency department–were at the 15th percentile, and the key HCAHPS score for inpatients was well below the Colorado average. Over the past six months Jeri Tinsley, director of medical, surgical, and intensive care services, had made various changes to try to improve the patient satisfaction scores for her 32-bed unit, but the scores seemed stuck at an unacceptably low level.Tinsley worried that if improvements were not made soon, patients would start “voting with their feet” and take their business to competing hospitals. As a registered nurse, Tinsley's expertise was helping people heal; it was not analyzing data. In particular, she was overwhelmed by the patient comments included in the surveys; she had no idea how to analyze them and could not decide which issues to address first.After analyzing the case, students should be able to: Organize and analyze qualitative data using affinity diagrams Identify priorities using Pareto diagrams Identify which aspects of a problem are (1) within their control to solve, (2) within their influence to solve, or (3) outside their control to solve

The Bonner Spectral Atlas and Three-Dimensional Classification at Low Dispersions

1976 ◽  
Vol 72 ◽  
pp. 129-133
Author(s):  
W. C. Seitter
Keyword(s):  
Three Dimensional ◽  
List Type ◽  
Type Number ◽  
Late Type ◽  
The Third ◽  
The Past ◽  
Dimensional Classification ◽  
Composite Spectra ◽  
Peculiar Stars ◽  
Ap Stars

Work on the third part of the Bonner Spectral Atlas: Peculiar Stars has well progressed during the past year. Observations of the more than 200 stars – photographed with a dispersion of 240 Å mm−1 at Hγ on I-N plates – is nearing completion.The arrangement of the spectra will be as follows: 1.WR-stars2.O-stars Of sequence3.Peculiar B-type stars emission-line objects4.Ap-stars with various sequences: Cr-Mn-Hg-rare earths5.Asi-stars6.Am-stars7.Late-type peculiar stars Ba II, CH8.C-stars9.Late M-type stars10.S-stars11.Composite spectra12.Spectra with large rotational broadeningThe 12 groups are displayed on 40 plates, each with 6–8 objects. Stars of groups 8 to 10 will be presented with different exposures in order to facilitate the discovery of faint objects.Sample plates will be shown and discussed.

An Integrated Model to Accelerate Patient Satisfaction Improvement

2020 ◽  
pp. 106286062095321
Author(s):  
Dennis R. Delisle ◽  
Jana Dajani ◽  
Lauren Overton
Keyword(s):  
Patient Satisfaction ◽  
Hospital Setting ◽  
Employee Training ◽  
Holistic Approach ◽  
Integrated Model ◽  
Nursing Unit ◽  
Service Excellence ◽  
Strategic Direction ◽  
Patient Satisfaction Scores ◽  
Hospital Executives

Patient satisfaction is gaining traction in the strategic direction and daily operations of hospital executives. The financial penalty/incentive tied to patient satisfaction scores creates a burning platform to accelerate progress. Previous studies have shown the effectiveness of various improvement strategies including leadership rounding and employee training, among others. There has not been a study utilizing an integrated model that incorporates known best practices into a holistic approach. The integrated model included service excellence training, nursing unit-specific action plans, and weekly leadership rounding. Implementation of the model led to significant and sustainable improvements in patient satisfaction in the community hospital setting. This approach can be leveraged and scaled in other organizations to accelerate the pace of change.

scholarly journals Leadership and Patient Satisfaction in a Tertiary Health Care System

2015 ◽  
Vol 13 (1) ◽  
Author(s):  
Owumi E. Bernard ◽  
E. Christie Omorogbe ◽  
E. Pauline Osamor
Keyword(s):  
Health Care ◽  
Patient Satisfaction ◽  
Drug Administration ◽  
Health Care Providers ◽  
Health Care Services ◽  
Qualitative Data ◽  
Care Providers ◽  
Patient’S Satisfaction ◽  
Care Services ◽  
Doctors And Nurses

Patient satisfaction is one of the best indicators for measuring the success of the services being provided in a health facility. This study investigates the leadership factors that influenced patient satisfaction in the tertiary health care facility of the University of Benin Teaching Hospital, Benin City, Nigeria. This hospital based cross sectional study was anchored on the social action theory, Talcott Parsons sick role model and concept of bureaucracy. Using a multi-stage sampling technique, 420 inpatients were randomly selected from five different units (Medical, Surgical, Pediatrics, Obstetrics, and Gynecology and Emergency) of the hospital. Data was collected using semi-structured questionnaire and five in-depth interviews (IDIs). Quantitative data were analyzed at univariate and bivariate levels, using descriptive statistics and Chi-square test while qualitative data were content analyzed. Findings revealed that there were good knowledge and level of awareness of the services available. Majority of the patients claimed that they were satisfied and rated the satisfaction experiences as moderate satisfaction with the health care services of the professional doctors and nurses in the hospital. Education (p<0.020) and income (p<0.032) were found to be significant socio-economic factors influencing patient’s satisfaction. Answers doctors provided to patients’ questions and prescribed drug administration by nurses to the in-patients were derivable from the leadership factors and thus influenced patient’s satisfaction with the health care services. Results on answers doctors provided to patients’ question (p<0.001) and prescribed drug administration by nurses to the in-patients (p<0.0073) were significant leadership factors. Similarly, from the qualitative data, doctor’s communication and interaction greatly influenced patient’s satisfaction with leadership ethos of health care providers. Management should organize stakeholder’s forum comprising of doctors and nurses’ leaders from among the health care providers and in-patients with common health conditions where subjective needs assessment of patients could be discussed within the hospital.

Socially Shared Regulation of Learning: A Review

2015 ◽  
Vol 20 (3) ◽  
pp. 190-203 ◽  
Author(s):  
Ernesto Panadero ◽  
Sanna Järvelä
Keyword(s):  
Empirical Evidence ◽  
Learning Theory ◽  
Qualitative Data ◽  
Social Regulation ◽  
Observation Data ◽  
Optimal Form ◽  
Self Regulated Learning ◽  
The Past ◽  
Recorded Observation ◽  
Socially Shared Regulation

Abstract. Socially shared regulation of learning (SSRL) has been recognized as a new and growing field in the framework of self-regulated learning theory in the past decade. In the present review, we examine the empirical evidence to support such a phenomenon. A total of 17 articles addressing SSRL were identified, 13 of which presented empirical evidence. Through a narrative review it could be concluded that there is enough data to maintain the existence of SSRL in comparison to other social regulation (e.g., co-regulation). It was found that most of the SSRL research has focused on characterizing phenomena through the use of mixed methods through qualitative data, mostly video-recorded observation data. Also, SSRL seems to contribute to students’ performance. Finally, the article discusses the need for the field to move forward, exploring the best conditions to promote SSRL, clarifying whether SSRL is always the optimal form of collaboration, and identifying more aspects of groups’ characteristics.

Measuring the cost of environmental compliance for Waikato dairy farmers - a survey approach

2015 ◽  
Vol 77 ◽  
pp. 159-166
Author(s):  
T.O.R. Macdonald ◽  
J.S. Rowarth ◽  
F.G. Scrimgeour
Keyword(s):  
Qualitative Data ◽  
Management Practice ◽  
Dairy Farm ◽  
Environmental Compliance ◽  
Dairy Farmers ◽  
The Past ◽  
Farm Systems ◽  
The Cost ◽  
Farm System ◽  
Survey Approach

The link between dairy farm systems and cost of environmental compliance is not always clear. A survey of Waikato dairy farmers was conducted to establish the real (non-modelled) cost of compliance with environmental regulation in the region. Quantitative and qualitative data were gathered to improve understanding of compliance costs and implementation issues for a range of Waikato farm systems. The average oneoff capital cost of compliance determined through a survey approach was $1.02 per kg milksolids, $1490 per hectare and $403 per cow. Costs experienced by Waikato farmers have exceeded average economic farm surplus for the region in the past 5 years. As regulation increases there are efficiencies to be gained through implementing farm infrastructure and farm management practice to best match farm system intensity. Keywords: Dairy, compliance, farm systems, nitrogen, Waikato

Al-Rasm al-ʿUthmānī: Towards Correct Pronunciation and the Preclusion of Ambiguity

2011 ◽  
Vol 13 (2) ◽  
pp. 201-171
Author(s):  
Nāṣir Al-Dīn Abū Khaḍīr
Keyword(s):  
Specific Pattern ◽  
Writing Style ◽  
The Third ◽  
The Past ◽  
Different Ages ◽  
Correct Pronunciation ◽  
The One ◽  
The Mind

The ʿUthmānic way of writing (al-rasm al-ʿUthmānī) is a science that specialises in the writing of Qur'anic words in accordance with a specific ‘pattern’. It follows the writing style of the Companions at the time of the third caliph, ʿUthmān b. ʿAffān, and was attributed to ʿUthmān on the basis that he was the one who ordered the collection and copying of the Qur'an into the actual muṣḥaf. This article aims to expound on the two fundamental functions of al-rasm al-ʿUthmānī: that of paying regard to the ‘correct’ pronunciation of the words in the muṣḥaf, and the pursuit of the preclusion of ambiguity which may arise in the mind of the reader and his auditor. There is a further practical aim for this study: to show the connection between modern orthography and the ʿUthmānic rasm in order that we, nowadays, are thereby able to overcome the problems faced by calligraphers and writers of the past in their different ages and cultures.

Lot's Offer of his Daughters to his People in the Torah and the Qur'an: A Comparative Study in Two Parts (Part One)

2016 ◽  
Vol 18 (3) ◽  
pp. 161-224
Author(s):  
ʿĀʾiḍ B. Sad Al-Dawsarī
Keyword(s):  
Comparative Study ◽  
Comparative Studies ◽  
The Third ◽  
The Past ◽  
The Status ◽  
Moral Problems ◽  
Moral Dimensions ◽  
Similarities And Differences

The story of Lot is one of many shared by the Qur'an and the Torah, and Lot's offer of his two daughters to his people is presented in a similar way in the two books. This article compares the status of Lot in the Qur'an and Torah, and explores the moral dimensions of his character, and what scholars of the two religions make of this story. The significance of the episodes in which Lot offers his daughters to his people lies in the similarities and differences of the accounts given in the two books and the fact that, in both the past and the present, this story has presented moral problems and criticism has been leveled at Lot. Context is crucial in understanding this story, and exploration of the ways in which Lot and his people are presented is also useful in terms of comparative studies of the two scriptures. This article is divided into three sections: the first explores the depiction of Lot in the two texts, the second explores his moral limitations, and the third discusses the interpretations of various exegetes and scholars of the two books. Although there are similarities between the Qur'anic and Talmudic accounts of this episode, it is read differently by scholars from the two religions because of the different contexts of the respective accounts.

IMPROVING STUDENTS’ ACHIEVEMENT IN WRITING RECOUNT TEXT THROUGH THINK PAIR SHARE

2013 ◽  
Vol 2 (1) ◽  
Author(s):  
Hotria Manik ◽  
Elia Masa Ginting
Keyword(s):  
Action Research ◽  
Quantitative Data ◽  
Qualitative Data ◽  
Writing Achievement ◽  
The Third ◽  
Post Test ◽  
Class Viii ◽  
The Subject ◽  
The Mean ◽  
Writing Tests

This study attempts to improve students’ writing achievement in recount text through Think-Pair-Share Strategy. This study was conducted by using classroom action research. The subject of the research was class VIII-1 SMPN 1 Pematangsiantar. The number of the students was 32 students, consisted of 5 males and twenty seven females. The research was conducted in two cycles and consisted of six meetings. The instruments for collecting data were writing tests as the quantitative data and diary notes, observation sheet, interview sheet and questionnaire sheet as qualitative data. Based on the writing score, students’ scores kept improving in every test. In analyzing the data, the mean of the students’ score for the first test as a pre-test was 57.84, for the second test as a post test I was 73.56, for the third test as a post test II was 77.56. Based on diary notes, observation sheet and questionnaire sheet, it was found that students were actively involved in writing process. The result of the research showed that Think-Pair-Share Strategy can improve students’ achievement in writing recount text.   Keywords: Think Pair Share, Writing, Recount text, Action research

Negotiating Tripartite Philosophy (Strategy–tactics–technique)

2019 ◽  
Vol 1 (1) ◽  
pp. 53
Author(s):  
Hazem Hamad Mousa Al Janabi
Keyword(s):  
Bottom Line ◽  
Negotiation Strategy ◽  
The Third ◽  
The Past

Tripartite Negotiating philosophy: (strategy - tactics - technique) At the beginning , the research consists of four sections as follows: The first axis titled: "what negotiation", and the second axis: "philosophy of negotiation," The third axis titled: "negotiation strategy". Down to the fourth axis which included titled: "negotiating tactic", Sajama with the past and as a supplement came fifth axis titled: "negotiating technique", to be the bottom line in the form of a set of conclusions. Negotiation consists of a base triple hierarchical strategy - tactics - technique. The philosophy of negotiating interactive basis of rationality. Negotiable three parties are the position and the case and the parties involved. Is the process of negotiating strategic recruitment capacity and capabilities to achieve the desired goal of the crisis prematurely. Negotiating tactic is the process of hiring capacity and capabilities to achieve the desired goal at the negotiating table. •The technique is the process of negotiating employment capacity and capabilities to achieve the desired goal at the negotiating table to contain thesudden things check response and renewed flexibility.

Same Address, Different Doors: Post-Heritage Deconstruction of the Heritage Household in Upstairs Downstairs in the 1970s and 2010s

2020 ◽  
Author(s):  
William Abbiss
Keyword(s):  
Final Section ◽  
Social Structures ◽  
The Third ◽  
The Past ◽  
War Narrative ◽  
Critical History ◽  
The Social ◽  
Fourth Series ◽  
History Of ◽  
Multiple Episodes

This article offers a ‘post-heritage’ reading of both iterations of Upstairs Downstairs: the LondonWeekend Television (LWT) series (1971–5) and its shortlived BBC revival (2010–12). Identifying elements of subversion and subjectivity allows scholarship on the LWT series to be reassessed, recognising occasions where it challenges rather than supports the social structures of the depicted Edwardian past. The BBC series also incorporates the post-heritage element of self-consciousness, acknowledging the parallel between its narrative and the production’s attempts to recreate the success of its 1970s predecessor. The article’s first section assesses the critical history of the LWT series, identifying areas that are open to further study or revised readings. The second section analyses the serialised war narrative of the fourth series of LWT’s Upstairs, Downstairs (1974), revealing its exploration of female identity across multiple episodes and challenging the notion that the series became more male and upstairs dominated as it progressed. The third section considers the BBC series’ revised concept, identifying the shifts in its main characters’ positions in society that allow the series’ narrative to question the past it evokes. This will be briefly contrasted with the heritage stability of Downton Abbey (ITV, 2010–15). The final section considers the household of 165 Eaton Place’s function as a studio space, which the BBC series self-consciously adopts in order to evoke the aesthetics of prior period dramas. The article concludes by suggesting that the barriers to recreating the past established in the BBC series’ narrative also contributed to its failure to match the success of its earlier iteration.

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