The nursing quality indicator framework tool

2017 ◽  
Vol 30 (7) ◽  
pp. 603-616 ◽  
Author(s):  
Dawn Connolly ◽  
Fiona Wright

Purpose The purpose of this paper is to develop a nursing quality indicator (NQI) framework and provide a comprehensive reporting mechanism for nursing care. Design/methodology/approach Mixed method, including patient records audit, patient experience questionnaire, nurse self-report questionnaire and collecting ward-level information. The sample was 53 patients and 22 nurses. Findings Outputs from the NQI framework domains offer a more comprehensive understanding of nursing quality compared to when domains are analysed separately. The NQI framework also provides a more inclusive mechanism for assuring nursing care. Research limitations/implications Sample size was limited to 53 English-speaking patients who consented to participating in the study. Originality/value One design strength was the ability to describe individual patient care across the four domains and subsequently show relationships between nursing knowledge, nursing interventions and patient outcomes/experiences. Additionally, corroborated information from three sources (documentation review, patient and nurse responses) strengthened the conclusion that the NQI framework could provide more comprehensive assurances on nursing quality and identify care improvements.

2014 ◽  
Vol 27 (5) ◽  
pp. 439-450 ◽  
Author(s):  
Luis Mendes ◽  
Maria de Jesus José Gil Fradique

Purpose – The purpose of this paper is to investigate the extent to which nursing leadership, perceived by nursing staff, influences nursing quality. Design/methodology/approach – Data were collected between August and October 2011 in a Portuguese health center via a questionnaire completed by nurses. Our original sample included 283 employees; 184 questionnaires were received (65% response). Findings – The theoretical model presents reasonably satisfactory fit indices (values above literature reference). Path analysis between latent constructs clearly suggests that nursing leadership has a direct (ß=0.724) and statistically significant (p=0.007) effect on nursing quality. Originality/value – Results reinforce several ideas propagated throughout the literature, which suggests the relationship's relevance, but lacks empirical support, which this study corrects.


1991 ◽  
Vol 2 (2) ◽  
pp. 321-328 ◽  
Author(s):  
Joanne M. Krumberger

The Joint Commission on Accreditation of Health Care Organizations standards require the inclusion of all major clinical functions performed by nurses in the nursing quality assurance (QA) program. To achieve this goal, nurses must first define the scope of care, which includes articulating the specific activities performed in the critical care unit, who provides the care, where and when nursing care is provided, and to whom nursing care is provided. Interventions directed toward families are recognized as falling within the scope of nursing practice. This article addresses how family research was used to develop a QA tool to evaluate family satisfaction with nursing interventions to meet their identified needs in an intensive care unit setting


2020 ◽  
Vol 11 (9) ◽  
pp. 426-431
Author(s):  
Emily Hooper

The patient was presented to a veterinary hospital with acute progressive onset of non-ambulatory tetraparesis. An appropriate diagnosis of acute idiopathic polyradiculoneuritis was made and suitable supportive nursing care implemented. The patient was later diagnosed with pneumonia as a consequence of prolonged recumbency, requiring further nursing interventions. Treatment with intravenous human immunoglobulin therapy was subsequently initiated and the patient improved but was sadly later euthanased.


2019 ◽  
Vol 18 (1) ◽  
pp. 49-57 ◽  
Author(s):  
Cut Maghfirah Faisal ◽  
Sherly Saragih Turnip

Purpose The purpose of this paper is to compare loneliness between the left-behind children of migrant workers and the non-left-behind ones, and identify the most significant predictors of loneliness among the left-behind children. Design/methodology/approach Incidental sampling was performed to select 629 participants aged 11–16 from 5 schools in the rural areas of Karawang and Lombok in Indonesia. They filled in paper-and-pencil self-report inventories. Findings Left-behind children were significantly lonelier than their counterparts were. Emotional loneliness was more affected by parental absence compared to social loneliness. Left-behind children would be more susceptible to experience loneliness if they had more access to entertainment gadgets, experienced less support and intimacy from friends, had been left by their migrant parents more than once, were female, had low self-esteem, experienced emotional difficulties and rarely communicated with their parents. Research limitations/implications Qualitative research was needed to provide more elaborative explanation about the findings. Practical implications Parents needed to consider the psychological cost and benefit of working abroad to their children. Governments could intervene by limiting the duration and frequency of work among the migrant workers. Social implications Some beneficial implications to prevent and reduce loneliness among left-behind children were provided, such as by maintaining the frequency and quality of communication with the children, motivating and guiding the children to interact with their peers and spend less time on entertainment gadgets, as well as encouraging the children to engage in several positive activities to enhance their self-esteem. Originality/value This study enriched the understanding about complex relationship between parental presence and adolescents’ mental health despite the fact that adolescents seemed to be more interested in relationships with peers.


2014 ◽  
Vol 7 (3) ◽  
pp. 156-170 ◽  
Author(s):  
Theresa C. Brown ◽  
Jennifer Volberding ◽  
Timothy Baghurst ◽  
John Sellers

Purpose – The purpose of this paper is to determine the reason for faculty and staff (N=657; 35 percent males; M age=45.20) at a large Southern university, for either using or not using the free fitness facilities on campus. Design/methodology/approach – Participants identified themselves as either current (n=306), former (n=213), or never-users (n=138) of the facilities, and completed an on-line self-report qualitative questionnaire asking them to describe their reasons for using or not using the campus fitness facilities. Findings – Thematic coding revealed that motives fell into three broad categories for all user types: personal (i.e. cost, location, social support), facility-specific (i.e. quality and amount of equipment, class variety, hours of operation), and motivational climate (i.e. feeling valued, welcomed, best effort was emphasized). Current users highlighted positive aspects of each category whereas former and never users described each category as a barrier to their exercise routines. Practical implications – The identified themes offer campus administration specific suggestions to entice more non-users and former-users to exercise in the fitness facilities available on campus. Originality/value – While researchers have considered barriers to exercise in past studies, the barriers identified were not specific to fitness facilities. The current work not only examines individuals’ reasons for choosing or not choosing a campus fitness facility for their exercise, but also compares the perspectives of former- and never-users to current-users.


2015 ◽  
Vol 21 (5) ◽  
pp. 1117-1139 ◽  
Author(s):  
Dimitrios Chatzoudes ◽  
Prodromos Chatzoglou ◽  
Eftichia Vraimaki

Purpose – Knowledge Management (KM) is a contemporary research field of high interest for both academics and practitioners. For more than 15 years, successful companies have used KM as their most valuable source of competitive advantage. The purpose of this paper is attempt to extend the existing empirical approaches (research models), by focusing on the process of KM and its diffusion throughout the organisation. Design/methodology/approach – The present study proposes a newly developed conceptual framework that adopts a four-step approach, highlighting four areas of interest that have never been simultaneously examined before: knowledge antecedents, KM process, KM outcomes (satisfaction from the KM process) and individual (employee) outcomes. The proposed conceptual framework is tested, using a structured questionnaire, in a sample of 211 bank employees. The reliability and the validity of the questionnaire were thoroughly examined, while research hypotheses were tested using the “Structural Equation Modelling” technique. Findings – The results revealed that companies with enhanced innovative culture and an organisational climate that facilitates cooperation between employees tend to promote and ultimately maximise knowledge diffusion. Moreover, a contribution of the present study is the empirical confirmation of the relationship between the proposed factor “satisfaction from the knowledge management process” and both organisational commitment and job satisfaction. Research limitations/implications – A limitation stemming from the adopted methodology is the use of self-report scales to measure the factors (constructs) of the proposed model. Moreover, the present paper lacks a longitudinal approach, since it provides a static picture (snapshot) of the application of KM within enterprises. Practical implications – The paper highlights-specific areas (factors) that companies should enhance in order to harvest the potential benefits of KM. According to the empirical findings, organisations should focus on their human capital when managing their knowledge processes. After all, employee satisfaction from the KM process is found to be crucial for enhancing their job satisfaction and job performance. Originality/value – The paper proposes an enhanced conceptual framework that incorporates critical issues concerning the successful implementation of KM, thus, providing valuable tools for decision makers and academics. Its originality lies in the nature of its approach. More specifically, the present study examines the impact of KM on individual-level (employee), something that rarely appears in the relevant literature. Additionally, it incorporates “satisfaction from the knowledge management process” as a significant outcome of the KM process, thus, enriching the literature of the field. Finally, it investigates the impact of three contextual factors (innovative culture, organisational climate, inter-functional coordination) on KM process (externalisation, internalisation, socialisation, combination), adopting an approach that acknowledges KM as a function (factor) that transmits contextual influence onto individual effectiveness. The results of the study may be generalised in other sectors with similar characteristics (knowledge-intensive and learning organisations, service sector companies, etc) and in other developed countries whose financial institutions face similar challenges as the ones in Greece.


2021 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Timothy Shea ◽  
Syed Aktharsha Usman ◽  
Sengottuvel Arivalagan ◽  
Satyanarayana Parayitam

Purpose The purpose of this study is to empirically examine knowledge management (KM) practices as a moderator in the relationship between organizational culture and performance. The effect of four types of organizational culture on organizational performance was studied. In addition to direct effects, most importantly, KM practices as a moderator in strengthening the culture-performance relationship were empirically examined. Design/methodology/approach A carefully crafted survey instrument was distributed and data was collected from 1,255 respondents from 10 information technology companies in India. After checking the psychometric properties of the instrument, this paper performs hierarchical regression to test hypotheses. Findings The results reveal that: cooperative culture, innovative culture, consistent culture and effectiveness culture were all positively and significantly related to organizational performance; KM practices were positively and significantly related to organizational performance, KM practices moderate the relationship between various dimensions of organizational culture and organizational performance. Research limitations/implications As with any survey-based research, the present study suffers from the problems associated with self-report measures. These are common method bias and social desirability bias. However, this study attempts to minimize these limitations by following appropriate statistical techniques. Practical implications This study contributes to both practicing managers and the literature on KM and organizational culture. The study suggests that managers use KM practices, which are all-pervasive and very important for improving organizational performance. The results highlight the importance of implementing KM practices in organizations. Originality/value This study provides new insights into the importance of KM practices in achieving sustained competitive advantage by achieving organizational effectiveness. To the knowledge, the importance of KM practices is underemphasized in organizational culture research.


2021 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Obay A. Al-Maraira ◽  
Sami Z. Shennaq

Purpose This study aims to determine depression, anxiety and stress levels of health-care students during coronavirus (COVID-19) pandemic according to various socio-demographic variables. Design/methodology/approach This cross-sectional study was conducted with 933 students. Data were collected with an information form on COVID- 19 and an electronic self-report questionnaire based on depression, anxiety and stress scale. Findings Findings revealed that 58% of the students experienced moderate-to-extremely severe depression, 39.8% experienced moderate-to-extremely severe anxiety and 38% experienced moderate-to-extremely severe stress. Practical implications Educational administrators can help reduce long-term negative effects on students’ education and mental health by enabling online guidance, psychological counseling and webinars for students. Originality/value This paper is original and adds to existing knowledge that health-care students’ depression, anxiety and stress levels were affected because of many factors that are not yet fully understood. Therefore, psychological counseling is recommended to reduce the long-term negative effects on the mental health of university students.


2021 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Lei Xie ◽  
Soo Jeoung Han ◽  
Michael Beyerlein ◽  
Jiacheng Lu ◽  
Lillian Vukin ◽  
...  

Purpose This paper aims to conduct two studies to investigate shared leadership and team creativity (TC) in leaderless short-term project teams (STPTs). Design/methodology/approach To answer the research question, this paper used a multi-level mixed-methods design. This paper analyzed video recordings, transcripts of STPTs’ collaboration and self-report surveys from an international engineering competition. In Study 1, this paper attempted to connect relation-oriented shared leadership (ROSL) and task-oriented shared leadership (TOSL) with TC by coding video recordings. In Study 2, this paper further investigated the proposed positive relationship between shared leadership and TC by surveying a sample of 166 students in 51 teams. Findings In Study 1, this paper found that shared leadership covaries with TC following a similar behavioral pattern. In Study 2, multi-level structural equation modeling results suggested that both TOSL and ROSL are positively correlated with TC. Originality/value In this mixed-methods multi-level research, this paper found that when the team’s shared leadership increases, their TC activity becomes frequent. This paper confirmed the qualitative finding by quantitatively investigated the relationship between shared leadership and creativity at the team level.


2021 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Shaoyu Ye ◽  
Kevin K.W. Ho ◽  
Andre Zerbe

Purpose This study aims to clarify the effects of different patterns of Facebook, Twitter and Instagram usage on user loneliness and well-being in Japan. Design/methodology/approach Based on responses to a self-report questionnaire in Japan, 155 university students were separated into 4 groups: users of Twitter only, users of Twitter and Facebook, users of Twitter and Instagram and users of all three social media. The effects of social media usage on loneliness and well-being for each group were analysed. Findings No social media usage effects on loneliness or well-being were detected for those who used only Twitter or both Twitter and Instagram. For those using both Twitter and Facebook, loneliness was reduced when users accessed Twitter and Facebook more frequently but was increased when they posted more tweets. Users of all three social media were lonelier and had lower levels of well-being when they accessed Facebook via PC longer; whereas their their access time of Facebook via smartphones helped them decrease loneliness and improve their levels of well-being. Originality/value The findings reported here provide possible explanations for the conflicting results reported in previous research by exploring why users choose different social media platforms to communicate with different groups of friends or acquaintances and different usage patterns that affect their loneliness and well-being.


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