Nurse Burnout, Nurse-Reported Quality of Care, and Patient Outcomes in Thai Hospitals

2015 ◽  
Vol 48 (1) ◽  
pp. 83-90 ◽  
Author(s):  
Apiradee Nantsupawat ◽  
Raymoul Nantsupawat ◽  
Wipada Kunaviktikul ◽  
Sue Turale ◽  
Lusine Poghosyan
Keyword(s):  
Quality Of Care ◽  
Patient Outcomes ◽  
Nurse Burnout

scholarly journals Review: Relation Between Quality-of-Care Indicators for Diabetes and Patient Outcomes: A Systematic Literature Review

2011 ◽  
Vol 68 (3) ◽  
pp. 263-289 ◽  
Author(s):  
Grigory Sidorenkov ◽  
Flora M Haaijer-Ruskamp ◽  
Dick de Zeeuw ◽  
Henk Bilo ◽  
Petra Denig
Keyword(s):  
Quality Of Care ◽  
Literature Review ◽  
Patient Outcomes ◽  
Systematic Literature Review

scholarly journals Changing diabetes® barometer: A global quality monitoring framework for improving patient outcomes

2013 ◽  
Vol 01 (01) ◽  
pp. 044-047
Author(s):  
Pavika Jain ◽  
Niels Aamand
Keyword(s):  
Quality Of Care ◽  
Patient Outcomes ◽  
Diabetes Care ◽  
Best Practice ◽  
Diabetes Management ◽  
Global Perspective ◽  
Quality Monitoring ◽  
Good Practices ◽  
Quality Of Diabetes Care

This article has a global perspective and includes examples from several continents i.e. Latin America, Africa, Asia and Europe. The Changing Diabetes® Barometer (CDB) is a Novo Nordisk initiative that works as a worldwide quality monitoring system for diabetes management to measure the gains made in the fight against diabetes focusing on quality of care and patient outcomes. CDB provides a platform for countries to share local diabetes data and good practices. In doing so it aims to disseminate improved practices of care. CDB is conceptualised as a framework that can help change diabetes. Its three cornerstones are “Measure, Share, Improve” (MSI):• MEASURE the quality of diabetes care through patient outcomes and care processes.• SHARE data on the quality of diabetes care and good practices with all relevant stakeholders.• IMPROVE the quality of diabetes care by identifying and actively spreading good practices in diabetes care and inspire others to adopt and follow best practice examples.Italy and Algeria both constitute best practice examples of CDB initiatives. In Italy a registry solution is already solidly implemented and improvements in patient outcomes have been documented. The initiative in Algeria has recently been initiated including establishment of IT equipment in participating clinics to ensure all relevant measurements. This will enable transparency on current level of quality of diabetes care. Both initiatives have the common goal of driving improvements in quality of care and patient outcomes across clinics. India is another good example where data is collected through the CDB aimed at driving improvement of diabetes care in order to improve quality of life for people with diabetes. CDB in India is implemented in five states (Goa, Bihar, Gujarat, Puducherry and Andhra Pradesh) and is planned to be expanded to five additional states.

Studying physician effects on patient outcomes: Physician interactional style and performance on quality of care indicators

2006 ◽  
Vol 62 (2) ◽  
pp. 422-432 ◽  
Author(s):  
Peter Franks ◽  
Anthony F Jerant ◽  
Kevin Fiscella ◽  
Cleveland G Shields ◽  
Daniel J Tancredi ◽  
...  
Keyword(s):  
Quality Of Care ◽  
Patient Outcomes ◽  
And Performance

scholarly journals Performance and trend for quality of service in a large HIV/AIDS treatment program in Nigeria

2019 ◽  
Vol 16 (1) ◽  
Author(s):  
Ahmad Aliyu ◽  
Samer El-Kamary ◽  
Jessica Brown ◽  
Bruce Agins ◽  
Nicaise Ndembi ◽  
...  
Keyword(s):  
Quality Of Care ◽  
Quality Management ◽  
Patient Outcomes ◽  
Health Facilities ◽  
Rate Of Change ◽  
Resource Limited Settings ◽  
Trend Line ◽  
Resource Limited ◽  
Hiv Aids

Abstract Background As antiretroviral therapy (ART) programs expand access, there is an increase in burden to a healthcare system. These results are reduced provider-patient contact time and poor programmatic and patient outcomes. Quality management offers providers a standardized approach for addressing the appropriateness of care to be applied in resource-limited settings. This study aimed to determine the trend of performance on HIV/AIDS quality management indicators of health facilities providing ART over a period of 5 years. Methods The annual performance scores of quality of care (QoC) indicators of 31 health facilities providing ART was extracted from a database covering a period of 5 years (from October 2008 to September 2012). The data are percentages that indicate scores of each health facility assessed based on compliance to National ART guidelines categorized into several indicator domains. A Chi square statistic for the trend, as well as test for departure from the trend line was determined. The p value associated with each indicator provides the significant level for testing an alternative hypothesis that the rate of change over the period considered for that indicator does not equal to zero. The slope of the regression line also gives the magnitude of the rate of change for each indicator by healthcare level across the review period. Results Generally, performance trends showed improvement across most indicator domains. The highest improvement occurred for “3 month loss to follow-up” and “1 year no-visit”, with scores declining from 37 to 3%, and 42% to 12% respectively. However, there was a sharp decline in performance between 2010 and 2012 in weight monitoring of patients (p < 0.01), adherence assessment to ARVs (p < 0.01) and hematocrit measurements (p = 0.01). The aggregate rate of change β, as obtained from the slope of the trend line is highly significant (p < 0.01) for all the quality of care indicators considered, whether improving or declining. Conclusion Periodic assessment to determine HIV/AIDS quality of care can guide rapid scale-up of services to achieve universal coverage in resource-limited settings. Determining trends to understand patterns is very useful for improving programmatic and patient outcomes.

Medical Education in the 21st Century

2011 ◽  
pp. 528-535
Author(s):  
Stefane M. Kabene ◽  
Jatinder Takhar ◽  
Raymond Leduc ◽  
Rick Burjaw
Keyword(s):  
Medical Education ◽  
Quality Of Care ◽  
Patient Outcomes ◽  
21St Century ◽  
Healthcare Professionals ◽  
New Technologies ◽  
Healthcare Delivery ◽  
The Right

As with many disciplines, the fields of healthcare in general and medicine, in particular, have made vast strides in improving patient outcomes and healthcare delivery. But, have healthcare professionals and medical academia been able to maximize the utilization of new technologies to improve the delivery of the right knowledge, to the right people, at the right time across geographical boundaries? In order to provide the best quality of care, regardless of patient or provider location, specific issues must be addressed.

Medical Education in the 21st Century

2005 ◽  
pp. 488-493
Author(s):  
Stefane M. Kaben ◽  
Jatinder Takhar ◽  
Raymond Leduc ◽  
Rick Burjaw
Keyword(s):  
Medical Education ◽  
Quality Of Care ◽  
Patient Outcomes ◽  
21St Century ◽  
Healthcare Professionals ◽  
New Technologies ◽  
Healthcare Delivery ◽  
The Right

As with many disciplines, the fields of healthcare in general and medicine, in particular, have made vast strides in improving patient outcomes and healthcare delivery. But, have healthcare professionals and medical academia been able to maximize the utilization of new technologies to improve the delivery of the right knowledge, to the right people, at the right time across geographical boundaries? In order to provide the best quality of care, regardless of patient or provider location, specific issues must be addressed.

The Effect of Patients' Acuity Level on Nurses Shift Assignment in Jordan: A Qualitative Approach

2020 ◽  
Vol 28 (2) ◽  
pp. 404-418
Author(s):  
Ghadeer Al-Dweik ◽  
Muayyad Ahmad
Keyword(s):  
Quality Of Care ◽  
Patient Outcomes ◽  
Qualitative Approach ◽  
Main Study ◽  
Focus Group Discussions ◽  
Group Discussions ◽  
Patient Acuity ◽  
Shift Assignment ◽  
Acuity Score

BackgroundMatching nursing shift assignment to patients' acuity scores may promote a more equitable and effective workload balance, increasing nurses' satisfaction, and improving quality of care (QoC).PurposeThis article explores nurses' perspectives about the nursing assignment process after implementing a project to promote an improved nursing assignment process in medical/surgical wards by using Perroca patient acuity tool (PAT).DesignQualitative approach was used with two focus group discussions including a total of 13 participants, selected by purposive sampling.ResultsFour main themes were generated from the data. The main study themes were: assignment based on acuity score, challenges and limitation, change journey and participants' suggestions, and recommendations for improving the assignment process.ConclusionsImplementing the tool will yield better nursing assignments; better nursing and patient outcomes and improve QoC.

A Scoping Review of the Evidence About the Nurses Improving Care for Healthsystem Elders (NICHE) Program

2019 ◽  
Author(s):  
Allison Squires ◽  
Komal Patel Murali ◽  
Sherry A Greenberg ◽  
Linda L Herrmann ◽  
Catherine O D’amico
Keyword(s):  
Older Adults ◽  
Health Care ◽  
Quality Of Care ◽  
Work Environment ◽  
Older Adult ◽  
Patient Outcomes ◽  
Scoping Review ◽  
Adult Care ◽  
Program Adoption

Abstract Background and Objectives The Nurses Improving Care for Healthsystem Elders (NICHE) is a nurse-led education and consultation program designed to help health care organizations improve the quality of care for older adults. To conduct a scoping review of the evidence associated with the NICHE program to (a) understand how it influences patient outcomes through specialized care of the older adult and (b) provide an overview of implementation of the NICHE program across organizations as well as its impact on nursing professionals and the work environment. Research Design and Methods Six databases were searched to identify NICHE-related articles between January 1992 and April 2019. After critical appraisal, 43 articles were included. Results Four thematic categories were identified including specialized older adult care, geriatric resource nurse (GRN) model, work environment, and NICHE program adoption and refinement. Specialized older adult care, a key feature of NICHE programs, resulted in improved quality of care, patient safety, lower complications, and decreased length of stay. The GRN model emphasizes specialized geriatric care education and consultation. Improvements in the geriatric nurse work environment as measured by perceptions of the practice environment, quality of care, and aging-sensitive care delivery have been reported. NICHE program adoption and refinement focuses on the methods used to improve care, implementation and adoption of the NICHE program, and measuring its impact. Discussion and Implications The evidence about the NICHE program in caring for older adults is promising but more studies examining patient outcomes and the impact on health care professionals are needed.

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