Nursing Unit Design and Communication Patterns: What is “Real” Work?

2007 ◽  
Vol 1 (1) ◽  
pp. 58-62 ◽  
Author(s):  
Franklin Becker
Keyword(s):  
Quality Of Care ◽  
Design Research ◽  
Relevant Literature ◽  
Communication Patterns ◽  
Infection Rates ◽  
Nursing Unit ◽  
Hospital Design ◽  
Unit Design ◽  
Nurse Fatigue

While considerable attention has been paid to how the design of nursing units can help reduce nurse fatigue, improve safety, and reduce nosocomial infection rates, much less attention has been paid to how nursing unit design influences informal communication patterns, on-the-job learning, and job stress and satisfaction. Yet the literature consistently cites communication among diverse caregivers as a critical component for improving quality of care. This paper reviews relevant literature related to nursing unit design and communication patterns, and suggests an evidence-based design research agenda grounded in the concept of “organizational ecology” for increasing our understanding of how hospital design can contribute to improved quality of care.

Design and Development of BACIS Program

2021 ◽  
pp. 75-89
Keyword(s):  
Quality Of Care ◽  
Design Research ◽  
Design Science ◽  
Design And Development ◽  
Program Activity ◽  
Study Participants ◽  
Work Done ◽  
Study Setting

The work done in the BACIS program study has been divided into two areas of activity: (1) development and piloting of the system and (2) the review of its impact on the quality of care. This chapter addresses the methodology for Activity 1 on design and development of the BACIS program. Activity 1 is based on design science, which is the area in which the design and development of the BACIS program is situated. In the chapter introduction, an overview of design research is given. This is followed by an elaboration of the design science-inspired framework used in the design and development of the BACIS program. The study setting and study participants are also discussed in this chapter on the methodology used in the design and development of the BACIS program.

scholarly journals What matters most to patients when they assess quality of their care?

2012 ◽  
Vol 1 (2) ◽  
pp. 7
Author(s):  
Rein Lepnurm ◽  
Roy T. Dobson ◽  
Debora Voigts ◽  
Margaret Lissel ◽  
Lynnette L. Stamler
Keyword(s):  
Quality Of Care ◽  
Client Satisfaction ◽  
Care Model ◽  
Nursing Unit ◽  
Grading Scale ◽  
Assess Quality ◽  
Practice Assessment ◽  
Research Officer ◽  
Satisfaction Model

Objectives: To report the capabilities of a patient satisfaction questionnaire in capturing factors which are important to patients in their evaluations of the quality of care provided to them. Design: An experienced research officer introduced the study to all patients with defined tracer conditions in the Saskatoon Health Region from Jan to April of 2009.  Patients who agreed to participate returned their completed questionnaire directly to the research officer or placed them in a special box held by the nursing unit clerk on their unit. Measures: The instrument contained: 18 items of the General Practice Assessment Questionnaire for physicians and nurses; as well as single items capturing patient observations regarding: attentiveness of nurses; tidiness of facilities; efficiency of tests and treatments; patient comments; and a grading scale assessing overall quality of care. Contextual items covered health status, expenses, insurance and demographics.  A provider care model and a client satisfaction model were constructed and tested. Results: Almost 96 percent of eligible patients (n=378) completed the questionnaire.  The provider care model explained 84.2 percent of the variation in patients’ assessments of overall quality; and the client satisfaction model explained 67.6 percent of the variation. The quality of nursing and medical care were, the most important factors; however, attentiveness, tidiness, efficiency, and quantified comments each explained small but significant percentages of variance in overall quality. Conclusions: Patients consider separate dimensions in their assessments of overall quality of care.   While quality of care by professionals trumps other considerations, the passive role for patients is fading.

scholarly journals Physician Satisfaction and Physician Well-Being: Should Anyone Care?

2015 ◽  
Vol 5 (1) ◽  
Author(s):  
Lawrence P. Casalino ◽  
Francis J. Crosson
Keyword(s):  
Quality Of Care ◽  
Relevant Literature ◽  
Well Being ◽  
Care Physician ◽  
Physician Satisfaction ◽  
Difference In Differences ◽  
Physician Performance ◽  
Analytic Design ◽  
Physician Recommendations

We present a model of hypothesized relationships between physician satisfaction, physician well-being and the quality of care, in addition to a review of relevant literature. The model suggests that physicians who are stressed, burned out, depressed, and/or have poor self-care are more likely to be dissatisfied, and vice-versa. Both poor physician well-being and physician dissatisfaction are hypothesized to lead to diminished physician concentration, effort, empathy, and professionalism. This results in misdiagnoses and other medical errors, a higher rate of inappropriate referrals and prescriptions, lower patient satisfaction and adherence to physician recommendations, and worse physician performance in areas not observed by others. Research to date largely supports the model, but high quality studies are few. Research should include studies that are prospective, larger, and have a stronger analytic design, ideally including difference in differences analyses comparing quality of care for patients of physicians who become dissatisfied to those who remain satisfied, and vice versa. Keywords: physician satisfaction, physician dissatisfaction, quality of care, physician well-being, physician burnout  

Quality of Care

ASHA Leader ◽  
2012 ◽  
Vol 17 (6) ◽  
pp. 2-2
Author(s):  
Dennis Hampton
Keyword(s):  
Quality Of Care

V708: Partial Nephrectomy for Small Renal Masses: An Emerging Quality of Care Concern?

2006 ◽  
Vol 175 (4S) ◽  
pp. 229-229
Author(s):  
David C. Miller ◽  
John M. Hollingsworth ◽  
Khaled S. Hafez ◽  
Stephanie Daignault ◽  
Brent K. Hollenbeck
Keyword(s):  
Quality Of Care ◽  
Partial Nephrectomy ◽  
Small Renal Masses ◽  
Renal Masses

Medical Home Improves Patient Quality of Care

2007 ◽  
Vol 38 (9) ◽  
pp. 73
Author(s):  
MARY ELLEN SCHNEIDER
Keyword(s):  
Quality Of Care ◽  
Medical Home
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