scholarly journals Factors associated with nurses’ perceptions, their communication skills and the quality of clinical handover in the Hong Kong context

BMC Nursing ◽  
2021 ◽  
Vol 20 (1) ◽  
Author(s):  
Jack Pun
Keyword(s):  
Hong Kong ◽  
Patient Care ◽  
Communication Skills ◽  
Questionnaire Survey ◽  
Communication Protocol ◽  
Care Plan ◽  
Clinical Handover ◽  
Factors Associated ◽  
Nurses Perceptions

Abstract Background Clinical handover is a pivotal, high-risk communicative event because it involves the transfer of responsibility and accountability for patients and their care. Nurses’ perceptions and their communication skills inevitably impact on their ability of clinical handover. Limited studies have explored nurses’ handover practice in the Hong Kong context. This study aimed to identify factors associated with and specific impact paths between the quality, communication skills and nurses’ perceptions on clinical handover. Methods A questionnaire survey was conducted immediately after the nurses’ training in effective handover communication. A convenience sample of 206 bilingual nursing staff from a local hospital in Hong Kong participated in this paper-and-pencil survey adopted from the Nurses Handover Perceptions Questionnaire survey. Results The path analysis revealed that except the opportunity to ask questions and high perceptions of the ISBAR communication protocol, other factors were significantly correlated with improved quality of handover. In addition, nurses who had updated information were likely to ask more questions and obtain a better understanding of the patient care plan during handover. Conclusions The quality of nursing handover depended on the degree of nurses’ grasp of the patient care plan. The ISBAR communication protocol was considered helping nurses to improve their communication skills with other colleagues and indirectly enhance patient’s safety. However, although ISBAR facilitated nurses to structure clearer handover communication, it was not the most important predictive factor for determining handover quality.

Nurses’ Perceptions of a Care Plan Information Technology Solution With Hundreds of Clinical Practice Guidelines in Adult Intensive Care Units: Survey Study (Preprint)

2018 ◽  
Author(s):  
Azizeh Khaled Sowan ◽  
Meghan Leibas ◽  
Albert Tarriela ◽  
Charles Reed
Keyword(s):  
Intensive Care ◽  
Quality Of Care ◽  
Clinical Practice ◽  
Nursing Care ◽  
Clinical Practice Guidelines ◽  
Practice Guidelines ◽  
Care Plan ◽  
System Use ◽  
Nurses Perceptions

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.

scholarly journals Randomized controlled study of the impact of a participatory patient care plan among primary care patients with common chronic diseases: a one-year follow-up study

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Nina Tusa ◽  
Hannu Kautiainen ◽  
Pia Elfving ◽  
Sanna Sinikallio ◽  
Pekka Mäntyselkä
Keyword(s):  
Quality Of Life ◽  
Patient Care ◽  
Usual Care ◽  
Care Plan ◽  
Health Related Quality ◽  
Related Quality ◽  
Health Related ◽  
Disease Specific

Abstract Backround Chronic diseases and multimorbidity are common in the ageing population and affect the health related quality of life. Health care resources are limited and the continuity of care has to be assured. Therefore it is essential to find demonstrable tools for best treatment practices for patients with chronic diseases. Our aim was to study the influence of a participatory patient care plan on the health-related quality of life and disease specific outcomes related to diabetes, ischemic heart disease and hypertension. Methods The data of the present study were based on the Participatory Patient Care Planning in Primary Care. A total of 605 patients were recruited in the Siilinjärvi Health Center in the years 2017–2018 from those patients who were followed up due to the treatment of hypertension, ischemic heart disease or diabetes. Patients were randomized into usual care and intervention groups. The intervention consisted of a participatory patient care plan, which was formulated in collaboration with the patient and the nurse and the physician during the first health care visit. Health-related quality of life with the 15D instrument and the disease-specific outcomes of body mass index (BMI), low density lipoprotein cholesterol (LDL-C), hemoglobin A1c (HbA1C) and blood pressure were assessed at the baseline and after a one-year follow-up. Results A total of 587 patients with a mean age of 69 years were followed for 12 months. In the intervention group there were 289 patients (54% women) and in the usual care group there were 298 patients (50% women). During the follow-up there were no significant changes between the groups in health-related quality and disease-specific outcomes. Conclusions During the 12-month follow-up, no significant differences between the intervention and the usual care groups were detected, as the intervention and the usual care groups were already in good therapeutic equilibrium at the baseline. Trial registration ClinicalTrials.gov Identifier: NCT02992431. Registered 14/12/2016

Factors associated with nurses’ perceptions about quality of end-of-life care

2018 ◽  
Vol 65 (2) ◽  
pp. 200-208 ◽  
Author(s):  
E. O. D. Hussin ◽  
L. P. Wong ◽  
M. C. Chong ◽  
P. Subramanian
Keyword(s):  
End Of Life ◽  
End Of Life Care ◽  
Life Care ◽  
Factors Associated ◽  
Nurses Perceptions

Factors Associated with the Utilization of Traditional Chinese Medicine in a Small Town in Hong Kong

1997 ◽  
Vol 25 (03n04) ◽  
pp. 367-373 ◽  
Author(s):  
T. W. Wong ◽  
T. S. Yu ◽  
J. L. Y. Liu ◽  
N. L. Lee ◽  
O. L. Lloyd
Keyword(s):  
Hong Kong ◽  
Chinese Medicine ◽  
Traditional Chinese Medicine ◽  
Acute Illness ◽  
Care Utilization ◽  
Factors Associated ◽  
The Past ◽  
Utilization Data ◽  
Telephone Health Survey

The practice of Traditional Chinese Medicine (TCM) is largely unregulated in Hong Kong. Yet, as previous studies have shown, a sizable segment of the population consults TCM practitioners for health problems. This paper uses health care utilization data from a telephone health survey of 847 adult subjects in Tai Po District who had suffered from acute illness in the past month, to examine the profile of TCM users in the District. Women, older residents, unemployed workers, low skill laborers, current smokers and subjects dissatisfied with the quality of private sector clinics were significantly more likely to consult TCM practitioners.

scholarly journals 573 What's in A Name? An Audit of Correct Identification of Patients During Ward-Rounds in A Surgical and Urology Receiving Ward

2021 ◽  
Vol 108 (Supplement_6) ◽  
Author(s):  
D S Sahni ◽  
G McCabe ◽  
R P Stevenson
Keyword(s):  
Patient Care ◽  
Improve Patient Care ◽  
Electronic System ◽  
Care Plan ◽  
Junior Doctors ◽  
Correct Identification ◽  
Patient Stay ◽  
Good Improvement ◽  
Ward Rounds

Abstract Aim Clinical governance states that patients should have a named Consultant during their in-patient stay. In our institution, every bed has a whiteboard above it, which mentions the name of the patient and the responsible Consultant. This should correspond with the electronic system, TrakCare. Ouraim was to audit and look into the accuracy of this practice, in order to improve the efficacy of ward-rounds and hence improve patient care and safety. Method Data was collected for general surgery and urology receiving wards over 3 consecutive days and was matched to the data available on the electronic system, TrakCare. Intervention was made in the form of verbal and written communication with the nursing staff and junior doctors. Effect of intervention was assessed 2 weeks later. Results n = 38 bed-boards were assessed. The first cycle of the audit demonstrated that 7 (18.4%) had either incorrect or no entries. The detailed analysis revealed that of these, 2 had no consultant names whereas 5 were incorrect. The second cycle demonstrated a good improvement with only 1(2.6%) bed-boards having incorrect or no names. The third cycle demonstrated sustainable impact with only 1 (2.6%) missing consultant’s name. Conclusions Ward-rounds have been an age-old practice to review patients and are vital to formulate a care plan for patients, particularly in acute settings. It is also important for the patient to know who is providing their care. Wrong or missing entries could compromise patient care and has implications in patient follow up and chasing results. A simple intervention by the nursing and medical staff can improve the quality of care.

scholarly journals Factors associated with the quality of sueño in medical students

2021 ◽  
Vol 7 (3C) ◽  
pp. 95-110
Author(s):  
Jessica Paola Palacios Garay ◽  
Pablo Celestino Olivares Rodriguez ◽  
Jenny Marianella Zavaleta Oliver ◽  
Yanina Gallardo-Lolandes
Keyword(s):  
Medical Students ◽  
Sleep Quality ◽  
Questionnaire Survey ◽  
Scientific Investigation ◽  
Quantitative Approach ◽  
Quality Of Sleep ◽  
Chi Square ◽  
Probability Sampling ◽  
Factors Associated

The present scientific investigation investigated the factors associated with the quality of sleep in medical students. Regarding the methodology, the paradigm of the present study is the positivist one, with a basic quantitative approach that makes it possible to establish associations between the research variables. Regarding the design of the research, it was limited to non-experimental and association of variables. The population was 1,420 students out of 1,420 students and a sample of 820 students was obtained through probability sampling. The technique used was the Pittsburg Sleep Quality Questionnaire Survey (ICSP) (Buysse et al., 1980). The study concluded that the quality of sleep in medical students is associated with the factors sex, age and school from which it comes, obtaining a Chi-square x2 = 84.383a, 196.433a and 422.604a respectively and p <0.05, for which establishes that personal conditions are associated with the quality of sleep in medical students.

Factors associated with the quality of life of nursing home residents in Hong Kong

2014 ◽  
Vol 62 (1) ◽  
pp. 120-129 ◽  
Author(s):  
C.K.Y. Lai ◽  
D.D.M. Leung ◽  
E.W.Y. Kwong ◽  
R.L.P. Lee
Keyword(s):  
Quality Of Life ◽  
Hong Kong ◽  
Nursing Home ◽  
Nursing Home Residents ◽  
Factors Associated
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