scholarly journals Significant influencing factors and practical solutions in improvement of clinical nursing services: a Delphi study

2019 ◽  
Vol 20 (1) ◽  
Author(s):  
Sarieh Poortaghi ◽  
Abbas Ebadi ◽  
Mahvash Salsali ◽  
Afsaneh Raiesifar ◽  
Nayyereh Davoudi ◽  
...  
Keyword(s):  
Delphi Study ◽  
Poor Quality ◽  
Clinical Services ◽  
Policy Makers ◽  
Factors Affecting ◽  
Nursing Managers ◽  
Clinical Nursing ◽  
Communication Program ◽  
Nursing Services

Abstract Background Clinical services evaluation with specific indicators are very helpful to identify improvable points. This study was conducted to analyze the factors affecting the quality of clinical nursing services and offer practical solutions for accreditation of clinical nursing services. Methods The present study was conducted using Delphi method with two rounds. At the beginning of the study a questionnaire was prepared using results of another project (clinical nursing services audit). This questionnaire was sent to 47 nursing and accreditation professionals. After the first round, causes and solutions were categorized. Then participants were asked to comment on the significance of each strategy on the prepared questionnaire. Results In the first round of Delphi in response to the question about the main causes and solutions of low quality of nursing clinical services, 394 causes and 212 solutions were mentioned by the participants. In the second round, considering moralists and specialization in the selection of nursing managers, staffing according to workload and attendance in comprehensive exam after graduation and before entering clinical fields attained the most importance. Conclusion Mismatch of human resources with workload and lack of clarity with regard to duties have maximum correlation with poor quality of care. Organizational structure and communication program categories gained the highest and lowest importance respectively. This information could be used by nursing managers and policy makers to plan programs in order to improve the quality of clinical nursing services.

scholarly journals FACTORS AFFECTING NURSES’ PERFORMANCE TOWARDS HEALTHCARE IMPROVEMENT: A CRITICAL REVIEW

2021 ◽  
Vol 3 (1) ◽  
pp. 24-36
Author(s):  
Amira Dime Aroon
Keyword(s):  
Survey Design ◽  
Poor Quality ◽  
Unique Contribution ◽  
Policy And Practice ◽  
Factors Affecting ◽  
Secondary Sources ◽  
Nursing Managers ◽  
Communication Program ◽  
Healthcare Improvement

Purpose: The study, therefore, seeks to establish the factors that influence the performance of nurses towards the overall healthcare improvement.Methodology: This study adopted a desk survey design. This involved an in-depth review of studies in relation to nurses’ performance and healthcare improvement. An in-depth search of the top keywords related to nurses’ performance and healthcare improvement was done in various databases. Thus, the seminar paper was purely qualitative, drawing its findings from secondary sources of information.Findings: The study finds that workload, payment and salaries, working conditions and leadership affect the performance of nurses towards the overall healthcare improvement. Unique contribution to theory, policy, and practice: Mismatch of human resources with workload and lack of clarity with regard to duties have maximum correlation with poor quality of care. Organizational structure and communication program categories gained the highest and lowest importance respectively. This information could be used by nursing managers and policy makers to plan programs in order to improve the quality of clinical nursing services. Clinical governance is considered as a framework for improving the quality of clinical services in nursing. Professional nursing practice standards are valid expression tasks that are expected of all nurses regardless of their roles and expertise in communities to be done with merit.

scholarly journals ‘We just look at the well-being of the baby and not the money required’: a qualitative study exploring experiences of quality of maternity care among women in Nairobi’s informal settlements in Kenya

BMJ Open ◽  
2020 ◽  
Vol 10 (9) ◽  
pp. e036966 ◽  
Author(s):  
Jackline Oluoch-Aridi ◽  
Francis Wafula ◽  
Gilbert Kokwaro ◽  
Mary B Adam
Keyword(s):  
Qualitative Study ◽  
Health Facility ◽  
Maternity Care ◽  
Informal Settlement ◽  
Perceived Quality ◽  
Poor Quality ◽  
Health Facilities ◽  
Public Facility ◽  
Clinical Services

ObjectiveTo examine how women living in an informal settlement in Nairobi perceive the quality of maternity care and how it influences their choice of a delivery health facility.DesignQualitative study.SettingsDandora, an informal settlement, Nairobi City in Kenya.ParticipantsSix focus group discussions with 40 purposively selected women aged 18–49 years at six health facilities.ResultsFour broad themes were identified: (1) perceived quality of the delivery services, (2) financial access to delivery service, (3) physical amenities at the health facility, and (4) the 2017 health workers’ strike.The four facilitators that influenced women to choose a private health facility were: (1) interpersonal treatment at health facilities, (2) perceived quality of clinical services, (3) financial access to health services at the facility, and (4) the physical amenities at the health facility. The three barriers to choosing a private facility were: (1) poor quality clinical services at low-cost health facilities, (2) shortage of specialist doctors, and (3) referral to public health facilities during emergencies.The facilitators that influenced women to choose a public facility were: (1) physical amenities for dealing with obstetric emergencies and (2) early referral to public maternity during antenatal care services. Barriers to choosing a public facility were: (1) perception of poor quality clinical services, (2) concerns over security for newborns at tertiary health facilities, (3) fear of mistreatment during delivery, (4) use of unsupervised trainee doctors for deliveries, (5) poor quality of physical amenities, and (6) inadequate staffing.ConclusionThe study provides insights into decision-making processes for women when choosing a delivery facility by identifying critical attributes that they value and how perceptions of quality influence their choices.

scholarly journals Far From Gentrification and Touristification? Residents’ perceptions of displacement on Murano Island

2021 ◽  
Vol 15 (1) ◽  
Author(s):  
Dario Bertocchi ◽  
Camilla Ferri
Keyword(s):  
Quality Of Life ◽  
Daily Life ◽  
Policy Makers ◽  
Factors Affecting ◽  
Venetian Lagoon

Murano, an island in Venetian Lagoon, is world-renowned for its historical glassmaking industry. In the last decades, similarly to what is happening in central Venice, Murano has seen a significant decrease in its population and a reduction of its traditional activities, both being connected to broader tourism gentrification dynamics. Prompted by this, the authors devised and circulated a wide-ranging questionnaire that aimed to investigate the economic, social, and territorial factors affecting people’s quality of life on the island. The questionnaire was completed by almost 15% of Murano’s residents and one aspect that it captured was various inhabitants’ perceptions of issues concerned with tourism gentrification, which we analysed using Cocola-Gant’s (2018) concepts of residential, commercial, and place-based displacement. We found that Muranese residents these dynamics most keenly when they impact their daily life on the island, and they are concerned about the loss of the identity of places they know and live in. We conclude by affirming that this situation is not irreversible, and that policy makers can act to address it.

scholarly journals FACTORS AFFECTING RESEARCH ENVIRONMENT AT SYRIAN BUSINESS FACULTIES: A STUDENT-PERCEIVED MODEL

2016 ◽  
Vol 14 (2) ◽  
pp. 210-225
Author(s):  
Bayan KHALIFA ◽  
Riad ABDULRAOUF ◽  
Sulaiman MOUSELLI
Keyword(s):  
Research Performance ◽  
Survey Method ◽  
Research Environment ◽  
Policy Makers ◽  
Business Programs ◽  
Postgraduate Students ◽  
Factors Affecting ◽  
Quality Of Research ◽  
Significant Factors

This study aims at investigating the factors that affect the research environment of business postgraduate students, particularly master students, from the perspective of these students. From the same perspective, it also aims at assessing these factors together with the quality of research environment. A questionnaire survey method was employed. The questionnaire was developed by academics from five business faculties based on relevant studies and was distributed to graduate students enrolled in all of the research business programs at the Faculty of Economics, Damascus University, ending up with 88 valid responses. To explore the factors that may affect research environment, exploratory factor analysis was employed. In addition, multiple regression analysis and t-test were applied to respond to the study purposes. Facilities and industry linkage come to be significant factors in the research environment. However, the results show insignificant impact for each of the research courses, networking, and research skills in the overall research environment. Variations in regard to the availability of these factors were identified with low level of availability for the facilities and industry linkage. The study is one of a kind that investigates factors affecting research environment of postgraduate students and particularly master students. Further and to the best of our knowledge, it is the first study that examines such factors in war conditions, which enables us to understand what students perceive as critical factors influencing their research performance in these conditions. Recommendations to policy makers are presented to develop strategies that respond to students’ concerns for a better research environment.

scholarly journals Cognition of nurses in neurology department on rehabilitation nursing

2019 ◽  
Vol 10 (1) ◽  
pp. 25-30
Author(s):  
Qie Liu ◽  
Xin Xu
Keyword(s):  
Human Health ◽  
Nursing Care ◽  
Clinical Care ◽  
High Morbidity ◽  
Stroke Patients ◽  
Factors Affecting ◽  
Nursing Managers ◽  
Nursing Services ◽  
Stroke Knowledge ◽  
Nursing Quality

Abstract Stroke has become a major disease seriously threating human health due to its high morbidity, mortality and disability. Rehabilitation nursing care for stroke patients has always been a key part of clinical care. The neurological nursing managers should pay high attention to the issue about how to more effectively improve the level of nurses’ rehabilitation nursing on stroke patients. Therefore, this paper investigates the current cognition of neurological nurses about stroke knowledge, attitude and behaviour, and then analyses the factors affecting the knowledge, attitude and behaviour of stroke in the nurses, in order to provide better nursing services for stroke patients, and improve their nursing quality. The findings show that the different cognitions of nurses about their role have different effects on the knowledge, attitudes and behavioural levels of the neurological nurses; the nurses with more types of roles have better knowledge and behavioural levels of stroke.

scholarly journals Spending on K-12 Public Education: The Lebanese Case

2022 ◽  
Vol 9 (1) ◽  
pp. 1-25
Author(s):  
Tarek Shal
Keyword(s):  
Public Education ◽  
Review Paper ◽  
Public Spending ◽  
Quality Of Education ◽  
Policy Makers ◽  
Factors Affecting ◽  
The Public ◽  
K 12 ◽  
Desk Review

The purpose of this paper was to examine the public spending on education in Lebanon, in order to make recommendations for executives to strategize this sector. This is a desk review paper that uses secondary resources, using rigorous criteria for document selection. The paper overviews the importance of spending on education and its relationship with the overall quality of education. It highlights the different factors affecting public spending peculiar to the Lebanese context, the various challenges confronting the Lebanese K-12 public education sector, and the spending of Lebanon on it. It provides recommendations for stakeholders and policy-makers on areas that require more attention in terms of spending.

scholarly journals Assessment of skills gap among intermediaries of cotton supply chain in Punjab, Pakistan

2019 ◽  
Vol 6 (3) ◽  
pp. 186-191
Author(s):  
Adeel Ahmad ◽  
Muhammad Iftikhar ◽  
Babar Shahbaz ◽  
Chris O. Igodan ◽  
Kathy Lechman ◽  
...  
Keyword(s):  
Sample Size ◽  
Value Chain ◽  
Fiber Strength ◽  
Sampling Technique ◽  
Total Sample ◽  
Poor Quality ◽  
Factors Affecting ◽  
Doing Business ◽  
Marketing Costs

Cotton is an important crop in Pakistan as it contributes 1.0% of GDP and 5.1% in agricultural value addition (GOP, 2017). Despite the fact that cotton value chain has strategic importance in Pakistan in terms of its contributions towards GDP, employment, export earnings, poverty alleviation, and empowerment of women, its real value has not yet been realized. One area that has an effect on income of farmers and that has not received attention is the role of middleman in the agricultural marketing. The aims of this study were to address the skill gap of the commission agents and to develop techniques to bridge those gaps. Random sampling technique was used to determine sample size. The total sample size of the study was 50 respondents. SPSS (Statistical Package for Social Sciences) was employed to analyze the collected data. Results show that most of the respondents were in their productive ages to make effective decisions and understand features of doing business. Of the total respondents 6% had no education while 94% had education of varied level. Respondents were experienced in doing business of cotton marketing. Most of the commission agents were having awareness gap regarding quality characteristics of cotton. Commission agents had moderate skills level in management of various marketing costs. Mostly the commission agents were not considering fiber fineness, fiber length, fiber strength, fiber maturity and contamination due to hair as factors towards low prices and poor quality of cotton. Weak capacity of institutional infrastructure and lack of marketing system was the major constraint in marketing of cotton. Commission agents should be equipped with training regarding maintenance of quality attributes, management of marketing costs and controlling of various factors affecting price and quality of cotton.  

scholarly journals Menghitung Kebutuhan Tenaga Perawat di rumah Sakit: Telaah Penelitian “Optimalisasi Pendokumentasian Keperawatan di rumah Sakit Dharmais Jakarta

2014 ◽  
Vol 5 (1) ◽  
Author(s):  
Riza Musni
Keyword(s):  
Health Care ◽  
Work Load ◽  
Health Care Team ◽  
Essay Writing ◽  
Resources Management ◽  
Nursing Managers ◽  
Nursing Services ◽  
Strategic Role ◽  
Quality Of Nursing

Keperawatan merupakan suatu profesi yang sangat penting dan menentikan dalam pemberian pelayanan kesehatan. Di rumah sakit keperawatan juga memegang peranan yang sangat strategis, dimana kebanyakan tenaga kesehatan adalah para perawat yang memberikan asuhan keperawatan. Pelayanan keperawatan yang bermutu dapat dicapai salah satunya tergantung pada seimbangnya anatara jumlah tenaga dan beban kerja perawat di suatu institusi. Kebutuhan kana tenaga keperawatan ini sebenarnya dapat dilihat dari situasi sehari-hari, disamping ada cara-cara yang harus digunakan dalam memperkirakan kebutuhan tenaga. Adapun cara-cara tersebut adalah menurut cara Rasio, Need, Demand, Gilies (1989), hasil lokakarya keperawatan dan Formulasi Nina. Dari cara tersebut yang sering digunakan adalah Cara Gilies (1989), hasil lokakarya keperawatan dan metode Formulasi Nina. Tujuan penulisan ini dimaksudkan sebagai bahan masukan bagi pembuat rencana tentang kebutuhan tenaga di rumah sakit dan utamanya bagi profesi keperawatan. Nursing is an important profession which determined the quality of health care. As the majority of health care team at hospital was merely nurses, nursing has a leading and strategic role in it. And one of requirements to make a high quality of nursing services is balancing between the quantity of nursing staffs and nursing work load in an institution. Actually, we can easily view the demand of nursing resource from daily situations. Due to this difficulty, we can adopt some methods to predict the demand of nursing staffs. Some of theories are according to Ration, Need, Demand, Gilies (1989), method from nursing consortium and nina formulation’s theory. Purpose of this essay writing is as an input for nursing managers and nursing staff planner at hospitals and mainly for nursing profession in order to enchance their knowledge in nursing resources management.

scholarly journals Poor-quality embryos compared with available embryos at cleavage stage have similar outcomes in vitrified-thawed single blastocyst transfer

2021 ◽  
Author(s):  
Hanyan Liu ◽  
Shaoquan Zhan ◽  
Xiaolin Long ◽  
Lei Li ◽  
Hongzi Du ◽  
...  
Keyword(s):  
Clinical Outcomes ◽  
Retrospective Cohort ◽  
Endometrial Thickness ◽  
Poor Quality ◽  
Good Prognosis ◽  
Cleavage Stage ◽  
Factors Affecting ◽  
Single Blastocyst Transfer ◽  
Confounding Variables

Abstract Background It was known that in patients with good prognosis, day 5 good-quality blastocysts formed by available cleavage embryos (AEs) or poor-quality cleavage embryos (PQEs) did not affect clinical outcomes. However, the clinical outcomes of day 5/6 expanded blastocysts cultured in patients who faced with PQEs was unclear. Methods Retrospective cohort study was conducted among women aged ≤ 38 who underwent vitrified-warmed single blastocyst transfers (SBTs) which originated from AEs (n = 382), PQEs with AEs (n = 99), or only PQEs without AEs (n = 101). Results The PQEs compared to the AEs showed lower CPR (38.38% in PQEs with AEs; 36.63% in PQEs without AEs; versus 57.07% in AEs) and lower LBR (28.28%; 29.70%; versus 44.50%), but there was no statistical difference in CPR (adjusted OR 0.78, 95% CI 0.46–1.31; adjusted OR 0.82, 95% CI 0.47–1.42) and LBR (adjusted OR 0.91, 95% CI 0.53–1.59; adjusted OR 0.94, 95% CI 0.50–1.78) after controlling for confounding variables. Better outcomes were associated with thicker endometrial thickness (CPR: adjusted OR 1.18, 95% CI 1.05–1.33; LBR: adjusted OR: 1.16, 95% CI 1.03–1.30) and blastocyst expansion on day 5 (CPR: adjusted OR 2.52 95% CI 1.62–3.94; LBR: adjusted OR: 2.28, 95% CI 1.43–3.65). ICM score C (CPR: adjusted OR 0.08, 95% CI 0.01–0.67; LBR: adjusted OR: 0.10, 95% CI 0.01–0.76) were associated with worse outcomes. Conclusions Once the blastocyst was available, endometrial thickness, ICM grade, and the day of blastocyst expansion were the factors affecting the outcome, while the quality of cleavage embryos (PQEs or AEs) had no effect on subsequent clinical outcomes.

Factors affecting moral distress in nurses working in intensive care units: A systematic review

2020 ◽  
pp. 147775092092717
Author(s):  
Foroozan Atashzadeh-Shoorideh ◽  
Faraz Tayyar-Iravanlou ◽  
Zeynab Ahmadian Chashmi ◽  
Fatemeh Abdi ◽  
Rosana Svetic Cisic
Keyword(s):  
Intensive Care ◽  
Intensive Care Units ◽  
Moral Distress ◽  
Web Of Science ◽  
Poor Quality ◽  
Qualitative Studies ◽  
Staff Nurses ◽  
Prevention Strategies ◽  
Factors Affecting

Background Moral distress is a major issue in intensive care units that requires immediate attention since it can cause nurses to burnout. Given the special conditions of patients in intensive care units and the importance of the mental health of nurses, the present study was designed to systematically review the factors affecting moral distress in nurses working in intensive care units. Methods PubMed, EMBASE, Web of Science, Scopus, and Science Direct were systematically searched for papers published between 2009 and 2019. Original articles from quantitative and qualitative studies were reviewed. The CONSORT and STROBE checklists were used to assess the quality of the quantitative papers. The JBI checklist was applied for qualitative studies. Results Factors affecting moral distress in nurses include lack of nursing staff, nurses with inadequate experience, lack of support from organizations and colleagues, inadequate education and lack of knowledge of nurses, poor collaboration of physicians with nurses, ethical insensitivity and lack of teamwork, heavy workload, poor quality of care and moral violence and they are considered as risk factors for moral distress. Conclusion Many of the related causes are due to the nature of nurses’ work and it is necessary to manage the underlying conditions of this phenomenon so that it can be effectively prevented from spreading. Levels of moral distress require more attention of authorities in the use of prevention strategies and the reduction of effective factors in distress.

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