Evulation of nursing care quality in a palliative care clinic<p>Bir palyatif bakım kliniğinde hemşirelik bakım kalitesinin değerlendirilmesi

Objective: The study is a descriptive and cross-sectional study designed to determine the quality of nursing care and the factors affecting quality of nursing care in a palliative care clinic.Material and method: The population and the sample of the study consisted of nurses (n=16) who were working in a palliative care clinic at a state hospital in the west of the Turkey and patients (n=102) who take care in this clinic between the date between January 2015 and October 2016. The sample size was not calculated and all the nurses and patients who met the study criteria and agreed to participate in the study were reached during the data collection period. Data collection was collected with a questionnaire consisted from Nurse Presentation Form, Patient Presentation Form and Care Behaviors-24 Scale (BDI-24). Student t, Kruskal-Wallis, Mann-Whitney U test and One Way ANOVA test were used in the analysis of the data.Results: The average score of BDI-24 was found as 5.59 ± 0.15 for nurses and 5.10 ± 0.15 for patients. There was no statistically significant difference between the average of BDI-24 total points and subscale scores of nurses according to their gender, education status, working duration in palliative care clinic and weekly working hours. Similarly, there was no statistically significant difference between the BDI-24 total point average and subscale scores of the patients according to the diagnosis, gender, marital status, educational status, occupation, income level and place of residence. Conclusion: The level of perception of nursing care behaviors of palliative care nurses and patients was found to be fairly high. It is proposed to identify and improve institutional deficiencies such as number of nurses, number of patients, workload, working hours, which affect the quality of nursing care.Extended English abstract is in the end of PDF (TURKISH) file. ÖzetAmaç: Araştırma, bir palyatif bakım kliniğinde hemşirelik bakım kalitesini ve bakım kalitesini faktörleri belirlemek amacıyla yapılmış tanımlayıcı ve kesitsel bir çalışmadır.Materyal ve Method: Araştırma Türkiye’nin batısında bir devlet hastanesinin palyatif bakım kliniğinde çalışan hemşireler (n=16) ile Ocak-Ekim 2015 tarihleri arasında palyatif bakım kliniğinde yatan hastalar (n=102) oluşturmuştur. Araştırmada örneklem hesaplamasına gidilmemiş, araştırmanın yürütüldüğü tarihler arasında kriterlere uyan ve araştırmaya katılmayı kabul eden tüm hemşire ve hastalara ulaşılmıştır. Araştırmanın verileri, Hemşire ve Hasta Tanıtım Formu ve Bakım Davranışları-24 Ölçeği (BDÖ-24) kullanılarak toplandı. Verilerin analizinde Student t, Kruskal-Wallis, Mann-Whitney U testi ve One Way ANOVA testi kullanıldı.Bulgular: Hemşirelerinin BDÖ-24 toplam puan ortalaması 5.59±0.15, hastaların 5.10±0.15 olarak bulunmuştur. Hemşirelerin cinsiyet, eğitim durumu, mesleki çalışma süresi, palyatif bakım kliniğinde çalışma süresi ve haftalık çalışma saatlerine göre; hastaların tanısı, cinsiyeti, medeni durumu, eğitim durumu, mesleği, gelir düzeyi ve yaşadığı yere göre BDÖ-24 toplam puan ortalamaları ve alt boyut puan ortalamaları arasında istatistiksel olarak anlamı bir fark saptanmamıştır. Sonuç: Hemşirelerin ve hastaların hemşirelik bakım davranışlarını algılama düzeyleri oldukça yüksek bulunmuştur. Hemşirelik bakım kalitesini etkileyen hemşire sayısı, hasta sayısı, iş yükü, çalışma saati gibi kurumsal yetersizliklerin belirlenmesi ve iyileştirilmesi önerilmektedir.

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Quality of nursing care in palliative care

Meditsinskaya sestra ◽

10.29296/25879979-2021-02-01 ◽

2021 ◽

Vol 23 (2) ◽

pp. 3-9

Author(s):

C.B. Dias Fortes ◽

I.V. Ostrovskaya

Keyword(s):

Palliative Care ◽

Nursing Care ◽

Quality Of Nursing

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Effect of a staffing strategy based on voluntary increase in working hours on quality of patient care in a hospital in KwaZulu-Natal

Curationis ◽

10.4102/curationis.v32i2.915 ◽

2009 ◽

Vol 32 (2) ◽

Cited By ~ 3

Author(s):

J. McIntosh ◽

E.L. Stellenberg

Keyword(s):

Patient Care ◽

Nursing Care ◽

Working Hours ◽

Chi Square ◽

Quality Patient Care ◽

Before And After ◽

Staffing Strategy ◽

Chi Square Test ◽

Quality Of Nursing

Two of the issues facing the South African Health Care System are the shortage of nursing staff and a lack of adequate skills to provide quality patient care. The hospital under study experienced a critical shortage of applications from professional registered nurses, consequently a staffing strategy was implemented to overcome the shortage of nurses and to maintain quality patient care. The strategy introduced encouraged nurses to voluntarily work an additional ten hours per week with remuneration. A non-experimental, descriptive design with a quantitative approach was applied to investigate the effect of a staffing strategy aimed at improving the quality of care in a hospital in Kwa-Zulu Natal based on voluntarily increasing staff working hours. The investigation compared the quality of nursing care before and after the implementation of the staffing strategy through retrospective audits of randomly selected patient files 372 (11%) of the total population of 400 files were audited. A random sample of 4 boxes each containing a 100 patient files, of a total of 34 boxes, was selected from the hospital filing system. Descriptive statistical analyses were performed and correlations between various variables using the Chi-square test. No statistically significant differences (p<0.05) were found between the quality of nursing care before and after the implementation of the management strategy, even though deterioration of results after the implementation was observed. The study shows that the quality of nursing care in most wards deteriorated after implementation. The staffing strategy failed to improve or maintain the quality of nursing care.

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Kommunikasie as metode om verpleegsorg te verbeter

Curationis ◽

10.4102/curationis.v7i2.876 ◽

1984 ◽

Vol 7 (2) ◽

Author(s):

G. Postmus

Keyword(s):

Patient Care ◽

Nursing Care ◽

Task Orientation ◽

Academic Hospital ◽

Oral Medications ◽

Number Of Patients ◽

Short Period ◽

Hospital Wards ◽

Quality Of Nursing

With the large number of patients in particularly academic hospital wards and the shortage of nursing staff total patient care is not possible. This is leading to increasing task-orientation and a widening of communication gaps which are affecting the quality of nursing care. One of the main problems is that it is impossible for nurses to remember all the details given during the regular reports off by heart. Neither does the nurse know which regular oral medications each patient is receiving. The nurse is thus unable to make the required observations while doing patient care and does not provide the necessary feedback. The author suggests a simple system, based mainly on the use of patient bed lists and a note book carried by each nurse to improve communication and achieve a higher standard of nursing care within a short period.

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Advanced cancer patients' self-reported perception of timeliness of their referral to outpatient supportive/palliative care and their survival data.

Journal of Clinical Oncology ◽

10.1200/jco.2017.35.15_suppl.10121 ◽

2017 ◽

Vol 35 (15_suppl) ◽

pp. 10121-10121 ◽

Cited By ~ 3

Author(s):

Angelique Wong ◽

David Hui ◽

Margeaux Epner ◽

Vishidha Reddy Balankari ◽

Vera J De la Cruz ◽

...

Keyword(s):

Palliative Care ◽

Supportive Care ◽

Cancer Patients ◽

Advanced Cancer ◽

Just In Time ◽

Advanced Cancer Patients ◽

Care Clinic ◽

Disease Trajectory ◽

Number Of Patients ◽

Significant Difference

10121 Background: Palliative Care referral is often thought to be delayed as judged by health professionals and caregivers. However, no studies have ever examined patients’ perception of timeliness of referral. The primary objective of this study was to determine patients’ perception of the timeliness of their own referral to an outpatient palliative care clinic. We also examined the association between perceived timeliness and actual timing of referral. Methods: In this prospective survey, patients with advanced cancer were asked to rate their perceived timeliness of referral using a 5-point Likert scale ranging from much too early to much too late within 7-35 days after their first consultation visit at Supportive Care Center. They were also asked when they felt referral to Supportive Care should occur along 4 points in their disease trajectory. Actual timing of referral was assessed based on survival from the timing of completion of the survey. Results: 200 advanced cancer patients were surveyed. Median age was 64, 111 (55%) were female, and 35 (18%), 32 (16%) and 26 (13%) had gastrointestinal, lung and breast cancer, respectively. The median overall survival was 8.5 months. 144 (72%) patients perceived their referral was “just in time,” 42 (21%) felt it was “late/much too late,” and 14 (7%) felt it was much “too early/early.” 76/193 (39%) felt the referral should occur at the time of diagnosis of cancer, 32 (17%) when they start first-line chemotherapy, 46 (24%) at diagnosis of recurrent disease, 14 (7%) when there are no further treatment options, and 4 (2%) reported never. We found no significant difference in survival among patients who reported their referral was early, just in time, and late (median 9.8 vs. 8.3 vs. 9.0 months, P=0.43). Conclusions: Patients with advanced cancer were referred to our outpatient Supportive Care clinic a median of 8.5 months before death. A vast majority of patients perceived the timing of referral was appropriate, and many agreed that referral should occur early in the disease trajectory. The lack of association between perceived timeliness of referral and survival may be related to the ceiling effect and the small number of patients who felt their referral was late.

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EFFECT OF NANDA-I, NIC, AND NOC DOCUMENTATION SYSTEM TRAINING ON QUALITY OF NURSING CARE DOCUMENTATION IN THE PERINATAL WARD OF YOGYAKARTA REGIONAL PUBLIC HOSPITAL

Belitung Nursing Journal ◽

10.33546/bnj.770 ◽

2019 ◽

Vol 5 (5) ◽

pp. 180-191

Author(s):

Enny Eko Setyaningrum ◽

Intansari Nurjannah ◽

Anik Rustiyaningsih

Keyword(s):

Nursing Care ◽

Public Hospital ◽

Nursing Intervention ◽

Control Group ◽

Nursing Documentation ◽

Documentation System ◽

Significant Difference ◽

Before And After ◽

Quality Of Nursing

Background: The existing standard of nursing language consists of NANDA-I for diagnostic language standard, Nursing Intervention Classification (NIC) for nursing intervention, and Nursing Outcome Classification (NOC) for nursing outcomes. One way to improve the quality of nursing care documentation is to provide training in the documentation system.Objectives: To determine the effect of providing NANDA-I, NIC, and NOC (NNN) nursing care documentation systems training on the quality of nursing documentation.Methods: This was a pre-experimental study with pretest posttest design without a control group. Twenty-one nurses and eighty-six Medical Records (MR) of patients who were treated in the perinatal ward of Yogyakarta Regional Public Hospital were used as samples selected using purposive sampling. Those nurses were trained in the nursing care documentation system. The quality of nursing care documentation was measured using modified Quality of Diagnoses, Interventions and Outcomes (Q-DIO) instrument. Data were analyzed using Independent samples t-test with a confidence level of 95%.Results: The average of the scores of the quality of nursing documentation before training was lower (1.91) than the average after training (2.78). There was a significant difference in the quality of nursing documentation before and after training (p < 0.001).Conclusion: Training of NNN nursing documentation system could improve the quality of nursing documentation in the perinatal ward of Yogyakarta Regional Public Hospital.

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