scholarly journals Good nursing care: Rodgers’ evolutionary concept analysis

2020 ◽  
Author(s):  
Akram Ghahramanian ◽  
Maryam Rassouli ◽  
Vahid Zamanzadeh ◽  
Leila Valizadeh ◽  
Elnaz Asghari
Keyword(s):  
Nursing Practice ◽  
Quality Care ◽  
Quality Of Healthcare ◽  
Concept Analysis ◽  
Care Quality ◽  
Evolutionary Approach ◽  
Good Care ◽  
Antecedents And Consequences ◽  
Care Costs

Background & Aim: Considering that the main responsibility of the nurses is to give care to the patients, concept analysis of good care by providing a clear definition will promote nursing practice and quality of healthcare. This study aims to clarify the concept of good care through the use of Rodgers's evolutionary approach. Methods & Materials: This study used Rodgers's evolutionary approach. The keywords of good care, quality care, and similar words were used for searching from CINHAL, PubMed, Emerald, Elsevier, and Scopus databases. Literature published in English between 2000- 2018 was included. Forty-one articles were selected and content analysis was used to distinguish attributes, antecedents, and consequences of good care. Results: According to the finding, care was considered as good that was accompanied by the up-to-date knowledge and by doing procedural care skillfully and safely led to recovery, reducing health care costs, and patient satisfaction through an effective and efficient relationship with the patient. Conclusion: Skillful practice, well-informed knowledge, and effective communication are the most important inputs for nurses to provide good care for the patients and the lack of these, especially in the case of using an unprofessional workforce in nursing, is a serious threat to patient care.

Relationship between nurses’ moral sensitivity and the quality of care

2018 ◽  
Vol 26 (4) ◽  
pp. 1265-1273 ◽  
Author(s):  
Elham Amiri ◽  
Hossein Ebrahimi ◽  
Maryam Vahidi ◽  
Mohamad Asghari Jafarabadi ◽  
Hossein Namdar Areshtanab
Keyword(s):  
Quality Of Care ◽  
Inverse Relationship ◽  
Quality Care ◽  
Care Quality ◽  
Moral Sensitivity ◽  
Medical Sciences ◽  
Mean Values ◽  
Significant Inverse Relationship ◽  
Medical Wards

Background: To provide care with high quality, nurses face a number of moral issues requiring them to have moral abilities in professional performance. Moral sensitivity is the first step in moral performance. However, its relation to the quality of care patients receive is controversial. Research objective: This study aims to determine the relationship between the moral sensitivity of nurses and the quality of care received by patients in the medical wards. Research design: A descriptive correlational study using validated tools, including Moral Sensitivity Questionnaire and the Quality Patient Quality Scale. Participants and research context: In total, 198 nurses and 198 patients in 17 medical wards of hospitals affiliated with Tabriz University of Medical Sciences, Iran. Ethical considerations: The study was reviewed and approved by the Ethics Committee of Tabriz University of Medical Sciences. Findings: The mean values of nurses’ moral sensitivity and nurses’ quality care were 136.47 ± 13.30 and 196.36 ± 44.10, respectively. There was no significant relationship between the patient care quality and nurses’ moral sensitivity ( r = −.14, p = .5). However, there was a significant inverse relationship between the dimension of “Experiencing moral conflicts” and the overall score of quality care ( r = −.50, p = .04), the dimensions of “psychosocial ( r = −.50, p = .04)” and “physical ( r = −.50, p = .03).” Conclusion: Considering the significant inverse relationship between the score of patient quality care and the dimension of moral conflict experience, it seems when nurses make moral decisions, they experience a conflict between personal and professional values in their careers and thus experience moral tension. If this tension is not resolved properly, it can provide a way for them to distance themselves from patients, thereby making nurses indifferent to moral care.

Responsibility among bachelor degree nursing students: A concept analysis

2018 ◽  
Vol 26 (5) ◽  
pp. 1398-1409 ◽  
Author(s):  
Saeed Ghasemi ◽  
Fazlollah Ahmadi ◽  
Anoshirvan Kazemnejad
Keyword(s):  
Nursing Education ◽  
Nursing Students ◽  
Core Competencies ◽  
Quality Care ◽  
Concept Analysis ◽  
Operational Definition ◽  
Evolutionary Approach ◽  
Task Orientation ◽  
Bachelor Degree ◽  
Complex Concept

Background: Responsibility is an important component of the professional values and core competencies for bachelor degree nursing students and has relationships with nursing education and professionalization. It is important for providing safe and high-quality care to the clients for the present and future performance of student. But there is no clear and operational definition of this concept for bachelor degree nursing students; however, there are extensive contents and debates about the definitions, attributes, domains and boundaries of responsibility in nursing and non-nursing literature. Objective: To examine the concept of responsibility among bachelor degree nursing students using the evolutionary approach to concept analysis. Methods: A total of 75 articles published between 1990 and 2016 and related to the concept of responsibility were selected from seven databases and considered for concept analysis based on Rogers’ evolutionary approach. Ethical considerations: Throughout all stages of data collection, analysis and reporting, accuracy and bailment were respected. Findings: Responsibility is a procedural, spectral, dynamic and complex concept. The attributes of the concept are smart thinking, appropriate managerial behaviours, appropriate communicational behaviours, situational self-mandatory and task-orientation behaviours. Personal, educational and professional factors lead to the emergence of the responsible behaviours among bachelor degree nursing students. The emergence of such behaviours facilitates the learning and education process, ensures nursing profession life and promotes clients and community health level. Responsibility has some effects on nursing students. Discussion: This concept had been changed over time since 1990–2016. There are similarities and differences in the elements of this concept in disciplines of nursing and other educational disciplines. Conclusion: The analysis of this concept can help to develop educational or managerial theories, design instruments for better identification and evaluation of responsible behaviours among bachelor degree nursing students, develop strategies for enhancing the responsibility and improve the safety and quality of nursing care in the community and healthcare system.

Health Insurance and Determinants of Perceived Healthcare Service Quality in Jordan

2021 ◽  
Vol 5 (1) ◽  
pp. 1-17
Author(s):  
Wajd R. Hammad ◽  
Rozaleen B. Abedrabbo ◽  
Diala Mazen Khoury ◽  
Nadia J. Sweis
Keyword(s):  
Health Insurance ◽  
Healthcare Workers ◽  
Quality Care ◽  
Quality Of Healthcare ◽  
Healthcare Services ◽  
Cross Sectional Study ◽  
Specialist Care ◽  
Cross Sectional ◽  
Perception Of Quality

This study demonstrates the determinants that affect the perception of quality of healthcare services in Jordan. A cross-sectional study was conducted in order to determine the perception of quality of healthcare services and relating variables including availability of health insurance and quality of health insurance. This study supports the findings of other studies that health insurance influences the perception of quality of healthcare services provided. However, it is also clear that Jordanians consider the availability of doctors, ability to obtain specialist care, accessibility to health services, and cooperation of healthcare workers as significant determinants when conceptualizing the quality of healthcare and its services. The amount of premium paid had a significant association, which could reflect on valuing the money they pay and expecting high-quality care in return. Being insured increases the likelihood of perceiving higher quality of healthcare.

Moral competence among nurses in Malawi: A concept analysis approach

2018 ◽  
Vol 26 (5) ◽  
pp. 1361-1372 ◽  
Author(s):  
Veronica Mary Maluwa ◽  
Elizabeth Gwaza ◽  
Betty Sakala ◽  
Esnath Kapito ◽  
Ruth Mwale ◽  
...  
Keyword(s):  
Nursing Practice ◽  
Ethical Decision Making ◽  
Code Of Ethics ◽  
Concept Analysis ◽  
Team Work ◽  
Moral Competence ◽  
Training Environment ◽  
Positive Attitudes ◽  
Antecedents And Consequences ◽  
Improved Performance

Background: Nurses are expected to provide comprehensive, holistic and ethically accepted care according to their code of ethics and practice. However, in Malawi, this is not always the case. This article analyses moral competence concept using the Walker and Avant's strategy of concept analysis. Objective: The aim of this article is to analyse moral competence concept in relation to nursing practice and determine defining attributes, antecedents and consequences of moral competence in nursing practice. Method: Analysis of moral competence concept was done using Walker and Avant's strategy of concept analysis. Results: Deductive analysis was used to find the defining attributes of moral competence, which were kindness, compassion, caring, critical thinking, ethical decision making ability, problem solving, responsibility, discipline, accountability, communication, solidarity, honesty, and respect for human values, dignity and rights. The identified antecedents were personal, cultural and religious values; nursing ethics training, environment and guidance. The consequences of moral competence are team work spirit, effective communication, improved performance and positive attitudes in providing nursing care. Conclusion: Moral competence can therefore be used as a tool to improve care in nursing practice to meet patients' problems and needs and consequently increase public's satisfaction in Malawi.

MANAGEMENT OF HUMAN RESOURCES IN ORGANIZATIONS OF PRIMARY MEDICAL AND SANITARY ASSISTANCE

Vestnik ◽  
2021 ◽  
pp. 302-308
Author(s):  
К.М. Толегенов ◽  
Д.А. Оспанова
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Health Care Quality ◽  
Resource Planning ◽  
Care Quality ◽  
Diagnostic Process ◽  
Management Objectives ◽  
Primary Health ◽  
Care Costs

Первичная медико-санитарная помощь - важная часть общей системы здравоохранения. Эффективная первичная медико-санитарная помощь обеспечивает улучшение общественного здоровья, удовлетворенность пациентов и снижение общих затрат на здравоохранение.Стратегическое планирование человеческих ресурсов при реализации политики в области качества медицинской помощи - одна из основных задач менеджмента по повышению качества лечебно-диагностического процесса и повышению клинической эффективности и экономической эффективности каждого медицинского учреждения. Primary health care is an important part of the overall health care system. Effective primary health care provides improved public health, patient satisfaction and lower overall health care costs Strategic human resource planning in implementing health care quality policy is one of the main management objectives to improve the quality of the diagnostic process and increase clinical efficiency and the economic efficiency of each medical institution.

If Roth Were a Doctor: Physician Reputation under the HCQIA

2004 ◽  
Vol 30 (1) ◽  
pp. 85-100 ◽  
Author(s):  
Guillermo A. Montero
Keyword(s):  
United States ◽  
Peer Review ◽  
Health Care Quality ◽  
Data Bank ◽  
Quality Of Healthcare ◽  
The United States ◽  
Care Quality ◽  
Disciplinary Action ◽  
Health Care Quality Improvement

Hospitals in the United States rely on peer review committees to make credentialing decisions and to conduct ongoing evaluations of all medical care, thereby ensuring the quality of the physicians they employ. Physicians, however, may be reluctant to serve on peer review committees for fear of retaliatory litigation. In response, and in an effort to improve the quality of healthcare in the United States, Congress passed the Health Care Quality Improvement Act of 1986 (“HCQIA”).Congress designed the HCQIA to improve the quality of healthcare in two ways. First, it increased the effectiveness of peer review by providing review committees with immunity from lawsuits filed in response to professional review actions. Second, it authorized the Secretary of Health and Human Services (“HHS”) to create the National Practitioner's Data Bank (“NPDB”). Any disciplinary action taken by a review committee must, as a condition to immunity, be reported for listing in the NPDB.

Patient perceptions of quality: analyzing patient satisfaction surveys

2015 ◽  
Vol 35 (8) ◽  
pp. 1158-1181 ◽  
Author(s):  
Roberta S. Russell ◽  
Dana M. Johnson ◽  
Sheneeta W White
Keyword(s):  
Patient Satisfaction ◽  
Care Provider ◽  
Healthcare Providers ◽  
Academic Research ◽  
Quality Of Healthcare ◽  
Care Quality ◽  
Patient Perceptions ◽  
Medical Specialties ◽  
Content Type

Purpose – Healthcare facilities are entering an era of increased oversight and heightened expectations concerning both reduced costs and measureable quality. The US Affordable Care Act requires healthcare organizations to collect certain metrics, including patient assessments of quality, in order to monitor and improve the quality of healthcare. These metrics are used as a basis for graduated insurance reimbursements, and are available to consumers as an aid in selecting healthcare providers and insurance plans. The purpose of this paper is to provide healthcare providers with the analytic capabilities to better understand quality of care from the patient’s point of view. Design/methodology/approach – This research examines patient satisfaction data from a multi-specialty Medical Practice Group, and uses regression analysis and paired comparisons to provide insight into patient perceptions of care quality. Findings – Results show that variables related to Access, Moving Through the Visit, Nurse/Assistant, Care Provider and Personal Issues significantly impact overall assessments of care quality. In addition, while gender and type of care provider do not appear to have an impact on overall patient satisfaction, significant differences do exist based on age group, specialty of the physician and clinic type. Originality/value – This study differs from most academic research as it focusses on medical practices, rather than hospitals, and includes multiple clinic types, medical specialties and physician types in the analysis. The study demonstrates how analytics and patient perceptions of quality can inform policy decisions.

scholarly journals Person-Centred Care Transformation in a Nursing Home for Residents with Dementia

2021 ◽  
pp. 1-9
Author(s):  
Peiyan Ho ◽  
Rachel Chin Yee Cheong ◽  
Siew Pei Ong ◽  
Carol Fusek ◽  
Shiou Liang Wee ◽  
...  
Keyword(s):  
Nursing Home ◽  
Quality Of Care ◽  
Nursing Homes ◽  
Quality Care ◽  
Well Being ◽  
Care Quality ◽  
Care Recipient ◽  
Staff Retention ◽  
Term Care

<b><i>Background:</i></b> Conventional nursing homes in Singapore adopt an institutional and medical model of care with a focus on safety and risk management. As such, less regard is placed on upholding the dignity and autonomy of the resident, which compromises quality of care and the well-being of the resident. Today, person-centred care (PCC) has become synonymous with high-quality care that sustains the well-being and personhood of the care recipient. <b><i>Objectives:</i></b> To describe the model of PCC adopted by a nursing home, Apex Harmony Lodge (AHL), with a logic model and evaluate outcomes on residents’ well-being, care quality, and staff attrition by comparing pre-PCC initiation (2015) to post-implementation (2016). <b><i>Methods:</i></b> Male residents in a 30-bed assisted living facility for persons with dementia in AHL were assessed using Dementia Care Mapping. Residents’ well-being and staff attrition were measured before and after PCC implementation. <b><i>Results:</i></b> There were statistically significant improvements in resident well-being (Δ = 0.44, <i>p</i> = 0.029), Positive Engagement Potential (Δ = 0.17, <i>p</i> = 0.002), and Occupational Diversity (Δ = 0.12, <i>p</i> = 0.014) in 2016. Withdrawal and Passive Engagement in the residents were reduced significantly as were Care Detractors. There was also a 55% reduction in staff attrition rates post-PCC. <b><i>Conclusions:</i></b> Post-PCC implementation, the outcomes indicate a superior quality of care, enhanced resident well-being, and better staff retention. The AHL PCC model could serve as a roadmap for other nursing homes aspiring to raise the quality of care and influence long-term care standards and regulations for policy makers and legislators.

scholarly journals Quality and accreditation in health care services

2021 ◽  
Vol 12 (2) ◽  
pp. 539-543
Author(s):  
Christos Iliadis ◽  
Aikaterini Frantzana ◽  
Kiriaki Tachtsoglou ◽  
Maria Lera ◽  
Petros Ouzounakis
Keyword(s):  
Health Care ◽  
Health Services ◽  
Health Care Services ◽  
Health Care Quality ◽  
Quality Of Healthcare ◽  
Care Quality ◽  
Healthcare Management ◽  
Policy Makers ◽  
Care Services

Introduction: The quality of health care services is one of the most frequently mentioned terms and concepts regarding principles of health policy and it is currently high on the agenda of National, European and International policy makers. Purpose: The purpose of this descriptive review is to investigate the correlation between quality in health services and the promotion of health care quality provided by health services. Methodology: The study material consisted of recent articles on the subject mainly found in the Medline electronic database and the Hellenic Academic Libraries Association (HEAL-Link). Results: The clinical quality of services is often difficult to be assessed by "clients" even after the service has been provided. This is due to the fact that customers experience illness, pain, uncertainty, fear and perceived lack of control. Thus, clients may be reluctant to "co-produce" because healthcare is a service they need while they may not want it and because the risk to harm their health is prominent. In the field of healthcare management, patients' perception refers to perceived quality, as opposed to the actual or absolute quality that requires critical management. This is why health care managers face constant pressure to provide qualitative health services. Conclusions: Continuous monitoring of health care services for quality assessment is essential, hence, the evaluation of patients' perceptions of quality of healthcare, has received considerable attention in recent years.

scholarly journals Different Approaches to Cross Boreder Mobility of Patients in the European Union in Czechia, Slovakia and Poland

2016 ◽  
Vol 9 (2) ◽  
pp. 101-120
Author(s):  
Filip Křepelka
Keyword(s):  
European Union ◽  
Social Security ◽  
Quality Care ◽  
Quality Of Healthcare ◽  
Price Setting ◽  
The European Union ◽  
Socioeconomic Conditions ◽  
Public Financing ◽  
Court Of Justice

Poland and Slovakia are neighbour countries with similar history and socioeconomic conditions. They share heritage of socialized healthcare. Nevertheless, they adopted different policies towards promotion of patients’ mobility in the European Union. Accession to coordination of social security establishing assistance for tourists was smooth. Providers offer quality care for good prices. Foreign patients come to all three countries. Right for reimbursement of treatment intentionally sought across borders was created by the Court of Justice already before their accession. Nevertheless, they already decided on the Patients’ directive. Czechia supported it, Slovakia abstained and Poland refused. Numerous Poles seek treatment abroad and ask for its reimbursement, while implementing legislation barely complies and authorities are tight-fisted. Few Slovaks do it in accordance with rules adopted with cautiousness. Czechs ignore this opportunity despite official benevolence. Quality of healthcare, various price-setting and peculiarities of public financing explain this difference.

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