The Impact of DNP Projects on Quality and Safety in Health Care Organizations

2014 ◽  
Author(s):  
Carol Patton
Keyword(s):  
Health Care ◽  
Health Care Organizations ◽  
Quality And Safety ◽  
The Impact

Voices of Nurses During the Covid-19 Pandemic: A Call to Action

2021 ◽  
Vol 27 (2) ◽  
pp. 88-93
Author(s):  
Mary Jo Kreitzer
Keyword(s):  
Health Care ◽  
Health Care Organizations ◽  
Negative Emotions ◽  
Well Being ◽  
Educational Institutions ◽  
Systemic Racism ◽  
Call To Action ◽  
Long Run ◽  
The Impact ◽  
Bounce Back

The Covid-19 pandemic is having a significant impact on the well-being of nurses and has exacerbated long-standing issues of stress and burnout. Expecting or hoping that nurses will recover quickly or bounce back from the stress and deep trauma of the pandemic is not realistic. Each nurse has a story, and while these stories may have similar themes, they are all different. It is important to reflect on our stories, identify the myriad of emotions we are experiencing, and find ways to work through our feelings. Ignoring, denying, or suppressing feelings does not serve us well in the long run. Stifling negative emotions does not make them go away. A Call to Action is needed to address the impact of the pandemic, clinician burnout, and systemic racism on health-care organizations and educational institutions. Strategies are identified that will support personal and organizational well-being.

scholarly journals Measures of Treatment Workload for Patients With Breast Cancer

2019 ◽  
pp. 1-10 ◽  
Author(s):  
Alex C. Cheng ◽  
Mia A. Levy
Keyword(s):  
Breast Cancer ◽  
Health Care ◽  
Health Care Organizations ◽  
Coordinated Care ◽  
Electronic Health Record Data ◽  
Tumor Registry ◽  
Patients With Cancer ◽  
Record Data ◽  
Chemotherapy Protocol ◽  
The Impact

PURPOSE Patients with breast cancer spend a large amount of time and effort receiving treatment. When the number of health care tasks exceeds a patient’s ability to manage that workload, they could become overburdened, leading to decreased plan adherence. We used electronic health record data to retrospectively assess dimensions of treatment workload related to outpatient encounters, commuting, and admissions. METHODS Using tumor registry and scheduling data, we evaluated the sensitivity of treatment workload measures to detect expected differences in breast cancer treatment burden by stage. We evaluated the impact of the on-body pegfilgrastim injector on the treatment workload of patients undergoing a specific chemotherapy protocol. RESULTS As hypothesized, patients with higher stage cancer experienced higher treatment workload. Over the first 18 months after diagnosis, patients with stage III disease spent a median of 81 hours (interquartile range [IQR], 39 to 113 hours) in outpatient clinics, commuted 61 hours (IQR, 32 to 86 hours), and spent $1,432 (IQR, $690 to $2,552) in commuting costs. In contrast, patients with stage I disease spent a median of 29 hours (IQR, 18 to 46 hours in clinic), commuted for 34 hours (IQR, 19 to 55 hours), and spent $834 (IQR, $389 to $1,649) in commuting costs. In addition, we substantiated claims that the pegfilgrastim on-body injector was effective in reducing some dimensions of workload such as unique appointment days. CONCLUSION Treatment workload measures capture an important dimension in the experience of patients with cancer. Patients and health care organizations can use workload measures to plan and allocate resources, leading to higher quality and better coordinated care.

The Corporatization of Health Care: An Evaluation and An Alternative

1996 ◽  
Vol 9 (2) ◽  
pp. 107-114 ◽  
Author(s):  
K. Jacobs ◽  
V. Nilakant
Keyword(s):  
Health Care ◽  
Decision Making ◽  
Health Care Organizations ◽  
Health Care Systems ◽  
Work Organization ◽  
Corporate Form ◽  
Care Systems ◽  
The Usa ◽  
The Impact ◽  
Medical Task

The corporatization of health care organizations has become a significant international trend. This paper examines that trend, comparing the development of corporate health care in the USA with the impact of the New Zealand health reforms. The paper traces the evolution of the organizations of health care systems and explains the emergence of the corporate form. We argue that the corporate model of work organization is unsuited to the complex and ambiguous nature of the medical task as it ignores inherent interdependencies. An alternative is needed which addresses work practices rather than just participation in decision making and is based on a concept of mutual interdependence and support in the execution of work.

scholarly journals The Impact for Implementing Balanced Scorecard in Health Care Organizations: A Systematic Review

2021 ◽  
Author(s):  
Faten Amer ◽  
Sahar Hammoud ◽  
Haitham Khatatbeh ◽  
Szimonetta Lohner ◽  
Imre Boncz ◽  
...  
Keyword(s):  
Systematic Review ◽  
Health Care ◽  
Patient Satisfaction ◽  
Financial Performance ◽  
Balanced Scorecard ◽  
Health Care Organizations ◽  
Positive Impact ◽  
Methodological Approach ◽  
Google Search ◽  
The Impact

Aims: This systematic review aims to assess the impact of Balanced Scorecard (BSC) implementation at Health Care Organizations (HCOs) on Health Care Workers' (HCWs') satisfaction, patient satisfaction, and financial performance. Up to now, no previous systematic reviews have performed a comprehensive and rigorous methodological approach to figure out the impact of BSC implementation in HCOs. Methods: This systematic review was prepared according to PRISMA guidelines. PubMed, Embase, Cochrane, and Google Scholar databases, as well as Google search engine, were inspected to find all BSC implementations at HCOs until 20 September 2020. Then the resulted articles were screened to find the implementations which measured the impact of BSC on HCWs' satisfaction, patient satisfaction, and financial performance. Quality assessment was performed using the Standards for Reporting Implementation Studies: (StaRI) checklist. Results: Out of 4031 records, 20 articles were finally included for measuring one or more of the three impact types. 17 measured the impact of BSC on patient satisfaction, 7 on HCWs' satisfaction, and 12 on financial performance. Studies with higher quality had a higher positive impact. Conclusion: This paper offers evidence to HCOs and policymakers on the benefits of implementing BSC. BSC implementations showed a positive impact on patient satisfaction and financial performance in HCOs. However, less impact was found on HCWs' satisfaction, which should be given better consideration in future BSC implementations. High and medium-quality BSC studies were associated with higher positive impacts than low ones. BSC can be utilized as an effective tool to improve HCOs' performance during the COVID-19 pandemic.

scholarly journals Impact Scale for the Continuity of Care in Contingency Management Situations - Operationalization of the Crisis Standards of Care

2019 ◽  
Vol 34 (s1) ◽  
pp. s138-s138
Author(s):  
Roel Geene ◽  
Pieter van der Torn ◽  
Dennis den Hartog
Keyword(s):  
Health Care ◽  
Continuity Of Care ◽  
Buffer Capacity ◽  
Health Care Organizations ◽  
Contingency Management ◽  
Standards Of Care ◽  
Impact Scale ◽  
External Assistance ◽  
The Impact ◽  
Hospital Response

Introduction:A common language is needed to compare the impacts of incidents, crises, and disasters among health care coalition members, such as emergency medical services, general practitioners, and hospitals. A generic impact scale was developed, based on the Crisis Standards of Care, and was put to the test during the 2017 and 2018 winter/flu-seasons.Aim:To define an impact scale for the quantitative assessment of the hospital response to incidents, crises, and disasters.Methods:An impact scale has to be generally applicable to be useful in the context of a health care coalition. It should be applicable to all hazards and all parties in proactive and reactive, real-time settings. In addition, the scale should be easy to understand and score and should be independent of the various information systems in use. The Crisis Standards of Care were chosen as basis and were operationalized in a seven-point Likert-scale for expert-based scoring: “No impact,” “Buffer capacity needed,” “Buffer capacity sufficient,” “Unusual adaptations to care needed,” “Unusual adaptations sufficient,” “Disturbance of continuity of care inevitable without external assistance,” and “Disturbance of continuity of care inevitable.”Results:During the 2017 and 2018 winter/flu-seasons, crisis managers of ten hospitals scored the scale almost daily for three months. This served as a regional monitor and created the possibility to distribute patients and resources more evenly over the hospitals and with the care sector.Discussion:The impact scale improved communication and mutual understanding between hospitals and with other health care organizations, and is expected to have helped in maintaining the continuity of care during the 2017 and 2018 winter/flu-seasons. More research is needed on the reliability of the response. Nevertheless, the scale has since become an integral part of the regional contingency planning.

Nursing Operations Automation and Health Care Technology Innovations: 2025 and Beyond

2013 ◽  
Vol 19 (1) ◽  
pp. 30-36
Author(s):  
ChrysMarie Suby
Keyword(s):  
Health Care ◽  
Computer Technology ◽  
Health Care Organizations ◽  
Patient Acuity ◽  
Health Care Technology ◽  
Technology Innovations ◽  
Benefit Patient ◽  
Future Of Nursing ◽  
Care Technology ◽  
The Impact

This article reviews why nursing operations automation is important, reviews the impact of computer technology on nursing from a historical perspective, and considers the future of nursing operations automation and health care technology innovations in 2025 and beyond. The increasing automation in health care organizations will benefit patient care, staffing and scheduling systems and central staffing offices, census control, and measurement of patient acuity.

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