A New Egyptian Validation Tool for Measuring Quality of Nursing Care Using the CQ Index

2020 ◽  
pp. JNM-D-20-00013
Author(s):  
Nagah Abd El-Fattah Mohamed Aly ◽  
Safaa Moustafa El-Shanawany
Keyword(s):  
Quality Improvement ◽  
Nursing Care ◽  
Quality Index ◽  
Total Variance ◽  
Cross Sectional ◽  
Consumer Quality Index ◽  
Descriptive Survey ◽  
Validation Tool ◽  
Quality Of Nursing

Background and PurposeMeasuring and monitoring the quality of nursing care are essential for improving quality of nursing care and safety. This study aimed to develop an Egyptian validation tool for measuring the quality of nursing care from the perspectives of patients based on consumer quality index and describe the aspects of quality of nursing care that need improvement.MethodsA cross-sectional descriptive survey using Consumer quality index questionnaire of nursing care aspects was carried on 400 patients.Results44 attributes of care were extracted into nine dimensions accounting for 70.4% of the total variance. The majority of nursing care aspects needed moderate levels of quality improvement.ConclusionsA valid and reliable Egyptian tool was developed for measuring the quality of nursing care built upon consumer quality index.

scholarly journals Patient satisfaction with the quality of nursing care: A cross-sectional study

2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
N Skhvitaridze ◽  
T Lobjanidze ◽  
A Papidze ◽  
E Barjadze ◽  
N Landia
Keyword(s):  
Patient Satisfaction ◽  
Nursing Care ◽  
Waiting Time ◽  
Cross Sectional Study ◽  
Capital City ◽  
Survey Study ◽  
Cross Sectional ◽  
Patients Satisfaction ◽  
Quality Of Nursing

Abstract Aim To evaluate patients' satisfaction with the quality of nursing care and examine factors which affect their decision. Design A retrospective, cross-sectional, descriptive survey study. Methods Data were collected using a structured questionnaire in Georgian language was administered to the patients. The response rate was 93% and the final sample was composed of 173 patients who enrolled consequently after taking written informed consent. One hospital and one outpatient department in the capital city of Georgia were selected for the study setting. Data were collected during one month. Data on demography was collected. Descriptive and inferential statistics were applied accordingly using STATA version 17. Eligible criteria: Adults, capable of independent communication and who talk Georgian language, did not have any severe process or complications, were in the recovery stage, with no referral and discharging to home. Results Majority of respondents were aged between 56-65 years (50%), males (52.5%), residents of the capital city (70%), having higher education (80%) and employed (75%). Overall, 89% of patients described provided nursing care as an excellent. The most important factors, which affect patients' satisfaction are the waiting time before admission, safety of services, comfortable environment along with the proper level of care and attentiveness. These results can be generalized and may be useful in comparative studies of patient satisfaction. Key messages Permanent evaluation of nursing care is important to evaluate patients satisfaction. Factors as waiting time, safety of services, comfortable and friendly environment, and attentiveness are key for high level of satisfaction.

scholarly journals The relationship between autonomy, optimism, work engagement and organisational citizenship behaviour among nurses fighting COVID-19 in Wuhan: a serial multiple mediation

BMJ Open ◽  
2020 ◽  
Vol 10 (9) ◽  
pp. e039711
Author(s):  
Hui Zhang ◽  
Yi Zhao ◽  
Ping Zou ◽  
Yang Liu ◽  
Shuanghong Lin ◽  
...  
Keyword(s):  
Nursing Care ◽  
Work Engagement ◽  
Cross Sectional Study ◽  
Mediation Model ◽  
Mediating Effects ◽  
Multiple Mediation ◽  
Cross Sectional ◽  
The Relationship ◽  
Quality Of Nursing

ObjectivesHigh levels of organisational citizenship behaviour can enable nurses to cooperate with coworkers effectively to provide a high quality of nursing care during the outbreak of COVID-19. However, the association between autonomy, optimism, work engagement and organisational citizenship behaviour remains largely unexplored. This study aimed to test if the effect of autonomy on organisational citizenship behaviour through the mediating effects of optimism and work engagement.Study designThis was a cross-sectional study.SettingThe study was conducted in the Wuhan Jinyintan Hospital in China.ParticipantsIn total, 242 nurses who came from multiple areas of China to work at the Wuhan Jinyintan hospital during the COVID-19 epidemic participated in this study.MethodsA serial mediation model (model 6) of the PROCESS macro in SPSS was adopted to test the hypotheses, and a 95% CI for the indirect effects was constructed by using Bootstrapping.ResultsThe autonomy–organisational citizenship behaviour relationship was mediated by optimism and work engagement, respectively. In addition, optimism and work engagement mediated this relationship serially.ConclusionThe findings of this study may have implications for improving organisational citizenship behaviour. The effects of optimism and work engagement suggest a potential mechanism of action for the autonomy–organisational citizenship behaviour linkage. A multifaceted intervention targeting organisational citizenship behaviour through optimism and work engagement may help improve the quality of nursing care among nurses supporting patients with COVID-19.

scholarly journals The Implementation Of 3S (SDKI, SIKI, SLKI) to The Quality Of Nursing Care Documentation In Hospital’s Inpatient Rooms

2020 ◽  
Vol 9 (2) ◽  
pp. 1323-1328
Author(s):  
Wiwin Sulistyawati ◽  
Susmiati Susmiati
Keyword(s):  
Nursing Care ◽  
Nursing Intervention ◽  
P Value ◽  
Hospital Inpatient ◽  
Chi Square ◽  
Cross Sectional ◽  
Nursing Diagnosis ◽  
Chi Square Test ◽  
Quality Of Nursing

The implementation of 3S (SDKI, SIKI, and SLKI) is a benchmark used as a guideline for the enforcement of nursing diagnosis, nursing intervention, and a nursing outsider to provide safe, effective, and ethical nursing care. This study aims to analyze the implementation of 3S on the quality of documentation in hospital inpatient rooms. Research design correlation analysis with the cross-sectional approach. The research sample of implementing nurses in hospital inpatient rooms who have implemented 3S. Sampling techniques use sampling quotas. Based on Chi-Square test results obtained, p-value = 0.001 < α 0.005 . It means there is a relationship of application of 3S to the quality of nursing care documentation in hospital inpatient rooms. Based on the results of this study, the Head of Nursing is expected to implement 3S to improve the quality of nursing care documentation, which will have an impact on improving the quality of nursing services

scholarly journals Gambaran Kepuasan Pasien yang Menggunakan Jaminan Kesehatan (BPJS) terhadap Mutu Pelayanan Keperawatan di Rumah Sakit Kabupaten Jember

2020 ◽  
Vol 8 (2) ◽  
pp. 112
Author(s):  
Kurnia Rahmawati ◽  
Anisah Ardiana ◽  
Dicky Endrian Kurniawan
Keyword(s):  
Patient Satisfaction ◽  
Health Service ◽  
Nursing Care ◽  
Cross Sectional Study ◽  
Care Quality ◽  
Cross Sectional ◽  
Nursing Service ◽  
Inpatient Ward ◽  
Quality Of Nursing

Quality of service is a service that suits your needs, affordable, effective, efficient, and no risk to save on expenses. This study aimed to analyze the description of BPJS patient satisfaction with the quality of nursing service at inpatient ward of hospital in Jember. This was a cross sectional study. The subjects of this study were BPJS patients at inpatient ward at hospital in Jember. There were 120 respondents choosed by purposive sampling. Data were collected using the Patient Satisfaction with Nursing Care Quality Questionnaire (PNSCQQ). This study showed that the patient satisfaction is not optimal. Indicators of general perception of patients in each statement showed that 80 patients (63.5%) said the overall quality of health service received was good. The overall quality of nursing service was also said to be good by 80 patients (63.5%). As many as 90 patients (71.5%) agreed that they wanted to recommend one of the hospital in Jember to family and friends who needed help in terms of health service. This research showed that it is important to improve the quality of nursing service to increase patient satisfaction. Nurses need to improve nursing care. This research can be used as a reference and illustration for hospital management, and nurses are expected to implement and improve quality nursing service in order to achieve better health service so patient satisfaction will be increase.

scholarly journals The relationships between moral distress and quality of nursing care in oncology nurses

2020 ◽  
Vol 26 (4) ◽  
pp. 366-373
Author(s):  
Sae Mi Kim ◽  
Yong Soon Shin
Keyword(s):  
Nursing Care ◽  
Moral Distress ◽  
Correlation Study ◽  
Oncology Nursing ◽  
Cross Sectional ◽  
Factors Affecting ◽  
Distress Scale ◽  
The Relationship ◽  
Quality Of Nursing

Purpose: The study aimed to investigate the relationship between moral distress and the quality of nursing care.Methods: This cross-sectional correlation study included nurses working at oncology nursing units of two secondary general hospitals in Seoul and Gyeonggi-do, Korea. A total of 207 nurses participated. Moral distress was measured by the Moral Distress Scale-Revised Nurse Questionnaire and quality of nursing care was evaluated by the Quality of Oncology Nursing Care Scale. Data were collected from October 5 to 31, 2018. Data analysis included descriptive statistics, independent t-test, ANOVA, Pearson’s correlation coefficient and multiple regression analysis.Results: The quality of oncology nursing care showed a negative correlation with moral distress (r=-.19, <i>p</i>=.007). The factors affecting the quality of oncology nursing care were religion (β=-.22, <i>p</i>=.001), clinical experience in oncology units (β=.27, <i>p</i>=.007), and moral distress (β=-.16, <i>p</i>=.018). Moral distress showed a statistically significant predictive power of 13% in the regression model (F=8.70, <i>p</i>=<.001).Conclusion: The findings of this study suggest that management of moral distress is important to increase the quality of oncology nursing care.

Perception of care quality and ethical sensitivity in surgical nurses

2020 ◽  
Vol 27 (3) ◽  
pp. 673-685
Author(s):  
Selda Mert Boğa ◽  
Aylin Aydin Sayilan ◽  
Özlem Kersu ◽  
Canan Baydemİr
Keyword(s):  
Nursing Care ◽  
Holistic Approach ◽  
Care Quality ◽  
Working Environment ◽  
Ethical Sensitivity ◽  
Cross Sectional ◽  
Surgical Nurses ◽  
The Relationship ◽  
Quality Of Nursing

Background: It is stated that high ethical sensitivity positively affects the quality of nursing care. However, the relationship between nursing care quality and ethical sensitivity has not been clearly demonstrated in researches. Aim: This study was carried out to determine the relationship between surgical nurses’ care behaviors and their ethical sensitivity. Method: The sample of this cross-sectional, descriptive-correlational study consists of 308 nurses who worked at the surgical departments in four Turkish hospitals. The data were collected using the “Nurse Description Form” developed by the researcher, “Caring Behaviours Inventory-24” and “Ethical Sensitivity Questionnaire.” Data were evaluated by the Mann Whitney U test, Kruskal Wallis one-way analysis of variance and Spearman correlation analysis. Ethical considerations: The study was approved by the ethics committee. Verbal and written consent was received from the nurses. Results: It was found in the study that nurses’ Caring Behaviours Inventory-24 total score median was 5.25 (4.83–5.58), nurses’ perception level of caring quality was high, median of Ethical Sensitivity Questionnaire total score was 89.00 (75.00–101.00) and nurses’ ethical sensitivity was moderate. A negative significant relation was found between nurses’ Caring Behaviours Inventory-24 total score and Ethical Sensitivity Questionnaire total score (r = -0.162; p = 0.009). A negative relation was also detected between nurses’ working period at the current clinic and providing benefit (r = -0.147; p = 0.012), holistic approach (r = -0.139; p = 0.018) and orientation (r = -0.175; p = 0.003) scores of Ethical Sensitivity Questionnaire sub-scales. Conclusion: Nurses’ perception levels of caring quality were high and their ethical sensitivity levels were moderate. It was found out that nurses’ ethical sensitivity increased together with their perception of caring quality, and as their working period at the current clinic increased, the ethical sensitivity also increased in terms of the sub-scales of providing benefit, holistic approach, and orientation. The factors that adversely affect the quality of nursing care and ethical sensitivity should be examined and attempts should be made to improve the working environment.

scholarly journals Perceived quality of nursing care and patient education: a cross-sectional study of hospitalised surgical patients in Finland

BMJ Open ◽  
2019 ◽  
Vol 9 (4) ◽  
pp. e023108 ◽  
Author(s):  
Weronica Gröndahl ◽  
Hanna Muurinen ◽  
Jouko Katajisto ◽  
Riitta Suhonen ◽  
Helena Leino-Kilpi
Keyword(s):  
Patient Education ◽  
Nursing Care ◽  
Family Members ◽  
Perceived Quality ◽  
Surgical Patients ◽  
Cross Sectional ◽  
Hospital District ◽  
Hospital Patients ◽  
Quality Of Nursing

ObjectivesThis study aims to analyse the relationship between patient education and the quality of surgical nursing care as perceived by patients. The background of the study lies in the importance of a patient-centred approach for both patient education and quality evaluation.DesignThis was a cross-sectional descriptive correlational study with surgical patients.SettingData were collected in 2013 in one hospital district in Finland.Participants480 hospitalised surgical patients.MethodsThe data were collected using two structured instruments: one measuring the perceived quality of nursing care experienced by patients (Good Nursing Care Scale) and one measuring the received knowledge of hospital patients (RKhp). Data were analysed statistically using descriptive and inferential statistics to describe the sample and study variables. Pearson’s correlation coefficients were used to analyse the association between the scales.ResultsSurgical hospital patients evaluated the level of the quality of nursing care as high; this was especially true with reference to the environment and staff characteristics, but not to collaboration with family members. Most (85%) of the patients had received sufficient knowledge preoperatively and they were familiar with the proceeding of their care and treatment after discharge; in particular, they had received bio-physiological knowledge, consisting of knowledge of the disease, symptoms and the physiological elements of care. The positive correlation between the perceived quality of surgical nursing care and received knowledge was strong, suggesting a positive relationship between patient education and improvement of the quality of nursing care.ConclusionsBased on the results, the quality of nursing care and patient education are interconnected. Thus, by improving patient education, the quality of nursing care can also be improved. It is particularly important to improve collaboration with family members and patients’ own management strategies as well as the multidimensionality of educational knowledge.

scholarly journals EFEKTIVITAS TIMBANG TERIMA METODE SBAR TERHADAP MUTU ASUHAN KEPERAWATAN

2019 ◽  
Vol 4 (1) ◽  
Author(s):  
Rusdi Rusdi
Keyword(s):  
Nursing Care ◽  
Sampling Technique ◽  
Care Quality ◽  
Medical Surgery ◽  
Hospital Data ◽  
Cross Sectional ◽  
Nursing Care Quality ◽  
Analytic Design ◽  
Quality Of Nursing

Background: Patients’ handover with SBAR method is one of the indicators in the patient safety target, yet at Dirgahayu Hospital data shows that to achieve effective communication: SBAR in the medical surgery ward for the January to September 2018 period is only 80% - 90% and there are some incident findings including KTD 8 events, KNC 3 events, KPC 3 events. Objective: To find out the Effectiveness of Handover with SBAR Method to the Nursing Care Quality. Method: This study used a descriptive analytic design with cross sectional approach, which was conducted in December 2018 and the number of samples was 92 people selected by using the proportionate random sampling technique. Variable measurements were performed using questionnaires and observation sheets. Results: the effectiveness of handover with SBAR method to the quality of nursing care at Dirgahayu Samarinda Hospital is at ρ-value = 0.001. Conclusion: Patients’ handover with SBAR method greatly influences the safety of patients in hospitals, so that it can improve the quality of nursing care.  

scholarly journals Estimación de calidad del cuidado de enfermería en pacientes sometidos a hemodiálisis

2018 ◽  
Vol 15 (1) ◽  
pp. 71 ◽  
Author(s):  
Víctor Alfonso López-Soracipa ◽  
Eilyn Alexandra España-Barrios ◽  
Ana Elena Hernández-Garcés
Keyword(s):  
Nursing Care ◽  
Chronic Patients ◽  
Cross Sectional ◽  
Health Care Evaluation Mechanisms ◽  
Health Care Evaluation ◽  
Management Of Care ◽  
The City ◽  
The Universe ◽  
Quality Of Nursing

Objetivo: Evaluar la calidad del cuidado de enfermería en una población de pacientes con tratamiento de hemodiálisis en la ciudad de Bogotá. Materiales y Métodos: Se realizó un estudio descriptivo de corte transversal, mediante la aplicación de la adaptación colombiana del instrumento Care-Q que relaciona actitudes y actividades de cuidado que realiza el enfermero(a) y que fueron evaluadas por el paciente a través de una escala Likert. El universo estuvo conformado por la totalidad de los pacientes en hemodiálisis que pertenecen a un grupo de apoyo de pacientes crónicos, se llegó a un tope de 100 pacientes convocados a los cuales se les aplicó el instrumento. Resultados: Se determinó que entre el 60% y 85% de la población evaluaba de manera positiva los cuidados proporcionados por el personal de enfermería. Conclusiones: Se encontró un porcentaje considerable de satisfacción dentro de la población participante, lo cual se contrasta con lo evidenciado en la literatura donde se plantea que el enfermero (a) es el profesional más indicado para el cuidado de este tipo de pacientes, también se hizo evidente la necesidad de generar investigaciones dirigidas a la evaluación continua de la atención de enfermería, debido a que ello facilita la creación de acciones de mejoramiento en la gestión del cuidado y permite trabajar por el cumplimiento de la calidad en la atención en salud.Palabras clave: Satisfacción del Paciente; Mecanismos de Evaluación de la Atención de Salud; Fallo Renal CrónicoEstimation of quality of nursing care in patients subjected to hemodialysisAbstractObjective: To evaluate the quality of nursing care in a population of patients with hemodialysis treatment in the city of Bogotá. Materials and Methods: A cross-sectional descriptive study was carried out, through the application of the Colombian adaptation of the Care-Q instrument that relates attitudes and nursing care activities that were evaluated by the patient through a Likert scale. The universe consisted of all the patients on hemodialysis who belong to a support group of chronic patients, reaching a limit of 100 patients summoned to whom the instrument was applied. Results: It was determined that between 60% and 85% of the population evaluated in a positive way the care provided by the nursing staff. Conclusions: A considerable percentage of satisfaction was found within the participating population, which is contrasted with what is evidenced in the literature where it is stated that the nurse is the most suitable professional for the care of this type of patients. It made evident the need to generate research aimed at the continuous evaluation of nursing care, because it facilitates the creation of actions for improvement in the management of care and allows working for the fulfillment of quality in health care.Key words: Patient Satisfaction; Health Care Evaluation Mechanisms; Kidney Failure, Chronic Estimativa da qualidade do cuidado de enfermagem em pacientes submetidos ahemodiáliseResumoObjetivo: Avaliar a qualidade do atendimento de enfermagem em uma população de pacientes com tratamento de hemodiálise na cidade de Bogotá. Materiais e Métodos: Foi realizado um estudo descritivo transversal, através da aplicação da adaptação colombiana do instrumento Care-Q que relaciona atitudes e atividades de cuidados de enfermagem que foram avaliadas pelo paciente através de uma Escala Likert. O universo consistiu de todos os pacientes em hemodiálise que pertencem a um grupo de apoio de pacientes crônicos, atingindo um limite de 100 pacientes convocados para quem o instrumento foi aplicado. Resultados: Determinou-se que entre 60% e 85% da população avaliam de forma positiva os cuidados prestados pela equipe de enfermagem. Conclusões: Uma percentagem considerável de satisfação foi encontrada na população participante, o que é contrastado com o que é evidenciado na literatura onde se afirma que a enfermeira é o profissional mais adequado para o cuidado desse tipo de pacientes. Indicou a necessidade de gerar pesquisa voltada para a avaliação contínua dos cuidados de enfermagem, pois facilita a criação de ações de melhoria na gestão dos cuidados e permite trabalhar para o atendimento da qualidade nos cuidados de saúde.Palavras chave: Satisfação do Paciente; Mecanismos de Avaliação da Assistência à Saúde; Falência Renal Crônica

scholarly journals A clinical audit report on quality of nursing documentation at Jigme dorji Wangchuck national referral Hospital, 2018

2019 ◽  
Vol 5 (2) ◽  
pp. 15-20
Author(s):  
Kencho Zangmo ◽  
Tshering Dema ◽  
Bhagawat Acharya ◽  
Sonam Sonam ◽  
Tshering Choden ◽  
...  
Keyword(s):  
Nursing Care ◽  
Oral Communication ◽  
Referral Hospital ◽  
Care Process ◽  
Sources Of Information ◽  
Nursing Documentation ◽  
Cross Sectional ◽  
National Referral Hospital ◽  
Quality Of Nursing

Introduction: Whether it is a written documentation or an oral communication, the practice and delivery of healthcare is debated to be critically dependent on effective and efficient communication. Nursing documentation is one of the principal sources of information about patient care and an important tool for communication. This descriptive study assessed both quantitative completeness and quality of nursing documentation by major in-patient units of Jigme Dorji Wangchuck National Referral Hospital. Methods: This cross-sectional study used D-catch tool. Data of randomly selected 317 patient records from six major in-patient units were entered into EpiData file. Using STATA version IC/14, descriptive statistics and multi variable analysis were carried out. Results: Overall quantitative completeness (M-3.4, SD-.59) of the nursing documentation was higher compared to the quality of the documents maintained (M-2.8, SD-.79). The basic and less time-consuming information such as admission data and vital signs charting are documented better compared to the more time consuming and complex documentation such as nursing care process. Conclusion: Systems should not only be in place to enhance documentation quantitatively but also consider uplifting the quality of the documents maintained. Initiating centralized admission system in the hospital may reduce nurses’ burden of clerical documentation, which will allow them to focus on quality nursing documentation and overall nursing care of patients.

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