From Values to Virtue: The Basis for Quality of Care

2012 ◽  
Vol 16 (2) ◽  
pp. 50-56 ◽  
Author(s):  
Yvonne Näsman, ◽  
Lisbet Nyström, ◽  
Katie Eriksson,

The aim of this article is to discuss the conceptual connections between virtue, ethics, and quality of care, suggesting that there is a profound connection between virtue and quality. Virtue is discussed as a basic concept in caritative caring ethics, reflecting on the fundamental idea of quality, resulting in a model combining the two of them. This forms a solid basis for any quality assurance program and is, thus, of an abstract, general nature.

1988 ◽  
Vol 7 (3) ◽  
pp. 389-405 ◽  
Author(s):  
Helene D. Grossman ◽  
Audrey S. Weiner

As the graying population, increasing costs, and public regulation place new demands on the institutional long-term care setting, administrators face a major challenge in ensuring quality of care and of life. Quality of life in long-term care has been defined by the subjective importance and perceived availability of autonomy, interpersonal relations, and security. Quality of care is the effective provision of health care resources in appropriate quantity and duration to respond to actual need. As such, it is but one, albeit essential, component of quality of life in the nursing home. These two concepts are based on somewhat different underlying values that create different criteria for decision making. We use the experience of one urban 1, 100-bed multilevel nursing home to illustrate how a multifaceted quality-assurance program including resident input can be developed and implemented using quality of life standards to define and evaluate institutional culture and practices. Mechanisms for monitoring quality of life include a quality-assurance department, grievance/complaint procedures, resident government, staff committees, structured rounds, and educational programs. Examples illustrate how an emphasis on quality of life and of care can result in institutional conflict and how such conflicts can be reconciled.


Onkologie ◽  
2009 ◽  
Vol 32 (8-9) ◽  
pp. 493-498 ◽  
Author(s):  
Andreas Du Bois ◽  
Deivis Strutas ◽  
Christine Buhrmann ◽  
Alexander Traut ◽  
Nina Ewald-Riegler ◽  
...  

2008 ◽  
Vol 35 (5) ◽  
pp. 1807-1815 ◽  
Author(s):  
Jean-Pierre Bissonnette ◽  
Douglas J. Moseley ◽  
David A. Jaffray

2016 ◽  
Vol 58 (3) ◽  
pp. 372-377 ◽  
Author(s):  
Hideyuki Mizuno ◽  
Shigekazu Fukuda ◽  
Akifumi Fukumura ◽  
Yuzuru-Kutsutani Nakamura ◽  
Cao Jianping ◽  
...  

Abstract A dose audit of 16 facilities in 11 countries has been performed within the framework of the Forum for Nuclear Cooperation in Asia (FNCA) quality assurance program. The quality of radiation dosimetry varies because of the large variation in radiation therapy among the participating countries. One of the most important aspects of international multicentre clinical trials is uniformity of absolute dose between centres. The National Institute of Radiological Sciences (NIRS) in Japan has conducted a dose audit of participating countries since 2006 by using radiophotoluminescent glass dosimeters (RGDs). RGDs have been successfully applied to a domestic postal dose audit in Japan. The authors used the same audit system to perform a dose audit of the FNCA countries. The average and standard deviation of the relative deviation between the measured and intended dose among 46 beams was 0.4% and 1.5% (k = 1), respectively. This is an excellent level of uniformity for the multicountry data. However, of the 46 beams measured, a single beam exceeded the permitted tolerance level of ±5%. We investigated the cause for this and solved the problem. This event highlights the importance of external audits in radiation therapy.


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