scholarly journals Does Nursing Care Quality integrated with Clinical Governance relate to Hospital Anxiety and Depression among Elderly Patients with Coronary Heart Diseases?

2020 ◽  
Author(s):  
Farideh Bastani ◽  
Pouya Farokhnezhad Afshar ◽  
Oldouz Valipour
Keyword(s):  
Elderly Patients ◽  
Nursing Care ◽  
Paradigm Shift ◽  
Clinical Governance ◽  
Care Quality ◽  
Anxiety And Depression ◽  
Hospital Anxiety ◽  
Nursing Care Quality ◽  
Quality Of Nursing

Abstract Background : A coronary heart disease (CHD) is one of the causes of frequent elderly hospitalizations that are associated with psychological complications such as "hospital anxiety and depression". Furthermore, there needs to be a paradigm shift beyond routine programs toward innovative approaches such as clinical governance (CG) to improve the quality of care. This study aimed to investigate the association between Nursing Care Quality integrated with CG to Hospital Anxiety and Depression among Elderly Patients. Methods : In this descriptive correlational study, 250 elderly patients with CHD admitted to a large teaching hospital in Tehran, Iran as “Aging Friendly Hospital” selected by consecutive sampling method. The data collection instruments included the Quality Patient Care Scale (QUALPAC) and The Hospital Anxiety and Depression Scale (HADS). Data were collected by face to face interviews. Data were analyzed using descriptive and inferential statistics such as independent t-test, ANOVA and correlation coefficients in SPSS v.16 software . Results : Overall, 91.6 % of the subjects perceived the quality of nursing care integrated with CG desirable. The mean score of HADS in the subscales of anxiety and depression were (1.52 ± 1.14 and 2.18 ± 1.51) respectively which indicates hospital anxiety and depression were less than the average level. There was a negative significant correlation between the subjects’ hospital anxiety and quality nursing care (P< 0.01). Conclusion : The findings showed there is an association between perceived quality of nursing care and hospital anxiety among elderly patients. It is recommended that Managers of healthcare services should take into account CG seriously to paradigm shift beyond routinely care program toward innovative approaches of health policy.

scholarly journals Nursing care quality and post-operative wound infections

2016 ◽  
Vol 126 (1) ◽  
pp. 13-18 ◽  
Author(s):  
Marek Kos ◽  
Agnieszka Dziewa ◽  
Anna Ksykiewicz-Dorota ◽  
Bartłomiej Drop ◽  
Michał Kos
Keyword(s):  
Nursing Care ◽  
Care Quality ◽  
Wound Infections ◽  
Nursing Care Quality ◽  
Hospital Acquired ◽  
Staff Skills ◽  
Care Ward ◽  
Quality Of Nursing ◽  
Operative Wound

Abstract Introduction. The aim of the surveillance over infections is to define the critical points, lacks in knowledge of staff skills, as well as lack of equipment. It is aimed at preventing the same mistakes from being conducted all over again, instead of making those guilty suffer from consequences of their mistakes. Aim. The authors aimed at assessing the quality of nursing care procedures in terms of preventing post-operative wound infections. Materials and methods. The research was conducted in medical treatment, surgical and intensive care ward. A self-constructed questionnaire “Nursing care quality and prophylaxis of hospital-acquired infections” was used for the study. It was validated using the peer judges method. Results and conclusions. The highest nursing care coefficient was noted in county hospitals ( x̅ = 94.5%), while the lowest was noted in clinical hospitals ( x̅ = 91.3%). It was concluded that there is a deficit in adherence to procedures related to post-operative wound treatment.

scholarly journals Patient perceived quality of nursing care in hemodialysis: A meta-synthesis

2021 ◽  
Vol 9 (1) ◽  
Author(s):  
Abbas Balouchi ◽  
Abbas Ebadi ◽  
Soroor Parvizy ◽  
Hamid Sharif Nia
Keyword(s):  
Nursing Care ◽  
Perceived Quality ◽  
Care Quality ◽  
Resource Quality ◽  
Nursing Care Quality ◽  
Structure Dimension ◽  
Efficient Care ◽  
Nursing Quality ◽  
Quality Of Nursing

This study was done with the purpose of clarifying the concept of patient perceived quality of nursing care in hemodialysis. In this meta-synthesis study, qualitative studies was searched in the four interntional databases from January 1st, 2000 to December 30th, 2019. The keywords used were: nursing care quality, and hemodialysis. Studies which had been done with the purpose of understanding the patient perceived quality of nursing care concept aomg hemodialysis patients were included. Two researchers were evaluate the quality of included studies separately using JBI tool, required information were extracted using the designed table. The main themes in the structure dimension include Sufficient Human resource, quality of equipment, financial support from patient and quality of the patient care environment. Process dimension consisted of continuous monitoring of the syndromes, effective patient education, efficient care, effective therapeutic relationship, and patient’s empowerment and participation in the process, and in the outcome dimension included high dialysis adequecy, patient burnout reduction, and increased patient satisfaction from services. The results of the study indicated a comprehensive, deep and interactive dimensions about the concept of nursing quality of care.

scholarly journals Factors influencing the quality of nursing care as perceived by mothers of hospitalized children in South Korea

2021 ◽  
Vol 27 (3) ◽  
pp. 266-275
Author(s):  
Ina Jin ◽  
Hun Ha Cho
Keyword(s):  
Nursing Care ◽  
Explanatory Power ◽  
Care Quality ◽  
Hospitalized Children ◽  
Hospital Data ◽  
Factors Affecting ◽  
Communication Ability ◽  
Nursing Care Quality ◽  
Quality Of Nursing

Purpose: This study aimed to identify the factors affecting the quality of nursing care as perceived by mothers of hospitalized children and provide basic data for the development of nursing care quality improvement programs.Methods: The participants consisted of 167 mothers, each of whom had a child hospitalized at a specific children's hospital. Data were collected from June 22 to August 8, 2019.Results: The factors that affected how mothers perceived the quality of nursing care were the communication ability of nurses (β=.44, p<.001) and the mother-nurse partnership (β=.33, p=.001). The total explanatory power of these factors was 54.1%.Conclusion: To improve the quality of pediatric nursing care, it is necessary to improve the communication abilities of nurses and to promote partnership between nurses and the mothers of hospitalized children.

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 Perception of the nursing care quality by patients of an Andean hospital [Percepción de la calidad de atención de enfermería por pacientes de un hospital andino]

2021 ◽  
Vol 5 (1) ◽  
pp. 20-25
Author(s):  
Rosa del Pilar Efigenia Atoche Benavides ◽  
Martín Vargas Atoche
Keyword(s):  
Marital Status ◽  
Nursing Care ◽  
Urban Areas ◽  
Care Quality ◽  
Cross Sectional ◽  
Item Questionnaire ◽  
Catholic Religion ◽  
Nursing Care Quality ◽  
Quality Of Nursing

The objective of the research was to determine the quality of nursing care according to the perception of the patient admitted to the Hospital "Víctor Ramos Guardia" Huaraz. The hypothesis was: The perception of the quality of nursing care of patients admitted to the Víctor Ramos Guardia Hospital in Huaraz is good. The study was descriptive, correlational and cross-sectional, the sample consisted of 88 hospitalized patients, the processing and analysis was carried out according to the application of an 18-item questionnaire. The results: The quality of nursing care according to the perception of the patient admitted to the Víctor Ramos Guardia Hospital in the 2016 period with 55.7% was good, 65.9% the technical component, likewise 60.2% the interpersonal component and finally the component comfort of the environment 61.4% in the quality of nursing care as good. According to the sociodemographic variables: It was observed that female patients 37.5%, with a higher degree of education 37.5%, the marital status cohabitating 36.4%, Catholic religion 44.3% affirmed that the quality of nursing care was good, while those who resided in urban areas 44.3% reported that the quality of nursing care is poor. In conclusion, the quality of nursing care was good according to the perception of the patient admitted to the Víctor Ramos Guardia Hospital.

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 Assessment of quality of care in acute postoperative pain management

2009 ◽  
Vol 66 (2) ◽  
pp. 156-162 ◽  
Author(s):  
Dragana Milutinovic ◽  
Verica Milovanovic ◽  
Miroslava Pjevic ◽  
Mirjana Martinov-Cvejin ◽  
Tomislav Cigic
Keyword(s):  
Pain Management ◽  
Postoperative Pain ◽  
Nursing Care ◽  
Severe Pain ◽  
Postoperative Pain Management ◽  
Care Quality ◽  
Acute Postoperative Pain ◽  
Nursing Care Quality ◽  
The Difference

Background/Aim. Managing of acute postoperative pain should be of great interest for all hospital institutions, as one of the key components of patients satisfaction, which indicates quality, as well as the outcome of treatment. The aim of this study was to assess the quality of nursing care in managing acute postoperative pain and to establish factors which influence patients assessment of the same. Method. The investigation was conducted on the sample of 135 patients hospitalized in surgical clinics of the Clinical Centre of Vojvodina in Novi Sad in the form of cross-sectional study, by interviewing patients during the second postoperative day and collecting sociodemographic variables, type of surgical procedure and applied analgesic therapy which were taken from their medical documentation. The modified questionnaire of the Strategic and Clinical Quality Indicators in Postoperative Pain Management (SCQIPP) was used as the instrument of the investigation. The data were processed with suitable mathematical statistics methods such as multivariate analyses of variance (MANOVA), discriminative and other parametric procedures and methods. Roy's test, Pearson's coefficient contingency (?), multiple correlation coefficient (R) were conducted amongst other invariant procedures. Results. The mean score for the individual items of SCQIPP questionnaire was between 2.0 and 4.7 (scale range 1-5) and the percentage of patients answers 'strongly agree' ranged from 4.4 to 77%. The smallest number of positive answers were given by the patients for the item 'In order to assess pain intensity, some of the staff asked me at least once in the morning, in the afternoon and in the evening to show the number from 0-10'. Most of the patients (57%) evaluated severe pain during the previous 24 hours, as moderate pain, which represents significantly greater number of patients which complain of severe pain and mild pain (p < 0.001). The analysis of patients evaluation (MANOVA p < 0.05 and discriminative p < 0.05) indicates the existence of significant difference between the assessment of nursing care quality in managing acute postoperative pain as regards to clinics as the place for pain management, patient's sex and his expectations. Evaluation from 'communication' subscale gives the greatest contribution (24.9%) to the difference between the observed clinics, and the greatest contribution (25.7%) to the difference in evaluation of nursing care quality as regards to patients' sex has the evaluations from 'procedure' subscale. Conclusion. The results of this study show a useful evidence and identify aspects of nursing care in postoperative management of acute pain which are still to be improved. According to the patients' answers the priority should be given to a regular assessment of the intensity of postoperative pain and evaluation of the effects of analgesic therapy.

scholarly journals Avaliação da assistência de enfermagem em um hospital especializado

2019 ◽  
Vol 9 (28) ◽  
pp. 123-130
Author(s):  
Julia Tavares de Oliveira Prado ◽  
Mariel Tavares de Oliveira Prado Bergamo ◽  
Thais Marchini de Oliveira ◽  
Maria Irene Bachega
Keyword(s):  
Standard Deviation ◽  
Nursing Care ◽  
Public Hospital ◽  
Sao Paulo ◽  
Care Quality ◽  
São Paulo ◽  
Good Level ◽  
Level Of Satisfaction ◽  
Nursing Care Quality

Avaliar a qualidade da assistência em enfermagem por meio do nível de satisfação do usuário de um hospital terciário e público do interior do estado de São Paulo, Brasil. Participaram da pesquisa, 16 pacientes que realizaram cirurgias na área de otorrinolaringologia e que tinham permanecido internados 48 horas ou mais na Unidade de Internação no ano de 2016 em um hospital especializado do interior paulista. Os participantes responderam ao questionário Instrumento de Satisfação do Paciente (ISP). Levando-se em consideração a média total ponderada de todos os domínios estudados (3,9) e seu desvio padrão (0,7), os usuários desse hospital terciário e público possuem um bom nível de satisfação com a assistência de enfermagem, pois o valor está acima da média e o desvio padrão expressou que os dados não estão dispersos. O paciente deste hospital terciário e público possui um bom nível de satisfação com a assistência de enfermagem prestada.Descritores: Satisfação do Paciente, Cuidados de Enfermagem, Qualidade da Assistência à Saúde. Evaluation of nursing care in a specialized hospitalAbstract: To evaluate the quality of nursing care quality through the level of user satisfaction of a tertiary and public hospital in the interior of São Paulo state, Brazil. The study included 16 patients who underwent otorhinolaryngology surgeries and who had been hospitalized for 48 hours or more at the Care Unit in 2016 at a specialized hospital in the interior of São Paulo. Participants answered the Patient Satisfaction Instrument (PSI) questionnaire. Considering the total weighted average of all domains studied (3.9) and their standard deviation (0.7), the users of this tertiary and public hospital had a good level of satisfaction with nursing care because the value is above average, and the standard deviation expressed that the data is not dispersed. The patient of this tertiary and public hospital has a good level of satisfaction with the nursing care provided.Descriptors: Patiente Satisfaction, Nursing Care, Quality of Health Care. Evaluación de la atención de enfermería en un hospital especializadoResumen: Evaluar la calidad de la atención de enfermería a través del nivel de satisfacción del usuario de un hospital terciario y público en el interior del estado de São Paulo, Brasil. El estudio incluyó a 16 pacientes que se sometieron a cirugía en el área de otorrinolaringología y que habían sido hospitalizados durante 48 horas o más en la unidad de pacientes hospitalizados en 2016 en un hospital especializado en el interior de São Paulo. Los participantes respondieron el cuestionario del Instrumento de Satisfacción del Paciente (ISP). Considerando el promedio total ponderado de todos los dominios estudiados (3.9) y su desviación estándar (0.7), los usuarios de este hospital terciario y público tienen un buen nivel de satisfacción con la atención de enfermería, ya que Este valor está por encima del promedio y la desviación estándar expresó que los datos no están dispersos. El paciente de este hospital terciario y público tiene un buen nivel de satisfacción con la atención de enfermería brindada.Descriptores: Satisfacción del Paciente, Atención de Enfermería, Calidad de la Atención Médica.

Leadership styles’ influence on the quality of nursing care

2019 ◽  
Vol 32 (6) ◽  
pp. 1022-1033 ◽  
Author(s):  
Aladeen Alloubani ◽  
Laila Akhu-Zaheya ◽  
Ibrahim Mubarak Abdelhafiz ◽  
M. Almatari
Keyword(s):  
Leadership Styles ◽  
Leadership Style ◽  
Nursing Care ◽  
Care Quality ◽  
Practice Research ◽  
Public Healthcare ◽  
Content Type ◽  
Private And Public ◽  
Quality Of Nursing

Purpose The purpose of this paper is to investigate managers’ leadership styles, from the perspective of registered nurses, and its effects on the quality of nursing care in both the private and public healthcare sectors. An additional aim is to assess the relationship between leadership styles and particular organisational outcomes. Design/methodology/approach The sample for this quantitative research study was comprised of 400 respondents, among which 50 were nurse managers, 150 were staff nurses and the remaining respondents were patients. Two questionnaires were used in this study: the multi-factor leadership questionnaire (MLQ) 5X short and a patient satisfaction with nursing care quality questionnaire (PSNCQQ). Findings A positive correlation was found between the transformational leadership style with leadership outcomes and the quality of nursing care (r=0.811**, 0.759**, 0.789** and 0.877** for extra effort, job satisfaction, leader effectiveness and quality, respectively). Practical implications Although the sample study was extensive, a possible limitation is that the research utilised convenient sample who are working in the private and public healthcare sectors thus limiting the generalisability of the study. Originality/value This study was proposed as a baseline for upcoming studies in areas of education, nursing practice, research and quality. Moreover, this study was expected to be imperative to the hospital’s management, in order to improve the current level of leadership, education models and advancement programs for the healthcare sector’s senior staff.

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.

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