scholarly journals Nurses’ perceptions of quality within the neonatal continuum of care: A qualitative approach using Donabedian’s Conceptual Framework

2020 ◽  
Author(s):  
Lauren Ann Snell
Keyword(s):  
Quality Care ◽  
Continuum Of Care ◽  
Primary Data ◽  
Structured Interviews ◽  
Neonatal Deaths ◽  
Donabedian Model ◽  
Analyse Data ◽  
Nurses Perceptions ◽  
Purposive Sample

Abstract Background Over the last two decades, globally, the number of neonatal deaths declined from 5.0 million in 1990 to 2.5 million in 2018. The residual neonatal mortality rate is seen as problematic and indicative of possible poor services or failings in the provision of quality care to neonates. The aim of this study was to analyse nurses’ perception related to the quality of the neonatal continuum of care, using Donabedian model as an evaluative framework.Methods A qualitative study design was utilised. Primary data was collected via semi-structured interviews from a purposive sample of nurses (n = 21), observations and document analysis. Thematic analysis was used to analyse data.Results Two categories of criteria relating to structure and process were identified by nurses. Structure criteria included Human resources and resources; and process criteria included technical quality, interpersonal development and nurse-patient relationship.Conclusion To ensure quality care, a variety of infrastructure, an adequate supply of equipment, supplies and an adequate staff capacity that are trained and skilled healthcare professionals are required.

scholarly journals Implementation of Person-Centered Care: A Feasibility Study Using the WE-CARE Roadmap

2021 ◽  
Vol 18 (5) ◽  
pp. 2205
Author(s):  
Roman A. Lewandowski ◽  
Jędrzej B. Lewandowski ◽  
Inger Ekman ◽  
Karl Swedberg ◽  
Jan Törnell ◽  
...  
Keyword(s):  
Pilot Study ◽  
Feasibility Study ◽  
Health Care Professionals ◽  
Quality Care ◽  
Structured Interviews ◽  
Rehabilitation Hospital ◽  
Person Centered Care ◽  
Centered Care ◽  
Multi Disciplinary Team

Background: Person-Centered Care (PCC) is a promising approach towards improved quality of care and cost containment within health systems. It has been evaluated in Sweden and England. This feasibility study examines initial PCC implementation in a rehabilitation hospital for children in Poland. Methods: The WE-CARE Roadmap of enablers was used to guide implementation of PCC for patients with moderate scoliosis. A multi-disciplinary team of professionals were trained in the PCC approach and the hospital Information Technology (IT) system was modified to enhance PCC data capture. Semi-structured interviews were conducted with the nine health care professionals involved in the pilot study and three patients/parents receiving care. Transcribed data were analyzed via content analysis. Results: 51 patients and their families were treated via a PCC approach. High proportions of new PCC data fields were completed by the professionals. The professionals were able to implement the three core PCC routines and perceived benefits using the PCC approach. Patients and their families also perceived improved quality care. The WE-CARE framework enablers facilitated PCC implementation in this setting. Conclusions: This feasibility pilot study indicates that the Gothenburg PCC approach can be successfully transferred to a rehabilitation hospital in Poland with favorable perceptions of implementation by both professionals and patients/their families.

scholarly journals Lack of school requirements and clinician recommendations for human papillomavirus vaccination

2018 ◽  
Author(s):  
Linda M. Niccolai ◽  
Anna L. North ◽  
Alison Footman ◽  
Caitlin E. Hansen
Keyword(s):  
Human Papillomavirus ◽  
Hpv Vaccination ◽  
School Entry ◽  
Structured Interviews ◽  
Human Papillomavirus Vaccination ◽  
Strong Recommendation ◽  
Entry Requirements ◽  
Design And Methods ◽  
Purposive Sample

Background: A strong recommendation from a clinician is one of the best predictors of human papillomavirus (HPV) vaccination among adolescents, yet many clinicians do not provide effective recommendations. The objective of this study was to understand how the lack of school entry requirements for HPV vaccination influences clinicians’ recommendations. Design and Methods: Semi-structured interviews with a purposive sample of 32 clinicians were conducted in 2015 in Connecticut USA. Data were analysed using an iterative thematic approach in 2016-2017. Results: Many clinicians described presenting HPV vaccination as optional or non-urgent because it is not required for school entry. This was noted to be different from how other required vaccines were discussed. Even strong recommendations were often qualified by statements about the lack of requirements. Furthermore, lack of requirements was often raised initially by clinicians and not by parents. Many clinicians agreed that requirements would simplify the recommendation, but that parents may not agree with requirements. Personal opinions about school entry requirements were mixed. Conclusions: The current lack of school entry requirements for HPV vaccination is an important influence on clinicians’ recommendations that are often framed as optional or non-urgent. Efforts are needed to strengthen the quality of clinicians’ recommendations in a way that remains strong and focused on disease prevention yet uncoupled from the lack of requirements that may encourage delays. Additionally, greater support for requirements among clinicians may be needed to successfully enact requirements in the future.

scholarly journals Assessing the quality of collaboration towards the achievement of Sustainable Energy Innovation in PFI school projects

2015 ◽  
Vol 8 (3) ◽  
pp. 408-440 ◽  
Author(s):  
Sulafa M. Badi ◽  
Stephen D Pryke
Keyword(s):  
Public Sector ◽  
Private Sector ◽  
Sustainable Energy ◽  
Primary Data ◽  
Future Research ◽  
Limited Attention ◽  
Structured Interviews ◽  
Content Type ◽  
Energy Innovation

Purpose – The purpose of this paper is to examine the quality of collaboration towards Sustainable Energy Innovation (SEI) in Private Finance Initiative (PFI) projects. While the capacity of PFI to encourage collaboration towards innovation is largely advocated by its proponents; however, it remains to be supported by empirical evidence. Design/methodology/approach – Adopting the Complex Product System (CoPS) innovation management model, the authors assess the quality of collaboration at the interface between the innovation superstructure of public sector clients and users, and the innovation infrastructure of private sector designers, contractors and operators. Two interactional elements are examined upon which the quality of collaboration is assessed: openness of communication and alignment of objectives. The authors apply the model to four new-built PFI school projects within the context of the UK government Building Schools for the Future Programme. Semi-structured interviews with total of 50 key stakeholders were used as the primary data collection method. Findings – PFI has introduced a number of problematic issues weakening collaborative efforts towards innovation in the project environment. Particularly, the study underlines the restricting internal contractual relationships within the integrated Project Company and the misalignment of Design-Construction-Operation sustainability objectives. It also highlights ineffective communication with public sector clients and users brought in by the restricted nature of PFI engagement processes as well as the misalignment of public sector-private sector sustainability objectives. Research limitations/implications – The qualitative nature of the chosen research methodology limits the ability to generalise. The research findings need to be confirmed or rejected by means of quantitative research as representative of all PFI projects. Practical implications – The study emphasizes the public authority’s role in relation to providing the necessary conditions for the creation of a collaborative environment conducive to SEI in PFI projects. Originality/value – The study was able to expand the understanding of innovation and collaboration management processes in PFI projects in three respects: First, addressing the limited attention to innovation in PFI research, the study is the first to examine the quality of collaboration in PFI projects towards the implementation SEI. Second, examining the quality of collaboration in PFI projects through the lens of CoPS provides a new understanding of sustainability innovation and strongly indicates that the CoPS model should be expanded to account for the dynamics of innovation processes in the procurement of sustainable CoPS. Third, the explorative nature of the study was useful in generating research hypotheses that can form the basis for future research on SEI in PFI projects.

Tiredness of Life in Older persons: A Qualitative Study on Nurses’ Experiences of Being Confronted With This Growing Phenomenon

2019 ◽  
Vol 60 (4) ◽  
pp. 735-744 ◽  
Author(s):  
Liesbeth Van Humbeeck ◽  
Let Dillen ◽  
Ruth Piers ◽  
Nele Van Den Noortgate
Keyword(s):  
Qualitative Study ◽  
Nurse Managers ◽  
Careful Consideration ◽  
Behavioral Approach ◽  
Constructivist Grounded Theory ◽  
Older Individuals ◽  
Structured Interviews ◽  
Nurses Perceptions ◽  
Design And Methods ◽  
Purposive Sample

Abstract Background and Objectives With worldwide aging it is imperative to understand nurses’ perceptions of tiredness of life (ToL) and their ways of dealing with an increasingly common phenomenon. Most research on ToL relates to older individuals’ experiences. This study aimed to gain insight into nurses’ (a) perceptions of, (b) attitude(s) toward, and (c) ways of dealing with ToL in older patients. Research Design and Methods Qualitative study with elements of constructivist grounded theory. Data were collected by means of semi-structured interviews between February 2016 and June 2017 with a purposive sample of 25 nurses working in home care and nursing homes. Results A careful consideration indicative of an oscillation between 3 levels (e.g., behavioral, cognitive, and affective) is present. The confrontation with persons having ToL instigates a cognitive process of searching to understand the state a person is in, which on its turn ensues in an emotional balancing between courage and powerlessness and a behavioral approach of action or dialogue. Discussion and Implications Our findings indicate that nurses aim to provide good care, sensitive to the older person’s needs, but this process is not without ambiguity. This study provides nurse managers with valuable guidance to (a) support nursing staff in dealing with ToL, and (b) advance opportunities for emotionally sensitive care and (individual- and team-based) reflection. Finally, this study offers suggestions for education programs to incorporate ToL in curricula.

scholarly journals Quality of working life and music in the manufacturing workplace

2016 ◽  
Vol 23 (79) ◽  
pp. 656-674
Author(s):  
Walid Abbas El-Aouar ◽  
César Ricardo Maia de Vasconcelos ◽  
Alipio Ramos Veiga Neto
Keyword(s):  
Work Environment ◽  
Working Life ◽  
Well Being ◽  
Research Strategy ◽  
Primary Data ◽  
Structured Interviews ◽  
Quality Of Working Life ◽  
Additional Tool ◽  
Analysis Technique

Abstract This study aimed to understand how the insertion of music in the work environment contributes to achieving Quality of Working Life (QWL), from the perspective of biopsychosocial and organisational well-being. The context where the study was conducted was the manufacturing area of a major textile company located in Natal, in the state of Rio Grande do Norte, Brazil. The use of a case study was the research strategy adopted, with exploratory and descriptive objectives. The primary data was collected through the focus group technique and semi-structured interviews were used as an additional tool. Respecting the theoretical saturation criterion, four focus groups were formed, each comprising eight randomly selected participants from the seventy-six co-workers in the sector. The data was analysed qualitatively, using the content analysis technique. Twenty-eight QWL attributes were identified. It was concluded that musical insertion provides biological, social and, above all, psychological and organisational well-being to the co-workers, contributing to achieving QWL in the work environment researched.

scholarly journals Race, Class, and the Nursing Home Workforce: Experiences of Staff of Color in High-Minority-Proportion Nursing Homes

2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 689-689
Author(s):  
Odichinma Akosionu ◽  
Janette Dill ◽  
Manka Nkimbeng ◽  
Tricia Skarphol ◽  
Tetyana Shippee
Keyword(s):  
Nursing Home ◽  
Quality Of Care ◽  
Quality Care ◽  
Structured Interviews ◽  
Culturally Sensitive Care ◽  
Services And Supports ◽  
Staff Wellbeing ◽  
The Impact

Abstract The long-term services and supports workforce is an important part of delivering quality care for nursing home (NH) residents – and increasingly includes staff who are from diverse communities. Our study captured staff (n=61) perspectives on resident quality of care and quality of life through semi-structured interviews, using thematic analysis in six Minnesota high proportion minority NHs. Findings show that although staff of color are valued for the diversity they contribute to the workforce, and the culturally sensitive care they provide, they are also exposed to discriminatory events. In addition, tensions exist between U.S. and non-U.S. born staff of color in NHs. Overall, staff of color who are lower ranked may feel less empowered. Research is needed to explore the impact of negative and discriminatory exposures on staff wellbeing and related outcomes in addition to the direct and indirect impact on the quality of care delivered to NH residents.

scholarly journals Assessment of neonatal mortalities and stillbirths data quality in Offinso North District of Ghana

2022 ◽  
Vol 10 (01) ◽  
pp. 508-518
Author(s):  
Richmond Nsiah ◽  
Wisdom Takramah ◽  
Solomon Anum-Doku ◽  
Richard Avagu ◽  
Dominic Nyarko
Keyword(s):  
Data Quality ◽  
Neonatal Mortality ◽  
Assessment Tool ◽  
Information Management System ◽  
Health Facilities ◽  
Primary Data ◽  
Mortality Data ◽  
Neonatal Deaths ◽  
Discrepancy Rate

Background: Stillbirths and neonatal deaths when poorly documented or collated, negatively affect the quality of decision and interventions. This study sought to assess the quality of routine neonatal mortalities and stillbirth records in health facilities and propose interventions to improve the data quality gaps. Method: Descriptive cross-sectional study was employed. This study was carried out at three (3) purposively selected health facilities in Offinso North district. Stillbirths and neonatal deaths recorded in registers from 2015 to 2017, were recounted and compared with monthly aggregated data and District Health Information Management System 2 (DHIMS 2) data using a self-developed Excel Data Quality Assessment Tool (DQS).  An observational checklist was used to collect primary data on completeness and availability. Accuracy ratio (verification factor), discrepancy rate, percentage availability and completeness of stillbirths and neonatal mortality data were computed using the DQS tool. Findings: The results showed high discrepancy rate of stillbirth data recorded in registers compared with monthly aggregated reports (12.5%), and monthly aggregated reports compared with DHIMS 2 (13.5%). Neonatal mortalities data were under-reported in monthly aggregated reports, but over-reported in DHIMS 2. Overall data completeness was about 84.6%, but only 68.5% of submitted reports were supervised by facility in-charges. Delivery and admission registers availability were 100% and 83.3% respectively. Conclusion: Quality of stillbirths and neonatal mortality data in the district is generally encouraging, but are not reliable for decision-making. Routine data quality audit is needed to reduce high discrepancies in stillbirth and neonatal mortality data in the district.

scholarly journals Competency of Zimbabwean Teachers Who Completed In-Service Teachers Training Program in Inclusive Education

2019 ◽  
Vol 10 (1(V)) ◽  
pp. 22-29
Author(s):  
Patricia Muvirimi
Keyword(s):  
Professional Development ◽  
Special Needs ◽  
Inclusive Education ◽  
Teaching Strategy ◽  
Structured Interviews ◽  
Extensive Training ◽  
Special Needs Education ◽  
Analyse Data ◽  
Teachers Training ◽  
Purposive Sample

This qualitative study examined the competency of in-service teachers in inclusive education inZimbabwe. A purposive sample of 15 graduate in-service special needs education teachers selected from onestate university participated in the study. Semi structured interviews were used to collect data. Thematicanalysis was used to analyse data. The study established that for most of the teachers, the in service trainingfairly managed to prepare them adequately to teach in an inclusive class. It was also found from the study thatmost teachers interviewed are knowledgeable in identifying children with special needs. Peer tutoring andinteraction groups were common methods of teaching. It was also reported that lack of resources and lack ofsupport from other teachers were major challenges impeding teachers from meeting the needs of the learnersin inclusive setting. The study further revealed that extensive training on use of individual educationalprogram is needed during training. The study recommends that teachers be evaluated on all relevantcompetences during teaching practise which could enhance the professional development of in-serviceteachers in inclusive education. Another recommendation is that micro teaching strategy be used to fine tunethe teachers skills in teaching in an inclusive classes.

Achieving better quality care in general practice: are incentives the answer?

2020 ◽  
Vol 70 (suppl 1) ◽  
pp. bjgp20X711461
Author(s):  
Kanwal Ahmed ◽  
Salma Hashim ◽  
Mariyam Khankhara ◽  
Ilhan Said ◽  
Amrita Shandakumar ◽  
...  
Keyword(s):  
Quality Of Care ◽  
Intrinsic Motivation ◽  
Financial Incentives ◽  
Quality Care ◽  
Healthcare Providers ◽  
Structured Interviews ◽  
Multiple Indicators ◽  
Improved Outcomes ◽  
Quality And Outcomes

BackgroundThe introduction of financial incentives, such as the quality and outcomes framework (QOF), historically lead to improvements in standardising practice. However, with shifting demands on healthcare providers, are these schemes still enough to drive high-quality care?AimTo explore current incentives, intrinsic and extrinsic, their role and effectiveness in improving quality of care and how they are perceived by GPs.MethodMixed methods study using two systematic literature reviews including 44 papers and 18 semi-structured interviews with GPs.ResultsIn the literature, QOF was associated with reduced socioeconomic inequalities, decreased mortality and improved outcomes. However, the absence of control groups and the simultaneous analysis of multiple indicators complicates the findings. GPs agreed with the literature and viewed financial incentives as beneficial, however, they felt the key driver in providing good-quality care was their intrinsic motivation. Financial incentives were found to contribute to depersonalised care, diluted provision of non-incentivised activities and hindered overall practice. The results from the second literature review were in keeping with the views of the participants. They illustrated the importance of managing factors contributing to physician burnout, reduced performance, and low job satisfaction, which can result in the provision of low-quality care.ConclusionFinancial incentives have the potential to induce behaviour change, however, their use in quality improvement is limited when used alone. If used in an environment that nurtures intrinsic motivation, healthcare providers will be more driven to achieve a higher quality of care and will be better able to cope with shifting demands.

scholarly journals (UN)EQUAL BURDEN OF CARE: STAFF PERSPECTIVES ON NURSING HOME CARE AND QUALITY OF LIFE FOR RESIDENTS OF COLOR

2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S780-S781
Author(s):  
Odichinma C Akosionu ◽  
Tetyana P Shippee ◽  
Heather Davila ◽  
Mai See Thao ◽  
Moses Waiswa ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Nursing Home ◽  
Quality Care ◽  
Nursing Home Care ◽  
Care Staff ◽  
Burden Of Care ◽  
Structured Interviews ◽  
Term Care ◽  
Color Experience

Abstract Racial disparities in quality of care (QoC) and quality of life (QoL) for nursing home (NH) residents persist even as the proportion of minorities is significantly increasing. Staff of color are a growing part of the long-term care workforce and staffing is a key component for delivering quality care. This study looks at staff (n=60) perspectives on resident QOL through semi-structured interviews, using thematic analysis in six Minnesota high proportion minority NHs. Key findings show that staff of color are concerned about the QoC and QoL residents of color experience, and take extra steps to provide care that goes beyond addressing their clinical needs. This agency of providing extra care is a factor in burnout among staff of color. More research on how this unequal burden of care impacts QoC/QoL is important to address the disproportionate role that staff of color play in reducing disparities in resident QoC and QoL.

Sign in / Sign up

Export Citation Format

Share Document