scholarly journals Field Experience : Manajemen Strategis pada Proses Manajemen Keperawatan

2019 ◽  
Vol 2 (2) ◽  
Author(s):  
Gina Meirawaty ◽  
Kurniawan Yudianto
Keyword(s):  
Quality Of Life ◽  
Quality Improvement ◽  
Patient Satisfaction ◽  
Service Quality ◽  
Field Experience ◽  
Role Play

Pelayanan keperawatan merupakan pelayanan profesional sebagai bagian integral dari pelayanan kesehatan. Kualitas pelayanan mengacu pada sejauh mana layanan kesehatan dapat meningkat dan konsisten sesuai perkembangan pengetahuan profesional. Layanan kesehatan sesuai dengan alur pelayanan meliputi pre-admission, chec in process, stay, discharge and post-stay experience. Kajian ini bertujuan untuk meningkatkan kepuasan pasien (patient satisfaction) dan kualitas hidup pasien (quality of life). Metode pengumpulan data observasi menggunakan instrumen kualitas pelayanan, indepth interview dengan nara sumber, observasi langsung ke lapangan terkait proses keperawatan, dan telaah dokumen di ruang rawat inap, poliklinik dan IGD. hasil SWOT analisis diperoleh prioritas perbaikan analisis situasi melalui kegiatan In House Training (IHT) SP2KP Dan Role Play Teknik Komunikasi SBAR dan TBAK dengan hasil tingkat Pengetahuan dari 57 % naik menjadi 69 %. Terdapat 2 ruang model SP2KP adalah ruang Marjan Bawah dan Agate Atas. Kajian situasional diperoleh data-data yang mendukung terhadap proses pelayanan kesehatan malalui alur pasien dari mulai pasien masuk hingga keluar meliputi kualitas pelayanan pasien berdasarkan peran dan fungsi keperawatan. Berfokus pada pilar tata kelola klinis sistem penjaminan mutu dan audit klinis serta staffing dan pengembangan profesional (CPD). Perencanaan perbaikan strategis berdasarkan prioritas rawat inap RSUD dr. Slamet Garut yang berfokus pada quality improvement meliputi 5M man, material, money, method dan machine. Beberapa rangkaian kegiatan yang kami rencanakan dalam mendukung intervensi dan implementasi berdasarkan kajian situasi yang telah dilakukan. Berdasarkan plan of action intervensi dilakukan terhadap peningkatan man melalui knowledge, skill dan attitude. Kata Kunci : Kualitas pelayanan (service quality), pilar tata kelola klinis, quality improvement, SP2KP.

72: Quality of Life and Patient Satisfaction of Care Among Women with Urinary Incontinence: A Prospective Study

2007 ◽  
Vol 177 (4S) ◽  
pp. 25-26
Author(s):  
Simon Kim ◽  
Rodney L. Dunn ◽  
Edward J. McGuire ◽  
John O.L. DeLancey ◽  
John T. Wei
Keyword(s):  
Quality Of Life ◽  
Urinary Incontinence ◽  
Patient Satisfaction ◽  
Prospective Study ◽  
A Prospective Study

Quality of Life and Patient Satisfaction after Breast Reconstruction: Free TRAM vs. Expansion/Implant

2006 ◽  
Vol 22 (03) ◽  
Author(s):  
Laszlo Kovacs ◽  
Nikolaos Papadopulos ◽  
Mrkus Kloeppel ◽  
Katja Schwenzer ◽  
H Seitz ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Patient Satisfaction ◽  
Breast Reconstruction

scholarly journals A high degree of knee flexion after TKA promotes the ability to perform high-flexion activities and patient satisfaction in Asian population

2021 ◽  
Vol 22 (1) ◽  
Author(s):  
Hyuk-Soo Han ◽  
Jong Seop Kim ◽  
Bora Lee ◽  
Sungho Won ◽  
Myung Chul Lee
Keyword(s):  
Quality Of Life ◽  
Patient Satisfaction ◽  
Clinical Data ◽  
Knee Flexion ◽  
Male Gender ◽  
Flexion Angle ◽  
Knee Flexion Angle ◽  
High Flexion ◽  
Standing Up

Abstract Background This study investigated whether achieving a higher degree of knee flexion after TKA promoted the ability to perform high-flexion activities, as well as patient satisfaction and quality of life. Methods Clinical data on 912 consecutive primary TKA cases involving a single high-flexion posterior stabilized fixed-bearing prosthesis were retrospectively analyzed. Demographic and clinical data were collected, including knee flexion angle, the ability to perform high-flexion activities, and patient satisfaction and quality of life. Results Of the cases, 619 (68%) achieved > 130° of knee flexion after TKA (high flexion group). Knee flexion angle and clinical scores showed significant annual changes, with the maximum improvement seen at 5 years and slight deterioration observed at 10 years postoperatively. In the high flexion group, more than 50% of the patients could not kneel or squat, and 35% could not stand up from on the floor. Multivariate analysis revealed that > 130° of knee flexion, the ability to perform high-flexion activities (sitting cross-legged and standing up from the floor), male gender, and bilateral TKA were significantly associated with patient satisfaction after TKA, while the ability to perform high-flexion activities (sitting cross-legged and standing up from the floor), male gender, and bilateral TKA were significantly associated with patient quality of life after TKA. Conclusions High knee flexion angle (> 130°) after TKA increased the ease of high-flexion activities and patient satisfaction. The ease of high-flexion activities also increased quality of life after TKA in our Asian patients, who frequently engage in these activities in daily life.

scholarly journals Excellent Functional Outcome and Quality of Life after Primary Cementless Total Hip Arthroplasty (THA) Using an Enhanced Recovery Setup

2021 ◽  
Vol 10 (4) ◽  
pp. 621
Author(s):  
Franziska Leiss ◽  
Julia Sabrina Götz ◽  
Günther Maderbacher ◽  
Matthias Meyer ◽  
Jan Reinhard ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Patient Satisfaction ◽  
Total Hip Arthroplasty ◽  
Functional Outcome ◽  
Hip Arthroplasty ◽  
Enhanced Recovery ◽  
Harris Hip Score ◽  
Total Hip ◽  
Cementless Total Hip Arthroplasty

Background: Total hip arthroplasty combined with the concept of enhanced recovery is of continued worldwide interest, as it is reported to improve early functional outcome and treatment quality without increasing complications. The aim of the study was to investigate functional outcome and quality of life 4 weeks and 12 months after cementless total hip arthroplasty in combination with an enhanced recovery concept. Methods: A total of 109 patients underwent primary cementless Total Hip Arthroplasty (THA) in an enhanced recovery concept and were retrospectively analyzed. After 4 weeks and 12 months, clinical examination was analyzed regarding function, pain and satisfaction; results were evaluated using Harris Hip score, Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC), EQ-5D-5L, EQ-VAS and subjective patient-related outcome measures (PROMs). Preoperatively, HADS (Hospital Anxiety and Depression Scale) was collected. A correlation analysis of age, American Society of Anesthesiologists (ASA), HADS and comorbidities (diabetes mellitus, art. hypertension, cardiovascular disease) with WOMAC, Harris Hip score (HHS) and EQ-5D was performed. Results: Patients showed a significant improvement in Harris Hip score 4 weeks and 12 months postoperatively (p < 0.001). WOMAC total score, subscale pain, subscale stiffness and subscale function improved significantly from preoperative to 12 months postoperative (p < 0.001). EQ-5D showed a significant improvement preoperative to postoperative (p < 0.001). The influence of anxiety or depression (HADS-A or HADS-D) on functional outcome could not be determined. There was a high patient satisfaction postoperatively, and almost 100% of patients would choose enhanced recovery surgery again. Conclusion: Cementless THA with the concept of enhanced recovery improves early clinical function and quality of life. PROMs showed a continuous improvement over a follow-up of 12 months after surgery. PROMs can help patients and surgeons to modify expectations and improve patient satisfaction.

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