Intrinsic and extrinsic factors associated with phlebitis in hospitalized patients: Systematic Review  [Factores intrínsecos y extrínsecos asociados a flebitis en pacientes hospitalizados: Revisión Sistemática]

Nursing care in central and peripheral venous access is part of nursing work, and the quality of care is affected by the presence of phlebitis in various hospitalization areas. Therefore, factors related to phlebitis are identified. Objective: To analyze the development of scientific evidence on intrinsic and extrinsic factors associated with phlebitis in hospitalized patients. Methodology: A literature search was carried out in databases over the last ten years. There was no language restriction, studies in English, Spanish and Portuguese published in full-text indexed journals were included. A critical analysis of each selected article was carried out, creating a matrix for ordering and categorizing. Results: From a total of 64 articles, 9 were included of which 2 were English and 7 in Portuguese, whose results were that there are intrinsic factors specific to the patient, extrinsic factors that correspond to factors that can be avoidable by the nursing professional when identified. Conclusions: Phlebitis is considered an indicator of nursing service quality. In the course of the article reviews, multiple factors related to phlebitis have been identified, with which preventive, corrective and educational measures should be taken in the areas where venous accesses are manipulated, avoiding future complications, as well as improving the quality of care reflected in the indicators of phlebitis with a zero result as a goal.

Download Full-text

Community specialist practitioner's role in enhancing interprofessional collaboration

British Journal of Community Nursing ◽

10.12968/bjcn.2021.26.7.354 ◽

2021 ◽

Vol 26 (7) ◽

pp. 354-357

Author(s):

Christina Hayward

Keyword(s):

Quality Of Care ◽

Communication Skills ◽

Multidisciplinary Team ◽

Interprofessional Collaboration ◽

Extrinsic Factors ◽

Factors Affecting ◽

Good Communication ◽

The Individual ◽

Intrinsic And Extrinsic Factors

Communication failures not only fail the patient but also the multidisciplinary team involved in patient care in the community. All nurses are expected to have good communication skills, but advanced skills in coaching, teaching and collaborating are expected of the community specialist practitioner (CSP). The skill of communication is intricate, influenced by intrinsic and extrinsic factors, affecting the ability of both the sender and receiver to understand the messages sent and received. Communication should be tailored to the individual to enhance the dialogue. The CSP is best placed, together with the patient, to align the priorities of each contributor to the patient's health to enhance person-centred care. Enhanced communication skills used in conjunction with emotional intelligence can improve interprofessional collaboration, which, in turn, increases the quality of care.

Download Full-text

A path analysis study of factors influencing hospital staff perceptions of quality of care factors associated with patient satisfaction and patient experience

BMC Health Services Research ◽

10.1186/s12913-017-2718-x ◽

2017 ◽

Vol 17 (1) ◽

Cited By ~ 4

Author(s):

Sandra G. Leggat ◽

Leila Karimi ◽

Timothy Bartram

Keyword(s):

Patient Satisfaction ◽

Quality Of Care ◽

Path Analysis ◽

Patient Experience ◽

Hospital Staff ◽

Staff Perceptions ◽

Analysis Study ◽

Factors Associated ◽

Factors Influencing

Download Full-text

Factors associated with quality of care for patients with pancreatic cancer in Australia

The Medical Journal of Australia ◽

10.5694/mja16.00567 ◽

2016 ◽

Vol 205 (10) ◽

pp. 459-465 ◽

Cited By ~ 11

Author(s):

Elizabeth A Burmeister ◽

Dianne L O'Connell ◽

Susan J Jordan ◽

David Goldstein ◽

Neil Merrett ◽

...

Keyword(s):

Pancreatic Cancer ◽

Quality Of Care ◽

Factors Associated

Download Full-text

Thirty-day readmission rate as a surrogate marker for quality of care in neurosurgical patients: a single-center Canadian experience

Journal of Neurosurgery ◽

10.3171/2018.2.jns172962 ◽

2019 ◽

Vol 130 (5) ◽

pp. 1692-1698 ◽

Cited By ~ 1

Author(s):

Mitchell P. Wilson ◽

Andrew S. Jack ◽

Andrew Nataraj ◽

Michael Chow

Keyword(s):

Multivariate Analysis ◽

Quality Of Care ◽

Readmission Rate ◽

Univariate Analysis ◽

Surrogate Marker ◽

Readmission Rates ◽

Factors Associated ◽

Neurosurgical Patients ◽

Avoidable Readmissions

OBJECTIVEReadmission to the hospital within 30 days of discharge is used as a surrogate marker for quality and value of care in the United States (US) healthcare system. Concern exists regarding the value of 30-day readmission as a quality of care metric in neurosurgical patients. Few studies have assessed 30-day readmission rates in neurosurgical patients outside the US. The authors performed a retrospective review of all adult neurosurgical patients admitted to a single Canadian neurosurgical academic center and who were discharged to home to assess for the all-cause 30-day readmission rate, unplanned 30-day readmission rate, and avoidable 30-day readmission rate.METHODSA retrospective review was performed assessing 30-day readmission rates after discharge to home in all neurosurgical patients admitted to a single academic neurosurgical center from January 1, 2011, to December 31, 2011. The primary outcomes included rates of all-cause, unplanned, and avoidable readmissions within 30 days of discharge. Secondary outcomes included factors associated with unplanned and avoidable 30-day readmissions.RESULTSA total of 184 of 950 patients (19.4%) were readmitted to the hospital within 30 days of discharge. One-hundred three patients (10.8%) were readmitted for an unplanned reason and 81 (8.5%) were readmitted for a planned or rescheduled operation. Only 19 readmissions (10%) were for a potentially avoidable reason. Univariate analysis identified factors associated with readmission for a complication or persistent/worsening symptom, including age (p = 0.009), length of stay (p = 0.007), general neurosurgery diagnosis (p < 0.001), cranial pathology (p < 0.001), intensive care unit (ICU) admission (p < 0.001), number of initial admission operations (p = 0.01), and shunt procedures (p < 0.001). Multivariate analysis identified predictive factors of readmission, including diagnosis (p = 0.002, OR 2.4, 95% CI 1.4–5.3), cranial pathology (p = 0.002, OR 2.7, 95% CI 1.4–5.3), ICU admission (p = 0.004, OR 2.4, 95% CI 1.3–4.2), and number of first admission operations (p = 0.01, OR 0.51, 95% CI 0.3–0.87). Univariate analysis performed to identify factors associated with potentially avoidable readmissions included length of stay (p = 0.03), diagnosis (p < 0.001), cranial pathology (p = 0.02), and shunt procedures (p < 0.001). Multivariate analysis identified only shunt procedures as a predictive factor for avoidable readmission (p = 0.02, OR 5.6, 95% CI 1.4–22.8).CONCLUSIONSAlmost one-fifth of neurosurgical patients were readmitted within 30 days of discharge. However, only about half of these patients were admitted for an unplanned reason, and only 10% of all readmissions were potentially avoidable. This study demonstrates unique challenges encountered in a publicly funded healthcare setting and supports the growing literature suggesting 30-day readmission rates may serve as an inappropriate quality of care metric in neurosurgical patients. Potentially avoidable readmissions can be predicted, and further research assessing predictors of avoidable readmissions is warranted.

Download Full-text

Adults’ use of electronic communication (e-communication) with providers: Evidence on the prevalence, factors, and its effect on perceived quality of care from the HINTS survey (Preprint)

10.2196/preprints.27167 ◽

2021 ◽

Author(s):

Rumei Yang ◽

Kai Zeng ◽

Yun Jiang

Keyword(s):

Quality Of Care ◽

Rural Area ◽

Perceived Quality ◽

Self Report ◽

Current Status ◽

Patient Portal ◽

Provider Communication ◽

Factors Associated ◽

Perceived Quality Of Care

BACKGROUND Effective patient-provider communication is the core of high-quality patient-centered care. Communication through electronic platforms such as web, patient portal, or mobile phone (referring as e-communication) has become increasingly important as it extends traditional in-person communication with less limitation of timing and locations, and has the potential to facilitate more effective interactions between patients and providers. However, little is known about the current status of patients’ use of e-communication with healthcare providers and whether the use is related to better perceived quality of care at the population level. OBJECTIVE This study was designed to explore the prevalence of, and factors associated with e-communication and effect of e-communication on patient perceived quality of care, using the nationally representative sample of the 2019 Health Information National Trends Survey 5 (HINTS 5)-Cycle 3. METHODS Data from 5,438 survey responders aged 18 years+ (mean=49.04 years, range=18-98) were included in the analysis. All variables were measured using self-report surveys. Logistic and linear regression analyses were used to explore responders’ profile characteristics related to use of e-communication and that use related quality of care. Descriptive sub-analyses for e-communication according to age groups were also performed. All analyses considered the complex design using the jackknife replication method. RESULTS The overall prevalence of the use of e-communication was 60%, with the lowest prevalence in older adults aged 65 years or above (17%), significantly lower than adults younger than 45 years old (41%) and adults aged between 45-65 years (42%) (p<.001). American adults who had some college (OR=3.14, 95% CI 1.52–6.48, p=.003) or college graduate+ (OR=4.14, 95% CI 2.04–8.39, p<.001), household income at or greater than $50,000 (OR=1.75, 95% CI 1.25–2.46, p=.002), or a regular provider (OR=1.93, 95% CI 1.43–2.61, p<.001) were more likely to use e-communication. In contrast, those who reside in rural area (OR=0.59, 95% CI 0.39–0.89, p=.014) were less likely to use e-communication. After controlling for demographic (e.g., age, gender, education, income, and comorbidity) and relationship factors (e.g., regular provider, communication quality, and trust a doctor), the use of e-communication was statistically significantly associated with better quality of care (β=0.13, 95% CI 0.01-0.25, p=.039). CONCLUSIONS Our findings on factors associated with e-communication and the positive association between e-communication and quality of care suggest that policy-level attention is needed to engage the socially disadvantaged (i.e., those with lower levels of education and income, without a regular provider, and living rural area) to maximize the use of e-communication and to support better quality of care among American adults. CLINICALTRIAL NOT APPLICABLE

Download Full-text

Patient and Provider Factors Associated with Selected Measures of Quality of Care

PEDIATRICS ◽

10.1542/peds.65.2.307 ◽

1980 ◽

Vol 65 (2) ◽

pp. 307-313 ◽

Cited By ~ 8

Author(s):

Howard R. Spivak ◽

Janice C. Levy ◽

Rosemary A. Bonanno ◽

Minette Cracknell

Keyword(s):

Quality Of Care ◽

Factors Associated

Download Full-text

Avaliação do transporte crítico de pacientes: Uma revisão sistemática

Enfermería Global ◽

10.6018/eglobal.19.1.368101 ◽

2019 ◽

Vol 19 (1) ◽

pp. 615-647

Author(s):

Leonardo Nogueira Melo ◽

Vera Lúcia Freitas ◽

Emanuel Pereira dos Santos ◽

Raphael Dias de Mello Pereira ◽

Vanessa Silva De Oliveira ◽

...

Keyword(s):

Systematic Review ◽

Quality Of Care ◽

Adverse Events ◽

Care Practice ◽

Transportation Of Patients ◽

Time Space ◽

Revisión Sistemática ◽

Trabajo En Equipo ◽

Main Factors

Objetivo: Evaluar, según la literatura, cuáles son los principales factores considerados facilitadores y/o agravantes en la realización del transporte de pacientes en estado crítico.Método: Este estudio se trata de una revisión sistemática realizada con el método PICOResultado: Los periódicos seleccionados comprendían un espacio temporal en los últimos diez años, donde 6 periódicos fueron elegibles, basado en los criterios establecidos. Los resultados relatan que los temas encontrados en esta revisión demuestran una alineación entre la práctica asistencial y la literatura, pero para que el transporte sea realizado sin eventos adversos, es necesario que haya unión entre la gestión y los profesionales involucrados.Conclusión: Aunque los hallazgos demuestren una gran preocupación en relación a la calidad en la asistencia y en la preparación del equipo, los autores creen que más estudios deben ser fomentados una vez que el trabajo en equipo, a pesar de ser complejo, es la clave para la realización de los procedimientos con efectividad. Objective: To evaluate, according to the literature, the main factors considered facilitators and/or aggravating in the transportation of patients in critical condition.Method: This study is a systematic review performed using the PICO method.Results: The selected journals comprised a time space in the last 10 years, with six journals eligible, based on the established criteria. The results report that the themes found in this review demonstrate an alignment between care practice and literature, but, for a transportation without adverse events, there must be a union between the management and the professionals involved.Conclusion: Although the findings demonstrate a great concern regarding the quality of care and team preparation, the authors believe that more studies should be encouraged since teamwork, despite being complex, is the key to performing the procedures with effectiveness. Objetivo: Avaliar segundo a literatura quais são os principais fatores que são considerados facilitadores e/ou agravantes na realização do transporte de pacientes em estado crítico.Método: Este estudo trata-se de uma revisão sistemática realizada com método PICOResultado: Os periódicos selecionados compreendiam um espaço temporal nos últimos dez anos, onde 6 periódicos foram elegíveis, baseado nos critérios estabelecidos. Os resultados relatam que os temas encontrados nesta revisão demonstram um alinhamento entre a prática assistencial e a literatura, porém para que o transporte seja realizado sem eventos adversos, é necessário que haja união entre a gestão e os profissionais envolvidos.Conclusão: Embora os achados demonstrem uma grande preocupação em relação à qualidade na assistência e no preparo da equipe, os autores acreditam que mais estudos devem ser fomentados uma vez que o trabalho em equipe apesar de ser complexo, é a chave para a realização dos procedimentos com efetividade.

Download Full-text