scholarly journals Impact of the Dimensions of Diversity on the Quality of Nursing Care: The Case of Slovenia

2017 ◽  
Vol 5 (3) ◽  
pp. 383-390
Author(s):  
Jasmina Starc ◽  
Karmen Erjavec
Keyword(s):  
Experimental Method ◽  
Nursing Care ◽  
Research Study ◽  
Clinical Environment ◽  
Arithmetic Means ◽  
Within Subjects ◽  
Bonferroni Test ◽  
The Impact ◽  
Quality Of Nursing

BACKGROUND: The key to diversity in nursing is that nurses can provide competent nursing care to patients, within the scope of their responsibilities, regardless of the patients’ personalities or primary and secondary factors.AIM: To research which dimensions of diversity influence the attitude of nurses towards patients and the quality of nursing care.MATERIALS AND METHODS: This research study is based on the descriptive and causal non-experimental method of empirical research. The independent samples t-test was used, and the within subjects ANOVA with the Bonferroni posthoc test.RESULTS: There are statistically significant differences among the dimensions of diversity in the arithmetic means of the ratings of the impact on the quality of nursing (F (1.407, 579.658) = 103.307, p < 0.001). Based on the Bonferroni test, the impact of the “personality” dimension was rated statistically significantly higher than the impact of the dimensions of “primary factors” (p < 0.001) and “secondary factors” (p < 0.001).CONCLUSION: The diversity factors should be taken into account when developing knowledge of nurses for managing patients' diversity. In modern nursing care, the safe clinical environment needs to enable the patient to feel safe and dignified.

scholarly journals Nurse staffing and patient-perceived quality of nursing care: a cross-sectional analysis of survey and administrative data in German hospitals

BMJ Open ◽  
2021 ◽  
Vol 11 (11) ◽  
pp. e051133
Author(s):  
Vera Winter ◽  
Karina Dietermann ◽  
Udo Schneider ◽  
Jonas Schreyögg
Keyword(s):  
Nursing Care ◽  
Nurse Staffing ◽  
Perceived Quality ◽  
Secondary Outcome ◽  
Skill Mix ◽  
Staffing Levels ◽  
Hospital Units ◽  
The Impact ◽  
Quality Of Nursing

ObjectiveTo examine the impact of nurse staffing on patient-perceived quality of nursing care. We differentiate nurse staffing levels and nursing skill mix as two facets of nurse staffing and use a multidimensional instrument for patient-perceived quality of nursing care. We investigate non-linear and interaction effects.SettingThe study setting was 3458 hospital units in 1017 hospitals in Germany.ParticipantsWe contacted 212 554 patients discharged from non-paediatric, non-intensive and non-psychiatric hospital units who stayed at least two nights in the hospital between January and October 2019. Of those, 30 174 responded, yielding a response rate of 14.2%. Our sample included only those patients. After excluding extreme values for our nurse staffing variables and removing observations with missing values, our final sample comprised 28 136 patients ranging from 18 to 97 years of age (average: 61.12 years) who had been discharged from 3458 distinct hospital units in 1017 hospitals.Primary and secondary outcome measuresPatient-perceived quality of nursing care (general nursing care, guidance provided by nurses, and patient loyalty to the hospital).ResultsFor all three dimensions of patient-perceived quality of nursing care, we found that they significantly decreased as (1) nurse staffing levels decreased (with decreasing marginal effects) and (2) the proportion of assistant nurses in a hospital unit increased. The association between nurse staffing levels and quality of nursing care was more pronounced among patients who were less clinically complex, were admitted to smaller hospitals or were admitted to medical units.ConclusionsOur results indicate that, in addition to nurse staffing levels, nursing skill mix is crucial for providing the best possible quality of nursing care from the patient perspective and both should be considered when designing policies such as minimum staffing regulations to improve the quality of nursing care in hospitals.

scholarly journals DAMPAK IMPLEMENTASI MODEL PRAKTIK KEPERAWATAN PROFESIONAL TERHADAP MUTU ASUHAN KEPERAWATAN DI RUMAH SAKIT

2014 ◽  
Vol 7 (2) ◽  
pp. 41-47
Author(s):  
Ratna Sitorus
Keyword(s):  
Nursing Care ◽  
Care Delivery ◽  
Intervention Group ◽  
Family Satisfaction ◽  
Control Group ◽  
Chi Square ◽  
Post Test ◽  
The Impact ◽  
Quality Of Nursing

AbstrakPeningkatkan mutu asuhan keperawatan di rumah sakit memerlukan restructuring, reengineering, dan redesigning sistem pemberian asuhan keperawatan melalui implementasi Model Praktik Keperawatan Profesional (MPKP). Tujuan penelitian ini ialah untuk menilai dampak implementasi MPKP terhadap mutu asuhan keperawatan di rumah sakit. Disain penelitian adalah kuasi eksperimen dalam bentuk pre and post test with control group. Uji statistik yang digunakan adalah uji Chi-square dan uji t. Hasil penelitian menunjukkan bahwa pada kelompok intervensi (MPKP) terdapat peningkatan kepuasan klien dan keluarga (OR=114,24) yang lebih besar dibandingkan dengan peningkatan kepuasan klien dan keluarga pada kelompok kontrol (OR=3,78). Demikian juga terdapat peningkatan kepatuhan perawat terhadap standar yang lebih tinggi pada kelompok intervensi (OR=235,5) dibandingkan dengan kelompok kontrol (OR=0). Lama hari rawat lebih pendek pada kelompok intervensi. Angka infeksi nosokomial juga lebih rendah pada kelompok intervensi dibandingkan dengan kelompok kontrol. Penelitian ini menyimpulkan bahwa implementasi MPKP dapat meningkatkan mutu asuhan keperawatan di rumah sakit. Berdasarkan hasil tersebut, untuk memicu implementasi MPKP di berbagai rumah sakit, disarankan agar implementasi MPKP menjadi salah satu kriteria penilaian pada akreditasi rumah sakit khususnya pelayanan keperawatan AbstractIn order to improve the quality of nursing care in the hospital, nursing care delivery system need restructuring, reengineering, and redesigning through the implementation of Professional Nursing Practice Model (PNPM). The study was aimed to evaluate the impact of the PNPM on the quality of nursing care in the hospital. The design used was quasi experiment in pre and post test with control group. The statistic used are Chi-square and t-test. The result showed that in the intervention group, the improvement of client/family satisfaction with nursing care (OR = 114,28) was higher than the improvement in the control group (OR = 3,78). It was founded there was an improvement of the compliance of nurses to the standard was higher in the intervention group (OR = 235,5) compare to control group (OR = 0). The length of stay shorter in the intervention group, and also the nosocomial infection rate is lower in the intervention group compare to control group. The study concluded that the implementation of the PNPM could improve the quality of nursing care in the hospital. Based on this result, in order to challenge the implementation of PNPM in the hospital it was suggested that the implementation of PNPM becomes an evaluation criteria for hospital accreditation specifically for nursing service.

Training, management, and quality of nursing care of vascular access in adult patients: The INCATIV project

2021 ◽  
pp. 112972982110593
Author(s):  
Sonia Casanova-Vivas ◽  
José-Luis Micó-Esparza ◽  
Isidro García-Abad ◽  
Enrique-Bernardo Hevilla-Cucarella ◽  
María-Luisa Ballestar-Tarin ◽  
...  
Keyword(s):  
Nursing Care ◽  
Vascular Access ◽  
Adult Population ◽  
Intravenous Therapy ◽  
Continuous Training ◽  
Cross Sectional ◽  
Time Points ◽  
The Impact ◽  
Quality Of Nursing

Background: More than one billion of peripheral venous catheters are inserted into hospitalized patients every year. This study sought to identify the status of nursing care in vascular accesses in different hospitals and to evaluate the impact of a series of informative and formative interventions aimed at their care. Methods: Quasi-experimental, multicenter study. A total of 54 nursing professionals of 19 hospitals participated. The intervention consisted of informative talk and three training sessions related to the care and maintenance of vascular accesses and intravenous therapy in the hospital-admitted adult population. This was delivered in four years, with eight periodic cross-sectional assessments conducted before and after each intervention. To assess quality of nursing care in vascular accesses and intravenous therapy, a quality indicator called Standard Variable (VES), was developed and validated with the Delphi methodology. Results: A total of 21,108 patients, aged 64.0 years (SD 18.3), were assessed, of which 78.3% (16,516) had some type of vascular access inserted. An average of 22.1% (95% CI: 21.4–22.7) were classified as optimal. In total, 3218 nursing care professionals took part in the training activities. The VES indicator grew steadily throughout the study, raising from 7.8% to 37.6%. Changes were statistically significant between those time points in which one of the described interventions was delivered; however, there were no significant changes between time points with no intervention. Conclusions: This study supports that continuous training interventions can produce improvements in the quality of nursing care and reduce complications in patients with vascular accesses. In addition, the VES indicator was a useful and simple tool to measure quality, but the experience with its use suggests continuous research in the search for standardized indicators that objectify the evaluation and evolution of care.

Evaluation of the Impact of Handoff Based on the SBAR Technique on Quality of Nursing Care

2020 ◽  
Vol Publish Ahead of Print ◽  
Author(s):  
Ali Abbaszade ◽  
Abdolghader Assarroudi ◽  
Mohammad Reza Armat ◽  
Jacqueline J. Stewart ◽  
Mohammad Hassan Rakhshani ◽  
...  
Keyword(s):  
Nursing Care ◽  
The Impact ◽  
Quality Of Nursing

Quality of Nursing Care: The contribution of Empathy, Spiritual Beliefs and Incentives on Nursing Staff

2020 ◽  
Vol 13 (1) ◽  
pp. 58-66
Author(s):  
Paraskevi Theofilou ◽  
Sophia Zyga
Keyword(s):  
Nursing Care ◽  
Nursing Staff ◽  
Significant Positive Correlation ◽  
University Graduates ◽  
Spiritual Beliefs ◽  
Positive Correlation ◽  
Empathy Scale ◽  
The Impact ◽  
Quality Of Nursing

Introduction: Studies have shown the important role of empathy, spirituality and motivation of nursing staff in the quality of nursing care provided. Aim: The investigation of the impact of empathy, spiritual beliefs and incentives on nursing staff on the quality of nursing care provided. Methods: The majority of participants were university graduates (65 persons, 58%), women (95 persons, 84.8%) and married (67 persons, 59.8%). The mean age was 41.38 (± 8.98) years old. The following tools were used to collect data: For the assessment of the provided nursing care, a questionnaire of 19 questions was addressed to nursing staff assessing specific areas. A structured questionnaire consisting of 37 questions was used to estimate the degree of motivation (motivation). To evaluate empathy, the Toronto Composite Empathy Scale (TCES) questionnaire was used with questions about the cognitive and professional dimension of empathy in both personal and professional level. Results: There was a statistically significant positive correlation between spirituality and quality in nursing care (technical, informative, food, cleanliness, noise, nursing and hotel complex) (p <0.05). In addition, statistically significant positive correlation was observed between emotional personal empathy as well as emotional professional empathy with quality in nursing care (noise) (p <0.05). Statistically significant correlations were also found between motivation and quality in nursing care provided (p <0.05), technical aspects, relationships – time, information, food, cleanliness, noise, nursing and hotel complexes. Conclusions: Research findings indicate the clear association between empathy, spirituality and motivation of nursing staff with the quality of nursing care provided.

scholarly journals Nurse care quality and hospital-acquired infections: adhering to aseptic techniques

2015 ◽  
Vol 125 (3) ◽  
pp. 133-136
Author(s):  
Agnieszka Dziewa ◽  
Anna Ksykiewicz-Dorota ◽  
Marek Kos ◽  
Bartłomiej Drop
Keyword(s):  
Nursing Care ◽  
Nursing Staff ◽  
Research Study ◽  
Care Quality ◽  
Nurse Care ◽  
Hospital Acquired Infections ◽  
Hospital Acquired ◽  
Staff Skills ◽  
Quality Of Nursing

Abstract Introduction. The quality of medical services can be regarded as an indication of the changes being implemented at a given moment. At the same time, improving the care quality remains essential, regardless of the current situation. This makes upgrading employees’ skills a necessity, for instance by preventing undesired events, like hospital acquired infections which are quite common. Aim. The aim of this study was to measure the quality of nursing care delivered to patients who contracted a hospital-acquired disease, with special attention paid to the adherence by aseptic procedures. Material and methods. The authors of this research study want to assess the quality of nursing care, looking through the lens of adherence by aseptic techniques. Results. The study was conducted in hospitals of three different referral levels. Both the highest (=95.7%) and the lowest (=84.7%) rates in the field of quality of nursing care were reported in provincial hospitals. Conclusion. 1. There is a 10% deficit in terms of adherence to aseptic procedures. 2. Constant supervision and upgrading nursing staff skills is essential.

A comparison of the quality of nursing care between pre- and postimplementing of a clinical pathway

2005 ◽  
Vol 14 (10) ◽  
pp. 1260-1261 ◽  
Author(s):  
Hsu Nanly ◽  
Brian T.-H. Chen ◽  
Lay-lan Lee ◽  
Min-huey Chung ◽  
Pi-chu Lin
Keyword(s):  
Nursing Care ◽  
Clinical Pathway ◽  
Quality Of Nursing
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