Internationally Educated Nurses’ and Their Contributions to the Patient Experience

2016 ◽  
Vol 21 (1) ◽  
Author(s):  
Ndolo Njie-Mokonya
Keyword(s):  
Nursing Education ◽  
Patient Care ◽  
Patient Experience ◽  
Healthcare Providers ◽  
Background Information ◽  
Practice Research ◽  
Cultural Perspective ◽  
Internationally Educated Nurses ◽  
Care Experience ◽  
Education Practice

Internationally educated nurses (IEN) are a group who reflect Canada’s diverse population as a result of rising immigration trends. There is increasing diversity of the general population in Canada and health service disparities exist. Reducing these disparities among the healthcare workforce and the patients they care for is important to meet language and other cultural needs of patients from different ethnic backgrounds. This article describes a study that examined internationally educated nurses’ transition experiences in the field of nursing with the objective of describing their unique contributions to the patient care experience. A review of the literature provides background information, followed by the study methods, findings, and discussion. Descriptive phenomenology guided this qualitative study that included 11 participants. Findings from this study illustrate how IENs perceive themselves as an asset to nursing and patient care. Implications for the future of nursing education, practice, research, and administration are offered. Healthcare providers that reflect the diversity of Canada’s population and can offer unique cultural perspective have potential to improve the patient experience during a hospital stay.

scholarly journals Developing An Analytic Approach to Understanding the Patient Care Experience

2016 ◽  
Vol 3 (4) ◽  
pp. 151-154 ◽  
Author(s):  
Mary Kate Springman ◽  
Yalissa Bermeo ◽  
Heather M Limper ◽  
Alison S Tothy
Keyword(s):  
Health Care ◽  
Patient Satisfaction ◽  
Patient Care ◽  
Patient Experience ◽  
Medical Center ◽  
Analytic Approach ◽  
Care Experience ◽  
Patient Voice ◽  
Reporting Tool ◽  
The Impact

The amount of data available to health-care institutions regarding the patient care experience has grown tremendously. Purposeful approaches to condensing, interpreting, and disseminating these data are becoming necessary to further understand how clinical and operational constructs relate to patient satisfaction with their care, identify areas for improvement, and accurately measure the impact of initiatives designed to improve the patient experience. We set out to develop an analytic reporting tool deeply rooted in the patient voice that would compile patient experience data obtained throughout the medical center.

scholarly journals Exploration of priority actions for strengthening the role of nurses in achieving universal health coverage

2017 ◽  
Vol 25 (0) ◽  
Author(s):  
Rowaida Al Maaitah ◽  
Raeda Fawzi AbuAlRub
Keyword(s):  
Health Care ◽  
Nursing Education ◽  
Regulatory System ◽  
Practice Research ◽  
Health Coverage ◽  
Key Informants ◽  
Education Practice ◽  
Practice Nurses ◽  
Universal Health

ABSTRACT Objective: to explore priority actions for strengthening the role of Advanced Practice Nurses (APNs) towards the achievement of Universal Health Converge (UHC) as perceived by health key informants in Jordan. Methods: an exploratory qualitative design, using a semi-structured survey, was utilized. A purposive sample of seventeen key informants from various nursing and health care sectors was recruited for the purpose of the study. Content analysis utilizing the five-stage framework approach was used for data analysis. Results: the findings revealed that policy and regulation, nursing education, research, and workforce were identified as the main elements that influence the role of APNs in contributing to the achievement of UHC. Priority actions were identified by the participants for the main four elements. Conclusion: study findings confirm the need to strengthen the role of APNs to achieve UHC through a major transformation in nursing education, practice, research, leadership, and regulatory system. Nurses should unite to come up with solid nursing competencies related to APNs, PHC, UHC, leadership and policy making to strengthen their position as main actors in influencing the health care system and evidence creation.

Demographic, socioeconomic, and clinical factors associated with oncology patient experience in the Ontario cancer system.

2020 ◽  
Vol 38 (29_suppl) ◽  
pp. 160-160
Author(s):  
Mary Mahler ◽  
Brett Nicholls ◽  
Catherine Chan ◽  
Narges Nazeri-Rad ◽  
Kelvin K. Chan ◽  
...  
Keyword(s):  
Patient Experience ◽  
Cancer Care ◽  
Care Delivery ◽  
Healthcare Providers ◽  
Oncology Patient ◽  
Negative Experience ◽  
Care Experience ◽  
Cancer Services ◽  
Patient Reported ◽  
Disease Site

160 Background: Your Voice Matters (YVM) is an electronic real time Patient Reported Experience Measure (PREM) collected on all adult patients accessing cancer services in Ontario by Cancer Care Ontario/Ontario Health. To our knowledge, this is the largest oncology PREM dataset worldwide. A total of 25 Items are assessed including care coordination, wait times, access to care and satisfaction with healthcare providers. We attempted to identify demographic, socioeconomic and disease factors that predict for a positive patient experience. Methods: Responses were collated from 18 individual cancer centers between Jan 2017 and Dec 2019. Each item was dichotomized into positive/negative experiences. Multivariable logistic regression was constructed for each of the 25 items. Results: Demographics are described in table. Males (OR=1.11, p=0.0032), genitourinary patients (OR=1.30, p=0.0031) and those receiving radiation (OR=1.39, p=<0.0001) were more likely to have a positive experience. Patients aged 18-39 (OR=0.74, p=<0.0001), receiving chemotherapy (OR=0.76, p=0.0002), and with central nervous system or lung cancer (OR= 0.56, p=<0.001; OR=0.79 p=0.0059, respectively) were more likely to have a negative experience. Lowest income patients were more likely to have a negative experience with healthcare providers (OR=0.83, p=0.0119) and patients from the highest immigration areas had a worse quality experience (OR=0.82, p=0.0029). Conclusions: Age, sex, disease site, visit type, income and immigration status significantly influence patients cancer care experience. This information helps promote equity and the use of PREM data to improve cancer care delivery. [Table: see text]

scholarly journals Delivering direct patient care in the haemodialysis unit: a focused ethnographic study of care delivery

2019 ◽  
Vol 24 (8) ◽  
pp. 712-725
Author(s):  
Alison F Wood ◽  
Jennifer Tocher ◽  
Sheila Rodgers
Keyword(s):  
Patient Care ◽  
Patient Experience ◽  
Care Delivery ◽  
Healthcare Providers ◽  
Ethnographic Study ◽  
Direct Patient Care ◽  
Structured Interviews ◽  
Staff Perceptions ◽  
Clinical Support ◽  
Patient Care Delivery

Background Direct patient care is a term used within nursing and healthcare to help quantify and qualify care delivery. Direct patient care time is considered as a valuable measure by healthcare providers to indicate efficiency and to quantify nursing work, however little is understood of the patient experience and care delivery in haemodialysis settings. Aim The aim of this study was to gain an understanding of patients’ and nursing staff perceptions and experiences of ‘direct patient care’ within one haemodialysis unit. Methods A focused ethnographic approach utilised participant observations, informal questioning, photographs and 27 semi-structured interviews of registered nurses, clinical support workers and patients. Observation notes and interviews were transcribed and thematically analysed. Results The key finding was the construction and reconceptualisation of care delivery in this setting. Care was identified to be delivered in two distinct ways, both of which allowed patients to feel cared for. ‘Active care’ where patients feel cared for when they are being dealt with directly by staff and ‘Passive care’ where patients feel cared for through staff availability and visibility. Conclusion Developing this understanding of patient care delivery in this specialism has highlighted some important aspects to the way care can be delivered which challenges current traditional understandings of direct patient care. Time spent with a patient is not the only important consideration to patient experience in haemodialysis. This understanding of passive care could improve care experiences in this setting.

scholarly journals Rhizomatic Assemblages: Connecting Climate Change to Nursing Action

2021 ◽  
Vol 3 (2) ◽  
pp. 18-35
Author(s):  
Lindsey Vold ◽  
Megan Meszaros
Keyword(s):  
Climate Change ◽  
Nursing Education ◽  
Practice Research ◽  
Address Climate Change ◽  
Education Practice ◽  
Global Issues ◽  
Climate Action ◽  
Knowledge And Practice ◽  
Collaborative Efforts ◽  
Research And Policy

Calls for nursing action to address climate change are resounding throughout the nursing community, yet many nurses feel ill-prepared to engage in climate action. As a collective practice discipline, we argue that nursings’ internalized a rigid view of what nursing is and, through self-disciplining practices, actively police our knowledge and practice to conform within a bounded domain that fails to view global issues, such as climate change, as being within the scope of nursing. To build nurses’ climate action capacity, we draw on Deleuze and Guarttari’s (1987) concept of rhizomatic assemblages to make an explicit connection between health and climate change, but also how climate action is a moral imperative in the scope of nursing education and practice. Using examples in the four domains of nursing - education, practice, research, and policy, we present how nurses can engage in coordinated and collaborative efforts both within and outside of ‘traditional’ nursing practice to address the connecting and complicated pathways of a changing climate. 

scholarly journals Best Practices in Specialized Amyloidosis Centers in the United States: A Survey of Cardiologists, Nurses, Patients, and Patient Advocates

2021 ◽  
Vol 15 ◽  
pp. 117954682110152
Author(s):  
Jose Nativi-Nicolau ◽  
Nitasha Sarswat ◽  
Johana Fajardo ◽  
Muriel Finkel ◽  
Younos Abdulsattar ◽  
...  
Keyword(s):  
Best Practices ◽  
Patient Care ◽  
Nurse Practitioners ◽  
Healthcare Providers ◽  
Multidisciplinary Care ◽  
The United States ◽  
Comprehensive Care ◽  
Patient Support ◽  
Patient Support Group ◽  
Patient Advocates

Background: Because transthyretin amyloid cardiomyopathy (ATTR-CM) poses unique diagnostic and therapeutic challenges, referral of patients with known or suspected disease to specialized amyloidosis centers is recommended. These centers have developed strategic practices to provide multidisciplinary comprehensive care, but their best practices have not yet been well studied as a group. Methods: A qualitative survey was conducted by telephone/email from October 2019 to February 2020 among eligible healthcare providers with experience in the management of ATTR-CM at US amyloidosis centers, patients with ATTR-CM treated at amyloidosis centers, and patient advocates from amyloidosis patient support groups. Results: Fifteen cardiologists and 9 nurse practitioners/nurses from 15 selected amyloidosis centers participated in the survey, with 16 patients and 4 patient advocates. Among participating healthcare providers, the most frequently cited center best practices were diagnostic capability, multidisciplinary care, and time spent on patient care; the greatest challenges involved coordination of patient care. Patients described the “ideal” amyloidosis program as one that provides physicians with expertise in ATTR-CM, sufficient time with patients, comprehensive patient care, and opportunities to participate in research/clinical trials. The majority of centers host patient support group meetings, and patient advocacy groups provide support for centers with physician/patient education and research. Conclusions: Amyloidosis centers offer comprehensive care based on staff expertise in ATTR-CM, a multidisciplinary approach, advanced diagnostics, and time dedicated to patient care and education. Raising awareness of amyloidosis centers’ best practices among healthcare providers can reinforce the benefits of early referral and comprehensive care for patients with ATTR-CM.

494 Streamlining the Minor Operations Process - The Effect of Better Documentation

2021 ◽  
Vol 108 (Supplement_2) ◽  
Author(s):  
T Schrire ◽  
C Estela
Keyword(s):  
Patient Care ◽  
Plastic Surgery ◽  
Patient Experience ◽  
Patient Flow ◽  
Vital Part ◽  
Rapid Turnover ◽  
Quality Of Patient Care ◽  
New Form ◽  
Minor Operations

Abstract Introduction Plastic Surgery Minor Operations is a fast paced, rapid turnover operative environment. It is reliant on effective communication, accurate surgery, and time efficiency. It was noticed in our department that there was confusion regarding booking and operative intentions leading to delays in surgery and over-running lists. This was worsening patient experience and leading to delays in patient care. Method In response to the delays and confusion in booking, a new booking form was created, so all patients have a standardised booking containing the necessary information. This form was disseminated across all the booking clinics and formed a vital part of the pre-operative check in process. Results The audit was carried out at the time of introduction, and then re-audited a year later to see if the form has improved care for patients. Results showed that with the new booking form, people were not having to cancel or rearrange patients. Patient booking forms were sufficient, and a copy of the clinic letter no longer required for the operation to proceed or for clarity. It was noted that more senior advice was sought. Conclusions The new form has improved patient flow and quality of patient care, whilst streamlining the booking process.

Development of English teaching theory and practice research from the cross-cultural perspective

2021 ◽  
pp. 002072092110077
Author(s):  
Shuang Liu
Keyword(s):  
Cross Cultural ◽  
Theory And Practice ◽  
Classroom Culture ◽  
Practice Research ◽  
Cultural Perspective ◽  
Foreign Teachers ◽  
English Teaching ◽  
Cultural Teaching ◽  
Culture Teaching ◽  
Average Proportion

The progress of science and technology and the development of information technology have accelerated the speed of information dissemination and cultural transformation. In the context of multiculturalism, if we want to cultivate talents who can communicate across cultures, domestic English teaching needs further reforms. The unified implementation of English teaching in China has lasted for decades, and the research on teaching theory has gradually formed a stable framework. But from an overall point of view, instillation teaching under test-oriented education is not conducive to improving students' English practice level. In order to solve this problem, this article analyzes the cultural teaching content in college English teaching from a cross-cultural perspective, and emphasizes the importance of cultural infiltration in English teaching. At the same time, it analyzes the problems in teaching practice from multiple aspects of listening, speaking, reading, writing and translation, and puts forward suggestions for the construction of a cross-cultural communication ability training system. Experiments show that in the classes taught by ordinary English teachers, the average proportion of classroom culture teaching is only 14.995%; under the same conditions, the average proportion of classroom culture teaching in the classes taught by foreign teachers reaches 33.865%. Combined with the higher average scores of students in foreign teachers' classes, it can be known that cultural teaching can play a certain role in improving the level of comprehensive English teaching.

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