scholarly journals Effect of a staffing strategy based on voluntary increase in working hours on quality of patient care in a hospital in KwaZulu-Natal

Curationis ◽  
2009 ◽  
Vol 32 (2) ◽  
Author(s):  
J. McIntosh ◽  
E.L. Stellenberg
Keyword(s):  
Patient Care ◽  
Nursing Care ◽  
Working Hours ◽  
Chi Square ◽  
Quality Patient Care ◽  
Before And After ◽  
Staffing Strategy ◽  
Chi Square Test ◽  
Quality Of Nursing

Two of the issues facing the South African Health Care System are the shortage of nursing staff and a lack of adequate skills to provide quality patient care. The hospital under study experienced a critical shortage of applications from professional registered nurses, consequently a staffing strategy was implemented to overcome the shortage of nurses and to maintain quality patient care. The strategy introduced encouraged nurses to voluntarily work an additional ten hours per week with remuneration. A non-experimental, descriptive design with a quantitative approach was applied to investigate the effect of a staffing strategy aimed at improving the quality of care in a hospital in Kwa-Zulu Natal based on voluntarily increasing staff working hours. The investigation compared the quality of nursing care before and after the implementation of the staffing strategy through retrospective audits of randomly selected patient files 372 (11%) of the total population of 400 files were audited. A random sample of 4 boxes each containing a 100 patient files, of a total of 34 boxes, was selected from the hospital filing system. Descriptive statistical analyses were performed and correlations between various variables using the Chi-square test. No statistically significant differences (p<0.05) were found between the quality of nursing care before and after the implementation of the management strategy, even though deterioration of results after the implementation was observed. The study shows that the quality of nursing care in most wards deteriorated after implementation. The staffing strategy failed to improve or maintain the quality of nursing care.

scholarly journals The Implementation Of 3S (SDKI, SIKI, SLKI) to The Quality Of Nursing Care Documentation In Hospital’s Inpatient Rooms

2020 ◽  
Vol 9 (2) ◽  
pp. 1323-1328
Author(s):  
Wiwin Sulistyawati ◽  
Susmiati Susmiati
Keyword(s):  
Nursing Care ◽  
Nursing Intervention ◽  
P Value ◽  
Hospital Inpatient ◽  
Chi Square ◽  
Cross Sectional ◽  
Nursing Diagnosis ◽  
Chi Square Test ◽  
Quality Of Nursing

The implementation of 3S (SDKI, SIKI, and SLKI) is a benchmark used as a guideline for the enforcement of nursing diagnosis, nursing intervention, and a nursing outsider to provide safe, effective, and ethical nursing care. This study aims to analyze the implementation of 3S on the quality of documentation in hospital inpatient rooms. Research design correlation analysis with the cross-sectional approach. The research sample of implementing nurses in hospital inpatient rooms who have implemented 3S. Sampling techniques use sampling quotas. Based on Chi-Square test results obtained, p-value = 0.001 < α 0.005 . It means there is a relationship of application of 3S to the quality of nursing care documentation in hospital inpatient rooms. Based on the results of this study, the Head of Nursing is expected to implement 3S to improve the quality of nursing care documentation, which will have an impact on improving the quality of nursing services

scholarly journals Gambaran Pelaksanaan Supervisi Kepala Ruang Terhadap Perawat Pelaksana Dalam Keselamatan Pasien

2019 ◽  
Vol 2 (1) ◽  
pp. 23
Author(s):  
Maria Hariyati Oktaviani ◽  
Muhamad Rofii
Keyword(s):  
Research Design ◽  
Nursing Care ◽  
Standard Operating Procedures ◽  
Assessment Instruments ◽  
Descriptive Research ◽  
Care Services ◽  
Standard Operating ◽  
Before And After ◽  
Quality Of Nursing

The implementation of supervising the head of a room in one hospital in Semarang has not been optimal due to the absence of a schedule, assessment instruments, guidance, documentation of supervision results, and standard operating procedures (SOP) supervision. Supervision activities are incidental in accordance with needs and have not been implemented in a structured and well-documented manner. The writing of this article aims to find out the description of the implementation of head supervision in a hospital in Semarang. This study uses descriptive research design. The subjects in this study were all heads of inpatient rooms. The object of this research is the implementation of the supervision of the head of the room according to the SOP and the results of documentation of the implementation of supervision. The instrument in this study used a draft sheet for evaluation of the superficial room leader evaluation. Shows that there is a change in the implementation of supervision based on the SOP before and after the dissemination of supervision is carried out to the head of the room. Documented supervision results can help the head of the room to see the extent of the ability of staff and can jointly improve capabilities, correct errors in improving the quality of nursing care services. The implementation of supervising the head of a room in one of the Semarang hospitals needs to be improved, especially in terms of post-supervision documentation, development of thematic supervision themes, and structured supervision scheduling.

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.

scholarly journals ROLE OF OBSTETRIC TRIAGE IN IMPROVING PATIENT HEALTH CARE AT CMH KHARIAN-A COMPARITIVE STUDY

2020 ◽  
Vol 70 (6) ◽  
pp. 1792-98
Author(s):  
Asma Ansari ◽  
Umbreen Akram ◽  
Hafsa Khalil ◽  
Ayesha Imran
Keyword(s):  
Health Care ◽  
Patient Care ◽  
Management Plan ◽  
Military Hospital ◽  
P Value ◽  
Chi Square ◽  
Triage System ◽  
Before And After ◽  
Patient Health ◽  
Chi Square Test

Objective: To evaluate the up gradation of obstetric patient care by using obstetrics-specific triage acuity tool. Study design: Comparative prospective study Place and duration of study: This study was conducted at obstetrics unit of combined military hospital Kharian from June 2018 to Dec 2018. Methodology: Pregnant patients were triaged and prioritized according to Maternal fetal triage index (MFTI) into five levels. Primary outcome was time to triage and management plan documentation. Patient and health care provider satisfaction was evaluated using Likert’s scale before and after implementation of MFTI. Data was collected and expressed in frequencies and percentage. Chi square test was applied for association between before and after triage intervention variables, and a P value of 0.05 was considered significant. Results: A total of 1000 pregnant patients referred to OPD were enrolled, 500 patients before and 500 after implementation of MFTI. Patients were prioritized using MFTI system,10(2%) patients category 1 while category 2,3,4,and 5 were 28(5.6%),68(13.6%),150(30%) and 244(48.8%) respectively. There was significant reduction in waiting time from 35.4±8.2 minutes to18.2±6.5 p=<0.002. Hospital complaints reduced significantly from 25(5%) in before group to 4(0.8%) P=<0.001 after application of obstetric triage. Conclusion: Obstetric triage by MFTI focuses on the urgency and symptoms at presentation to decide further disposal. The usage of a systematic and properly developed triage system produces improvement in patient care. The results of study not only highlight the importance of usage of a triage system but also explore its usefulness and improvement in outcomes in a developing country like Pakistan.

scholarly journals Evulation of nursing care quality in a palliative care clinicBir palyatif bakım kliniğinde hemşirelik bakım kalitesinin değerlendirilmesi

2017 ◽  
Vol 14 (3) ◽  
pp. 2968 ◽  
Author(s):  
Derya Uzelli Yilmaz ◽  
Esra Akın Korhan ◽  
Leyla Khorshid
Keyword(s):  
Palliative Care ◽  
Data Collection ◽  
Nursing Care ◽  
Working Hours ◽  
Care Clinic ◽  
Number Of Patients ◽  
Significant Difference ◽  
One Way Anova ◽  
Quality Of Nursing

Objective: The study is a descriptive and cross-sectional study designed to determine the quality of nursing care and the factors affecting quality of nursing care in a palliative care clinic.Material and method: The population and the sample of the study consisted of nurses (n=16) who were working in a palliative care clinic at a state hospital in the west of the Turkey and patients (n=102) who take care in this clinic between the date between January 2015 and October 2016. The sample size was not calculated and all the nurses and patients who met the study criteria and agreed to participate in the study were reached during the data collection period. Data collection was collected with a questionnaire consisted from Nurse Presentation Form, Patient Presentation Form and Care Behaviors-24 Scale (BDI-24). Student t, Kruskal-Wallis, Mann-Whitney U test and One Way ANOVA test were used in the analysis of the data.Results: The average score of BDI-24 was found as 5.59 ± 0.15 for nurses and 5.10 ± 0.15 for patients. There was no statistically significant difference between the average of BDI-24 total points and subscale scores of nurses according to their gender, education status, working duration in palliative care clinic and weekly working hours. Similarly, there was no statistically significant difference between the BDI-24 total point average and subscale scores of the patients according to the diagnosis, gender, marital status, educational status, occupation, income level and place of residence. Conclusion: The level of perception of nursing care behaviors of palliative care nurses and patients was found to be fairly high. It is proposed to identify and improve institutional deficiencies such as number of nurses, number of patients, workload, working hours, which affect the quality of nursing care.Extended English abstract is in the end of PDF (TURKISH) file. ÖzetAmaç: Araştırma, bir palyatif bakım kliniğinde hemşirelik bakım kalitesini ve bakım kalitesini faktörleri belirlemek amacıyla yapılmış tanımlayıcı ve kesitsel bir çalışmadır.Materyal ve Method: Araştırma Türkiye’nin batısında bir devlet hastanesinin palyatif bakım kliniğinde çalışan hemşireler (n=16) ile Ocak-Ekim 2015 tarihleri arasında palyatif bakım kliniğinde yatan hastalar (n=102) oluşturmuştur. Araştırmada örneklem hesaplamasına gidilmemiş, araştırmanın yürütüldüğü tarihler arasında kriterlere uyan ve araştırmaya katılmayı kabul eden tüm hemşire ve hastalara ulaşılmıştır. Araştırmanın verileri, Hemşire ve Hasta Tanıtım Formu ve Bakım Davranışları-24 Ölçeği (BDÖ-24) kullanılarak toplandı. Verilerin analizinde Student t, Kruskal-Wallis, Mann-Whitney U testi ve One Way ANOVA testi kullanıldı.Bulgular: Hemşirelerinin BDÖ-24 toplam puan ortalaması 5.59±0.15, hastaların 5.10±0.15 olarak bulunmuştur. Hemşirelerin cinsiyet, eğitim durumu, mesleki çalışma süresi, palyatif bakım kliniğinde çalışma süresi ve haftalık çalışma saatlerine göre;  hastaların tanısı, cinsiyeti, medeni durumu, eğitim durumu, mesleği, gelir düzeyi ve yaşadığı yere göre BDÖ-24 toplam puan ortalamaları ve alt boyut puan ortalamaları arasında istatistiksel olarak anlamı bir fark saptanmamıştır. Sonuç: Hemşirelerin ve hastaların hemşirelik bakım davranışlarını algılama düzeyleri oldukça yüksek bulunmuştur. Hemşirelik bakım kalitesini etkileyen hemşire sayısı, hasta sayısı, iş yükü, çalışma saati gibi kurumsal yetersizliklerin belirlenmesi ve iyileştirilmesi önerilmektedir.

scholarly journals Effectiveness of implementing evidence based practices guidelines regarding blood transfusion on quality of nursing care and patients' safety in Pediatric Units

2020 ◽  
Vol 10 (10) ◽  
pp. 33
Author(s):  
Orban Ragab Bayoumi ◽  
Nahed Saied Mohamed El-Nagger
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Blood Transfusion ◽  
Nursing Care ◽  
Evidence Based ◽  
Before And After ◽  
Evidence Based Nursing ◽  
Quality Of Nursing ◽  
Nurses Knowledge

Background and objective: The new trend that widely accepted in health care institutions is to implement an evidence-based practice. Health facilities frequently integrate standards of practice that reveal current best evidence to increase patients’ outcomes and consequently decrease hospital cost. Transfusion of blood is a cornerstone in managing many critically ill children. However, nurses have a chief role in transfusing blood and their knowledge and performance are important for them to transfuse blood safely and efficiently. Aim: Evaluate the effectiveness of implementing evidence based nursing practices guidelines on quality of nursing care and patients' safety as regards blood transfusion to improve transfusion practices and ensure safety.Methods: A quasi-experimental design. Settings: This study was conducted at Pediatric Intensive Care Unit, Neonatal Intensive Care Unit, Emergency Room, Medical and Surgical Wards, Hematology/Oncology Units in Children Hospital affiliated to Ain Shams University Hospitals. Sample: A convenience sample composed of 95 pediatric nurses, whom were willingness to participate in the study and 78 children whom were receiving blood transfusion. Tools: I. A Self-Administered Questionnaire Sheet to assess nurses’ knowledge regarding blood transfusion; II. Child’s Medical Record to collect data about child’s health status; III. An Observational Competence Checklist to assess the quality of actual nurses’ practices about Blood Transfusion; and IV. Evidence Based Nursing Practices Guidelines of Blood Transfusion that was described the EBNP guidelines that provide a standardized approach for transfusion (before and after).Results: The studied nurses’ knowledge and practices regarding to blood transfusion were improved and reflected a highly significant differences before and after guidelines implementation.Conclusions: The present study concluded that studied nurses showed an improvement in their knowledge and practices regarding blood transfusion after implementation of evidence based nursing practices guidelines. Recommendation: It is essential that all nurses who administer blood transfusion for children should complete periodic in-services training programs to keep them up to date regarding to safe and efficient administration of blood transfusion.

scholarly journals ANALISIS FAKTOR – FAKTOR YANG BERHUBUNGAN DENGAN KINERJA PERAWAT DALAM MENERAPKAN ASUHAN KEPERAWATAN DI RUMAH SAKIT UMUM BETHESDA GMIM

2015 ◽  
Vol 3 (3) ◽  
Author(s):  
Fergie M. Mandagi ◽  
Jootje M. L. Umboh ◽  
Joy A. M. Rattu
Keyword(s):  
General Hospital ◽  
Nursing Care ◽  
Significant Relationship ◽  
Odds Ratio ◽  
Chi Square ◽  
Regression Test ◽  
The Relationship ◽  
Logistic Regression Test ◽  
Quality Of Nursing

Abstract: The performance of nurses at the inpatient room in General Hospital Bethesda GMIM Tomohon can be seen from the quality of nursing care. The performance of nurses in implementing nursing care is a quality indicator at a hospital. This study aimed to determine the relationship between motivation, competence, supervision and appreciation to the performance of nurses in implementing nursing care at the General Hospital Bethesda GMIM Tomohon. This was an observational study with a case control design. The case samples were the executive nurses at the inpatient room. The sampling method that was used was Lemenshow formula. The data were collected from questionnaire and observation sheet, and be analyzed with the chi-square bivariate and multivariate logistic regression test. The results showed that there was a significant relationship between motivation (OR 6,98, p=0,004), supervision (OR 4,69, p=0,019), and appreciation (OR 19,79, p=0,000) to the performance of nurses, meanwhile competence (OR 1,91, p=0,409) had no significant relationship with the performance of nurses. The multivariate analysis showed that appreciation was the most dominant variable that affected the performance with an Odds Ratio 16.513 and statistically significant (p=0.004). The nurse’s performance was associated with motivation, supervision and appreciaton. Therefore, those aspects that affect motivation, supervision and appreciaton of work need to be managed properly in order to achieve the best performance of nurses.Keywords: motivation, competence, supervision, apreciation, performance, nurseAbstrak: Kinerja perawat di ruangan inap Rumah Sakit Umum Bethesda GMIM Tomohon dapat ditentukan dari mutu asuhan keperawatan yang diberikan. Kinerja perawat dalam menerapkan asuhan keperawatan merupakan indikator mutu pada suatu rumah sakit. Penelitian ini bertujuan untuk mengetahui hubungan antara motivasi, kompetensi, supervisi dan penghargaan dengan kinerja perawat dalam menerapkan asuhan keperawatan di Rumah Sakit Umum Bethesda GMIM Tomohon. Metode yang digunakan dalam penelitian ini yaitu observasional dengan rancangan penelitian kasus kontrol. Sampel kasus dalam penelitian ini yaitu perawat pelaksana di ruang inap. Pengambilan sampel menggunakan rumus Lemenshow. Data dikumpulkan dengan kuesioner dan lembar observasi, kemudian dianalisis bivariat dengan chi-square dan multivariat dengan uji regresi logisik. Hasil penelitian didapatkan bahwa terdapat hubungan bermakna antara motivasi (OR 6,98, p=0,004), supervisi (OR 4,69, p=0,019) dan penghargaan (OR 19,79, p=0,000) dengan kinerja perawat, sedangkan kompetensi (OR 1,91, p=0,409) tidak terdapat hubungan bermakna dengan kinerja perawat. Analisis multivariat menunjukkan aspek penghargaan merupakan variabel paling dominan mempengaruhi kinerja dengan nilai Odds Ratio 16,513 dan bermakna secara statistik (p=0,004). Kinerja perawat sangat berhubungan dengan motivasi, supervisi dan penghargaan kerja perawat, sehingga aspek-aspek yang memengaruhi motivasi, supervisi dan penghargaan kerja perlu dikelola dengan baik untuk mendapatkan hasil kinerja perawat yang baik.Kata kunci: motivasi, kompetensi, supervisi, penghargaan, kinerja, perawat

scholarly journals HUBUNGAN KEPUASAN PASIEN RAWAT INAP DENGAN MUTU PELAYANAN KEPERAWATAN DI KLINIK KABUPATEN JEMBER

2021 ◽  
Vol 15 (2) ◽  
pp. 73
Author(s):  
M. Elyas Arif Budiman ◽  
Said Mardijanto ◽  
Emi Ellya Astutik
Keyword(s):  
Patient Satisfaction ◽  
Chi Square ◽  
Cross Sectional ◽  
Actual Performance ◽  
Significance Level ◽  
Nursing Services ◽  
Chi Square Test ◽  
Quota Sampling ◽  
Quality Of Nursing

ABSTRACT Satisfaction with the accepted model between expectations (the standard of performance that should be) with the actual performance received by the customer, the value satisfaction felt by patients after getting health services. The quality of nursing services is the most important thing in health service agencies, to achieve the expectations and needs of customers (patients). Good quality nursing service will increase customer (patient) satisfaction. This study aims to see the relationship between patient satisfaction and quality of nursing services in clinics in Jember Regency. This type of research used in this study with a cross sectional approach. The research sample used quota sampling of 33 respondents. Chi-Square statistical test with a significance level of p <0.05. The results showed that patient satisfaction with satisfied criteria and the quality of nursing services with good criteria. Chi-Square test resulted in a value of p = 0.020 and a contingency coefficient of 0.374. These results indicate that there is a weak relationship between Inpatient Satisfaction and Quality of Nursing Services in Clinics in Jember Regency. It is expected from this research that the clinic will improve the quality of nursing services to provide patient satisfaction. Keywords: patient satisfaction, quality of nursing services ABSTRAK Kepuasan merupakan model kesenjangan antara harapan (standar kinerja yang seharusnya) dengan kinerja aktual yang diterima pelanggan, kepuasan nilai subjektif yang dirasakan pasien setelah mendapatkan pelayanan kesehatan. Mutu pelayanan keperawatan merupakan hal terpenting dalam instansi jasa pelayanan kesehatan, untuk mencapai harapan dan kebutuhan pelanggan (pasien). Mutu pelayanan keperawatan yang baik akan meningkatkan kepuasan pelanggan (pasien). Penelitian ini bertujuan untuk mengetahui hubungan kepuasan pasien dengan mutu pelayanan keperawatan di klinik di Kabupaten Jember. Jenis penelitian yang digunakan dalam penelitian ini korelasi dengan pendekatan cross sectional. Sampel penelitian ini menggunakan quota sampling sebanyak 33 responden. Uji statistik Chi-Square dengan tingkat kemaknaan p < 0,05. Hasil penelitian menunjukan bahwa  kepuasan pasien  dengan kriteria puas dan mutu pelayanan keperawatan dengan kriteria baik. Uji Chi-Square dihasilkan nilai p = 0,020 dan koefisien kontingensi 0,374. Hasil ini menunjukan terdapat hubungan yang lemah Kepuasan Pasien Rawat Inap dengan Mutu Pelayanan Keperawatan di klinik di kabupaten Jember. Diharapkan dari penelitian ini agar pihak klinik meningkatkan mutu pelayanan keperawatan untuk memberikan kepuasan pasien. Kata kunci: kepuasan pasien, mutu pelayanan keperawatan

scholarly journals Effect of Simulation-based Medical Education in Small Groups on Improving the Quality of Nursing Care in Patients Under Electroconvulsive Therapy

2021 ◽  
Vol 20 (4) ◽  
Author(s):  
Fatemeh Shakeri ◽  
Kourosh Zarea ◽  
Dariush Rokhafroz ◽  
Elham Maraghei
Keyword(s):  
Medical Education ◽  
Nursing Care ◽  
Small Groups ◽  
Electroconvulsive Therapy ◽  
Intervention Group ◽  
Simulation Method ◽  
Simulation Based ◽  
Before And After ◽  
Quality Of Nursing

Background: Considering the high risk and vital nature of electroconvulsive therapy (ECT) process, as well as the subsequent intensive, essential, and life-saving cares, it is necessary to promote the skills of nurses providing this kind of care. Objectives: This study aimed to determine the effect of simulation on developing the quality of care in nurses working in the ECT department. Methods: This experimental study compared two groups before and after the intervention. Fifty nurses who met the inclusion criteria were randomly allocated into two groups of intervention and control. Low-tech (static) task trainer was used for simulation-based medical education (SBME) in the intervention group. Data were collected using a checklist to investigate the quality of nursing care before and after the intervention. Results: The mean scores obtained from initial preparation subscales, preparation of tools and equipment, measures during ECT, post-ECT measures, and checking patient’s status in pre-test and post-test in the intervention group were significantly different. This suggests that simulation intervention in small groups is effective in improving the quality of nursing care in ECT (P < 0.05). Conclusions: Our results showed that promoting ECT nursing care knowledge among the nurses in small groups by simulation method is an effective intervention.

scholarly journals Kommunikasie as metode om verpleegsorg te verbeter

Curationis ◽  
1984 ◽  
Vol 7 (2) ◽  
Author(s):  
G. Postmus
Keyword(s):  
Patient Care ◽  
Nursing Care ◽  
Task Orientation ◽  
Academic Hospital ◽  
Oral Medications ◽  
Number Of Patients ◽  
Short Period ◽  
Hospital Wards ◽  
Quality Of Nursing

With the large number of patients in particularly academic hospital wards and the shortage of nursing staff total patient care is not possible. This is leading to increasing task-orientation and a widening of communication gaps which are affecting the quality of nursing care. One of the main problems is that it is impossible for nurses to remember all the details given during the regular reports off by heart. Neither does the nurse know which regular oral medications each patient is receiving. The nurse is thus unable to make the required observations while doing patient care and does not provide the necessary feedback. The author suggests a simple system, based mainly on the use of patient bed lists and a note book carried by each nurse to improve communication and achieve a higher standard of nursing care within a short period.

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