scholarly journals The Evaluation of Cultural Competence in Healthcare

2021 ◽  
Vol 27 (2) ◽  
pp. 123-140
Author(s):  
Uršula Lipovec Čebron ◽  
Ivanka Huber
Keyword(s):  
Cultural Competence ◽  
Healthcare Workers ◽  
Quantitative Methods ◽  
Evaluation Process ◽  
Educational Programme ◽  
Patient Perspectives ◽  
Health Providers ◽  
Individual Healthcare

The article seeks to stimulate dialogue about the evaluation of cultural competence in healthcare. The first part of the paper presents the different attempts to measure cultural competence in the field of healthcare and critically analyses the problems that arise concerning the use of instruments that measure the cultural competence of health providers. The second part of the article focuses on the evaluation process of the first cultural competence educational programme for healthcare workers in Slovenia, serving as an example to demonstrate the importance of complementing quantitative methods with qualitative ones and to emphasize the need to shift the focus from measuring the cultural competence of individual healthcare workers to the evaluation of educator performances, patient perspectives, and the cultural competence of healthcare institutions as a whole.

scholarly journals Building the ‘Truthmeter’: Training algorithms to help journalists assess the credibility of social media sources

2017 ◽  
Vol 26 (1) ◽  
pp. 19-34 ◽  
Author(s):  
Richard Fletcher ◽  
Steve Schifferes ◽  
Neil Thurman
Keyword(s):  
Social Media ◽  
Quantitative Methods ◽  
Information Source ◽  
Evaluation Process ◽  
Ground Truth ◽  
Training Algorithms ◽  
Qualitative And Quantitative Methods ◽  
Stage Process ◽  
Verification Process ◽  
Use Of Social Media

Social media is now used as an information source in many different contexts. For professional journalists, the use of social media for news production creates new challenges for the verification process. This article describes the development and evaluation of the ‘Truthmeter’ – a tool that automatically scores the journalistic credibility of social media contributors in order to inform overall credibility assessments. The Truthmeter was evaluated using a three-stage process that used both qualitative and quantitative methods, consisting of (1) obtaining a ground truth, (2) building a description of existing practices and (3) calibration, modification and testing. As a result of the evaluation process, which could be generalized and applied in other contexts, the Truthmeter produced credibility scores that were closely aligned with those of trainee journalists. Substantively, the evaluation also highlighted the importance of ‘relational’ credibility assessments, where credibility may be attributed based on networked connections to other credible contributors.

scholarly journals Objective structural clinical examination for evaluating learning efficacy of Cultural Competence Cultivation Programme for nurses

BMC Nursing ◽  
2020 ◽  
Vol 19 (1) ◽  
Author(s):  
Yu-Hsia Lee ◽  
Shu-Chuan Lin ◽  
Pao-Yu Wang ◽  
Mei-Hsiang Lin
Keyword(s):  
Cultural Competence ◽  
Clinical Examination ◽  
Clinical Education ◽  
Patient Survey ◽  
Educational Programme ◽  
Average Score ◽  
Control Group ◽  
Learning Efficacy ◽  
Quasi Experimental ◽  
Experimental Group

Abstract Background Culture serves as an adhesive to bind the lives of people. There are no objective, useful tools to assess cultural competence and practice. In this study, we evaluated whether the cultural competence of nurses was strengthened through the Cultural Competence Cultivation Programme. Methods A quasi-experimental research design was used to evaluate nurses working at a medical centre in Taiwan. They were randomly allocated into an experimental group (n = 47), which received the Cultural Competence Cultivation Programme, or a control group (n = 50), which did not receive the educational programme. After the intervention, learning efficacy of the participants was assessed using an Objective Structured Clinical Examination (OSCE). The research data were statistically analysed on SPSS. Results The average score of the experimental group was significantly higher in the ‘communication ability and skill’ category. Furthermore, OSCE scores and Standardised Patient Survey assessment and total scores were significantly and positively correlated. Conclusion The findings of this study can serve as a reference for designing future clinical education programmes.

scholarly journals Foresight evaluation: lessons from project management

foresight ◽  
2014 ◽  
Vol 16 (1) ◽  
pp. 75-91 ◽  
Author(s):  
Ekaterina A. Makarova ◽  
Anna Sokolova
Keyword(s):  
Project Management ◽  
Design Methodology ◽  
Quantitative Methods ◽  
Evaluation Model ◽  
Methodological Approach ◽  
Evaluation Process ◽  
Project Evaluation ◽  
Evaluation Framework ◽  
Content Type ◽  
Evaluation Procedures

Purpose – The aim of this paper is to identify ways for improvement of the foresight evaluation framework on the basis of analysis and systematisation of accumulated experience in the field of project management. Design/methodology/approach – The paper is based on a detailed literature review devoted to an evaluation of foresight and traditional projects. The approaches to project evaluation in the field of project management were investigated, and the main steps of traditional project evaluation process were determined. The most commonly applied steps of foresight evaluation were identified by the analysis of recent foresight evaluation projects. The comparison of evaluation frameworks for foresight projects and traditional projects allows to provide recommendations for foresight evaluation framework improvement. Findings – The paper identifies several lessons for foresight evaluation from project management. The elements which can enrich foresight evaluation framework are the following: the development of an evaluation model; the extensive use of quantitative methods; the elaboration of evaluation scales; the inclusion of economic indicators into evaluation; and the provision of more openness and transparency for evaluation results. Originality/value – Given the importance of foresight evaluation procedures and the lack of a commonly applied methodological approach, the value of this paper consists in identifying a foresight evaluation framework and enriching it with elements of project management.

scholarly journals Editorial

2018 ◽  
Vol 34 (62) ◽  
pp. 1-2
Author(s):  
Carlos Hernán González-Campo
Keyword(s):  
Social Responsibility ◽  
Small Businesses ◽  
Quantitative Methods ◽  
Dynamic Capabilities ◽  
Organizational Innovation ◽  
Peer Review Process ◽  
Evaluation Process ◽  
Absorption Capacity ◽  
Double Blind ◽  
The Social

In the process of improving the editorial quality of the journal Cuadernos de Administración and the commitment to improve the dissemination and impact of the papers published therein, in 2018 we have made several decisions that we hope will bring about the expected achievements for the benefit of the community in general and for the authors who have been relying on our editorial process.For this issue of the journal, after a double-blind evaluation process, six articles are published: four of them are research papers and two are reflection articles. The first paper is entitled “Incidence of Stakeholders in the social responsibility of micro, small and medium-sized enterprises of Santa Marta”, its orientation to studying the social responsibility in SMEs, and outlines some results on the reflection of the role of stakeholders in this type of companies in the city of Santa Marta, Colombia.The title of the second article in this issue of the journal is “Ethics of Care and Communications in Crisis: Approaching two Southamerican experiences”, which presents the comparative results of two cases on communication strategies in times of crisis and their relationship with ethics. The third paper “The organizations. Justice, trust and retaliatory attitude: a study in a company in the metal-mechanic sector” presents the results of an investigation with quantitative methods from the confirmation of three hypotheses from a survey with data of 188 employees, which examines the relationship of the same with the company in the organizational justice perspective.“Strategic archetypes in Mexican metal-mechanical SMEs: differences in innovation and absorption capacity over their performance”, is the title of the fourth article of this issue, where the authors present the results of a non-transactional non-experimental research of correlational quantitative type, with data from 197 surveys conducted in SMEs in three regions of Mexico, to analyze the explanatory value of innovation and potential absorption capacity and conducted on the performance of the various strategic archetypes in small and medium entrepreneurs in the Mexican metal-mechanical industry.In the fifth article of this issue of the Journal Cuadernos de Administración, the authors present the results of a research study with a qualitative, exploratory and descriptive approach, where they reflect on the practice of social responsibility in a case study on the Universidad del Valle, in one of its headquarters, for a given period of time.  The authors try to make educational institutions aware of their responsibility for the externalities they generate in their environment and their stakeholders. The last article in this issue is entitled “Processes and Organizational Innovation for Small Businesses”, where the authors, through a review of the literature in the areas of process innovation, products and dynamic capabilities of companies, explore innovative processes that take into account and involve greater user collaboration that small companies can exploit and that are aimed at the end user.These are the six articles that make up our 62nd edition, which stems  from the call made in 2018, which were selected after a rigorous peer review process. They relate to diverse perspectives framed in Management Sciences, and it is up to you, our readers, to judge the results thereof. The Journal Cuadernos de Administración is not responsible for the content of published articles, it is the authors’, to whom we thank for ctrusting in our editorial process.

scholarly journals The Functional Impacts of the Covid-19 Pandemic: A Rapid Review

2020 ◽  
Author(s):  
Danielle Hitch ◽  
Emma Cramer ◽  
Emily Adcock ◽  
Taylah Sayers ◽  
Helen Nelson ◽  
...  
Keyword(s):  
Health Service ◽  
Health Services ◽  
Healthcare Workers ◽  
Quantitative Methods ◽  
Systems Approach ◽  
Rapid Review ◽  
Cross Sectional ◽  
Functional Impact ◽  
To Come ◽  
The Impact

Abstract Background: The Covid-19 pandemic is having a severe and unprecedented impact on human functioning, due to its influence on bodily functions and structures, the activities we participate in and the environments in which we live. The aim of this rapid review is to inform health services planning and decision making, by identifying and synthesizing the potential functional impact of the Covid-19 pandemic on human health and wellbeing.Methods: This rapid review was completed within four weeks during April – May 2020. The review focused on primary sources describing and evaluating the functional impact of the SARS, MERS and Covid-19 coronavirus pandemics, published since January 2000 in peer reviewed journal articles. All included sources were evaluated for quality, and the International Classification of Function provided a theoretical structure for synthesizing the available evidence.Results: A total of 65 sources met the inclusion criteria for this review. The majority (n=42, 61.6%) were related to the SARS pandemic, and originated from Asia for North America. Almost half of the reviewed sources (n=32, 49.2%) investigated the impact of coronavirus pandemics on the community, with smaller evidence bases related to people with coronaviruses and their families (n=19, 29.2%) and healthcare workers (n=17, 26.1%). Of the research sources available, the majority utilized descriptive quantitative methods via cross sectional data collection.The functional impact of the Covid-19 pandemic is likely to spread far beyond infected patients, to influence the wellbeing of healthcare workers and the entire community in both positive and negative ways. The findings of this review indicate that health services must engage with the inter-sectionality of pandemic experiences, collaborate with other sectors as part of society-wide responses and prioritize function as a key outcome.Conclusions:Based on the experience of past coronavirus pandemics, and the experience to date of the current Covid-19 outbreak, every health service in all health systems must be prepared to prevent and manage the functional impacts of the Covid-19 pandemic, possibly for decades to come. This review highlights the multitude of avenues available for health service prioritization and planning, and emphasized that a multi-dimensional, multi-service (and ideally multi-systems) approach is needed.

THE IMPACT OF PREFORMANCE EVALUATION PROCESS ON HEALTHCARE EMPLOYEES AS A FACTOR FOR MOTIVATION AND QUALITY OF THEIR WORK

2018 ◽  
Vol 28 (5) ◽  
pp. 1483-1487
Author(s):  
Mila Georgievska-Cvetanovska ◽  
Predrag Trpeski
Keyword(s):  
Health Care ◽  
Performance Evaluation ◽  
Healthcare Workers ◽  
Evaluation Process ◽  
Quality System ◽  
Care Organization ◽  
Healthcare Organizations ◽  
Quality Performance ◽  
Healthcare Employees

The performance evaluation process is used to conduct an objective assessment of the performance and the effectiveness of the employees, the compliance with the organizational values and hierarchy and the achevement of the standards of the organization. The employee performance evaluation is an exceptionally important segment in healthcare organizations. The managers (directors) of the healthcare organizations have to recognize the employees that efficiently complete their tasks, detect the need and the type of training necessary to improve their performance and adequately reward the most prominent employees. Taking into account the relevance of the topic, the subject of research in this papers is precisely the analysis of the performance appraisal of the employees, as a process that should help obtaining a clear picture of how successfully the tasks of a given position are performed and how much they contribute to achieving the strategic goals of the organization. Hence arisesthe problem of this research, which is the absence of a quality system for evaluation and assessment of the performance of the healthcare workers. Two research goals have been pursued, both scientific and practical. The scientific goal of the research is to provide quality performance evaluation of the healthcare workers, which leads to faster development of the organization and sustainable efficiency of the market, whereas the practical goal of the research is to utilize the obtained results in the creation of an efficient system for evaluating the performance of the healthcare workers who will integrate the quality work standards, thereby improving the motivation and the quality of work. The relevance of the topic will be explored and proven by defining a hypothesis that reads: If a health care organization adopts a quality system for evaluating the work of its healthcare workers, then the healthcare employees will strengthen their skills which will lead to increased motivation and work quality. To prove the hypothesis, an empirical research was conducted using a standardized instrument, i.e. a questionnaire containing 10 statements and a Likert scale: strongly agree, partly agree and disagree. The questionnaires contained closed-ended questions whereby the respondents could choose one of the answers offered. The survey was conducted in 2 private healthcare organizations in December 2017. The representative sample includes 73 doctors and 27 nurses/orderlies. In the process of analyzing the findings of the research, a deductive method, comparison method and a method of objectivity and relevance were applied. In the conclusion of the papers, on the basis of the obtained results, guidelines will be proposed for improvement and implementation of a quality performance evaluation system in the private and public health care.

Predictors of self-perceived cultural competence among children’s mental health providers.

2014 ◽  
Vol 20 (3) ◽  
pp. 324-335 ◽  
Author(s):  
Victoria Keyser ◽  
Glenn Gamst ◽  
Lawrence S. Meyers ◽  
Aghop Der-Karabetian ◽  
Gloria Morrow
Keyword(s):  
Mental Health ◽  
Cultural Competence ◽  
Children’S Mental Health ◽  
Children's Mental Health ◽  
Mental Health Providers ◽  
Health Providers

Frequency of Use of Alcohol-Based Hand Rubs by Nurses: A Systematic Review

2016 ◽  
Vol 38 (2) ◽  
pp. 189-195 ◽  
Author(s):  
John M. Boyce ◽  
Philip M. Polgreen ◽  
Mauricio Monsalve ◽  
David R. Macinga ◽  
James W. Arbogast
Keyword(s):  
Hand Hygiene ◽  
Healthcare Workers ◽  
Medical Intensive Care Unit ◽  
Review Of Literature ◽  
Frequent Use ◽  
Frequency Of Use ◽  
The Us ◽  
Medical Intensive Care ◽  
Hygiene Compliance ◽  
Individual Healthcare

BACKGROUNDRecently, the US Food and Drug Administration requested that a “maximal use” trial be conducted to ensure the safety of frequent use of alcohol-based hand rubs (ABHRs) by healthcare workers.OBJECTIVETo establish how frequently volunteers should be exposed to ABHR during a maximal use trial.DESIGNRetrospective review of literature and analysis of 2 recent studies that utilized hand hygiene electronic compliance monitoring (ECM) systems.METHODSWe reviewed PubMed for articles published between 1970 and December 31, 2015, containing the terms hand washing, hand hygiene, hand hygiene compliance, and alcohol-based hand rubs. Article titles, abstracts, or text were reviewed to determine whether the frequency of ABHR use by healthcare workers was reported. Two studies using hand hygiene ECM systems were reviewed to determine how frequently nurses used ABHR per shift and per hour.RESULTSOf 3,487 citations reviewed, only 10 reported how frequently individual healthcare workers used ABHR per shift or per hour. Very conservative estimates of the frequency of ABHR use were reported owing to shortcomings of the methods utilized. The greatest frequency of ABHR use was recorded by an ECM system in a medical intensive care unit. In 95% of nursing shifts, individual nurses used ABHR 141 times or less per shift, and 15 times or less per hour.CONCLUSIONSHand hygiene ECM systems established that the frequency of exposure to ABHRs varies substantially among nurses. Our findings should be useful in designing how frequently individuals should be exposed to ABHR during a maximal use trial.Infect Control Hosp Epidemiol 2017;38:189–195

scholarly journals A STUDY ON ASSESSMENT OF INJECTION PRACTICES IN VARIOUS HEALTH CARE SETTINGS OF KASHMIR VALLEY.

2019 ◽  
Vol 3 (3) ◽  
Author(s):  
Uroosa Farooq Allaqband ◽  
Anjum B Fazili ◽  
Rohul Jabeen Shah ◽  
Walied K. Balwan
Keyword(s):  
Health Care ◽  
Healthcare Workers ◽  
Health Providers ◽  
Kashmir Valley ◽  
Skin Preparation ◽  
Cross Sectional ◽  
Healthcare Facilities ◽  
Health Care Settings ◽  
Waste Reuse ◽  
Injection Practices

Background: Injection is an important drug delivery system especially for severely ill patients, acute emergency conditions and immunizations. But injections can spread disease to patients, healthcare workers, waste handlers and even in common healthy people if not used and disposed in proper way. Every year at least 16 billion injections are administered worldwide and at least half of them are unsafe. Breaks in safe injection practices coupled with overuse of injections may expose the recipients, healthcare workers or the community to several harms including life-threatening infections. Some factors that lead to unsafe injection practices include use of unsterile injection equipment, unsafe collection of sharps and management of injection related waste, reuse of contaminated needles and syringes and improper sterilization (especially of glass syringes). Material and Methods: A cross sectional observational questionnaire based study was carried out in 40 healthcare facilities of two districts of Kashmir valley (one rural and one urban) selected purposively. The study was conducted amongst 152 injection providers in which 528 injections were observed. The study period was of 1 year from April 16-March 17. A prefabricated validity tested questionnaire was used to gather the requisite information. The questionnaire was divided into two parts. First part consists of questions on three types of observations and the second part consists of questions on four types of interviews. Results: Out of total 528 injections observed 77.3% were curative (I/V, I/M) rest 22.7% were prophylactic (I/M, S/C, I/D). Majority of the providers resorted to practices which were unsafe and harmful to their being. These included practices like breaking glass ampoules without a protective barrier, nonuse of gloves in 97.3%, re-capping of needles in 68.2%, nonuse of needle destroyer in 85.8% and delay in disposal of used needle and syringes in a sharps container in 97.7% of health providers. Majority of the injection providers adopted practices which were unsafe for the patient/client. These included practices like preparation of injection on unclean surface, table or tray in 95.6%, not washing hands before preparing injection 99.8%, not cleaning hands with alcohol based hand rub in 98.5%, not cleaning the rubber cap of multidose vial in 99.3% and palpating venipuncture site after skin preparation with antiseptic in 80.2%. Conclusion: As per the practice of providers, less than 1% of the providers washed their hands with soap and water before and 3.9% after the injection. In all the injections syringe and needle used were taken out from a sterile unopened packet. 95.6% of the injections were not prepared on a clean dedicated table or tray. None of the providers used a clean barrier to protect fingers when breaking the top of glass ampoules.  Only 0.7% of providers cleaned the rubber cap of the multi-dose vial with antiseptic and 70.2% of providers removed the needle from rubber cap.  In case of I/V injections, 90.1% of providers secured the patient and the intended puncture site before the procedure and none of them used a new pair of gloves before administering any type of injections. Keywords: Injections, Health care settings, Healthcare workers.

scholarly journals Objective Structural Clinical Examination for evaluating learning efficacy of Cultural Competence Cultivation Programme for nurses

2020 ◽  
Author(s):  
Yu-Hsia Lee ◽  
Shu-Chuan Lin ◽  
Pao-Yu Wang ◽  
Mei-Hsiang Lin
Keyword(s):  
Cultural Competence ◽  
Clinical Examination ◽  
Clinical Education ◽  
Patient Survey ◽  
Educational Programme ◽  
Average Score ◽  
Control Group ◽  
Learning Efficacy ◽  
Quasi Experimental ◽  
Experimental Group

Abstract Background: Culture serves as an adhesive to bind the lives of people. There are no objective, useful tools to assess cultural competence and practice. In this study, we evaluated whether the cultural competence of nurses was strengthened through the Cultural Competence Cultivation Programme.Methods: A quasi-experimental research design was used to evaluate nurses working at a medical centre in Taiwan. They were randomly allocated into an experimental group (n = 47), which received the Cultural Competence Cultivation Programme, or a control group (n = 50), which did not receive the educational programme. After the intervention, learning efficacy of the participants was assessed using an Objective Structured Clinical Examination (OSCE). The research data were statistically analysed on SPSS.Results: The average score of the experimental group was significantly higher in the ‘communication ability and skill’ category. Furthermore, OSCE scores and Standardised Patient Survey assessment and total scores were significantly and positively correlated.Conclusion: The findings of this study can serve as a reference for designing future clinical education programmes.

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