scholarly journals A multi-method study on the quality of the nurse work environment in acute-care hospitals: positioning Switzerland in the Magnet hospital research

2012 ◽  
Author(s):  
M Desmedt ◽  
Geest De ◽  
M Schubert ◽  
R Schwendimann ◽  
D Ausserhofer
Keyword(s):  
Work Environment ◽  
Acute Care ◽  
Acute Care Hospitals ◽  
Magnet Hospital ◽  
Nurse Work Environment ◽  
Hospital Research

Post–Intensive Care Syndrome in Family Decision Makers of Long-term Acute Care Hospital Patients

2017 ◽  
Vol 26 (5) ◽  
pp. 416-422 ◽  
Author(s):  
Amy Petrinec
Keyword(s):  
Quality Of Life ◽  
Intensive Care ◽  
Acute Care ◽  
Acute Care Hospitals ◽  
Summary Score ◽  
Decision Makers ◽  
Family Decision ◽  
Post Intensive Care Syndrome

Background Family members of critically ill patients experience indications of post–intensive care syndrome, including anxiety, depression, and posttraumatic stress disorder. Despite increased use of long-term acute care hospitals for critically ill patients, little is known about the impact of long-term hospitalization on patients’ family members. Objectives To examine indications of post–intensive care syndrome, coping strategies, and health-related quality of life among family decision makers during and after patients’ long-term hospitalization. Methods A single-center, prospective, longitudinal descriptive study was undertaken of family decision makers of adult patients admitted to long-term acute care hospitals. Indications of post–intensive care syndrome and coping strategies were measured on the day of hospital admission and 30 and 60 days later. Health-related quality of life was measured by using the Short Form-36, version 2, at admission and 60 days later. Results The sample consisted of 30 family decision makers. On admission, 27% reported moderate to severe anxiety, and 20% reported moderate to severe depression. Among the decision makers, 10% met criteria for a provisional diagnosis of posttraumatic stress disorder. At admission, the mean physical summary score for quality of life was 47.8 (SD, 9.91) and the mean mental summary score was 48.00 (SD, 10.28). No significant changes occurred during the study period. Problem-focused coping was the most frequently used coping strategy at all time points. Conclusion Family decision makers of patients in long-term acute care hospitals have a significant prevalence of indications of post–intensive care syndrome.

scholarly journals Attributes of a Magnetic work environment, and its relation to work stress among nursing staff at Children’s Cancer Hospital Egypt (CCHE 57357)

2017 ◽  
Vol 6 (1) ◽  
pp. 35
Author(s):  
Sanaa Abdel-Azeem Ibrahem ◽  
Rasha Ibrahim El-Sayed Aly
Keyword(s):  
Work Environment ◽  
Work Stress ◽  
Nursing Staff ◽  
Magnet Hospital ◽  
Organizational Attributes ◽  
Correlational Design ◽  
Cancer Hospital ◽  
The Status ◽  
Study Setting

Background: The Magnet hospital is the hospital that implements specific organizational attributes in order to achieve a high quality of care through well-qualified and committed nursing staff.Aim of the study: The study was aimed at studying attributes of the Magnetic work environment, and its relation to work stress among nursing staff.Methods: Setting: It was carried out in the children’s cancer hospital, Egypt. Design: Using a descriptive correlational design. Subjects: Consisted of 172 nursing staff. Tools and procedure: two different self-administered tools were utilized (Magnet attributes questionnaire, and stress questionnaire). The fieldwork lasted from April to July 2016.Results: The study revealed that the highest percentage of nursing staff aged between 20 and 30 years. Nearly two thirds (64%) were having a bachelor degree in nursing. Total attributes of work environment were available with strength. 96.6% of nursing staff recorded low scores of stress.Conclusions: The nursing staff in the study setting considered “total attributes of Magnet work environment” as an area of strength. The total scores of stress were generally low. Statistically significant negative correlations were revealed between the scores of total Magnet attributes and stress.Recommendations: It is a matter of priority for Egyptian children’s cancer hospital to enhance and promote the development and maintenance of Magnetism and taking the lead in promoting the status of Magnetism in Egypt.

Impact of Nurse Work Environment and Staffing on Hospital Nurse and Quality of Care in Thailand

2011 ◽  
Vol 43 (4) ◽  
pp. 426-432 ◽  
Author(s):  
Apiradee Nantsupawat ◽  
Wichit Srisuphan ◽  
Wipada Kunaviktikul ◽  
Orn-Anong Wichaikhum ◽  
Yupin Aungsuroch ◽  
...  
Keyword(s):  
Quality Of Care ◽  
Work Environment ◽  
Hospital Nurse ◽  
Nurse Work Environment

scholarly journals Balancing quality of care and resource utilisation in acute care hospitals

2016 ◽  
Vol 25 (11) ◽  
pp. 824-826
Author(s):  
Andre C K B Amaral ◽  
Brian H Cuthbertson
Keyword(s):  
Quality Of Care ◽  
Acute Care ◽  
Acute Care Hospitals ◽  
Resource Utilisation

scholarly journals A decade of commitment to hospital quality of care: overview of and perceptions on multicomponent quality improvement policies involving accreditation, public reporting, inspection and pay-for-performance

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Astrid Van Wilder ◽  
Jonas Brouwers ◽  
Bianca Cox ◽  
Luk Bruyneel ◽  
Dirk De Ridder ◽  
...  
Keyword(s):  
Quality Improvement ◽  
Quality Of Care ◽  
Acute Care ◽  
Government Policy ◽  
Online Survey ◽  
Pay For Performance ◽  
Acute Care Hospitals ◽  
Public Reporting ◽  
Hospital Quality

Abstract Background Quality improvement (QI) initiatives such as accreditation, public reporting, inspection and pay-for-performance are increasingly being implemented globally. In Flanders, Belgium, a government policy for acute-care hospitals incorporates aforementioned initiatives. Currently, questions are raised on the sustainability of the present policy. Objective First, to summarise the various initiatives hospitals have adopted under government encouragement between 2008 and 2019. Second, to study the perspectives of healthcare stakeholders on current government policy. Methods In this multi-method study, we collected data on QI initiative implementation from governmental and institutional sources and through an online survey among hospital quality managers. We compiled an overview of QI initiative implementation for all Flemish acute-care hospitals between 2008 (n = 62) and 2019 (n = 53 after hospital mergers). Stakeholder perspectives were assessed via a second survey available to all healthcare employees and a focus group with healthcare policy experts was consulted. Variation between professions was assessed. Results QI initiatives have been increasingly implemented, especially from 2016 onwards, with the majority (87%) of hospitals having obtained a first accreditation label and all hospitals publicly reporting performance indicators, receiving regular inspections and having entered the pay-for-performance initiative. On the topic of external international accreditation, overall attitudes within the survey were predominantly neutral (36.2%), while 34.5% expressed positive and 29.3% negative views towards accreditation. In examining specific professional groups in-depth, we learned 58% of doctors regarded accreditation negatively, while doctors were judged to be the largest contributors to quality according to the majority of respondents. Conclusions Hospitals have demonstrated increased efforts into QI, especially since 2016, while perceptions on currently implemented QI initiatives among healthcare stakeholders are heterogeneous. To assure quality of care remains a top-priority for acute-care hospitals, we recommend a revision of the current multicomponent quality policy where the adoption of all initiatives is streamlined and co-created bottom-up.

scholarly journals 2053. Information Gaps Among Patients Prescribed Antibiotics on Discharge to Nursing Homes

2019 ◽  
Vol 6 (Supplement_2) ◽  
pp. S692-S692
Author(s):  
Jon P Furuno ◽  
Brie N Noble ◽  
Bo Weber ◽  
Vicki Nordby ◽  
Jessina C McGregor ◽  
...  
Keyword(s):  
Nursing Homes ◽  
Hospital Discharge ◽  
Acute Care ◽  
Medical Records ◽  
Acute Care Hospitals ◽  
Antibiotic Prescribing ◽  
Oral Antibiotic ◽  
Discharge Summaries ◽  
Information Gaps

Abstract Background Antibiotic use in nursing homes (NHs) is frequently initiated in acute care hospitals. Comprehensive antibiotic administration instructions are critical to inform antimicrobial stewardship efforts in NHs. However; little is known about the quality of discharge communication for residents transitioning from hospitals to NHs with an antibiotic prescription. Methods We reviewed hospital discharge summaries from a 10% random sample of hospital-initiated antibiotic prescriptions among residents of 17 for-profit NHs in Oregon, California, and Nevada admitted between January 1 and December 31, 2017. Data elements of interest were documentation of antibiotic choice, indication, instructions, and pending microbiology tests. Results Among 217 hospital-initiated antibiotic prescriptions, mean (standard deviation) age was 64 (29) years and 57% were female. The most frequently prescribed hospital-initiated antibiotics were cephalosporins (36%), fluoroquinolones (16%), and penicillins (14%). Hospital discharge summaries were missing from 19% (42/217) of the resident medical records. Core antibiotic prescribing information was missing from 38% (67/175) of the medical records with a discharge summary: 11% (20/175) were missing all core elements, 23% (41/175) were missing the antibiotic indication, 27% (48/175) were missing antibiotic dose, 27% (48/175) were missing antibiotic frequency, and 32% (56/175) were missing antibiotic duration. Parental antibiotics were more frequently missing information compared with oral antibiotic prescriptions (45% vs. 37%, P = 0.32). Conclusion Information gaps around antibiotic prescriptions are prevalent in transfer documentation for NH residents admitted from acute care hospitals. Interventions are needed to improve the quality of information transferred from acute care hospitals to NHs. Disclosures All authors: No reported disclosures.

Identifying Opportunities to Enhance Environmental Cleaning in 23 Acute Care Hospitals

2008 ◽  
Vol 29 (1) ◽  
pp. 1-7 ◽  
Author(s):  
P. C. Carling ◽  
M. F. Parry ◽  
S. M. Von Beheren ◽  
Keyword(s):  
Acute Care ◽  
Healthcare Providers ◽  
Acute Care Hospitals ◽  
Educational Interventions ◽  
Multidrug Resistant ◽  
Environmental Cleaning ◽  
Object Categories ◽  
Serious Infections ◽  
Cleaning And Disinfection

Objective.The quality of environmental hygiene in hospitals is under increasing scrutiny from both healthcare providers and consumers because the prevalence of serious infections due to multidrug-resistant pathogens has reached alarming levels. On the basis of the results from a small number of hospitals, we undertook a study to evaluate the thoroughness of disinfection and cleaning in the patient's immediate environment and to identify opportunities for improvement in a diverse group of acute care hospitals.Methods.Prospective multicenter study to evaluate the thoroughness of terminal room cleaning in hospitals using a novel targeting method to mimic the surface contamination of objects in the patient's immediate environment.Setting.Twenty-three acute care hospitals.Results.The overall thoroughness of terminal cleaning, expressed as a percentage of surfaces evaluated, was 49% (range for all 23 hospitals, 35%-81%). Despite the tight clustering of overall cleaning rates in 21 of the hospitals, there was marked variation within object categories, which was particularly notable with respect to the cleaning of toilet handholds, bedpan cleaners, light switches, and door knobs (mean cleaning rates, less than 30%; institutional ranges, 0%-90%). Sinks, toilet seats, and tray tables, in contrast, were consistently relatively well cleaned (mean cleaning rates, over 75%). Patient telephones, nurse call devices, and bedside rails were inconsistently cleaned.Conclusion.We identified significant opportunities in all participating hospitals to improve the cleaning of frequently touched objects in the patient's immediate environment. The information obtained from such assessments can be used to develop focused administrative and educational interventions that incorporate ongoing feedback to the environmental services staff, to improve cleaning and disinfection practices in healthcare institutions.

scholarly journals A typology for legal risk management in patient care in Australian hospitals

1996 ◽  
Vol 19 (4) ◽  
pp. 113
Author(s):  
Liza Newby
Keyword(s):  
Risk Management ◽  
Patient Care ◽  
Acute Care ◽  
Hospital Management ◽  
Acute Care Hospitals ◽  
Legal Risk ◽  
Model Sets ◽  
Policies And Procedures ◽  
Four Levels ◽  
Hospital Research

The author reviewed the literature on legal risk management in patient care, andcarried out research in two acute care hospitals. The hospital research involvedauditing policies and procedures, interviewing key people in the hospital, reviewingexternal legal and policy trends, and examining selected complaints files and legalcases. The results were used to develop a ?typology? of legal risk management to provideguidelines and assistance to hospital management in improving their hospital?sstrategic response to legal vulnerability. The model sets out four levels of legal riskmanagement programs, and identifies specific components classified as promoting lossprevention, or loss minimisation.

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