scholarly journals FACTORS AFFECTING NURSES’ PERFORMANCE TOWARDS HEALTHCARE IMPROVEMENT: A CRITICAL REVIEW

2021 ◽  
Vol 3 (1) ◽  
pp. 24-36
Author(s):  
Amira Dime Aroon
Keyword(s):  
Survey Design ◽  
Poor Quality ◽  
Unique Contribution ◽  
Policy And Practice ◽  
Factors Affecting ◽  
Secondary Sources ◽  
Nursing Managers ◽  
Communication Program ◽  
Healthcare Improvement

Purpose: The study, therefore, seeks to establish the factors that influence the performance of nurses towards the overall healthcare improvement.Methodology: This study adopted a desk survey design. This involved an in-depth review of studies in relation to nurses’ performance and healthcare improvement. An in-depth search of the top keywords related to nurses’ performance and healthcare improvement was done in various databases. Thus, the seminar paper was purely qualitative, drawing its findings from secondary sources of information.Findings: The study finds that workload, payment and salaries, working conditions and leadership affect the performance of nurses towards the overall healthcare improvement. Unique contribution to theory, policy, and practice: Mismatch of human resources with workload and lack of clarity with regard to duties have maximum correlation with poor quality of care. Organizational structure and communication program categories gained the highest and lowest importance respectively. This information could be used by nursing managers and policy makers to plan programs in order to improve the quality of clinical nursing services. Clinical governance is considered as a framework for improving the quality of clinical services in nursing. Professional nursing practice standards are valid expression tasks that are expected of all nurses regardless of their roles and expertise in communities to be done with merit.

scholarly journals Significant influencing factors and practical solutions in improvement of clinical nursing services: a Delphi study

2019 ◽  
Vol 20 (1) ◽  
Author(s):  
Sarieh Poortaghi ◽  
Abbas Ebadi ◽  
Mahvash Salsali ◽  
Afsaneh Raiesifar ◽  
Nayyereh Davoudi ◽  
...  
Keyword(s):  
Delphi Study ◽  
Poor Quality ◽  
Clinical Services ◽  
Policy Makers ◽  
Factors Affecting ◽  
Nursing Managers ◽  
Clinical Nursing ◽  
Communication Program ◽  
Nursing Services

Abstract Background Clinical services evaluation with specific indicators are very helpful to identify improvable points. This study was conducted to analyze the factors affecting the quality of clinical nursing services and offer practical solutions for accreditation of clinical nursing services. Methods The present study was conducted using Delphi method with two rounds. At the beginning of the study a questionnaire was prepared using results of another project (clinical nursing services audit). This questionnaire was sent to 47 nursing and accreditation professionals. After the first round, causes and solutions were categorized. Then participants were asked to comment on the significance of each strategy on the prepared questionnaire. Results In the first round of Delphi in response to the question about the main causes and solutions of low quality of nursing clinical services, 394 causes and 212 solutions were mentioned by the participants. In the second round, considering moralists and specialization in the selection of nursing managers, staffing according to workload and attendance in comprehensive exam after graduation and before entering clinical fields attained the most importance. Conclusion Mismatch of human resources with workload and lack of clarity with regard to duties have maximum correlation with poor quality of care. Organizational structure and communication program categories gained the highest and lowest importance respectively. This information could be used by nursing managers and policy makers to plan programs in order to improve the quality of clinical nursing services.

Financial Factors Affecting Price-to-Earnings Ratios in Canada

2021 ◽  
Vol 6 (2) ◽  
pp. 43-61
Author(s):  
Natalia Popa Antalovschi ◽  
Raymond A. K. Cox
Keyword(s):  
Financial Reporting ◽  
Stock Prices ◽  
Stock Exchange ◽  
Fiscal Year ◽  
Unique Contribution ◽  
Policy And Practice ◽  
Factors Affecting ◽  
Financial Factors ◽  
Natural Logarithm ◽  
Forward Price

Purpose: The purpose of this study is to ascertain which financial factors affect the price-to-earnings ratios of Canadian firms. Methodology: A sample of 578 Canadian firms, across 11 industries, listed on the Toronto Stock Exchange during 2011 to 2018 is examined. Stock prices and financial statements accounts data is collected from S & P Capital IQ. We compute 27 financial factors to use as independent variables to regress on the price-to-earnings ratio dependent variables employing the Statistical Package for Social Sciences (SPSS) utilizing the software program’s forced, forward, and backward selection methods. Robustness tests are conducted using alternative dates (after the fiscal year end) to discover which model of financial factors best explains the forward price-to-earnings ratio as well as other statistical methods such as analysis of variance. Results: We find a unique model for each of the 3 models based on the forward price-to-earnings ratio date. The financial factors that explain each of the dates after the end of the fiscal year (1 month, 2 months, and 3 months) are the 4 variables: net profit margin, return on investment, total asset turnover, and the natural logarithm of the total assets. For model 3 (1 month after fiscal year end), in addition to the previous 4 factors, the dividends per share is part of the regression equation. All 3 models have strong statistically significant results at an alpha level of one percent. Further, industry effects are deduced and presented. Unique contribution to theory, policy, and practice: The results are unique to a Canadian sample of firms post- International Financial Reporting Standards (IFRS) adoption. Companies can utilize the empirical findings to manage their financial performance to maximize their price-to-earnings ratio. A product of a firm’s higher price-to-earnings ratio is a lower cost of capital which expands the corporation’s investment opportunities. Investors can apply this research to develop investment strategies hinged on price-to-earnings ratios to augment investment returns.

scholarly journals Preparing Globally Competent Teachers: A Paradigm Shift for Teacher Education in Ghana

2020 ◽  
Vol 2020 ◽  
pp. 1-9
Author(s):  
John Kwasi Annan
Keyword(s):  
Teacher Education ◽  
Rural Areas ◽  
Professional Growth ◽  
Thinking Skills ◽  
Poor Quality ◽  
Critical Thinking Skills ◽  
School Level ◽  
Teacher Competence ◽  
Secondary Sources

It is well known that quality and positive school outcomes are determined by teacher competence, sensitivity, and motivation which are summed as teacher quality. The role teachers play in shaping society requires that training of same must be of utmost priority of governments. With reference to the relevance of archival materials, the study relied mostly on observation and secondary sources of data with content analysis on training of teachers in Ghana. This study identified various elements that contribute to the quality of teachers which ultimately increases the quality of education. These included quality assurance of teacher education, initial training of teachers, deployment processes, professional growth, compensation, and regulatory bodies that ensure standards and compliance. The article also found out that low investments in teacher education, allowing nonprofessional graduates to teach, poor living, and working condition are deterrent to teachers from accepting postings to rural and deprived areas; lack of regular and consistent training for professional development and poor motivation packages for teachers are some of the reasons for poor quality in the education delivery at the basic school level. The study then advocates that teachers must be trained strictly by educational institutions only, aptitude test must be used to recruit teachers, intensify curricula reform to address critical thinking skills in teachers, institute regular development training for teachers, and motivate teachers who accept postings to rural areas.

scholarly journals Quick and dirty? A systematic review of the use of rapid ethnographies in healthcare organisation and delivery

2017 ◽  
Vol 27 (4) ◽  
pp. 321-330 ◽  
Author(s):  
Cecilia Vindrola-Padros ◽  
Bruno Vindrola-Padros
Keyword(s):  
Systematic Review ◽  
Service Use ◽  
Field Research ◽  
Poor Quality ◽  
Healthcare Sector ◽  
Healthcare Organisation ◽  
Policy And Practice ◽  
Quality Of Reporting ◽  
Meta Analyses

BackgroundThe ability to capture the complexities of healthcare practices and the quick turnaround of findings make rapid ethnographies appealing to the healthcare sector, where changing organisational climates and priorities require actionable findings at strategic time points. Despite methodological advancement, there continue to be challenges in the implementation of rapid ethnographies concerning sampling, the interpretation of findings and management of field research. The purpose of this review was to explore the benefits and challenges of using rapid ethnographies to inform healthcare organisation and delivery and identify areas that require improvement.MethodsThis was a systematic review of the literature using the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines. We used the Mixed Methods Appraisal Tool to assess the quality of the articles. We developed the search strategy using the Population, Intervention, Comparison, Outcomes, Settingframework and searched for peer-reviewed articles in MEDLINE, CINAHL PLUS, Web of Science and ProQuest Central. We included articles that reported findings from rapid ethnographies in healthcare contexts or addressing issues related to health service use.Results26 articles were included in the review. We found an increase in the use of rapid ethnographies in the last 2‰years. We found variability in terminology and developed a typology to clarify conceptual differences. The studies generated findings that could be used to inform policy and practice. The main limitations of the studies were: the poor quality of reporting of study designs, mainly data analysis methods, and lack of reflexivity.ConclusionsRapid ethnographies have the potential to generate findings that can inform changes in healthcare practices in a timely manner, but greater attention needs to be paid to the reflexive interpretation of findings and the description of research methods.Trial registration numberCRD42017065874.

scholarly journals Decline in the Quality of Urban Life in Selected Oil-Rich Cities in the Niger Delta: A Retarded Discernment or Denied Reality

2020 ◽  
pp. 54-68
Author(s):  
Brown, Ibama ◽  
Dapa, Idaminabo Nengi
Keyword(s):  
Quality Of Life ◽  
Oil And Gas ◽  
Survey Design ◽  
Experimental Manipulation ◽  
Urban Life ◽  
Capital City ◽  
Housing Type ◽  
Industrial Growth ◽  
Secondary Sources

This research was to evaluate the quality of life of the urban dwellers in Yenagoa, Amarata and Ekeki cities to ascertain if there is a decline in the quality of life residents in those selected neighbourhoods with a view to highlight such causal factors. The study adopted the Passive-Observational survey design such that the research respondents were observed in-situ without experimental manipulation. The research population was purposively drawn, and data was drawn from primary and secondary sources. Objective and subjective dimensions of quality of life were viewed in the form of physical, social and economic domains were assessed with emphasis on the type of housing, recreational preferences and employment status of respondents. Findings indicate that the quality of life of residents in Yenagoa, Amarata and Ekeki has progressively declined from when Yenagoa was a local government headquarters to becoming a capital city of an oil and gas producing state. As evident, the predominant housing type is rooming housing that does not befit its status, with limited recreational space and a phenomenal 45% unemployment rate. Findings further depict a bleak and rapidly declining quality of life of residents. The study recommends that there should be deliberate government intervention to improve housing conditions, provision of adequate functional recreational facilities that would enhance social interaction and physical wellbeing. There should be deliberate government policy with the requisite framework to stimulate industrial growth to reduce the phenomenal unemployment were recommended.   

scholarly journals Assessment of skills gap among intermediaries of cotton supply chain in Punjab, Pakistan

2019 ◽  
Vol 6 (3) ◽  
pp. 186-191
Author(s):  
Adeel Ahmad ◽  
Muhammad Iftikhar ◽  
Babar Shahbaz ◽  
Chris O. Igodan ◽  
Kathy Lechman ◽  
...  
Keyword(s):  
Sample Size ◽  
Value Chain ◽  
Fiber Strength ◽  
Sampling Technique ◽  
Total Sample ◽  
Poor Quality ◽  
Factors Affecting ◽  
Doing Business ◽  
Marketing Costs

Cotton is an important crop in Pakistan as it contributes 1.0% of GDP and 5.1% in agricultural value addition (GOP, 2017). Despite the fact that cotton value chain has strategic importance in Pakistan in terms of its contributions towards GDP, employment, export earnings, poverty alleviation, and empowerment of women, its real value has not yet been realized. One area that has an effect on income of farmers and that has not received attention is the role of middleman in the agricultural marketing. The aims of this study were to address the skill gap of the commission agents and to develop techniques to bridge those gaps. Random sampling technique was used to determine sample size. The total sample size of the study was 50 respondents. SPSS (Statistical Package for Social Sciences) was employed to analyze the collected data. Results show that most of the respondents were in their productive ages to make effective decisions and understand features of doing business. Of the total respondents 6% had no education while 94% had education of varied level. Respondents were experienced in doing business of cotton marketing. Most of the commission agents were having awareness gap regarding quality characteristics of cotton. Commission agents had moderate skills level in management of various marketing costs. Mostly the commission agents were not considering fiber fineness, fiber length, fiber strength, fiber maturity and contamination due to hair as factors towards low prices and poor quality of cotton. Weak capacity of institutional infrastructure and lack of marketing system was the major constraint in marketing of cotton. Commission agents should be equipped with training regarding maintenance of quality attributes, management of marketing costs and controlling of various factors affecting price and quality of cotton.  

scholarly journals Factors Influencing Vocation to Brotherhood in Holy Cross Congregation District of East Africa

2021 ◽  
Vol 2 (1) ◽  
pp. 1-23
Author(s):  
Kakeeto Rogers ◽  
Fredrick Omollo ◽  
Remigius Ikpe
Keyword(s):  
Social Status ◽  
East Africa ◽  
Mixed Methods Research ◽  
Target Population ◽  
High Rate ◽  
Unique Contribution ◽  
Policy And Practice ◽  
Factors Affecting ◽  
Professional Career ◽  
Factors Influencing

Purpose: The general objective of the study is to assess the factors influencing the rate of vocation to be a brother in Holy Cross Congregation in East Africa. The objectives that guided the study are; to explore how social status influence vocation to be a brother; to examine how the factor of being a clerical congregation may be influencing vocation to a brother; to determine how the need for professional career satisfaction influences vocation to be a brother, to  investigate how different motivations influences vocation to be a brother and  to identify possible ways of responding to challenges of vocation to be a brother in Holy Cross Congregation in East Africa. Methodology: The study used convergent parallel approach to the mixed methods research design. The target population in this study is107 and used Total Population Sampling to study the 107 respondents. The study used interview guide and self-administered questionnaire for data collection. The quantitative data will be coded and analyzed systematically and presented using figure, percentages and chats. The qualitative data was analyzed according to the emerging themes and the results of both the quantitative and qualitative findings were compared to draw out their significance for the study. Findings: The study established that social status, lack of awareness and perception that clerical vocation is more prestigious and glamorous than that of brotherhood are some of the factors affecting reduced vocations in brotherhood. Unique contribution to theory, policy, and practice: The study recommends the need for a rigorous promotion of brotherhood vocations, training of brothers as professionals, uplift the status of brothers and put in place proper discernment of vocations to reduce the high rate of brothers’ turnover

scholarly journals Poor-quality embryos compared with available embryos at cleavage stage have similar outcomes in vitrified-thawed single blastocyst transfer

2021 ◽  
Author(s):  
Hanyan Liu ◽  
Shaoquan Zhan ◽  
Xiaolin Long ◽  
Lei Li ◽  
Hongzi Du ◽  
...  
Keyword(s):  
Clinical Outcomes ◽  
Retrospective Cohort ◽  
Endometrial Thickness ◽  
Poor Quality ◽  
Good Prognosis ◽  
Cleavage Stage ◽  
Factors Affecting ◽  
Single Blastocyst Transfer ◽  
Confounding Variables

Abstract Background It was known that in patients with good prognosis, day 5 good-quality blastocysts formed by available cleavage embryos (AEs) or poor-quality cleavage embryos (PQEs) did not affect clinical outcomes. However, the clinical outcomes of day 5/6 expanded blastocysts cultured in patients who faced with PQEs was unclear. Methods Retrospective cohort study was conducted among women aged ≤ 38 who underwent vitrified-warmed single blastocyst transfers (SBTs) which originated from AEs (n = 382), PQEs with AEs (n = 99), or only PQEs without AEs (n = 101). Results The PQEs compared to the AEs showed lower CPR (38.38% in PQEs with AEs; 36.63% in PQEs without AEs; versus 57.07% in AEs) and lower LBR (28.28%; 29.70%; versus 44.50%), but there was no statistical difference in CPR (adjusted OR 0.78, 95% CI 0.46–1.31; adjusted OR 0.82, 95% CI 0.47–1.42) and LBR (adjusted OR 0.91, 95% CI 0.53–1.59; adjusted OR 0.94, 95% CI 0.50–1.78) after controlling for confounding variables. Better outcomes were associated with thicker endometrial thickness (CPR: adjusted OR 1.18, 95% CI 1.05–1.33; LBR: adjusted OR: 1.16, 95% CI 1.03–1.30) and blastocyst expansion on day 5 (CPR: adjusted OR 2.52 95% CI 1.62–3.94; LBR: adjusted OR: 2.28, 95% CI 1.43–3.65). ICM score C (CPR: adjusted OR 0.08, 95% CI 0.01–0.67; LBR: adjusted OR: 0.10, 95% CI 0.01–0.76) were associated with worse outcomes. Conclusions Once the blastocyst was available, endometrial thickness, ICM grade, and the day of blastocyst expansion were the factors affecting the outcome, while the quality of cleavage embryos (PQEs or AEs) had no effect on subsequent clinical outcomes.

Factors affecting moral distress in nurses working in intensive care units: A systematic review

2020 ◽  
pp. 147775092092717
Author(s):  
Foroozan Atashzadeh-Shoorideh ◽  
Faraz Tayyar-Iravanlou ◽  
Zeynab Ahmadian Chashmi ◽  
Fatemeh Abdi ◽  
Rosana Svetic Cisic
Keyword(s):  
Intensive Care ◽  
Intensive Care Units ◽  
Moral Distress ◽  
Web Of Science ◽  
Poor Quality ◽  
Qualitative Studies ◽  
Staff Nurses ◽  
Prevention Strategies ◽  
Factors Affecting

Background Moral distress is a major issue in intensive care units that requires immediate attention since it can cause nurses to burnout. Given the special conditions of patients in intensive care units and the importance of the mental health of nurses, the present study was designed to systematically review the factors affecting moral distress in nurses working in intensive care units. Methods PubMed, EMBASE, Web of Science, Scopus, and Science Direct were systematically searched for papers published between 2009 and 2019. Original articles from quantitative and qualitative studies were reviewed. The CONSORT and STROBE checklists were used to assess the quality of the quantitative papers. The JBI checklist was applied for qualitative studies. Results Factors affecting moral distress in nurses include lack of nursing staff, nurses with inadequate experience, lack of support from organizations and colleagues, inadequate education and lack of knowledge of nurses, poor collaboration of physicians with nurses, ethical insensitivity and lack of teamwork, heavy workload, poor quality of care and moral violence and they are considered as risk factors for moral distress. Conclusion Many of the related causes are due to the nature of nurses’ work and it is necessary to manage the underlying conditions of this phenomenon so that it can be effectively prevented from spreading. Levels of moral distress require more attention of authorities in the use of prevention strategies and the reduction of effective factors in distress.

Research of Line Contact Rotate-Milling about Space Ruled Surface

2013 ◽  
Vol 456 ◽  
pp. 3-9
Author(s):  
De Xing Zheng ◽  
Bin Wang
Keyword(s):  
Poor Quality ◽  
Contact Length ◽  
Machining Accuracy ◽  
Line Contact ◽  
Differential Analysis ◽  
Factors Affecting ◽  
Movement Function ◽  
Main Factors ◽  
Theory Error

For there are small contact area between tool and workpiece, low machining precision, and poor quality of face in point-milling, point-milling and line contact milling used in processing are analyzed on this paper. Line contact rotate-milling using which the workpiece is processed as the profile laws is shown, the realization method of line contact rotate-milling is discussed in milling various surfaces, the movement to processing the various surfaces is studied, and the movement function is analyzed. Next, the factors affecting the machining accuracy are analyzed, and the main factors - the geometric errors are analyzed and integrated. Then the error model is created in differential analysis,the output accuracy is analyzed in Matlab. To point-milling, the line contact rotate-milling is the method of processing based on face. In this processing, the way of no profile theory-error is taken, the tool contact length with the workpiece is increased, axis as few as possible and even single-axis is taken, and the accuracy of processing is improved.

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