摘要:

Patient functional activity and mobility are essential to recovery and minimization of the risks associated with immobility in hospitalized patients. In practice, there is inconsistency in attending to this aspect of patient care and limited information in the literature to guide clinicians caring for medical-surgical patients. An interdisciplinary quality improvement team of nurses, physical therapists, occupational therapists, and patient care assistants developed a programmatic approach to the assessment, planning, and implementation of patient activity criteria in this patient population. Increased awareness and application of the patient activity criteria have improved the consistency with which patient activity is addressed and reduced the incidence of immobility-associated complications.

ISSN:1057-3631    

出版商:OVID    

年代:2002

数据来源: OVID

摘要:

This article describes a quality management process used to develop an evidence-based protocol for heat loss prevention in trauma patients. The quality management tool applied was the ADDIE process (Assess the problem,Determine the root cause,Design a solution,Implement the solution, andEvaluate the outcome). Use of this process required multiple applications and resulted in the identification of a multifactorial root cause. Ongoing changes and additions to the action plans were implemented.

ISSN:1057-3631    

出版商:OVID    

年代:2002

数据来源: OVID

摘要:

The 1999 Institute of Medicine (IOM) report increased the focus by health care providers, regulators, and the public on the cause and effect of medical errors. The IOM report recognizes the complexity of the problem of medical errors and advocates a systematic approach to error reduction. Medication delivery systems in health care facilities are an excellent example of the complexity that exists. General Systems Theory (GST) provides a framework to evaluate system design and effectiveness. This article presents an example of the use of GST in the design and evaluation of medication systems with a focus on error reduction.

ISSN:1057-3631    

出版商:OVID    

年代:2002

数据来源: OVID

摘要:

Patient satisfaction is an important quality outcome indicator of health care in the hospital setting. The measurement of patients' satisfaction with nursing is particularly important since nursing service is often a primary determinant of overall satisfaction during a hospital stay. This article reports on a study designed to update and revise the definition of patient satisfaction for application with ambulatory surgical patients and to develop a questionnaire that captures this definition. The Patient Satisfaction Scale, which specifically focuses on patient satisfaction with nursing care and is used extensively by nursing researchers, was selected for factor analytical examination. Psychometric testing resulted in a 15-item scale with three underlying dimensions.

ISSN:1057-3631    

出版商:OVID    

年代:2002

数据来源: OVID

摘要:

The study evaluated the effect of a change of work site and organization on work environment and psychosocial parameters; the change involved health care personnel at a geriatric hospital. Another aim of this study was to evaluate the effects of a structured psychoeducational intervention program. The study found few changes in the indices of interest on the experimental and control wards. There were, however, significant improvements in social climate, goal quality, and independence of work on the control ward. The investigators postulated that too much external support hampers a group's ability to actively cope with change and might actually lower a group's ability and self-esteem. In order to achieve successful organizational change, psychosocial intervention programs for personnel must be performed by a well-informed, well-chosen, and experienced counsellor who is well tailored to the local organization.

ISSN:1057-3631    

出版商:OVID    

年代:2002

数据来源: OVID

摘要:

As health care organizations struggle to fill their share of core vacant positions from a dwindling supply of registered nurses, there has been a focus on recruitment of nurses like never before. Investment in strategies to retain valuable and scarce nurse resources is necessary in order to create a sense of stability on the acute patient care unit (an attractive, but now seldom encountered, hospital environment characteristic). Once an atmosphere of work environment stability is established, nurses can be liberated and moved to focus on the meaning and value of the profession to the community, the nation, and the world.

ISSN:1057-3631    

出版商:OVID    

年代:2002

数据来源: OVID

摘要:

This article describes acculturation level and family planning patterns among a convenience sample of 100 Hispanic women experiencing high-risk pregnancies. The majority were having a second pregnancy and had complications secondary to gestational diabetes or pregnancy-induced hypertension. Most were from Mexico, married, had little formal education, and were very Mexican oriented in their beliefs and values. Almost 75 percent returned for a postpartum visit compared with 14 percent who returned for the family planning visit at one year after giving birth. Age and gravidity were inversely correlated with return for family planning visits; gravidity was a significant predictor of number of post-birth visits.

ISSN:1057-3631    

出版商:OVID    

年代:2002

数据来源: OVID

摘要:

Cardiology patients have important learning needs. A 21-item patient satisfaction questionnaire was mailed to 384 cardiology patients 1 week after discharge. Satisfaction ratings indicated that the 161 respondents were satisfied with their care; however, they wanted more information regarding the management of their symptoms and activity level at home. Nurses' interviews revealed that they assessed the availability of follow-up care upon discharge. The results suggest that patients are not satisfied with the information they receive before discharge. Also, nurses and patients have different perceptions about the information patients need. These differences need to be taken into consideration when designing discharge teaching interventions.

ISSN:1057-3631    

出版商:OVID    

年代:2002

数据来源: OVID

ISSN:1057-3631    

出版商:OVID    

年代:2002

数据来源: OVID