ISSN:1057-3631    

出版商:OVID    

年代:1995

数据来源: OVID

摘要:

Traditionally, health care quality has been provider defined and focused, even though consumers define and evaluate health care quality. And, there is no relationship between consumer and provider perceptions of quality. Importantly, consumers use their evaluations when they decide to sue, recommend or return for services, and comply with treatment regimens. This article examines the changing role of the consumer in health care quality, explicates the need for a change in the health care paradigm, and suggests strategies for increasing patient participation in health care planning and quality assessment.

ISSN:1057-3631    

出版商:OVID    

年代:1995

数据来源: OVID

摘要:

Stemming from the diversity In the U.S. population, ethnocultural factors no longer can be Ignored when defining and assessing consumer satisfaction. Likewise, there is a critical need for process models that consider consumer heterogeneity. Continuous quality improvement (CQI) programs must look beyond whether or not services are accessible and cost-effective. The processes must also measure if services are acceptable and appropriate for a target population. This article describes how the discipline of anthropology can provide useful tools to obtain critically needed ethnocultural information.

ISSN:1057-3631    

出版商:OVID    

年代:1995

数据来源: OVID

摘要:

Development of valid and reliable instruments to assist nurse researchers and clinicians in meeting the needs of consumers is an avenue toward continuous quality improvement (CQI). This article explains validity and reliability and the process of constructing a valid and reliable scale. The development of the Consumer Emergency Care Satisfaction Scale, a measure of quality nursing care in the emergency department, is used as the example.

ISSN:1057-3631    

出版商:OVID    

年代:1995

数据来源: OVID

摘要:

In this age of consumerism, consideration should be given to patients' perceptions of interactions with the health care provider as a factor in assessing the quality of care provided. This article describes a study of 100 psychiatric inpatients in a large urban medical center who evaluated 50 commonly used psychiatric nursing actions. Significant differences were found between the general psychiatric patient population and the substance abuse population in perception of helpfulness and frequency of performance with 7 of the 50 nursing actions. As the consumer's perception of the effectiveness of nursing actions is determined, emphasis can be given to those interventions when planning patient care.

ISSN:1057-3631    

出版商:OVID    

年代:1995

数据来源: OVID

摘要:

Health care providers are under tremendous pressure to meet consumer demands in order to compete in the rapidly changing health care arena. Through evaluating patient satisfaction, health care providers can learn what the consumer wants from the health care system. This article informs the reader of issues surrounding patient satisfaction data collection instruments, especially the problem of lack of standardization. That is, each instrument measures satisfaction according to different standards. This article presents a case study analysis of one patient satisfaction data collection instrument entitled the Picker-Commonwealth Survey on Patient- Centered Care. Suggestions for revision and further work are addressed.

ISSN:1057-3631    

出版商:OVID    

年代:1995

数据来源: OVID

摘要:

Partnering with the patient In the planning and delivery of care to achieve high-quality outcomes is a goal shared by health care providers. The achievement of a full partnership with the patient often varies based on the communication skills of individual nurses. To provide more consistency. Patient Standards of Care (SOCs) were created that are written from the patients' viewpoint In lay terms and are condition-specific. The content includes commitments of the health care team, patient care issues and concerns, what the team will do, what the patient can do, and outcome expectations. The end result is to promote the patients' engagement In their own care through the sharing of accountabilities for desired outcomes.

ISSN:1057-3631    

出版商:OVID    

年代:1995

数据来源: OVID

摘要:

Sound funding decisions by policymakers require data that relate health care services to both client need and client outcome. However, client need for care is not easy to express quantitatively, particularly in the realm of preventive and health promotion services. Application of the Community Health Intensity Rating Scale (CHIRS) with high-risk infants and prenatal clients revealed that differences in intensity of need, particularly in contextual and behavioral domains, helped to explain variation in amount of care received. The CHIRS holds promise of providing the language and measurement with which to articulate client need as the basis for cost-effective multidisciplinary care.

ISSN:1057-3631    

出版商:OVID    

年代:1995

数据来源: OVID

摘要:

The mandate for establishing guidelines for assessing effectiveness has been given to the Agency for Health Care Policy and Research (AHCPR). This agency has published 10 practice guidelines for practitioners to use. The present task for practitioners Is to establish how to effectively use these guidelines. Nurse researchers at the University of Iowa have provided a practical standardized language of nursing interventions that will help nurses demonstrate and communicate current nursing practice. This Nursing Interventions Classification (NIC) will allow nurses to implement the guidelines, demonstrate nursing input for patient care, and make nursing visible to consumers and other health care providers.

ISSN:1057-3631    

出版商:OVID    

年代:1995

数据来源: OVID

ISSN:1057-3631    

出版商:OVID    

年代:1995

数据来源: OVID