scholarly journals Quality Of Care As Perceived By Patients In A Brazilian Hospital: A Non-Randomized Interventional Study

10.3823/2520 ◽  
2017 ◽  
Vol 10 ◽  
Author(s):  
Gunnar Glauco De Cunto Taets ◽  
Camila Mendonça de Moraes Lopes ◽  
Claudio Joaquim Borba-Pinheiro ◽  
Estelio Henrique Martin Dantas
Keyword(s):  
Quality Of Care ◽  
Repeated Measures ◽  
Rio De Janeiro ◽  
Nonparametric Test ◽  
Post Intervention ◽  
Convenience Sample ◽  
Quality Of Patient Care ◽  
Dependent Variables ◽  
Post Test

Objective: To assess patients’ perceptions of the quality of care delivered by staff who underwent training about humanized care in a private hospital in Rio de Janeiro, Brazil. Method: This was an exploratory study. The convenience sample consisted of 30 patients, and data were collected via pre-intervention questionnaires, followed by post-intervention questionnaires after a training sessions with 44 employees working in a cardiac intensive unit of a private general hospital in Rio de Janeiro, Brazil. Dependent variables were analyzed using McNemar’s nonparametric test for repeated measures, considered suitable because of the nominal scale. Percentage differences were calculated using the following equation: ∆%=[(post-test – pre-test)*100/test] with significance set at  <0.05. Results: Improvements were observed in quality of patient care (Δ% = 38.1%, p = 0.031) and clarification of patients’ clinical condition (Δ% = 25%, p = 0.021), in addition to perceived room temperature (Δ % = 40%, p = 0.008) and ambient noise (Δ% = 52.6%, p = 0.002). Conclusion: Quality of care improved significantly after staff training, demonstrating the essential nature of ongoing education.

Evaluating IBMEC-RJ’s Intranet Usability Using Fuzzy Logic

2012 ◽  
pp. 185-205
Author(s):  
Ana Beatriz Cavaleiro dos Reis Velloso ◽  
Walter Gassenferth ◽  
Maria Augusta Soares Machado
Keyword(s):  
Fuzzy Logic ◽  
Rio De Janeiro ◽  
Applied Research ◽  
Ease Of Use ◽  
Microsoft Excel ◽  
Convenience Sample ◽  
System Usability ◽  
Teachers And Students ◽  
The Universe

System usability is a concept that goes beyond the ease of use, and includes several criteria for measurement. This study aims to evaluate the usability and thus the quality of IBMEC-RJ’s Intranet in Rio de Janeiro, Brazil, by the fact that it is of great assistance to teachers and students. The method is applied research through questionnaires. The universe of users was limited by a convenience sample of IBMEC. The methodology that had used Microsoft Excel and Matlab from Mathworks is innovative. Fuzzy logic is a fundamental tool for consolidating and analyzing data.

Designing, implementing and evaluating an educational intervention targeting weight bias and fat stereotyping

2020 ◽  
pp. 135910531990131
Author(s):  
Thea Werkhoven
Keyword(s):  
Higher Education ◽  
Quality Of Care ◽  
Health Professionals ◽  
Intervention Study ◽  
Course Design ◽  
Nutrition Knowledge ◽  
Weight Bias ◽  
Post Intervention ◽  
Or Education

Weight bias directed at individuals at a higher weight leaves them feeling victimised and judged. When possessed by health professionals, stigmatising attitudes may compromise professionalism and quality of care or education provided. An intervention study was conducted in the higher education setting ( n = 124), through tailored course design and delivery. The intervention was embedded into a health elective that pre-service health professionals were enrolled in. Attitudes to weight and knowledge of nutrition were targeted simultaneously. Surveys conducted pre- and post-intervention revealed moderate success in achieving study aims of improving nutrition knowledge and decreasing bias. Focus group analyses supported the quantitative findings.

scholarly journals Patients' views on the quality of care when receiving electroconvulsive therapy

2007 ◽  
Vol 31 (11) ◽  
pp. 414-417 ◽  
Author(s):  
Kerry Kershaw ◽  
Lauren Rayner ◽  
Robert Chaplin
Keyword(s):  
Quality Of Care ◽  
Patient Care ◽  
Electroconvulsive Therapy ◽  
Clinical Implications ◽  
Patient Views ◽  
Quality Of Patient Care

AIMS AND METHODTo examine patients' views on the quality of care they received before, during and after electroconvulsive therapy (ECT), a questionnaire was completed by 389 patients who had received ECT at ECT Accreditation Service (ECTAS) member clinics.RESULTSThe nine key standards set by ECTAS relating to quality of patient care were rated as having been met by 65% or more respondents. Most patients found staff friendly and reassuring and often commented on how this had helped reduce their anxiety prior to ECT. Patients were less positive about standards relating to being introduced to staff prior to ECT, and the quality of the waiting and post-recovery areas.CLINICAL IMPLICATIONSPatient views are important indicators of quality of care and should be used to improve ECT practice. Anxiety about ECT is helped by supportive and caring staff. Improvements could be made to practices related to waiting for and recovering from ECT.

Opportunities for improvement (OFI) in guideline concordance (GLC) at National Comprehensive Cancer Network (NCCN) member institutions (MI).

2012 ◽  
Vol 30 (34_suppl) ◽  
pp. 172-172
Author(s):  
Jennifer Lyle ◽  
Jonathan L. Vandergrift ◽  
Kimary Kulig ◽  
Keyword(s):  
Quality Of Care ◽  
Performance Improvement ◽  
Institutional Delivery ◽  
Data Driven ◽  
Provider Education ◽  
Post Intervention ◽  
Improvement Programs ◽  
Quality Improvement Programs ◽  
Cancer Network

172 Background: The NCCN is implementing a performance improvement initiative using breast cancer (BC) practice data from NCCN MIs to improve institutional delivery of GLC and identify tailored opportunities for improving efficiency and quality of care delivered. Methods: This initiative includes evaluation of baseline GLC, review of non-concordant (NC) cases, design of tailored institutional interventions, and post-intervention evaluation of GLC and reasons for NC. BC patients presenting from July 2007 to March 2009 at 11 NCCN MIs were included in the baseline review. Six Category 1 GLC and 3 ASCO/NCCN quality measures evaluating adjuvant chemotherapy (CTX), endocrine therapy (ET), and radiation (XRT) were reviewed. GLC was assessed using the NCCN Outcomes database. Results: Aggregate GLC across all measures was 90% (MI range 66% to 100%). Review of NC cases was used to develop tailored OFI interventions. Three MIs are focusing on clinical practice improvement via provider education and feedback and integration of electronic medical record flags for treatment consideration. Nine MIs are working on improving access and reducing time-to-treatment lags. Currently, half of MIs are implementing and half are evaluating OFI interventions. Conclusions: This program supports data-driven QI efforts at MIs with the goal of improving efficiency and quality of care delivered to patients at participating sites, as well as serving as a model for data-driven quality improvement programs. [Table: see text]

Hospital-Level Factors Related to 30-Day Readmission Rates

2016 ◽  
Vol 32 (1) ◽  
pp. 48-57 ◽  
Author(s):  
Joanne R. Campione ◽  
Scott A. Smith ◽  
Russell E. Mardon
Keyword(s):  
Patient Safety ◽  
Quality Of Care ◽  
Repeated Measures ◽  
Readmission Rate ◽  
Healthcare Research ◽  
Hospital Level ◽  
Readmission Rates ◽  
Discharge Data ◽  
The Mean

This study investigates the relationship between inpatient quality of care as measured by the Agency for Healthcare Research and Quality (AHRQ) patient safety indicator (PSI) composite and all-cause, hospital-wide, 30-day readmission rates. Discharge data from 4 statewide databases were analyzed. Linear, repeated-measures regressions were performed to predict hospital-level 30-day readmission rates. The mean readmission rate was 12.9%, and the mean PSI composite ratio was 0.95 among 524 hospitals with 2592 observations. In the hospital-level analysis, the risk-adjusted AHRQ PSI composite was not significantly associated with hospital 30-day readmission rate after controlling for hospital-level characteristics, patient case mix, and sociodemographics. Inpatient quality of care appears to have less influence on hospital readmission rates than do clinical and socioeconomic factors. However, these results suggest that a patient safety composite measure that includes postdischarge complications would provide more information to assist hospitals and communities in understanding the association between quality of care and readmission rates.

scholarly journals The effects of therapeutic group singing on voice, cough and quality of life in parkinson’s disease

2021 ◽  
Vol 6 (2) ◽  
pp. 79-88
Author(s):  
Cecilia Brooks ◽  
Danielle Porter ◽  
Daniel Furnas ◽  
Judith Maige Wingate
Keyword(s):  
Quality Of Life ◽  
Repeated Measures ◽  
Outpatient Setting ◽  
Small Sample ◽  
Speaking Rate ◽  
Post Intervention ◽  
Main Effect ◽  
Pitch Level ◽  
Potential Improvement

Purpose: To examine the effect of a group therapeutic singing intervention on voice, cough, and quality of life in persons with Parkinson Disease (PD) in a community-based outpatient setting using a repeated measures design.Methods: 19 volunteer participants with PD completed the study. Ten participants participated in the intervention and nine served voluntarily as controls. Participants completed one hour group singing sessions over 12 weeks led by a music therapist. Sessions consisted of 30 min of high intensity vocal exercise and 15 to 20 minutes of group singing. Data on phonation, speech, cough, and quality of life were collected pre-intervention and one week post intervention with final data collection 12 weeks post-intervention.Results: No significant change in voice measures although 50% of participants showed improvement. A main effect was found for breathiness (p=0.023), appropriate pitch level (p=0.037) and speaking rate (p=0.009). No main effect for cough but pairwise comparisons were nearly significant pre to post intervention (p=0.053) and pre-intervention to final follow up (p=0.023). No main effect found for QOL but singing participants demonstrated better QOL scores than controls.Conclusions: Results from this small sample suggest that there are some speech benefits from singing intervention as well as potential improvement in cough for airway clearance. Additional study is needed to confirm these results.

scholarly journals Effects of Different Periodization Models in Strength Training on Physical and Motor Skills during 24 Weeks of Training

2021 ◽  
Vol 90 (2) ◽  
pp. 118-133
Author(s):  
Déborah de Araújo Farias ◽  
Michel Moraes Gonçalves ◽  
Sérgio Eduardo Nassar ◽  
Euzébio de Oliveira
Keyword(s):  
Longitudinal Study ◽  
Strength Training ◽  
Motor Skills ◽  
Repeated Measures ◽  
Progressive Increase ◽  
Lower Limbs ◽  
Training Experience ◽  
Post Intervention ◽  
Convenience Sample ◽  
Endurance Strength

Introduction: Periodization is the accurate manipulation of methodological variables of strength training (ST) to provide a progressive increase in the different manifestations of muscle strength. The most used models in ST are linear and undulatory periodization. Objective: Evaluate the effects of 24 weeks of training by applying three different models of ST periodization: Linear Periodization (LP), Weekly Undulating Periodization (WUP) and Daily Undulating Periodization (DUP) on: upper limb (UL) strength (submaximal and endurance), submaximal strength and power of the lower limbs (LL) and on other components of physical fitness (flexibility, agility and abdominal endurance strength). Methods: Experimental, longitudinal study, with a convenience sample, in which 29 people of both sexes participated, randomly allocated to the groups. Tests were performed pre- and post-intervention. ANOVA (two-way) of repeated measures was performed. Results: There was a significant increase in submaximal strength of the UL in the three periodization models: LP (p<0.001), the WUP (p=0.002) and DUP (p=0.001). There was also a significant increase in submaximal strength of the LL with LP (p=0.002), WUP (p<0.001) and with DUP (p=0.001). No significant intergroup differences were found in any test and time. Conclusion: In individuals without training experience, 24 weeks of TF provided gains in different manifestations of strength, regardless of the periodization model (LP, WUP or DUP). PL and WUP seem to be better at providing LL power gains in the horizontal jump.

RN Job Satisfaction and Retention After an Interprofessional Team Intervention

2018 ◽  
Vol 41 (4) ◽  
pp. 615-630 ◽  
Author(s):  
Dawon Baik ◽  
Brenda Zierler
Keyword(s):  
Job Satisfaction ◽  
Quality Of Care ◽  
Turnover Rate ◽  
Cross Sectional Study ◽  
Intervention Period ◽  
Post Intervention ◽  
Cross Sectional ◽  
Interprofessional Team ◽  
Interprofessional Teamwork

Despite continuing interest in interprofessional teamwork to improve nurse outcomes and quality of care, there is little research that focuses on nurse job satisfaction and retention after an interprofessional team intervention. This study explored registered nurse (RN) job satisfaction and retention after a purposeful interprofessional team training and structured interprofessional bedside rounds were implemented. As part of a larger study, in this comparative cross-sectional study, pre- and post-intervention data on RN job satisfaction and turnover rate were collected and analyzed. It was found that RNs had significantly higher job satisfaction after the interprofessional team intervention. The 6-month period turnover rate in the post-intervention period was slightly lower than the 6-month period turnover rate in pre-intervention period; however, the rate was too low to provide statistical evidence. Ongoing coaching and supportive work environments to improve RN outcomes should be considered to enhance quality of care and patient safety in healthcare.

scholarly journals A cooling cuff compared to a moist ice pack on radial artery blood flow and lumen diameter in healthy participants

2018 ◽  
Vol 23 ◽  
Author(s):  
Joshua Gernetzky ◽  
Laura O'Connor ◽  
Desiree Varatharajullu ◽  
Zombuso C. Dludla
Keyword(s):  
Blood Flow ◽  
Radial Artery ◽  
Repeated Measures ◽  
Acute Stage ◽  
Lumen Diameter ◽  
P Value ◽  
Artery Blood Flow ◽  
Post Intervention ◽  
Post Test ◽  
Ice Pack

Background: Cryotherapy is a favourable treatment for post-traumatic injuries in the acute stage because of its effect on inflammation and pain. A novel cooling cuff, which can be easily used and can be wrapped around the injured area that does not require freezing, has been developed. Its efficacy compared to traditional ice therapy has not been established.Aim: To establish the effect of a cooling cuff on radial artery blood flow and lumen diameter compared to moist ice.Setting: Chiropractic clinic and radiographic laboratory.Method: A controlled laboratory pre-test post-test investigation assessed asymptomatic participants who were randomly allocated into a moist ice pack (n = 22) or the cooling cuff (n = 21) group. The intervention was placed on the participants forearm over the radial artery for 15 min. Data was collected by a qualified diagnostic radiographer using Doppler ultrasound. Data was analysed, using repeated measures analysis of variance to assess changes in blood flow and lumen diameter pre- and post-intervention. A p-value of less than 0.05 was considered significant.Results: Both groups showed a significant decrease in radial artery blood flow (p < 0.001) after 15 min with no significant changes being observed in diameter size. No significant differences were observed between the groups for radial artery blood flow or diameter.Conclusion: The cooling cuff resulted in a similar effect on radial artery blood flow and lumen diameter as moist ice, indicating that patients and practitioners may utilise the cooling cuff in the acute phases of an injury to alter blood flow.

scholarly journals Validation of a tool to assess patient satisfaction, waiting times, healthcare utilization, and cost

2019 ◽  
Vol 20 ◽  
Author(s):  
Breda H. Eubank ◽  
Mark R. Lafave ◽  
Nicholas G. Mohtadi ◽  
David M. Sheps ◽  
J. Preston Wiley
Keyword(s):  
Patient Satisfaction ◽  
Quality Of Care ◽  
Continuum Of Care ◽  
Criterion Validity ◽  
Rotator Cuff Tears ◽  
Convenience Sample ◽  
Duration Of Symptoms ◽  
Ceiling Effects ◽  
Patients Experience

Abstract Aim Patients’ experience of the quality of care received throughout their continuum of care can be used to direct quality improvement efforts in areas where they are most needed. This study aims to establish validity and reliability of the Healthcare Access and Patient Satisfaction Questionnaire (HAPSQ) – a tool that collects patients’ experience that quantifies aspect of care used to make judgments about quality from the perspective of the Alberta Quality Matrix for Health (AQMH). Background The AQMH is a framework that can be used to assess and compare the quality of care in different healthcare settings. The AQMH provides a common language, understanding, and approach to assessing quality. The HAPSQ is one tool that is able to assess quality of care according to five of six AQMH’s dimensions. Methods This was a prospective methodologic study. Between March and October 2015, a convenience sample of patients presenting with chronic full-thickness rotator cuff tears was recruited prospectively from the University of Calgary Sport Medicine Centre in Calgary, Alberta, Canada. Reliability of the HAPSQ was assessed using test–retest reliability [interclass correlation coefficient (ICC)>0.70]. Validity was assessed through content validity (patient interviews, floor and ceiling effects), criterion validity (percent agreement >70%), and construct validity (hypothesis testing). Findings Reliability testing was completed on 70 patients; validity testing occurred on 96 patients. The mean duration of symptoms was three years (SD: 5.0, range: 0.1–29). Only out-of-pocket utilization possessed an ICC<0.70. Patients reported that items were relevant and appropriate to measuring quality of care. No floor or ceiling effects were present. Criterion validity was reached for all items assessed. A priori hypotheses were confirmed. The HAPSQ represents an inexpensive, reliable, and valid approach toward collecting clinical information across a patient’s continuum of care.

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