CHAPTER 1: INTRODUCTION 1.1 Introduction In this era of modernization, the health care services are now undergoing revolution in various ways in both developed and developing countries. This condition has created a sort of competition among the service providers to deliver the best quality of care to their clients while meeting the needs of their interpersonal and psychological needs. An effective health care requires collaboration of all healthcare workers that include physicians, nurses, physiotherapist and more. These healthcare workers work together as a team by playing their roles effectively in order to achieve a high quality of cares offered to the patients. However, in this study, the researcher will emphasize more to nursing care …show more content…
efficiency and competency of nurses. 1.2 Problem Statement Previous study has shown that the two factors that affect the patient satisfaction level was (a) overall staff and (b) nursing care (Boslaugh et al., 2009). Another study by Schmidt (2004) demonstrated that nursing care quality directs an impact on each outcome of the patient outcome. A study conducted by Lubna Abdel Wahab Elsidig where she did her research on ‘Patient Satisfaction among Inpatient of Medical Wards at University of Malaya Medical Centre’ in year 2002 concluded that the patients rated the nursing care as average even when the hospital was having a shortage of nurses. Therefore, the researcher would like to do another research on the same population adding the population of surgical wards after more than 10 years of the previous research done. This is because, during these time, there are changes of the nurses and management of this two wards that will somehow affect the overall nursing care quality. 1.3 Significance of …show more content…
It represents a global cognitive evaluation or judgment of their satisfaction with quality of care provided (Raftopoulos, 2005). Patient satisfaction is defined as the positive and negative outcomes of the applied nursing care by the registered nurses. It depends on the quality of nursing care given to the patient during hospitalization. The result may differ from a hospital to another depending on the attitude of the registered nurses themselves. Nursing care quality can be defined as the level of care given by the registered nurses to the patients. It is their attitudes and behavior towards offering a service to those who needed during hospitalization. Providing a good nursing care requires good nursing practices and their willingness to help sick people because having a good nursing skills will not guarantee a good nursing care if they do not have a sincere heart to help them in the first
The National Organization of Nurse Practitioner Faculties (2014), outlines the quality competency as continued improvement of practice through the use of the best evidence, evaluation of the influence of safety, access, cost, and quality of health care. Also, the application of skills to encourage a culture of excellence, and the ability to implement interventions
There is much overlap when discussing quality and safety in nursing, but it is important to realize that both have their own skills and knowledge essential to the competency. Quality is measuring the rendering of a specific process or action and comparing the data to benchmarks. If the standards are not met then quality improvements are implemented in the hopes of meeting those standards. Were safety is the proactive action of preventing mistakes from occurring, such as knowing a patient is at risk for following and taking precautions such as assisting the patient during ambulation’s. Safety is looking at the environment around you for potential areas of hazard and using critical thinking to make changes for the better of you, co-workers, and patients (Sherwood,
A report by the Agency for Healthcare and Quality in America projected that hospitals involving increased levels of Registered Nurse (RN) staffing showed decreased degrees of substandard patient outcomes and increased nurse staffing ratios were linked with a 2% to 25% decrease in substandard outcomes (Mark & Stanton, 2010). As a result, education on nurse staffing and the influence on quality of patient care warrants evidence based decision on existing and forthcoming practices. The influence of nurse staffing ratios on quality of care has been observed in four studies. Hospitals using decreased levels of nursing staff faced a 7% escalation in 30-day mortality and a 7% escalation in failure-to-rescue.
Dr. Jean Watson’s theory of care addressed the nurse to patient ration, according to the method “nursing is positioned with caring of the sick, prevention of sickness, restoration of health and promotion of health. This process includes the process of assessment, plan, intervention, and evaluation. On the review, the nurse observes, identifies, review problem(s) and forms a care plan that will be used in appropriate nursing care. When the nurse to patient ratio is low, the nurse will not be able to perform this assessment. This will result in a reduction of patients’ outcomes, medical errors, frequent re-admissions, patient deaths.
In Peplau’s theory (1952) focuses on the interpersonal relationship between nurse and the patient and the patient’s family. the patient is the one with the need while nursing is a therapeutic process and this relationship is affected by both nurse’s and the patient’s perception and his notion ( George,2011) this kind of collaboration builds relationship and trust, both the nurse and patient mutually define and understand the problems and find solution. this theory could be applied only when there is enough time for nurse to build that trust, with the gross understaffed nurses, it becomes even harder to establish such relationship. the communication between individual patient and the nurses on the floor is reduced when the nurses has so many patients to look after. interpersonal relationship is harder to build when the ration between nurse and patient is
Wheeling hospital collected data for patient satisfaction was collected from 4/1/2016 to 3/31/2017. Wheeling hospital completed 1779 surveys in this period with a response rate of 26%. This was a bit shocking due to more people taking the survey than previous thought. The state average of patient’s reporting their nurses communicated well is 81%, while the national is 80%. The hospital’s average was only 77%, and was not very shocking due to the importance of nurses being advocates for their patients.
Introduction Nursing has two phases. To the public, nurses embody the best of modern heath care. Efficient, effective and caring nurses are at the centre of the patient’s experience. The other phase largely invisible to the patient, even though it has been a part of nursing since the time of Florence Nightingale (Risjord, 2010). Twenty-first-century nursing changed significantly from Nightingale’s era of nursing.
In the leadership in care delivery course, we were assigned to a hospital to perform clinical hours and provide care to four patients. Additionally, the purpose of this paper is to explain and provide examples on how our patient care included the concepts of Quality and Safety Education for Nursing (QSEN) competencies, delegation, handoff reporting, and a reflection of the clinical experience. Quality and Safety Education for Nursing (QSEN) Competencies QSEN consists of six competencies: patient centered care, quality improvement, teamwork and collaboration, safety, informatics, and evidence based practice. To provide patient-centered care, I had to educate the patient when administering medications on why the patient was taking the medication and side effects. Care had to be individualized with each patient and it included providing respect with his or her decisions in their care.
With a nurse shortage, patients are not getting the best quality care they should be getting. Archive stated that hospital nurse staffing, is a matter of major concern because of the effects it can have on patient safety and the quality care patients deserve. Nursing-sensitive outcomes is an indicator of the quality care and can be defined as variable patient or family caregiver state, condition, or perception responsive to nursing intervention. Some unfortunate patient outcomes potentially sensitive to nursing care are shock, urinary tract infections (UTIs), pneumonia, longer hospital stays, upper gastrointestinal bleeding, failure to rescue, and 30-day mortality. Research has focused on negative rather than the positive patient outcomes for the simple reason that adverse outcomes are more likely to be documented in the medical record.
A recent study by Griffiths (2008) showed the fundamentals of patient care may have been lost and patient focus was diminished. He explained that nursing had become too technical due to the healthcare environmental crisis and the focus was taken away from the fundamentals of patient care. Although the ward on clinical placement was evidently over stretched, the fundamentals of patient care was still upheld due to the regiment implementation of the RLT model of nursing. Initial assessment allowed nurses to plan and implement measures from early admission which inevitably made all aspects nursing care
Empirical Referents Empirical referent studies support Watson’s theory by affirming the existence of a positive relationship between patient satisfaction and nurse caring behaviors in numerous clinical settings. Nursing education plays a significant role in the achievement the caring concept and is accentuated throughout the nurse's professional career (Labrague, Mcenroe-Petitte, Papathanasiou, Edet, & Arulappan, 2015). Patient satisfaction is a measurable component used to determine the care received from nurse clinicians. Stroehlein (2016) indicates that although there is a large constituent of many occupations, caring in the nursing occupation assumes an exceptional meaning with a higher purpose. Caring is multifaceted and comparable have determined individuals whose intention is to open the eyes of the society through rendering high quality patient care (Stroehlein, 2016).
Nursing should be distinguished by its philosophy of care particularly its approach to the well-being of clients is ultimately the end purpose of nursing. Philosophy of nursing states our thoughts on what we believe to be true about the nature of the profession of nursing and provide a basis for nursing activities. 1.1. PERSONAL CONCEPT
Introduction Teamwork builds up the ability of nurses and other healthcare providers to implement higher quality and a more holistic care. In this essay, firstly, I am going to discuss about teamwork in nursing. Secondly, I am going to talk about the importance of teamwork within nurses and other healthcare providers. Thirdly, I am going to discuss about the benefits of having teamwork and proper delegation needed among nurses. And lastly, using Singapore nursing board, code of ethics and professional conduct that direct to this clinical situation.
The physiological needs are met when the nurses provide the patient with the necessary amount of food, water, oxygen (if needed), blankets for warmth and sleep by providing pain or sleeping pills (if needed). The safety need will be met by the security of the hospital to help the patient feel secure and safe in his/her environment. Love and belongingness can be created through intimacy (if possible), affection and friendship. This can also be given to the patient by his/her family members or friends. To ensure that the patient’s self-esteem needs are met, the Health Care worker has to help to improve the patient’s confidence and independence.
Efficient and effective teamwork provides benefits not merely for patients, but also healthcare practitioners. In the context of imbalanced nurse-patient staffing ratio, it is necessary for us to assign tasks to the individuals and organize nursing work by utilizing team nursing model. The team nursing model involves group of members into the team, it