...Discussion - Quality Care from Provider and Patient Perspective Grade Recieved - "A" Quality of care has always been a concern in the U.S. health care system. Although great strides have been made to improve the quality of care delivered, many critics still believe that the United States has a long way to go before truly delivering uniform quality care. How would you define quality of care from the provider and patient perspectives? Why do you feel that quality can be viewed as a strength and a weakness of the U.S. health care system? Be sure to provide at least 2 reasons for this, and use properly cited references in your answer. Quality of care is basically when the right care is conducted at the right time, at a reasonable time to a specific person. Defining quality of care is much more difficult to identify from a patient’s perspective than that of a provider. Patients can sometimes be very hard to please in some cases. Depending on their cultural background and/or religion can define what quality of care are them but we are not going in that deep. What are going to be discussed are the basic perspectives of quality of care to patients and providers are and also the strengths and weaknesses are when it comes to quality of care. From a patient’s perspective, quality of care that is deemed suitable to a patient would be the experience of their appointment. There are many factors that are included within their experience. During...
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...Important Attributes Of Quality Health Care: Consumer Perspectives - Brief Article IMPORTANT ATTRIBUTES OF QUALITY HEALTH CARE: CONSUMER PERSPECTIVES M H Oermann, T Templine Journal of Nursing Scholarship Vol 32 no 2 (1998) 167-172 Personnel at contemporary health care agencies are identifying patient outcomes to evaluate services and patient care. This research focuses on consumer perspectives of high quality health care. Consumer perspectives or expectations have been found to be based on demographic characteristics, health care experiences, and specific concerns related to consumers' unique health problems. Further, patients evaluate their experiences by comparing their expectations to actual events. Satisfaction occurs when events match expectations. The purpose of this research was to allow consumers to identify important attributes of quality health and nursing care and to examine the relationship of consumer perspectives to health status and selected demographic variables. Method and sample. This exploratory study examined a convenience sample of 239 health care consumers, of which 50% were recruited from homes in neighborhoods of a large metropolitan area (ie, urban and suburban) in the Midwest, and 50% were recruited from waiting rooms of clinics in the same neighborhoods. These participants included 149 women (63.1%) and 87 men (36.9%). These gender totals equal 236, whereas previously stated the sample size was 239. This discrepancy was not addressed in the article...
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... Abstract Acute hospitals play a significant role in end of life care, it is the place where most people die. Evidence suggests that end of life care in hospitals needs improvement. The purpose of this paper was to investigate patient and family experiences of hospital death, the weaknesses within the hospital setting and possible solutions to improve. A literature search identified common themes, these included: * Hospitals are seen as a place of treatment and cure; death may be viewed as a failure. * Good communication between physician and patient is vital for a patient to make an informed choice regarding their care. * Patients may not receive palliative care if end of life is diagnosed too late. * A lack of resources such as short staffing contributes to suboptimal end of life care. Dying in a Hospital Setting Most Americans die in hospitals; many suffer unnecessarily due to the lack of knowledge about end of life care. Some patients receive aggressive treatments up until the time of death. Patients often suffer in vain attempts to prolong life instead of receiving compassionate, comfort care. Death is part of life, sooner or later everyone will face death. It would be easier if one was prepared for it. Communication is important to prepare for death. There is often an expectation of a cure when a patient is hospitalized; people believe that death can be avoided or postponed....
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...Week 3 Discussion Questions HCS / 320 Daisy Gonzalez May 22, 2014 What are the advantages and challenges of teamwork in today’s health care organizations? Provide examples of common obstacles to successful group communication that you have experienced or read about. How did the group work through the challenges? Doctors and nurses, from diverse restraints, who interconnect effectively and work as a single entity, typically increase the quality of care they provide to their patients. There is a uniformity and diligence that can be absent when teamwork is not manifested. In some cases, if the dynamic among health care peers is not tense free, the patient can be affected by the lack of cohesiveness in the service. Patients may be lost in this way. In a trauma condition, collaboration may help identify complications that could have gone unnoticed and save a patient's life. Read more: http://www.ehow.com/list_6576957_benefits-teamwork-healthcare_.html#ixzz32YQn6umn What differences might be encountered when communicating with a public health care organization versus a private organization? The ratio between patients to provider is smaller in private organizations than in public settings. I believe this allows for a more intimate, detail-oriented relationship amid the provider and client. The end result of this dynamic is the quality of care is doubled and the patient is less likely to leave the organization due to a comfortable relationship. How might feedback be communicated...
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...service quality Ali Mohammad Mosadeghrad* Abstract Background: The main purpose of this study was to identify factors that influence healthcare quality in the Iranian context. Methods: Exploratory in-depth individual and focus group interviews were conducted with 222 healthcare stakeholders including healthcare providers, managers, policy-makers, and payers to identify factors affecting the quality of healthcare services provided in Iranian healthcare organisations. Results: Quality in healthcare is a production of cooperation between the patient and the healthcare provider in a supportive environment. Personal factors of the provider and the patient, and factors pertaining to the healthcare organisation, healthcare system, and the broader environment affect healthcare service quality. Healthcare quality can be improved by supportive visionary leadership, proper planning, education and training, availability of resources, effective management of resources, employees and processes, and collaboration and cooperation among providers. Conclusion: This article contributes to healthcare theory and practice by developing a conceptual framework that provides policy-makers and managers a practical understanding of factors that affect healthcare service quality. Keywords: Healthcare Organisations, Quality, Pluralistic Evaluation, Iran Copyright: © 2014 by Kerman University of Medical Sciences Citation: Mosadeghrad AM. Factors influencing healthcare service quality. Int J...
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...Reflect on the influence and effect of health care in your life. What questions or concerns have you developed about health care delivery in the United States? Think about your experiences in one or more of the following roles: * Patient/consumer * Friend or family member * Health services professional * Member of your local, national, and global communities Health care delivery is a service received in a health service organization when it needed. In fact, it has a great influence in my life. Cause in order to stay healthy and then prevent certain diseases, as a patient, I have to go to my physician to make check-ups every month. In that case, I have to have a medical insurance, facing the market for price and quality. Health care delivery system in United States, however, faces a lot of challenges and changes over decades; mainly in response to concerns, regarding cost, access, and quality (Leiyu S. & Douglas A. 2012).Cost ,access and quality are three major cornerstones of health care delivery (Al-Assaf 1993a). Why do not United States have a national health system that can give free access to everybody? With these thoughts in mind, review this week’s Learning Resources. Consider the following questions: * Why is health care such an important field? (Consider this question from your personal perspective, as well as from a societal perspective.) First of all, it is an important field because it keep the population or the community safe of chronic...
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...Health care provider and faith diversity Diana Nguyen Grand Canyon University HLT-310V Spirituality in Health Care Andre Mooney May 11, 2013 Health care provider and faith diversity Abstract: Spiritual healing is defined as the practice of laying on of hand or of distant healing ((Brown, 1998, p. 171). Spiritual healing is a term known to many. However, it means different things and affects different ways to different people depending on their religion backgrounds and beliefs. Within three diverse faiths that are less well-known than the mainstream faith such as Shintoism, Buddhism, and Baha'i, the author will compare the philosophy of providing care from the perspective of each of these three faiths with that of the Christian perspective and the author own personal perspective. Shintoism Shintoism is the religious beliefs and practices of Japan. According to Shouler, Shinto is an optimistic faith in believing that all humans are fundamentally good and evil is caused by evil spirits. It is a form of animism and involves the worship of kami which mean “sacred spirit”. Shinto is created by combining two works: “Shin” means God or spirit and “to” means way or path. Shinto beliefs are in the mysterious creating and harmonizing power of kami and in the truthful way of kami. The kami began as the mysterious forces of nature associated primarily with permanent features in the landscape, such as unusual mountains, rocky cliffs, caves, springs, trees and stones("Shinto...
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...Interprofessional Team Development: A Patient and Family Centered Care Western Governor’s University: C158 May 11th, 2016 Interprofessional Team Development: A Patient and Family Centered Care Approach Approach to patient care has changed over the last three decades from patient treatment-focused model to include comforting, engaging, and empowering patients. The new approach implements patient-centered care environments. It has been adopted by care providers, research bodies, funding agencies, and regulatory agencies, among others. To enhance patient-centered care, business practices, regulatory requirements, and reimbursement regulatory procedures have been adopted. This is evident by the regulations of Joint Commission and the provision of services by Medicare Medicaid services (CMS). In this paper, the impact of business practices, regulatory requirements, and reimbursement procedures on patient-centered care is discussed. A multidisciplinary approach on a process improvement enhancing Patient and Family Centered Focus Care is outlined in a hospital located in Arizona. Regulatory Requirements and Healthcare Business In 1996 the Institute of Medicine took on healthcare improvement to resolve unsafe care by ambitiously moving toward quality initiatives. The release of “To Err Is Human: Building a Safer Health System19 (1999) and Crossing the Quality Chasm (2001)” focused on the fails of the healthcare systems pointing out that over 98,000 patients die in hospitals annual due...
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...caring for patients. Technology has advanced tremendously over the last few decades leading to more complex patient situations. The legal and ethical issues of two case studies will be examined to explain the dilemmas faced in health care today. The first case study concerns a nurse’s observance of negligence and a malpractice suit. The second is regarding the difficult decision of a family regarding medical decisions. ANA Code of Nursing Ethics The American Nurses Association Code of Ethics can influence the outcome of Marianne’s situation by taking into account of, “Respect for human dignity and the rights of the patient as an individual must be observed” (American Nurses Association, 2001). An ideal case would have “The nurse’s legal and moral obligation is to uphold primacy of the patient's interests” (American Nurses Association, 2001). Unfortunately, Marianne had neither an advanced directive and her family had conflicting wishes despite the poor prognosis. The patient’s prognosis and quality of life need to be discussed with the family. Then a decision can be made accounting for the patient’s best interest. If this should be unsuccessful, the nurse should involve the ethics committee. That way the wishes of the patient and possible outcomes can facilitate discussions on which course of action should be taken. Nurses should always champion their patient’s best interest, when they cannot stand up for themselves. The ANA would define standard of care “by the care delivered...
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...Patient Satisfaction an External Influence Walden University Abstract Patient Satisfaction is an external Influence that impacts every medical Institution. It allows for Institution to gain knowledge and awareness in real time from patient evaluations. These surveys are publically reported for future patient knowledge. Health Care Administrators have a very significant role in understanding their patient’s point of view. Patient Satisfaction is a goal for every Administrator to obtain for future growth and development in the institution they manage. Maintenance Patient Satisfaction an External Influence Patient Satisfaction is a key component and important in every health care environment. No, the patient is not always right. However, satisfying your patient is essential. Medical institutions provide a service, and this is not just any service. These are services that patients pay for and demand a certain level of care to be rendered. Some patients pay out of pocket or thorough a form of insurance: HMO, PPO, MCO, Medicare, Medicaid, CHIP, etc… (Shi and Singh, 2012). No matter the form of payment an Administrators goal and responsibility is to assure that patients are satisfied from every aspect and level of care delivered. Nancy Stanley, Nurse Manager of the John Hopkins Hospital (JHH), Medical Surgical Pediatrics unit allowed for me to interview her and asked questions as it pertain to specifically her unit...
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...Cronin 2013). The purpose of literature review in nursing includes evaluating current practice and making recommendations for policy development and change. Thus, the purpose of this literature review is to establish the current perspectives of patients, family and nurses on the factors that improve dignity in the end of life. Resultantly, this literature review will explore the role of nurses’ based on the findings of the perspectives that patients, family and health professionals have concerning the issue of dignity in the end of life care. In that regard, the paper follows a systematic approach which involves an introduction that explains the concept of end of life and the types of end of life care available. The paper then proceeds to explore the concept of dignity as viewed from several perspectives through the use of literature on the models of dignity means of measuring dignity and the themes associated with this conception. Consequently, the factors that improve dignity are laid out and discussed at length. Eventually, the paper will achieve its secondary goal which is to determine and expound on the topic of the roles that a nurse plays in end of life care not only for the patient but also for their family. End of life care Before the discussion of the main topic of this literature review which is determining the factors that promote dignity in the end of life in order to determine the role of nurses in the end of life, there is need to understand the meaning of the concepts...
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...Communication Tiffany Williams HCS 490 Health Care Consumer- Trends and Marketing January 9th, 2012 Tina Folk-Cromartie Communication Information system (IS) is a result in the arrangement of information, processes, people, and information technology (IT). Additionally, information systems support health organizations by the effect on the following: collection, process, storing, and providing as an output of information. Information technology is hardware and software working together along with data and telecommunication technology. Health care information systems (HCIS) are valuable in a health care setting because the information includes raw facts, and that information also helps facilitate the decision-making process. Before 1960s, physicians were to hand write medical information; fortunately, the early 1960s introduces a new form of record keeping. Electronic health record (EHR) should focus on the total health of a patient. EHRs simplify communication between patient and provider, and enable both to obtain health information quickly and effectively. Even though EHRs are full of advantages concerning patient-provider communication, EHRs also have disadvantages. The discussion of this paper will display how EHRs help patient and providers communication effectively. One benefit to the patient Electronic health record is a benefit to patients in many ways; for instance, EHRs empower patient to access his or her medical records electronically with security. In...
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...Western Governors University Abstract This paper will demonstrate: A. How using computerized management systems could increase quality of care B. Why active nursing involvement in the planning, choice and implementation of the systems is important C. How handheld devices used by the nursing staff could be integrated into the management system for better quality care D. Security standards of data and patient confidentiality, including the need for data storage integrity and data backup and recovery and the Health Insurance Portability and Accountability Act (HIPPA) requirements impact the use of the systems E. How the new system can affect healthcare cost F. The benefits these new systems can offer to patient care and nursing care delivery with a recommendation and justification of the system the hospital should put in place In today’s modern healthcare environment it is important to provide a variety of technology based resources to nurses and other providers to ensure productivity and efficiency are maximized. This requires an effective understanding of available computerized management systems and what resources are available to ensure continued effective, efficient, quality care to patients. Keeping that perspective in mind while creating a technologically advanced environment in which to deliver that care is critical and of vital importance to maximize resources while providing a solid technology platform. The utilization of electronic...
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...Nursing Professionals Accountability of Nursing Professionals for Patient Safety Practices Related to Informed Consent Lavonia Deanne Bishop Grand Canyon University NURS-430V Professional Dynamics 23-Aug-2010 (0106) September 19, 2010 Accountability of Nursing Professionals for Patient Safety Practices Related to Informed Consent Accountability in nursing can be defined as the state in which the nurse is responsible for upholding a professional agreement with the patient to provide services and be held answerable for the outcomes of behaviors related to these services (Hood, 2010). One of the main areas we are held accountable for as professional nurses is the safety of our patients. After an evidence-based review of patient safety practices, the Agency for Healthcare Research and Quality has identified numerous opportunities for quality improvement. The practices identified were rated by strength of evidence, with the highest rated being listed first. This paper will examine practice number five, asking patients to recall and restate what they have been told during the informed consent and the responsibility of the professional nurse in this process. The Informed Consent Process According to Terry (2007) informed medical consent occurs when a patient autonomously and expressly permits a professional to perform a medical act on that patient or include the patient in a research project. Patients are now encouraged to be more informed consumers and take an active part...
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...Satisfaction with Care at the End of Life Sydney Morss Dy, MD, MSc,Ã wz Lisa R. Shugarman, PhD,§ Karl A. Lorenz, MD, MSHS,§ k Richard A. Mularski, MD, MSHS,# and Joanne Lynn, MD, MA, MS,§ for the RANDFSouthern California Evidence-Based Practice Center (See editorial comments by Dr. Jean S. Kutner, pp 160–162) The objective of this study was to systematically review the literature to better understand the conceptualization of satisfaction with end-of-life care and the effectiveness of palliative care interventions on this outcome. Data sources included Medline and the Database of Reviews of Effects. The review included relevant qualitative studies and intervention studies using satisfaction as an outcome from 1990 to 2005. Reviewing 24,423 citations yielded 21 relevant qualitative studies, four systematic reviews, and eight additional intervention studies. The qualitative literature described the domains of accessibility and coordination; competence, including symptom management; communication and education; emotional support and personalization of care; and support of patients’ decision-making. For collaboration and consultation interventions, eight of 13 studies showed a significant effect on satisfaction. A metaanalysis found that palliative care and hospice teams improved satisfaction, although most studies did not include satisfaction as an outcome. For other types of interventions, only two of six showed a significant effect. For heart failure coordination of care, only seven...
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