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https://www.readbyqxmd.com/read/29767725/advancing-the-health-of-women-and-newborns-predictors-of-patient-satisfaction-among-women-attending-antenatal-and-maternity-care-in-rural-rwanda
#1
Christine Mutaganzwa, Leah Wibecan, Hari S Iyer, Evrard Nahimana, Anatole Manzi, Francois Biziyaremye, Merab Nyishime, Fulgence Nkikabahizi, Lisa R Hirschhorn, Hema Magge
Objective: Identify predictors of patient satisfaction with antenatal care (ANC) and maternity services in rural Rwanda. Design: Cross-sectional. Setting: Twenty-six health facilities in Southern Kayonza (SK) and Kirehe districts. Participants: Sample of women ≥ 16 years old receiving antenatal and delivery care between November and December 2013. Intervention: Survey of patient satisfaction with antenatal and delivery care to inform quality improvement (QI) initiatives aimed at reducing neonatal mortality...
May 15, 2018: International Journal for Quality in Health Care
https://www.readbyqxmd.com/read/29745304/paradoxes-of-practice-guidelines-professional-expertise-and-patient-centeredness-the-medical-care-triangle
#2
L Michele Issel
The coexistence of institutionalized evidence-based practice guidelines, professional expertise of medical practitioners, and the patient centeredness approach form a triangle. Each component of this Medical Care Triangle has characteristics that create paradoxes for health care professionals and their patients. The value of a paradox lies in uncovering and utilizing the contradiction to better understand the underlying organizational phenomenon. METHOD: Following Poole and van de Ven's (1989) suggested approaches to resolving paradoxes, each paradox of the Medical Care Triangle is defined and analyzed...
May 1, 2018: Medical Care Research and Review: MCRR
https://www.readbyqxmd.com/read/29734319/-a-critical-analysis-of-the-degree-of-care-humanization-in-the-hospitals-of-the-provincia-romana-san-giovanni-di-dio-fatebenefratelli-fbf
#3
Flavia Verginelli, Rosaria Gallo, Annalisa Teti, Claudia Franco, Patrizia Piscioneri, Giovanni Pimpinella, Rosalia Fiore, Angela Primavera, Adriana Sorrentino, Giovanni Guglielmucci, Michele Venditti, Alberto Carbone, Mariateresa Iannuzzo, Giampiero Seroni, Pietro Civello, Maria Cardarelli, Giovanni Roberti
In the Hospitals of the Ordine della Provincia Romana San Giovanni di Dio Fatebenefratelli (FBF) (consisting of four hospitals located in three Italian regions) Patient Centeredness has always been considered a central point. In 2015, the Central Hospitals' Health Direction decided to use a check-list for the evaluation of the degree of Patient Centered Care Facilities, drawn up by the National Agency for Regional Health Services (Age.Na.S) during the 2010 Research Project "Experimentation and transfer of organizational empowerment models for evaluating and improving the quality of health services...
January 2018: Igiene e Sanità Pubblica
https://www.readbyqxmd.com/read/29696561/comparing-quality-of-care-in-veterans-affairs-and-non-veterans-affairs-settings
#4
Rebecca Anhang Price, Elizabeth M Sloss, Matthew Cefalu, Carrie M Farmer, Peter S Hussey
BACKGROUND: Congress, veterans' groups, and the press have expressed concerns that access to care and quality of care in Department of Veterans Affairs (VA) settings are inferior to access and quality in non-VA settings. OBJECTIVE: To assess quality of outpatient and inpatient care in VA at the national level and facility level and to compare performance between VA and non-VA settings using recent performance measure data. MAIN MEASURES: We assessed Patient Safety Indicators (PSIs), 30-day risk-standardized mortality and readmission measures, and ORYX measures for inpatient safety and effectiveness; Healthcare Effectiveness Data and Information Set (HEDIS®) measures for outpatient effectiveness; and Consumer Assessment of Healthcare Providers and Systems Hospital Survey (HCAHPS) and Survey of Healthcare Experiences of Patients (SHEP) survey measures for inpatient patient-centeredness...
April 25, 2018: Journal of General Internal Medicine
https://www.readbyqxmd.com/read/29687754/barriers-to-empathy-based-care-oncology-nurses-perceptions
#5
Fariba Taleghani, Elaheh Ashouri, Mehrdad Memarzadeh, Mortaza Saburi
Purpose The purpose of this paper is to explore oncology nurses' barriers to empathy-based care perceptions. Design/methodology/approach The authors used a descriptive qualitative method. In total, 18 oncology nurses were selected via purposive sampling. Data were collected through in-depth interviews and qualitative content analysis using an inductive approach. Findings Three main categories emerged from the data analysis: barriers related to nursing including: lacking compassion; disinterest in oncology nursing and self-criticism; psychological distress; barriers related to healthcare: job strain; task-centeredness; no formal training; poor manager support; nurse-patient gender imbalance; and barriers related to cancer care including: difficulty maintaining empathy with cancer patients; and inappropriate cancer patient Practical implications Oncology nurses provided insights into barriers to empathy-based care and the challenges they encountered while caring for cancer patients...
April 16, 2018: International Journal of Health Care Quality Assurance
https://www.readbyqxmd.com/read/29653460/-doctor-patient-communication-training-in-simulated-situations-emotions-and-perceptions-of-simulated-patients-during-patient-centered-conversations
#6
Maria Asisa Butollo, Anita Holzinger, Michaela Wagner-Menghin
INTRODUCTION: The use of simulated patients (SPs) for doctor-patient communication training has been established in medical curricula as an important didactic method. The study addresses the question, if patients' emotions and perceptions are represented adequately in patient-centered communication. MATERIALS AND METHODS: 22 of 37 SPs of the Medical University of Vienna (12 women, 10 men) were asked openly about their feelings after having acted as an SP in a semi-structured interview, which employed the Critical Incident Technique...
April 13, 2018: Psychotherapie, Psychosomatik, Medizinische Psychologie
https://www.readbyqxmd.com/read/29625367/support-values-through-the-eyes-of-the-patient-an-exploratory-study-into-long-term-support-of-persons-with-refractory-epilepsy
#7
Wil H E Buntinx, In Yu Tan, Albert P Aldenkamp
A significant group of persons affected by refractory epilepsy require a wide range of long-term support from professionals as well as informal support givers. To enhance person-centeredness, it is important to know which patient values are associated with long-term support. An Internet survey produced a total of 1176 statements from 289 persons with epilepsy for analysis. Statements were expressed in the respondent's own words and were related to positive experiences (704) as well as possible areas of improvement (472) regarding the support received in the past six months...
April 4, 2018: Epilepsy & Behavior: E&B
https://www.readbyqxmd.com/read/29617833/comparison-of-objective-measures-and-patients-perceptions-of-quality-of-services-in-government-health-facilities-in-the-democratic-republic-of-congo
#8
Janna M Wisniewski, Mark L Diana, Valerie A Yeager, David R Hotchkiss
Objective: Examine the relationship between patients' perceptions of quality and the objective level of quality at government health facilities, and determine whether the pre-existing attitudes and beliefs of patients regarding health services interfere with their ability to accurately assess quality of care. Design: Cross-sectional, visit-level analysis. Setting: Three regions (Nord-Ubangi, Kasai/Kasai-Central and Maniema/Tshopo) of the Democratic Republic of Congo...
March 31, 2018: International Journal for Quality in Health Care
https://www.readbyqxmd.com/read/29605948/testing-a-healthcare-provider-patient-communicative-relationship-quality-model-of-pharmaceutical-care-in-hospitals
#9
Dan Wang, Chenxi Liu, Zinan Zhang, Liping Ye, Xinping Zhang
Background Patient-centeredness and participatory care is increasingly regarded as a proxy for high-quality interpersonal care. Considering the development of patient-centeredness and participatory care relationship model in pharmacist-patient domain, it is of great significance to explore the mechanism of how pharmacist and patient participative behaviors influence relationship quality and patient outcomes. Objective To validate pharmacist-patient relationship quality model in Chinese hospitals. SETTING: Four tertiary hospitals in 2017...
March 31, 2018: International Journal of Clinical Pharmacy
https://www.readbyqxmd.com/read/29598770/living-a-life-full-of-pain-older-pain-clinic-patients-experience-of-living-with-chronic-low-back-pain
#10
Meredith Stensland, Sara Sanders
Chronic low back pain (CLBP) is older adults' most common pain complaint and is associated with many physical and psychosocial consequences, which have been quantitatively examined. However, little research has qualitatively examined the experience itself of CLBP in later life. Study objective was to understand older adults' lived CLBP experience. Guided by van Manen's phenomenological method, 21 pain clinic patients aged 66 to 83 completed semistructured interviews. Under the main theme "living a life full of pain," results are reflected in four existential subthemes: (a) Corporeality: The pain is relentless and constantly monitored, (b) Temporality: To live with pain is to live by pacing day and night, (c) Relationality: Pain creates limits that can be tested or obeyed, and (d) Spatiality: Manipulating the space around me to accommodate the pain...
March 1, 2018: Qualitative Health Research
https://www.readbyqxmd.com/read/29589695/-standing-orders-and-quality-of-care-at-triage-in-emergency-services-integrative-review
#11
Marie-Claude Lacroix, Roxane Borgès Da Silva
INTRODUCTION: Overcrowding of emergency services is a widespread problem in western countries. This situation results in negative patient outcomes and influences the quality of care. Standing orders are a possible way to improve the quality and performance of the health system. The aim of this article is to identify, based on a review of the literature, the effects of standing orders initiated by triage nurses in emergency services on the quality of care. METHODS: The quality of care dimensions of the Institute of Medicine (2001) were used as a frame of reference...
January 2018: Santé Publique: Revue Multidisciplinaire Pour la Recherche et L'action
https://www.readbyqxmd.com/read/29580773/patient-centeredness-and-endometriosis-definition-measurement-and-current-status
#12
REVIEW
E I Geukens, S Apers, C Meuleman, T M D'Hooghe, E A F Dancet
The patient-centeredness of care is important for health care quality, especially because it was recently associated with health-related quality of life, which is increasingly being recognized as the ultimate outcome parameter of health care. Therefore, insight into the definition, measurement, and current status of the patient-centeredness of clinics is important for all health care professionals caring for patients with endometriosis. The definition of patient-centered endometriosis care is based on research into the most common preferences, needs, and values of patients with endometriosis and can be summarized in ten dimensions...
February 8, 2018: Best Practice & Research. Clinical Obstetrics & Gynaecology
https://www.readbyqxmd.com/read/29579443/how-patient-partners-influence-quality-improvement-efforts
#13
Jessica Greene, Diane Farley, Christine Amy, Kathy Hutcheson
BACKGROUND: There is growing acknowledgement that patients are key stakeholders in improving quality of medical care, yet a key barrier to integrating patients into quality improvement teams (QITs) as patient partners is the lack of evidence of their impact. This mixed-method study was conducted to identify the ways patient partners influence QITs and to document the extent of patient partners' impact. METHODS: Focus groups and in-depth interviews were conducted with 17 patient partners and 11 staff at WellSpan Health and Aligning Forces for Quality-South Central Pennsylvania to identify the specific mechanisms through which patients influenced QIT efforts...
April 2018: Joint Commission Journal on Quality and Patient Safety
https://www.readbyqxmd.com/read/29575950/discourses-of-professionalism-metaphors-theory-and-practice
#14
Matthew Jon Links, Tim Wilkinson, Craig Campbell
Professionalism is a contested concept and different discourses have differed by scope and epistemology. The theory of communicative action integrates epistemology (knowledge interests) with that of scope (lifeworld). AIM: To pragmatically inform learning of professionalism. METHODS: apply the theory of communicative action to professionalism discourses. RESULTS: Previous professionalism discourses translated into four frames: technical; communicative; improvement, and critical...
March 26, 2018: Medical Teacher
https://www.readbyqxmd.com/read/29557915/quality-metrics-in-solid-organ-transplantation-a-systematic-review
#15
Kendra E Brett, Lindsay J Ritchie, Emily Ertel, Alexandria Bennett, Greg A Knoll
BACKGROUND: The best approach for determining whether a transplant program is delivering high-quality care is unknown. This review aims to identify and characterize quality metrics in solid organ transplantation. METHODS: Medline, Embase, and Cochrane Central Register of Controlled Trials were searched from inception until February 1 2017. Relevant full text reports and conference abstracts that examined quality metrics in organ transplantation were included. Two reviewers independently extracted study characteristics and quality metrics from 52 full text reports and 24 abstracts...
March 20, 2018: Transplantation
https://www.readbyqxmd.com/read/29554849/accelerating-stroke-recovery-body-structures-and-functions-activities-participation-and-quality-of-life-outcomes-from-a-large-rehabilitation-trial
#16
Rebecca Lewthwaite, Carolee J Winstein, Christianne J Lane, Sarah Blanton, Burl R Wagenheim, Monica A Nelsen, Alexander W Dromerick, Steven L Wolf
BACKGROUND: Task-oriented therapies have been developed to address significant upper extremity disability that persists after stroke. Yet, the extent of and approach to rehabilitation and recovery remains unsatisfactory to many. OBJECTIVE: To compare a skill-directed investigational intervention with usual care treatment for body functions and structures, activities, participation, and quality of life outcomes. METHODS: On average, 46 days poststroke, 361 patients were randomized to 1 of 3 outpatient therapy groups: a patient-centered Accelerated Skill Acquisition Program (ASAP), dose-equivalent usual occupational therapy (DEUCC), or usual therapy (UCC)...
February 2018: Neurorehabilitation and Neural Repair
https://www.readbyqxmd.com/read/29548417/analysis-of-the-patient-experience-measure
#17
REVIEW
Nicholas Golda, Stephen Beeson, Nita Kohli, Brandon Merrill
Assessing the patient experience has been a component of national health care policy for years in various forms, and it is now incorporated into many areas affecting physician practice. This review will focus on the origin and importance of this measure and address its critiques. The evolution of the measure as it progressed from patient satisfaction to patient experience and the rationale behind this shift will be detailed, the thought process behind the measure as an indicator of a culture of patient-centeredness and quality rather than as strictly a score will be reviewed, and the various motivators for physicians to improve patient experience will be divided into extrinsic and intrinsic and discussed...
April 2018: Journal of the American Academy of Dermatology
https://www.readbyqxmd.com/read/29531103/multimorbidity-and-socioeconomic-deprivation-in-primary-care-consultations
#18
Stewart W Mercer, Yuefang Zhou, Gerry M Humphris, Alex McConnachie, Andisheh Bakhshi, Annemieke Bikker, Maria Higgins, Paul Little, Bridie Fitzpatrick, Graham C M Watt
PURPOSE: The influence of multimorbidity on the clinical encounter is poorly understood, especially in areas of high socioeconomic deprivation where burdensome multimorbidity is concentrated. The aim of the current study was to examine the effect of multimorbidity on general practice consultations, in areas of high and low deprivation. METHODS: We conducted secondary analyses of 659 video-recorded routine consultations involving 25 general practitioners (GPs) in deprived areas and 22 in affluent areas of Scotland...
March 2018: Annals of Family Medicine
https://www.readbyqxmd.com/read/29525143/evaluation-of-a-patient-centered-after-visit-summary-in-primary-care
#19
Alex D Federman, Lina Jandorf, Joseph DeLuca, Mary Gover, Angela Sanchez Munoz, Li Chen, Michael S Wolf, Joseph Kannry
OBJECTIVE: To test the impact of a redesigned, patient-centered after visit summary (AVS) on patients' and clinicians' ratings of and experience with the document. METHODS: We conducted a difference-in-differences (DiD) evaluation of the impact of the redesigned AVS before and after its introduction in an academic primary care practice compared to a concurrent control practice. Outcomes included ratings of the features of the AVS. RESULTS: The intervention site had 118 and 98 patients in the pre- and post-intervention periods and the control site had 99 and 105, respectively...
March 6, 2018: Patient Education and Counseling
https://www.readbyqxmd.com/read/29519774/patient-centeredness-in-electronic-communication-evaluation-of-patient-to-health-care-team-secure-messaging
#20
Timothy P Hogan, Tana M Luger, Julie E Volkman, Mary Rocheleau, Nora Mueller, Anna M Barker, Kim M Nazi, Thomas K Houston, Barbara G Bokhour
BACKGROUND: As information and communication technology is becoming more widely implemented across health care organizations, patient-provider email or asynchronous electronic secure messaging has the potential to support patient-centered communication. Within the medical home model of the Veterans Health Administration (VA), secure messaging is envisioned as a means to enhance access and strengthen the relationships between veterans and their health care team members. However, despite previous studies that have examined the content of electronic messages exchanged between patients and health care providers, less research has focused on the socioemotional aspects of the communication enacted through those messages...
March 8, 2018: Journal of Medical Internet Research
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