Dissertations / Theses on the topic 'Hospital patients'
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Gong, Zhiping. "Developing casemix classification for acute hospital inpatients in Chengdu, China /." Access full text, 2004. http://www.lib.latrobe.edu.au/thesis/public/adt-LTU20050314.195349/index.html.
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Submitted to the School of Public Health, Faculty of Health Sciences. Thesis (Ph.D.) -- La Trobe University, 2004.Includes bibliographical references (leaves 320-329). Also available via the World Wide Web.
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Schirg, Glenn Richard. "Determining the patient satisfaction factors for hospital room service & the association of room service with the overall satisfaction with the hospital experience." Menomonie, WI : University of Wisconsin--Stout, 2007. http://www.uwstout.edu/lib/thesis/2007/2007schirgg.pdf.
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Volchansky, Nadezhda V. "Identifying sleep-disruptive noise factors in healthcare environments." Greensboro, N.C. : University of North Carolina at Greensboro, 2007. http://libres.uncg.edu/edocs/etd/1504Volchansky/umi-uncg-1504.pdf.
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Thesis (M.S.)--University of North Carolina at Greensboro, 2007.Title from PDF t.p. (viewed Feb. 28, 2008). Directed by Kenneth Gruber; submitted to the School of Human Environmental Sciences. Includes bibliographical references (p. 67-70).
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Belcher, John R. "Describing the process of homelessness among former state hospital patients." The Ohio State University, 1987. http://rave.ohiolink.edu/etdc/view?acc_num=osu1342716599.
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Ho, Shuk-ting Michelle. "A study of the transport needs of patients for medical services, with special reference to their spatial pattern." Hong Kong : University of Hong Kong, 2002. http://sunzi.lib.hku.hk/hkuto/record.jsp?B25263286.
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Sutton, Jane C. "Accidents to patients in hospital." Thesis, University of Nottingham, 1991. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.292535.
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Chou, Cheng-hui. "Patient characteristics related to hospital readmission in heart failure patients." Cleveland, Ohio : Case Western Reserve University, 2008. http://rave.ohiolink.edu/etdc/view?acc%5Fnum=case1220463022.
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Chou, Cheng-hui. "Patient characteristics related to hospital readmission in heart failure patients." Case Western Reserve University School of Graduate Studies / OhioLINK, 2009. http://rave.ohiolink.edu/etdc/view?acc_num=case1220463022.
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Khadndekar, Shashank. "Heuristic scheduling of low acuity patients at the emergency department." Online access via UMI:, 2007.
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Wendall, Pamela S. "Clients' spiritual perspective of care." Virtual Press, 2000. http://liblink.bsu.edu/uhtbin/catkey/1191724.
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Spiritual dimensions are an important focus for nursing care and nurses can be catalysts for spiritual care. The purpose of this descriptive comparative analysis is to examine the spiritual care needs as perceived by terminally ill clients, non-terminally ill clients, and well adults. The theoretical framework for this study is Leininger's "Cultural Care Theory" that supports the notion that spiritual care needs to be culturally congruent.Participants were obtained from a 225-bed hospital, hospice, home care, and a wellness program in a midwestern city. Permission was obtained from the hospital President, Vice President of Nursing, the directors of Hospice and Home Care, and the community's Wellness Program. The number of participants was 76. The process for the protection of human rights was followed.Findings were that terminally ill, non-terminally ill, and well-adults all agree that receiving spiritual care that is congruent with beliefs is important. The terminally ill clients rated spiritual needs higher than both non-terminally ill and well-adults. All groups rated the same in the persons from whom it was wished to receive spiritual care. Common themes of spiritual care desired from these persons for the terminally ill group was: pray for/with me and talk to me. For the non-terminally ill group it was: give me information, The understanding, and provide emotional and spiritual support. Finally, for the well-adults it was: listen to me, talk to me, be confident, and support me.No statistical difference between groups (.940) on the SPS. On the SPC, the terminally ill group was more satisfied (5.20) with spiritual support they were receiving than the non-terminally ill group or well-adults.It was concluded that regardless of the stage of illness, the same spiritual needs are prominent, all individuals have spiritual needs, and several types of interventions are preferred. It has been demonstrated in this study that prayer is the most sought after component of spiritual care among all three groups. Second to that would be someone to talk to and someone to listen to them.Implications call for nurses to facilitate spiritual care from family, friends, minister or priest, and hospital chaplain. This could be written into the plan of care by having the client describe the type of spiritual care they want to receive. Nursing Administration needs to work with nursing staff to define spirituality and religion and what they mean to the nurse.School of Nursing
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Griskonis, Sigitas. "Patients' perceived satisfaction with hospital services." Thesis, Nordic School of Public Health NHV, 2006. http://urn.kb.se/resolve?urn=urn:nbn:se:norden:org:diva-3250.
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ackground. There are a number studies related to patients’ satisfaction with health care. Since the Baltic States regained independence in 1990, a reform of the health care system took place in which a serious consideration is paid to health care quality. Patients' views are becoming increasingly important in the current health system. They provide information on effectiveness of healthcare and how it may be improved.The main objective of this study was to investigate inpatients experiences with the care and treatment given in Klaipeda hospitals in order to improve the quality of care and patients’ satisfaction. Material and methods. A cross-sectional survey with questionnaires was made. The subjects of the investigation were patients (from 18 years old), hospitalized in internal and surgery departments in different Klaipeda city hospitals. The survey questions were divided into sections that broadly followed the patient's experience in the hospital. The analyses included descriptive statistics, interrelationship analysis between the different characteristics, and multiple logistic regression to estimate Odds for each of the independent variables in the model.Results. The study shows that 60-80 % of the respondents were satisfied with different parts and aspects of health care services. Satisfaction with getting enough time for discussion with the doctor was higher for younger, male and employed patients. Those from the city needed more understandable explanation from doctor about health condition or treatment plan. Doctors listened more to male patients compare to female. Those results were statistically significant. Conclusions. Majority of the patients were satisfied with hospitalization order in Klaipeda hospitals. Better physician communication skills can improve patient satisfaction and clinical outcomes. Physicians could more effectively facilitate patient involvement by more frequently using partnership-building and supportive communication. Hospital cleanliness is quite important factor to overall satisfaction with hospital care. Waiting time is a significant component of patient satisfaction and depends from patients’ characteristics and their behavior. Different aspects of reception can influence patients’ satisfaction and must be considered. Information about continuity of the treatment were needed more for patients with an increased need for follow up, younger and living alone patients. It is important to provide the setting customers expect and create an environment that meets or exceeds customer needs for safety, security, support, competence, physical comfort, and psychological comfort.ISBN 91-7997-146-6
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White, Lisa A. "Predicting hospital admissions with Poisson regression analysis." Thesis, Monterey, Calif. : Naval Postgraduate School, 2009. http://edocs.nps.edu/npspubs/scholarly/theses/2009/Jun/09Jun%5FWhite.pdf.
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Thesis (M.S. in Operations Research)--Naval Postgraduate School, June 2009.Thesis Advisor(s): Whitaker, Lyn R. "June 2009." Description based on title screen as viewed on July 14, 2009. Author(s) subject terms: Poisson regression, MTF, military treatment facility, hospital admissions. Includes bibliographical references (p. 53-54). Also available in print.
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Bechel, Diane Lynn. "The effect of patient-centered care on hospital inpatient cost and quality outcomes the experience in southeast Michigan." Ann Arbor, Mich. : University of Michigan, 1998. http://books.google.com/books?id=bhUvAAAAMAAJ.
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Bowersox, Nicholas W. "Treatment Attrition and Relapse Readmission in Psychiatric Inpatients: Predictors of Treatment Engagement and Psychiatric Relapse." [Milwaukee, Wis.] : e-Publications@Marquette, 2009. http://epublications.marquette.edu/dissertations_mu/18.
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Trofino, Joan Alhanati. "A study of the consistency of nursing care hours and patient length of stay per DRG category in selected joint commission on accreditation of health care organizations as measured by diverse patient classification systems /." Access Digital Full Text version, 1988. http://pocketknowledge.tc.columbia.edu/home.php/bybib/10810626.
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Lo, Tit-kau. "A study of the transport needs of patients for medical services, with emphasis on the accessibility of the Prince of Wales Hospital to patients." Hong Kong : University of Hong Kong, 2002. http://sunzi.lib.hku.hk/hkuto/record.jsp?B25263018.
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Scott, Eileen Margaret. "Hospital acquired pressure sores in surgical patients." Thesis, Teesside University, 2000. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.417233.
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Hennessy, Carrie Olsen. "Monitoring Psychiatric Patients’ Preparedness for Hospital Discharge." Antioch University / OhioLINK, 2018. http://rave.ohiolink.edu/etdc/view?acc_num=antioch1521494115246141.
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Walker, Annette Clare, of Western Sydney Nepean University, and Faculty of Nursing and Health Studies. "Nurse and patient work: comfort and the medical-surgical patient." THESIS_FNHS_XXX_Walker_ A.xml, 1996. http://handle.uws.edu.au:8081/1959.7/286.
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This grounded theory study investigates the experiences and perceptions of comfort and discomfort of hospital patients admitted for medical-surgical conditions, with a focus on the post-accute stage of hospitalisation. In-depth post-discharge interviews were conducted with seventeen English speaking adults who had been admitted to nine Australian hospitals. A substantive theory of finding comfort and of managing discomfort was generated. Processes of self-talk (anticipating, interpreting, accepting, making allowances and maintaining perspective) and self-care (self-help and seeking help, which involved accommodating to the level and type of help available through deferring, avoiding, persisting or desisting) were used to find comfort and to manage discomfort. The study has implications for nursign practice, management, research and education. Existing practice in the areas of assessment, communication, individualised care planning and the management of discomfort need to be strengthened if nursing care is to make a difference for this category of patient. The study revealed that integrated caring by nurses perceived by informants as 'experts', contributed most to the experience of finding comfort and managing discomfort in this group of informantsDoctor of Philosophy (PhD)
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Tarzi, Sarah. "Methicillin resistant staphylococcus aureus (MRSA) : psychological impact of hospitalisation and MRSA isolation in an older adult population, and a critique of research methods used to study psychological issues in this population." n.p, 1999. http://ethos.bl.uk/.
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Damkroger, Mary Katherine. "A Program Evaluation Study of a Partial Hospital Program." Thesis, University of North Texas, 1998. https://digital.library.unt.edu/ark:/67531/metadc277862/.
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The purpose of the present study was to assess patient improvement in a specific freestanding partial hospital. Improvement was assessed in two specific areas: 1) symptom reduction as measured by the Symptom Check List-90-Revised (SCL-90-R) and 2) social adjustment as measured by the Social
Adjustment Scale Self-Report (SAS-SR) at admission, discharge and three month follow-up. In addition, improvement was assessed from two perspectives: 1) patient evaluation and 2) therapist evaluation. Results indicated that there was statistically significant improvement from admission to discharge on the SCL-90-R and the SAS-SR. This improvement was maintained from discharge to three month follow-up. Findings also revealed statistically significant improvement when analyzed from both the patient perspective and the therapist perspective.
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Chalfant, Cheryl Lynn. "Design guidelines for therapeutic gardens serving cancer patients." Virtual Press, 2002. http://liblink.bsu.edu/uhtbin/catkey/1231344.
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A growing body of research suggests that certain environmental conditions may positively contribute to the healing process. Consequently, the medical and design professions are now exploring how the medical environment - both indoors and out - can better support the health and well being of its patients and their caregivers. Landscape architects and environmental psychologists are contributing to the growing interest in healing environments by exploring the relationship between nature, therapeutic gardens, and patient healing.One result of this interest has been the formulation of design recommendations for therapeutic gardens serving specific populations such as those with Alzheimer's Disease, AIDS or psychiatric illnesses. However, little attention has been given to therapeutic gardens designed to meet the needs of cancer patients even though a number of such gardens already exist. The purpose of this project is to identify design guidelines for therapeutic gardens that support the health and well being of cancer patients and to use these guidelines to design a model garden.The research for this project focused on two areas. First, literature review and interviews with employees of Ball Memorial Hospital were used to establish a base knowledge of cancer, including the emotional, physical and psychological characteristics associated with it. Next, characteristics of healing environments for cancer patients were determined through literature review, review of case studies and interviews with Ball Memorial Hospital employees. Based upon this research, design guidelines were established for therapeutic gardens serving cancer patients and applied in a design for Ball Memorial Hospital's soon to be completed CancerCenter.Department of Landscape Architecture
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Radant, Kimberly Lynn Belec. "PATIENT-STAFF PERCEPTIONS OF A REAL AND IDEAL WARD TREATMENT ENVIRONMENT." Thesis, The University of Arizona, 1985. http://hdl.handle.net/10150/275271.
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Lundberg, Pontus, and Kohl Marcus Svenningsson. "Människan påverkas av miljön." Thesis, Hälsohögskolan, Högskolan i Jönköping, HHJ, Avd. för omvårdnad, 2018. http://urn.kb.se/resolve?urn=urn:nbn:se:hj:diva-39741.
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Bakgrund: Nightingale förespråkade vikten av vårdmiljön och dess betydelse för patienten på senare halvan av 1800-talet. Hennes teori bygger på att patienten skall ha en trivsam miljö vid sjukhusvistelse och att den är avgörande för patientens återhämtning. En god och trivsam miljö har visat sig förkorta återhämtningstiden och ökat patientens välmående och dennes positiva upplevelse av att vistas på sjukhus. Syfte: Att beskriva patienters upplevelse av vårdmiljön på sjukhus. Metod: En kvalitativ litteraturöversikt med induktiv ansats genomfördes. Resultat: Det framkom två huvudkategorier; Den visuella miljöns influens med underkategorierna “Färgens betydelse”, “Behovet av ljus och utsikt” och “Inredningens påverkan” samt Vårdrummets inflytande med underkategorierna “Betydelsen av rummets egenskaper” och “Behovet av god komfort”. Upplevelserna hos patienterna gällande vårdmiljön på sjukhus var varierande ifall den var tillfredsställande eller inte. Patienterna nämnde flertalet faktorer som ökade deras positiva upplevelse av att vara inlagd på sjukhus, exempelvis färger, fönster och utrymme. Det framkom även faktorer som hade en negativ påverkan på deras upplevelse, exempelvis obekväma möbler och oljud. Slutsats: Resultatet visade att vårdmiljön har sina brister runt om i världen. Studien visar också att de problem som Nightingale handskades med fortfarande förekommer idag.Background: In the second half of the 17th century, Nightingale advocated the weight of the hospital environment and its effect on the patient. Her theory was built on the patient encountering a pleasant environment during hospitalization and its critical impact for the patients well-being and health. A pleasant environment has shown to counteract prolonged hospital stays and leads to a shortened recovery process. Aim: To describe patients experience of the hospital environment. Method: A qualitative literature review with an inductive approach was conducted. Results: Two main categories were revealed; The visual environmental influence, with the sub categories “The meaning of colours”, “The need of light and view” and “Impact of the interior”. The second main category found was; The hospital wards impact, with the sub categories “The importance of the rooms characteristics” and “The need of good comfort”. The patients experience of the hospital environment varied between being satisfying or not. The patients mentioned several isolated components that had a positive effect on their experience during hospital stays, such as colours, windows and space. Components that had a negative effect were also mentioned. Conclusion: The result sheds light on the flaws and deficiencies in the physical hospital environment that exists internationally. The study conducts the fact that the problems that Nightingale dealt with still exists to this day.
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Eiu-Seeyok, Busarin. "Quality and safety of inter-hospital transfers care of critically ill patients from rural community hospitals to the Tertiary Regional Hospital in Thailand : a focused ethnographic study." Thesis, University of Edinburgh, 2018. http://hdl.handle.net/1842/33222.
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Background: The safety of critically ill patients during inter-hospital transfer is recognised as a globally important issue. However, little evidence exists pertaining to the care provided by transfer nurses throughout the processes of inter-hospital transfer in rural community hospitals where there is a high risk of adverse clinical events occurring during transportation. Aim: The overall aim of the study was to explore transfer nurses' understanding of the delivery of quality of care during the transfer of critically ill patients from rural community hospitals to a tertiary regional hospital in Thailand. Design and Methods: The theory of symbolic interactionism (Blumer, 1986) and focused ethnography methodology were used. Data were collected using multiple qualitative methods including sixteen semi-structured interviews with transfer nurses, fourteen observations of critically ill patients' transfers from three rural community hospitals to a tertiary centre and twenty-three subsequent handover events and the analysis of transfer documents from four hospital settings (e.g. one regional hospital and three rural community hospitals) in Thailand. Translation from Thai into English and back translation into vernacular language was required. Inductive, thematic analysis was conducted to identify major themes by using qualitative data analysis software, NVivo 10 to assist data management during the analysis. Results: Five major themes emerged including (i) protective factors influencing safe transfer care, (ii) barrier factors influencing safe transfer care, (iii) behavioural patterns in transfer care processes, (iv) maintaining the health condition of the patients, and (v) overcoming adverse events. These particular themes elaborate the meaning of the quality and patient safety of transfer care, the provision of care for safe transfer care, and significant contextual factors that influence the quality of inter-hospital transfer care for critically ill patients. In addition, Donabedian's model (Donabedian, 1966, 1988) incorporated within the concept of context and culture was utilised to assist in conceptualising the framework for the quality of inter-hospital transfer care of critically ill patients in Thailand. Conclusion: The Donabedian model is useful as it is simple, but it does not include detail of the organisational context and culture as determinants of care quality. A conceptual framework for the quality of inter-hospital transfer care of critically ill patients in Thailand was therefore proposed. This study has expanded on current theoretical knowledge of the quality of inter-hospital transfer care by elaborating the patterns of thought and the behaviour of transfer nurses during provision of care throughout the processes of the inter-hospital transfer. It also highlights the limitations of organisational structure and the environment in which transfer work takes place, including issues on handover processes in hospital transfer care. The results can be useful to transfer nurses in that they facilitate greater understanding of the provision of better quality of care. They also help to inform hospital policy makers how to ensure safety of critically ill patients being transferred from community hospital settings.
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Strachan, Eric D. "Evaluation of education and skill training regarding involuntary hospitalization for psychiatric inpatients." [Lincoln, Neb. : University of Nebraska-Lincoln], 2004. http://www.unl.edu/libr/Dissertations/2004/StrachanDis.pdf.
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Motlhake, Malefsane Priscilla. "Non-compliance amongst T.B. patients at Moreteletsi Hospital." Diss., Pretoria : [s.n.], 2005. http://upetd.up.ac.za/thesis/available/etd-01312006-112314.
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Phare, Janet. "Narratives of people's everyday occupational lives following long term psychiatric hospitalisation a thesis submitted to Auckland University of Technology in partial fulfilment of the requirements for the degree of Master of Health Science, November 2003." Full thesis. Abstract, 2003. http://puka2.aut.ac.nz/ait/theses/PhareJ.pdf.
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Thesis (MHSc--Health Science) -- Auckland University of Technology, 2003.Appendices not included in e-thesis. On spine : 2004. Also held in print (236 leaves, 30 cm.) in Akoranga Theses Collection (T 616.890092 PHA)
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Piterman, Hannah, and Hannah Piterman@med monash edu au. "Tensions around introducing co-ordinated care a case study of co-ordinated care trial." Swinburne University of Technology, 2000. http://adt.lib.swin.edu.au./public/adt-VSWT20050418.092951.
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The aim of the research was to analyse the organisational dynamics surrounding a health care reform implementation process associated with the introduction of coordinated care, which is an Australian Government initiative to introduce structural changes to the funding and delivery of health-care in response to rising health care costs. A longitudinal case study of an implementation team was studied. This included the perceptions and experiences of individuals and institutions within hospitals, the general practice community and Divisions of General Practice. Furthermore, the case study explored organisational structures, decision-making processes and management systems of the Project and included an examination of the difficulties and conflicts that ensued. The broader context of health care reform was also considered.
The study found that an effective change management strategy requires clarity around the definition of primary task in health care delivery, particularly when the task is complex and the environment uncertain. This requires a management and support structure able to accommodate the tensions that exists between providing care and managing cost, in a changing and complex system. The case study indicated that where tensions were not managed the functions of providing care and managing costs became disconnected, undermining the integrity of the task and impacting on the effective facilitation of the change process and hence, the capacity of stakeholders to embrace the model of co-ordinated care. Moreover, the micro dynamics of the project team seemed to parallel the macro dynamics of the broader system where economic and health care provision imperatives clash. Through its close analysis of change dynamics, the study provides suggestions for the improved engagement of stakeholders in health care change.
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Williams, Levonne. "The relationship between the two levels of patient education program implementation within the hospital environment and the impact of selected hospital attributes /." The Ohio State University, 1987. http://rave.ohiolink.edu/etdc/view?acc_num=osu1487586889186837.
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Beattie, Michelle. "Measuring the patient experience of hospital quality of care." Thesis, University of Stirling, 2016. http://hdl.handle.net/1893/23410.
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The primary motivation of this PhD by publication has been the apparent disconnect between the metrics of hospital quality of care at national and board level and patients’ experiences. Exploration of the gap led to the realisation of two key points. Firstly, the concept of healthcare quality continually evolves. Secondly, the NHS Scotland Measurement Framework does not include a measure of patient experience at the microsystem level (e.g. hospital ward). This is needed to counterbalance easier to obtain metrics of quality (e.g. waiting times). Resource tends to follow measurement. Papers 1 and 2 were exploratory, investigating theoretical and practical aspects of measuring quality of hospital care at the clinical microsystem level. With the associated Chapters, they highlighted both the necessity and the possibility of measuring the patient experience at the micro level of the healthcare system. They also drew attention to the inadequacy of “satisfaction” as a metric, leading to closer examination of “experience” as the decisive metric. This required the development of a systematic review protocol (Paper Three), then a systematic review (Paper Four). The review (Paper Four) examined the utility (validity, reliability, cost efficiency, acceptability and educational impact) of questionnaires to measure the patient experience of hospital quality of care, with a newly devised matrix tool. Findings highlighted a gap for an instrument with high utility for use at the clinical microsystem level of healthcare. Paper Five presents the development and preliminary psychometric testing of such an instrument; the Care Experience Feedback Improvement Tool (CEFIT). The thesis provides, as well as the matrix tool and CEFIT, theoretical and methodological contributions in the field of healthcare quality. It contributes to an aspiration that the patient’s voice can be heard and acknowledged, in order to direct improvements in the quality of hospital care.
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Abrahamsen, Grøndahl Vigdis. "Patients’ perceptions of actual care conditions and patient satisfaction with care quality in hospital." Doctoral thesis, Karlstads universitet, Avdelningen för omvårdnad, 2012. http://urn.kb.se/resolve?urn=urn:nbn:se:kau:diva-9023.
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There are theoretical and methodological difficulties in measuring the concepts of quality of care and patient satisfaction, and the conditions associated with these concepts. A theoretical framework of patient satisfaction and a theoretical model of quality of care have been used as the theoretical basis in this thesis. Aim. The overall aim was to describe and explore relationships between person-related conditions, external objective care conditions, patients’ perceptions of quality of care, and patient satisfaction with care in hospital. Methods. Quantitative and qualitative methods were used. In the quantitative study (I-III), 528 patients (83.7%) from eight medical, three surgical and one mixed medical/surgical ward in five hospitals in Norway agreed to participate (10% of total discharges). Data collection was conducted using a questionnaire comprising four instruments: Quality from Patients’ Perspective (QPP); Sense of Coherence scale (SOC); Big Five personality traits – the Single-Item Measures of Personality (SIMP); and Emotional Stress Reaction Questionnaire (ESRQ). In addition, questions regarding socio-demographic data and health conditions were asked, and data from ward statistics were included. Multivariate statistical analysis was carried out (I-III). In the qualitative study 22 informants were interviewed (IV). The interviews were analysed by conventional content analysis. Main findings. Patients’ perceptions of quality of care and patient satisfaction ranged from lower to higher depending on whether all patients or groups of patients were studied. The combination of person-related and external objective care conditions explained 55% of patients’ perceptions of quality of care (I). 54.7% of the variance in patient satisfaction was explained, and the person-related conditions had the strongest impact, explaining 51.7% (II). Three clusters of patients were identified regarding their scores on patient satisfaction and patients’ perceptions of quality of care (III). One group consisted of patients who were most satisfied and had the best perceptions of quality of care, a second group of patients who were less satisfied and had better perceptions, and a third group of patients who were less satisfied and had the worst perceptions. The qualitative study revealed four categories of importance for patients’ satisfaction: desire to regain health, need to be met in a professional way as a unique person, perspective on life, and need to have balance between privacy and companionship (IV). Conclusions. Patients’ perceptions of quality of care and patient satisfaction are two different concepts. The person-related conditions seem to be the strongest predictors of patients’ perceptions of quality of care and patient satisfaction. Registered nurses need to be aware of this when planning and conducting nursing care. There is a need of guidelines for handling over‑occupancy, and of procedures for emergency admissions on the wards. The number of registered nurses on the wards needs to be considered. Healthcare personnel must do their utmost to provide the patients with person‑centred care.
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Smith, Cheryl. "Patients’ Perceptions of Patient-Centered Care and the Hospital Experience Pre- and Post-Discharge." Digital Commons @ East Tennessee State University, 2018. https://dc.etsu.edu/etd/3388.
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Florence Nightingale used the principles of patient-centered care as the foundation for nursing practice. Today, patient-centered care delivery is part of the healthcare reform process that extends interprofessionally throughout all settings of healthcare in the United States (U.S.). Patient satisfaction measurement is one primary determinant of effective patient-centered care. The standardized Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) survey and methods is a nation-wide tool used to measure patient satisfaction. However, this method of patient satisfaction assessment relies on recollections of patients’ hospital experiences and requires accurate memory and recall. This study sought to examine the effect of the memory-experience gap on patients’ perceptions of their hospital experiences and address this research question: Are there any statistical differences between in-hospital and two-week post-discharge perceptions of patient-centered care as measured with HCAHPS patient satisfaction ratings on (a) the composite scores for communication with nurses, communication with physicians, communication about medicines, pain management, staff responsiveness, (b) the individual scores for the hospital environment’s cleanliness and quietness, and the inclusion of patient and family preferences in the plan of care, and (c) the overall global rating score? The design was a non-experimental, prospective, descriptive correlational study. The setting was a 255-bed regional hospital that serves individuals from eight surrounding rural counties in southern middle Tennessee. The case-mix contained diverse individuals with multiple economic, environmental, physical, social and spiritual dynamics. A convenience sample of 82 adult patients ages 26 - 93 represented mainly Caucasian females with mostly cardiovascular and respiratory illnesses who had a minimum one-day stay.
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He, Xiao. "FACTORS AFFECTING RURAL KENTUCKY PATIENTS HOSPITAL CHOICE AND BYPASS BEHAVIOR." UKnowledge, 2011. http://uknowledge.uky.edu/gradschool_theses/115.
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This study examines the underutilization of rural hospitals in Kentucky. The authors study hospital and patient characteristics to determine why and how rural patients bypass local rural hospitals and how they make their decision in the hospital choice. A Health Care Service Survey conducted in rural Kentucky and hospital data drew from American Hospital Directory are used. A binary probit model and a conditional logit model are applied. The results suggest that the hospital quality, prior experiences and the satisfaction of the local hospital, along with patients’ value of hospital size, reputation and patients’ insurance coverage influence rural patients’ hospital choice. The study offers seven policy implications to better utilize rural health care institutions.
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Andersson, Boman Oskar, and Andreas Eriksson. "Upplevelser av information på akutmottagningar ur ett patientperspektiv: En litteraturöversikt." Thesis, Uppsala universitet, Institutionen för folkhälso- och vårdvetenskap, 2019. http://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-384650.
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Bakgrund: Tidigare forskning har visat på vikten av information för patienters vårdupplevelse och säkerhet. Ändå finns tydliga belägg för att informationen brister på akutmottagningar. Det är därför viktigt att sammanställa patienters upplevelser inom området. Syfte: Att undersöka patienters upplevelser av information på akutmottagningar. Metod: Deskriptiv design med litteraturöversikt som metod där 16 vetenskapliga kvalitativa originalartiklar analyserades. Resultat: Fem teman skapades: Initial vård på akutmottagningen; efterföljande väntetid; tillstånd och behandling; förståelse och minnesförmåga; samt avslutande vård på akutmottagningen. Både positiva och negativa upplevelser framkom. Mest framträdande var negativa upplevelser angående bristande information om saker som väntetider, tillstånd och behandling. Slutsats: Information är en viktig del av vården på en akutmottagning och denna studie belyser dess betydelse ur ett patientperspektiv. I resultatet framkom en mängd olika upplevelser som visar på problemområdets relevans. Behov av mer forskning specifikt gällande patienters upplevelser av information anses behövas. Genom att belysa patienters upplevelser har brister och även möjligheter till förbättringar synliggjorts, vilket kan vara av nytta för sjuksköterskor i sin profession.Background: Previous research has shown the importance of information for the patients care experience and safety. Still there is clear evidence that information is lacking at emergency departments [ED]. It is therefore important to gather patient experiences on the subject. Purpose: To investigate patient experiences of information in emergency departments. Method: Descriptive design with a literature review as method where 16 scientific qualitative original articles was analyzed. Results: Five themes was created: Initial care at the ED; following waiting time; condition and treatment; understanding and ability to remember; and final care at the ED. Both positive and negative experiences emerged. Most prominently was negative experiences regarding lack of information about subjects such as waiting times, condition and treatment. Conclusion: Information is a crucial part of the care at the ED and this study highlights its importance from the patient perspective. A lot of different experiences emerged in the result that displays the relevance of the problem area. The need of further research regarding patient experiences of information is considered needed. Flaws and opportunities for improvement has also been revealed by highlighting patient experiences, which may be of use for nurses in their profession.
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Anderson, Lynda May. "Privacy needs of women hospitalized for gynecological surgery." Thesis, University of British Columbia, 1990. http://hdl.handle.net/2429/28720.
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This phenomenological study was designed to explore the privacy needs of gynecological patients, as perceived by the clients during hospitalization, for the purpose of adding to knowledge and understanding of patients' privacy.
Data were collected through sixteen in-depth interviews with eight recently hospitalized patients. The interviews were tape-recorded and transcribed verbatim for each participant.
Data were analyzed using Giorgi's (1975) procedure. Analysis of participants' accounts revealed that privacy was important to participants' maintenance of their self-identity. Characteristics of privacy that participants identified as helping to maintain their self-identity included providing time alone for contemplation and helping to control interactions with others. Participants reported that privacy was important for their comfort during situations involving nursing care, basic needs and social interactions with others. Participants suggested that even though they reduced their expectations of privacy during the hospital stay, their privacy needs in hospital were at times still not met. Factors within the hospital setting that contributed or detracted from participants' hospital privacy included behavior of the nurses, doctors, roommates and the physical environment of the hospital. Participants
indicated that nurses were the main factor in meeting privacy needs especially while caring for participants and participants' roommates.
The findings of this study indicated that participants were willing to trade some privacy for health care. However, participants still valued privacy and considered it important during their hospital stay.
There is a lack of research on privacy and acute care hospitalization. Recommendations for further nursing research, nursing practice, nursing education and nursing administration, based on the findings of this study, are presented in the final chapter of the study.Applied Science, Faculty of
Nursing, School of
Graduate
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Al-Awa, Bahjat. "Impact of hospital accreditation on patients' safety and quality indicators." Doctoral thesis, Universite Libre de Bruxelles, 2011. http://hdl.handle.net/2013/ULB-DIPOT:oai:dipot.ulb.ac.be:2013/209917.
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Ecole de Santé Publique Université Libre de Bruxelles
Academic Year 2010-2011
Al-Awa, Bahjat
Impact of Hospital Accreditation on Patients' Safety and Quality Indicators
Dissertation Summary
I.\
Doctorat en Sciences
info:eu-repo/semantics/nonPublished
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Luke, Gary Joseph. "An assessment of the service quality expectations and perceptions of the patients of Awali Hospital in the Kingdom of Bahrain." Thesis, Rhodes University, 2008. http://hdl.handle.net/10962/d1003850.
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The quality of service from a hospital is the number one factor that will either turn a customer/patient away or make one for life. More and more hospitals are competing for greater shares in the market and customer-driven quality management is becoming the preferred method for improving their performance. Awali hospital is a private hospital in the Kingdom of Bahrain. It is a small 35-bed hospital that offers private medical services to the public. The hospital was originally built to serve the Bahrain Petroleum Company (Bapco) refinery workers but later opened its doors to the public. With the introduction of private patients came higher expectations of quality and higher demands on the overall services. A number of service quality shortfalls were identified over the years but never identified quantitatively by a patient evaluation survey. An English and Arabic version of the questionnaire based on SERVQUAL (Zeithaml, Parasuraman and Berry, 1988) was developed and placed in Awali hospital to test these service quality shortfalls. This study intends to evaluate these areas by answering questions about the relevant areas of service provided by the hospital. It measured patient satisfaction by looking at human aspects of service (responsiveness, reliability, empathy and assurance) with only one factor of the instrument being devoted to the non-human aspect of care rendered (tangibles). The SERVQUAL instrument has five dimensions that were measured by 21 pairs of item statements. One statement from each pair reflects perceptions, the other expectations. Measurement was accomplished by subtracting expectation from perceptions resulting in a service quality score. Positive or zero scores would reflect ideal or adequate service quality offered by the hospital. A negative score would be indicative of a service experience that did not meet customer expectations. Using the SERVQUAL questionnaire provided, quantifiable reasoning to the research questions in each dimension could be obtained so that precision, objectivity and rigour replaced hunches, experience and intuition as a means of investigating problem areas. Customers were first asked to supply some additional demographic information, for example gender, number of hospital visits, nationality, patient type (Bapco worker, general practitioner referred or private) and type of visit (inpatient, outpatient or both). They werethen asked to rate the hospital service on a 7-point Likert scale ranging from Strongly Agree (7) to Strongly Disagree (1). At the end of the questionnaire was space to write open comments. In total 600 paper questionnaires were distributed in the hospital, 300 English and 300 Arabic. Another 150 electronic questionnaires via emails were sent to refinery workers. Of the total 750 questionnaires distributed 162 were returned of which 156 (or 21.6%) could be statistically analysed. The empirical data results showed that the perception scores were significantly different at the p < 0.05 level from expectation scores. All the service quality differences (SQ=P-E) were negatively scored. This indicated that patients were not satisfied in all five dimensions of services offered by the hospital. Of the five dimensions responsiveness had the largest difference with assurance and reliability following with no significant differences between them. The demographic information revealed some interesting differences between the groups. Of all the demographic groups the most significant differences were between groups, “patient types” and “types of visit”, which showed differences between private patients and refinery workers and patients who used the hospital only as an outpatient and patients who used both services, outpatient and inpatient. In terms of the managerial implications, it was recommended that Awali hospital look to closing Gaps 1-4 of the SERVQUAL gap model which would result in closing the consumer gap, Gap 5. A process model for continuous measurement and improvement of service quality was recommended that looks at asking questions about how the hospital is performing. By adopting some of the recommendations identified in the research questions, Awali hospital could improve their quality of service, and as a consequence, their customer satisfaction and loyalty.
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Cannaby, Ann-Marie. "Improving the process of hospital discharge for medical patients." Thesis, University of Leicester, 2003. http://hdl.handle.net/2381/29454.
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A combination of methods was used in the development of the discharge intervention for patients on medical wards, these included: (1) Patient interviews and professional focus groups which explored barriers to a successful discharge; (2) A systematic review of comprehensive discharge protocols examined the effects of standardising discharge practices; (3) Reviews of patient education methods informed the intervention's components; (4) Patient and professional surveys explored perspectives, perceptions of information needs and current practices which influenced the intervention's content and design. A pilot study tested the usability and acceptability of an educational intervention in hospital and the community. The facilitated intervention (computer presentation and booklet) was designed to give patients confidence to participate and ask questions about their discharge. Patient outcome measures included knowledge, SF36, a validated patient diary and self-efficacy questionnaire. Barriers to a successful discharge included lack of knowledge, poor communication and co-ordination of discharge and no clear definition of professionals' roles. The systematic review of discharge planning protocols showed no significant improvements in patient outcomes. Patient and professional questionnaires highlighted a lack of written information and patients identified the need for specific information, with greater importance placed on information post-discharge. The patient education intervention was piloted with 50 patients, 48 understood their diagnosis and 46 could explain their medication. Significant differences were found in the SF36 (pain, social functioning and activities) and the self-efficacy questionnaire (between discharge and one month post discharge). Patients found the intervention usable and reported increased confidence to ask questions. A definitive randomised controlled trial is required to establish the effect of the education package on patient outcomes.
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Cheater, Francine M. "Urinary incontinence in hospital in-patients : a nursing perspective." Thesis, University of Nottingham, 1990. http://eprints.nottingham.ac.uk/13306/.
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Urinary incontinence is a common health problem with not only physical, but also far-reaching psychological and social implications for the sufferer, her family and carers. Assisting patients with meeting their eliminatory needs is a fundamental part of nursing care. Incontinence is encountered in almost every sphere of clinical practice and is a problem with which nurses are often directly concerned. Nurses, in association with other members of the health care team, have considerable potential to help patients regain continence, or when this is not possible, to ensure that the individuals concerned, and their relatives or carers, can cope effectively with the problem, both physically and psychologically. This is an area of nursing care, however, which to date has attracted little research. The studies undertaken in this thesis sought to examine the nursing assessment and management of the care of patients with urinary incontinence in acute medical and care of the elderly wards. The research comprises of a sequence of studies which examined the problem from a number of perspectives. Methods of data collection included nurse and patient self-, reports, the examination of nursing and medical documentation, direct observation and self-completed questionnaires. Findings indicated that urinary incontinence was common in acute medical and care of the elderly wards, and that a considerable proportion of patients had indwelling catheters to manage the problem. Nurses were not always aware of patients' incontinence problems and their assessments concerning important aspects of the symptom were frequently unreliable. Further inadequacies in nurses' assessments, as well as in the management of the care of patients with incontinence, were identified from an examination of the nursing and medical records, and observations of verbal hand-over reports. Qualified nurses and learners appeared ill-informed about the causes of incontinence, and the majority had little knowledge of the range of factors which need to be considered to ensure that a systematic assessment of the problem is carried out. Despite considerable scope for the provision of rehabilitative care for incontinence sufferers, many nurses appeared to have a limited appreciation of their potential for initiating such care. Evidence collected from the nursing and medical records, the verbal hand-over reports and nurses' questionnaires, suggested that the management of patients with incontinence still focuses predominantly on measures which aim to contain the problem with little attention being given to rehabilitative interventions. A considerable proportion of the charge nurses, and the majority of the other qualified nursing staff, stated they had not received any continuing in-service education relevant to the promotion of continence or management of incontinence since their basic training. Nurses exhibited positive attitudes, overall, towards the management of incontinence but their responses indicated that a number of common misconceptions surrounding the problem persist. The enrolled nurses demonstrated significantly less positive attitudes towards the management of patients with incontinence than other grades of nurses. Similarly, the nursing staff who worked in the slow-stream rehabilitation care of the elderly wards showed significantly less positive attitudes towards incontinence than the nurses working in other types of wards. The implications of the findings of these studies for nursing practice, education and further research are discussed.
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Dhatariya, Ketan. "The management of hospital in-patients with diabetes mellitus." Thesis, University of East Anglia, 2017. https://ueaeprints.uea.ac.uk/65366/.
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In the UK, the prevalence of diabetes in adults in the general population is currently reported as just over 6% in 2014-15 [1]. This rose from a prevalence of 5.5% in 2010. However, the most recent data from the 2016 United Kingdom National Diabetes In-patient Audit reported that the prevalence of diabetes amongst hospitalised in-patients was 17% [2]. This represented a rise of over 15% since the first National Diabetes In-patient Audit was carried out in 2010, and was the same rise in prevalence seen in the general population during that time. Thus diabetes is disproportionately over represented in the in-patient population. It has been recognised for many years that in-patients with diabetes experience ‘glucose-related’ harms. Any form of dysglycaemia is associated with increased harms – in terms of poor outcomes (however that is defined) and also increased mortality [3]. For many years it was well recognised that having long term high glucose concentrations was associated with an increased risk of developing the long term micro and macrovascular complications of diabetes. It was only with the publication of the two seminal trials, the Diabetes Control and Complications Trial in type 1 diabetes and the United Kingdom Prospective Diabetes Study in type 2 diabetes that showed conclusively that in an outpatient population tight glycaemic control was associated with a reduced risk of developing those complications [4,5]. However, to date whilst there are a great deal of data to show that high glucose concentrations are associated with harm in hospitalised in-patients with diabetes, there are almost no data to show that improving glucose concentrations is associated with benefit. However, most authorities agree that glucose concentrations between 6.0 and 10.0mmol/l (with an acceptable range of 4.0 to 12.0mmol/l) are likely to be most beneficial (or rather, least likely to be associated with harm). In the UK there is an organisation called the Joint British Diabetes Societies for Inpatient Care group (JBDS), of which I am a senior member. JBDS is a group of professionals interested in the care of in-patients with diabetes. This group, which is funded by Diabetes UK and the Association of British Clinical Diabetologists and is a collaboration between these two national organisations and the National Diabetes Inpatient Specialist Nurse Group, had as it’s ‘mission statement’ the focus on producing evidence based or, where this was not possible, consensus based, clinical guidelines for the management of diabetes in hospitalised in-patients. These guidelines were designed to be used by non-specialists, and written in a user friendly way to make them clinically useful. I have been involved in writing or contributing to most of the guidelines produced by the group, and have been the lead author on two of the most widely read / used documents – peri-operative care and diabetic ketoacidosis. Indeed, as a result of my involvement in these writing groups, I am now recognised as an international expert on these two subjects. I am regularly invited to speak on these subjects, but also invited to write about them as well. This thesis is a journey through various aspects of my involvement in in-patient care for patients with diabetes from the time I was first appointed as a consultant in Norwich in 2004 to the spring of 2017. In particular my hypothesis is that because of the work I and others have published, the management of in-patients with diabetes has improved the care of this vulnerable group.
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Garcia-Arce, Andres Patricio. "Strategies for Reducing Preventable Hospital Readmissions on Medicare Patients." Scholar Commons, 2017. http://scholarcommons.usf.edu/etd/6653.
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The high expenditure of healthcare in the United States (U.S.) does not translate into better quality of care. Indeed, the U.S. healthcare system is recognized by its lack of efficiency and waste (which represents about 20% of the country’s healthcare expenses). Lack of coordination is one of the most referenced causes of waste in the U.S. healthcare system, and preventable hospital readmissions have been acknowledged to be evidence of poor coordination of care. In fiscal year 2013, the Centers for Medicare and Medicaid Services (CMS) established financial penalties for inpatient care reimbursements in hospitals with excessive readmissions. All the same, the preliminary results of this effort have yet to result in a consistent reduction of readmission rates. Research in healthcare policy is usually reported through case studies, which makes it difficult to apply that research to different spatiotemporal contexts. Additionally, relevant research can remain overlooked due to the challenge of translating it from other fields. Therefore, in order to create effective healthcare policies, a system that can provide the most accurate information to stakeholders about their decisions and the future impact of those decisions should be developed.
This dissertation proposes a decision-based support system that could aid hospital administrators in the design of disease-specific interventions that target specific groups of patients who are at risk for readmission. First, the use of disease-specific interventions that were designed to reduce readmissions will be explored. Second, a variety of predictive tools for readmissions will be developed and compared to complete the search for the best tool. Finally, an optimization model bringing together the two ideas will be formulated so that hospitals can use it to design interventions. This model will target specific patients depending on their risk for readmission and minimize the cost of intervention while ensuring quality hospital performance. In sum, this work will help hospital administrators to better plan in the reduction of readmissions and in the implementation of interventions. In addition, it will deepen knowledge about the impacts of economic penalties on hospitals and facilitate the construction of stronger arguments for decisions about healthcare policy.
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Opincariu, Marius. "Counseling the terminally ill patients with cancer in hospital." Online full text .pdf document, available to Fuller patrons only, 2003. http://www.tren.com.
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Bush, Paul. "General Anaesthesia For Child Dental Patients At Westmead Hospital." Thesis, Faculty of Dentistry, 1995. http://hdl.handle.net/2123/5042.
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Mok, Chi-kit. "A study of the transport needs for medical services of patients at the Yan Chai Hospital." Hong Kong : University of Hong Kong, 2002. http://sunzi.lib.hku.hk/hkuto/record.jsp?B25700595.
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Zasoski, Elizabeth A. "Evaluation of nurse assessment of a patient's weight status at the time of hospital admission." Online version, 2004. http://www.uwstout.edu/lib/thesis/2004/2004zasoskie.pdf.
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Sweet, Ronda. "Improving Pain Management for Hospitalized Patients." ScholarWorks, 2016. https://scholarworks.waldenu.edu/dissertations/2385.
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Uncontrolled pain has proven effects on both physiological and psychological responses of hospitalized patients. These incapacitating sequelae most often negatively impact patient outcomes resulting in unnecessary suffering and prolong hospitalizations. First line nurses often have preconceived notions about a patient's pain without developing an individualized patient context that considers appropriate pain management knowledge translated from best practice standards. Guided by Bandura's social learning theory and Lippitt's change theory, the purpose of this quality improvement project was to determine if use of the Curriculum Outline on Pain for Nursing from the International Association for the Study of Pain (IASP) improved nursing knowledge of pain management for hospitalized patients. The Knowledge and Attitude Survey Regarding Pain was given as a pretest and posttest to assess the knowledge of 100 registered nurses from an acute care hospital, before and after an education intervention was provided. The results of the paired pretests and posttests indicated a statistically significant difference t(99) = 0.03, (p < 0.05) following use of the IASP Curriculum. Use of the IASP Outline Curriculum, coupled with sustainability strategies, has a strong probability of impacting nurses' knowledge and subsequently contributing to positive social change for the community of patients expecting optimal clinical outcomes from their nurses.
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Kirk, Judy Gail. "Difference in quality of life of referred hospital patients after hospital palliative care team intervention." Master's thesis, University of Cape Town, 2004. http://hdl.handle.net/11427/10751.
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Includes bibliographical references (leaves 34-39).Since 1948, when the World Health Organization (WHO) defined health as being not only the absence of disease and infinity but also the presence of physical, mental, and social well-being (Constitution of the World Health Organization, 1952), quality of life issues became more apparent. The aim of the research undertaken was to establish whether the hospital palliative care team (HPCT) at the Johannesburg General Hospital was making a difference to referred hospital patients' quality of life. The HPCT was started at the Johannesburg General Hospital in 2001. The team functions as an advisory body on pain and symptom control. Palliative Care is an approach that improves the quality of life of patients and their families facing the problems associated with life threatening illness, through the prevention and relief of suffering by means of early identification and impeccable assessment and treatment of pain and other problems, physical, psychosocial and spiritual. The method used was the FACT G questionnaire, which was completed by the patient group initially, and thereafter HPCT intervention. The questionnaire is used to measure quality of life (QOL). The study is a descriptive cohort design. The first 24 patients completed the informed consent prior to completing the questionnaire. The pre QOL questionnaire served as the baseline QOL scores prior to HPCT intervention. The initial QOL scores were then compared to the post QOL scores after HPCT intervention. Seven subjects were excluded from the research as six patients were discharged from hospital early due to a bed shortage and one patient died. The seven patients' results from the pre FACT G questionnaire were discarded and all subsequent calculations did not include their results. The increase in the total percentage scores (45.53 to 63.35) was statistically significant (p< 0.001) using the paired t-test. Thus the results show a significant difference between pre and post assessment QOL scores. The research demonstrates significant improvements in patients' quality of life (p<0.001) after HPCT intervention. It is hoped that future research would continue to show the value of HPCT and their effect of benefiting patients' quality of life.
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Gerstenmaier, Jan Frank Wirongrong Chierakul. "Pulmonary manifestations in melioidosis patients /." Abstract, 2006. http://mulinet3.li.mahidol.ac.th/thesis/2549/cd387/4838790.pdf.
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Thematic Paper (M.Sc. (Clinical Tropical Medicine))--Mahidol University, 2006.LICL has E-Thesis 0011 ; please contact computer services. LIRV has E-Thesis 0011 ; please contact circulation services.
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Vigil, Kathryn Irene. "The association between physical, sexual, and emotional abuse and physical pain a comparison of psychiatric patients in Ontario, Canada and Burlington, Vermont : a project based upon an investigation at the University of Vermont, Burlington, Vermont /." Click here for text online. Smith College School for Social Work website, 2007. http://hdl.handle.net/10090/1021.
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Thesis (M.S.W.)--Smith College School for Social Work, Northampton, Mass., 2007Thesis submitted in partial fulfillment for the degree of Master of Social Work. Includes bibliographical references (leaves 56-62).