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Author: Margaret L. Mancuso
Publisher:
ISBN: 9781124692371
Category : Nurse and patient
Languages : en
Pages : 326
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Book Description
Patient satisfaction is receiving greater attention due to the rise in pay-for-performance and public release of data from the Hospital Consumer Assessment of Healthcare Providers and Systems Survey (HCAHPS) (HHS, 2006). Incorporating this survey into reimbursement plans and quality monitoring systems has ensured that measuring and reporting patient satisfaction is important to value-based healthcare, including nurses' care delivery. Watson's Caring Theory (1979) was the lens through which registered nurses' reports were examined. Benner's landmark work (1984) was also used to examine levels of competence in novice and expert nurses. The purpose of this study was to determine whether, and to what degree, acute care novice and expert registered nurses reported how their caring behaviors, based on Watson's 10 carative factors (1979), impacted patient satisfaction. The unit of analysis included novice and expert nurses who practiced in a community hospital. A descriptive, correlational, mixed methods study was employed. This study concluded that novice and expert registered nurses reported their caring behaviors greatly impacted patient satisfaction. In addition, patient satisfaction was greatly impacted by novice nurses' task-oriented behaviors, reliance on past experiences, and instilled personal values, as well as expert nurses' emotional needs and clinical wisdom. Incongruence existed among study participants' reports that caring behaviors greatly impacted organizational patient satisfaction scores. Hospital-based nurse educators need to consider pedagogical and programmatic innovations inclusive of the nursing domains reported on the HCAHPS survey. Research is needed that focuses on bridging the incongruence between novice and expert registered nurses' reports of their impact on patient satisfaction and actual patient satisfaction scores.
Author: Margaret L. Mancuso
Publisher:
ISBN: 9781124692371
Category : Nurse and patient
Languages : en
Pages : 326
Get Book Here
Book Description
Patient satisfaction is receiving greater attention due to the rise in pay-for-performance and public release of data from the Hospital Consumer Assessment of Healthcare Providers and Systems Survey (HCAHPS) (HHS, 2006). Incorporating this survey into reimbursement plans and quality monitoring systems has ensured that measuring and reporting patient satisfaction is important to value-based healthcare, including nurses' care delivery. Watson's Caring Theory (1979) was the lens through which registered nurses' reports were examined. Benner's landmark work (1984) was also used to examine levels of competence in novice and expert nurses. The purpose of this study was to determine whether, and to what degree, acute care novice and expert registered nurses reported how their caring behaviors, based on Watson's 10 carative factors (1979), impacted patient satisfaction. The unit of analysis included novice and expert nurses who practiced in a community hospital. A descriptive, correlational, mixed methods study was employed. This study concluded that novice and expert registered nurses reported their caring behaviors greatly impacted patient satisfaction. In addition, patient satisfaction was greatly impacted by novice nurses' task-oriented behaviors, reliance on past experiences, and instilled personal values, as well as expert nurses' emotional needs and clinical wisdom. Incongruence existed among study participants' reports that caring behaviors greatly impacted organizational patient satisfaction scores. Hospital-based nurse educators need to consider pedagogical and programmatic innovations inclusive of the nursing domains reported on the HCAHPS survey. Research is needed that focuses on bridging the incongruence between novice and expert registered nurses' reports of their impact on patient satisfaction and actual patient satisfaction scores.
Author: Patricia E. Benner
Publisher: Pearson
ISBN:
Category : Medical
Languages : en
Pages : 340
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Book Description
This coherent presentation of clinical judgement, caring practices and collaborative practice provides ideas and images that readers can draw upon in their interactions with others and in their interpretation of what nurses do. It includes many clear, colorful examples and describes the five stages of skill acquisition, the nature of clinical judgement and experiential learning and the seven major domains of nursing practice. The narrative method captures content and contextual issues that are often missed by formal models of nursing knowledge. The book uncovers the knowledge embedded in clinical nursing practice and provides the Dreyfus model of skill acquisition applied to nursing, an interpretive approach to identifying and describing clinical knowledge, nursing functions, effective management, research and clinical practice, career development and education, plus practical applications. For nurses and healthcare professionals.
Author: Edtrina Moss
Publisher:
ISBN:
Category : Caring
Languages : en
Pages : 190
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Book Description
Competence is the creation of new rules, reasoning procedures, and the integration of skills, values, knowledge, and attitudes to specific, contextual practice situations (Benner, 2001; Benner, Tanner, & Chesla, 2009). Caring is the essence and central focus of the nurse’s role that is embedded in personal and cultural meanings and commitments that are both instrumental and expressive (Benner, 2001; Benner, Tanner, & Chesla, 2009; Hess, Dossey, Southard, Luck, Schaub, & Bark, 2013). The purpose of this study was to examine the relationship between competence and caring efficacy of practicing registered nurses (RN) while controlling for the impact of nurse education, nursing experience, specialty certification, and job role. Guided by Benner’s Novice to Expert Model, a cross-sectional non-experimental design used to describe nurses’ self-perceptions of competence and caring. The seven subscale, 73-item Nurse Competence Scale (NCS) and 30-item Caring Efficacy Scale (CES) were used to examine these perceptions in an online survey. A final convenience sample of 189 practicing, licensed registered nurses involved in direct patient care at least 50% of the time and recruited from four nursing organizations and a Veterans Affairs Medical Center, were used in data analysis. Descriptive statistics were used to describe the demographic data. Most participants were female with an average age of 47 and 18 years of experience. Most held undergraduate degrees, possessed a nursing specialty certification, and worked as staff nurses. Hierarchal multiple regression was used to examine the relationship between competence and caring efficacy. A moderate, positive relationship between nurse competence and caring efficacy was found. This relationship was not influenced by education, experience, specialty certification, or job role. Correlations were used to compare the frequency of use versus perceived competence on the subscales of the NCS. No relationships were noted between use and perceived competence on six of seven subscales. There was a small correlation in the help domain. These findings suggest that nurse competence and caring develop according to Benner’s Novice to Expert Framework and affirm that experience is not a linear process but a continuum of experiential learning opportunities and skills acquisition.
Author: Ronda Hughes
Publisher: Department of Health and Human Services
ISBN:
Category : Medical
Languages : en
Pages : 592
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Book Description
"Nurses play a vital role in improving the safety and quality of patient car -- not only in the hospital or ambulatory treatment facility, but also of community-based care and the care performed by family members. Nurses need know what proven techniques and interventions they can use to enhance patient outcomes. To address this need, the Agency for Healthcare Research and Quality (AHRQ), with additional funding from the Robert Wood Johnson Foundation, has prepared this comprehensive, 1,400-page, handbook for nurses on patient safety and quality -- Patient Safety and Quality: An Evidence-Based Handbook for Nurses. (AHRQ Publication No. 08-0043)." - online AHRQ blurb, http://www.ahrq.gov/qual/nurseshdbk/
Author: Kathleen Motacki
Publisher: Elsevier Health Sciences
ISBN: 032369683X
Category : Medical
Languages : en
Pages : 349
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Book Description
- NEW! Next Generation NCLEX® (NGN) examination-style case studies at the end of each section familiarize you to the way that content will be tested in the new NGN exam. - NEW! Leadership roles/competencies and evidence-based practice examples are included from across the care continuum: ambulatory care, long-term care, and community-based care. - NEW! Content on management in a culturally diverse healthcare environment relates to both hospital staff and patients. - NEW! Additional Evidence-Based Practice boxes relate to "innovation" topics in leadership and management. - NEW! Updated organization reflects the Magnet Recognition (2019) and Pathways to Excellence (2016) standards, allowing you to learn the skills and competencies that magnet status hospitals require when hiring nurses.
Author: Patricia E. Benner
Publisher: Springer Publishing Company
ISBN: 0826125441
Category : Medical
Languages : en
Pages : 525
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Book Description
Print+CourseSmart
Author: Teresa Kowalczyk-Vitous
Publisher:
ISBN:
Category :
Languages : en
Pages : 0
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Book Description
"The purpose of this evidence based practice project was to examine the effects of structured teaching of the Quality-Caring Model (Duffy & Hoskins, 2003) to the nurses in a skilled nursing facility. The current health care environment has diminished the nurses' ability to care. According to Duffy (2009), patients are suffering today from not only their illnesses, but also from the lack of caring relationships with their health care provider which creates unnecessary stress, discomfort and dissatisfaction with their care. Without caring being under-stood as an integral part of the students' studies and the patients' care, health reform has given the science of caring little consideration in their downsizing, cost containment, hospital closing, and staff reduction. Duffy (2009) stressed that the foundational caring value of health professionals has been marginalized by modern health care with their emphasis on medical procedure, technology and costs. Through implementing the Quality-Caring Model, we have increased patient and nurse satisfaction as well as reduced medical facility's costs. To state the problem, some health care administrators and nurses are not aware of how important it is to improve patients' satisfaction through caring in the clinical setting. It is understood that licensed practical nurses (LPNs) and registered nurses (RNs) with associate degrees in science have little or no philosophy of caring due to the lack of content in their curriculum. Roach (1992) states, "while caring is not introduced to students when they first enter a professional program of studies, their experience is influenced by course requirements, methods of teaching, relationships and environment. Caring models are critical components in the development of the student's capacity to care" (p. 107). This knowledge gap can be filled by educating nurses and administrators about caring through teaching the evidenced based Quality-Lack of Caring in the Workplace 6 Caring Model. The Quality-Caring Model was originally developed to guide practice and research (Duffy & Hoskins, 2003). This model describes caring relationships as the primary focus of professional nursing. It was designed as a middle range theory to support the understanding of the connections between quality health care and caring. " -- Introduction and Overview.
Author: Kate Curtis
Publisher: Elsevier Health Sciences
ISBN: 0729579824
Category : Medical
Languages : en
Pages : 1519
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Book Description
Emergency and Trauma Care is written for Australian emergency care providers including paramedics, emergency nurses, pre-hospital care providers, nurse practitioners, general practice nurses and allied health practitioners including occupational therapists and physiotherapists who are caring for trauma patients. This book follows the patient journey from pre-hospital to definitive care. Using a body systems approach, each chapter provides comprehensive coverage of all aspects of adult and paediatric emergencies. Implications for clinical practice is supported by chapters of professional practice, clinical skills, research, evidence-based practice, and legal, ethical and cultural issues. Clinical assessment, physiology, management and rationale for intervention of common and not so common emergency presentations are provided, with each chapter providing clear and relevant examples for both Paramedics and Nurses. Emergency and Trauma Care brings together a team of highly respected clinical practitioners and academics to deliver the most up-to-date text dealing with the practical procedures and evidence experienced by emergency and trauma care providers every day. Chapter 2 Pre-hospital care overview in Australia and NZ Chapter 10 Scene assessment, management and rescue Chapter 11 Pre-Hospital Clinical Reasoning, Triage and Communication Pre-hospital and emergency nursing considerations included in all relevant chapters Chapter 5 Cultural Considerations in Emergency Care addresses cultural diversity, beliefs and values and focuses on Aboriginal and Torres Strait Islander health and Maori health Chapter 19 Resuscitation includes advanced life support, airway management and incorporates the 2010 Australian Resuscitation Council guidelines Chapter 37 People with disabilities provides assessment, examination and communication strategies for working with clients with intellectual and physical disabilities Section 5 focuses on examination and communication strategies for working with unique population groups, including the elderly, disabled, obstetric and paediatric patients Section 6 details major trauma assessment and management, blast injury, and trauma to specific body regions Essentials outline the main points addressed in each chapter Practice tips assist with communication skills, procedures and assessment Case studies supported by questions throughout Summaries and Key points, review questions, web links and references provide for consolidation and further research. Evolve resources include Power point slides, 30 additional Case studies, image bank, web links Three paramedic specific chapters (including scene assessment and management)
Author: Joan Almost
Publisher: Jones & Bartlett Learning
ISBN: 9780763722876
Category : Medical
Languages : en
Pages : 404
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Book Description
This text is an invaluable resource for nurse researchers, scholars, and health care professionals committed to effective, quality nursing care as evidenced by nursing-sensitive outcomes measurement. The authors provide a comprehensive review of literature specific to outcomes measurement for self-care, symptom control, pain, adverse occurrences, and patient satisfaction.
Author: Mary Koloroutis
Publisher: Creative Health Care Management
ISBN: 1886624542
Category : Medical
Languages : en
Pages : 737
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Book Description
This follow up title to the award winning Relationship-Based Care: A Model for Transforming Practice shows readers how Relationship-Based Care transforms the culture of care delivery. Written as a field guide, this book will inspire those who are working on the critical relationships that deliver superior care. The Relationship-Based Care Field Guide gives readers a sense of what It’s like to be part of an organization that never stops evolving. Long after Relationship-Based Care is alive and thriving in your organization, it will continue to grow and change. It is an essential resource, no matter where you are on your RBC journey!
