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Relevance of human factors in healthcare
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Azizi-Fini, Mousavi, Mazroui-Sabdani, and Adib-Hajbaghery used a questionnaire to structure a descriptive research design. This research study was used to identify, specifically, which characteristics of the nursing staff unequivocally affect patient fulfilment (Azizi-Fini, Mousavi, Mazroui-Sabdani, & Adib-Hajbaghery, 2012). This study follows an applied research format, as the question is already answered. It is understood that the care provided by nurses affects patient satisfaction, but now Azizi-Fini et al. want to answer the question in more detail. The research process approach used is quantitative. A quantitative approach was the best approach, because the researchers need specific questions answered in order to form an appropriate outcome.
The questionnaire was sent patients who were seen at Shadhid Beheshti Hospital in 2012. This research study was specifically aimed at the medical and surgical wards within the hospital. While the sampling was random, more specifically, Azizi-Fini et al. used the stratified random sampling technique. A stratified random sample splits the population, or sample, into smaller units, or strata, centered on common characteristics. Here, the population was split into those who were sixteen and older, of Iranian decent, fluent in the Persian language, and were hospitalized for at minimum one day with no hearing or vision issues (Azizi-Fini et al., 2012). The stratified random sample technique is used to deliver a more precise picture of the population centered on the characteristic used to separate the population into strata. The samples were then separated into length of stay, ward, age, gender, and education level. Because of the sample type chosen, the type of reasoning used is deductive. This is because the reasoning is “based on generalizations” (Koch, 2015). The timeframe is related to that of a cross sectional study. A cross sectional study was used because it allows researchers to compare and contrast many variables at one time.
Employee job satisfaction is also an issue faced by Coastal Medical Center’s staff. It is important the employees enjoy their job so that performance will be efficient and of higher quality. When employees are satisfied and happy with their job, performance improves and it becomes apparent to the patients. It was also mentioned that the staff does not have a chance to be heard b...
Patients expect instant response to call lights due to today’s technological advancements. This can negatively impact nurse stress and cause contempt toward the patient. However, the expectation to respond promptly improves safety and encourages frequent rounding. Also, aiming for high patient satisfaction scores on the HCAHPS/Press Ganey by fulfilling patient requests can overshadow safe, efficient, and necessary healthcare. Although patient satisfaction is important, ultimately, the patient’s health takes precedence over satisfying patient and family requests, especially when those requests are unnecessary, harmful, or take away from the plan of care (Junewicz & Youngner, 2015). The HCAHPS/Press Ganey survey focuses on the patient’s perception of care. The problem with this aspect of the survey is that the first and foremost goal of nurses should not be to increase a patient’s score based on perception. According to an article in Health Facilities Management, the nurse’s top priority is to provide the safest, most quality care possible for patients with the resources they are given (Hurst, 2013). Once this has been accomplished, the nurse can then help the patient realize that the most
Over the past years, there has been a nursing shortage which has led to the need of more registered nurses in the hospital setting. This is the result of higher acuity of patient care and a decrease in their length of hospital stay. In order for the patients to get safe and quality care, the staffing, education and experience of the nursing staff needs to be made a priority. Because of the lack of nurses, patient quality of care has suffered.
Working in long-term care can be overwhelming. Imagine you are a new graduate nurse putting your new found knowledge and skills to practice for the first time. Your orientation lasted three days which is standard for nurse home orientation compared to hospital orientation that last approximately six to eight weeks for new grads. The shift has just begun and already you have a new admit, new found pressure ulcer to assess, a possible medication reaction, several new orders to take off and eight patients to document on for varying reasons. Feelings of frustration and confusion take over as you are the only nurse on the unit along with a Certified Medication Technician (CMT) and three Certified Nursing Assistants (CNAs) taking care of 47 patients. Ideal nurse-to-patient ratio continues to be a national issue in both the hospital and long-term care setting (LTC). In the LTC setting there is no official nurse-to-patient ratio; there is a suggested staff-to-patient ratio. This issue not only affects the new licensed nurses but the seasoned nurse as well. Recently, there has been controversial debates as to whether heavy workloads are detrimental to patients. The federal, state, and local government regulates many aspects of healthcare. However, it is the physicians, nurses and other healthcare professional that provide care directly to patients. Consequently, does insufficient staffing, heavy workloads, and unsupportive work environment directly contribute to poor patient satisfaction, nurse burnout, high turnover and job dissatisfaction?
[19]Press I. 2005. Patient Satisfaction: Understanding and Managing the Experience of Care, 2nd Edition. Chicago, IL: Health Administration Press.
Introduction The introduction paragraph gives information on communication and the impact that it has on patient-nurse relationships. It gives the reader an understanding of what is involved in true communication and how it is a fundamental part of nursing and the skills all nurses need. It leads those interested in delivering quality nursing to read on. Showing us the significance that communication makes in the perception of the quality of care that patient perceives they received based not on the care it’s self but on the patient-nurse communication.. Purpose/Problem/Hypothesis
Florence Nightingale was the Nurse of Nurses. In nursing school she is the first person you will hear speak of. She is known as “The lady with the lamp”. Her theory focused on the adjustment of the environment provided to protect the patient. She thought that a sleeping patient should never be awaken. Noise should always be avoided because it can startle the sleeping patient. This was a serious problem to her. She delegated tasks to other nurses, always keeping the patients safe and away from harm.
Studies used a mixture of measures and with different phrases to address the process or the outcome of patient satisfaction (Laith Alrubaiee, 2011).
The qualitative research design posit reduced constraint and permits the researcher to augment influences into the analysis, the qualitative research design disadvantage is the incapacity to exploit a generous proportion of sample participants, as the result of the significant amount of data obtained, and the tiresome amount of time needed to complete the task at hand. The qualitative research study had approximately seven leadership teams from the “Markey Cancer Center oncology clinical care” (Wittenberg-Lyles & Ferrell, 2013). The qualitative research design incapability to utilize large sample size hampered the validity, a research scholars’ capacity to utilize additional sample size contributors bestows additional evidence-based novel to the healthcare quality and safety practice for the population at large. The quantitative research design article utilized questionnaire methods to obtain its information, and the SPSS numerical instrument version 13.0 to investigate and present the outcomes (Azimzadeh et al., 2013). The quantitative research design advantage is its easiness and straightforwardness approach that constructs the research outcome with unblemished and succinct whilst diminishing any bias related to the design. The disadvantage of this analysis is the researcher inability to gather additional data from the contributors because the patients’ felt that frontline nurses exhibit the caring conduct that is essentially significant to them (Azimzadeh et al.,
“This literature review explores the effect that nurse staffing patterns have on the frequency of medical errors, fatigue, and nurse burnout (Garrett, 2008, p.1191)”. A concept that is relevant to this study would include nurse sensitive concepts. Houser stated that nurse sensitive concepts include but are not limited to burnout, medication errors as well as patient falls (Houser, 2015). All these concepts are relevant in this one article which discusses studies that have been done to provide evidence based research. “Variables included total staff member work hours and nurse-sensitive outcome rates for CLIs, pressure ulcers, medication errors, falls and restraint application duration rates (ie, duration for use of mechanical restraints)(Garrett, 2008, p.1197).” The technique that was used in this research was the quantitative method. The text book defines quantitative research as “a traditional approach to research in which variables are identified and measured in a reliable and valid way” (Houser, 2015). This study that was conducted identified variables as stated above as well as collected data from diverse units of hospitals to analyze separately to measure the outcomes. The participants of this study included ninety five patient care units from ten adult acute care hospitals for this sample. The instrument used by the researcher was from an observational form that
When a nurse is providing patient care, he/she creates a safe environment for the patient and enables the choice to establish a relationship on a human to human interaction or on a transpersonal level. The patient will be acknowledged as a person with the wholeness of their soul despite their illness or number on the bed. The ten carative factors in this theory are used as an education tool for nurses around the world and should be applied to the different care situations in practice. Nurses use the factors to promote growth in themselves and within the patient. A nurse should respect the patient’s decisions and take the time to fully be present in the moments with the patient. A lot of nurses complain about the time limitations they have and do not provide the necessary amount of time to listen and gather the patient’s perspective of the situation. Another way this theory can be applied to practice is by recognizing the caring moment between you and the patient. This will determine how the relationship will
As suggested by Bungay (2005), the development of a strong nurse-patient relationship begins with nursing practices that demonstrate caring. The act of caring has been identified by Roach (1987) as involving five qualities that establish a caring nursing practice. Further, high quality nursing care must be competent and stem from various sources of knowledge such as empirical, ethical, personal, esthetic, and sociopolitical knowledge (Bungay, 2005). The context in which nursing care and knowledge are applied to patients in clinical settings also drastically influence the positive or negative direction of nurse-patient relationships. As in the case of Allison the nurse, caring using Roach’s caring qualities along with applying her nursing knowledge in specific contextual factors facilitate her ability to provide quality nursing care. In this paper, Allison’s scenario will be analyzed for her ability to care, apply ways of knowing, and how context hindered or facilitated nursing care.
For this paper the theory that is addressed is Peplau’s theory of interpersonal relations. To understand this theory and apply it a nurse must first observe their own behaviors, the behaviors demonstrated by the patient, and the type and quality of relations that occur between the patient and the nurse. In Peplau’s theory, there are three phases that represent the nurse-patient relationship framework and their interactions. The first is the orientation phase, where the nurse and patient get acquainted with each other, and the nurse explains what she will do, and the patient explains their wants and expectations of the relationship. The next phase is the working phase, where the nurse assumes multiple roles to help the patient experience a positive outcome. The last phase is the termination phase when the nurse and patient summarize what has been accomplished and move towards closure of the relationship gradually (Sitzman & Eichelberger, 2017). The article that will be critiqued is ‘Improving Subject Recruitment, Retention, and Participation in Research through Peplau 's Theory
There was no treatment or intervention included in this study. The variable included in this study was nurse empowerment and patient satisfaction (Donahue et al., 2008). The nurse’s empowerment was controlled using Conditions of Work Effectiveness Questionnaire II (CWEQ-II). The patient satisfaction was controlled using Press Ganey Associates Patient Satisfaction Survey. Age of the nurse, degree held, years in nursing, years working as the study hospital, specialty area, position within the organization and certification status were the predicting variable for nurse empowerment. Pilot study was not used in this study; there was no publication that links nurse’s empowerment and patient satisfaction found (Donahue et al., 2008).
As a nurse manager, she should arrange staffing needs accordingly to the patients’ severity, census, the knowledge and skill of the nurses, budget constraints and availability resources in order to ensure patient safety and prevent nurses’ burnout which will lead to job dissatisfaction. When my unit were facing staffing crisis, my nurse manager arranged all nurses to work overtime and this may lead to some of the nurses overstress with the loads of work and affected quality of care. Recruitment is done to ensure that any vacancies that exist in an organization are filled immediately to avoid any disruption of work (Yadav et al., 2011). It is important that the organization and manager to ensure adequate staffing and to recruit more nurses and place them in proper positions to foster personal growth, motivate nurses regarding their needs, increase individual satisfaction and maximize organization productivity. As a nurse manager, she plays an important role to assist nurses gain confidence to communicate with doctors such as providing support and coaching in various clinical skills and knowledge. Once they are confidence and able to perform efficiently, it will increase self-esteem which leads to job satisfaction and doctors will not angry or throw temper to the nurses when there is no mistake occurs. Thus, it will improve the perception of respect