| 1. |
- Andersson, Ann-Christine, et al.
(author)
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Evaluating a Breakthrough Series Collaborative in a Swedish Health Care Context
- 2014
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In: Journal of Nursing Care Quality. - : Lippincott Williams & Wilkins. - 1057-3631 .- 1550-5065. ; 29:2, s. E1-E10
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Journal article (peer-reviewed)abstract
- This study evaluated the use of the Breakthrough Series Collaborative methodology in a Swedish county council improvement program, comparing measurements at the beginning and after 6 months. A questionnaire was used, and improvement processes and outcomes were analyzed. The results showed an overall large engagement in improvements, although the methodology and facilitators were seen as only moderately supportive.
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| 2. |
- Andersson Hagiwara, Magnus, et al.
(author)
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Interrupted time series versus statistical process control in quality improvement projects
- 2016
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In: Journal of Nursing Care Quality. - : LIPPINCOTT WILLIAMS & WILKINS. - 1057-3631 .- 1550-5065. ; 31:1, s. E1-E8
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Journal article (peer-reviewed)abstract
- To measure the effect of quality improvement interventions, it is appropriate to use analysis methods that measure data over time. Examples of such methods include statistical process control analysis and interrupted time series with segmented regression analysis. This article compares the use of statistical process control analysis and interrupted time series with segmented regression analysis for evaluating the longitudinal effects of quality improvement interventions, using an example study on an evaluation of a computerized decision support system.
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| 3. |
- Engström, Maria, et al.
(author)
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Staff Working Life and Older Persons' Satisfaction With Care : A Multilevel, Correlational Design
- 2021
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In: Journal of Nursing Care Quality. - : Lippincott Williams & Wilkins. - 1057-3631 .- 1550-5065. ; 36:1, s. E7-E13
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Journal article (peer-reviewed)abstract
- Background: The importance of staff working life for staff well-being has been demonstrated in several studies; less research has focused on staff working life and older persons' satisfaction with care.Purpose: The study aim was to study relationships between 1) staff assessments of their structural conditions/empowerment in elderly care, psychological empowerment, and job satisfaction and (2) older persons' satisfaction with care.Methods: A multilevel, cross-sectional, and correlational design was applied using questionnaire data on working life (1021 staff members) and unit-level data (40 elderly care units) on older persons' satisfaction with care.Results: Statistically significant relationships were found between all 3 working life variables and older persons' satisfaction with care. Furthermore, the results revealed an indirect/mediating effect of job satisfaction between structural empowerment and satisfaction with care, but not for psychological empowerment.Conclusions: Staff structural empowerment, psychological empowerment, and job satisfaction are linked to older persons' satisfaction with care.
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| 4. |
- Gustafsson, Silje, et al.
(author)
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Patient Satisfaction With Telephone Nursing : A Call for Calm, Clarity, and Competence
- 2020
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In: Journal of Nursing Care Quality. - : Lippincott Williams and Wilkins. - 1057-3631 .- 1550-5065. ; 35:1, s. E6-E11
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Journal article (peer-reviewed)abstract
- Background:Studies of patient satisfaction with telephone nursing can provide a better understanding of callers' needs and inform the improvement of services.Purpose:This study described patients' experiences and perceptions of satisfaction with telephone nursing.Methods:The design was nonexperimental and descriptive, with an inductive approach. Data were collected using open-ended questions in a questionnaire that was dispatched to 500 randomly selected callers to the Swedish Healthcare Direct in Northern Sweden.Results:Patients' satisfaction with telephone nursing was related to calm, clarity, and competence. Calm referred to the nurse remaining calm and composed during the call. Clarity was described as distinct, concrete, and practical advice on how to act, what to observe, and where to seek further assistance. Competence referred to both health care knowledge and caring skills.Conclusion:These aspects of nursing are dependent on each other and on-call telephone nursing services, which value patient satisfaction need to target all 3.
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| 5. |
- McHugh, John P, et al.
(author)
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Readmission Reduction Strategies for Patients Discharged to Skilled Nursing Facilities : A Case Study From 2 Hospital Systems in 1 City
- 2021
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In: Journal of Nursing Care Quality. - : Lippincott Williams & Wilkins. - 1057-3631 .- 1550-5065. ; 36:1, s. 91-98
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Journal article (peer-reviewed)abstract
- BACKGROUND: Some hospitals seek integration with skilled nursing facilities (SNFs) to reduce readmissions while others focus more on patients discharged home.PURPOSE: Our objective was to understand different approaches for readmission reduction for patients discharged to SNFs based on contrasting strategies from 2 competing hospital systems.METHODS: Employing a case study methodology, we compared 1 hospital system that integrated with SNFs to a competing system that did not. We compared interview data from clinical and administrative staff and publicly reported rehospitalization rate changes from the 2 systems.RESULTS: Analysis of integrating hospital system interviews noted providing patients detailed discharge information and educating SNF staff regarding care protocols. Integrated hospital system all-cause readmission rates declined by nearly 1 percentage point more than the nonintegrated hospital system (coefficient, -0.008; 95% confidence interval, -0.003 to -0.012) between 2014 and 2017.CONCLUSION: As hospitals explore care transition improvements to SNFs, developing more embedded relationships highlights one approach to improve value.
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| 6. |
- Stolt, Minna, et al.
(author)
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Measuring Quality of Care : A Rasch Validity Analysis of the Good Nursing Care Scale
- 2019
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In: Journal of Nursing Care Quality. - : Lippincott Williams & Wilkins. - 1057-3631 .- 1550-5065. ; 34:4, s. E1-E6
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Journal article (peer-reviewed)abstract
- BACKGROUND: Patient-centeredness is emphasized in both health policies and practice, calling for reliable instruments for the evaluation of the quality of nursing care. PURPOSE: The purpose was to analyze the psychometric properties of the Good Nursing Care Scale (GNCS) in a sample of surgical patients and nurses. METHODS: An explorative cross-sectional study design was used. Data were collected with the 40-item GNCS from surgical patients (n = 476) and nurses (n = 167) in Finland. The data were analyzed with Rasch analysis. RESULTS: The GNCS provided evidence of unidimensionality with acceptable goodness-of-fit to the Rasch model in both samples. Person-separation validity was acceptable. Person misfit was reasonable. The Rasch-equivalent Cronbach alpha was 0.81 (patient data) and 0.88 (nurse data). CONCLUSIONS: The findings support that the GNCS is a psychometrically sound instrument that can be used in measuring the quality of nursing care, from the perspective of both patients and nurses.
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| 7. |
- Hjaltadottir, Ingibjörg, et al.
(author)
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Thresholds for Minimum Data Set Quality Indicators Developed and Applied in Icelandic Nursing Homes.
- 2012
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In: Journal of Nursing Care Quality. - 1550-5065. ; 27:3, s. 266-276
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Journal article (peer-reviewed)abstract
- A modified Delphi method was used to determine thresholds for Minimum Data Set quality indicators for Icelandic nursing homes. The thresholds were then applied to quality outcomes in Icelandic nursing homes for the year 2009. The thresholds indicate areas of good or poor care and can be used for planning services. Icelandic nursing homes seem to be doing best in incontinence and nutritional care. However, improvement is needed in care practices for depression, medication, and activity.
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| 8. |
- Kristensson Ekwall, Anna, et al.
(author)
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Testing a Swedish version of the Consumer Emergency Care Satisfaction Scale in an emergency department and 2 observation wards.
- 2010
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In: Journal of Nursing Care Quality. - 1550-5065. ; 25:3, s. 266-273
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Journal article (peer-reviewed)abstract
- The aim was to investigate the construct validity and internal consistency of the Swedish version of the Consumer Emergency Care Satisfaction Scale. The sample comprised 157 persons from an emergency department and an observation ward. The results showed satisfactory reliability, and an explorative factor analysis revealed 3 factors: Caring, Teaching, and Clinical Competence. The Swedish version of the scale seems reliable and may be a useful tool for measuring satisfaction in different acute care settings.
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| 9. |
- Kristensson, Jimmie, et al.
(author)
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Psychometric properties of the consumer emergency care satisfaction scale: tested on persons accompanying patients in emergency department.
- 2008
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In: Journal of Nursing Care Quality. - 1550-5065. ; 23:3, s. 277-282
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Journal article (peer-reviewed)abstract
- The aim of this study was to investigate construct validity and internal consistency of a modified version of the Consumer Emergency Care Satisfaction Scale used on persons accompanying emergency department patients. The sample comprised 128 persons. The results showed satisfactory reliability, and an exploratory factor analysis revealed 3 factors: caring, teaching, and clinical competence. The modified version of this scale seems feasible and may be a useful tool for measuring satisfaction in persons accompanying patients in the emergency department.
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| 10. |
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