Background
The patient satisfaction rate is considered a challenge for nurse leaders, especially among patients with cancer, due to the complexity of the disease, diagnostic procedures, and treatment.
Aim
The purpose of this study was to evaluate the impact of structured nurse leader rounds (NLRs) on satisfaction with nursing care among patients with cancer. Moreover, we assessed the relationship among NLRs, patient satisfaction, and demographical variables.
Methods
A two‐group posttest design was used in four adult inpatient oncology units in a specialized oncology center. A stratified random sampling technique was utilized to select 169 patients for the experimental group (80 patients) and control group (89 patients). Structured leader rounds were conducted by nurse leaders using a scripted nurse leader tool to standardize the rounds in the experimental group, while the unstructured leader round was conducted in the control group. Patient satisfaction was measured using the Patient Satisfaction with Nursing Care Quality Questionnaire.
Results
The findings revealed that there was a significant difference in total score of patients’ satisfaction between study groups (t = −9.213, p > .001). Conversely, the structured leader round has a significant impact on the patient’s experience with nurse concern and caring (t = −2.054, p = .042).
Conclusions
Adoption of a structured NLR has a significant impact on improving patient satisfaction in an oncology setting where patients receive care from many disciplines, such as surgical, medical, radiotherapy, and radiology.
Clinical Relevance
Efficient structured NLRs of nursing professionals are important for enhancing the quality of nursing care and patient satisfaction.
Background:Patients in oncology setting are struggling with the complexed disease, and long and intensive treatment options. This increase the need of patients for more coordination and effective hand-off between health providers including nurses.Aims:The main aim of this project is to improve the effectiveness of hand-off between nurses in the oncology setting using lean management principles.Methods:One group pretest-posttest quasi-experimental design was conducted at King Hussain Cancer Center during quarter two to quarter four in 2017. The project was conducted using the lean tools including root cause analysis, redesigning the hand-off process; using structured tools, and standardization of the hand-off process.Results:The finding of this project showed a significant decreasing in the hand-off duration and the incidence of events related to nursing practice deviation in post-intervention. Moreover, the results showed that the nurse satisfaction score was improved. However, there is a little difference in patient satisfaction results between two quarters for overall satisfaction and per each domain.Conclusion:The project approved that the use of structured tools, safety briefing, and standardized hand-off process play important role in improving the effectiveness of the hand-off process.
Background: Adopting shared governance in nursing is considered a strategic tool that can enhance both nurse and patient satisfaction and will, in turn, improve nurses' work life. Aim: To compare the differences in nurses' perceptions of the quality of the work environment between hospitals that had adopted to use shared governance and those that had not. Method: A cross-sectional, descriptive and comparative design was used. Two hospitals were selected, one of them had adopted a shared governance approach at both the unit and departmental level and the other was a hospital that had not adopted shared governance. Results: From November 2017 to January 2018, 470 questionnaires were completed by nurses across the two hospitals, 330 of them were working in a hospital that had adopted shared governance. There is a statistically significant difference in how nurses percieve their work-life balance between the two hospitals (t=9.62; P=>0.001). Moreover, a significant positive correlation was recognised between the Perception of Quality of Work Life score and all subdomains of nurses' perceptions. Conclusion: The adoption of a shared governance model in the nursing department has a significant impact on improving the quality of the working life of a nurse.
Background:The process of blood sampling is considered one of the primary and most common nursing invasive procedures carried out daily. Any failure at any point could have a severe negative impact on patient outcomes. Purpose: This project aimed to assess and improve the nursing blood sampling process in a specialized cancer center using failure mode and effect analysis (FMEA). Methods: An observational analytical design of the nursing blood sampling process using FMEA was conducted in King Hussein Cancer Center in Amman, Jordan. Seven steps were conducted, including a review of the blood sampling process, brainstorming potential failures, listing potential effects of each failure mode, assigning a severity rating for each potential effect, assigning a frequency/occurrence rating for each failure mode, assigning a detection rating scale for each failure mode, and calculating the Risk Priority Number (RPN) for each effect. Results: Eight (out of 28) main critical failure modes with more than 200 RPN were identified in the blood sampling process. Accordingly, five themes were developed to guide the corrective actions. These themes included: process and responsibility modifications, resource and information technology utilization, patients and family engagement, safety culture, and education and training after implementation of the corrective actions. This resulted in a 58 % reduction in the RPN of major failure modes. Conclusion: Many factors lead to blood sampling errors. A critical focus should be conducted on the preparation phase due to the possible errors that may occur. Proper identification of patients and blood sample tests are the keys to a significant decrease in blood sampling errors.
E-health could play an important role in the global response to Coronavirus disease 2019 (COVID-19). This paper aims to outline the roles of using e-health in the control and management of COVID-19 based on current perspectives. Many databases and health organizations were searched. The results indicated that there are significant roles of e-health in strengthening the efforts to control and manage this COVID-19 pandemic through improving safe coordination and communication, affording an alternative for education and training, analyzing the data, and providing safe care. Further studies are recommended to evaluate the role of e-health in the control and management of COVID-19.
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