Patient satisfaction with non-clinical nursing care provided by the nursing assistant under different management models in Chinese public tertiary hospital

Zhi, Mengjia; He, Zitang; Ji, Jialin; Lian, Jun; Guo, Ran; Sun, Jing; Liu, Yuanli

doi:10.1016/j.apnr.2021.151431

Cited by 6 publications

(9 citation statements)

References 15 publications

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“…The Likert 5-Point Scale [ 32 ] was used to assess the patients' satisfaction according to a score ranging from 1 to 5, which refers to completely dissatisfied, dissatisfied, partially satisfied, satisfied, and completely satisfied, respectively.…”

Section: Methodsmentioning

confidence: 99%

Continuing Care Bundle in Elderly Patients with Rectal Cancer after Radical Resection with Permanent Stoma

Pan

Chen

Zhang

et al. 2022

Evidence-Based Complementary and Alternative Medicine

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Objective. A continuing care bundle can achieve a better outcome than a single implementation after discharge. This study aims to investigate the effect of this intervention in elderly patients with rectal cancer after radical resection with a permanent stoma. Methods. Elderly patients diagnosed with rectal cancer underwent radical resection with permanent stoma, they were divided into the control group (n = 42) and bundle group (n = 42). The control group received the conventional care, and the bundle group received the continuing care bundle in addition to the conventional care. At 1- and 3-month after discharge, self-efficacy, self-care knowledge, ability to change stoma appliances, negative emotions, quality of life, and patient satisfaction were observed. Results. The increased levels of self-efficacy, self-care knowledge, and ability to change stoma appliances were displayed in the bundle group after discharge as compared with that in the control group, along with the enhanced score of SF-36 subscales, including physical function (PF), role physical (RP), global health (GH) and vitality (V), social function (SF), and mental health (MH). Furthermore, patients showed alleviated depression and anxiety after the continuing care bundle as compared to those after conventional care. Besides, the bundle groups had higher patient satisfaction than the control group. Conclusions. Continuing care bundle can serve as an effectiveness intervention in elderly rectal cancer patients after radical resection with permanent stoma via increasing self-efficacy and self-care knowledge, enhancing the ability to change stoma appliance, reliving the negative emotion, and improving quality of life and patient satisfaction.

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Section: Methodsmentioning

confidence: 99%

Continuing Care Bundle in Elderly Patients with Rectal Cancer after Radical Resection with Permanent Stoma

Pan

Chen

Zhang

et al. 2022

Evidence-Based Complementary and Alternative Medicine

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“…Measurements of Satisfaction. Patient satisfaction was assessed via a 5-point Likert scale ranging from 1 to 5 (very dissatis ed, dissatis ed, somewhat satis ed, satis ed, and very satis ed) [17].…”

Section: Hypernormal Prescriptionsmentioning

confidence: 99%

Application of Prescription Reviews for Traditional Chinese Medicine to Improve Medical Disputes and Patient Satisfaction

Cai¹,

Xu²

2022

Evidence-Based Complementary and Alternative Medicine

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Objective. Medical disputes and patient satisfaction are related to inappropriate prescribing practices. We aim to investigate the clinical application of prescription reviews for traditional Chinese medicine (TCM). Method. TCM prescriptions performed prescription reviews in 372 patients from the year 2019 to 2020 were set as the observation group and those from the year 2017 to 2018 without prescription reviews as the control group (n = 341). According to the Criteria for Assessing Prescription Quality in Chinese Hospitals (CAPQCH) items, “Irrational” and “Rational” TCM prescriptions were determined mainly based on the following category: nonstandard prescriptions, inappropriate prescriptions, and hypernormal prescriptions. The incidence of medical disputes and the degree of patient satisfaction were compared between the two groups. Result. No difference was found in age and gender between the control group and the observation group. The number of irrational TCM prescriptions from the year 2017 to 2020 was 6, 8, 2, and 3, respectively, with the percentage of 3.725%, 4.480%, 1.201%, and 1.446%. The irrational rate in the observation group (1.344%) was significantly lower than that in the control group (4.106%). Specifically, a higher rate of nonstandard prescriptions was revealed in the control group as compared with the observation group. Moreover, a reduced incidence of medical disputes was revealed in the observation group relative to the control group accompanying with the increased degree of patient satisfaction. Conclusion. Prescription reviews have high application value in the management of Chinese pharmacies, which can improve the rationality of prescriptions, increase patient satisfaction, and reduce medical disputes.

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“…All 33 original studies were conducted in hospitals due to our inclusion criteria, and the sample size ranged from six to 700 NAs. Three studies 45 64 71 were focused on patients’ attitudes, and did not report the demographics of NAs. Only one study 54 reported a higher than 60% response rate, while others ranged from 10% to 40%.…”

Section: Resultsmentioning

confidence: 99%

“…The development of NA administration in China was still preliminary, and articles by Chinese researchers were more fixated on employment models. Five studies 43 45 51 68 71 were aimed at the change of management and employment from company-led to hospital-led, or double-track, with consistently positive results on satisfaction and NA/NAW working competency after intervention. Other original studies identified four practical tools or methods, i.e., the Failure Mode and Effects Analysis (FMEA), 52 the Activities of Daily Living (ADL) scale, 59 the Quality Control Circle, 69 and an information sheet to patients, 73 as well as two programs on stress and CNA-patient relationships.…”

Section: Resultsmentioning

confidence: 99%

Administration approaches of nursing assistants in hospitals: a scoping review

Zeng

Jin

Cheng

et al. 2022

Preprint

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Objectives: Administration of nursing assistants is closely associated with patient outcomes, but the current circumstances are tough and need improvement. There was limited research evaluating the intrahospital administration of nursing assistants, and there is a lack of available systematic reviews of the area. The aim of this article was to identify and synthesize the literature on intrahospital nursing assistants' administration approaches. Design: Scoping review. Search strategy: We searched PubMed, Embase, APA PsycInfo, Wanfang Med, SinoMed, CINAHL, Ovid Emcare, Scopus, ProQuest, CNKI, NICE, AHRQ, CADTH, JBI EBP and Cochrane DSR for English and Chinese language articles published between January 2011 and March 2022. Publications on administration approaches, models and appraisal tools of nursing assistants in hospitals, including qualitative, quantitative, mix-methods studies and evidence syntheses, were considered eligible. Results: 36 eligible studies were included for the review with an acceptable quality. We identified one administration model, nine administration methods, fifteen educational programmes and seven appraisal tools from the included studies. The frequency effect size analysis yielded 15 topics of main focus at four levels, whilst suggesting that the previous articles were mostly (33%) focused on the competency of nursing assistants, and the lectures were the most (80%) used strategy in quality improvement projects. The evidence-based quality of the original studies was considerably low, indicating the huge gaps between the evidence-based research and the management practice. Conclusions: A series of practical intrahospital administration approaches was revealed, and fifteen mostly focused topics were identified. We need probe more thoroughly in this area, based more on effective management theories and frameworks, and employing methods of higher quality. This scoping review will help managers find more effective methods to improve the quality of care. Researchers may focus more on evidence-based nursing skills and methods in nursing assistant administration using the 15 topics as breakthrough points.

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Patient satisfaction with non-clinical nursing care provided by the nursing assistant under different management models in Chinese public tertiary hospital

Cited by 6 publications

References 15 publications

Continuing Care Bundle in Elderly Patients with Rectal Cancer after Radical Resection with Permanent Stoma

Continuing Care Bundle in Elderly Patients with Rectal Cancer after Radical Resection with Permanent Stoma

Application of Prescription Reviews for Traditional Chinese Medicine to Improve Medical Disputes and Patient Satisfaction

Administration approaches of nursing assistants in hospitals: a scoping review

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