Patients' Evaluation of the Quality of Emergency Care Services in Jordan: Integration of Patient Centeredness Model

2021 ◽  
pp. RTNP-D-21-00037
Author(s):  
Mahmoud Al-Kalaldeh ◽  
Esraa Al-Bdour ◽  
Ghada Abu Shosha
Keyword(s):  
Emergency Care ◽  
Total Quality ◽  
Patient Centeredness ◽  
Cross Sectional ◽  
Care Services ◽  
Government Sector ◽  
Government Hospitals ◽  
The Government ◽  
Emergency Care Services

Background and PurposeAccreditation is viewed to enhance the total quality of healthcare. The present study aims at assessing patients' perspectives toward the quality of emergency healthcare services at different hospitals with different characteristics in Jordan. The elements of patients' perception were aligned with the conceptual framework of Patient Centeredness Model.MethodsThis descriptive cross-sectional study was carried out in four emergency departments from different healthcare sectors and accreditation statuses in Jordan. Less urgent/nonurgent, alert, and cooperative patients were identified directly after the completion of emergency treatment. The perspectives of patients about the quality of emergency services were evaluated by 10 domains articulated in a validated accident and emergency questionnaire.ResultsA total of 276 patients were enrolled in the study. Private sector scored higher in all assessment domains in both accredited and nonaccredited hospitals in comparison with the government sector. Accredited government hospitals scored higher in patients' evaluation for “doctor and nurse,” “investigations,” “pain,” and “overall respect of medical staff” domains than nonaccredited government hospitals. The overall experience was significantly different between accredited and nonaccredited government hospitals.Implications for PracticeQuality of emergency care services should be assessed through various dimensions related to patients' perspectives. Patients' perception toward the quality of emergency health services is evidently enhanced by accreditation especially in the government sector.

scholarly journals Communication in health work during the COVID-19 pandemic

2020 ◽  
Vol 38 (3) ◽  
Author(s):  
Maria Eunice Nogueira Galeno Rodrigues ◽  
Adriano da Costa Belarmino ◽  
Lívia Lopes Custódio ◽  
Ilvana Lima Verde Gomes ◽  
Antonio Rodrigues Ferreira Júnior
Keyword(s):  
Emergency Care ◽  
Theoretical Background ◽  
Professional Relationships ◽  
Care Services ◽  
Care Processes ◽  
Close Relationship ◽  
The Face ◽  
The City ◽  
Emergency Care Services

Objective. Report on communication and qualified listening in nursing work in the face of the COVID-19 pandemic. Methods. This descriptive, theoretical and reflexive report was developed by nurses between March 20th and May 25th 2020 at Emergency Care Services in the city of Fortaleza, Ceará, Brazil. Health communication served as the theoretical background for this research. Results. Two main thematic categories were highlighted: (i) Resignifications of communication in the work relationships of the health team and (ii) Guided listening to users by nurses at the Emergency Care Services during the pandemic. Conclusion. The experience revealed an excerpt of what is found under the conditions of the current situation resulting from COVID-19. Communication turned into an essential tool to maintain professional relationships and culminate in collaboration and cooperation of theteam in order to provide a close relationship with the user and promote the quality of health care processes.

Employment Preferences and Self-Perceived Confidence of House-Officers across Dental Teaching Institutions of Lahore

2020 ◽  
Vol 1 (3) ◽  
pp. e282
Author(s):  
Humayoun Temoor Baig ◽  
Iqra Ahmed ◽  
Ijaz Ur Rehman ◽  
Fiza Ashfaq ◽  
Ahmad Faraz
Keyword(s):  
Rural Areas ◽  
Management Skills ◽  
Cross Sectional ◽  
Gender Perceptions ◽  
Government Sector ◽  
Workforce Skills ◽  
The Government ◽  
Workforce Integration ◽  
The Relationship

Introduction: Despite progressive statistics, the oral healthcare system suffers from an unevenly distributed workforce, lack of infrastructure, and reduced quality of dental education. As a result, dental graduates have decreased job satisfaction and limited career prospects. This article assesses the perceptions of dental graduates regarding their workforce skills, abilities, and employment preferences. Methodology: This was a cross-sectional, questionnaire-based study targeting House-Officers from various randomly selected dental teaching institutes of Lahore. The study tool was a modified version of the questionnaire used by Manakil and George [13] and assessed the perceptions of dental graduates regarding their workforce skills and preferences. This study aimed to evaluate self-perceived confidence of new dental graduates, and investigate the relationship between gender perceptions.   Results: The sample size was of 256 House- Officers. Most participants were confident in their skills and abilities with 167 (65.4%) individuals confident in workforce integration, 166 (64.8%) confident in their patient management skills, 154(60.2%) confident in their interpersonal skills and 163 (63.7%) confident in their leadership abilities. Mentorship was considered to be crucial by 207 (80.9%) individuals. Two hundred and thirty-three (91%) individuals were willing for an additional year of internship and 174 (68%) participants chose a city-based employment. The government sector was the most preferred for employment by 122 (47.7%) individuals whereas research was least preferred. Conclusion:  It is imperative that career development and mentorship programs are put into practice, incentives are provided to work in rural areas and research culture is promoted.

scholarly journals Clinical and obstetric situation of pregnant women who require prehospital emergency care

2020 ◽  
Vol 73 (suppl 4) ◽  
Author(s):  
Vívien Cunha Alves de Freitas ◽  
Glauberto da Silva Quirino ◽  
Rogério Pinto Giesta ◽  
Ana Karina Bezerra Pinheiro
Keyword(s):  
Pregnant Women ◽  
Emergency Care ◽  
Cross Sectional Study ◽  
Prehospital Emergency Care ◽  
Cross Sectional ◽  
Significance Level ◽  
Care Services ◽  
Prehospital Emergency ◽  
Brazilian Northeast ◽  
Emergency Care Services

ABSTRACT Objectives: to identify the clinical and obstetric situation of pregnant women who required emergency care, considering the adequacy of their requirement. Methods: this is a cross-sectional study, developed in the headquarters of the Mobile Emergency Care Services from a state in the Brazilian Northeast, through the analysis of 558 reports of obstetric patients attended in 2016. The magnitude of the associations was expressed by odds ratio and confidence intervals, considering a 5% significance level. Results: more than half (50.9%) requirements for emergency care were from women who went into labor (non-expulsive), especially among third trimester pregnant women (p < 0.000). Most clinical and obstetric parameters were normal. Conclusions: the inadequate demands for emergency care services reflect the excessive medicalization of the gestational process and shows how important it is to discuss the physiological symptoms that involve pregnancy, so that a more egalitarian and efficient urgency service can be offered.

scholarly journals Patients' satisfaction with emergency care services in a University Teaching Hospital in South-West, Nigeria

2021 ◽  
Vol 11 (2) ◽  
pp. 321-324
Author(s):  
Olabisi Olamide Deji-Dada ◽  
Samuel Ayokunle Dada ◽  
Johnson Dare Ogunlusi ◽  
Olusoji Abidemi Solomon
Keyword(s):  
Teaching Hospital ◽  
Emergency Care ◽  
University Teaching ◽  
Patients Satisfaction ◽  
Care Services ◽  
South West ◽  
Emergency Care Services

Quality of Antenatal, Labour and Delivery Services in Selected Districts in Malawi, Zambia and Zimbabwe: A Descriptive Cross-Sectional Study

2021 ◽  
pp. 1-9
Author(s):  
Clara Opha Haruzivishe
Keyword(s):  
Perinatal Care ◽  
Neonatal Morbidity ◽  
Health Facilities ◽  
Sub Saharan Africa ◽  
Morbidity And Mortality ◽  
World Health ◽  
Performance Standard ◽  
Cross Sectional ◽  
Care Services

Background: High Maternal and Neonatal Mortality Ratios persist in Sub-Saharan Africa despite increasing perinatal care coverage. This suggests that coverage alone is not adequate to reduce maternal and neonatal morbidity and mortality. Quality of care should be the emphasis of maternal and child care services. Materials and Methods: A descriptive cross-sectional multicentre study was conducted in selected health facilities in Zambia, Malawi and Zimbabwe using purposive sampling. A World Health Organization-WHO 2016 Quality of Maternal and New-born assessment Framework and the WHO (2015) Service Availability and Readiness Assessment tool were used for data collection. Data was analyzed using Statistical Package for Social Scientist (SPSS) version 24.0. Results: Less than 43% of the health facilities satisfied at least three of the five Performance Standards of availability and adequacy of Antenatal infrastructure and supplies. Regarding Antenatal processes/care, an observation was the most common performance standard satisfied by 70.6% of all health facilities assessed while less than 30% fulfilled all other standards. Only 57.1% of the health facilities satisfied 5 of the 11 standards for labour and delivery infrastructure, while only 55.6% of the Health facilities satisfied only two of the 13 standards of Labour and delivery care. Conclusion: To achieve a significant and sustainable reduction in maternal and neonatal morbidity and mortality, there is a need for investment and improvement in maternity care services infrastructure and processes as opposed to focusing on mere attendance of Antenatal, and deliveries by trained birth attendants.

scholarly journals A busca de assistência à saúde em serviços de pronto atendimento por mulheres adultas Health care search by adult women in emergency care services

2017 ◽  
Vol 9 (1) ◽  
pp. 1
Author(s):  
Aline Gabriela Bega ◽  
Hellen Emília Peruzzo ◽  
Ana P Araújo T Lopes ◽  
Amanda Carvalho Dutra ◽  
Maria Das Neves Decesaro ◽  
...  
Keyword(s):  
Health Care ◽  
Emergency Care ◽  
Adult Women ◽  
Care Services ◽  
Emergency Care Services

Objetivo: Conhecer o comportamento de saúde de mulheres e os motivos para buscar assistência em um pronto atendimento. Método: Estudo descritiva e exploratória, de natureza qualitativa com 18 mulheres atendidas em um pronto atendimento municipal no noroeste do Paraná. Os dados foram coletados em novembro de 2015 por entrevista semiestruturada e submetidos à análise de conteúdo, modalidade temática. Resultados: Foram identificadas duas categorias empíricas: “Comportamentos de mulheres diante de intercorrências na saúde”, mostra que as condutas iniciais das mulheres, em situações de adoecimento, são automedicação e protelamento em procurar serviços de saúde; e “Motivos para procurar o serviço de pronto atendimento”, onde identificou-se que a procura deste nível de atendimento é motivada pela percepção de maior resolutividade, eficácia e agilidade, além de proximidade do lar. Conclusão: É comum às mulheres retardarem a procura por atendimento em virtude das responsabilidades inerentes ao gênero, e quando o fazem, preferem serviços mais resolutivos.Descritores: Serviços de Saúde; Assistência Ambulatorial; Saúde da Mulher.

Access to emergency care services: a transversal ecological study about Brazilian emergency health care network

Public Health ◽  
2017 ◽  
Vol 153 ◽  
pp. 9-15 ◽  
Author(s):  
T.A.H. Rocha ◽  
N.C. da Silva ◽  
P.V. Amaral ◽  
A.C.Q. Barbosa ◽  
J.V.M. Rocha ◽  
...  
Keyword(s):  
Health Care ◽  
Emergency Care ◽  
Ecological Study ◽  
Care Network ◽  
Emergency Health Care ◽  
Care Services ◽  
Health Care Network ◽  
Emergency Care Services

Cross-sectional study of the quality of neonatal care services in Armenia

2019 ◽  
Vol 32 (8) ◽  
pp. 1145-1161
Author(s):  
Suren H. Galstyan ◽  
Hrant Z. Kalenteryan ◽  
Arshak S. Djerdjerian ◽  
Hovhannes S. Ghazaryan ◽  
Naira T. Gharakhanyan ◽  
...  
Keyword(s):  
Mortality Rate ◽  
Quality Assessment ◽  
Neonatal Care ◽  
Health Facilities ◽  
Cross Sectional ◽  
Content Type ◽  
Neonatal Deaths ◽  
Live Births ◽  
Care Services

Purpose The purpose of this paper is to report the assessment results of the quality of neonatal care services in Armenia and to describe the identified obstacles to improving the quality of care for newborn infants. Design/methodology/approach The study carried out a cross-sectional descriptive design. The data were collected in health facilities with different levels of neonatal care that were selected employing a multi-stage, stratified purposeful sampling design. The quality of neonatal services was assessed using the generic WHO tool. Data collection was performed using face-to-face semi-structured interviews, hospital statistics, medical records and direct observations. Findings In 31 study hospitals, 31,976 deliveries were performed resulting in 31,701 live births and 734 stillbirths. About 85 percent of all neonatal deaths was attributable to early neonatal deaths with over 48 percent occurring during the first 24 h of life. The proportion of neonatal deaths was highest in infants with low birth weight constituting 92.8 percent of all neonatal deaths. The total neonatal mortality rate was 3.50 per 1,000 live births, whereas stillbirth rate and perinatal mortality rate were 22.60 and 25.26 per 1,000 total births in 2015. Specific indicators with relatively lower mean scores included neonatal resuscitation, early breastfeeding, monitoring of newborn conditions, neonatal sepsis, feeding standards, total parenteral nutrition, and infection treatment. Originality/value Given the limited scope of research on quality assessment, this paper provides valuable information on the status of quality of neonatal care services in Armenian health facilities. This work also extends the existing studies focused on quality assessment through applying the model of Avedis Donabedian with the structure–process–outcomes approach as a theoretical basis.

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