Journal of Healthcare Quality Research最新文献

{"title":"Results of the process of implementation of ISO 7101 subclause 8.10.5 Health literacy in specialty consultations.","authors":"A McCaskill, A Gasch-Gallen, J Montero-Marco","doi":"10.1016/j.jhqr.2024.11.003","DOIUrl":"https://doi.org/10.1016/j.jhqr.2024.11.003","url":null,"abstract":"<p><strong>Objective: </strong>This quasi-experimental, non-randomized study described the process of implementing ISO 7101 subclause 8.10.5 Health literacy in specialty consultations, then determined the effects of implementation on patient general health literacy scores and perceptions of quality of care.</p><p><strong>Method: </strong>Implementation steps were outlined, nurses were trained and used a standardized health literacy checklist with patients. The HLS₁₉-Q12 was used to calculate patients' general health literacy scores pre- and post-implementation of subclause 8.10.5. Paired samples t-test and Wilcoxon signed-rank test determined relationships between implementation, health literacy score, and quality of care perceived.</p><p><strong>Results: </strong>Mean general health literacy scores increased post-implementation from 66.35 to 76.29, as did the mean score of perception of quality of care received (M=3.87 to M=3.99). Wilcoxon test for both variables was significant (P<.001), and effect size was large (d≥0.8).</p><p><strong>Conclusions: </strong>Implementation of ISO 7101, subclause 8.10.5 Health literacy had a positive, statistically significant impact on patient general health literacy scores and perceptions of quality of care. This is valuable information for healthcare management decision makers as they implement new standards and seek to improve patient health outcomes.</p>","PeriodicalId":37347,"journal":{"name":"Journal of Healthcare Quality Research","volume":" ","pages":""},"PeriodicalIF":1.1,"publicationDate":"2024-12-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142910876","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Optimizing length of hospital stay among inpatients with spinal cord injury: An observational study.","authors":"A García-Rudolph, E A Devilleneuve, M A Wright, D Sanchez-Pinsach, E Opisso","doi":"10.1016/j.jhqr.2024.11.001","DOIUrl":"https://doi.org/10.1016/j.jhqr.2024.11.001","url":null,"abstract":"<p><strong>Introduction and objectives: </strong>Despite the importance of length of stay (LOS) following spinal cord injury, it remains underexplored in the literature. This study aims to bridge this gap by investigating the association between rehabilitation LOS and functional gains among patients with traumatic (TSCI) or non-traumatic (NTSCI) spinal cord injuries.</p><p><strong>Methods: </strong>We conducted a retrospective observational cohort study assessing functional gains using the motor Functional Independence Measure (mFIM) and the Spinal Cord Independence Measure (SCIM III) from rehabilitation admission to discharge. Outcomes were analyzed across four neurological categories based on the American Spinal Injury Association Impairment Scale (AIS): C1-C4 AIS A-C; C5-8 AIS A-C; T1-S5 AIS A-C; and AIS D. Linear regression models estimated changes across rehabilitation LOS quarters (Q1-Q4), adjusting for covariates.</p><p><strong>Results: </strong>We included 1036 patients admitted for rehabilitation between 2007 and 2023 (46.3% TSCI, 53.7% NTSCI). TSCI: age 42.7, 80.2% male, 41.8% AIS A, LOS 90.5. NTSCI: age 55.7, 54.2% male, 14.2% AIS A, LOS 69.6. For TSCI, mFIM and SCIM III gains increased significantly from Q1 to Q2 (T1-S5-ABC, n=214) and Q2 to Q3 (AIS D, n=129). For NTSCI, gains increased from Q2 to Q3 (T1-S5-ABC, n=195) and from Q1 to Q2 as well as from Q2 to Q3 (AIS D, n=304). Adjusted models showed decreasing gains for Q2 and Q3 vs. Q1 (TSCI) but increasing gains for Q2-Q4 vs. Q1 (NTSCI) for both measures. No significant gains were observed from Q3 to Q4.</p><p><strong>Conclusions: </strong>We identified specific neurological categories and LOS quarters yielding to significant functional gains.</p>","PeriodicalId":37347,"journal":{"name":"Journal of Healthcare Quality Research","volume":" ","pages":""},"PeriodicalIF":1.1,"publicationDate":"2024-12-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142910874","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"[Adequacy of informed consent in clinical research: A descriptive cross-sectional study].","authors":"M D Monge-Muñoz, G Rodríguez-Caravaca, J L Del-Barrio-Fernández","doi":"10.1016/j.jhqr.2024.12.001","DOIUrl":"https://doi.org/10.1016/j.jhqr.2024.12.001","url":null,"abstract":"<p><strong>Introduction and objectives: </strong>The principle of patient autonomy in the participation and incorporation of their health data in research projects is a legal and deontological obligation that must be fulfilled. The aim of this study was to know the degree of compliance and adequacy of informed consent in clinical research projects in a university hospital.</p><p><strong>Material and methods: </strong>Through this cross-sectional study, the adequacy of the way patient data are obtained in the research projects presented to the Research Committee of a university hospital was analyzed. The adequacy of the way patient data were obtained in the research projects, dealing with informed consent and causes of exemption, was described with their frequencies distributions. It was assessed by means of the adjusted odds ratio through a backstep logistic regression model, including the predictable significant variables previously analyzed in the univariant analysis.</p><p><strong>Results: </strong>A total of 565 protocols were included. The most frequent type of studies assessed were observational retrospectives (49.6%) and end-of-year projects (28.1%). The most frequent way of obtaining the patient data were by means of soliciting exemption of informed consent (48.3%). Obtaining the patient data process was considered appropriated in 51.1% of the projects. Projects with higher adequacy were those solicited by students (OR=4.2; CI_95%=2.0-8.8) and residents OR=3.0; CI_95%=1.2-2.4).</p><p><strong>Conclusions: </strong>The majority of the projects assessed was retrospective observational studies in which exemption of informed consent was solicited. Projects with higher adequacy were solicited by students and residents.</p>","PeriodicalId":37347,"journal":{"name":"Journal of Healthcare Quality Research","volume":" ","pages":""},"PeriodicalIF":1.1,"publicationDate":"2024-12-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142877975","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"[Perception of primary care professionals about the frequency with which are carried out «do not do interventions»].","authors":"J E Calle Urra, A Jimeno Almazán, A Más Castillo, T Ramón Esparza, C Arellano Morata, J J López-Picazo Ferrer","doi":"10.1016/j.jhqr.2024.11.002","DOIUrl":"https://doi.org/10.1016/j.jhqr.2024.11.002","url":null,"abstract":"<p><strong>Objetive: </strong>To know the perception of primary care professionals about the frequency with which interventions that should not be done at this level of care are carried out.</p><p><strong>Material and methods: </strong>Three questionnaires were developed to evaluate 9 interventions in family medicine, 2 in pediatrics and 6 in nursing. The percentage of professionals who stated that they always or almost always carried out these interventions was calculated, considering acceptable percentages of less than 5%. A descriptive analysis of the barriers identified to reduce these interventions was also carried out.</p><p><strong>Results: </strong>Five of the 9 interventions evaluated in family medicine, 2 in pediatrics, and 4 of the 6 in nursing were always or almost always performed by 5% or more of the professionals. Among the barriers identified to stop doing unnecessary interventions, the first was lack of time in the consultation, followed by lack of training.</p><p><strong>Conclusions: </strong>The results obtained have made it possible to identify which of the primary care interventions evaluated have the greatest room for improvement, as well as the main barriers to their deimplementation. Surveys of professionals make it possible to assess recommendations that cannot be measured from clinical records. Knowing their perception of their clinical practice can be very useful for designing the intervention plan.</p>","PeriodicalId":37347,"journal":{"name":"Journal of Healthcare Quality Research","volume":" ","pages":""},"PeriodicalIF":1.1,"publicationDate":"2024-12-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142847679","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Results of a qualitative semi-structured interview study with hospital nursing staff to improve incident reporting systems in Estonia.","authors":"E Uibu, K Binsol, K Põlluste, M Lember, M Kangasniemi","doi":"10.1016/j.jhqr.2024.10.003","DOIUrl":"https://doi.org/10.1016/j.jhqr.2024.10.003","url":null,"abstract":"<p><strong>Objective: </strong>Nurses and their leaders are known for actively using incident reporting systems. However, information sharing about lessons learned from incidents has rarely been reported in previous studies. This study aimed to describe nurses' and nursing managers' experiences with incident reporting system information sharing and their perceptions of patient safety development needs.</p><p><strong>Material and methods: </strong>Semi-structured individual and group interviews were conducted with nursing staff in Estonia (n=26). Collected data was analyzed using the inductive content analysis method. The COREQ checklist was used for study report.</p><p><strong>Results: </strong>Nursing staff considered information sharing of lessons learned crucial. First, it was necessary to raise patient safety awareness among employees. Second, the importance of learning from mistakes to protect themselves from legal consequences and improve public trust was highlighted. Nursing staff had traditional ways of sharing information about lessons learned. However, because of the lack of organized strategies, nurses resorted to private discussions or self-initiated investigations. Nursing staff reported a need to develop patient safety by supporting nurses' patient safety competencies and training, and to establish the use of a reporting system in daily care. The precondition was a positive patient safety culture, which would be improved by open communication among nursing staff and sufficient resources.</p><p><strong>Conclusions: </strong>Information sharing from safety incident reports should rely on organized strategies to avoid self-initiated practices and misinformation. Awareness of the complexity of implementing patient safety initiatives and adequate responsiveness from hospital executives can help establish practices supporting staff to feel secure when discussing safety issues.</p>","PeriodicalId":37347,"journal":{"name":"Journal of Healthcare Quality Research","volume":" ","pages":""},"PeriodicalIF":1.1,"publicationDate":"2024-11-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142750645","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Validity, reliability, and feasibility of EQ-5D-3L, VAS, and time trade-off among Jordanians.","authors":"N Yanal, A M Al Massri, E A Hammad","doi":"10.1016/j.jhqr.2024.10.001","DOIUrl":"https://doi.org/10.1016/j.jhqr.2024.10.001","url":null,"abstract":"<p><strong>Introduction and objectives: </strong>The EQ-5D VAS is a widely used measure for health-related quality of life (HRQol). The EQ-5D health states often weighted using the time trade-off (TTO). The assessment of the EQ-5D, VAS, TTO psychometric properties is necessary to inform adaption across countries and populations due to cross-cultural and language diversity. The objective of the study is to evaluate validity, reliability, and feasibility of the Arabic version of the EQ-5D-3L, VAS, and TTO among a broad sample of Arabic-speaking Jordanians.</p><p><strong>Methods: </strong>A cross-sectional study was conducted using structured face-to-face interviews with 1007 participants attending outpatient clinics at a central university affiliated hospital. The participants completed the EQ-5D-3L, described own health via VAS and in words (excellent, very good, good, fair, and poor). Additionally, participants requested to answer a TTO question. Validity was assessed using correlation analysis, while test-retest methods were used to evaluate reliability. Perspectives of participants on how easy to complete or understand the study measures were investigated.</p><p><strong>Results: </strong>Completion rates were 100% for the EQ-5D, 98% for VAS and 77% for TTO. The construct validity of EQ-5D, VAS, and TTO was supported by significant correlation across each other and participants' characteristics. Higher severity of EQ-5D health states was significantly associated with lower VAS scores (r_s=-0.38, p<0.01). Usual activity and pain/discomfort had the strongest correlations with VAS scores (-0.40 and -0.39, respectively, p<0.001). A higher willingness to trade years was observed with more severe EQ-5D states (r_s=0.32, p<0.001), with usual activity, and pain/discomfort showing the strongest associations. Self-reported health via VAS and words was highly correlated (r_s=0.76, p<0.001). Reliability of the weighted Cohen's k for EQ-5D dimension ranged between 0.3 and .72. Intraclass correlation coefficients for VAS were 0.80 and 0.92 for TTO, all p value <0.001. VAS showed substantial test-retest reliability (ICC=0.80), and TTO showed excellent reliability (ICC=0.92). However, only 62.3% and 54.6% found EQ-5D and TTO easy to understand, respectively, while 89.4% found the VAS easy to use.</p><p><strong>Conclusion: </strong>The Arabic EQ-5D-3L, VAS, and TTO demonstrated validity and reliability for measuring HRQoL among Jordanians. The study highlights the importance of cultural and linguistic contexts in HRQoL measures adaption. Future research should focus on refining TTO to improve cultural appropriateness and understanding among Arabic-speaking populations.</p>","PeriodicalId":37347,"journal":{"name":"Journal of Healthcare Quality Research","volume":" ","pages":""},"PeriodicalIF":1.1,"publicationDate":"2024-11-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142751073","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"[Patient safety benchmarks: From myth to reality].","authors":"Rosa María Añel Rodríguez","doi":"10.1016/j.jhqr.2024.10.004","DOIUrl":"https://doi.org/10.1016/j.jhqr.2024.10.004","url":null,"abstract":"","PeriodicalId":37347,"journal":{"name":"Journal of Healthcare Quality Research","volume":" ","pages":""},"PeriodicalIF":1.1,"publicationDate":"2024-11-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142733320","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Patient's experience as a tool in analyzing primary care in Catalonia.","authors":"A Iruela, I Moral, G Gálvez, L M Jimenez, R Manzanera","doi":"10.1016/j.jhqr.2024.10.002","DOIUrl":"https://doi.org/10.1016/j.jhqr.2024.10.002","url":null,"abstract":"<p><strong>Introduction: </strong>Primary health care is essential in a well-designed health system. A way of approaching the quality of an institution or service is evaluating different aspects like accessibility, treatment, satisfaction, and efficiency. The COVID-19 pandemic caused substantial disruptions in health systems. The present work focused on assessing the evolution of the experience of patients. It analyzed its relationship with various factors of the centers and the professionals' quality of life.</p><p><strong>Methods: </strong>Retrospective quantitative study through a survey carried out in Catalonia evaluating the experience of users in relation to primary health care services. Results from years 2015, 2018, 2021 and 2022 are included in the study.</p><p><strong>Results: </strong>Users from 370 centers were included in the study. The highest scores were registered in dimensions as environment and information (more than 90%), while accessibility was the worst scored dimension (mean 65.19). Global satisfaction scores were significantly higher in 2015 and 2018 and dropped the following years showing the impact of the COVID-19 pandemics.</p><p><strong>Conclusion: </strong>The evolution of the patient experience in Catalonia shows a progressive decrease from the first edition in 2015 to the most recent edition in 2022, aggravated by the COVID-19 pandemic. During the pandemic, all the characteristics of primary care were affected, and they are beginning to recover. The resilience that primary care has shown during the pandemic contrasts with a downward valuation of the experience of patients who have used it.</p>","PeriodicalId":37347,"journal":{"name":"Journal of Healthcare Quality Research","volume":" ","pages":""},"PeriodicalIF":1.1,"publicationDate":"2024-11-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142640026","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Informational and educational needs of caregivers of neurologic inpatients in rehabilitation treatment: A qualitative exploratory study.","authors":"M Ottonello, C Pistarini, S Ruvolo, S Costa, V Navarra, C Murianni, E Cristallo, S Maiello, M R Tritto, M G Pagliarulo, M R Manera","doi":"10.1016/j.jhqr.2024.09.005","DOIUrl":"10.1016/j.jhqr.2024.09.005","url":null,"abstract":"<p><strong>Introduction: </strong>The aim of the present study was to identify information and educational needs of neurological inpatients during residential rehabilitation from the caregivers' perspective. On top of that, it was important to acknowledge the conceptual framework underlying the complexity of needs, for the development in future research of an early identification of caregiver's information needs assessment tool. This preliminary study will allow to define the dimensions on which to measure caregiver needs and the quality of care provided to the patients and their families.</p><p><strong>Material and methods: </strong>Focus groups of family caregivers of inpatients admitted to the Neurorehabilitation Units by the ICS Maugeri Institutes were conducted to explore the caregivers needs. All focus groups were tape-recorded and contemporaneous notes made. The tapes were transcribed and thematic analysis was used to develop categories of needs. To ensure consistency between groups, a semi-structured schedule was used to guide the focus groups.</p><p><strong>Results: </strong>In the analysis of the statements extracted from the transcripts we defined five main themes of information needs expressed from caregivers: education, hospital care organization, legal and social care management and emotional or psychological support.</p><p><strong>Conclusion: </strong>The results provided the identification of the domains essential for the development of a questionnaire that measures the complexity of the caregiver's information needs during residential rehabilitation. The caregivers' statements expressed in the focus groups allowed to identify five main kinds of needs. Moreover, some suggestions and ideas to improve the information and education materials to satisfy these needs emerged from caregivers and health professionals during team meetings.</p>","PeriodicalId":37347,"journal":{"name":"Journal of Healthcare Quality Research","volume":" ","pages":""},"PeriodicalIF":1.1,"publicationDate":"2024-11-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142629703","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Promoting second victims’ intervention support programs","authors":"H. Knezevic Krajina ,&nbsp;J. Mira ,&nbsp;B. Knezevic ,&nbsp;I. Carrillo ,&nbsp;P. Sousa","doi":"10.1016/j.jhqr.2024.07.001","DOIUrl":"10.1016/j.jhqr.2024.07.001","url":null,"abstract":"","PeriodicalId":37347,"journal":{"name":"Journal of Healthcare Quality Research","volume":"39 6","pages":"Pages 405-407"},"PeriodicalIF":1.1,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141753007","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}