Journal of Healthcare Quality Research最新文献_第2页

A propósito de una encuesta sobre riesgos de la enfermedad de Chagas [关于一项关于恰加斯病风险的调查]。

IF 1.1

Journal of Healthcare Quality Research Pub Date : 2024-09-01 DOI: 10.1016/j.jhqr.2023.09.001

引用次数: 0

Work overload and associated factors in healthcare professionals during the COVID-19 pandemic COVID-19 大流行期间医护人员的超负荷工作及相关因素。

IF 1.1

Journal of Healthcare Quality Research Pub Date : 2024-09-01 DOI: 10.1016/j.jhqr.2024.05.001

{"title":"Work overload and associated factors in healthcare professionals during the COVID-19 pandemic","authors":"","doi":"10.1016/j.jhqr.2024.05.001","DOIUrl":"10.1016/j.jhqr.2024.05.001","url":null,"abstract":"<div><h3>Introduction</h3><p>The COVID-19 pandemic changed the work routine of professionals at the family healthcare center (<em>Núcleo de Atenção à Saúde da Família</em> – <em>NASF-AB</em>), providing new conditions and work overload.</p></div><div><h3>Objective</h3><p>The purpose of this study was to explore factors associated with work overload in <em>NASF-AB</em> professionals during the COVID-19 pandemic.</p></div><div><h3>Methods</h3><p>A cross-sectional study was carried out with <em>NASF-AB</em> workers in the city of Salvador, Bahia, Brazil, from May to August 2021. Working conditions and overload were assessed using the National Program for Improving Access and the Quality of Primary Care questionnaire (<em>Programa Nacional de Melhoria do Acesso e da Qualidade da Atenção Básica</em> – <em>PMAQ</em>) and the scale measuring burden of professionals in mental health services (Escala de Avaliação da Sobrecarga de Profissionais em Serviços de Saúde Mental – IMPACTO-BR), respectively. A multivariate linear regression model was used. A total of 68 health professionals participated in the study, including 19 physiotherapists, 13 occupational therapists, 10 social workers, 10 nutritionists, 9 psychologists and 7 physical education professionals.</p></div><div><h3>Results</h3><p>There was a significant association between overall overload and being female (<em>p</em>  =0.027), and having difficulty moving around to conduct activities in the territory (<em>p</em>  <!-->0.002) for increasing the chance of work overload.</p></div><div><h3>Conclusions</h3><p>Our findings encourage workers’ health policies and closer ties and negotiation with local management, as well as the return of the institutional support figure for the effectiveness and resolution of actions in primary healthcare units.</p></div>","PeriodicalId":37347,"journal":{"name":"Journal of Healthcare Quality Research","volume":null,"pages":null},"PeriodicalIF":1.1,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141262857","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}

引用次数: 0

Utilidad del instrumento AGREE para la elaboración y la evaluación de protocolos clínicos: de la teoría a la práctica clínica AGREE 工具对制定和评估临床方案的实用性：从理论到临床实践

IF 1.1

Journal of Healthcare Quality Research Pub Date : 2024-09-01 DOI: 10.1016/j.jhqr.2024.04.004

{"title":"Utilidad del instrumento AGREE para la elaboración y la evaluación de protocolos clínicos: de la teoría a la práctica clínica","authors":"","doi":"10.1016/j.jhqr.2024.04.004","DOIUrl":"10.1016/j.jhqr.2024.04.004","url":null,"abstract":"<div><h3>Introduction and objective</h3><p>Clinical protocols are tools for the delivery of optimal and quality healthcare. However, there are often shortcomings in the quality of their design that invalidate their implementation. The aim of this study is to describe a systematic evaluation of clinical protocols, to analyse their quality in order to enable their implementation.</p></div><div><h3>Materials and methods</h3><p>Descriptive study that included the clinical protocols assessed by the Committee of Reviewers of Clinical Practice Recommendations and Health Technologies of a tertiary hospital during 11years of its existence between 2013 and 2023. The AGREE instrument was used to assess the quality of the protocols received, calculating standardised scores by item and domain, and categorising them into: a)excellent (90-100%), b)good (70-89%), c)improvable (50-69%), d)very improvable (30-49%), e)deficient (10-29%), and f)very deficient: 0-9%.</p></div><div><h3>Results</h3><p>Of the 59 documents received by the Commission, 32 were subsidised for AGREE evaluation. The highest scoring domain was «Scope and objective», with excellent scores for 29 protocols; the remaining domains had scores ranging from 58.5%-100% for «Rigour in elaboration» and 0-100% for «Independence». By items, scores ranged from 85.7-100% for «Target users of the protocol are clearly defined» to 0-100% for the items «Potential costs of implementing recommendations» and «Conflict of interest». Of the 32 protocols, 9 were highly recommended, 22 were recommended with modifications/conditions and one was not recommended.</p></div><div><h3>Conclusions</h3><p>The AGREE tool makes it possible to systematize both the drafting of clinical protocols by the authors and their evaluation by the Clinical Practice Recommendations and Health Technologies Review Committee. This makes it possible to have applicable and quality protocols in our hospital, which results in an improvement in the quality of healthcare.</p></div>","PeriodicalId":37347,"journal":{"name":"Journal of Healthcare Quality Research","volume":null,"pages":null},"PeriodicalIF":1.1,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141137425","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}

引用次数: 0

Evaluation of the degree of implementation of zero projects in critical care units of Galicia (Spain) through internal audits. 通过内部审计评估加利西亚（西班牙）重症监护室零项目的实施程度。

IF 1.1

Journal of Healthcare Quality Research Pub Date : 2024-07-31 DOI: 10.1016/j.jhqr.2024.06.008

I Losada-Castillo, M O Roca-Bergantiños, R Vázquez-Mourelle

{"title":"Evaluation of the degree of implementation of zero projects in critical care units of Galicia (Spain) through internal audits.","authors":"I Losada-Castillo, M O Roca-Bergantiños, R Vázquez-Mourelle","doi":"10.1016/j.jhqr.2024.06.008","DOIUrl":"https://doi.org/10.1016/j.jhqr.2024.06.008","url":null,"abstract":"<p><strong>Objective: </strong>The objective of this study was to assess the implementation of Zero Projects in Critical Care Units (CCUs) through Internal Audits (IA).</p><p><strong>Materials and methods: </strong>Design: Real-time observational safety analysis. A questionnaire was developed with defined items to ensure objectivity. After IAs, a survey was conducted with the auditors.</p><p><strong>Scope: </strong>11 CCUs in hospitals of the Servizo Galego de Saúde and Ribera-POVISA.</p><p><strong>Patients or participants: </strong>24 auditors in 9 teams composed of medical, nursing, and quality personnel from health areas and 34 patients were assessed.</p><p><strong>Main variables of interest: </strong>Compliance with the quality standard (≥60% of items), strengths, areas for improvement, auditor's interest in IA, conformity with the organization and items.</p><p><strong>Results: </strong>100% CCUs met the quality standard. 18.03% of items were fulfilled by all CCUs. Strengths: staff motivation, positive reception of auditors, and use of computer tools in some CCUs. Areas for improvement: deficit of automatic systems for controlling endotracheal tube cuff pressure (compliance rate in 9.1% of CCUs), training needs, communication issues, and not using checklists (45.5% of the reports). Auditors found IA very interesting, and 19% suggested improving organization and items.</p><p><strong>Conclusions: </strong>All CCUs met the previously agreed-upon quality standard. Numerous improvement opportunities were identified and communicated to the audited CCUs. For greater homogeneity and objectivity, a review of previously agreed items and definitions is required.</p>","PeriodicalId":37347,"journal":{"name":"Journal of Healthcare Quality Research","volume":null,"pages":null},"PeriodicalIF":1.1,"publicationDate":"2024-07-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141876239","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}

引用次数: 0

[Internal validity and reliability of an instrument for evaluating quality of nursing care services for patients, nurses, and family members]. [病人、护士和家属护理服务质量评估工具的内部有效性和可靠性]。

IF 1.1

Journal of Healthcare Quality Research Pub Date : 2024-07-25 DOI: 10.1016/j.jhqr.2024.07.003

A Renghea, S Hernandez-Iglesias, M A Cuevas-Budhart, M T Iglesias López, J A Sarrion-Bravo, A Crespo Cañizares, M Gómez Del Pulgar García-Madrid

{"title":"[Internal validity and reliability of an instrument for evaluating quality of nursing care services for patients, nurses, and family members].","authors":"A Renghea, S Hernandez-Iglesias, M A Cuevas-Budhart, M T Iglesias López, J A Sarrion-Bravo, A Crespo Cañizares, M Gómez Del Pulgar García-Madrid","doi":"10.1016/j.jhqr.2024.07.003","DOIUrl":"https://doi.org/10.1016/j.jhqr.2024.07.003","url":null,"abstract":"<p><strong>Aim: </strong>To analyze the internal validity and reliability of the instrument for evaluating the quality of services adapted to three interest groups: patients, nurses, family members, and primary caregivers.</p><p><strong>Material and method: </strong>Our research was conducted meticulously, employing a mixed methodology with two phases: qualitative, using the focus group for internal validation of the instrument, and quantitative. Subsequently, the survey was passed to the interest group of 430 patients, 525 relatives, and 298 nurses. Chronbac's alpha reliability analysis, the multiple linear regression model as a point estimator of the parameters, and exploratory factor analysis with a maximum likelihood factor using Kaiser-Meyer-Olkin to analyze the constructor and its indicators were performed to validate the adaptation. Finally, confirmatory factor analysis determines their respective measurement models' unidimensionality, validity, and reliability.</p><p><strong>Results: </strong>The result shows that the factor loading of each subconstruct is more significant than 0.5 in the three models, which indicates that the aptitude indices of the model were met. In addition, the model meets the discriminant validity criteria. The behavior of the SERVPERF questionnaire was analyzed in terms of consistency, Cronbach's alpha=0.94.</p><p><strong>Conclusion: </strong>The scale items' discrimination concerning the questions on global satisfaction is confirmed. This shows that the instrument is valid, reliable, and useful.</p>","PeriodicalId":37347,"journal":{"name":"Journal of Healthcare Quality Research","volume":null,"pages":null},"PeriodicalIF":1.1,"publicationDate":"2024-07-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141767528","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}

引用次数: 0

Relationship between adherence to oral antidiabetic drugs and control of type 2 diabetes mellitus. 坚持服用口服抗糖尿病药物与控制 2 型糖尿病之间的关系。

IF 1.1

Journal of Healthcare Quality Research Pub Date : 2024-07-23 DOI: 10.1016/j.jhqr.2024.06.007

E Esquivel-Prados, E Pareja-Martínez, J P García-Corpas

{"title":"Relationship between adherence to oral antidiabetic drugs and control of type 2 diabetes mellitus.","authors":"E Esquivel-Prados, E Pareja-Martínez, J P García-Corpas","doi":"10.1016/j.jhqr.2024.06.007","DOIUrl":"https://doi.org/10.1016/j.jhqr.2024.06.007","url":null,"abstract":"<p><strong>Introduction and objectives: </strong>Poor adherence to oral antidiabetic drugs (Adh-OAD) is a risk factor for poor control of type 2 diabetes mellitus (T2DM). Therefore, it is necessary to quantify the Adh-OAD. This quantification is possible through electronic dispensing records from the community pharmacy. The objective was to evaluate the influence of the Adh-OAD on the control of T2DM and the percentage of glycosylated hemoglobin (%HbA1c) in the patient.</p><p><strong>Materials and methods: </strong>A cross-sectional descriptive observational study was conducted in 8 community pharmacies in Granada (Spain). Patients older than 18 years with T2DM and on oral antidiabetic drugs (OADs) for at least 6 months were included. The main study variables were the control of T2DM, %HbA1c, and the Adh-OAD considering three cut-off points (≥80%, ≥70%, ≥60%). This relationship was studied using multivariate binary logistic regression and multivariate linear regression, respectively.</p><p><strong>Results: </strong>A total of 107 patients were included. The mean age was 70.5 years (SD: 9.7), and 54.2% were men. Eighty-five patients (79.4%) had well-controlled T2DM (mean %HbA1c: 6.5%; SD=0.6). Considering Adh-OAD≥80%, 13.1% (n=14) had a poor adherence and was related to the %HbA1c (β=0.742; p=0.007) and the control of T2DM (OR: 7.327; 95% CI: 1.302-41.241). Poor adherence was found in 9.3% (n=10) considering Adh-OAD≥70% and in 3.7% (n=4) considering Adh-OAD≥60%. In both cases, a statistically significant relationship was found between Adh-OAD and the %HbA1c and between Adh-OAD and the control of T2DM.</p><p><strong>Conclusions: </strong>Adh-OAD influenced the %HbA1c in patients with T2DM and the control of their disease.</p>","PeriodicalId":37347,"journal":{"name":"Journal of Healthcare Quality Research","volume":null,"pages":null},"PeriodicalIF":1.1,"publicationDate":"2024-07-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141761487","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}

引用次数: 0

Promoting second victims' intervention support programs. 推广第二受害者干预支持计划。

IF 1.1

Journal of Healthcare Quality Research Pub Date : 2024-07-22 DOI: 10.1016/j.jhqr.2024.07.001

H Knezevic Krajina, J Mira, B Knezevic, I Carrillo, P Sousa

引用次数: 0

Spanish adolescent patients with cancer and main caregivers: Using perceptions of care to drive change in healthcare. 西班牙青少年癌症患者和主要护理人员：利用对护理的认知推动医疗保健的变革。

IF 1.1

Journal of Healthcare Quality Research Pub Date : 2024-07-22 DOI: 10.1016/j.jhqr.2024.07.002

A Molina-Prado, A Pérez de Albéniz, G Medin, V Pérez-Alonso, E Carceller, B Huguet-Rodríguez, C Garrido-Colino

{"title":"Spanish adolescent patients with cancer and main caregivers: Using perceptions of care to drive change in healthcare.","authors":"A Molina-Prado, A Pérez de Albéniz, G Medin, V Pérez-Alonso, E Carceller, B Huguet-Rodríguez, C Garrido-Colino","doi":"10.1016/j.jhqr.2024.07.002","DOIUrl":"https://doi.org/10.1016/j.jhqr.2024.07.002","url":null,"abstract":"<p><strong>Purpose: </strong>To determine whether there are differences in care experience of adolescent cancer patients and their main caregiver, treated in Adolescent Cancer Units (ACUs), compared to those treated in Non-Adolescent Cancer Units (NACUs), including the COVID-19 pandemic period.</p><p><strong>Method: </strong>Measurement of Reported Experience in adolescent oncology patients (12-19 years old) and caregivers through ad hoc surveys. The responses of the study group of patients and caregivers treated in Adolescent Units were compared with the group not treated in them.</p><p><strong>Results: </strong>It is noted that many respondents consider that they have not been affected by the COVID-19 pandemic. Significant differences were seen in communication, with better perception by the group of patients treated in ACU (87.1%) and caregivers of ACU (97.3%) compared to patients and caregivers of NACU (53.3% and 68.2% respectively). Regarding information received about the side effects, a better perception was observed among patients treated in the ACU than in the NACU (p=0.247). In the transmission of information and the possibility of fertility preservation, a significant difference was observed in favour of ACU in patients and direct caregivers (p=0.010 and p=0.018).</p><p><strong>Conclusions: </strong>ACU represents an improvement in the quality perceived by patients and main caregiver on key points in the comprehensive care of the adolescent with cancer such as information, participation in the process and decision making, approach to side effects, psychological care and help in returning to normal life. However, fertility and strategies for talking about the cancer experience, were identified as areas for future improvement.</p>","PeriodicalId":37347,"journal":{"name":"Journal of Healthcare Quality Research","volume":null,"pages":null},"PeriodicalIF":1.1,"publicationDate":"2024-07-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141753008","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}

引用次数: 0

Impact of multicomponent intervention on hospitalized clinical patient outcomes: A pre-post study in a university hospital. 多成分干预对住院临床患者疗效的影响：在一家大学医院进行的一项前后研究。

IF 1.1

Journal of Healthcare Quality Research Pub Date : 2024-07-10 DOI: 10.1016/j.jhqr.2024.06.003

M R R Falcetta, F Pivatto Júnior, É P Cassol, A Boni, T Vaz, F M da Costa, D F do Canto, L M G Paskulin, J M Dora

{"title":"Impact of multicomponent intervention on hospitalized clinical patient outcomes: A pre-post study in a university hospital.","authors":"M R R Falcetta, F Pivatto Júnior, É P Cassol, A Boni, T Vaz, F M da Costa, D F do Canto, L M G Paskulin, J M Dora","doi":"10.1016/j.jhqr.2024.06.003","DOIUrl":"https://doi.org/10.1016/j.jhqr.2024.06.003","url":null,"abstract":"<p><strong>Background and objective: </strong>Hospitalization significantly interferes with the individual's well-being and it occurs both during and after the hospitalization period. Different approaches to minimize morbidity related to hospitalization and the post-discharge period have been proposed, especially to those aimed at reducing readmission rates. The aim of this study is to evaluate the effect of multicomponent intervention (MI) on operational indicators and continuity of care outcomes.</p><p><strong>Materials and methods: </strong>A quasi-experimental study conducted in a Brazilian university hospital in order to compare the impact of the intervention with usual care. The MI was the implementation of multidisciplinary rounds, the inclusion of the role of the navigator nurse, and care transition actions with half of the Internal Medicine teams in a clinical unit of a general hospital. Adult patients hospitalized were included in 2 periods and divided in 3 groups - Group A: before the intervention; Group B: after and with MI; Group C after and without MI.</p><p><strong>Results: </strong>A total of 2333 hospitalizations were evaluated. There was a reduction in the rate of intensive care transfers to intensive care unit (ICU) and in the length of stay (LOS). LOS, discharge before noon, and transfers to ICU improved when comparing before and after the intervention, but were not different in post-intervention groups with and without MI.</p><p><strong>Conclusion: </strong>These results reflect the improvement of care provided by MI, an effect that could be due to cross contamination also to teams without the intervention.</p>","PeriodicalId":37347,"journal":{"name":"Journal of Healthcare Quality Research","volume":null,"pages":null},"PeriodicalIF":1.1,"publicationDate":"2024-07-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141591640","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}

引用次数: 0

Loneliness impact on healthcare utilization in primary care: A retrospective study 孤独对初级保健中医疗服务利用率的影响：回顾性研究

IF 1.1

Journal of Healthcare Quality Research Pub Date : 2024-07-01 DOI: 10.1016/j.jhqr.2024.04.001

J.J. Mira , D. Torres , V. Gil , C. Carratalá

{"title":"Loneliness impact on healthcare utilization in primary care: A retrospective study","authors":"J.J. Mira , D. Torres , V. Gil , C. Carratalá","doi":"10.1016/j.jhqr.2024.04.001","DOIUrl":"10.1016/j.jhqr.2024.04.001","url":null,"abstract":"<div><h3>Background</h3><p>An increased number of patients seek help for loneliness in primary care.</p></div><div><h3>Objective</h3><p>To analyze whether loneliness was associated with a higher utilization of healthcare facilities.</p></div><div><h3>Methods</h3><p>Observational, retrospective study based on the review of routinely coded data in the digital medical record system in a random sample of patients aged 65 or older, stratified by population size of their residence area. A minimum sample size was estimated at 892 medical records. Loneliness was defined as the negative feeling that arises when there is a mismatch between the quantity and quality of a person's social relationships and those, they desire. Thirty-three primary care nurses (30 females and 3 males) were reviewing the data.</p></div><div><h3>Results</h3><p>A total of 932 medical records of patients were reviewed (72% belonged to female patients). Of these, 657 individuals were living alone (71.9%). DeJong Scale average scores was 8.9 points (SD 3.1, 95CI 8.6–9.1). The average annual attendance to primary care ranged from 12.2 visits per year in the case of family practice, 10.7 nurse, 0.7 social workers. The average number of home visits was 3.2, and the urgent consultations attended at health centers were 1.5 per year. Higher feelings of loneliness were associated with extreme values in the frequency of healthcare resource usage. Compared to their peers of the same age, the additional healthcare resource consumption amounted to €802.18 per patient per year.</p></div><div><h3>Conclusion</h3><p>Loneliness is linked to higher healthcare resource usage in primary care, with individuals experiencing poorer physical and mental health utilizing these resources up to twice as much as their peers of the same age.</p></div>","PeriodicalId":37347,"journal":{"name":"Journal of Healthcare Quality Research","volume":null,"pages":null},"PeriodicalIF":1.1,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140765355","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}

引用次数: 0