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

Enhancing the management of chronic diseases in clinical practice: The CARABELA methodology 加强临床实践中的慢性病管理：CARABELA 方法。

IF 1.1

Journal of Healthcare Quality Research Pub Date : 2024-09-01 DOI: 10.1016/j.jhqr.2024.06.001

引用次数: 0

Experiencia de los pacientes con enfermedades inflamatorias inmunomediadas atendidos en una unidad de atención integral multidisciplinar [免疫介导的炎症性疾病患者在多学科综合护理病房就诊的经验]。

IF 1.1

Journal of Healthcare Quality Research Pub Date : 2024-09-01 DOI: 10.1016/j.jhqr.2024.04.006

{"title":"Experiencia de los pacientes con enfermedades inflamatorias inmunomediadas atendidos en una unidad de atención integral multidisciplinar","authors":"","doi":"10.1016/j.jhqr.2024.04.006","DOIUrl":"10.1016/j.jhqr.2024.04.006","url":null,"abstract":"<div><h3>Objective</h3><p>To describe the aspects with the greatest impact on the satisfaction of patients treated in a multidisciplinary unit specialising in immune-mediated inflammatory diseases (IMIDs) and to identify areas for improvement in the care model.</p></div><div><h3>Methods</h3><p>Cross-sectional descriptive study using a satisfaction survey structured in three blocks: sociodemographic variables, functional aspects of the unit and satisfaction with the professionals. Immediate satisfaction was measured on aspects related to the care received, the physical structure and the likelihood of recommending the unit.</p></div><div><h3>Results</h3><p>A total of 168 patients completed the surveys, the mean score of overall satisfaction with the unit was 4.75 (SD:0.4). The regression model showed the relationship between overall satisfaction and unit signage (OR:3.558, p=0.045, 95% CI: 1.027-12.33), coordination between professionals (OR:9.043, p=0.000, 95% CI: 2.79-29.28) and participation in decision making (OR: 44.836, p=0.000, 95% CI: 5.49-365.97). In terms of immediate satisfaction, the overall Net Promoter Score (NPS) was 87 (excellent). The mean score for coordination with Primary Care was 4.54 (SD:0.8) and they scored waiting time to be seen with 4.49 (SD:0.8), so they have been considered an area for improvement The mean score for coordination with Primary Care was 4.54 (SD:0.8) and they scored waiting time to be seen with 4.49 (SD:0.8), so both were considered areas for improvement.</p></div><div><h3>Conclusions</h3><p>Coordination between intra-centre professionals and patient participation in decision-making explain the excellent level of patient satisfaction. The monitoring of satisfaction has made it possible to implement immediate improvement actions.</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":"141174655","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

Will Chat-GPT disrupt healthcare? Chat-GPT 会颠覆医疗保健吗？

IF 1.1

Journal of Healthcare Quality Research Pub Date : 2024-09-01 DOI: 10.1016/j.jhqr.2024.06.002

引用次数: 0

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