Journal of Healthcare Quality Research最新文献_第8页

Humanización y calidad de vida profesional en el cuidado oncohematológico y radioterápico: un estudio descriptivo en un hospital universitario [人性化与肿瘤血液学和放疗护理的职业生活质量：一所大学医院的描述性研究]。

IF 1.1

Journal of Healthcare Quality Research Pub Date : 2025-05-01 Epub Date: 2025-01-10 DOI: 10.1016/j.jhqr.2024.12.007

A. Gutiérrez Delgado , C.J. Gómez Martín , C. Martín-Arriscado Arroba , G. González Monterrubio , S. Pérez García , A. Jariego Gómez

{"title":"Humanización y calidad de vida profesional en el cuidado oncohematológico y radioterápico: un estudio descriptivo en un hospital universitario","authors":"A. Gutiérrez Delgado , C.J. Gómez Martín , C. Martín-Arriscado Arroba , G. González Monterrubio , S. Pérez García , A. Jariego Gómez","doi":"10.1016/j.jhqr.2024.12.007","DOIUrl":"10.1016/j.jhqr.2024.12.007","url":null,"abstract":"<div><h3>Objective</h3><div>To evaluate levels of humanization, professional quality of life, resilience, communication skills, and the use of silence among healthcare professionals in these areas.</div></div><div><h3>Methods</h3><div>Observational, cross-sectional, and descriptive study conducted in a referral hospital. Data were collected from 152 healthcare professionals through questionnaires assessing professional quality of life (ProQOL), resilience (CD-RISC), humanization (HUMAS), communication skills (EHC-PS), and the use of silence (Q-SPS).</div></div><div><h3>Results</h3><div>The median age of the professionals was 42 years. They showed moderate levels of compassion satisfaction and resilience (means=23.47 and 29.96) but low levels of humanization (mean=66.09). Emotional exhaustion was significant among physicians (mean=19.19, <em>P</em>=.022), while radiotherapy technicians excelled in empathy (mean=27.33). Significant correlations were observed between compassion satisfaction and optimism (Rho=0.2017, <em>P</em>=.0127), and between productive silence and communication skills (Rho=0.3131, <em>P</em>=.0001).</div></div><div><h3>Conclusions</h3><div>Strengthening emotional and communication competencies is essential. Interventions should focus on reducing compassion fatigue and enhancing the well-being of healthcare professionals, improving care quality for oncohematology and radiotherapy patients.</div></div>","PeriodicalId":37347,"journal":{"name":"Journal of Healthcare Quality Research","volume":"40 3","pages":"Article 101108"},"PeriodicalIF":1.1,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142972498","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

Analysis of protocol adherence and outcomes of an enhanced recovery program in colorectal surgery after 5 years of implementation 实施5年后结直肠手术强化恢复方案的依从性和结果分析。

IF 1.1

Journal of Healthcare Quality Research Pub Date : 2025-05-01 Epub Date: 2025-02-01 DOI: 10.1016/j.jhqr.2024.12.010

J. Bel Diaz, M. Barbero Mielgo, A. Pérez Garnelo, R. Guzmán Carranza, J. García Fernández

{"title":"Analysis of protocol adherence and outcomes of an enhanced recovery program in colorectal surgery after 5 years of implementation","authors":"J. Bel Diaz, M. Barbero Mielgo, A. Pérez Garnelo, R. Guzmán Carranza, J. García Fernández","doi":"10.1016/j.jhqr.2024.12.010","DOIUrl":"10.1016/j.jhqr.2024.12.010","url":null,"abstract":"<div><h3>Introduction</h3><div>Enhanced recovery program (ERAS program) have revolutionized the world of surgery by reducing postoperative complications and hospital stays. Greater adherence to the protocol results in better outcomes; however, adherence often declines over time. The main objective of this study is to analyze the adherence rate to ERAS strategies and the outcomes of an ERAS colorectal (CRC) program five years after its implementation.</div></div><div><h3>Methodology</h3><div>This is a descriptive observational study comparing two groups of patients undergoing scheduled CRC surgery under an ERAS program at University Hospital. The first group (ERAS) includes patients operated on during the period immediately following the implementation of the protocol (January 2017–June 2018), while the second group (ERAS 5) includes patients operated on five years after the implementation (January 2022–June 2022).</div></div><div><h3>Results</h3><div>An increase in the adherence rate to ERAS strategies was observed (88.2% in ERAS vs. 84.2% in ERAS 5, <em>p</em> 0.003), as well as a reduction in healthcare-associated infections (HAIs) (9% in ERAS vs. 25.2% in ERAS 5, <em>p</em> 0.001) and surgical site infections (6% in ERAS vs. 18.2% in ERAS 5, <em>p</em> 0.002). No differences were found in other postoperative complications, functional recovery, average length of stay, and readmission rates.</div></div><div><h3>Conclusions</h3><div>After five years of implementing an ERAS protocol for CRC in our hospital, we have managed to maintain a high adherence rate to ERAS strategies. There has been a significant reduction in HAIs and surgical site infections.</div></div>","PeriodicalId":37347,"journal":{"name":"Journal of Healthcare Quality Research","volume":"40 3","pages":"Article 101111"},"PeriodicalIF":1.1,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143081449","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

Elaboración de un checklist para la transferencia en UCIP del paciente pediátrico quirúrgico [PICU中儿科手术患者交接清单的制定]。

IF 1.1

Journal of Healthcare Quality Research Pub Date : 2025-03-01 Epub Date: 2025-01-07 DOI: 10.1016/j.jhqr.2024.12.004

M.Á. Rivas Paterna , M. Abelaira García , D. Ortega Martínez , B. Joyanes Abancens , A.I. Alguacil Pau , E. Aleo Luján

引用次数: 0

Calidad de la asistencia sanitaria y salud del sistema en perspectiva 卫生保健质量和系统健康前景

IF 1.1

Journal of Healthcare Quality Research Pub Date : 2025-03-01 Epub Date: 2025-02-28 DOI: 10.1016/j.jhqr.2025.02.001

R. Meneu

引用次数: 0

Adecuación del consentimiento informado en la investigación clínica: estudio descriptivo transversal 临床研究中知情同意的充分性：一项描述性横断面研究。

IF 1.1

Journal of Healthcare Quality Research Pub Date : 2025-03-01 Epub Date: 2024-12-21 DOI: 10.1016/j.jhqr.2024.12.001

M.D. Monge-Muñoz , G. Rodríguez-Caravaca , J.L. del-Barrio-Fernández

{"title":"Adecuación del consentimiento informado en la investigación clínica: estudio descriptivo transversal","authors":"M.D. Monge-Muñoz , G. Rodríguez-Caravaca , J.L. del-Barrio-Fernández","doi":"10.1016/j.jhqr.2024.12.001","DOIUrl":"10.1016/j.jhqr.2024.12.001","url":null,"abstract":"<div><h3>Introduction and objectives</h3><div>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.</div></div><div><h3>Material and methods</h3><div>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.</div></div><div><h3>Results</h3><div>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<sub>95%</sub>    =1.2–2.4).</div></div><div><h3>Conclusions</h3><div>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.</div></div>","PeriodicalId":37347,"journal":{"name":"Journal of Healthcare Quality Research","volume":"40 2","pages":"Pages 107-115"},"PeriodicalIF":1.1,"publicationDate":"2025-03-01","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}

引用次数: 0

Results of the process of implementation of ISO 7101 subclause 8.10.5 Health literacy in specialty consultations 实施ISO 7101第8.10.5条专业会诊中的健康素养过程的结果。

IF 1.1

Journal of Healthcare Quality Research Pub Date : 2025-03-01 Epub Date: 2024-12-30 DOI: 10.1016/j.jhqr.2024.11.003

A. McCaskill , A. Gasch-Gallen , J. Montero-Marco

{"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":"10.1016/j.jhqr.2024.11.003","url":null,"abstract":"<div><h3>Objective</h3><div>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.</div></div><div><h3>Method</h3><div>Implementation steps were outlined, nurses were trained and used a standardized health literacy checklist with patients. The HLS<sub>19</sub>-Q12 was used to calculate patients’ general health literacy scores pre- and post-implementation of subclause 8.10.5. Paired samples <em>t</em>-test and Wilcoxon signed-rank test determined relationships between implementation, health literacy score, and quality of care perceived.</div></div><div><h3>Results</h3><div>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 (<em>M</em>  =3.99). Wilcoxon test for both variables was significant (<em>P</em>  ≥0.8).</div></div><div><h3>Conclusions</h3><div>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.</div></div>","PeriodicalId":37347,"journal":{"name":"Journal of Healthcare Quality Research","volume":"40 2","pages":"Pages 116-125"},"PeriodicalIF":1.1,"publicationDate":"2025-03-01","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}

引用次数: 0

Calidad de las organizaciones y del sistema: no es lo mismo [组织和系统的质量：不一样]。

IF 1.1

Journal of Healthcare Quality Research Pub Date : 2025-03-01 Epub Date: 2025-01-27 DOI: 10.1016/j.jhqr.2024.12.003

Vicente Ortún

引用次数: 0

Calidad institucional y servicios públicos 机构质量和公共服务

IF 1.1

Journal of Healthcare Quality Research Pub Date : 2025-03-01 Epub Date: 2025-02-28 DOI: 10.1016/j.jhqr.2025.02.002

J.L. Puerta

引用次数: 0

Optimizing length of hospital stay among inpatients with spinal cord injury: An observational study 脊髓损伤住院患者的最佳住院时间：一项观察性研究。

IF 1.1

Journal of Healthcare Quality Research Pub Date : 2025-03-01 Epub Date: 2024-12-30 DOI: 10.1016/j.jhqr.2024.11.001

A. García-Rudolph , E.A. Devilleneuve , M.A. Wright , D. Sanchez-Pinsach , E. Opisso

{"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":"10.1016/j.jhqr.2024.11.001","url":null,"abstract":"<div><h3>Introduction and objectives</h3><div>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.</div></div><div><h3>Methods</h3><div>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.</div></div><div><h3>Results</h3><div>We included 1036 patients admitted for rehabilitation between 2007 and 2023 (46.3% TSCI, 53.7% NTSCI).</div><div>TSCI: age 42.7, 80.2% male, 41.8% AIS A, LOS 90.5.</div><div>NTSCI: age 55.7, 54.2% male, 14.2% AIS A, LOS 69.6.</div><div>For TSCI, mFIM and SCIM III gains increased significantly from Q1 to Q2 (T1-S5-ABC, <em>n</em>  =129). For NTSCI, gains increased from Q2 to Q3 (T1-S5-ABC, <em>n</em>  =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.</div></div><div><h3>Conclusions</h3><div>We identified specific neurological categories and LOS quarters yielding to significant functional gains.</div></div>","PeriodicalId":37347,"journal":{"name":"Journal of Healthcare Quality Research","volume":"40 2","pages":"Pages 79-88"},"PeriodicalIF":1.1,"publicationDate":"2025-03-01","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}

引用次数: 0

Patient's experience as a tool in analyzing primary care in Catalonia 将患者体验作为分析加泰罗尼亚初级保健的工具。

IF 1.1

Journal of Healthcare Quality Research Pub Date : 2025-03-01 Epub Date: 2024-11-14 DOI: 10.1016/j.jhqr.2024.10.002

A. Iruela , I. Moral , G. Gálvez , L.M. Jimenez , R. Manzanera

{"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":"10.1016/j.jhqr.2024.10.002","url":null,"abstract":"<div><h3>Introduction</h3><div>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.</div></div><div><h3>Methods</h3><div>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.</div></div><div><h3>Results</h3><div>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.</div></div><div><h3>Conclusion</h3><div>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.</div></div>","PeriodicalId":37347,"journal":{"name":"Journal of Healthcare Quality Research","volume":"40 2","pages":"Pages 72-78"},"PeriodicalIF":1.1,"publicationDate":"2025-03-01","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}

引用次数: 0