Case Study of Nurses’ Experiences Related to the Deaths of Their Patients
A qualitative case study methodology was applied to explore how nurses cope when their patients die. The study utilized a sample of 16 participants at a rural 123-bed community hospital. Nine themes regarding nurses dealing with grief emerged: (a) family issues, (b) patient alone at death, (c) knowing the community, (d) never-forgotten experiences, (e) first experiences, (f) time issues, (g) responses to unexpected deaths, (h) role of nurses, and (i) nurses’ response to death itself. It is concluded that nurses need to grieve. If nurses do not know how to cope with deaths of their patients, it may lead to personal health...
Source: The Health Care Manager - October 1, 2018 Category: Health Management Tags: Article Source Type: research
The Effects of Implementing an Accreditation Process on Health Care Quality Using Structural Equation Modeling
This study was undertaken to investigate nurses’ perceptions of and attitudes toward the effects of hospital accreditation on their service quality in an eye hospital in Tehran in 2016. This was a cross-sectional and descriptive-analytic study conducted in the second half of 2016. Data of 200 nurses who were selected using a census method were studied. For collecting the required data, a standard questionnaire was used. Data were analyzed using SPSS 21.0 through descriptive statistics, as well as AMOS 18.0 software through the measurement and structural models of structural equation modeling method. The results showed th...
Source: The Health Care Manager - October 1, 2018 Category: Health Management Tags: Article Source Type: research
Factors and Preferences in Patient Selection and Location of Care
There are many factors that influence the decisions that patients make regarding where they receive care. Two hundred thirty-three patients were surveyed in the primary care setting to determine patient satisfaction and characteristics that led patients to seeking treatment at primary care offices, urgent care centers, or emergency rooms. Respondents rated quality of care highest at the primary care office (P (Source: The Health Care Manager)
Source: The Health Care Manager - October 1, 2018 Category: Health Management Tags: Article Source Type: research
Resource Dependency and Hospital Performance in Hospital Value-Based Purchasing
This study utilizes data from the 2014 American Hospital Association (AHA) Annual Survey database, 2014 Area Health Resource File (AHRF), the 2014 Medicare Final Rule Standardizing File, and the 2014 Medicare Hospital Compare database. The associations between external environment and hospital performance are assessed through multiple regression analysis. Hospital performance scores in the HVBP program are sensitive to environmental factors; however, not all domains are influenced to the same degree. It would seem that hospitals do not have either the same ability or motivation to make changes in each of the value-based pu...
Source: The Health Care Manager - October 1, 2018 Category: Health Management Tags: Article Source Type: research
Social Capital, Community Capacity, and Health
This study examines existing literature in relation to social capital, health, and community capacity. Bonding social capital shows the average value of the extent to which individuals trust each other and participate in groups, whereas bridging social capital shows the average value of the extent to which individuals participate in different formal groups. Community capacity seeks mutual cooperation based on trust, and cohesion minimizes community problems, and it has become evident that such capacity is a useful tool for health improvement. (Source: The Health Care Manager)
Source: The Health Care Manager - October 1, 2018 Category: Health Management Tags: Article Source Type: research
The Lived Experience of First-Year Nurses at Work
In conclusion, understanding the lived experiences of a new nurse gives insight to current nursing students, including expectations and tips for succeeding in the first year of practice. Current orientation programs in northern Indiana were found to adequately prepare new graduates for professional practice. (Source: The Health Care Manager)
Source: The Health Care Manager - October 1, 2018 Category: Health Management Tags: Article Source Type: research
From the Editor
No abstract available (Source: The Health Care Manager)
Source: The Health Care Manager - October 1, 2018 Category: Health Management Tags: From the Editor Source Type: research
Assessing the Effectiveness of Problem-Based Learning as a New Approach on Health Care Provider Ethical Reasoning Development in Shiraz University of Medical Sciences
Problem-based learning (PBL) has become a distinct approach in learning. To assess the effectiveness of PBL in teaching ethics to medical students and the effect it has on their ethical reasoning, we decided to hold a PBL ethics workshop and then evaluate them based on pretest and posttest. This quasi-experimental comparative study in Shiraz University of Medical Sciences was designed based on pretest-posttest nonequivalent groups. After obtaining their consent, 120 health care providers were randomly selected and assigned in 4 groups and then asked to attend the ethics workshop. For measuring the participants’ ethical r...
Source: The Health Care Manager - July 1, 2018 Category: Health Management Tags: Article Source Type: research
Human Papilloma Virus and the Nurse’s Role in Education and Prevention
In the United States, an estimated 20 million people, or 15% of the population, are currently infected with human papilloma virus (HPV). The prevalence of HPV is increasing in females aged 14 to 24 years. Assessing allied health students’ knowledge, attitudes, and behaviors regarding HPV was performed using a 34-question survey. The survey was in four sections: general information, measuring knowledge of HPV and the vaccine, HPV vaccine, and HPV screening and diagnosis. Physicians were noted by 31.6% of the participants as the first individual who gave them information about HPV. There were 46.4% of the participants who ...
Source: The Health Care Manager - July 1, 2018 Category: Health Management Tags: Article Source Type: research
A Trial Study of Static Telepathology in Iran
This study aimed to compare the diagnostic accuracy of the conventional pathology and static telepathology systems. Eighty-two cases that had been selected randomly from 4 pathology centers in the city of Kerman were diagnosed by a pathologist, first based on light microscopy and then after 2 months based on static images (2 images per case) captured by a Nikon 50i microscopic camera. The images were sent to the pathologist via e-mail. The diagnostic accuracy of the telepathology system was calculated. The light microscopic diagnoses were concordant with the telepathologic diagnoses in 71 of 82 reviewed cases. Different di...
Source: The Health Care Manager - July 1, 2018 Category: Health Management Tags: Article Source Type: research
College Students’ Knowledge Concerning Oropharyngeal Cancer, Human Papillomavirus, and Intent Toward Being Examined
The purpose of this study was to assess college students’ knowledge of oral/oropharyngeal cancer and the relationship of human papillomavirus (HPV) to oropharyngeal cancer. Data were also collected to determine their perceived susceptibility to oropharyngeal cancer and awareness of emotions toward and intentions to receive an oral cancer examination in order to design tailored messages for promoting oropharyngeal cancer prevention on college campuses. Two hundred ten baccalaureate students in nonhealth majors from a public southeastern university were surveyed. Descriptive statistics were calculated, and multiple regress...
Source: The Health Care Manager - July 1, 2018 Category: Health Management Tags: Article Source Type: research
Developing a High-Fidelity Simulation Program in a Nursing Educational Setting
This change project was developed in response to the lack of a high-fidelity simulation program at a midwestern university in the United States. The use of clinical simulation as a teaching-and-learning strategy has significantly increased within nursing education. Unlike some colleges, this university had a dedicated simulation laboratory with two high-fidelity simulators; however, there was no clinical simulation program to use this equipment. The expensive simulation equipment sat unused because of the lack of funding for dedicated faculty, lack of a champion to implement, shortage of faculty time, minimal knowledge of ...
Source: The Health Care Manager - July 1, 2018 Category: Health Management Tags: Article Source Type: research
Case in Health Care Management
No abstract available (Source: The Health Care Manager)
Source: The Health Care Manager - July 1, 2018 Category: Health Management Tags: Case in Health Care Management Source Type: research
Examining the Benefits of the 340b Drug Discount Program
The 340B Drug Discount Program required drug manufacturers to provide discounted outpatient drugs to health care organizations serving vulnerable patient populations to allow these institutions to offer more services to more people. As the 340B program expanded, controversy centered on which entities have benefited from the program. Many health care organizations sold 340B drugs to well-insured patients at full price and have thus been financially rewarded. Amendments to the program have permitted 340B providers to use contract pharmacies to dispense 340B medications, furthering the debate over which stakeholders are benef...
Source: The Health Care Manager - July 1, 2018 Category: Health Management Tags: Article Source Type: research
Why Seek a Doctorate-Prepared Nurse to Join Your Team?
Increasing numbers of doctoral-prepared nurses are joining interprofessional health care teams. Interestingly, the evolving doctoral programs for nurse leaders can be confusing to other health care professionals. Advanced education for nursing leaders is driven by a growing need for cost-effective implementation of evidence-based practices. Professional nursing organizations and nursing education programs have redefined education to respond to the call for knowledgeable experts to lead evidence-based quality improvements. As interprofessional health care management teams face the daunting task of selecting team members, an...
Source: The Health Care Manager - July 1, 2018 Category: Health Management Tags: Article Source Type: research
