NURS 4455 Quality of Care  Assignment

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NURS 4455 Quality of Care  Assignment

NURS 4455 Quality of Care  Assignment

DQ2 For Maximum Score – must respond to all 3 questions.

1. How do you define quality of care?

2. What factors can you control, as a manager, for your staff to provide high-quality care (which factors are internal and which are external)?

3. If an organization is deciding between several quality management programs which would you recommend and why?

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NURS 4455 Quality of Care Discussion

NURS 4455 Quality of Care Discussion

What factors can you control, as a manager, for your staff to provide high-quality care (which factors are internal and which are external)?

Introduction
Patient views on quality of care are of paramount importance with respect to the implementation of quality assurance (QA) and improvement (QI) programmes. However, the relevance of patient satisfaction studies is often questioned because of conceptual and methodological problems. Here, it is our belief that a different strategy is necessary.

Objective
To develop a conceptual framework for measuring quality of care seen through the patients’ eyes, based on the existing literature on consumer satisfaction in health care and business research.

Results
Patient or consumer satisfaction is regarded as a multidimensional concept, based on a relationship between experiences and expectations. However, where most health care researchers tend to concentrate on the result, patient (dis)satisfaction, a more fruitful approach is to look at the basic components of the concept: expectations (or `needs’) and experiences. A conceptual framework – based on the sequence performance, importance, impact – and quality judgements of different categories of patients derived from importance and performance scores of different health care aspects, is elaborated upon and illustrated with empirical evidence.

Conclusions
The new conceptual model, with quality of care indices derived from importance and performance scores, can serve as a framework for QA and QI programmes from the patients’ perspective. For selecting quality of care aspects, a category‐specific approach is recommended including the use of focus group discussions.

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