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Hospital management indicators and its relation to the delivery of quality patient care / |
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Ivy Marie B. Reyes |
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Thesis (M.A.) -- Pamantasan ng Lungsod ng Maynila, Intramuros, Manila, 1998.;A thesis presented to the faculty of Graduate School of Arts, Sciences, Education, and Nursing, Pamantasan ng Lungsod ng Maynila in partial fulfillment of the requirements for the degree of Master of Arts in Nursing. |
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ABSTRACT. Statement of the Purpose: The main concern of the study was to determine the relationship to hospital management indicators and its relation to the delivery of quality patient care. Specifically, the study sought to answer the following questions: 1. What is the socio-demographic profile of respondents in terms of: 1.1 Age 1.2 Civil Status 1.3 Length of Service 1.4 Educational Attainment 2. What are the hospital management indicators that influence the delivery of quality patient care in terms of: 2.1 Admission Regulations 2.2 Medication Administration 2.3 Nursing Rounds and Endorsement 2.4 Discharge Regulations 3. What are the different images in the nursing practice? 4. To what extent do the different images in the nursing practice influence the delivery of quality care in terms of: 4.1 Assessment 4.2 Planning 4.3 Intervention 4.4 Evaluation 5. Is there a significant relationship between nurses' socio-demographic profile and the different images in the nursing practice? 6. How do the different hospital management indicators relate with the different images in nursing practice in the delivery of quality patient care? This study was concerned with investigating the perception of nurses about the different hospital management indicators and its relation to the delivery of quality patient care. The study made use of the descriptive method of research and a total of 77 staff nurses working at the two general government hospitals, Rizal Provincial Hospital, and Angono District Hospital located in Eastern Rizal served as respondents. The instrument utilized in the study included a questionnaire-checklist called the QPC Determinants Questionnaire-Checklist. To determine the perception of nurses on the different images in the nursing practice and how the images relate with the different hospital management indicators, questionnaire-checklist was formulated using a five-point Likert scale. It was likewise utilized to determine how the perceived images relate with the phases of nursing care practices. The qualitative interpretation of the numerical scale established was as follows: Weight Range of Weights Interpretation 5 4.20-5.00 Exceptionally Accepted 4 3.40-4.19 Highly Accepted 3 2.60-3.39 Moderately Accepted 2 1.80-2.59 Least Accepted 1 1.00-1.79 Rejected To determine the relationship of the different images in nursing as it relates to the phases of the nursing care practices, the qualitative interpretation of the numerical scale established were as follows: Range of Weights Interpretation 3.40-5.00 Strength 2.60-3.39 Marginal Average 1.00-2.59 Weakness To determine how the images in nursing related to the different hospital management indicators in the delivery of quality patient care and how the perceived images relate with the phases of the nursing care practices, the chi-square test was used using the following parameter to arrive at a decision. If the computed value (CV) is greater than the tabular value (TV), there is a significant relationship between the variables. If the computed value (CV) is less than the tabular value (TV), there is no significant relationship between the variables. Findings: The following findings were based on the perception of staff nurses regarding the different hospital management indicators and its relation to the delivery of quality patient care. 1. Demographic profile 1.1 The majority of the respondents are young adults, belonging to the age group 25-34 with 62.33% and the least number of respondents are those belonging to the 45-54 years old with 14.29%. 1.2 Forty-one (41) or 53.25% of the respondents are single and the remaining 36 or 46.75% are married. 1.3 All of the respondents, 100% obtained a bachelor's degree, none of the sample population pursued post-graduate studies. 1.4 Respondents who have 6 months to 2 years of working experience comprised the 29.87% while 22.08% belong to those who have been working for 2.1 years to 4 years. Twenty (20) or 25.97% of the respondents have a length of service from 6.1 years and above. The remaining 22.08% are those working for a period of 4.1 years to 6 years. 2. The respondents exceptionally accepted all the hospital management indicators relating to its effect in the delivery of quality patient care as evidenced by the following high mean level obtained. 2.1 Admission Regulations 2.1.a. Obtain basic informative and counter-checking with the chart. Greet patient and relatives and introduce self to clients. (WX=4.65) 2.1.b. Provide for privacy and take care of patients' valuable and clothing taking into consideration the facilities' SOP. (WX=4.74) 2.1.c. Explain rules and regulations and hospital routines such as mealtime, visiting hour, use of telephone and bathroom, doctors and nurses rounds, procedures to be done and others. (WX=4.60) 2.1.d. Performing the necessary assessment and documenting it properly. (WX=4.69) 2.2 Medication Administration 2.2.a. Following strictly the seven rights (7R's) of giving medication. (WX=4.88) 2.2.b. Check that all the necessary equipment and all medications are prepared and at hand at all times while strictly observing the principles of aseptic techniques always. (WX=4.87) 2.2.c. Before administering any drug, the desired effect, the probable adverse reactions and choice of route should be discussed first. Always assess for the presence of contraindications. (WX=4.64) 2.2.d. Reevaluate the patients' local and systemic reactions to the drug always. (WX=4.64) 2.3 Nursing Rounds and Endorsement 2.3.a. Explain to the patient about his nursing needs and the care he will be receiving and the reasons for it. (WX=4.51) 2.3.b. A change-of-shift report is given by the nurse-in-charge going off duty to all nursing personnel coming on duty. (WX=4.62) 2.3.c. Receive the unit, check the adequacy of articles, supplies, and instruments. (WX=4.62) 2.3.d. During verbal instruments, the following should always be included where applicable: present IVF, the special procedure for the day and special preparation, the present condition of the patient, medications given, treatment needed and available supplies, equipment and medications. (WX=4.79) 2.4 Discharge Regulations 2.4.a. Check if the patient has discharge order. In cases of leaving against medical advice, the proper form must be accomplished. (WX=4.77) 2.4.b. Give discharge instructions and check if all the necessary equipment and supplies like medications are with the patient. (WX=4.73) 2.4.c. Check if the proper financial arrangements have been made. Assist the patient in dressing, packing and transporting if needed. (WX=4.49) 2.4.d. Doing all the necessary recording and discharge teachings. (WX=4.71) 2.4.d. Doing all the necessary recording and discharge teachings. (WX=4.71) 3. Different Images in the Nursing Practice The respondents exceptionally accepted the Careerist and Heroine images in nursing practice while the Angel of Mercy image was highly accepted. Moderately accepted image in nursing practice is the Wife/Mother. The remaining two images, Girl Friday and Sex Object were least accepted. 4. Extent by which the different Images in nursing practice influence the delivery of quality patient care 4.1 Assessment The respondents considered all images as strengths in influencing the delivery of quality patient care for the assessment phase. The Sex Object image obtained the lowest weighted mean of 4.17 but was still identified as a strength. 4.2 Planning Respondents considered all the images as strengths when delivering quality care in terms of the planning component of the nursing process. Heroine: 4.36, Angel of Mercy: 4.31, Wife/Mother: 4.30, Careerist: 4.28, Girl Friday: 4.13 and Sex Object with the lowest obtained weighted mean of 4.10. 4.3 Intervention The respondents perceived that the images in the nursing practice as strengths as well in delivering quality patient care when related to the intervention phase of the nursing process. |
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The Wife/Mother image got the highest mean rating of 4.58 and the Girl Friday image obtained the lowest mean rating of 4.42. 4.4 Evaluation Images in the nursing practice were considered as strengths in influencing the delivery of quality patient care when related to the evaluation phase. The Heroine image got the highest mean rating of 4.36 and the Girl Friday ranked lowest with a 4.19 rating. 5. There was no significant relationship between the socio-demographic profile of respondents which include age, civil status, educational attainment and length of service and their perception of the different images in the nursing practice as revealed by the computer value of the chi-square. However, the Wife/Mother and Angel of Mercy images as it relates to the age profile of the respondents which a significant relationship basing on the computed chi-square value of 10.37 and 29.60 respectively. Furthermore, the Wife/Mother image also yielded a significance in relationship when related with the length of service with a value of 15.57. 6. There was no significant relationship between the different images in the nursing practice and the hospital management indicators as they relate to the delivery of quality patient care as evidenced by the chi-square value. Conclusions: On the basis of the findings of the study, the following conclusions were drawn: 1. Hospital management indicators are not a deterrent factor in the delivery of quality patient care. 2. Perceived images in nursing practice that present the profession in a positive light were exceptionally accepted include Heroine |
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| Date of meeting or treaty signing |
|
| Number (BK CF MP MU SE VM MX) [OBSOLETE] |
|
| Number of part/section/meeting |
|
| Title of a work |
|
| Location of meeting |
|
| 730 ## - ADDED ENTRY--UNIFORM TITLE |
|---|
| Version |
|
| -- |
|
| Uniform title |
|
| Date of treaty signing |
|
| Number of part/section of a work |
|
| Name of part/section of a work |
|
| Date of a work |
|
| Language of a work |
|
| Form subheading |
|
| 740 ## - ADDED ENTRY--UNCONTROLLED RELATED/ANALYTICAL TITLE |
|---|
| -- |
|
| -- |
|
| Uncontrolled related/analytical title |
|
| -- |
|
| -- |
|
| Number of part/section of a work |
|
| -- |
6 |
| 753 ## - SYSTEM DETAILS ACCESS TO COMPUTER FILES |
|---|
| Operating system |
|
| -- |
|
| Make and model of machine |
|
| 767 ## - TRANSLATION ENTRY |
|---|
| Title |
|
| -- |
|
| Record control number |
|
| 770 ## - SUPPLEMENT/SPECIAL ISSUE ENTRY |
|---|
| Title |
|
| -- |
|
| Record control number |
|
| International Standard Serial Number |
|
| 773 ## - HOST ITEM ENTRY |
|---|
| Main entry heading |
|
| -- |
|
| Place, publisher, and date of publication |
|
| Related parts |
|
| Material-specific details |
|
| Title |
|
| Edition |
|
| -- |
|
| Relationship information |
|
| Abbreviated title |
|
| 775 ## - OTHER EDITION ENTRY |
|---|
| Title |
|
| -- |
|
| Record control number |
|
| International Standard Serial Number |
|
| 776 ## - ADDITIONAL PHYSICAL FORM ENTRY |
|---|
| Uniform title |
|
| -- |
|
| Main entry heading |
|
| Place, publisher, and date of publication |
|
| Edition |
|
| International Standard Book Number |
|
| Relationship information |
|
| Title |
|
| International Standard Serial Number |
|
| Physical description |
|
| Qualifying information |
|
| Record control number |
|
| 780 ## - PRECEDING ENTRY |
|---|
| International Standard Serial Number |
|
| -- |
|
| Main entry heading |
|
| Related parts |
|
| Title |
|
| Record control number |
|
| 785 ## - SUCCEEDING ENTRY |
|---|
| Title |
|
| -- |
|
| Record control number |
|
| Main entry heading |
|
| International Standard Serial Number |
|
| 787 ## - OTHER RELATIONSHIP ENTRY |
|---|
| International Standard Serial Number |
|
| -- |
|
| Place, publisher, and date of publication |
|
| Related parts |
|
| Relationship information |
|
| Title |
|
| Record control number |
|
| 800 ## - SERIES ADDED ENTRY--PERSONAL NAME |
|---|
| Personal name |
|
| -- |
|
| Dates associated with a name |
|
| Language of a work |
|
| Date of a work |
|
| Title of a work |
0 |
| Fuller form of name |
|
| Volume/sequential designation |
|
| 810 ## - SERIES ADDED ENTRY--CORPORATE NAME |
|---|
| Corporate name or jurisdiction name as entry element |
|
| -- |
|
| Subordinate unit |
|
| Date of a work |
|
| Title of a work |
|
| -- |
|
| Volume/sequential designation |
|
| 830 ## - SERIES ADDED ENTRY--UNIFORM TITLE |
|---|
| International Standard Serial Number |
|
| -- |
|
| Uniform title |
|
| Name of part/section of a work |
|
| Number of part/section of a work |
|
| Language of a work |
0 |
| Volume/sequential designation |
|
| 942 ## - ADDED ENTRY ELEMENTS |
|---|
| Institution code [OBSOLETE] |
|
| -- |
lcc |
| Item type |
Book |