Browsing by Subject "Quality of care"

Now showing 1 - 3 of 3
  • Thumbnail Image
    Publication
    Open Access
    Calidad asistencial percibida y satisfacción de las personas sordas con la atención primaria de un Área de Salud de la Región de Murcia
    (Murcia: Servicio de Publicaciones de la Universidad de Murcia, 2019) Pastor Bravo, María del Mar; Conesa Guillén, María de los Ángeles; Cayuela Fuentes, Pedro Simón
    Objetivo: Describir la calidad asistencial percibida y la satisfacción frente a los servicios de Atención Primaria del Área de Salud II Cartagena del ServicioMurciano de Salud por parte de las personas sordas de Cartagena y comarca.Método: Estudio observacional, descriptivo y transversal. Los datos se recogieron mediante la traducción simultánea a la lengua de signos española del Cuestionario de Evaluación y Mejora de la Calidad Asistencial de Calidad Percibida en Atención Primaria. Se analizaron las variables: edad, sexo, nivel de estudios, tipo de sordera, primera lengua y uso, sistemas o apoyos comunicativos, calidad de atención percibida, percepción de la profesionalidad y trato humano por parte del profesional de la medicina, enfermería y administración y la satisfacción global percibida con su Centro de Atención Primaria. Resultados: La profesionalidad y trato humano recibido por parte del personal médico y administrativo fue percibido como deficiente, considerándose bueno en caso de las enfermeras. La satisfacción global es menor a la de la población general. Existen diferencias estadísticamente significativas entre el tipo de sordera y la profesionalidad percibida, el trato humano y la profesionalidad percibida y entre el sistema o apoyo comunicativo y la calidad de la atención percibida. Conclusiones: Es necesario adaptar la atención en salud que se presta a este colectivo con necesidades especiales a fin de que perciban una atención sanitaria de calidad que derive en un mayor acceso y seguimiento de personas sordas en el sistema sanitario.
  • Thumbnail Image
    Publication
    Open Access
    Changes in nurse job outcomes after 4 years of a Best Practice Spotlight Organization® programme implementation in the Spanish National Health Context
    (2021-05) Ruzafa Martinez, Maria; Garcia Gonzalez, Jessica; Leal Costa, Cesar; Martínez González, Miguel Ángel; Ramos Morcillo, Antonio Jesús; Hernández Méndez, Solanger; Enfermería
    Aim: To evaluate the changes produced after the application of the Best Practice Spotlight Organization® (BPSO® ) Program on the attitude towards the evidence-based practice, the nurses' perception of the organisational climate and nurse outcomes in a health area of the Spanish National Health System. Background: There is limited research that associates strategies of evidence-based practice implementation with changes on the work environment and nurse outcomes. Methods: Cross-sectional study that compared data on the nurses' perception of the work environment. Five guidelines were implemented between 2012 and 2015 in a health area. Data were collected in 2012 and 2016/2017, using a questionnaire consisting of five previously validated tools. X2 , t test, ANOVA and multivariate analysis were carried out. Results: A total of 451 nurses participated. Compared with the baseline evaluation in 2012, several outcomes changed significantly (p < .001), nurses were younger and were more satisfied with "salary", "annual leaves" and "sick leave". The rest of the nurse outcomes were not modified. Conclusions: Nurses' perception of the work environment is favourable, although the application of the BPSO® Program has not produced any major changes. Implications for nursing management: Measures are suggested that are oriented towards the planning of staffing and the increase in the participation of the nursing staff in programmes of implementation of guidelines.
  • Thumbnail Image
    Publication
    Restricted
    The communication skills and quality perceived in an emergency department: the patient's perspective
    (Wiley, 2020-03-11) Orcajada Muñoz, Irene; Amo Setien, Francisco José; Díaz Agea, José Luis; Hernández Ruipérez, Tomás; Adánez Martínez, María de Gracia; Leal Costa, César; Medicina
    Aim: To examine the influence of health care provider's communication skills on the quality of care perceived by Emergency Department patients. Background: Communication between patients and health care providers in the context of Emergency Department is challenging and can potentially have a negative impact on the quality of care perceived by patients. Design: Cross-sectional descriptive study conducted in the Emergency Department at the University Clinical Hospital Virgen de la Arrixaca of Murcia, Spain. Method: Data were collected from 6 to 9 June 2016. Different instruments were used to evaluate the perception of patients on the communication skills and quality of care at the Emergency Department. Results. The sample was composed of 200 patients, with an average age of 44.1 (SD = 18.3), of which 106 (53%) were men. The multiple linear regression analysis showed the association between communication skills (respect, problem solving, and nonverbal communication) and age with the quality of care perceived by the patients. Conclusions: We found that the communication skills of the health care providers were explanatory variables of the quality of care perceived in an Emergency Department.