Thesis (M. Soc. Sc.)--University of Hong Kong, 1994. / Includes bibliographical references (leaves 153-157).

Thesis (M.Soc.Sc.)--University of Hong Kong, 1994. / Includes bibliographical references (leaves 153-157) Also available in print.

Darbo tikslas. Įvertinti ligoninės gydytojų ir slaugytojų požiūrį į bendradarbiavimą ir kokybės vadybos sistemą įstaigoje. Uždaviniai. Įvertinti gydytojų ir slaugytojų požiūrį į bendradarbiavimą ir kokybės vadybos sistemą įstaigoje, palyginti gydytojų ir slaugytojų požiūrį į bendradarbiavimą ir kokybės vadybos sistemą, nustatyti gydytojų ir slaugytojų požiūrio į bendradarbiavimą įstaigoje ryšį su pasitikėjimu kitais darbuotojais ir pasitenkinimu darbu. Tyrimo metodika. Anoniminė vienos įstaigos gydytojų ir slaugytojų apklausa (n=256). Statistinei duomenų analizei taikytas hipotezės apie dviejų požymių nepriklausomumą tikrinimas susietų lentelių metodu naudojant chi kvadrato kriterijaus reikšmę. Rezultatai. Didžioji dalis medikų mano, jog partnerystė tarp sveikatos priežiūros darbuotojų gali pagerinti pacientams teikiamų paslaugų kokybę, paslaugų prieinamumą, darbuotojų pasitenkinimą darbu ir darbuotojų gyvenimo kokybę. Statistiškai reikšmingai didesnė dalis slaugytojų (50,9 proc.) nei gydytojų (35,8 proc.) nurodo, jog pasikeitimas informacija tarp gydytojų ir vadovų pakankamas, 71,7 proc. gydytojų ir 44,8 proc. slaugytojų teigia, jog informacija tarp gydytojų ir slaugytojų yra pakankama. 70,8 proc. medikų nurodo, jog jų įstaigoje yra įdiegta kokybės vadybos sistema. 50,6 proc. medikų yra patenkinti, 48,8 proc. - iš dalies patenkinti savo profesija. 63,6 proc. medikų savo pasitikėjimą kolegomis bei vadovais vertina teigiamai, 11,5 proc. – neigiamai. 54,2 proc. patenkintų... [toliau žr. visą tekstą] / Aim of the study. To investigate attitude of health care professionals towards partnership and quality management system in health care institution. Objectives. To assess attitudes of health care professionals towards partnership and quality management system, to compare attitudes of physicians and nurses towards partnership and quality management system, to evaluate associations of attitudes to partnership with trust and job satisfaction among physicians and nurses. Methods. An anonymous questionnaire survey was performed including all physicians and nurses working in one health care institution (n = 256). Statistical calculations of chi square’s test was performed. Results. The majority of health care professionals state that partnership among medical staff can improve quality of health care services provided to the patients, accessibility of the services, job satisfaction and quality of life of medical staff. The major part of nurses (50.9 percent) than physicians (35.8 percent) indicate, that information level between physicians and managers is sufficient, the major part of physicians (71.7 percent) than nurses (44.8 percent) note that information level between physicians and nurses is sufficient. 70.8 percent of respondents point that system of quality assurance is implemented in their institution. 50.6 percent of medical staff is satisfied and 48.8 percent – partly satisfied with job. 63.6 percent of respondents trust and 11.5 percent distrust in their colleagues... [to full text]

Hensikt: Hensikten med oppgaven har vært å undersøke om sykepleierapport, epikrise og dagens samhandlingspraksis ved utskrivning fra alderspsykiatrisk spesialisthelsetjeneste oppleves som nyttig av leger og sykepleiere i kommunene. Metode: Tverrsnittsundersøkelse. Et spørreskjema ble utviklet og sendt til 497 leger og sykepleiere. Data ble analysert med både kvalitative og kvantitative metoder Resultat Informantene vurderer innhold i epikrise og sykepleierapport som nyttig for videre arbeid med pasienten. Dokumentene beskrives som grundige, nyttige og informative. Dagens samhandlingspraksis vurderes som nyttig. Ambulante pasientrettede tiltak, deltagelse i møter, pasientrettet undervisning og veiledning vurderes som positive tiltak kommunene ønsker mer av. Medarbeidere i kommunene har i varierende grad erfaring med og kjenn-skap til det tilbudet Seksjon for alderspsykiatri gir. Konklusjon Undersøkelsen viser at samarbeidspartnere i kommunene i Telemark er tilfreds med epikrise, sykepleierapport og dagens samhandlingspraksis. De ønsker enda bedre tilgjengelighet / Aim: This study aimed to examine the opinions of physicians and nurses in the municipalities in Telemark, Norway regarding information given in written reports from the old age psychiatri unit and to examine the usefulness of collaboration when patients leave the hospital. Methods: This study used a cross-sectional survey. A questionnaire was developed and sent to 497 health professionals. The data were analyzed by both qualitative and quantitative methods. Results: Physicians and nurses in the municipalities have different knowledge and experiences regarding the services offered by the old-age psychiatry hospital. They described the reports from the hospital as informative and useful for further treatment of the patient. Collaboration practices were also evaluated as useful. Ambulant examination of patients and participation in meetings, education and guidance were evaluated as positive approaches. Conclusions: Physicians and nurses in the municipalities in Telemark county expressed satisfaction with the information in the reports and the existing collaboration practice when old age psychiatry patients leave the hospital. They want more of the services offered today. / <p>ISBN 978-91-86739-24-9</p>

Yes / Objectives: Making a medical error can have serious implications for clinician wellbeing, affecting the quality and safety of patient care. Despite an advancing literature base, cross-country exploration of this experience is limited and a paucity of studies has examined the coping strategies used by clinicians. A greater understanding of clinicians¿ responses to making an error, the factors that may influence these, and the various coping strategies used are all essential for providing effective clinician support and ensuring optimal outcomes. The objectives were therefore to investigate a) the professional or personal disruption experienced after making an error, b) the emotional response and coping strategies used, c) the relationship between emotions and coping strategy selection, d) influential factors in clinicians¿ responses, and e) perceptions of organisational support. Methods: A cross-sectional, cross-country survey of 265 physicians and nurses was undertaken in two large teaching hospitals in the UK and USA. Results: Professional and personal disruption was reported as a result of making an error. Negative emotions were common, but positive feelings of determination, attentiveness and alertness were also identified. Emotional response and coping strategy selection did not differ due to location or perceived harm, but responses did appear to differ by professional group; nurses in both locations reported stronger negative feelings after an error. Respondents favoured problem-focused coping strategies and associations were identified between coping strategy selection and the presence of particular emotions. Organisational support services, particularly including peers, were recognised as helpful, but fears over confidentiality may prohibit some staff from accessing these. Conclusions: Clinicians in the UK and US experience professional and personal disruption after an error. A number of factors may influence clinician recovery; these factors should be considered in the provision of comprehensive support programmes so as to improve clinician recovery and ensure higher quality, safer patient care. / This research was funded by the Bradford Institute for Health Research as part of a PhD studentship and supported by a travel grant through the Postgraduate Study Visits scheme by the British Psychological Society.