This document provides an overview of factors influencing quality management with reference to nursing services. It discusses the methodology used in the study, which involved collecting primary data through questionnaires from 150 nurses working in a hospital. The study found that competence level, social skills, expertise/experience, ability to prioritize work, and participation in quality management programs influence the quality of care provided by nurses. Additional factors like staff development activities, hospital facilities, organizational structure/processes, and managerial support also affect nursing quality from a management perspective. The study concludes that ongoing training is needed to address lack of nursing knowledge, which poses a challenge for quality management in nursing care.
A SURVEY ON FACTORS INFLUENCING QUALITY MANAGEMENT WITH REFERENCE TO NURSING ...IAEME Publication
The present study consists of following to analyse the impact of Institutional profile and care information provided to them on quality management. The research design is descriptive in nature. Primary data is collected with the help of structured questionnaire. The validity of research is based only on the data collected for the study. The present research is based on primary as well as secondary data. Simple random sampling method was used in selecting the respondents. The sample size is chosen for data collection of 150 respondents in quality management with reference to nursing services.
American Research Journal of Humanities & Social Science (ARJHSS) is a double blind peer reviewed, open access journal published by (ARJHSS).
The main objective of ARJHSS is to provide an intellectual platform for the international scholars. ARJHSS aims to promote interdisciplinary studies in Humanities & Social Science and become the leading journal in Humanities & Social Science in the world.
Pros and cons of mandatory continuing nursing educationKaren.docxbriancrawford30935
Pros and cons of mandatory continuing nursing education
Karen DeFilippis, Idalmis Espinosa
Lasharia Graham, Ijeoma Igbokwe
Karan Kortlander, Jessica McGillen
October 01, 2017
objectives
Discuss the pros and cons of continuing education in nursing in the following areas:
Impact on competency.
Impact on knowledge and attitudes.
Relationship to professional certification.
Relationship to ANA Scope and Standards of Practice.
Relationship to ANA Code of Ethics.
Impact on competency
Pros: Cons:
Increased personal knowledge Time
Increased use of EBP treatments Cost
Improved patient outcomes
Increased confidence
Developing and maintaining skills
Professional Networking
“Currently in many states, a nurse is determined to be competent when initially licensed and thereafter unless proven otherwise. Yet many believe this is not enough and are exploring other approaches to assure continuing competence in today’s environment where technology and practice are continually changing, new health care systems are evolving and consumers are pressing for providers who are competent” (Whittaker, Carson, & Smolenski, 2000).
“The ultimate outcomes of continuing nursing education (CNE) activities are to improve the professional practice of nursing and thereby the care that is provided by registered nurses to patients” (American Nurses Credentialing Center’, 2014)
Effective workplace learning, based on current evidence, appears to show potential to prevent errors, support health professional reflection on practice and performance, foster ongoing professional development, and sustain improved individual and organization performance outcomes.
Cost- “Continuing education can be costly. For instance, it is costly to pay employees to attend a nursing lecture or conference and to be away from the patients’ bedside. Additionally, purchasing videos or subscribing to magazines does require an associated payment. Lastly, implementing a change is costly it requires training and often new equipment. Without question, cost is a confounding variable” (Ward, 2013)
Time- This can be time away from work and family. For the employer ‘implementing a change in practice does require time, as does completing continuing education credit hours. This could mean time away from the patient which, in most instances, is frowned upon” (Ward, 2013)
3
Pros of higher education in nursing
Enhance patients’ outcome.
Reduces medication errors.
Update with new trends.
Increased knowledge on technology use.
Treatment evaluation and recovery.
Enhance collaboration and networking.
Widens employment opportunities for nurses (University of Saint Mary,2017).
Higher nursing education prepares nurses to make a difference in delivering safe and effective care to patients, nurses gain the skills needed to safely administer medication while eliminating or reducing medication errors, monitoring and assessing the patien.
A SURVEY ON FACTORS INFLUENCING QUALITY MANAGEMENT WITH REFERENCE TO NURSING ...IAEME Publication
The present study consists of following to analyse the impact of Institutional profile and care information provided to them on quality management. The research design is descriptive in nature. Primary data is collected with the help of structured questionnaire. The validity of research is based only on the data collected for the study. The present research is based on primary as well as secondary data. Simple random sampling method was used in selecting the respondents. The sample size is chosen for data collection of 150 respondents in quality management with reference to nursing services.
American Research Journal of Humanities & Social Science (ARJHSS) is a double blind peer reviewed, open access journal published by (ARJHSS).
The main objective of ARJHSS is to provide an intellectual platform for the international scholars. ARJHSS aims to promote interdisciplinary studies in Humanities & Social Science and become the leading journal in Humanities & Social Science in the world.
Pros and cons of mandatory continuing nursing educationKaren.docxbriancrawford30935
Pros and cons of mandatory continuing nursing education
Karen DeFilippis, Idalmis Espinosa
Lasharia Graham, Ijeoma Igbokwe
Karan Kortlander, Jessica McGillen
October 01, 2017
objectives
Discuss the pros and cons of continuing education in nursing in the following areas:
Impact on competency.
Impact on knowledge and attitudes.
Relationship to professional certification.
Relationship to ANA Scope and Standards of Practice.
Relationship to ANA Code of Ethics.
Impact on competency
Pros: Cons:
Increased personal knowledge Time
Increased use of EBP treatments Cost
Improved patient outcomes
Increased confidence
Developing and maintaining skills
Professional Networking
“Currently in many states, a nurse is determined to be competent when initially licensed and thereafter unless proven otherwise. Yet many believe this is not enough and are exploring other approaches to assure continuing competence in today’s environment where technology and practice are continually changing, new health care systems are evolving and consumers are pressing for providers who are competent” (Whittaker, Carson, & Smolenski, 2000).
“The ultimate outcomes of continuing nursing education (CNE) activities are to improve the professional practice of nursing and thereby the care that is provided by registered nurses to patients” (American Nurses Credentialing Center’, 2014)
Effective workplace learning, based on current evidence, appears to show potential to prevent errors, support health professional reflection on practice and performance, foster ongoing professional development, and sustain improved individual and organization performance outcomes.
Cost- “Continuing education can be costly. For instance, it is costly to pay employees to attend a nursing lecture or conference and to be away from the patients’ bedside. Additionally, purchasing videos or subscribing to magazines does require an associated payment. Lastly, implementing a change is costly it requires training and often new equipment. Without question, cost is a confounding variable” (Ward, 2013)
Time- This can be time away from work and family. For the employer ‘implementing a change in practice does require time, as does completing continuing education credit hours. This could mean time away from the patient which, in most instances, is frowned upon” (Ward, 2013)
3
Pros of higher education in nursing
Enhance patients’ outcome.
Reduces medication errors.
Update with new trends.
Increased knowledge on technology use.
Treatment evaluation and recovery.
Enhance collaboration and networking.
Widens employment opportunities for nurses (University of Saint Mary,2017).
Higher nursing education prepares nurses to make a difference in delivering safe and effective care to patients, nurses gain the skills needed to safely administer medication while eliminating or reducing medication errors, monitoring and assessing the patien.
Aligning Clinical Practice and Process Improvement for Patient Safety 2014iCareQuality.us
Implementing continuous daily improve¬ment is a standardized approach to reducing clinical variability in patient care delivery. The CLIPSE model engages frontline providers using a collaborative, peer review process, and may positively impact patient outcomes, cost of care, and quality improvement initiatives
A STUDY ON IMPACT OF PATIENT’S PREFERENCES ON SERVICE QUALITY OF THE HOSPITAL...IAEME Publication
Patient Preferences and Satisfaction regarding health care is a multidimensional concept that now becomes a very crucial health care outcome. An analysis of this Preferences and Satisfaction with the health care received revealed the following aspects for patient Preferences and Satisfaction and overall performance of an organization encompassing the total quality, trust, reputation, continuity, competence, information, organization, facilities, attention to psychosocial problems, humaneness and outcome of care. All of these factors have high influence on service quality of health care organizations and at the same time. While many current health care improvement efforts are taken by the government of India such as provision of health infrastructure, equipment, introduction of the health insurance scheme and the adjustments of the salaries of health workers, they seem to have overshadowed the need for constant monitoring to examine the quality of service being provided. Hence empirical research on service quality in hospital in is the need of the hour that signals an alarm to the hospital.
Nursing audit, a tool for providing quality care to patientsGure2
it is a presentation that highlights what makes nursing audit a tool for quality care to patients. it further highlight the challenges and its prospects
The conceptual foundation of nursing as an independent profession required that many of the structural considerations applied to like professions also be applied to nursing. Issues of professional self-direction, decision making, standard-setting, and professionalgovernance were explored through time.Initial efforts to define and design governance structures began in a number of health settings across the United States.Initial efforts considered the independence of nursing and operating models to support this began in a highly decentralized manner.
Concept & Philosophy For APN Highest level-Quality Clinical Ca.docxdonnajames55
Concept & Philosophy For APN: Highest level-Quality Clinical Care
Presented by
Liu Cuan
1
Introduction
Currently undertaking the FNP program;
I also work as a registered nurse;
Vast experience in pediatrician
In this presentation I articulate:
A nursing concept based on providing best quality care possible;
Concept grounded in Nurse Practitioner Care Model &;
Environmental Nursing Theory
Personal Philosophy; convergence of idealist-realist view
Currently, I am working as as a registered nurse and have had vast experience in nursing, particularly working with children.
Advanced nursing practice requires utilization of advanced skills to handle complex clinical tasks. At the center of it all, I believe that this is achieved by utilizing a nursing concept targeting provision of the best quality of care possible that compels or mandates nurses to maximize the use of their advanced skills.
In this case, in articulating the high-quality nursing concept, I utilize the the nurse practitioner care model, which is designed to enhance the provision of high-quality care through a system that recognizes and enhances the contribution of the nurse practitioner into the healthcare system
I also utilize environmental theory, which advocates for quality of environment when caring for patients. Quality environment can be facilitated through implementation of nurse practitioner care model (Bahouth, Blum & Simone, 2012).
I also articulate for a personal nursing philosophy that I believe should be aligned to provision of high quality care.
2
Reason for selecting Nurse Practitioner Care – NPC Model
The NPC Model aims facilitate provision of high quality clinical care
Aligned to my nursing concept.
The model ensure utmost efficiency in the delivery system.
Cost-effectiveness in the delivery system (Bahouth, Blum &Simone, 2012).
Clarify the role of nurse practitioners (FNP) in interdisciplinary healthcare system.
The nurse practitioner care model is designed to enhance the provision of high-quality care through a system that recognizes and enhances the contribution of the nurse practitioner into the healthcare system (Bahouth, Blum & Simone, 2012). Hence, it is aligned to my nursing concept of the providing highest level of quality care possible.
The general idea behind the model is that the NP deserves to work in an environment that can allow them to optimize their potential in the pursuit of professional objectives.
The advantage of this model lies in applying it in the provision of long-term holistic care that promotes the healing of a variety of diseases and different types of patients. Hoslitc care is a mark of high quality care, as it allows consideration of all factors affecting a patient health.
Pertinent to the provision of high quality care is the role of the nurse as the main leverage within the system.
Studies have established that many NPs are hindered from actualizing their potential because of the structural .
Submission Id ab299d7c-b547-4cf3-958a-07922ca71f2765 SIM.docxdeanmtaylor1545
Submission Id: ab299d7c-b547-4cf3-958a-07922ca71f27
65% SIMILARITY SCORE 12 CITATION ITEMS 20 GRAMMAR ISSUES 0 FEEDBACK COMMENT
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Inst itut ion 65%
Patience Nehikhare
healthcaredeliverysystemchanges.docx
Summary
1175 Words
Running Head: HEALTHCARE DELIVERY SYSTEM
THE U.S. HEALTHCARE DELIVERY SYSTEM 2
Healthcare Delivery System
Patience Nehikhare
Grand Canyon University
December 22, 2019
The U.S. Healthcare Delivery System
There is a rapid change within the healthcare system in the United States. The
changes that have occurred were made for the purpose of improving quality,
rewarding value and not volume, as well as integrating and coordinating the care
(Seshamani & Sen, 2018). As such, this paper will seek to put into consideration
current healthcare laws within the U.S. and the nurse’s role within this continuously
changing environment; the manner in which quality measures and pay for performance
affect patient outcomes. Furthermore, the emerging trends in the healthcare system,
professional nursing leadership, and management roles will be discussed.
The Emerging Health Care Laws and their Effects on Nursing Practice
One of the most crucial healthcare legislat ions that has been enacted in the United
States since the inception of Medicare and Medicaid in 1965 is the Affordable Care
Act (Obama, 2016). The ACA was enacted in 2010. Issues relat ing to affordability,
ease of access, and the care quality within the United States healthcare system were
some of the driving factors that formed the list of many t ime spanning challenges
that compiled the init iat ion of this legislat ion. Between 2010 to 2015 there was a
decrease in the number of uninsured cit izens in the U.S. by forty three percent as an
effect of the Affordable Care Act.
The payment systems in healthcare are undergoing some changes and the access to
care has also improved (Obama, 2016). The ACA promotes preventive healthcare
models that put emphasis on quality care, primary care, and the funding of community
health init iat ives (Lathrop and Hodnicki, 2014). Millions of previously uninsured cit izens
are also provided insurance coverage and also some healthcare areas that need
reforms so as to meet the needs of patients’ improved healthcare outcomes are
highly focused by the act. The act has an effect on nursing practice in several ways.
The first effect is that the act creates a high demand for healthcare professionals
that are sufficiently trained to provide healthcare services that are up to the acts’
standards. The second effect is that Advanced Practice Registered Nurses (APRNs)
who hold the Doctor of Nursing Practice (DNP) are required to be prepared so that
they can meet the increased needs through the provision of leadership skills in
community health centers. These professionals are also held accountable for direct ing
and advocating for future init iates as well as ser.
Submission Deadline: 30th September 2022
Acceptance Notification: Within Three Days’ time period
Online Publication: Within 24 Hrs. time Period
Expected Date of Dispatch of Printed Journal: 5th October 2022
MODELING AND ANALYSIS OF SURFACE ROUGHNESS AND WHITE LATER THICKNESS IN WIRE-...IAEME Publication
White layer thickness (WLT) formed and surface roughness in wire electric discharge turning (WEDT) of tungsten carbide composite has been made to model through response surface methodology (RSM). A Taguchi’s standard Design of experiments involving five input variables with three levels has been employed to establish a mathematical model between input parameters and responses. Percentage of cobalt content, spindle speed, Pulse on-time, wire feed and pulse off-time were changed during the experimental tests based on the Taguchi’s orthogonal array L27 (3^13). Analysis of variance (ANOVA) revealed that the mathematical models obtained can adequately describe performance within the parameters of the factors considered. There was a good agreement between the experimental and predicted values in this study.
A STUDY ON THE REASONS FOR TRANSGENDER TO BECOME ENTREPRENEURSIAEME Publication
The study explores the reasons for a transgender to become entrepreneurs. In this study transgender entrepreneur was taken as independent variable and reasons to become as dependent variable. Data were collected through a structured questionnaire containing a five point Likert Scale. The study examined the data of 30 transgender entrepreneurs in Salem Municipal Corporation of Tamil Nadu State, India. Simple Random sampling technique was used. Garrett Ranking Technique (Percentile Position, Mean Scores) was used as the analysis for the present study to identify the top 13 stimulus factors for establishment of trans entrepreneurial venture. Economic advancement of a nation is governed upon the upshot of a resolute entrepreneurial doings. The conception of entrepreneurship has stretched and materialized to the socially deflated uncharted sections of transgender community. Presently transgenders have smashed their stereotypes and are making recent headlines of achievements in various fields of our Indian society. The trans-community is gradually being observed in a new light and has been trying to achieve prospective growth in entrepreneurship. The findings of the research revealed that the optimistic changes are taking place to change affirmative societal outlook of the transgender for entrepreneurial ventureship. It also laid emphasis on other transgenders to renovate their traditional living. The paper also highlights that legislators, supervisory body should endorse an impartial canons and reforms in Tamil Nadu Transgender Welfare Board Association.
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Aligning Clinical Practice and Process Improvement for Patient Safety 2014iCareQuality.us
Implementing continuous daily improve¬ment is a standardized approach to reducing clinical variability in patient care delivery. The CLIPSE model engages frontline providers using a collaborative, peer review process, and may positively impact patient outcomes, cost of care, and quality improvement initiatives
A STUDY ON IMPACT OF PATIENT’S PREFERENCES ON SERVICE QUALITY OF THE HOSPITAL...IAEME Publication
Patient Preferences and Satisfaction regarding health care is a multidimensional concept that now becomes a very crucial health care outcome. An analysis of this Preferences and Satisfaction with the health care received revealed the following aspects for patient Preferences and Satisfaction and overall performance of an organization encompassing the total quality, trust, reputation, continuity, competence, information, organization, facilities, attention to psychosocial problems, humaneness and outcome of care. All of these factors have high influence on service quality of health care organizations and at the same time. While many current health care improvement efforts are taken by the government of India such as provision of health infrastructure, equipment, introduction of the health insurance scheme and the adjustments of the salaries of health workers, they seem to have overshadowed the need for constant monitoring to examine the quality of service being provided. Hence empirical research on service quality in hospital in is the need of the hour that signals an alarm to the hospital.
Nursing audit, a tool for providing quality care to patientsGure2
it is a presentation that highlights what makes nursing audit a tool for quality care to patients. it further highlight the challenges and its prospects
The conceptual foundation of nursing as an independent profession required that many of the structural considerations applied to like professions also be applied to nursing. Issues of professional self-direction, decision making, standard-setting, and professionalgovernance were explored through time.Initial efforts to define and design governance structures began in a number of health settings across the United States.Initial efforts considered the independence of nursing and operating models to support this began in a highly decentralized manner.
Concept & Philosophy For APN Highest level-Quality Clinical Ca.docxdonnajames55
Concept & Philosophy For APN: Highest level-Quality Clinical Care
Presented by
Liu Cuan
1
Introduction
Currently undertaking the FNP program;
I also work as a registered nurse;
Vast experience in pediatrician
In this presentation I articulate:
A nursing concept based on providing best quality care possible;
Concept grounded in Nurse Practitioner Care Model &;
Environmental Nursing Theory
Personal Philosophy; convergence of idealist-realist view
Currently, I am working as as a registered nurse and have had vast experience in nursing, particularly working with children.
Advanced nursing practice requires utilization of advanced skills to handle complex clinical tasks. At the center of it all, I believe that this is achieved by utilizing a nursing concept targeting provision of the best quality of care possible that compels or mandates nurses to maximize the use of their advanced skills.
In this case, in articulating the high-quality nursing concept, I utilize the the nurse practitioner care model, which is designed to enhance the provision of high-quality care through a system that recognizes and enhances the contribution of the nurse practitioner into the healthcare system
I also utilize environmental theory, which advocates for quality of environment when caring for patients. Quality environment can be facilitated through implementation of nurse practitioner care model (Bahouth, Blum & Simone, 2012).
I also articulate for a personal nursing philosophy that I believe should be aligned to provision of high quality care.
2
Reason for selecting Nurse Practitioner Care – NPC Model
The NPC Model aims facilitate provision of high quality clinical care
Aligned to my nursing concept.
The model ensure utmost efficiency in the delivery system.
Cost-effectiveness in the delivery system (Bahouth, Blum &Simone, 2012).
Clarify the role of nurse practitioners (FNP) in interdisciplinary healthcare system.
The nurse practitioner care model is designed to enhance the provision of high-quality care through a system that recognizes and enhances the contribution of the nurse practitioner into the healthcare system (Bahouth, Blum & Simone, 2012). Hence, it is aligned to my nursing concept of the providing highest level of quality care possible.
The general idea behind the model is that the NP deserves to work in an environment that can allow them to optimize their potential in the pursuit of professional objectives.
The advantage of this model lies in applying it in the provision of long-term holistic care that promotes the healing of a variety of diseases and different types of patients. Hoslitc care is a mark of high quality care, as it allows consideration of all factors affecting a patient health.
Pertinent to the provision of high quality care is the role of the nurse as the main leverage within the system.
Studies have established that many NPs are hindered from actualizing their potential because of the structural .
Submission Id ab299d7c-b547-4cf3-958a-07922ca71f2765 SIM.docxdeanmtaylor1545
Submission Id: ab299d7c-b547-4cf3-958a-07922ca71f27
65% SIMILARITY SCORE 12 CITATION ITEMS 20 GRAMMAR ISSUES 0 FEEDBACK COMMENT
Internet Source 0%
Inst itut ion 65%
Patience Nehikhare
healthcaredeliverysystemchanges.docx
Summary
1175 Words
Running Head: HEALTHCARE DELIVERY SYSTEM
THE U.S. HEALTHCARE DELIVERY SYSTEM 2
Healthcare Delivery System
Patience Nehikhare
Grand Canyon University
December 22, 2019
The U.S. Healthcare Delivery System
There is a rapid change within the healthcare system in the United States. The
changes that have occurred were made for the purpose of improving quality,
rewarding value and not volume, as well as integrating and coordinating the care
(Seshamani & Sen, 2018). As such, this paper will seek to put into consideration
current healthcare laws within the U.S. and the nurse’s role within this continuously
changing environment; the manner in which quality measures and pay for performance
affect patient outcomes. Furthermore, the emerging trends in the healthcare system,
professional nursing leadership, and management roles will be discussed.
The Emerging Health Care Laws and their Effects on Nursing Practice
One of the most crucial healthcare legislat ions that has been enacted in the United
States since the inception of Medicare and Medicaid in 1965 is the Affordable Care
Act (Obama, 2016). The ACA was enacted in 2010. Issues relat ing to affordability,
ease of access, and the care quality within the United States healthcare system were
some of the driving factors that formed the list of many t ime spanning challenges
that compiled the init iat ion of this legislat ion. Between 2010 to 2015 there was a
decrease in the number of uninsured cit izens in the U.S. by forty three percent as an
effect of the Affordable Care Act.
The payment systems in healthcare are undergoing some changes and the access to
care has also improved (Obama, 2016). The ACA promotes preventive healthcare
models that put emphasis on quality care, primary care, and the funding of community
health init iat ives (Lathrop and Hodnicki, 2014). Millions of previously uninsured cit izens
are also provided insurance coverage and also some healthcare areas that need
reforms so as to meet the needs of patients’ improved healthcare outcomes are
highly focused by the act. The act has an effect on nursing practice in several ways.
The first effect is that the act creates a high demand for healthcare professionals
that are sufficiently trained to provide healthcare services that are up to the acts’
standards. The second effect is that Advanced Practice Registered Nurses (APRNs)
who hold the Doctor of Nursing Practice (DNP) are required to be prepared so that
they can meet the increased needs through the provision of leadership skills in
community health centers. These professionals are also held accountable for direct ing
and advocating for future init iates as well as ser.
Submission Deadline: 30th September 2022
Acceptance Notification: Within Three Days’ time period
Online Publication: Within 24 Hrs. time Period
Expected Date of Dispatch of Printed Journal: 5th October 2022
MODELING AND ANALYSIS OF SURFACE ROUGHNESS AND WHITE LATER THICKNESS IN WIRE-...IAEME Publication
White layer thickness (WLT) formed and surface roughness in wire electric discharge turning (WEDT) of tungsten carbide composite has been made to model through response surface methodology (RSM). A Taguchi’s standard Design of experiments involving five input variables with three levels has been employed to establish a mathematical model between input parameters and responses. Percentage of cobalt content, spindle speed, Pulse on-time, wire feed and pulse off-time were changed during the experimental tests based on the Taguchi’s orthogonal array L27 (3^13). Analysis of variance (ANOVA) revealed that the mathematical models obtained can adequately describe performance within the parameters of the factors considered. There was a good agreement between the experimental and predicted values in this study.
A STUDY ON THE REASONS FOR TRANSGENDER TO BECOME ENTREPRENEURSIAEME Publication
The study explores the reasons for a transgender to become entrepreneurs. In this study transgender entrepreneur was taken as independent variable and reasons to become as dependent variable. Data were collected through a structured questionnaire containing a five point Likert Scale. The study examined the data of 30 transgender entrepreneurs in Salem Municipal Corporation of Tamil Nadu State, India. Simple Random sampling technique was used. Garrett Ranking Technique (Percentile Position, Mean Scores) was used as the analysis for the present study to identify the top 13 stimulus factors for establishment of trans entrepreneurial venture. Economic advancement of a nation is governed upon the upshot of a resolute entrepreneurial doings. The conception of entrepreneurship has stretched and materialized to the socially deflated uncharted sections of transgender community. Presently transgenders have smashed their stereotypes and are making recent headlines of achievements in various fields of our Indian society. The trans-community is gradually being observed in a new light and has been trying to achieve prospective growth in entrepreneurship. The findings of the research revealed that the optimistic changes are taking place to change affirmative societal outlook of the transgender for entrepreneurial ventureship. It also laid emphasis on other transgenders to renovate their traditional living. The paper also highlights that legislators, supervisory body should endorse an impartial canons and reforms in Tamil Nadu Transgender Welfare Board Association.
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A STUDY ON THE IMPACT OF ORGANIZATIONAL CULTURE ON THE EFFECTIVENESS OF PERFO...IAEME Publication
The main objective of this study is to analyze the impact of aspects of Organizational Culture on the Effectiveness of the Performance Management System (PMS) in the Health Care Organization at Thanjavur. Organizational Culture and PMS play a crucial role in present-day organizations in achieving their objectives. PMS needs employees’ cooperation to achieve its intended objectives. Employees' cooperation depends upon the organization’s culture. The present study uses exploratory research to examine the relationship between the Organization's culture and the Effectiveness of the Performance Management System. The study uses a Structured Questionnaire to collect the primary data. For this study, Thirty-six non-clinical employees were selected from twelve randomly selected Health Care organizations at Thanjavur. Thirty-two fully completed questionnaires were received.
Living in 21st century in itself reminds all of us the necessity of police and its administration. As more and more we are entering into the modern society and culture, the more we require the services of the so called ‘Khaki Worthy’ men i.e., the police personnel. Whether we talk of Indian police or the other nation’s police, they all have the same recognition as they have in India. But as already mentioned, their services and requirements are different after the like 26th November, 2008 incidents, where they without saving their own lives has sacrificed themselves without any hitch and without caring about their respective family members and wards. In other words, they are like our heroes and mentors who can guide us from the darkness of fear, militancy, corruption and other dark sides of life and so on. Now the question arises, if Gandhi would have been alive today, what would have been his reaction/opinion to the police and its functioning? Would he have some thing different in his mind now what he had been in his mind before the partition or would he be going to start some Satyagraha in the form of some improvement in the functioning of the police administration? Really these questions or rather night mares can come to any one’s mind, when there is too much confusion is prevailing in our minds, when there is too much corruption in the society and when the polices working is also in the questioning because of one or the other case throughout the India. It is matter of great concern that we have to thing over our administration and our practical approach because the police personals are also like us, they are part and parcel of our society and among one of us, so why we all are pin pointing towards them.
A STUDY ON TALENT MANAGEMENT AND ITS IMPACT ON EMPLOYEE RETENTION IN SELECTED...IAEME Publication
The goal of this study was to see how talent management affected employee retention in the selected IT organizations in Chennai. The fundamental issue was the difficulty to attract, hire, and retain talented personnel who perform well and the gap between supply and demand of talent acquisition and retaining them within the firms. The study's main goals were to determine the impact of talent management on employee retention in IT companies in Chennai, investigate talent management strategies that IT companies could use to improve talent acquisition, performance management, career planning and formulate retention strategies that the IT firms could use. The respondents were given a structured close-ended questionnaire with the 5 Point Likert Scale as part of the study's quantitative research design. The target population consisted of 289 IT professionals. The questionnaires were distributed and collected by the researcher directly. The Statistical Package for Social Sciences (SPSS) was used to collect and analyse the questionnaire responses. Hypotheses that were formulated for the various areas of the study were tested using a variety of statistical tests. The key findings of the study suggested that talent management had an impact on employee retention. The studies also found that there is a clear link between the implementation of talent management and retention measures. Management should provide enough training and development for employees, clarify job responsibilities, provide adequate remuneration packages, and recognise employees for exceptional performance.
ATTRITION IN THE IT INDUSTRY DURING COVID-19 PANDEMIC: LINKING EMOTIONAL INTE...IAEME Publication
Globally, Millions of dollars were spent by the organizations for employing skilled Information Technology (IT) professionals. It is costly to replace unskilled employees with IT professionals possessing technical skills and competencies that aid in interconnecting the business processes. The organization’s employment tactics were forced to alter by globalization along with technological innovations as they consistently diminish to remain lean, outsource to concentrate on core competencies along with restructuring/reallocate personnel to gather efficiency. As other jobs, organizations or professions have become reasonably more appropriate in a shifting employment landscape, the above alterations trigger both involuntary as well as voluntary turnover. The employee view on jobs is also afflicted by the COVID-19 pandemic along with the employee-driven labour market. So, having effective strategies is necessary to tackle the withdrawal rate of employees. By associating Emotional Intelligence (EI) along with Talent Management (TM) in the IT industry, the rise in attrition rate was analyzed in this study. Only 303 respondents were collected out of 350 participants to whom questionnaires were distributed. From the employees of IT organizations located in Bangalore (India), the data were congregated. A simple random sampling methodology was employed to congregate data as of the respondents. Generating the hypothesis along with testing is eventuated. The effect of EI and TM along with regression analysis between TM and EI was analyzed. The outcomes indicated that employee and Organizational Performance (OP) were elevated by effective EI along with TM.
INFLUENCE OF TALENT MANAGEMENT PRACTICES ON ORGANIZATIONAL PERFORMANCE A STUD...IAEME Publication
By implementing talent management strategy, organizations would have the option to retain their skilled professionals while additionally working on their overall performance. It is the course of appropriately utilizing the ideal individuals, setting them up for future top positions, exploring and dealing with their performance, and holding them back from leaving the organization. It is employee performance that determines the success of every organization. The firm quickly obtains an upper hand over its rivals in the event that its employees having particular skills that cannot be duplicated by the competitors. Thus, firms are centred on creating successful talent management practices and processes to deal with the unique human resources. Firms are additionally endeavouring to keep their top/key staff since on the off chance that they leave; the whole store of information leaves the firm's hands. The study's objective was to determine the impact of talent management on organizational performance among the selected IT organizations in Chennai. The study recommends that talent management limitedly affects performance. On the off chance that this talent is appropriately management and implemented properly, organizations might benefit as much as possible from their maintained assets to support development and productivity, both monetarily and non-monetarily.
A STUDY OF VARIOUS TYPES OF LOANS OF SELECTED PUBLIC AND PRIVATE SECTOR BANKS...IAEME Publication
Banking regulations act of India, 1949 defines banking as “acceptance of deposits for the purpose of lending or investment from the public, repayment on demand or otherwise and withdrawable through cheques, drafts order or otherwise”, the major participants of the Indian financial system are commercial banks, the financial institution encompassing term lending institutions. Investments institutions, specialized financial institution and the state level development banks, non banking financial companies (NBFC) and other market intermediaries such has the stock brokers and money lenders are among the oldest of the certain variants of NBFC and the oldest market participants. The asset quality of banks is one of the most important indicators of their financial health. The Indian banking sector has been facing severe problems of increasing Non- Performing Assets (NPAs). The NPAs growth directly and indirectly affects the quality of assets and profitability of banks. It also shows the efficiency of banks credit risk management and the recovery effectiveness. NPA do not generate any income, whereas, the bank is required to make provisions for such as assets that why is a double edge weapon. This paper outlines the concept of quality of bank loans of different types like Housing, Agriculture and MSME loans in state Haryana of selected public and private sector banks. This study is highlighting problems associated with the role of commercial bank in financing Small and Medium Scale Enterprises (SME). The overall objective of the research was to assess the effect of the financing provisions existing for the setting up and operations of MSMEs in the country and to generate recommendations for more robust financing mechanisms for successful operation of the MSMEs, in turn understanding the impact of MSME loans on financial institutions due to NPA. There are many research conducted on the topic of Non- Performing Assets (NPA) Management, concerning particular bank, comparative study of public and private banks etc. In this paper the researcher is considering the aggregate data of selected public sector and private sector banks and attempts to compare the NPA of Housing, Agriculture and MSME loans in state Haryana of public and private sector banks. The tools used in the study are average and Anova test and variance. The findings reveal that NPA is common problem for both public and private sector banks and is associated with all types of loans either that is housing loans, agriculture loans and loans to SMES. NPAs of both public and private sector banks show the increasing trend. In 2010-11 GNPA of public and private sector were at same level it was 2% but after 2010-11 it increased in many fold and at present there is GNPA in some more than 15%. It shows the dark area of Indian banking sector.
EXPERIMENTAL STUDY OF MECHANICAL AND TRIBOLOGICAL RELATION OF NYLON/BaSO4 POL...IAEME Publication
An experiment conducted in this study found that BaSO4 changed Nylon 6's mechanical properties. By changing the weight ratios, BaSO4 was used to make Nylon 6. This Researcher looked into how hard Nylon-6/BaSO4 composites are and how well they wear. Experiments were done based on Taguchi design L9. Nylon-6/BaSO4 composites can be tested for their hardness number using a Rockwell hardness testing apparatus. On Nylon/BaSO4, the wear behavior was measured by a wear monitor, pinon-disc friction by varying reinforcement, sliding speed, and sliding distance, and the microstructure of the crack surfaces was observed by SEM. This study provides significant contributions to ultimate strength by increasing BaSO4 content up to 16% in the composites, and sliding speed contributes 72.45% to the wear rate
ROLE OF SOCIAL ENTREPRENEURSHIP IN RURAL DEVELOPMENT OF INDIA - PROBLEMS AND ...IAEME Publication
The majority of the population in India lives in villages. The village is the back bone of the country. Village or rural industries play an important role in the national economy, particularly in the rural development. Developing the rural economy is one of the key indicators towards a country’s success. Whether it be the need to look after the welfare of the farmers or invest in rural infrastructure, Governments have to ensure that rural development isn’t compromised. The economic development of our country largely depends on the progress of rural areas and the standard of living of rural masses. Village or rural industries play an important role in the national economy, particularly in the rural development. Rural entrepreneurship is based on stimulating local entrepreneurial talent and the subsequent growth of indigenous enterprises. It recognizes opportunity in the rural areas and accelerates a unique blend of resources either inside or outside of agriculture. Rural entrepreneurship brings an economic value to the rural sector by creating new methods of production, new markets, new products and generate employment opportunities thereby ensuring continuous rural development. Social Entrepreneurship has the direct and primary objective of serving the society along with the earning profits. So, social entrepreneurship is different from the economic entrepreneurship as its basic objective is not to earn profits but for providing innovative solutions to meet the society needs which are not taken care by majority of the entrepreneurs as they are in the business for profit making as a sole objective. So, the Social Entrepreneurs have the huge growth potential particularly in the developing countries like India where we have huge societal disparities in terms of the financial positions of the population. Still 22 percent of the Indian population is below the poverty line and also there is disparity among the rural & urban population in terms of families living under BPL. 25.7 percent of the rural population & 13.7 percent of the urban population is under BPL which clearly shows the disparity of the poor people in the rural and urban areas. The need to develop social entrepreneurship in agriculture is dictated by a large number of social problems. Such problems include low living standards, unemployment, and social tension. The reasons that led to the emergence of the practice of social entrepreneurship are the above factors. The research problem lays upon disclosing the importance of role of social entrepreneurship in rural development of India. The paper the tendencies of social entrepreneurship in India, to present successful examples of such business for providing recommendations how to improve situation in rural areas in terms of social entrepreneurship development. Indian government has made some steps towards development of social enterprises, social entrepreneurship, and social in- novation, but a lot remains to be improved.
OPTIMAL RECONFIGURATION OF POWER DISTRIBUTION RADIAL NETWORK USING HYBRID MET...IAEME Publication
Distribution system is a critical link between the electric power distributor and the consumers. Most of the distribution networks commonly used by the electric utility is the radial distribution network. However in this type of network, it has technical issues such as enormous power losses which affect the quality of the supply. Nowadays, the introduction of Distributed Generation (DG) units in the system help improve and support the voltage profile of the network as well as the performance of the system components through power loss mitigation. In this study network reconfiguration was done using two meta-heuristic algorithms Particle Swarm Optimization and Gravitational Search Algorithm (PSO-GSA) to enhance power quality and voltage profile in the system when simultaneously applied with the DG units. Backward/Forward Sweep Method was used in the load flow analysis and simulated using the MATLAB program. Five cases were considered in the Reconfiguration based on the contribution of DG units. The proposed method was tested using IEEE 33 bus system. Based on the results, there was a voltage profile improvement in the system from 0.9038 p.u. to 0.9594 p.u.. The integration of DG in the network also reduced power losses from 210.98 kW to 69.3963 kW. Simulated results are drawn to show the performance of each case.
APPLICATION OF FRUGAL APPROACH FOR PRODUCTIVITY IMPROVEMENT - A CASE STUDY OF...IAEME Publication
Manufacturing industries have witnessed an outburst in productivity. For productivity improvement manufacturing industries are taking various initiatives by using lean tools and techniques. However, in different manufacturing industries, frugal approach is applied in product design and services as a tool for improvement. Frugal approach contributed to prove less is more and seems indirectly contributing to improve productivity. Hence, there is need to understand status of frugal approach application in manufacturing industries. All manufacturing industries are trying hard and putting continuous efforts for competitive existence. For productivity improvements, manufacturing industries are coming up with different effective and efficient solutions in manufacturing processes and operations. To overcome current challenges, manufacturing industries have started using frugal approach in product design and services. For this study, methodology adopted with both primary and secondary sources of data. For primary source interview and observation technique is used and for secondary source review has done based on available literatures in website, printed magazines, manual etc. An attempt has made for understanding application of frugal approach with the study of manufacturing industry project. Manufacturing industry selected for this project study is Mahindra and Mahindra Ltd. This paper will help researcher to find the connections between the two concepts productivity improvement and frugal approach. This paper will help to understand significance of frugal approach for productivity improvement in manufacturing industry. This will also help to understand current scenario of frugal approach in manufacturing industry. In manufacturing industries various process are involved to deliver the final product. In the process of converting input in to output through manufacturing process productivity plays very critical role. Hence this study will help to evolve status of frugal approach in productivity improvement programme. The notion of frugal can be viewed as an approach towards productivity improvement in manufacturing industries.
A MULTIPLE – CHANNEL QUEUING MODELS ON FUZZY ENVIRONMENTIAEME Publication
In this paper, we investigated a queuing model of fuzzy environment-based a multiple channel queuing model (M/M/C) ( /FCFS) and study its performance under realistic conditions. It applies a nonagonal fuzzy number to analyse the relevant performance of a multiple channel queuing model (M/M/C) ( /FCFS). Based on the sub interval average ranking method for nonagonal fuzzy number, we convert fuzzy number to crisp one. Numerical results reveal that the efficiency of this method. Intuitively, the fuzzy environment adapts well to a multiple channel queuing models (M/M/C) ( /FCFS) are very well.
ICH Guidelines for Pharmacovigilance.pdfNEHA GUPTA
The "ICH Guidelines for Pharmacovigilance" PDF provides a comprehensive overview of the International Council for Harmonisation of Technical Requirements for Pharmaceuticals for Human Use (ICH) guidelines related to pharmacovigilance. These guidelines aim to ensure that drugs are safe and effective for patients by monitoring and assessing adverse effects, ensuring proper reporting systems, and improving risk management practices. The document is essential for professionals in the pharmaceutical industry, regulatory authorities, and healthcare providers, offering detailed procedures and standards for pharmacovigilance activities to enhance drug safety and protect public health.
CRISPR-Cas9, a revolutionary gene-editing tool, holds immense potential to reshape medicine, agriculture, and our understanding of life. But like any powerful tool, it comes with ethical considerations.
Unveiling CRISPR: This naturally occurring bacterial defense system (crRNA & Cas9 protein) fights viruses. Scientists repurposed it for precise gene editing (correction, deletion, insertion) by targeting specific DNA sequences.
The Promise: CRISPR offers exciting possibilities:
Gene Therapy: Correcting genetic diseases like cystic fibrosis.
Agriculture: Engineering crops resistant to pests and harsh environments.
Research: Studying gene function to unlock new knowledge.
The Peril: Ethical concerns demand attention:
Off-target Effects: Unintended DNA edits can have unforeseen consequences.
Eugenics: Misusing CRISPR for designer babies raises social and ethical questions.
Equity: High costs could limit access to this potentially life-saving technology.
The Path Forward: Responsible development is crucial:
International Collaboration: Clear guidelines are needed for research and human trials.
Public Education: Open discussions ensure informed decisions about CRISPR.
Prioritize Safety and Ethics: Safety and ethical principles must be paramount.
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Antibiotic Stewardship by Anushri Srivastava.pptxAnushriSrivastav
Stewardship is the act of taking good care of something.
Antimicrobial stewardship is a coordinated program that promotes the appropriate use of antimicrobials (including antibiotics), improves patient outcomes, reduces microbial resistance, and decreases the spread of infections caused by multidrug-resistant organisms.
WHO launched the Global Antimicrobial Resistance and Use Surveillance System (GLASS) in 2015 to fill knowledge gaps and inform strategies at all levels.
ACCORDING TO apic.org,
Antimicrobial stewardship is a coordinated program that promotes the appropriate use of antimicrobials (including antibiotics), improves patient outcomes, reduces microbial resistance, and decreases the spread of infections caused by multidrug-resistant organisms.
ACCORDING TO pewtrusts.org,
Antibiotic stewardship refers to efforts in doctors’ offices, hospitals, long term care facilities, and other health care settings to ensure that antibiotics are used only when necessary and appropriate
According to WHO,
Antimicrobial stewardship is a systematic approach to educate and support health care professionals to follow evidence-based guidelines for prescribing and administering antimicrobials
In 1996, John McGowan and Dale Gerding first applied the term antimicrobial stewardship, where they suggested a causal association between antimicrobial agent use and resistance. They also focused on the urgency of large-scale controlled trials of antimicrobial-use regulation employing sophisticated epidemiologic methods, molecular typing, and precise resistance mechanism analysis.
Antimicrobial Stewardship(AMS) refers to the optimal selection, dosing, and duration of antimicrobial treatment resulting in the best clinical outcome with minimal side effects to the patients and minimal impact on subsequent resistance.
According to the 2019 report, in the US, more than 2.8 million antibiotic-resistant infections occur each year, and more than 35000 people die. In addition to this, it also mentioned that 223,900 cases of Clostridoides difficile occurred in 2017, of which 12800 people died. The report did not include viruses or parasites
VISION
Being proactive
Supporting optimal animal and human health
Exploring ways to reduce overall use of antimicrobials
Using the drugs that prevent and treat disease by killing microscopic organisms in a responsible way
GOAL
to prevent the generation and spread of antimicrobial resistance (AMR). Doing so will preserve the effectiveness of these drugs in animals and humans for years to come.
being to preserve human and animal health and the effectiveness of antimicrobial medications.
to implement a multidisciplinary approach in assembling a stewardship team to include an infectious disease physician, a clinical pharmacist with infectious diseases training, infection preventionist, and a close collaboration with the staff in the clinical microbiology laboratory
to prevent antimicrobial overuse, misuse and abuse.
to minimize the developme
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R3 Stem Cells and Kidney Repair A New Horizon in Nephrology.pptxR3 Stem Cell
R3 Stem Cells and Kidney Repair: A New Horizon in Nephrology" explores groundbreaking advancements in the use of R3 stem cells for kidney disease treatment. This insightful piece delves into the potential of these cells to regenerate damaged kidney tissue, offering new hope for patients and reshaping the future of nephrology.
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Deep Leg Vein Thrombosis (DVT): Meaning, Causes, Symptoms, Treatment, and Mor...The Lifesciences Magazine
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India Clinical Trials Market: Industry Size and Growth Trends [2030] Analyzed...Kumar Satyam
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Empowering ACOs: Leveraging Quality Management Tools for MIPS and BeyondHealth Catalyst
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Health Education on prevention of hypertensionRadhika kulvi
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CHAPTER 1 SEMESTER V PREVENTIVE-PEDIATRICS.pdfSachin Sharma
This content provides an overview of preventive pediatrics. It defines preventive pediatrics as preventing disease and promoting children's physical, mental, and social well-being to achieve positive health. It discusses antenatal, postnatal, and social preventive pediatrics. It also covers various child health programs like immunization, breastfeeding, ICDS, and the roles of organizations like WHO, UNICEF, and nurses in preventive pediatrics.
2. An Overview of Factors Influencing Quality Management with Reference to Nursing Services
https://iaeme.com/Home/journal/IJM 2381 editor@iaeme.com
1. INTRODUCTION
The major factor that affects the quality of care provided by the nurses which is directly
depended on them includes the competence level of the personnel. As patients suffer from
multiple illness or diseases, the complexity of care increases which in turn increase the
workloads of nurses. This impetrates the need for well trained nurses to provide complex patient
care which is safe as well as patient centred in a hospital environment. In order to work with
professionalism, nurses need to possess certain competencies, namely social skills, expertise &
experience and ability to prioritize the work.
Social skills such as positive attitude and behaviour, composure, finding time for patients,
willingness to listen to them and to have empathy towards them are important nursing
competencies to create a trustful care relationship. These skills are in the real time that are
expressing the sense of commitment towards the patient fraternity and also play an important
role in quality management.
Three key aspects related to expertise and experience which includes knowledge, technical
skills and communicative capabilities also influence the quality of care provided by the
personnel. Nurses must possess a concrete knowledge related to their profession and should
maintain as well as understand both existing developments and new insights developing in the
professional scenario. To be able to provide effective as well as safe nursing care to the patients,
the professionals must possess technical skills. Also nurses serve as spokespersons for patients
as they are easily accessible and can act as a link between the patient and other professionals in
a hospital environment.
As a nurse is concerned, various activities can occur simultaneously during the daily care
of patients. Hence it is important that nurses should be able to assess what care is required by
the patient at the moment and then flexibly coordinate various nursing care activities with each
other. Prioritisation is all about the organization of nursing care in the most appropriate manner.
Nurses must decide upon what the appropriate choices are to be made, what is critical and what
is not. Those choices influence patient experiences.
1.1. Nurses and Total Quality Management
Nurses are a patient’s direct contact in a medical institution and are responsible for providing
whatever information or care they require and hence quality management begins with them.
But as one can imagine, it’s no easy feat and even requires the nurses to participate in
managerial strategies way out of their comfort zone to fully engage in quality management
programmes on top of being in direct contact with their patients. According to existing
researches, nurses have participated in the monitoring of the quality of client care for many
years, and Quality Assurance has long been an institution within nursing in the hospital setting.
Truth be told, quality management is not a new concept. It has been practiced for decades but
has evolved and attained new forms throughout the years.
2. REVIEW OF LITERATURE
Suganya and Panneer selvam, (2017). Nowadays the health care organizations are looking
forward committed multitask quality from the nursing professionals, because they play an
important role in providing the quality care to patients and their family members. They face
more challenges to cope with the standards. But the responsibility for quality control lies not
only on nursing professionals or the health care organization but in reality it is a shared one.
Each one in the organization has equal responsibility to provide a quality care.
Elyrose Sousa Brito Rocha and Maria AuxiliadoraTrevizan, (2009),The study aimed to
know the opinion of nurses in relation to the Quality Management implemented in a hospital
service. This is an exploratory and descriptive study carried out with a sample of 17 individuals.
3. Thomas Maliakkal and G. Vani
https://iaeme.com/Home/journal/IJM 2382 editor@iaeme.com
The main results, among the 14 principles of quality, reveal that the seventh principle “adopt
and institute leadership” received the highest score. On the other hand, the lowest scored
principle was the third: “cease the dependency of mass inspection”. The obtained results,
coupled with theoretical knowledge on the subject and professional experience on the
management of nursing services, lead us to the conclusion that nurses consider Total Quality a
practical philosophy to be implemented in the services under their responsibility and accept the
challenge of overcoming barriers related to tradition, going from discourse to practice.
Mary Cruickshank, (2003), In Australia, the traditional Quality Assurance approach used
in the hospital setting has played an important role in nursing practice. During the past decade,
nurses have begun making a paradigm shift from Quality Assurance to Total Quality
Management but scant attention has been paid to quality management practices in nursing in
the higher education sector. This paper reports on a quantitative study examining the
perceptions of nurse academics to the applicability of TQM to nursing in universities. The
findings identified how TQM could be applied to suit the nursing culture in the higher education
sector.
Berra YilmazKuşakli, (2020), As a result of this practice, clinical-based drug and medical
consumables management of nursing services, job analysis of responsible nurses and related
job descriptions were determined and procedures for drug management and medical
consumables management were arranged. Pharmaceutical and medical consumables
management is provided by the procedure. Application integrity between clinics was ensured.
It is recommended that this practice be developed to cover other nursing practice areas within
the institutional framework.
3. STATEMENT OF PROBLEMS
Effective quality care management will always focus on the needs of the patients, because they
are the ultimate authority to judge the effectiveness of treatments and the service provided.
Patient expectations and needs change over time to time consequently, sound quality
management calls for constant surveillance of the patients’ satisfaction and progress with the
service. Therefore, it is the most remarkable and commonly used instrument for measuring the
quality of health care. It affects the efficient, timely and patient centred mode of quality health
care. Patient satisfaction is thus a proxy but a very effective index to measure the competency
of doctors and hospitals.
4. OBJECTIVES OF THE STUDY
The present article carry out following objectives are
• To find out the profile of respondents and factors influencing quality management with
reference to nursing services
5. METHODOLOGY OF THE STUDY
The nature of the research is descriptive as well as empirical and it has been conducted by using
primary as well as secondary data collected for this purpose. The present research work is an
attempt to study the factors influencing quality management with reference to nursing services.
The data needed for the study has been collected from the respondentsthrough questionnaires
and through direct interviews.The sample for the study was selected from a hospital with
reference to nursing services
5.1. Sampling Technique
The study was mainly carried out by empirical investigation through the collection of primary
data from the hospital management with reference to nursing services. There were only 150 at
4. An Overview of Factors Influencing Quality Management with Reference to Nursing Services
https://iaeme.com/Home/journal/IJM 2383 editor@iaeme.com
management with reference nursing services. Hence, the entire populations were selected as
the samples for the study.
5.2. Period of the Study
The present study covers the period of 2 years from 2018 to 2020. The primary data covered is
from the period December 2018 to March 2020.
5.3. Tools and Technique used
Some of the statistical tools are used to analyse and interpret the data. This Project report used
the following tools and techniques. Percentage, Chi-Square Test and Analysis of Variance
[ANOVA]
Table 1 Profile of Respondents of the Nursing Services of Hospital Management.
Sl.
No.
Particulars Factors
Total Grand Total
T.N.R % T.N.R %
1 Age Groups 20-25 25 16.67
150 100
26-35 88 58.67
36-45 37 24.67
2 Gender Male 63 42
150 100
Female 87 58
3 Marital Status Single 47 31.34
150 100
Married 72 48
Divorced/Separated 17 11.34
Widowed 14 9.34
4 Nursing Education Bachelor’s degree 61 40.67
150 100
Master’s degree 12 8
Diploma / GNM 74 49.34
Any Other specialization 3 2
5 Experience details Below 1 18 12
150 100
1-2 22 14.67
3-5 49 32.67
6 and above 61 40.67
6 Residential area Rural 28 18.67
150 100
Semi
. urban
91 60.67
Urban 31 20.67
7 Current Position Staff nurse 65 43.33
150 100
Senior staff nurse 50 33.33
Head nurse 35 23.34
Sources: Primary Data 2020.T.N.R(Total Number of Respondents)
The above table reveals the profile of the respondents. From the 150 respondents, the
predominant age group of 88 respondents are between 26-35 years, 37 respondents are between
the age group of 36-45 years and remaining 25 respondents are between the age group of 20-
25 years. Out of 150 respondents 63 respondents are male and a good majority of remaining 87
respondents are female. Majority of 72 respondents are married 47, 17, 14 respondents are
single, divorced and widowed respectively. From 150 Respondents, 74 respondents have
completed Diploma/GNM, 61 respondents have bachelor’s degree,12 Respondents have
Master’s degree and minimum of 3 Respondents are specialized in other discipline.The
experience details of respondent’s shows that a majority of 61 respondents have more than 6
years of experience and a minimum of 18 respondents have below one year of experience.
5. Thomas Maliakkal and G. Vani
https://iaeme.com/Home/journal/IJM 2384 editor@iaeme.com
Majority of 91 Respondents are living in the Semi-Urban areas, 31 Respondents living in Urban
and 28 Respondents are living in rural areas. Out of 150 Respondents, 65 Respondents are
working as Staff Nurse, 50 Respondents positioned as Senior Staff Nurse and 35 respondents
are working as Head Nurse.
Table 2 Age Vs Factors Influencing Nursing Quality
Ho: There is no relationship between Age and factors influencing nursing quality of
respondents of the organization related factors.
Source of
Variation
Sum of
Squares
D.F
Mean
Square
F
Table Value
At 1%
Result
Between Groups 6.222 4 6.222 1.207 6.54
Not
Significant
Within Groups 836.450 146 2.272
Total 842.672 150
Sources: Primary Data 2020.
The calculate F Value is (1.207) less than the table value (6.54) at 1 percent level of
significance. Further, there is no significant relationship among age and factors influencing
nursing quality of the respondents in the organization. Hence, the null hypothesis (H2) is
accepted.
Table 3 Gender Vs Factors Influencing Nursing Quality
Ho: There is no relationship between gender and factors influencing nursing quality of the
respondents in the hospital management related factors.
Source of
Variation
Sum of
Squares
D.F
Mean
Square
F
Table Value
At 1%
Result
Between Groups 16.222 6 7.202 2.217 6.34
Not Significant
Within Groups 726.40 144 3.232
Total 842.672 150
Sources: Primary Data 2020.
The calculate F Value is (2.217) less than the table value (6.3 4) at 1 percent level of
significance. Further, there is no significant relationship among gender and factors influencing
nursing quality of the respondents of the hospital management. Hence, the null hypothesis (H2)
is accepted.
Table 4 Marital Status Vs Factors Influencing Nursing Quality
Ho: There is no relationship between marital status and factors influencing nursing quality of
the respondents of organization related factors.
Source of
Variation
Sum of
Squares
D.F
Mean
Square
F
Table Value
At 1%
Result
Between Groups 26.222 1 5.112 2.170 7.24
Not
Significant
Within Groups 636.40 149 2.142
Total 4842.672 150
Sources: Primary Data 2020.
The calculate F Value is (2.170) less than the table value (7.24) at 1 percent level of
significance. Further, there is no significant relationship among the marital status and the factors
influencing nursing quality of the respondents of the organization. Hence, the null hypothesis
(H2) is accepted.
6. An Overview of Factors Influencing Quality Management with Reference to Nursing Services
https://iaeme.com/Home/journal/IJM 2385 editor@iaeme.com
Table 5 Gender Vs of Nursing Education
Gender
Nursing Education
Total
Bachelor Masters Diploma
Any other
Specialization
Male 21
(74.35)
8
(80)
43
(43)
0
(0)
72
(48)
Female 18
(46.15)
2
(20)
57
(57)
1
(1)
78
(52)
Total 39 10 100 1 150
Sources: Primary Data 2020.
A maximum number of 52 percent of respondents are female in that 43 respondents
completed diploma and 80 respondents completed master’s degree and minimum of 48
respondents are male.
Gender Vs of Nursing Education
Chi-squre value D.F Table value at 1% Result
159.1 3 12.271 Significant
The calculated chi square value is 159.1 greater than the table value12, 271 at percent level
of significance. Therefore, there is a significant relationship among gender and nursing
education of the respondents. Hence the null hypothesis h2 is rejected
6. SUGGESTIONS
• From the perspective of the patients, it is important that both patient and the nurse should
develop an understanding between each other so as to bring about the results of the
service rendered by the nurses. This impetrates the need of best possible communication
and co-operation between them. It is suggested that nurses develop a better
communication skill and convincing capacity to improve the care quality provided by
them.
• Among the management related factors, the most important factor that affected nursing
quality as identified from the research was staff development activities, followed by
hospital facilities, organizational structure and processes and managerial support.
7. CONCLUSION
The major nurse related challenges faced in the process of quality management in nursing care
are lack of nursing knowledge and competency, instability in nursing team, lack of motivation
among nurses, lack of authority of nurses to make autonomous decision, unwillingness of
nurses to adapt to new technologies, lack of professional discipline of nurses and emotional
detachment of nurses with patients. Similarly, the major management related challenges faced
in the process of nursing quality management are lack of co-operation between nurses and other
staff, inadequate resources and facilities, shifts and duty rotations without the consent of nurses,
ensuring safety and security of nurses during day and night shifts, lack of management
leadership and orientation, lack of planning in adjusting work hours of nurses and lack of
patients trust in nurses.
7. Thomas Maliakkal and G. Vani
https://iaeme.com/Home/journal/IJM 2386 editor@iaeme.com
REFERENCES
[1] Suganya and Panneer selvam, (2017). Quality Assurance a Key to Success in Nursing: An
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in Australia, Vol 26 • No 1, PP 200-206.
[3] Elyrose Sousa Brito Rocha and Maria Auxiliadora Trevizan, (2009), Quality Management at
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ScieloBrasil, pp 240-245.
[4] Berra YilmazKuşakli, (2020), Material Management in Nursing Services: Organization
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