Search results
Results from the WOW.Com Content Network
Behaviorally anchored rating scales (BARS) are scales used to rate performance.BARS are normally presented vertically with scale points ranging from five to nine. It is an appraisal method that aims to combine the benefits of narratives, critical incidents, and quantified ratings by anchoring a quantified scale with specific narrative examples of good, moderate, and poor performance.
Pay for performance systems link compensation to measures of work quality or goals. Current methods of healthcare payment may actually reward less-safe care, since some insurance companies will not pay for new practices to reduce errors, while physicians and hospitals can bill for additional services that are needed when patients are injured by mistakes. [1]
For example, a measure for the length of stay after giving birth was deleted after legislation mandating minimum length of stay rendered this measure nearly useless. Increased attention to medical care for seniors prompted the addition of measures related to glaucoma screening and osteoporosis treatment for older adults.
This subversion has been the justification for repeated attempts to improve process and thus outcomes by reorganizing the structure of health care, wittily described by Oxman et al. [16] Donabedian himself cautioned that outcomes measurement cannot distinguish efficacy from effectiveness: (outcomes may be poor because the right treatment is ...
Standards-based audit – A cycle which involves defining standards, collecting data to measure current practice against those standards, and implementing any changes deemed necessary. Adverse occurrence screening and critical incident monitoring – This is often used to peer review cases which have caused concern or from which there was an ...
The dominant research method is the randomised controlled trial. Qualitative research is based in the paradigm of phenomenology , grounded theory , ethnography and others, and examines the experience of those receiving or delivering the nursing care, focusing, in particular, on the meaning that it holds for the individual.
Although much of nursing ethics can appear similar to medical ethics, there are some factors that differentiate it. Breier-Mackie [5] suggests that nurses' focus on care and nurture, rather than cure of illness, results in a distinctive ethics. Furthermore, nursing ethics emphasizes the ethics of everyday practice rather than moral dilemmas. [2]
A health care time and motion study is used to research and track the efficiency and quality of health care workers. [31] In the case of nurses, numerous programs have been initiated to increase the percent of a shift nurses spend providing direct care to patients. Prior to interventions nurses were found to spend ~20% of their time doing ...