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Artigos de revistas sobre o assunto "Hospitals – Food service – Personnel management"
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Sanchez, Emily, Amy R. Gelfand, Michael D. Perkins, Maia C. Tarnas, Ryan B. Simpson, Jarrod A. McGee e Elena N. Naumova. "Providing Food and Nutrition Services during the COVID-19 Surge at the Javits New York Medical Station". International Journal of Environmental Research and Public Health 18, n.º 14 (12 de julho de 2021): 7430. http://dx.doi.org/10.3390/ijerph18147430.
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Military field hospitals typically provide essential medical care in combat zones. In recent years, the United States (US) Army has deployed these facilities to assist domestic humanitarian emergency and natural disaster response efforts. As part of the nation’s whole-of-government approach to the coronavirus disease (COVID-19) pandemic, directed by the Federal Emergency Management Agency and the Department of Health and Human Services, during New York City’s (NYC) initial surge of COVID-19, from 26 March to 1 May 2020, the US Army erected the Javits New York Medical Station (JNYMS) field hospital to support the city’s overwhelmed healthcare system. The JNYMS tasked a nutrition operations team (NuOp) to provide patient meals and clinical nutrition evaluations to convalescent COVID-19 patients. However, few guidelines were available for conducting emergency nutrition and dietary response efforts prior to the field hospital’s opening. In this case study, we summarize the experiences of the NuOp at the JNYMS field hospital, to disseminate the best practices for future field hospital deployments. We then explain the challenges in service performance, due to information, personnel, supply, and equipment shortages. We conclude by describing the nutrition service protocols that have been implemented to overcome these challenges, including creating a standardized recordkeeping system for patient nutrition information, developing a meal tracking system to forecast meal requirements with food service contractors, and establishing a training and staffing model for military-to-civilian command transition. We highlight the need for a standardized humanitarian emergency nutrition service response framework and propose a Nutrition Response Toolkit for Humanitarian Crises, which offers low-cost, easily adaptable operational protocols for implementation in future field hospital deployments.
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Kuperberg, Karen, Diana Mager e Susan Dello. "Transformation to Room Service Food Delivery In a Pediatric Health Care Facility". Canadian Journal of Dietetic Practice and Research 70, n.º 4 (dezembro de 2009): 200–203. http://dx.doi.org/10.3148/70.4.2009.200.
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Patient food service is an important component in the nutritional management of hospitalized children. The previous meal delivery system at The Hospital for Sick Children in Toronto was a cold-plating re-thermalized system. Issues related to this model included order lead time, the reheating process, menu selection, and service style. Research into other systems led us toward room service, an innovative and flexible mode of meal delivery. Transformation to room service occurred over one year, and included implementation of a new computer system, kitchen renovation, redesign of menus and a new meal delivery system called Meal Train, and changes to human resource allocations. Throughout the transformation, consultations were held with key stakeholders, including the children’s council, the family advisory, the nursing council, and a multidisciplinary committee involving nursing staff, dietitians, patient service aides, infection control personnel, occupational health employees, patient representatives, and food services staff. Now, Meal Train is running smoothly, and meal days and food costs have been reduced. Others considering a project like this must know their clients’ needs and be willing to think outside the box. They should familiarize themselves with current information on systems and equipment, consult with key stakeholders within their organization, and then create the system that will work for them.
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Copca, Narcis, e Constanta Mihaescu-Pintia. "Motivating hospital personnel for excellence in a rough environment". Proceedings of the International Conference on Business Excellence 11, n.º 1 (1 de julho de 2017): 368–80. http://dx.doi.org/10.1515/picbe-2017-0040.
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Abstract Work motivation and satisfaction are core performance factors, of a broad complexity in healthcare. In spite of all economic, political, administrative, regulatory or bureaucratic adversities, there are public Romanian hospitals striving to perform at European level. Medical personnel dissatisfaction, and shortage due to migration are significant challenges for managers. Methodology: the main research question is whether motivation is a key factor in a public Romanian hospital oriented to clinical excellence, reflected by retention of medical staff and their professional satisfaction, and also perceived by their patients. Purpose: to analyze importance and level of job satisfaction of hospital personnel in relation with other motivation components given the rough environment of Romanian public healthcare system, and its reflection on patient satisfaction. The paper is based on two studies: professional satisfaction survey conducted among all 350 employees of the Clinical Hospital “St. Maria” Bucharest accredited for liver transplantation and achieving great clinical performance, based on a 21-questions semi-structured questionnaire. Second, a patient satisfaction survey conducted on a sample of 75 patients randomly selected from all 5 hospital departments, out of an average of approximately 230 patients per week, by applying on discharge day a questionnaire of 30 questions. Results: Great majority of our personnel appreciated as appropriate: their working conditions, communication and relationship with hierarchic boss and with hospital management team. 84.6% of medical and 90.5% of nonmedical personnel declared to be professionally very satisfied and satisfied in this hospital. Patient satisfaction analysis indicated that almost all respondents were informed by medical personnel about their conditions and rights, receiving explanations about treatment; 90% considered care received at a very good quality, except for food; 90.2% of respondents rated as very good the personnel kindness, availability, communication, information and care; 67,2% of patients stated as very satisfied and 23% satisfied with the medical care received, and all respondents would choose this hospital again if needed and even would recommend it to others. Conclusion: Anticipating their needs and motivating hospital personnel to achieve high performance is of great importance for managers and employees, by focusing on people and using appropriate tools even when no direct financial incentives are possible. Professional satisfaction has to be periodically measured, correlated with patient surveys and followed by specific actions for improvement and kept high, thus allowing climbing up to the best hospitals in Bucharest, despite significant challenges within Romanian public healthcare system. Our analysis showed the importance of job motivation and satisfaction in public hospitals, despite the rough environment, and reflection of work satisfaction on employees-patients relationship in terms of availability, communication, providing information and feedback, care, and choice/preference for future services. Thus, our research objectives were fulfilled.
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Begum, Sheuly, Khorshed Ali Miah, Aseesh Kumar Saha, China Rani Mittra e Mst Jannat Ara Ahmed. "Management of dietary services at National Institute of Cancer Research and Hospital (NICRH), Bangladesh". Asian Journal of Medical and Biological Research 6, n.º 3 (17 de outubro de 2020): 548–54. http://dx.doi.org/10.3329/ajmbr.v6i3.49807.
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Patient meals are an integral part of hospital treatment and crucial to aid recovery. A cross-sectional study was conducted to determine the Management of Dietary Services at National Institute of Cancer Research and Hospital. The purpose of this study was to make provision for safe, clean, hygienic and nutritious diet for the indoor patient as per their caloric requirement. This study compiled from 1st January to 31st December 2017 and the sample size was 113(dietary personnel 9 and patients 104) and it was purposive sampling technique. Data were collected through semi-structured questionnaire and observational check-list. Data analysis was done using SPSS software version 20. Satisfaction level was categories in to Satisfied and Dissatisfied. Among the service receiver of this hospital 15.4% were found satisfied with the dietary services. Cleanliness status of kitchen was average. It was highly suggested that the higher number of trained manpower needs to be appointed in future as required. Moreover, a standardize cooking system should be adopted by the authority for improving the quality of cooking food in order to obtain increased patient’s satisfaction.
Asian J. Med. Biol. Res. September 2020, 6(3): 548-554
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King, Heather C., Natalie Spritzer e Nahla Al-Azzeh. "Perceived Knowledge, Skills, and Preparedness for Disaster Management Among Military Health Care Personnel". Military Medicine 184, n.º 9-10 (16 de março de 2019): e548-e554. http://dx.doi.org/10.1093/milmed/usz038.
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Abstract Introduction The Indo-Asia-Pacific region has the highest incidence of natural disasters world-wide. Since 2000, approximately 1.6 billion people in this region have been affected by earthquakes, volcanos, tsunamis, typhoons, cyclones, and large-scale floods. The aftermath of disasters can quickly overwhelm available resources, resulting in loss of basic infrastructure, shelter, health care, food and water, and ultimately, loss of life. Over the last 12 years, US military forces have collaborated with countries throughout the Indo-Asia-Pacific region to enhance disaster preparedness and management during shipboard global health engagement missions. Military health care personnel are integral in this effort and have planned subject-matter expert exchanges, multidisciplinary conferences, courses, and hyper realistic simulated military-to-military training exercises related to disaster preparedness. Military health care providers are essential not only to providing international education and training, but also to ensuring optimal readiness to respond to future disasters in the Indo-Asia-Pacific region and worldwide. The ability to effectively respond to disasters and collaborate with other nations promotes international stability. Yet, few studies have examined disaster preparedness among US military health care personnel. This study aimed to assess knowledge, skills, and preparedness for disaster management among US military health care personnel preparing to deploy on a global health engagement mission. Materials and Methods A descriptive, cross-sectional study utilizing the Disaster Preparedness Evaluation Tool (DPET) examined self-reported perceptions of disaster preparedness among US military health care personnel preparing to deploy on a shipboard global health engagement mission. The DPET assessed perceived knowledge of disaster preparedness, disaster mitigation and response, and disaster recovery. Three hundred Hospital Corpsmen/Medics and officers in the Nurse Corps, Medical Corps, Medical Service Corps, and Dental Corps were invited to participate. One hundred fifty-four surveys were completed (response rate, 51%). Nineteen surveys were excluded from the analysis due to incomplete responses. Participants rated responses to 46 Likert items (scale of 1–6) and responded to 23 descriptive items. The study protocol was approved by the Naval Medical Center San Diego Institutional Review Board, protocol number NMCSD.2017.0061, in compliance with all applicable federal regulations governing the protection of human subject research. Results All item mean scores on each of the three DPET subscales resulted in moderate levels of perceived disaster preparedness among military healthcare personnel (disaster preparedness means ranged from 3.04 to 4.67, disaster response means ranged from 3.76 to 4.29, and disaster recovery means ranged from 3.47 to 4.29). The final regression model had 6 significant variables that predicted DPET scores: previous disaster drills (p = 0.00), experiencing a real disaster (p = 0.002), bioterrorism training (p = 0.02), education level (p = 0.025), years in specialty (p = 0.019), and previous global health engagement missions (p = 0.016), with R2 = 0.39, R2adj = 0.36, F (7, 127) = 12.04. Conclusions Disaster preparedness among military healthcare personnel could be improved to function optimally for future global health engagement missions. This study expands current understandings of disaster preparedness among US military health care providers and identifies ways to improve and enhance training.
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Brilhante, Dialina, Ana Macedo e Ana Harfouche. "Blood, Esa’s and Costs". Blood 112, n.º 11 (16 de novembro de 2008): 1303. http://dx.doi.org/10.1182/blood.v112.11.1303.1303.
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Abstract Background: The demand for allogeneic blood (packed red blood cells) has been progressively increasing. The introduction of safety measures substantially increased its cost and limited the available supply. Because both supply and demand for blood has not yet reached a plateau, namely in Portugal, the introduction and adoption of treatments that reduce transfusion, such as Erythropoiesis Stimulating Agents (ESA’S) for patients with chemotherapy induced anemia (CIA) is a welcome strategy to manage the hospital blood supply. Recently an advisory panel to the US Food and Drug Administration has recommended that the agency further limit the use of ESA’S, and in Europe, the European Medicines Agency (EMEA) emitted a statement that “cancer patients with a reasonably long life expectancy” should receive blood transfusions rather than take drugs for anemia. With these warnings we are probably going to see an increase in demand for blood. Estimating blood costs is a complex undertaking, surpassing simple versus demand economics, and is not simple or straightforward; the underlying issue is whether hospitals are billing appropriately for blood products and how extensively its value is calculated. The National Health Care System is making a huge effort to control the rising costs associated with the delivery of health services, namely developing a new allocation method for hospitals. Activity-based costing (ABC) is an approach to the management of resources that allows the ‘real’ resource costs and time of a service activity to be estimated. Traditional costing systems often group many costs together as overheads. The Accounting System for Activities in the Hospitals (SCAH) is outlined to evaluate detailed cost elements, understanding cost behaviour, which can facilitate future policy decisions, because policy makers have the opportunity to more fully understand the implications of incremental changes. We applied the SCAH to the Blood Bank of IPOFG Lisbon, in order to evaluate a far more accurate appraisal of the actual cost of the blood. The cost of correcting CIA is an open issue as both ESAS’S and Transfusion may offer symptomatic benefit. In Portugal the price of ESA’S, Erythropoietin alfa decreased almost 50% from 2000–2008, not including the final price, negotiated in each hospital. On the other hand, the price of one unit of packed RBCs continues to rise, and with different values, depending on the methodology used. Purpose: Evaluation of the costs of both alternatives to increase 1g of haemoglobin, in a hemato-oncological hospital, belonging to National Health Service and not for profit. Methods: We analysed the official prices of ESA’S between 2000–2008 published by the Ministry of Health. We used an activity – based approach to more fully account for the cost of blood, than present estimates, derived from the concept of activity-based costing (ABC). We applied this method to the process Chart flows of activities associated with blood collection facility and the others associated to the transfusion service. Results: Prices of Epoeitin - a (1000 UI/5μg) and Darbepoeitin according to National Catalogue Prices 2000 2001 2002 2003 2004 2005 2006 2007 2008 Epoietin-a €11,17 €7,20 €6,73 €6,52 €6,52 €6,12 €6,12 €6,12 €6,12 Darbepoeitin - - - €7,80 €7,00 €6,52 €6,52 €6,12 €6,12 Price of Packed RBC (2007), calculated using ABC methodology % Price (€) Personnel 25,32 90,26 Material to blood collection 6,47 23,07 Equipment 1,03 3,67 Common Costs 5,03 17,92 Reagents 3,69 13,15 Outsourcing 1,83 6,52 Structures 1,01 3,60 Laboratory analysis 15,85 56,50 Transfusion Session 39,77 141,75 Total 100% 356,44 Increment of 1g haemoglobin 1 unit of Packed RBC and transfusion session 30.000 UI EPO-a (fixed dose every week) 150 mg Darbepoeitin (fixed dose every week) €356.44 + €30* €183,6 × 2 = €367,2 * Haemovigilance network €183,6 × 4 = €734,4 The cost of 1 unit of packed RBC is equivalent a two fixed doses of EPO- a and Darbepoitin, respectively (30000 UI and 150 mg). Each hospital can negotiate catalogue adjusted prices for ESA’s, so if we presume that these values can be reduced by half, the price of 1 unit of packed RBC is equivalent to 4 fixed doses of treatment with ESA’s. Conclusions: Once the ability of ESA’s to reduce transfusions requirements has been documented in the literature, the costs of ESA’S and Transfusion might be another factor in determining which approach should be used.
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Edwards, John S. A., Audrey Edwards e Julie A. Salmon. "Food service management in hospitals". International Journal of Contemporary Hospitality Management 12, n.º 4 (julho de 2000): 262–66. http://dx.doi.org/10.1108/09596110010330840.
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Askarian, Mehrdad, Gholamhosein Kabir, Maria Aminbaig, Ziad A. Memish e Peyman Jafari. "Knowledge, Attitudes, and Practices of Food Service Staff Regarding Food Hygiene in Shiraz, Iran". Infection Control & Hospital Epidemiology 25, n.º 1 (janeiro de 2004): 16–20. http://dx.doi.org/10.1086/502285.
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AbstractBackground:The practice of safety measures by the food service staff in hospitals is necessary for the prevention of food-borne outbreaks. Hospitalized patients are more vulnerable to potential hazards, and neglecting these principles can lead to increased morbidity and mortality.Methods:We assessed the knowledge, attitudes, and practices of food service staff regarding food hygiene in government and private hospitals in Shiraz, Iran. Two questionnaires were designed, one for food service staff and the ofher for supervisors. Thirty-one hospitals were approached, and the response rate was 99.5%. Four models were developed regarding knowledge, attitudes, and practices, and a multiple logistic regression analysis was performed. Comparison among the government and private hospitals was done.Results:This study showed that personnel had little knowledge regarding the pathogens that cause food-borne diseases and the correct temperature for the storage of hot or cold ready-to-eat foods. Older personnel had better attitudes and practices. Females practiced safety measures less often than did males. Personnel working in hospitals with fewer than 300 beds also had better practices. Most of the personnel had positive attitudes, but disparity between attitude and practice was noted.Conclusion:There is a dire need for education and increased awareness among food service staff regarding safe food handling practices.
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Ojo, Adebowale I., e Ruth O. Owolabi. "Health Information Management Personnel Service Quality and Patient Satisfaction in Nigerian Tertiary Hospitals". Global Journal of Health Science 9, n.º 10 (12 de agosto de 2017): 25. http://dx.doi.org/10.5539/gjhs.v9n10p25.
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This study assessed the relationship between perceived service quality of health information management personnel and patient satisfaction in selected tertiary hospitals in Nigeria. A cross sectional survey was conducted with 280 patients from three tertiary hospitals in a Nigerian State. A self-administered questionnaire was distributed to outpatients who were literate, willing and attending the clinics for at least a second time. Perceived service quality was measured using a modified version of Service Quality (SERVQUAL) scale. Patient satisfaction was measured on a 4-point Likert-type scale developed by the researchers. Collected data were subjected to statistical analysis using mean, standard deviation and regression analysis. The surveyed patients were moderately satisfied with the services of the health information management personnel. Accordingly, patients’ perception of the health information management personnel service quality was found to be average. In addition, the research has shown that patients’ perception of health information management personnel service quality significantly influence their level of satisfaction in the studied tertiary hospitals (R = .62, F5,274 = 35.95, p = .000). Patient perceptions of service quality determine their overall satisfaction levels with the health information management personnel services. The tangible service quality dimension had more influence on patients’ satisfaction.
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Weisshaupt, Oliver, Gabriela V. Leiblein-Züger e Susanne Hofer. "Process Model for the Food Service in Swiss Hospitals". Journal of Facility Management Education and Research 2, n.º 2 (1 de janeiro de 2018): 74–82. http://dx.doi.org/10.22361/jfmer/00072.
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ABSTRACT Background Since the introduction of Swiss Diagnosis Related Groups in 2012, a Swiss hospital's core business requires Facility Management that provides more transparent, effective and efficient services. In that respect, the new remuneration system has caused a growing interest in processes. Food provision is of high importance since it is one of the costliest support services and is a critical image factor of a hospital. Purpose The purpose of this research was to analyse the food service processes in Facility Management in hospitals through the lenses of social, economic and ecological sustainability as well as hygiene and safety, and to identify which issues arise from each viewpoint for the respective sub-processes. Methodology A two-fold qualitative case study design was applied, based on the reference model theory Process Model for Non-Medical Support Services in Hospitals. First, based on focus groups, the process model was developed. Second, the model was validated by input from interviews with Facility Management professionals. Results Each sub-process requires the consideration of individual factors from the perspectives of sustainability, hygiene and safety. Similarly, various overarching factors were identified, such as the production method that impact not only a single sub-process, but also play a role in the whole catering process. Additionally, it became evident that food provision in hospitals is particularly affected by the conflicting priorities of cost-effectiveness and sustainability. Conclusion The outcome of this work is a model that allows a holistic process analysis of catering activities in hospitals since it takes into account social, economic and ecological sustainability, as well as both hygiene and safety aspects for the individual sub-processes. This research gives guidance to facility managers who strive for process optimisation to guarantee efficient and effective food provision in hospitals. Unique Value to the Body of Facility Management Knowledge This work applies established catering sub-processes in hospitals to the context of sustainability, hygiene and safety. The proposed model caters to the increasing interest in processes in healthcare in Switzerland and can presumably be applied to hospitals of other countries.
Teses / dissertações sobre o assunto "Hospitals – Food service – Personnel management"
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Bekwa, Noluvuyo Margaret. "Assessing reasons for non-compliance to the requirements of the Employment Equity Act no. 55 of 1998 : case study of the dietetics department within Tygerberg Hospital". Thesis, Stellenbosch : Stellenbosch University, 2013. http://hdl.handle.net/10019.1/85573.
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Thesis (MPA)--Stellenbosch University, 2013.ENGLISH ABSTRACT: The relevance of employment equity has been widely debated. This study is of the view that affirmative action is the core factor in realising compliance to and implementation of employment equity. The study was aimed at investigating why Tygerberg Hospital has not complied with the implementation of the Employment Equity Act (EEA) No 55 of 1998 specifically with regards to the field of Dietetics. Research questions have been formulated, relying on literature which includes guiding legislation and policies. Recruitment and selection processes applicable to the dietetic department were analysed and linked with the consulted literature. Role of transformation in transforming the institution was part of the study to ascertain the scope of transformation in managing diversity within Tygerberg Hospital. A combination of data collection tools was used in the study, including interviews and questionnaires to better understand the underlying reasons of non-compliance. The fundamental findings of the study showed that even though policies and legislation had been formulated, there are underlying issues to be addressed by the institution, such as language barriers and personal perceptions of the institution which could subsequently be improved through effective diversity management strategies. It is recommended that the institution will have to come up with a short-term, measurable plan to ensure compliance such as an institutional employment equity plan, appointment of a transformational officer who will focus on managing the institutional diversity management, and an internal capacity building unit to carry out institutional training and development as opposed to the current system. To ensure monitoring and evaluation compliance on employment equity, it is recommended that the responsibility be linked to the performance plan of the senior managers as well as the line manager of the dietetic department. By so doing failure to comply will result in a poor performance assessment outcome of the delegated authority, compliance enforced through departmental disciplinary procedures.
AFRIKAANSE OPSOMMING: Die toepaslikheid van billike indiensneming is al wyd gedebatteer. Hierdie studie is die mening toegedaan dat regstellende aksie die kern faktor is om nakoming van en die implementering van billike indiensneming te bereik. Die studie was daarop gemik om ondersoek in te stel waarom Tygerberg Hospitaal nie voldoen het aan die implementering van die Indiensneming Gelykheids Wet No 55 van 1998 nie, spesifiek met betrekking tot die veld van Dieetkunde. Vrae in die navorsing was geformuleer, gebasseer op literature wat rigtinggewende wetgewing en beleid insluit. Werwing en seleksie prosesse van toepassing in die Dieetkunde Departement was ontleed en gekoppel aan die toepaslike literatuur. Die rol van transformasie in die transformering van die inrigting het deel uitgemaak van die studie om die omvang van transformasie te bepaal, rakende die bestuur van diversiteit binne Tygerberg Hospitaal. ‘n Kombinasie van data versameling metodes was in die studie gebruik. Dit het onderhoude en vraelyste ingesluit om die onderliggende redes vir nie-nakoming te verstaan. Die fundamentele bevindinge van die studie het getoon dat ongeag die feit dat beleid en wetgewing geformuleer was, daar onderliggende aspekte was wat by die inrigting aangespreek moet word, soos taal-hindernisse en persoonlike persepsie oor die inrigting en wat gevolglik verbeter kan word by wyse van ‘n effektiewe uiteenlopende bestuursstrategie. Dit word aanbeveel dat die inrigting navore moet kom met ‘n kort-termyn en meetbare plan ter versekering van ‘n institusionele billikheidsindiensneming plan, die indiensneming van ‘n Transformasie Beampte wat sal fokus op bestuur van die inrigting se diversiteit en ‘n interne eenheid om die vermoë van die inrigting se opleiding en ontwikkeling uit te voer in teenstelling met die huidige sisteem. Om monitoring en evaluasie van billike indiensneming te verseker, word dit aanbeveel dat dié verantwoordelikheid gekoppel word aan die werkverrigtingsplan van Senior Bestuurders asook dié van Lynbestuurders van die Dieetkundige Departement. Mislukking om hieraan te voldoen sal lei tot ‘n swak werkverrigting evaluering resultaat van die aangewese outoriteit. Voldoening hieraan sal afgedwing moet word deur departementele dissiplinêre prosedures.
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Chong, Yukyeong. "Evaluation of TQM performance and organizational management effectiveness for foodservice and clinical nutrition service management in hospital settings /". free to MU campus, to others for purchase, 1998. http://wwwlib.umi.com/cr/mo/fullcit?p9904838.
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Sarver, Anna Naegle. "The effect of religiosity and spirituality on transformational leadership characteristics of hospital food and nutrition managers /". Diss., CLICK HERE for online access, 2005. http://contentdm.lib.byu.edu/ETD/image/etd700.pdf.
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Beyerlein, Fred M. "The effects of diagnosis related groups (DRGs) on hospital nutrition services in Arizona". Thesis, The University of Arizona, 1988. http://hdl.handle.net/10150/276655.
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A mail questionnaire surveyed Arizona hospital dietary departments to reveal the most frequently initiated changes in dietary practice since the implementation of Diagnostic Related Groups (DRGs). The most frequently initiated change was remodeling the service/cafeteria areas to increase consumer appeal and subsequent sales. Fee-for-service nutrition was the tenth most frequently initiated change. Non-subsidized employee feeding was the second least frequently initiated change since DRGs. Hospital size was found to correlate significantly (alpha ≥ 05) with innovative management, development of DRG avenues of recovery, purchase of computers, development of clearly defined treatment plans, utilization of time studies and staffing, and the implementation of corporate wellness programs. Only a few hospitals have determined costs for DRG dietary treatments, or know standard length of stay for each DRG. The number of dietitians documenting services and patient outcome must increase or their cost effectiveness may never be known.
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Vos, Porsha. "Learner nurses experiences regarding clinical supervision at private hospitals in East London in the Eastern Cape". Thesis, University of Fort Hare, 2013. http://hdl.handle.net/10353/d1006824.
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The purpose of this study was to explore and to describe experiences of learner nurses regarding clinical supervision at private hospitals in East London in the Eastern Cape. These were Life Healthcare hospitals. A qualitative, contextual approach was used and the exploratory, descriptive design was seen as most appropriate in this study. The subjects were the learner nurses in the Bridging Course Programme leading to registration as a General Nurse. The research questions were: How did you as a learner nurse, doing the Bridging Course, experience clinical supervision at Life Healthcare hospitals? A pilot study was conducted in a clinical setting involving respondents with similar characteristics to the study population. Fourteen participants were selected for this study by using a purposive, non-probability sampling method. Data were collected by means of individual interviews during which participants were able to describe their experiences during clinical supervision; data were collected until data saturation was reached.During data analysis, the researcher used the process of bracketing and remained neutral, setting aside previous knowledge and beliefs about the phenomenon under investigation. The researcher listened to the audiotapes used for data collection several times until she was completely satisfied with the interpretation of the verbatim data. Transcriptions were made within three days of the interview. The research was done in an ethically reflective manner and the researcher ensured the trustworthiness of the study at all times. The researcher allowed the participants freedom to conduct their lives as autonomous agents, without external The purpose of this study was to explore and to describe experiences of learner nurses regarding clinical supervision at private hospitals in East London in the Eastern Cape. These were Life Healthcare hospitals. A qualitative, contextual approach was used and the exploratory, descriptive design was seen as most appropriate in this study. The subjects were the learner nurses in the Bridging Course Programme leading to registration as a General Nurse. The research questions were: How did you as a learner nurse, doing the Bridging Course, experience clinical supervision at Life Healthcare hospitals? A pilot study was conducted in a clinical setting involving respondents with similar characteristics to the study population. Fourteen participants were selected for this study by using a purposive, non-probability sampling method. Data were collected by means of individual interviews during which participants were able to describe their experiences during clinical supervision; data were collected until data saturation was reached.During data analysis, the researcher used the process of bracketing and remained neutral, setting aside previous knowledge and beliefs about the phenomenon under investigation. The researcher listened to the audiotapes used for data collection several times until she was completely satisfied with the interpretation of the verbatim data. Transcriptions were made within three days of the interview. The research was done in an ethically reflective manner and the researcher ensured the trustworthiness of the study at all times. The researcher allowed the participants freedom to conduct their lives as autonomous agents, without external control, coercion or exploitation. The following findings were evident: Three main themes emerged from data analyses. These comprised inadequate clinical supervision, satisfactory clinical supervision and suggestions and inputs regarding clinical supervision. Detailed discussions about the findings in relation to earlier studies were conducted. Recommendations to improve clinical supervision were made in order to improve the experiences of learner nurses during training. The findings of the research will be made available through the University of Fort Hare library and the Life College of Learning. Furthermore the information of this study will be shared with colleagues and will be published in an accredited nursing journal such as Curationis as well as other journals.control, coercion or exploitation. The following findings were evident: Three main themes emerged from data analyses. These comprised inadequate clinical supervision, satisfactory clinical supervision and suggestions and inputs regarding clinical supervision. Detailed discussions about the findings in relation to earlier studies were conducted. Recommendations to improve clinical supervision were made in order to improve the experiences of learner nurses during training. The findings of the research will be made available through the University of Fort Hare library and the Life College of Learning. Furthermore the information of this study will be shared with colleagues and will be published in an accredited nursing journal such as Curationis as well as other journals.
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Mac, Gabhann Kevin. "Managing ethno-cultural differences in healthcare service delivery in hospital settings : the Irish experience". Phd thesis, Université de Strasbourg, 2012. http://tel.archives-ouvertes.fr/tel-00983562.
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Europe in the 21st century is a continent of cultural and ethnic diversity. Recent enlargement of the European Union to 27 states, constant flows of free trade and the migration of people have resulted in an increasingly diverse Europe. National health systems face the challenge of accommodating the cultural diversity of healthcare providers and service users. The Irish health system is an example of a national health system which has attempted to implement adequate planning and delivery of care and support services, encompassing the needs of minority ethnic communities (MECs) in a new and rapidly changing multicultural Ireland.This research focuses on the challenges of recent multiculturalism in Ireland and describes the Irish health sector's process in the construction of the Whole Organisation Approach (WOA) as the framework for Irish hospitals to respond to the management of diversity and the provision of culturally sensitive healthcare service delivery to members of MECs.The aim of the research is to investigate how six hospitals have implemented the Whole Organisation Approach as recommended in the Irish Health Services Executive's National Intercultural Health Strategy 2007-2012. Research findings indicate to what extent the Irish strategy has been implemented in each hospital and outline factors that promote and impede successful implementation at a hospital level and analyses how each of the three strands, i.e. organisational ethos, workplace environment and service elements necessary to support intercultural training, of the WOA have been implemented across the 6 hospitals.
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Jones, Edith Jeanette. "Evaluating quality circles in hospital foodservice". 1985. http://hdl.handle.net/2097/27466.
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Shu, Ching-i., e 許靖宜. "The Study On Contract Management of Food Service in Hospitals". Thesis, 1997. http://ndltd.ncl.edu.tw/handle/07036178279747114167.
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Basler, Joann. "Decision factors that influenced hospital foodservice directors to implement a waste management program". Thesis, 1996. http://hdl.handle.net/1957/27121.
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Economic, environmental, social and political influences made the management of
solid waste or garbage an important issue for all foodservice directors, including those
in health care facilities. The study objectives were to: (1) identify what components
of integrated waste management programs were being used in hospital foodservice
facilities in Oregon, Washington and Idaho, (2) identify decision making factors for
implementing or not implementing components of a solid waste management (SWM)
program, (3) determine which of the decision factors were perceived to be the greatest
barriers to implementing a SWM program, and (4) determine if demographic
characteristics influenced the foodservice director's decision regarding SWM. A
survey was sent to all (N=199) hospital foodservice directors in the three state region.
Of the 164 returned surveys, 75% of the directors reported they had recycling
programs, 51% participated in source reduction and 6% used incineration.
Foodservice labor, space to store recyclables, corporate support, monetary return and
the director's personal feelings were identified as decision factors (p= < .05) Space to
store recyclables and foodservice labor were considered the greatest barriers to recycling. Larger hospitals recycled more often and contracted foodservice operations
participated more in source reduction. Information on the decision factors that were
identified, can provide guidance to other directors as to the critical factors that should
be considered when attempting to implement a successful SWM program and solutions
could be developed to overcome or lessen the effects of the barriers.Graduation date: 1996
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Assaf, Abdallah G., University of Western Sydney, College of Business e School of Management. "Modelling the efficiency of health care foodservice operations : a stochastic frontier approach". 2007. http://handle.uws.edu.au:8081/1959.7/39196.
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The important role of efficiency in the health care foodservice sector has been widely addressed in the literature. Different methods for assessing performance have been proposed. In general, most measures were calculated as simple ratios such as food and labour cost per meal or limited parametric techniques such as regression analysis. These approaches are meaningful indicators of which operational performance areas require attentions; however, problems arise when managers interpret partial productivity measures of this type as indicators of overall performance without considering the effects of other related variables. This could create further problems in complex applications such as the health care foodservice sector where multiple inputs (number of full time employees, energy cost, capital, overheads) outputs (number of meals and patient satisfaction) and environmental or interfering variables (age of equipment, quality of labour or skill level of employees and the degree of readiness of materials) should be considered in the assessment of efficiency. This study contributes to overcoming these limitations by introducing the stochastic frontier approach to assess the efficiency of the health care foodservice sector. It is superior to the traditional productivity approaches as it allows for the integrations of multiple inputs and outputs in evaluating relative efficiencies. The overall objective of the study was to determine the level of cost, technical and allocative efficiency in a sample of health care foodservice operations. More specifically, the objective was pursued by estimating stochastic production and cost frontiers models, which provided the basis for measuring technical (TE), allocative (AE) and cost efficiency (CE). The factors that significantly contribute to increasing inefficiency in health care foodservice operations were also identified. In this way, this study has policy implications because it not only provided empirical measures of different efficiency indices, but also identifies some key variables that are correlated with these indices. It goes beyond much of the published literature concerning efficiency because most research in the area of efficiency analysis focuses exclusively on the measurement of technical and cost efficiency. The stochastic frontier approach was tested in a cross sectional data set from a sample of 101 health care foodservice operations in Australia and the USA. Results showed that the models and all the parameters coefficients were plausible, significant and satisfy all theoretical requirements. Further, results also showed that the average cost, technical and cost efficiency were around 70 percent, 80 percent and 88 percent respectively. These figures suggest that substantial gains in output and/or decreases in cost can be attained if hospital foodservice operations were to improve their current performance. Finally, the results indicated that an increase in the level of manager’s experience and the level of manager’s education could have a positive impact on decreasing the level of inefficiency in health care foodservice operations.Doctor of Philosophy (PhD)
Livros sobre o assunto "Hospitals – Food service – Personnel management"
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Courtney, Atlas, e Sullivan Catherine F, eds. Health care food service systems management. 3a ed. Gaithersburg, Md: Aspen Publishers, 1998.
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Jacqueline, Kincaid, e United States. Dept. of Veterans Affairs. Office of Program Coordination and Evaluation., eds. A program evaluation of the Department of Veterans Affairs Dietetic Service. Washington, DC: Office of Program Coordination and Evaluation, Dept. of Veterans Affairs, 1990.
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Potter, Charles R. A program evaluation of the Department of Veterans Affairs Dietetic Service. Washington, DC: Office of Program Coordination and Evaluation, Dept. of Veterans Affairs, 1990.
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A, Gilbride Judith, e Maillet Julie O'Sullivan, eds. Handbook for clinical nutrition services management. Gaithersburg, Md: Aspen Publishers, 1991.
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The effective health care supervisor. 3a ed. Gaithersburg, Md: Aspen Publishers, 1993.
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The effective health care supervisor. 2a ed. Rockville, Md: Aspen Publishers, 1988.
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The effective health care supervisor. 4a ed. Gaithersburg, Md: Aspen Publishers, 1997.
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The effective health care supervisor. 5a ed. United States: Jones & Bartlett, 2003.
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The effective health care supervisor. 6a ed. Sudbury, Mass: Jones and Bartlett Publishers, 2007.
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Drummond, Karen Eich. Staffing your foodservice operation. New York: Van Nostrand Reinhold, 1991.
Encontre o texto completo da fonteCapítulos de livros sobre o assunto "Hospitals – Food service – Personnel management"
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Dinçer, Hasan, Serhat Yüksel, Yaşar Gökalp e Serkan Eti. "SERVQUAL-Based Evaluation of Service Quality in Turkish Health Industry With Fuzzy Logic". In Interdisciplinary Perspectives on Operations Management and Service Evaluation, 213–33. IGI Global, 2021. http://dx.doi.org/10.4018/978-1-7998-5442-5.ch011.
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The aim of this study is to analyze the service quality in the Turkish health sector. In this context, a literature review is conducted, and 16 different criteria based on SERVQUAL are determined. Fuzzy DEMATEL method is used to determine which of these criteria are more important. The findings indicate that operating hours and quality of equipment have the highest weights. In addition to these items, experience of personnel and individual attention to patient are other important factors with respect to the service quality in Turkish health industry. Hence, it is strongly recommended that hospitals in Turkey should operate in an extended time because Turkish people prefer to go to the hospitals after working hours. It is also obvious that Turkish hospitals should make investment to quality equipment. Finally, it is a good idea for new hospitals to have qualified employee. This situation has a positive contribution to the service quality of these hospitals.
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Bal, Canan Gamze, e Serkan Ada. "ICT Supplier Evaluation Criteria in Large University Hospitals". In Handbook of Research on ICTs and Management Systems for Improving Efficiency in Healthcare and Social Care, 1208–23. IGI Global, 2013. http://dx.doi.org/10.4018/978-1-4666-3990-4.ch063.
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Supplier evaluation of Information and Communication Technologies (ICTs) in healthcare institutions is a crucial problem, and the success of the healthcare system is significantly affected by this decision. In this chapter, several criteria, such as physical characteristics, cost, efficiency, speed, security, productivity, providing advanced technology, technical service and warranty, capable personnel, and in-service training, have been examined in the context of healthcare ICT supplier evaluation. These criteria are evaluated by both medical and administrative executives (N = 48) in 26 university hospitals operating in various provinces in Turkey. Findings show that medical and administrative executives and female and male executives in hospitals differ in terms of their evaluation of ICT suppliers. Overall, this study proposes to contribute to the relevant literature and practice, and reflects the perspective of a developing country, Turkey.