Saturday, September 14, 2019
Does Doctor-Patient Communication Affect Patient Satisfaction with Hospital Care? Essay
The results from the study show that most of the patients are served within five minutes upon their arrival at the hospital. Taking an overview look on the results, it emerges that medical personnel in Netherlands serve their patients faster than their counterparts in Saudi Arabia. However, it is discouraging to find out that the percentage that is served beyond five minutes after the arrival is high. Myocardial infarction is an emergency condition (Covinky, K.E., et al., 544). It should be treated as such. The sooner it is handled the better the outcomes. Therefore, it is important for the hospitals to put in place strategies that will enable them handle myocardial infarction cases with speed. The percentage handled within the first five minutes must rise close to 100% for better outcomes. Satisfaction with the explanations about the tests done: à à à à à The findings show that patients in both hospitals are satisfied with the explanations given to them regarding the tests that are done concerning their condition. This is indicated by the high percentage that represents satisfaction. However, it appears that the level of satisfaction in Netherlands is higher than the level of satisfaction in Saudi Arabia. Ordinarily, it is important for the medical personnels to explain all the tests that are needed to be carried out on a patient prior to performing them. It is necessary to engage the patient adequately in the process of the treatment. Considering these findings, it is practical to state that the hospitals in both countries are doing what is required of them. Patient satisfaction with the explanation given about myocardial infarction: à à à à à The findings from the study clearly show that the patients were generally satisfied with the explanation given to them by the medical personnel with regard to their condition. It is important for the medical personnels to offer good explanation to the patients with regard to their condition. The patients become aware of their condition and therefore assume full responsibility of it. With awareness on the part of the patients, there is compliance that helps in achieving positive treatment outcomes. In addition, giving enough information to the patients regarding their disease empowers them in making better decisions (Priporas, C.V., et al., 48). They become aware of their role to play in the process of the management of the condition. In the case this study, is encouraging to find out that the hospitals used in the study are keen on this aspect of involving the patient in the treatment by informing them well. Satisfaction with the personal attention given to the patients by the doctors: à à à à à The results of the study reveal that the patients are generally satisfied by the personal attention that doctors give to them. In Netherlands, the level of satisfaction by percentage of the respondents is near 100%. This is an indication of good practice by the doctors in these hospitals. Giving a patient individualized attention makes them feel that they are important. In addition, it makes them feel that their condition is being taken care of. This is an important practice that should be incorporated in the hospitals. Moreover, when the doctors get close to the patient, they can get essential information that may be necessary in the course of the treatment. The patient can reveal deep information to a doctor who shows a sense of caring and concern. Both hospitals involved in this study are doing quite well in this respect. They are showing the necessary concern that is required when handling the patients by instituting personal attention to each patient. Ac cording to Clever, S.L.,et al (234), good patient-doctor relationship improves the outcome. Satisfaction with the expertise of the medical personnel: à à à à à The findings indicate a general high level of satisfaction of patients to the expertise of the medical personnels handling them in both countries. The findings show that patients in Netherlands trust the expertise of the medical personnel handling them. In Netherlands, the level of satisfaction is approaching 100%. Nevertheless, even that in Saudi Arabia is not badly off. The findings show that the medical personnels in both countries handling cases of myocardial infarction are up to the task. The expertise of the medical personnel should be of high standard when it comes to dealing with such cases as myocardial infarction (Quintama, J.M., et al, 69). Satisfaction level of the patients with the information given to them regarding their treatment: à à à à à Generally, the patients are satisfied with the information that is given to them regarding their treatment. This information includes various treatment options available, drugs to be used in the treatment, need for adherence to the treatment and the expected prognosis (Clever, S.L., et al., 235). The information given to the patients should be such that it helps in achieving a better outcome. In this regard, it should promote compliance and adherence to the treatment on the part of the patients. If the patients trust the level of the expertise of the medical personnel, they are satisfied with the information that they give to them. Patientsââ¬â¢ satisfaction with the way the hospital facilitates visits by the family members and relatives: à à à à à Generally, the patients in both countries are satisfied with the schedule that the hospital has for the visits by the family members and other relatives. Family members and relatives are important to the patient because they offer emotional support that is pertinent in the recovery progress. It is clear that in Netherlands, the level of satisfaction is so high approaching 100%. This is because there are no limitations imposed on the visits by the family members to the patients. Satisfaction with the rules given: à à à à à High percentage of patients in both hospitals showed satisfaction with the rules that they are given after discharge with regard to managing their condition. These rules include the amount of exercise they should involve themselves with, the kind of diet that is consistent with their condition, how to assess their heart condition in the course of their activities and what to do in case they suspect an abnormality. Nevertheless, there is a small difference in the level of satisfaction between Netherlands and Saudi Arabia. The difference could be due to the explanations that accompany the rules given. The rules given are understood at different degrees depending on the person giving them and how they are given (Quintama, J.,M., et al., 68). It is possible that, in Netherlands, patients are given the rules and then given the reasons why they should adhere to them. In Saudi Arabia, poor communication between the patients and the medical personnel may be the cause for the massive dissatisfaction expressed by the patients. Patientsââ¬â¢ satisfaction with the time spent with them by the doctors: à à à à à Generally, there is a higher percentage of the patients who are satisfied with the time spent with them by the doctors. However, a small percentage of patients is either neutral or dissatisfied by the amount of time and privacy accorded by the doctors. This finding reveals that the doctors are embracing the need for them to attend to the patients by giving them enough time. It is encouraging to find out that the patients are satisfied with the time that the doctors spend with them. These results show consistency with previous findings in this study. According to Priporas, C.V., et all (47), the doctorââ¬â¢s attitude towards the patient is very important in the psychological support of the patient. Doctors in Netherlands have more time with their patients than their counterparts in Saudi Arabia. It is necessary for the doctors to avail adequate time to the patients. This gives them an opportunity to understand the patient condition of the patient well. In a ddition, this creates a strong bond that defines doctor-patient relationship that can influence the subsequent steps in the treatment process. Patientââ¬â¢s satisfaction with the food and drinks provided: à à à à à The findings in this study show that the patients are generally satisfied with what the hospital provides for food and drinks in both hospitals. Admitted patients need proper diet that is consistent with the condition that they are suffering from. While they are recovering, they require proper food to help boost their body immunity. Moreover, there is need for more energy to assist in the general body recovery process. In findings in this report are encouraging as far as the patientsââ¬â¢ care is concerned. General evaluation of the experience of the patients in the hospital: à à à à à Generally, patients rated the level of management in both hospitals highly. They indicated that the management provided was good enough to allow for proper management of myocardial infarction. The findings are encouraging. It is important for the hospital management to provide a conducive environment for the care of its patients (Kova J.A et al, 24). By so doing, the patients get satisfied with the hospital services. This should be the aim of the policy makers and other members of the management team. Significance of the Results à à à à à In Netherlands, it is clear that patients are treated well and this is because of high levels of satisfaction as depicted in the results. It is encouraging to find out that patients with myocardial infarction are being treated with urgency that is required because the condition is treated as a matter of emergency. In Saudi Arabia, much needs to be done in the hospitals. If decisions are to be formulated based on the findings, then it is disheartening to find out the high numbers of patients who are dissatisfied by the services offered. Limitations à à à à à There were several limitations during the study. Firstly, it was difficult to pin down the exact causes of dissatisfactions by the patients in Saudi Arabia. Also, it was not clear why most of the participants in the study were males. Perhaps further studies are necessary to find the answers to these two problems. It was difficult to get clarifications from the patients because most of them decided to fill the questionnaires out of the hospital and then posted them to the researchers. It is hoped that future studies will consider involving the patients using interviews so that proper clarifications can be done. The other challenge was that it was not possible to encourage with the medical personnel because of time limitation for the study. In the future, it will be paramount to base research on the level of awareness of the medical personnel regarding treatment guidelines for various diseases including myocardial infarction. The level of knowledge by the docto rs improves the patient conditions greatly. Recommendations à à à à à This report recommends that the management of KFSHRC in Jeddah, Saudi Arabia must find out how to improve their standards of service delivery for the sake of the patients. In addition, the hospital should come up with a policy that ensures patients with emergency conditions are handled with the necessary urgency. The doctors in the hospital should avail more time with the patients and give them enough attention to boost their level of satisfaction. Moreover, the patientsââ¬â¢ emotional support requires attention. One way of doing so is having proper arrangements where the patientââ¬â¢s family members come to visit the patient and spend quality time with them. The UMCG in the Netherlands is doing quite well as far as patient care is concerned. This report recommends that the hospital should continue doing so. Finally, the report recommends that the time taken to handle the patients when they arrive at the hospital should be minimum possible. Delay in the treatment of myocardial infarction can have detrimental consequences. Conclusion à à à à à This study shows that patients are generally handled well in Netherlands, UMCG, and Saudi Arabia, KFSHRC. The level of satisfaction as presented in terms of percentages of the respondents is very encouraging. Patient satisfaction in the hospital is a measure of the quality of services being offered. There should be no compromise when it comes to the comfort of the patients in the hospital premises. Myocardial infarction is an emergency condition. It should be treated with urgency because time factor is the primary determinant of the prognosis of the condition. It is a condition that requires that a patient be handled very fast. Although this aspect has low satisfaction levels, generally, the patients gave both hospitals high scores to denote that they are generally satisfied by the services offered.This research adds into the existing researches in establishing the key parameters that determine patient satisfaction. References Clever, Sarahà L., Lei Jin, Wendy Levinson, and Davidà O. Meltzer. ââ¬Å"Does Doctor-Patient Communication Affect Patient Satisfaction with Hospital Care? Results of an Analysis with a Novel Instrumental Variable: Does Doctor-Patient Communication Affect Patient Satisfaction with Hospital Care?â⬠Health Services Research 42.64à (2008): 233-243. Print. Covinsky, Kennethà E., Garyà E. Rosenthal, Mary-Margaret Chren, Amyà C. Justice, Richardà H. Fortinsky, Robertà M. Palmer, and C.à S. Landefeld. ââ¬Å"The relation between health status changes and patient satisfaction in older hospitalized medical patients.â⬠Journal of General Internal Medicine 54.43à (1998): 543-547. Print. Priporas, Constantinos-Vasilios, Christina Laspa, and Irene Kamenidou. ââ¬Å"Patient satisfaction measurement for in-hospital services: A pilot study in Greece.â⬠Journal of Medical Marketing 23.6à (2008): 46-51. Print. Quintana, Josà ©Ã M., Nerea Gonzà ¡lez, Amaia Bilbao, Felipe Aizpuru, Antonio Escobar, Cristà ³bal Esteban, Josà ©Ã A. San-Sebastià ¡n, Emilio De-la-Sierra, and Andrew Thompson. ââ¬Å"Predictors of patient satisfaction with hospital health care.â⬠BMC Health Services Research 42.12à (2006): 67-71. Print. Kovac, Julieà A., Samirà S. Patel, Rolfà A. Peterson, and Paulà L. Kimmel. ââ¬Å"Patient satisfaction with care and behavioral compliance in end-stage renal disease patients treated with hemodialysis.â⬠American Journal of Kidney Diseases 3.4à (2002): 23-26. Print. Man, Stefanieà D., Paul Gemmel, Peter Vlerick, Peterà V. Rijk, and Rudi Dierckx. ââ¬Å"Patientsââ¬â¢ and personnelââ¬â¢s perceptions of service quality and patient satisfaction in nuclear medicine.â⬠European Journal of Nuclear Medicine and Molecular Imaging 4.3à (2002): 32-34. Print. Source document
Friday, September 13, 2019
Franchise Paper Research Example | Topics and Well Written Essays - 500 words
Franchise - Research Paper Example The agreement is based on the periodic loyalty payments made by the franchisee to the franchise, in regards to the revenue generated from the business operation (Rupert et al, 2008). In the context of selecting the appropriate franchise, various factors are considered, which include the requirements, its market viability, competition among other factors. Therefore, as a started, it is financially rational to select a franchise with reasonable investment requirement (Mendelsohn, 2010, p.120). In Richmond, Indiana, there are numerous franchises already operating. One of the rarely seen but viable business opportunities is the Archive IT franchise. This is one of the potentially profitable franchises with many suitable features. Archive IT is in a category comprising the emerging industry franchises. Archive IT franchiseââ¬â¢s deals with the provision of document archiving and digital scanning among other computer related services. Their systems allow for record conservations, secure cloud access and the option of searching text stored. The mission of the company is to enable other businesses to handle the issue of data and information storage in a more advanced manner. The operating philosophy of the franchise is that in the near past, most companies have been struggling with the aspect of data storage in paper work. Considering the next few years, many companies will go paperless. Therefore, this franchise aims at providing the best solution to the older resource intensive data handling methods. This corporation began franchising in 2011. This franchiser is currently selling franchises throughout the US. The total investment required from the franchisee ranges between $66, 350- $196, 300. The exact amount of the investment depends on many factors including the geographical location of the franchisee and the infrastructure proximity of the business. Franchise fee is $ 25, 000, with a periodic royalty fee of 5% of the total revenue
Thursday, September 12, 2019
Interactions of hazardous materials Essay Example | Topics and Well Written Essays - 1000 words
Interactions of hazardous materials - Essay Example However, putting water on the liquid brings the liquid to behave aggressively and the mixture of the water and the liquid will explode (ââ¬Å"NFPA Labeling Guideâ⬠). The most important step that should be taken before proceeding to the incident is to call the emergency service to reach immediately at the spot. As, the emergency service lacks the suitable equipment to treat such chemical, it is better to contact the companyââ¬â¢s emergency team giving then information what type of chemical they should take with them. The second step is to keep an eye on the driver of the tanker. The most significant step is to help the driver to leave the tanker (United States Department of Labor, n.d.). However, as the equipment I have are only bricks, bags of cement and sand and different prices if wood. Before proceeding, I will check that there is no sigh of flame of spark coming out of tanker. The second step it will take is to have a close look the driver and then ensure that the driver is safe. The next step is to reach the driver of the tanker and then making him fairly enough away from the spot of the incident. The next step that should be done is to advice the people not to gather at the spot of accident, as the liquid dripping out of the tanker is flammable and can catch fire easily (United States Department of Labor, n.d). There is a need to take serious steps to avoid any further accident at the spot. The equipment that I have bought for the backyard project can be utilized making the traffic away from the spot. The blocks and the pieces of the wood and limber can be utilized to on the road to stop the traffic from to the spot of the accident. The concrete blocks and timber pieces can be placed vertically on the road to identify that there is some reason for closing the road. On the other hand, police department should be contacted to take control of the situation and properly close the road (United States Department of Labor, n.d). The more
Wednesday, September 11, 2019
Technological Awareness of Teachers Essay Example | Topics and Well Written Essays - 2000 words
Technological Awareness of Teachers - Essay Example Because technology provides animation and different kinds of presentation using media materials, and these helps our students to absorb information by just watching and listening. Essentially, educational technology helps to improve the overall efficiency of the teaching-learning process. It is noted that a microteaching session can be real and convincing since it issues videotape recording as evaluative medium and should be learned by our mentors. As educators became much more aware of their responsibility to deliver the best quality education to students, they have begun to recognize the need to be aware of educational technology. The perception when educational technology was first heard is a negative one but it appears that to many people it has served to inhibit the introduction of better educational technology and its use in improving the delivery with higher quality learning outcomes.2 The new technologies are radically changing the nature and configuration of adult education. With computer information, educators are no longer the primary source of factual information. Changes are therefore occurring in the methods and content of instruction, both supplementing and changing the relationship between the teacher and the learner. Still, the new technologies have freed many individuals to enjoy their leisure and to work at home in a distraction-free environment. And in the future, most educational services are foreseen to be delivered electronically by teleconferencing, cable and satellite television, computer networks and other means et to be discovered - provided educators learn how to use the media in congruence with the principles of community education. The future trends in media technology hold promise for further improving learning, reducing the barriers that limit effectiveness in the learning process, and tapping the potentials of new technological tools in instruction. The researcher will inform the teachers and would be teachers that as they enter the educational field at a very exciting moment as a teacher, human resource trainer or educational administrator. There has been expressed a critical need for an effective in-service program on the development of teaching competence. Among the alternative strategies introduced, however, Microteaching has been cited as being both a model and a real teaching encounter. In the search for strategies to develop teaching skills microteaching sessions have shown tangible to have positively contributed to the professional growth and improved teaching performance of student teachers. Background of the Research (Progressive nature of the documents that show the development process ) The researcher chose this topic to help and inform educators regarding the usage and usefulness of educational technology on their teaching profession and know what are the instructional media and technology to use. There is something that teacher's are missing on, in the tertiary education, there has been and increasing emphasis on group learning techniques. This move to group learning has been given further impetus by the development of science and technology-based games simulation and case studies. These techniques of instructions are ideally suited for use in teaching the various higher cognitive and non-cognitive skills are now regarded as essential part of a properly rounded
Tuesday, September 10, 2019
The Different Types of Leases Research Paper Example | Topics and Well Written Essays - 1500 words - 1
The Different Types of Leases - Research Paper Example This paper illustrates that in order to obtain business equipment and supplies that can shed its effects on the flow of money, one can rely on lease financing as the possible way to straight up capital. Recent surveys prompt that more than 80% of the business organizations in the United States rely on this alternative at minimum one of the equipment acquisitions. It is forecasted that almost 95% would lease in the future. Lease financing is often referred to as ââ¬Å"leaseâ⬠. It is a contractual agreement involving two parties the lessor and lessee. The lease can be defined as a legal document that must be reviewed by an experienced attorney. The company acts as the lessor grants the individual or group acting as the lessee leasing the product or equipment. The contract assigns the lessee to operate the equipment for some pre-specified time. In the period the lessee is required to make monthly payments to the lessor for providing the opportunity. The lease can be categorized in to the following: lease of finance and lease of operation, sale and leaseback along with direct lease, lease of single investor and leveraged lease, domestic lease and international lease. However, finance lease and operating lease are the most popular leases. A financial lease covers the entire life of the equipment to be leased. A sale and lease can be thought of as one type of financial lease. One can even think of combination lease. This type of lease combines aspects of the popular leases. The effects of the tax can be categorized in the following two ways. The first category is to determine the effects of each flow of cash on taxable income. Rents or another type of fees tend to increase the taxable income while expenditure has the opposite effect. The second category is to compute the amount of the tax to be paid and time when the payment is to be made. After the calculation of the taxable income, the rate of the tax is applied to arrive at the liability. The tax is generally paid in 4 installments. The fourth, sixth, ninth and the twelfth month is regarded as the months of payment for the particular year. The amount of the flows is referred as magnitude.
Monday, September 9, 2019
Effective Instruction Essay Example | Topics and Well Written Essays - 500 words
Effective Instruction - Essay Example In this case, after asking several students in class why they chose 7 as the correct answer but found they could not describe how they arrived at the answer, the teacher could ask the student to approach the problem from a different angle. He could inquire if they could explain why they thought the numbers 5 or 6 was the incorrect answer. Based on the student response, the teacher may be able to discover the source of the student misunderstanding. If they gave an answer implying that 5 and 6 are lover numbers than 7, then the teacher would see clearly that students were missing the main point of the probability exercise. If the students response was heading in the right direction, meaning they were showing an understanding of the probability problem, but were struggling with the proper terminology, then the teacher could re-work the problem with the class, once again using the proper steps and terminology. In general, the questioning technique that is most useful in this situation is one that asks very general questions at first, and then begins to ask more specific questions as the students continue to struggle to grasp the concept. Asking questions that are too specific too soon robs the student of the chance to think the problem though and discover the solution themselves (Polya, 1957). In the example provided, if the studentsââ¬â¢ answers as to how they solved the problem indicate a real lack of understanding of the basics of probability, then returning to the original material and re-teaching it a different way would be recommended. One way of re-teaching using a powerful questioning technique would be to approach the problem from an inductive reasoning point of view. Instead of defining probability, and forcing the steps of solving the problem again the way you have already done, encourage the students to think about answers to leading questions that will guide them through
Sunday, September 8, 2019
The Veil - Marjane Satrapi Essay Example | Topics and Well Written Essays - 750 words
The Veil - Marjane Satrapi - Essay Example Satrapi began her tale with the recollection of her early childhood when society was freer and her school was a place for both girls and boys, anyone can be different and it would be fine and that policies are not strictly religious but secular. Then, shortly, the idyllic scenes of playfulness and peaceful co-existence abruptly gave way to the stern faces and policies of the new authorities. Suddenly, the author found herself wearing a veil and separated from her friends. The sudden shift and difference of the tone Satrapi wanted to convey were achieved through the clever use of the two colors. The ideal times were drawn in brighter shades, characterized by white background while the days of repression were painted in dark hues and black background. The color limitation created a more powerful effect in conveying messages because it removed the clutter in each frame and emphasize the intended expressions and issue being depicted. In addition to this, the style by which characters wer e drawn, with their elongated arms and legs and the exaggerated curves and expressions that characterized the children, effectively communicated a lasting and potent representation of Marji and what she stood for in the story. The cartoonish depiction ingratiated Marji in the readersââ¬â¢ consciousness and would persist even after the story was finished and the book was put down. Satrapi also made it a point to emphasize contrasts. For instance, the good old days were portrayed by scenes of scattered and the multitude of characters displaying their individual personalities. Then, after she was forced to wear a veil, scenes are either dominated by a stern bearded man or soldier with the absence of animated people or sharply separated into two opposing groups, arguing against each other. It was obvious that in the authorââ¬â¢s mind, the fundamentalist society that Iran force people to retreat inwards ââ¬â within themselves, stunt creativity, enforce an unreasonable and cold- hearted regime of discipline, wherein humanity is being eroded towards a kind of existence not unlike the starkness one finds in the absence of colors. Satrapi conjured for us ââ¬â in her visuals ââ¬â a world that has less life and mirth, wherein those who dared to defy it found their lives tangled with tragedy. Themes Certainly, a primary theme in The Veil is the demotion of women in the Iranian society back in the 1980s. The veil or its use in the eyes of the young Marji underscored the sheer insanity of being forced to cover oneself and segregated just because of her gender. More importantly, however, is that in Satrapi's depictions, the veil appears to have achieved very little effect on the individuality and characters of women. The veiled children never lost their facial expressions, personalities and physiques. It was, obviously, Satrapi's way of saying that the veil is useless and that in the context of its symbolism for the local authorities - which is to subjugate - the women's spirits were never entirely quashed. As with the visuals in The Veil, women - in succeeding sections of Persepolis ââ¬â wore their veils but that this piece of clothing never really reduced the characters into anonymity or people that have less human status. The veil also served to represent the divisions that have immediately took root in Iran in the 1980s. Besides the literal segregation of men and women, Satrapi used the veil to
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