Hospitals as workspaces emerged as a topic of potential intervention because work efficiency lies at its core. While going through a plethora of ideas during the initial weeks of the
project, I kept coming back to the idea of hospitals and spaces from the brief’s ‘workspaces and cultures’. My theme evolved from the possibility of a design intervention that can positively impact the healthcare industry with a focus on designing for healthcare workers. Secondary research during my exploratory phase facilitated the understanding of an emerging dependence that exists between multiple nesting ecosystems in hospitals. My interest grew with research and I foresaw an opportunity to challenge myself with a possible answer to the question: How does one create impact that addresses a gamut of individual needs and yet can be brought about within a system?
Design Concept - Holistic Healthcare System is designed to reduce patient-load on doctors, nurses and other involved healthcare workers in a space.
By implementing this digital intervention, the average wait-time in hospitals (observed as about 2 hours currently) could speculatively but plausibly be cut down to 20-30 minutes.
The patient load on receptionists and nurses that undertake the tasks of form-filling, booking appointments, analysing vitals and symptoms, will be minimised. Additionally, it enhances the doctor’s efficiency to diagnose and treat the patient.
The design eliminates the initial back and forth between reception, triage room, doctor, maybe another doctor, a scan and back to the doctor. This process forms a closed loop by increasing the overall efficiency and saving 83.3-75% of the patient’s time.
How it works: The system collects user data and processes it, mapping the user to the right doctor using manual assessment and existing data and doctor information. It results in an ‘Organic Re-organisation of Healthcare Spaces’, and reduces wait time and patient frustrations.
The design’s goal is to facilitate the stakeholders to achieve their goal, hereby enhancing the overall experience, making it more efficient.
Features for patient’s portal include: A personalised data collection and intelligence model, a custom 3D intractable graphic anatomic mesh to help patients map points of concern, speech-to-text and audio options, multi-lingual option, and follow-up notifications.
This document discusses how hospitals can improve patient satisfaction scores by taking a holistic approach involving people, processes, and place. It focuses on how the physical environment (place) influences patient experience in key areas measured by the HCAHPS survey like noise levels, pain management, and communication. Research shows noise negatively impacts sleep quality and satisfaction. Pain management is enhanced by positive distractions like views of nature. Communication is aided by quiet spaces and sink placement allowing eye contact. The document advocates a team approach across departments to identify opportunities through people's roles, care processes, and changes to the physical space. Case studies demonstrate how these factors together improved HCAHPS scores at different hospitals.
1. The document summarizes a study on the influence of aesthetics on patient well-being and satisfaction conducted at Suchak Hospital in Malad, India.
2. The study found that over 97% of patients gave positive feedback on treatment satisfaction, wait times, and doctor friendliness. However, some patients had issues with parking and fees.
3. Recommendations included reducing environmental stressors like noise, attracting more international patients through improved marketing, using telehealth to reduce wait times, and considering aesthetics like colors in strategic planning to improve the patient and staff experience.
The document discusses the design of physical hospital layouts. It begins by describing how traditional hospital layouts were inefficient and negatively impacted patient care. New designs were needed to make hospitals more patient-centered by improving privacy, reducing noise and congestion, and creating a more comfortable environment. The document outlines factors to consider in the hospital design process like research, simulations, and evidence-based methods to determine the best layout. The goal is an effective layout that allows for quality patient care and satisfies patients' needs.
Abstract— If job satisfaction is there in employees, work done by these employees is usually of better quality in comparison where the employees are not satisfied with their jobe. So this study to assess job satisfaction and influence of demographic variables on job satisfaction, this study was carried out on 105 doctors of teaching hospitals. Questionnaire method of data collection was adopted. Job satisfaction was measured by six domains: Organizational functioning, Interpersonal relationship, Financial incentives, Non-financial incentives, Physical facilities and Working conditions. Study observed that over all, doctors were moderately satisfied with their job. Domains such as Interpersonal relationship and Working conditions, doctors were highly satisfied, whereas rest of the domains: Organizational functioning, Financial incentives, Non-financial incentives, and Physical facilities doctors were moderately satisfied. It is important to note that even though overall satisfaction is moderate, there were few components, where doctors were highly satisfied were - Communication system between patients and doctors, Involvement in decision making in the department, Rules and regulations of the institution, relationship between the department colleagues and other department colleagues, Provision for leave encashment, reward given for research work, workload of clinical aspect and workload of teaching aspect. Age and sex both shown significant association on level of satisfaction where as experience, designation and marital status of the doctors have not shown significant association.
Job Redesign For Expanded HIM Functions Case Study...Amanda Hengel
The document summarizes several case studies and analyses related to job redesign in health information management fields, implementation of electronic health record systems like Epic, and the role of surveillance in healthcare. Over 28 months, 29 new roles were identified for health information professionals to take on additional tasks and responsibilities related to electronic health records. Careful implementation was needed to avoid workflow issues. Electronic health record systems like Epic provide patient medical history and test results across departments to improve care. Surveillance systems measure quality of care and help ensure standards are met.
Meet the experts enhancing health through design, learn about quality of life trends and figures through studies and data and how small gestures can make big differences, discover a user guide to fighting hospital-acquired infections and read up on Sodexo News Around the World.
The medicine reconciliation (Med Rec) process can be improved in two main ways: 1) Bringing patients closer to information about their medications and 2) Bringing buried reporting functions in IT systems to the surface. Standardizing the Med Rec process across clinics and developing metrics around staff resources can help improve accuracy. Cultural differences affect who performs Med Rec and how due diligence is achieved. Co-locating doctors and staff like pharmacists can make it easier to reconcile medications. Opportunities exist in streamlining compliance reporting in IT systems, replacing paper records with digital systems, providing medication education, and developing patient materials to track medications outside the hospital.
Characteristics of successful changes in health care organizations: an interv...BenDarling7
Health care organizations are constantly changing as a result of technological advancements, ageing
populations, changing disease patterns, new discoveries for the treatment of diseases and political reforms and
policy initiatives. Changes can be challenging because they contradict humans’ basic need for a stable
environment. The present study poses the question: what characterizes successful organizational changes in health
care? The aim was to investigate the characteristics of changes of relevance for the work of health care
professionals that they deemed successful
This document discusses how hospitals can improve patient satisfaction scores by taking a holistic approach involving people, processes, and place. It focuses on how the physical environment (place) influences patient experience in key areas measured by the HCAHPS survey like noise levels, pain management, and communication. Research shows noise negatively impacts sleep quality and satisfaction. Pain management is enhanced by positive distractions like views of nature. Communication is aided by quiet spaces and sink placement allowing eye contact. The document advocates a team approach across departments to identify opportunities through people's roles, care processes, and changes to the physical space. Case studies demonstrate how these factors together improved HCAHPS scores at different hospitals.
1. The document summarizes a study on the influence of aesthetics on patient well-being and satisfaction conducted at Suchak Hospital in Malad, India.
2. The study found that over 97% of patients gave positive feedback on treatment satisfaction, wait times, and doctor friendliness. However, some patients had issues with parking and fees.
3. Recommendations included reducing environmental stressors like noise, attracting more international patients through improved marketing, using telehealth to reduce wait times, and considering aesthetics like colors in strategic planning to improve the patient and staff experience.
The document discusses the design of physical hospital layouts. It begins by describing how traditional hospital layouts were inefficient and negatively impacted patient care. New designs were needed to make hospitals more patient-centered by improving privacy, reducing noise and congestion, and creating a more comfortable environment. The document outlines factors to consider in the hospital design process like research, simulations, and evidence-based methods to determine the best layout. The goal is an effective layout that allows for quality patient care and satisfies patients' needs.
Abstract— If job satisfaction is there in employees, work done by these employees is usually of better quality in comparison where the employees are not satisfied with their jobe. So this study to assess job satisfaction and influence of demographic variables on job satisfaction, this study was carried out on 105 doctors of teaching hospitals. Questionnaire method of data collection was adopted. Job satisfaction was measured by six domains: Organizational functioning, Interpersonal relationship, Financial incentives, Non-financial incentives, Physical facilities and Working conditions. Study observed that over all, doctors were moderately satisfied with their job. Domains such as Interpersonal relationship and Working conditions, doctors were highly satisfied, whereas rest of the domains: Organizational functioning, Financial incentives, Non-financial incentives, and Physical facilities doctors were moderately satisfied. It is important to note that even though overall satisfaction is moderate, there were few components, where doctors were highly satisfied were - Communication system between patients and doctors, Involvement in decision making in the department, Rules and regulations of the institution, relationship between the department colleagues and other department colleagues, Provision for leave encashment, reward given for research work, workload of clinical aspect and workload of teaching aspect. Age and sex both shown significant association on level of satisfaction where as experience, designation and marital status of the doctors have not shown significant association.
Job Redesign For Expanded HIM Functions Case Study...Amanda Hengel
The document summarizes several case studies and analyses related to job redesign in health information management fields, implementation of electronic health record systems like Epic, and the role of surveillance in healthcare. Over 28 months, 29 new roles were identified for health information professionals to take on additional tasks and responsibilities related to electronic health records. Careful implementation was needed to avoid workflow issues. Electronic health record systems like Epic provide patient medical history and test results across departments to improve care. Surveillance systems measure quality of care and help ensure standards are met.
Meet the experts enhancing health through design, learn about quality of life trends and figures through studies and data and how small gestures can make big differences, discover a user guide to fighting hospital-acquired infections and read up on Sodexo News Around the World.
The medicine reconciliation (Med Rec) process can be improved in two main ways: 1) Bringing patients closer to information about their medications and 2) Bringing buried reporting functions in IT systems to the surface. Standardizing the Med Rec process across clinics and developing metrics around staff resources can help improve accuracy. Cultural differences affect who performs Med Rec and how due diligence is achieved. Co-locating doctors and staff like pharmacists can make it easier to reconcile medications. Opportunities exist in streamlining compliance reporting in IT systems, replacing paper records with digital systems, providing medication education, and developing patient materials to track medications outside the hospital.
Characteristics of successful changes in health care organizations: an interv...BenDarling7
Health care organizations are constantly changing as a result of technological advancements, ageing
populations, changing disease patterns, new discoveries for the treatment of diseases and political reforms and
policy initiatives. Changes can be challenging because they contradict humans’ basic need for a stable
environment. The present study poses the question: what characterizes successful organizational changes in health
care? The aim was to investigate the characteristics of changes of relevance for the work of health care
professionals that they deemed successful
Outpatient care is defined as any health care services that do not require an overnight hospital stay. Key changes shifting the balance between inpatient and outpatient care include reimbursement policies, technological advances, utilization control factors, and social factors. It is important for hospital administrators to regard outpatient care as a key component of their business strategy because the number of inpatient stays are declining. Outpatient services help reduce costs and the survival of hospitals depends on outpatient care services growing to offset declining inpatient revenues.
The document discusses the changing relationship between physicians and hospitals and the need to better engage physicians in quality improvement efforts. It notes that physicians' primary focus is their own practice and quality of care for their patients, which may not align with hospitals' system-wide quality goals. Additionally, physician culture emphasizes personal responsibility, which can conflict with a systems approach to quality. The document aims to provide a framework for hospitals to develop written plans to improve physician engagement in quality and safety initiatives. It identifies several organizations that have effectively engaged physicians and achieved results as "best-in-the-world laboratories" from which lessons can be drawn.
This study aimed to identify which aspects of hospital design most influence patient satisfaction. A survey was administered to assess perceptions of physical environment factors, accessibility, amenities, and satisfaction levels. Factor analysis identified six key factors: 1) Complete accessibility, emphasizing inclusion and ease of movement. 2) A holistic approach fostering communication and comfort. 3) A therapeutic environment reducing anxiety. 4) Culturally-enriched elements enhancing belongingness. 5) Design being integral to an all-encompassing experience. 6) Efficient technology integration streamlining the patient journey. The study concludes that harmonizing these design factors can elevate patient well-being and showcase crucial elements for satisfaction.
Running Head CASE STUDY 1 ARE OUR CUSTOMER LIAISONS HELPING OR.docxhealdkathaleen
Running Head: CASE STUDY 1: ARE OUR CUSTOMER LIAISONS HELPING OR HURTING? 1
CASE STUDY 1: ARE OUR CUSTOMER LIAISONS HELPING OR HURTING? 6
Case Study 1: Are Our Customer Liaisons Helping or Hurting?
Student Name
Institutional Affiliation
Instructor’s Name
Case Study 1: Are Our Customer Liaisons Helping or Hurting?
Introduction
In any hospital setting, Patient Care Executives usually are charged with the responsibility of ensuring that patients receive high-quality healthcare. At Holy Cross hospital, this position is created to give the executives an opportunity of managing the patients and allow doctors to focus on treating the patients. This is intended to make the functions of the facility much smoother. Initially, a lot of work was being put on the physicians, leaving them with too little time to attend to the patients and offer the quality of care that is required.
Recently, however, physicians have been complaining that the Patient Care Executives do not perform their duties as expected. As earlier mentioned, the position was created in this facility to ensure that patients are well-taken care of and other management functions are also handled effectively. Generally, it was meant to ensure smooth management of the healthcare organization and provide a smooth system and relationship between the PCEs and the healthcare providers. As an administrator, it is essential to work closely with HR to ensure that qualified and competent candidates are hired in this position to avoid future concerns from the physicians. As a result, a regular evaluation is required to identify the factors that affect the functioning of Holy Cross Medical Center.
External Environmental Forces
Various external factors affect the operation of Holy Cross Medical Center. Some of the major external forces include competition and patient outcomes. It is important to note that like any hospital, the patient outcome reflects the image of the organization to the public and clients typically. It is an advantage that in recent years, patient satisfaction has improved. This must be maintained or even further enhanced. Patient outcome is one of the factors that affect the organization because it plays a crucial role in determining patient retention and can improve the image of Holy Cross in public, consequently affecting its competitive advantage in the healthcare market. This means that if the PCEs and the healthcare providers are capable of working closely and collaboratively, they can improve patient outcomes and satisfaction within Holy Cross and bring success to the organization (Ginter, Duncan & Swayne, 2013).
Another external factor affecting the operations of the Holy Cross is competition. It is noted that the organization is surrounded by various healthcare organizations, both public and private, with relatively better facilities. Holy Cross is expected to compete with such organizations by offering better quality care. Competition, in this ca ...
Comment 1Development of an evidence-based practice project musJeniceStuckeyoo
Comment 1
Development of an evidence-based practice project must include the direct and indirect impact that will be encountered through implementation. Staff retention of newly hired nurses specific to the night shift is the focus of my project and its impact on the nurses, facility and community that is served. According to published reports, a supportive work environment, especially between managers and employees, creates a strong deterrent to nurses leaving an organization by improving perception of organizational support, employee engagement, team cohesion, and connection to the mission of the health-care setting (Kurnat-Thoma, Ganger, Peterson, & Channell, 2017).
Financial aspect
– staffing cost/turnover cost
Hospital staffing turnover is projected to 5% to 5.8% of total hospital annual operating budget and is largely driven by the loss and necessary replacement of qualified nurses according to Waldman, J., Kelly, F., Arora, S., Smith, H. (2010).
Proposal direct impact
– hospital revenue/staffing costs,
Proposal indirect impact
– patient outcomes, positive healing environment perception by staff/patients
Quality Aspect
– High turnover in any industry can be a concern, especially those that are customer-centric. Industries that deal with people’s health are in an even more precarious position. Institutions with high attrition must consider how a “revolving door” of care providers affects the quality of care an institution is able to provide, and the satisfaction of patients with their overall experience according to Arena (2018).
Proposal direct impact
–
Separation Costs – Continued benefits, temporary labor, overtime to existing employees
• Recruitment Costs – Job description, posting on job boards, screening candidates, interviewing candidates, assessing candidates
• Onboarding Costs – Orientation and training of new hire
Proposal indirect impact
–
Loss of productivity
• Lack of staff while positions are being filled
• Increased pressure on existing staff to cover and pick up the extra work often leading to burnout
• Patients receiving less attention
• Pressure on current staff to train and then gel with the new employees
• Lack and lag of knowledge with new employees concerning institutional practices, workplace norms, team behaviors, and patient knowledge, familiarity, and care experience
Clinical aspect
– unit cohesiveness/patient care
Many nurses leave their positions because of negative experiences with heavy or unrealistic workloads and due to feeling unheard and undervalued. Clinical nurses' sense of disempowerment can be related to lack of leadership interventions. Clinical nurses may feel that managers are insensitive to their staffing needs, don't support employee well-being, and don't invest enough in staff education or clinical advancement according to Linnen and Rowley (February 2014).
Proposal direct impact
– nurses will see themselves as stewards for their unit. “Nurses are leaders by virtue ...
INTERDEPENDENCE OF HOSPITAL PHYSICAL STRUCTURE AND POLICIES ON PATIENT SAFETY...Swati Rane
This document discusses the interdependence between hospital physical structure and policies on patient safety from the perspective of clinical planners. It explores how factors like noise levels, lighting, ergonomics, HVAC systems and facility design can influence workplace errors. Organizational variables like staffing levels, stress and fatigue are also linked to errors. The document advocates for evidence-based hospital design aligned with processes and culture to enable safe care. It recommends transformational leadership, stress-reducing work environments, empowered staff and non-punitive approaches to errors to improve safety.
The document examines how the NHS measures quality of care for people with mental health conditions or a learning disability. It finds that there is a lack of research into quality measurement for this group compared to other areas of healthcare. Additionally, quality measurement often focuses on metrics and minimum standards rather than the cultures and values that could lead to improved care. The paper suggests dimensionalising quality measures into more specific areas like nursing care, food services, and health outcomes to better guide quality improvement efforts.
Running head: HEALTHCARE 1
HEALTHCARE 3
Healthcare
Yahima Montero
Chamberlain University
NR 534 Weeek 5
Healthcare
The Analysis
The paper explores and analyses how the culture and climate of at my workplace, Cleveland Hospital influence the provision of quality care services. The creation of a sustainable healthcare work environment in which workers and patients feel engaged, loyal, and satisfied remain as priorities of any organization. My organization culture makes the broader construct that covers every aspect of employees at work. The climate within the organization involves our shared perceptions among employees on the organization’s procedures, practices, policies, and the nature of the rewarding system. The summary of the assessment findings on my organization’s physical environment, organizational power and structure, social environment, environmental safety, professional and personal support, organizational communication, and organizational taboos form the critical aspects of the paper.
Cleveland Hospital Organizational Culture and Climate Analysis
Summary of Assessment Findings
Physical Environment: How I experience the work environment at any given time, how it feels to work in the organization and to perform in the organization’s culture influences my mood. Within the facility, families visiting their patients have a well-furnished waiting bay with television in which they first rest before being allowed to see their patients. Those with cars can access marked parking lots that are enough. Since the organization is Christian-based, it has a chapel in which patients’ families can gather and pray for their loved ones undergoing medical treatment.
Environmental Safety: As workers, we share values and beliefs that influence our behavior within the organization. It is through these share aspects in which the organization has identified to provide safety measures since the organization believes that healthy workers are essential assets in performance. As a result, environmental safety measures such as safety stickers on elevators, stairwells, passageways, and hallways are maintained. These stickers remind workers and other people that safety at the workplace is critical and that they should observe safety measures.
Social Environment: The organization has maintained its annual event at the end of the year in which all workers and other senior employees converge to celebrate the achievements of that year. These internal social events have helped in strengthening interdepartmental socialization and making the organization one big family. As a result, the shared assumptions, values, and beliefs of the organization get enhanced to propel the achievement of goals and realization of the vision.
Organizational Power Structure: Board of directors manages the facility. The executive management of the organization oversees daily operations. The chief executive officer remains the top boss responsible for all activi ...
Jocelyn Cornwell: How can organisations support patients to lead quality impr...The King's Fund
Jocelyn Cornwell, Director, the Point of Care Foundation and Senior Fellow, The King's Fund spoke on the benefits of involving patients in leadership at our 2013 Leadership Summit. She drew on her experience of the Point of Care Programme and examples from other organisations, including Kingston General Hospital in Canada, to prove that once you involve patients and carers in quality improvements, the changes stick.
Stress and Healthcare Workers Productivity at Lexington Medical .docxcpatriciarpatricia
Stress and Healthcare Workers Productivity at Lexington Medical Center
ABSTRACT
The research proposal aim at assessing the effect of workplace stress on workers productivity at Lexington Medical Center. The objective of the research is to assess worker productivity, the stress level among health workers, and the extent to which their productivity and performance is related to stress levels. The research survey will be a cross section and it will involve 120 participants (about 20% of the total population) and it will be conducted through convenience sampling techniques and stratified sampling. The data will be collected using questionnaire and descriptive statistical regression analysis will be used for data analysis. Before the actual data collection, there will be pilot study to determine reliability of the
research process. At this stage, the research will include expert opinion to enhance validity of the research.
This abstract did not give a background and summary of your study, and your expected outcome
Keywords:Employee productivity/ job performance, work place stress/occupational stress, doctors, nurses, medical attendant Lexington Medical Center.
Table of Contents
Why do you have a background and Statement of the Problem? The background can be covered in the statement and description of the problem.
1CHAPTER ONE
11.0INTRODUCTION
11.1 Background to the Research Problem
31.2 Statement of the Research Problem
31.3 Objectives of the Study
31.3.1General Objective
41.3.2 Specific Objectives
41.4. Research Questions
Why do you have a General and a Specific Objectives and Research Question. Please read the textbook or my powertpoint and understand it. Also my dissertation..
41.4.1 General Research Question
41.4.2 Specific Research Questions
41.5 Relevance of the Research
51.6 Organization of the Dissertation (Why disseration? Disseration is totally different from a Research Proposal
51.7. Limitations
6CHAPTER TWO
62.0 LITERATURE REVIEW
62.1 Overview
62.2 Conceptual Definitions
72.2.1 Work Place Stress
72.2.2 Employee Performance
82.3. Theoretical Literature Review
82.3.1 Employees Performance Management
82.3.2 Stress at Workplace
10Work Stress and Employees Performance
10Theories of Work Stress
10The Job Demands-Control Theory (JD-C)
11The Role Theory
11Empirical Literature Review
12Assessing Employee Performance
132.5.3 Relationship between work Stresses and Employee Performance
13Research Gap Identified
142.9 Statement of Hypotheses
15CHAPTER THREE
153.0 RESEARCH METHODOLOGY
153.1 Overview
153.2 Research Design
153.3 Study Population
153.4 Area of the Research
163.5.1 Sample Size
173.5.2 Sampling Procedure
183.6. Variables and Measurements
193.7 Methods and Instrument Used for Data Collection
193.8. Data Processing and Analysis
21CHAPTER FOUR
214.0 SUMMARY, CONCLUSIONS AND RECOMMENDATIONS
214.1 Summary
22References
CHAPTER ONE
1.0 INTRODUCTION (Omit the numbers. LOOK AT MY DISSERATION)
1.1 Background You do not need to put backgr.
Running head NURSING RESEARCH PROJECT .docxglendar3
Running head: NURSING RESEARCH PROJECT 1
NURSING RESEARCH PROJECT 5
Nursing Research Project
Phase Two
Karen Lezcano
Nursing Research
Florida National University
Nursing Research Project
Introduction
Nursing just like any profession faces numerous challenges daily. Nurses are usually tasked with the duty to ensure that they work diligently and professionally to ensure that their clients are satisfied with the services that they deliver. They are usually tasked with the duty to ensure that the patients that visit their premises get quality services that they deserve. However, these services come at a cost; they face a myriad of challenges that they have to work fully despite these challenges to satisfy their clients. Therefore, this research paper analysis some of the problems that nurses face in the daily execution of their duties.
Identification of the Problem
Nurse faces a myriad of challenges in their daily execution of duties. To ensure that they discharge their duties perfectly all these challenges must be identified and effective measures are put in place to ensure that the challenges are taken care of. The major problems that most of the medical facilities are the issue of understaffing. Nurses have faced challenges in terms of duties assigned to them in comparison to their numbers. Studies conducted have also portrayed that there are shortages of nurses in the medical facilities. However, the challenges that these nurses face are varied in different nations and towns, there are those nations that have surplus while there are those towns and nations that have a high shortage of these important service providers in the healthcare facilities.
The impact of these shortages has also resulted in further challenges for the nurses. In this regard, one of the major challenges that these nurses face is the need to work for long hours due to the shortage of employees at the medical facilities. The few available nurses must work in shifts and endure long working hours to ensure that they meet the desired goals of the institution are met. The work of nurses calls for one to be sober and cognitive in decision making (McLelland et al. 2015). However, with a situation where nurses are required to work for long hours, work in shifts such that they can sleep for a while and resume their duties. This is a worrying trend for the nurses because their cognitive ability and judgment as normal human beings are likely to decline when overworked. Therefore, the chances of making poor decisions are also likely to increase with time as they work overtime.
Besides that, the shortages of nurses in healthcare facilities which calls for overworking of these nurses to ensure that patients are fully taken care of, usually lead to an increase in hazard and dangerous accidents taking place.
Running head NURSING RESEARCH PROJECT .docxtodd581
Running head: NURSING RESEARCH PROJECT 1
NURSING RESEARCH PROJECT 5
Nursing Research Project
Phase Two
Karen Lezcano
Nursing Research
Florida National University
Nursing Research Project
Introduction
Nursing just like any profession faces numerous challenges daily. Nurses are usually tasked with the duty to ensure that they work diligently and professionally to ensure that their clients are satisfied with the services that they deliver. They are usually tasked with the duty to ensure that the patients that visit their premises get quality services that they deserve. However, these services come at a cost; they face a myriad of challenges that they have to work fully despite these challenges to satisfy their clients. Therefore, this research paper analysis some of the problems that nurses face in the daily execution of their duties.
Identification of the Problem
Nurse faces a myriad of challenges in their daily execution of duties. To ensure that they discharge their duties perfectly all these challenges must be identified and effective measures are put in place to ensure that the challenges are taken care of. The major problems that most of the medical facilities are the issue of understaffing. Nurses have faced challenges in terms of duties assigned to them in comparison to their numbers. Studies conducted have also portrayed that there are shortages of nurses in the medical facilities. However, the challenges that these nurses face are varied in different nations and towns, there are those nations that have surplus while there are those towns and nations that have a high shortage of these important service providers in the healthcare facilities.
The impact of these shortages has also resulted in further challenges for the nurses. In this regard, one of the major challenges that these nurses face is the need to work for long hours due to the shortage of employees at the medical facilities. The few available nurses must work in shifts and endure long working hours to ensure that they meet the desired goals of the institution are met. The work of nurses calls for one to be sober and cognitive in decision making (McLelland et al. 2015). However, with a situation where nurses are required to work for long hours, work in shifts such that they can sleep for a while and resume their duties. This is a worrying trend for the nurses because their cognitive ability and judgment as normal human beings are likely to decline when overworked. Therefore, the chances of making poor decisions are also likely to increase with time as they work overtime.
Besides that, the shortages of nurses in healthcare facilities which calls for overworking of these nurses to ensure that patients are fully taken care of, usually lead to an increase in hazard and dangerous accidents taking place.
The Role of Evidence-Based Design | Miron ConstructionMiron Construction
In this overview of evidence-based design in healthcare, Miron Construction takes a look at how the physical environment, along with other factors such as cultural and social, can impact the patient and practitioner experience in giving and receiving care.
This document discusses the importance of evidence-based practice in nursing. It begins by explaining how evidence-based practices have reverberated across nursing practice, education, and science. The need for improved healthcare calls for evidence-based practices to be incorporated into health systems to increase effectiveness, safety, and efficiency. New practice approaches should be evidence-based to help move healthcare in the desired direction. The document also provides an example of how one facility successfully reduced hospital-acquired pressure ulcers through implementing evidence-based skin assessment and wound care protocols. It concludes by stating the importance of evidence-based practices in tackling issues like hospital-acquired pressure ulcers.
This webinar discussed tools developed by AHRQ to measure and evaluate clinical-community relationships. An expert panel developed a conceptual framework and used it to create an Atlas with 22 existing measures of relationships. They also produced a Roadmap identifying priority areas of study to improve care coordination between clinical and community settings. The tools are meant to help build the evidence base around partnerships that promote integrated preventive services and fill gaps in needed care.
An Empirical Study on Patient Delight and the Impact of Human and Non-Human F...IOSR Journals
Health, one of the Fundamental Human Rights has been accepted in the Indian Constitution. Today the healthcare industry has emerged as one of the most challenging sectors as well as one of the largest service sector industries in India. Patient perceived service quality become the prominent aspect to choose between hospitals. The purpose of this paper is to evaluate patient perceived service quality in Indian hospitals. Further the impact of the dimensions on patient satisfaction and patient delight is examined. A questionnaire was administered to the in-patients and multiple regression analysis has been used to examine the impact of the dimensions on patient satisfaction and patient delight. Findings emphasize eight distinct dimensions of patient perceived service quality and the impact on patient satisfaction and patient delight. A positive and significant relationship with patient satisfaction and patient delight has been found, except two dimensions. The results of this study are limited, as they are based on Indian hospitals. The contribution of this research paper, incorporate patient delight in health care sector. In addition, this paper highlights the importance of emotional attachment for patient satisfaction and patient delight in health care.
JOB SATISFATION AND NURSE PATIENT RATIO24Table of Contents.docxchristiandean12115
This document provides an overview of a research study that examines the relationship between nurse job satisfaction, nurse-patient ratios, and nurse fatigue. It includes an introduction that outlines the background, problem statement, purpose, significance and research questions. It also presents hypotheses and a brief literature review. The methodology chapter describes the research design, sample, instruments and data analysis plan. Results, discussion and conclusions chapters are also outlined. The document provides a framework to guide the proposed empirical study on the key factors relating to nurse fatigue.
Therapeutic Environments - Devising space designs that provide measurable pos...bharti sharma
Threads of time and space weave human life, the pattern so weaved dictates its every aspect. If the effect of space on human mind and spirit is so intense then why not mould it to heal people. This presentation was the foundation of the graduation project of my MDes at NIFT Mumbai. It deals with the nuances of health care design unravelling the ways in which environment can act as a catalyst in the healing process.
PART 1
For the purpose of a more lucid account of my research, it has been divided into two parts. The first part i.e this presentation is the foundation of the research and deals with the objectives of the research and identification of the contemporary healthcare design pattern.
RUNNING HEAD: Progress Report1
Senior Project Progress Report
Melonie Lindsey
HCA 459
Vicki Sowle
June 2, 2014
Topic:
The topic that I selected for my senior project was “challenges of employee recruitment and retention of health care professionals”. I chose this topic because it is a growing problem among the healthcare institutions. The professionals who are capable of delivering best efforts in health care institutions are less in number and the opportunities that they have in this modern world are a lot. The human resources department of health care institutions adapt many modern ways to overcome these challenges. It is very interesting to understand such modern methods of human resources department for employee retention. At the same time, it’s interesting to visualize how the employees react to the actions performed by the human resources department of such healthcare institutions. In case the human resources department is unable to retain their employees irrespective of the hard measures taken by them, the backup plans executed by them in such cases are also worth studying.
Organization Specific Rationale:
New York Presbyterian is the health care organisation that I have selected for my senior project. This health care organisation is one of the top medical service providers in US. They have won several awards for maintaining good quality in delivering the health care services. The latest award that they have won is the “Energy Star Award” from EPA. This health care organisation offers a wide variety of medical services for their patients. The staff of this organisation is highly capable of delivering the best results. (http://nyp.org/, n.d.)
There are several challenges and opportunities that impact the balance between the health care costs for this organisation. Although NYP (New York Presbyterian) is a known name in medical field, it has to enforce several strict measures to control the cost and maintain steady income. The services offered by NYP are high class services so it’s not necessary that all the insurance plans cover it. Therefore only a specific category of patients can afford to have a treatment from this hospital. The running cost of the medical equipment installed in this hospital is also very high therefore the government aides are often necessary for this hospital. The salaries of the staff (including doctors) is also a major expense for the organisation.
NYP does not compromise with the quality of the health care services. Although the cost is directly proportional to the quality, the organisation manages its cost in such a way that the reputation of the hospital is never at stake. The multiple awards that are received by NYP is a result of the consistent reputation of the hospital is never at stake. The multiple awards that are received by NYP is a result of the consistent quality delivery. (http://nyp.org/services/index.html, n.d.)
Training:
The intended audience for this training can include t.
Outpatient care is defined as any health care services that do not require an overnight hospital stay. Key changes shifting the balance between inpatient and outpatient care include reimbursement policies, technological advances, utilization control factors, and social factors. It is important for hospital administrators to regard outpatient care as a key component of their business strategy because the number of inpatient stays are declining. Outpatient services help reduce costs and the survival of hospitals depends on outpatient care services growing to offset declining inpatient revenues.
The document discusses the changing relationship between physicians and hospitals and the need to better engage physicians in quality improvement efforts. It notes that physicians' primary focus is their own practice and quality of care for their patients, which may not align with hospitals' system-wide quality goals. Additionally, physician culture emphasizes personal responsibility, which can conflict with a systems approach to quality. The document aims to provide a framework for hospitals to develop written plans to improve physician engagement in quality and safety initiatives. It identifies several organizations that have effectively engaged physicians and achieved results as "best-in-the-world laboratories" from which lessons can be drawn.
This study aimed to identify which aspects of hospital design most influence patient satisfaction. A survey was administered to assess perceptions of physical environment factors, accessibility, amenities, and satisfaction levels. Factor analysis identified six key factors: 1) Complete accessibility, emphasizing inclusion and ease of movement. 2) A holistic approach fostering communication and comfort. 3) A therapeutic environment reducing anxiety. 4) Culturally-enriched elements enhancing belongingness. 5) Design being integral to an all-encompassing experience. 6) Efficient technology integration streamlining the patient journey. The study concludes that harmonizing these design factors can elevate patient well-being and showcase crucial elements for satisfaction.
Running Head CASE STUDY 1 ARE OUR CUSTOMER LIAISONS HELPING OR.docxhealdkathaleen
Running Head: CASE STUDY 1: ARE OUR CUSTOMER LIAISONS HELPING OR HURTING? 1
CASE STUDY 1: ARE OUR CUSTOMER LIAISONS HELPING OR HURTING? 6
Case Study 1: Are Our Customer Liaisons Helping or Hurting?
Student Name
Institutional Affiliation
Instructor’s Name
Case Study 1: Are Our Customer Liaisons Helping or Hurting?
Introduction
In any hospital setting, Patient Care Executives usually are charged with the responsibility of ensuring that patients receive high-quality healthcare. At Holy Cross hospital, this position is created to give the executives an opportunity of managing the patients and allow doctors to focus on treating the patients. This is intended to make the functions of the facility much smoother. Initially, a lot of work was being put on the physicians, leaving them with too little time to attend to the patients and offer the quality of care that is required.
Recently, however, physicians have been complaining that the Patient Care Executives do not perform their duties as expected. As earlier mentioned, the position was created in this facility to ensure that patients are well-taken care of and other management functions are also handled effectively. Generally, it was meant to ensure smooth management of the healthcare organization and provide a smooth system and relationship between the PCEs and the healthcare providers. As an administrator, it is essential to work closely with HR to ensure that qualified and competent candidates are hired in this position to avoid future concerns from the physicians. As a result, a regular evaluation is required to identify the factors that affect the functioning of Holy Cross Medical Center.
External Environmental Forces
Various external factors affect the operation of Holy Cross Medical Center. Some of the major external forces include competition and patient outcomes. It is important to note that like any hospital, the patient outcome reflects the image of the organization to the public and clients typically. It is an advantage that in recent years, patient satisfaction has improved. This must be maintained or even further enhanced. Patient outcome is one of the factors that affect the organization because it plays a crucial role in determining patient retention and can improve the image of Holy Cross in public, consequently affecting its competitive advantage in the healthcare market. This means that if the PCEs and the healthcare providers are capable of working closely and collaboratively, they can improve patient outcomes and satisfaction within Holy Cross and bring success to the organization (Ginter, Duncan & Swayne, 2013).
Another external factor affecting the operations of the Holy Cross is competition. It is noted that the organization is surrounded by various healthcare organizations, both public and private, with relatively better facilities. Holy Cross is expected to compete with such organizations by offering better quality care. Competition, in this ca ...
Comment 1Development of an evidence-based practice project musJeniceStuckeyoo
Comment 1
Development of an evidence-based practice project must include the direct and indirect impact that will be encountered through implementation. Staff retention of newly hired nurses specific to the night shift is the focus of my project and its impact on the nurses, facility and community that is served. According to published reports, a supportive work environment, especially between managers and employees, creates a strong deterrent to nurses leaving an organization by improving perception of organizational support, employee engagement, team cohesion, and connection to the mission of the health-care setting (Kurnat-Thoma, Ganger, Peterson, & Channell, 2017).
Financial aspect
– staffing cost/turnover cost
Hospital staffing turnover is projected to 5% to 5.8% of total hospital annual operating budget and is largely driven by the loss and necessary replacement of qualified nurses according to Waldman, J., Kelly, F., Arora, S., Smith, H. (2010).
Proposal direct impact
– hospital revenue/staffing costs,
Proposal indirect impact
– patient outcomes, positive healing environment perception by staff/patients
Quality Aspect
– High turnover in any industry can be a concern, especially those that are customer-centric. Industries that deal with people’s health are in an even more precarious position. Institutions with high attrition must consider how a “revolving door” of care providers affects the quality of care an institution is able to provide, and the satisfaction of patients with their overall experience according to Arena (2018).
Proposal direct impact
–
Separation Costs – Continued benefits, temporary labor, overtime to existing employees
• Recruitment Costs – Job description, posting on job boards, screening candidates, interviewing candidates, assessing candidates
• Onboarding Costs – Orientation and training of new hire
Proposal indirect impact
–
Loss of productivity
• Lack of staff while positions are being filled
• Increased pressure on existing staff to cover and pick up the extra work often leading to burnout
• Patients receiving less attention
• Pressure on current staff to train and then gel with the new employees
• Lack and lag of knowledge with new employees concerning institutional practices, workplace norms, team behaviors, and patient knowledge, familiarity, and care experience
Clinical aspect
– unit cohesiveness/patient care
Many nurses leave their positions because of negative experiences with heavy or unrealistic workloads and due to feeling unheard and undervalued. Clinical nurses' sense of disempowerment can be related to lack of leadership interventions. Clinical nurses may feel that managers are insensitive to their staffing needs, don't support employee well-being, and don't invest enough in staff education or clinical advancement according to Linnen and Rowley (February 2014).
Proposal direct impact
– nurses will see themselves as stewards for their unit. “Nurses are leaders by virtue ...
INTERDEPENDENCE OF HOSPITAL PHYSICAL STRUCTURE AND POLICIES ON PATIENT SAFETY...Swati Rane
This document discusses the interdependence between hospital physical structure and policies on patient safety from the perspective of clinical planners. It explores how factors like noise levels, lighting, ergonomics, HVAC systems and facility design can influence workplace errors. Organizational variables like staffing levels, stress and fatigue are also linked to errors. The document advocates for evidence-based hospital design aligned with processes and culture to enable safe care. It recommends transformational leadership, stress-reducing work environments, empowered staff and non-punitive approaches to errors to improve safety.
The document examines how the NHS measures quality of care for people with mental health conditions or a learning disability. It finds that there is a lack of research into quality measurement for this group compared to other areas of healthcare. Additionally, quality measurement often focuses on metrics and minimum standards rather than the cultures and values that could lead to improved care. The paper suggests dimensionalising quality measures into more specific areas like nursing care, food services, and health outcomes to better guide quality improvement efforts.
Running head: HEALTHCARE 1
HEALTHCARE 3
Healthcare
Yahima Montero
Chamberlain University
NR 534 Weeek 5
Healthcare
The Analysis
The paper explores and analyses how the culture and climate of at my workplace, Cleveland Hospital influence the provision of quality care services. The creation of a sustainable healthcare work environment in which workers and patients feel engaged, loyal, and satisfied remain as priorities of any organization. My organization culture makes the broader construct that covers every aspect of employees at work. The climate within the organization involves our shared perceptions among employees on the organization’s procedures, practices, policies, and the nature of the rewarding system. The summary of the assessment findings on my organization’s physical environment, organizational power and structure, social environment, environmental safety, professional and personal support, organizational communication, and organizational taboos form the critical aspects of the paper.
Cleveland Hospital Organizational Culture and Climate Analysis
Summary of Assessment Findings
Physical Environment: How I experience the work environment at any given time, how it feels to work in the organization and to perform in the organization’s culture influences my mood. Within the facility, families visiting their patients have a well-furnished waiting bay with television in which they first rest before being allowed to see their patients. Those with cars can access marked parking lots that are enough. Since the organization is Christian-based, it has a chapel in which patients’ families can gather and pray for their loved ones undergoing medical treatment.
Environmental Safety: As workers, we share values and beliefs that influence our behavior within the organization. It is through these share aspects in which the organization has identified to provide safety measures since the organization believes that healthy workers are essential assets in performance. As a result, environmental safety measures such as safety stickers on elevators, stairwells, passageways, and hallways are maintained. These stickers remind workers and other people that safety at the workplace is critical and that they should observe safety measures.
Social Environment: The organization has maintained its annual event at the end of the year in which all workers and other senior employees converge to celebrate the achievements of that year. These internal social events have helped in strengthening interdepartmental socialization and making the organization one big family. As a result, the shared assumptions, values, and beliefs of the organization get enhanced to propel the achievement of goals and realization of the vision.
Organizational Power Structure: Board of directors manages the facility. The executive management of the organization oversees daily operations. The chief executive officer remains the top boss responsible for all activi ...
Jocelyn Cornwell: How can organisations support patients to lead quality impr...The King's Fund
Jocelyn Cornwell, Director, the Point of Care Foundation and Senior Fellow, The King's Fund spoke on the benefits of involving patients in leadership at our 2013 Leadership Summit. She drew on her experience of the Point of Care Programme and examples from other organisations, including Kingston General Hospital in Canada, to prove that once you involve patients and carers in quality improvements, the changes stick.
Stress and Healthcare Workers Productivity at Lexington Medical .docxcpatriciarpatricia
Stress and Healthcare Workers Productivity at Lexington Medical Center
ABSTRACT
The research proposal aim at assessing the effect of workplace stress on workers productivity at Lexington Medical Center. The objective of the research is to assess worker productivity, the stress level among health workers, and the extent to which their productivity and performance is related to stress levels. The research survey will be a cross section and it will involve 120 participants (about 20% of the total population) and it will be conducted through convenience sampling techniques and stratified sampling. The data will be collected using questionnaire and descriptive statistical regression analysis will be used for data analysis. Before the actual data collection, there will be pilot study to determine reliability of the
research process. At this stage, the research will include expert opinion to enhance validity of the research.
This abstract did not give a background and summary of your study, and your expected outcome
Keywords:Employee productivity/ job performance, work place stress/occupational stress, doctors, nurses, medical attendant Lexington Medical Center.
Table of Contents
Why do you have a background and Statement of the Problem? The background can be covered in the statement and description of the problem.
1CHAPTER ONE
11.0INTRODUCTION
11.1 Background to the Research Problem
31.2 Statement of the Research Problem
31.3 Objectives of the Study
31.3.1General Objective
41.3.2 Specific Objectives
41.4. Research Questions
Why do you have a General and a Specific Objectives and Research Question. Please read the textbook or my powertpoint and understand it. Also my dissertation..
41.4.1 General Research Question
41.4.2 Specific Research Questions
41.5 Relevance of the Research
51.6 Organization of the Dissertation (Why disseration? Disseration is totally different from a Research Proposal
51.7. Limitations
6CHAPTER TWO
62.0 LITERATURE REVIEW
62.1 Overview
62.2 Conceptual Definitions
72.2.1 Work Place Stress
72.2.2 Employee Performance
82.3. Theoretical Literature Review
82.3.1 Employees Performance Management
82.3.2 Stress at Workplace
10Work Stress and Employees Performance
10Theories of Work Stress
10The Job Demands-Control Theory (JD-C)
11The Role Theory
11Empirical Literature Review
12Assessing Employee Performance
132.5.3 Relationship between work Stresses and Employee Performance
13Research Gap Identified
142.9 Statement of Hypotheses
15CHAPTER THREE
153.0 RESEARCH METHODOLOGY
153.1 Overview
153.2 Research Design
153.3 Study Population
153.4 Area of the Research
163.5.1 Sample Size
173.5.2 Sampling Procedure
183.6. Variables and Measurements
193.7 Methods and Instrument Used for Data Collection
193.8. Data Processing and Analysis
21CHAPTER FOUR
214.0 SUMMARY, CONCLUSIONS AND RECOMMENDATIONS
214.1 Summary
22References
CHAPTER ONE
1.0 INTRODUCTION (Omit the numbers. LOOK AT MY DISSERATION)
1.1 Background You do not need to put backgr.
Running head NURSING RESEARCH PROJECT .docxglendar3
Running head: NURSING RESEARCH PROJECT 1
NURSING RESEARCH PROJECT 5
Nursing Research Project
Phase Two
Karen Lezcano
Nursing Research
Florida National University
Nursing Research Project
Introduction
Nursing just like any profession faces numerous challenges daily. Nurses are usually tasked with the duty to ensure that they work diligently and professionally to ensure that their clients are satisfied with the services that they deliver. They are usually tasked with the duty to ensure that the patients that visit their premises get quality services that they deserve. However, these services come at a cost; they face a myriad of challenges that they have to work fully despite these challenges to satisfy their clients. Therefore, this research paper analysis some of the problems that nurses face in the daily execution of their duties.
Identification of the Problem
Nurse faces a myriad of challenges in their daily execution of duties. To ensure that they discharge their duties perfectly all these challenges must be identified and effective measures are put in place to ensure that the challenges are taken care of. The major problems that most of the medical facilities are the issue of understaffing. Nurses have faced challenges in terms of duties assigned to them in comparison to their numbers. Studies conducted have also portrayed that there are shortages of nurses in the medical facilities. However, the challenges that these nurses face are varied in different nations and towns, there are those nations that have surplus while there are those towns and nations that have a high shortage of these important service providers in the healthcare facilities.
The impact of these shortages has also resulted in further challenges for the nurses. In this regard, one of the major challenges that these nurses face is the need to work for long hours due to the shortage of employees at the medical facilities. The few available nurses must work in shifts and endure long working hours to ensure that they meet the desired goals of the institution are met. The work of nurses calls for one to be sober and cognitive in decision making (McLelland et al. 2015). However, with a situation where nurses are required to work for long hours, work in shifts such that they can sleep for a while and resume their duties. This is a worrying trend for the nurses because their cognitive ability and judgment as normal human beings are likely to decline when overworked. Therefore, the chances of making poor decisions are also likely to increase with time as they work overtime.
Besides that, the shortages of nurses in healthcare facilities which calls for overworking of these nurses to ensure that patients are fully taken care of, usually lead to an increase in hazard and dangerous accidents taking place.
Running head NURSING RESEARCH PROJECT .docxtodd581
Running head: NURSING RESEARCH PROJECT 1
NURSING RESEARCH PROJECT 5
Nursing Research Project
Phase Two
Karen Lezcano
Nursing Research
Florida National University
Nursing Research Project
Introduction
Nursing just like any profession faces numerous challenges daily. Nurses are usually tasked with the duty to ensure that they work diligently and professionally to ensure that their clients are satisfied with the services that they deliver. They are usually tasked with the duty to ensure that the patients that visit their premises get quality services that they deserve. However, these services come at a cost; they face a myriad of challenges that they have to work fully despite these challenges to satisfy their clients. Therefore, this research paper analysis some of the problems that nurses face in the daily execution of their duties.
Identification of the Problem
Nurse faces a myriad of challenges in their daily execution of duties. To ensure that they discharge their duties perfectly all these challenges must be identified and effective measures are put in place to ensure that the challenges are taken care of. The major problems that most of the medical facilities are the issue of understaffing. Nurses have faced challenges in terms of duties assigned to them in comparison to their numbers. Studies conducted have also portrayed that there are shortages of nurses in the medical facilities. However, the challenges that these nurses face are varied in different nations and towns, there are those nations that have surplus while there are those towns and nations that have a high shortage of these important service providers in the healthcare facilities.
The impact of these shortages has also resulted in further challenges for the nurses. In this regard, one of the major challenges that these nurses face is the need to work for long hours due to the shortage of employees at the medical facilities. The few available nurses must work in shifts and endure long working hours to ensure that they meet the desired goals of the institution are met. The work of nurses calls for one to be sober and cognitive in decision making (McLelland et al. 2015). However, with a situation where nurses are required to work for long hours, work in shifts such that they can sleep for a while and resume their duties. This is a worrying trend for the nurses because their cognitive ability and judgment as normal human beings are likely to decline when overworked. Therefore, the chances of making poor decisions are also likely to increase with time as they work overtime.
Besides that, the shortages of nurses in healthcare facilities which calls for overworking of these nurses to ensure that patients are fully taken care of, usually lead to an increase in hazard and dangerous accidents taking place.
The Role of Evidence-Based Design | Miron ConstructionMiron Construction
In this overview of evidence-based design in healthcare, Miron Construction takes a look at how the physical environment, along with other factors such as cultural and social, can impact the patient and practitioner experience in giving and receiving care.
This document discusses the importance of evidence-based practice in nursing. It begins by explaining how evidence-based practices have reverberated across nursing practice, education, and science. The need for improved healthcare calls for evidence-based practices to be incorporated into health systems to increase effectiveness, safety, and efficiency. New practice approaches should be evidence-based to help move healthcare in the desired direction. The document also provides an example of how one facility successfully reduced hospital-acquired pressure ulcers through implementing evidence-based skin assessment and wound care protocols. It concludes by stating the importance of evidence-based practices in tackling issues like hospital-acquired pressure ulcers.
This webinar discussed tools developed by AHRQ to measure and evaluate clinical-community relationships. An expert panel developed a conceptual framework and used it to create an Atlas with 22 existing measures of relationships. They also produced a Roadmap identifying priority areas of study to improve care coordination between clinical and community settings. The tools are meant to help build the evidence base around partnerships that promote integrated preventive services and fill gaps in needed care.
An Empirical Study on Patient Delight and the Impact of Human and Non-Human F...IOSR Journals
Health, one of the Fundamental Human Rights has been accepted in the Indian Constitution. Today the healthcare industry has emerged as one of the most challenging sectors as well as one of the largest service sector industries in India. Patient perceived service quality become the prominent aspect to choose between hospitals. The purpose of this paper is to evaluate patient perceived service quality in Indian hospitals. Further the impact of the dimensions on patient satisfaction and patient delight is examined. A questionnaire was administered to the in-patients and multiple regression analysis has been used to examine the impact of the dimensions on patient satisfaction and patient delight. Findings emphasize eight distinct dimensions of patient perceived service quality and the impact on patient satisfaction and patient delight. A positive and significant relationship with patient satisfaction and patient delight has been found, except two dimensions. The results of this study are limited, as they are based on Indian hospitals. The contribution of this research paper, incorporate patient delight in health care sector. In addition, this paper highlights the importance of emotional attachment for patient satisfaction and patient delight in health care.
JOB SATISFATION AND NURSE PATIENT RATIO24Table of Contents.docxchristiandean12115
This document provides an overview of a research study that examines the relationship between nurse job satisfaction, nurse-patient ratios, and nurse fatigue. It includes an introduction that outlines the background, problem statement, purpose, significance and research questions. It also presents hypotheses and a brief literature review. The methodology chapter describes the research design, sample, instruments and data analysis plan. Results, discussion and conclusions chapters are also outlined. The document provides a framework to guide the proposed empirical study on the key factors relating to nurse fatigue.
Therapeutic Environments - Devising space designs that provide measurable pos...bharti sharma
Threads of time and space weave human life, the pattern so weaved dictates its every aspect. If the effect of space on human mind and spirit is so intense then why not mould it to heal people. This presentation was the foundation of the graduation project of my MDes at NIFT Mumbai. It deals with the nuances of health care design unravelling the ways in which environment can act as a catalyst in the healing process.
PART 1
For the purpose of a more lucid account of my research, it has been divided into two parts. The first part i.e this presentation is the foundation of the research and deals with the objectives of the research and identification of the contemporary healthcare design pattern.
RUNNING HEAD: Progress Report1
Senior Project Progress Report
Melonie Lindsey
HCA 459
Vicki Sowle
June 2, 2014
Topic:
The topic that I selected for my senior project was “challenges of employee recruitment and retention of health care professionals”. I chose this topic because it is a growing problem among the healthcare institutions. The professionals who are capable of delivering best efforts in health care institutions are less in number and the opportunities that they have in this modern world are a lot. The human resources department of health care institutions adapt many modern ways to overcome these challenges. It is very interesting to understand such modern methods of human resources department for employee retention. At the same time, it’s interesting to visualize how the employees react to the actions performed by the human resources department of such healthcare institutions. In case the human resources department is unable to retain their employees irrespective of the hard measures taken by them, the backup plans executed by them in such cases are also worth studying.
Organization Specific Rationale:
New York Presbyterian is the health care organisation that I have selected for my senior project. This health care organisation is one of the top medical service providers in US. They have won several awards for maintaining good quality in delivering the health care services. The latest award that they have won is the “Energy Star Award” from EPA. This health care organisation offers a wide variety of medical services for their patients. The staff of this organisation is highly capable of delivering the best results. (http://nyp.org/, n.d.)
There are several challenges and opportunities that impact the balance between the health care costs for this organisation. Although NYP (New York Presbyterian) is a known name in medical field, it has to enforce several strict measures to control the cost and maintain steady income. The services offered by NYP are high class services so it’s not necessary that all the insurance plans cover it. Therefore only a specific category of patients can afford to have a treatment from this hospital. The running cost of the medical equipment installed in this hospital is also very high therefore the government aides are often necessary for this hospital. The salaries of the staff (including doctors) is also a major expense for the organisation.
NYP does not compromise with the quality of the health care services. Although the cost is directly proportional to the quality, the organisation manages its cost in such a way that the reputation of the hospital is never at stake. The multiple awards that are received by NYP is a result of the consistent reputation of the hospital is never at stake. The multiple awards that are received by NYP is a result of the consistent quality delivery. (http://nyp.org/services/index.html, n.d.)
Training:
The intended audience for this training can include t.
Similaire à Shreya_Hospitals as Workspaces_PreThesis Project.pdf (20)
Explore the essential graphic design tools and software that can elevate your creative projects. Discover industry favorites and innovative solutions for stunning design results.
Discovering the Best Indian Architects A Spotlight on Design Forum Internatio...Designforuminternational
India’s architectural landscape is a vibrant tapestry that weaves together the country's rich cultural heritage and its modern aspirations. From majestic historical structures to cutting-edge contemporary designs, the work of Indian architects is celebrated worldwide. Among the many firms shaping this dynamic field, Design Forum International stands out as a leader in innovative and sustainable architecture. This blog explores some of the best Indian architects, highlighting their contributions and showcasing the most famous architects in India.
Practical eLearning Makeovers for EveryoneBianca Woods
Welcome to Practical eLearning Makeovers for Everyone. In this presentation, we’ll take a look at a bunch of easy-to-use visual design tips and tricks. And we’ll do this by using them to spruce up some eLearning screens that are in dire need of a new look.
International Upcycling Research Network advisory board meeting 4Kyungeun Sung
Slides used for the International Upcycling Research Network advisory board 4 (last one). The project is based at De Montfort University in Leicester, UK, and funded by the Arts and Humanities Research Council.
Shreya_Hospitals as Workspaces_PreThesis Project.pdf
1. Hospitals as Workspaces
Digital Interven
ti
on to Reduce Pa
ti
ent Load on Healthcare Sta
f
Shreya Dinesh Pa
ti
l
REG. NO: 205306016
Work: Spaces and Cultures | A3| B.Des | Human Centered Design
2. A1 Line of Enquiry
Understanding the hospital facilities and
SOPs (standard operating procedures) that
have an effect on the satisfaction levels of
healthcare workers
Effects of sensory stimulation on the mental
state of healthcare workers in hospital
environments and while performing medical
procedures.
Result of prolonged doctor-patient
interaction throughout the duration of
treatment, affecting their work and
satisfaction.
Systems, Physical Spaces, Interactions
Line of Enquiry
Understanding the hospital facilities and
SOPs (standard operating procedures) that
have an effect on the satisfaction levels of
healthcare workers
Effects of sensory stimulation on the mental
state of healthcare workers in hospital
environments and while performing medical
procedures.
Result of prolonged doctor-patient
interaction throughout the duration of
treatment, affecting their work and
satisfaction.
Systems, Physical Spaces, Interactions
Project Brief Emerging Context & Key Concepts Posi
ti
onality
My first site visit Manipal Hospital, Hebbal, 22 Aug 2023
My first site visit Manipal Hospital, Hebbal, 22 Aug 2023
Implementing
a solution to-
ward the holistic
well-being of
participants and
stakeholders
Technology that
helps implement
solutions to-
wards health and
welfare
Creating an
impact, and
addressing the
larger context
Technological
mediation in
hospital spaces
Docbook Page 13-25
“ ”
When hospitals are well designed, clinicians and patients can
more easily manoeuvre in the workspace and access equipment.
This reduces stress and errors — Healthy Dialogues, The Future
of Hospital Rooms
I aim to impact lives, and design to enhance human experiences, star
ti
ng with
healthcare. I see great scope and poten
ti
al, yet rela
ti
vely less work done in the
sector of healthcare in India.
3. A1 Secondary Research
?
?
What are the implications of workplace design on the quality
of service, and workers’ well-being?
How are hospital spaces designed to accommodate varying
patients, specialisations and clinicians’ personal preferences?
Go through
talking abou
context of In
Identify wha
be explored
work done i
attendants w
Manipal Hospital, Whitefield, Bangalore
Key Ques
ti
ons
“ ”
When hospitals are well designed, clinicians and patients can
more easily manoeuvre in the workspace and access equipment.
This reduces stress and errors — Healthy Dialogues, The Future
of Hospital Rooms
Eliane Holzer, F. Tschan, Maria U. Kottwitz, et
al. "The workday of hospital surgeons: what
they do, what makes them satis
fi
ed, and the
role of core tasks and administrative tasks; a
Healthy Dialogues, The Future of Hospital
Rooms (YouTube Video, 2016) https://
Charles Glisson and Mark Durick, Predictors of
Job Satisfaction and Organisational
Commitment in Human Service Organizations
“ Increasing the percentage of medical tasks proper, notably
surgery, and reducing administrative duties may contribute to
hospital surgeons’ job satisfaction — Eliane Holzer, F. Tschan,
Maria U. Kottwitz, et al. “The workday of hospital surgeons”
”
Satisfaction emphasises the specific task environment where
an employee performs his or her duties — Charles Glisson and
Mark Durick
“ ”
Stewart Collins, Statutory Social Workers:
Stress, Job Satisfaction, Coping, Social
Support and Individual Di
ff
erences (Oxford
Docbook Page 21-25
4. A1 Ini
ti
al Interviews and Insights
Interview Insights around Space Design
Interview Insights around Space Design
Doctors are motivated by the service they provide that makes a
real difference in people’s lives — Gastro surgeon, An interview
participant, addressing motivations that facilitate job satisfac-
tion (2023)
“ ”
Docbook Page 27
5. A1 Feedback
Identify what other spaces can be
explored? Niche area or less work done
in spaces like attendants waiting area.
Look at interactions taking place and
spend ample time in the space, sit and
observe.
Go through research papers talking
about hospitals in the context of India.
Look at elements present in luxury
hospitals that can be bought into public
hospitals.
Summary
There is a cyclical relationship
between social workers' well-
being and patient outcomes.
When social workers are
overburdened and stressed, it
negatively affects their service
quality and patient care. In
turn, poor patient outcomes
further exacerbate social
workers' stress
— The Role of Social Workers
in Interprofessional Primary
Healthcare Teams
“
”
Manipal Hospital, Whitefield, Bangalore
A1 Summary and Feedback
-
Manipal Hospital, Whitefield, Bangalore
“There is a cyclical relationship between social workers' wellbeing
and patient outcomes. When social workers are overburdened and
stressed, it negatively affects their service quality and patient care. In
turn, poor patient outcomes further exacerbate social workers' stress.”
The Role of Social Workers in Interprofessional Primary Healthcare Teams - PMC https://ncbi.nlm.nih.gov/pmc/articles/PMC7435073
Docbook Page 28
6. Primary Research: Interviews and Observation
Evaluating Existing Digital
Interventions
Gosha Hospital, Shivaji Nagar, Bangalore
Context-Specific
Ideation
BP Machine Used in the
Triage Room
Interview Questions and Notes
Final
Outcome
User Testing and Critical
Evaluation
Feedback Kiosk and Self-Registration
QR Code at the Reception
Kiosk Source: Adobe CS
Determining the Project Space
Secondary Research
Setting the Line of Inquiry and
Understanding Hospital Protocols
Primary Site: Manipal Hospital,
Whitefield, Bangalore
Manipal Hospital, Whitefield,
Bangalore
Source: Amazon Image
...and many others
Timeline
Docbook Page 17-18
7. A2 Hospital Site Visits
Scope of the Visits
Gosha Hospital, Shivaji Nagar, Bangalore
Labour Ward Entrance
Docbook Page 30
8. A2 Focused Secondary Research O
ffi
cial Access for Visit Mapping Primary Research Areas
Since I was able to obtain official access to all the spaces in the hospital, I was able to explore
the space without restrictions.
Manipal Hospital, Whitefield, Bangalore
ID Card received
• The hospital environment, including infrastructure, workspace design, and accessibility of
facilities, significantly impacts the well-being and job satisfaction of healthcare workers.
Poorly designed environments can negatively affect care delivery.
• Healthcare workers often cite issues like lack of privacy, noisy and crowded surroundings,
inadequate facilities, and lack of communal spaces as factors reducing job satisfaction and
increasing stress.
• Access to nature, views of the outdoors, quiet spaces, and facilities for rest and recovery
are environmental features that can promote staff well-being. Some other factors are:
comfortable social areas for patients and families, and safe, accessible and well-equipped
workspaces.
• High workload and patient load coupled with staff shortages are key drivers of burnout
and dissatisfaction. Heavy administrative burdens also play a role. These reflect the
challenges of limited investments in public healthcare infrastructure and human resources.
Docbook Page 31-33
9. A2 Spacial Organisa
ti
on and Design Sensory Design
Docbook Page 34-36
Manipal Hospital, Whitefield, Bangalore
Ward Room, single patient
Abundant natural light and access to nature
Gosha Hospital, Shivaji Nagar, Bangalore
Ward room, shared by 15-20 patients
Insights that evolved my understanding of space and the senses:
• Environmental elements like light, sound, and colour significantly influence one’s connec-
tion with a space. In healthcare, poor designs can lead to complications, especially during
prolonged stays, exacerbating issues like depression and pain
• Attention to environmental factors can reduce medication needs and improve patient
behaviour. This individual control contrasts with standardized hospital facilities, lacking
customization (reference 3)
• The Walkman Effect (personal control over the environment, like through headphones,
can enhance well-being) can be integrated in healthcare design. When a patient is given
control of a situation it is shown to enhance their satisfaction levels
Takeaways from the Talk on Spacial Design by Vishwesh:
• Individual work entities influence the entire community, and every environmental system/
element supports the holistic perception of the work infrastructure
• Understanding the nature of workspace and it’s implications - global/large scale impact it
may have are essential
Studies mention that the human ability to interpret and create, requiring cross-wiring in
the brain (reference 7). The ability to utilise this knowledge to alter behavioural responses,
calm the visitors, and create an environment with a sense of normalcy during high-stress
situations.
An experiment conducted by a research team in a store environment manipulated the
olfactory receptor while simultaneously manipulating the presence of music. Customers
By designing experiences that congruently engage more of the
senses we may be better able to enhance the quality of life while
at the same time also creating more immersive, engaging, and
memorable multi-sensory experiences
“ ”
10. A2 Hospitals as a Space of E
ffi
ciency
Docbook Page 37-40
A comparative study based on primary research: What contributes to efficiency in hospitals?
• Staff members at Manipal have frequent meetings (every few weeks on average) to discuss
issues and receive updates on patient care.
• In one instance, the staff-to-patient ratio during an emergency was 7:1. Similar to most
private ICUs, Manipal Hospital’s nurse-to-patient ratio is 1:1–1:2, while public hospital ICUs
have a ratio of 1:4–1:6. In Manipal, the nurse-to-patient ratio in the wards is 1:5, while in
Gosha, it is 2:25.
• In a public tertiary care hospital, the prevalence of hospital-acquired infections was found
to be 3.76% in one study, while in private hospitals, the rate is usually less than 1%.
• Aspects of space that evoke emotions: the materials that make up a space create moods.
In OTs, this observation was common. The atmosphere varied although the making of the
space remained constant.
• The physical availability of space, organisation and compartmentalisation of space and
elements in it contribute to the efficiency of a space.
• I noticed vacuum suction technology (in Manipal) for drawing blood versus drawing blood
with syringe (in Gosha) which was more tedious and painful.
Manipal Hospital, Whitefield, Bangalore
Emergency Room, Bed 01, Code Red
Case Learning Outcome: Systems help reduce human error and human interventions help
reduce system errors.
Manipal Hospital, Whitefield, Bangalore
Checklist Documenting Patients’ Care
Nurse Station, All Floors Ward Center
Manipal Hospital, Whitefield, Bangalore
OT in the process of cleaning
Gosha Hospital, Shivaji Nagar, Bangalore
OT ready for a patient
Hospital Site Visits
11. A2 Research
Docbook Page 43-45
Idea
ti
on
Area
Possible
Drawbacks/
Challenges
Ideation
Case Study
Challenge/
Pain Points
Drug deficit
Cannulation
Repeated punctures due
to problems finding veins,
dehydration, pain, etc. add
to the stress of the doctor,
parent, and patient and
may even lead to a delay in
treatment.
Patient with clot in the brain
needing brain surgery - unable to
get intermediate purity factors
(vials that help clotting, need to
be given before surgery to prevent
excessive bleeding during surgery).
Multiple calls made to find where
this could be bought from.
This problem is even more
serious in obese subjects,
older patients (had to resort
to finding artery, couldn’t find
pulse even using sonogram)
and patients who need
frequent infusions.
Drug shortage of rare drugs or
expensive drugs that could save a
life. Workers stress to try and find
a solution, facing arrogance from
superiors.
Vein finder devices that also
help distinguish a healthy
vein from a sclerotic vein.
Additionally, it suggests the
ideal size of the cannula by
taking factors like reason, age,
weight, vein type, etc.
Privacy related concerns, malprac-
tice, hospitals wanting to keep
resources for private use. Market
forces run a lot of thing, medical
transcription industry.
A repository or storage database
for all drugs to ensure easy access,
controlled by central healthcare
providers.
Unfamiliar case Hospital Coordination
Coordinating between departments that
don’t operate around one anothe(nurses,
doctors, administration dept, engineering,
management).
Encountering a new or one-of-a-kind
rare case, for an experienced or new
practitioner.
[1] AC not working in patient room, nurse
has to contact another department to get
the issue fixed. (Is this concern out of her
job role?) [2] Obtaining plasma from the
blood bank required multiple phone calls
and caused stress among the staff.
Each specialisation has varying resource
hubs where papers get published, most of
these require a subscription to access in-
formation. This information then becomes
inaccessible to the larger audience. Addi-
tionally, with the abundance of research
done and written on, it is challenging and
time consuming to find the right resources
at a time of need.
QR Code present on the bottom of
patient beds with this system. Similar idea
adapted.
Chat GPT for medical queries: A system
that integrates all the medical research
ever presented and uses NLP to provide
accurate answers to queries along with
their sources.
A system or database to communicate
within the different nesting sections in
hospitals , to mediate effectively and have
a record of complaints or issues raised
and fixed consequently, along with the
time it took. Phone system to contact
person in charge instead of burdening the
nurse with all the problems.
Workers getting infected often ICU space design
Infections spread through high load patient contact
more than second-hand carriers.
Creating a filter system in the air input-output me-
diation so that aerosol transmission can be filtered
rather than mediating transmission.
Through prolonged observation, I noticed that
many of the nurses and doctors (primarily resident/
junior) that were in constant contact with patients of
varying types, had symptoms of sickness (common
ones like cold, cough). This hinders their ability
to provide service to their potential, and also
deteriorates long-term health due to the frequent
consumption of tablets. One of the primary contact-
method is air. Air circulation in the hospital is
centralised and AC vents can act as the spread agent.
Nurses face backlash and
restriction during night duty,
and parts of the day in the
ICU. Patients here are critical
and require highly intensive
care and rest. However, due to
factors like noise and stress,
patients and workers don’t
have an optimal environment.
A lot of functions taking place in
ICUs are associated with direct
contact, patient monitoring and
nurse attention is a mandate.
“Patient interaction is more
beneficial”
Sound-proof glass with an
island design structure. In this
case, the nurses and doctors
can have visual access to the
patients and can carry on their
tasks and have conversations
in the space without stress. It
will also be a sanitised zone
that would prevent infection
transfer.
Spread of infection (contact/no-contact) from
patients to hospital workers due to high contact
load.
Noise in the ICU by staff causing
complaints and a stressful work
environment, high chances
of infecting or catching an
infection.
12. A2 Outcome Speci
fi
c Pain-Points
Docbook Page 46-51
Typical User Journey During Hospital Visits
Manipal Hospital, Whitefield,
Bangalore
Contents of forms filled by doctors and nurses,
and then re-typed into computers.
Manipal Hospital, Whitefield,
Bangalore
Manual Assessment Of Pain Done By Nurses To
Analyse Symptoms And Suggest Relevant Doctors
Gosha Hospital, Shivaji Nagar, Bangalore
Manual Form-Filling for Blood Related
Investigations
13. A2 Outcome Speci
fi
c Pain-Points
Docbook Page 46-51
Manipal Hospital, Whitefield,
Bangalore
Long Queue Outside The Triaging Room For
Assessment And Vital Check
Manipal Hospital, Whitefield,
Bangalore
Long Queue In Front Of The Reception Area For
Multiple Reasons As Listed Below
It was a clear cut OPD case, but since the patient came
here, we had to provide a bed, now we can’t take someone
else that might be in need — Resident doctors in the ER
“ ”
It was a clear cut OPD case, but since the patient came
here, we had to provide a bed, now we can’t take someone
else that might be in need — Resident doctors in the ER
Pain-points: An Overview
• Communication gap (Case: prolonged waiting time, complaints, dissatisfaction)
• Long lines at reception desk (burden)
• Triage related concerns - in OPD (long lines, patients coming there to address other
queries, manual assessment of the query by nurse)
• Triage related concerns - in the ER (some cases are OPD cases but have to be handled in ER
because patient came there.
• Self registration, whatsapp chat, and mobile app/web portal present for booking, but
unused.
• Doctors filling forms with patient details that are existing in different forms but need to be
consolidated in one document on the system (repetitive and time consuming tasks).
“ ”
Manipal Hospital, Whitefield, Bangalore
Current Appointment Status System
Ui To Help User Book An Appointment
14. 3D Human Model
A2 Final Idea: Re-Thinking the Organic Organisa
ti
on of Space by Introducing a Digital Mediator
Docbook Page 52
Self Triage
system
System
algorithm
using data to
analyse
Doctors referring to old cases to try
and understand unfamiliar cases
Self assesment kits Manual sample assement in public lab
Possible
remedy
suggestion
Reduce
patient load
on staff
Reduces the
number of steps
and people
involved
“Allowing the staff to focus less
on forms, and more on you.”
Visual elements,
voice reogni-
tion, multiple
languages
Patients might not be ‘tech-savy’
Patient data
storage from
registration to
discharge
Private and
public
healthcare
implementation
Directs the
patient to book
a slot with
concerned
doctor
Live-status of
doctor if in
surgery or
emergency
15. A2 Feedback
Summary
Docbook Page 53-54
Explore existing AI tools used for
diagnosis and it’s real life implications
Understand project requirements and
time line required for bringing this
project to life
Apply a speculative design approach
and re-look at the project with a
critical lens
Understand the complexity of each
healthcare system model and how
it differs within privately funded
resource enhanced healthcare
spaces, versus resource constrained
healthcare facilities
Consider medical AI diagnosis, R&D
trial , clinical implementation, medical
regulations, etc.
Ask “what if there was a kiosk, what
would happen to the patients and the
workload?”
In what ways has AI come in and
disrupted human-centricity?
What will this solution do to a public
hospital 5 years from now, will it lead
to further empowerment and make
healthcare more accessible?
What does it mean to have doctors taken
away from the equation of healthcare?
What would the future of work look like?
efficiency, that enhance the healthcare space and experience.
I went on to look at the triaging area as a learning artefact while devising and further ideating
for my design plan.
An emerging question at this stage of the process was - can non-living elements humanise the
space more effectively than human presence?
The trajectories of spacial organisation, digital mediation, and sensory stimulation to
enhance healthcare seemed to converge in the idea presented in this project. Converging
these ideologies facilitated the formation of a critical perspective considering the future of
healthcare through the design intervention.
Kiosk: Hops Webpage
16. A3
Mapping User Demographic
Docbook Page 57
Arun
Persona Building
Arundati
Persona Name:
Arundati
Demographics
Age: 72
Gender: Female
Education/Career:
Retired
Family Status:
Widowed, 3
children
Interests: Reading,
Tennis, Cooking
Future Goals: Health
sustainability by meeting
health requirements
Frustrations: Having to
re-tell personal details
to varying staff members
before every appointment.
Having to remember
booking follow-up
appointments and missing
on the same
Relevance to Context: Eager
to see progress on health
goals
Persona Name: Dhruv
Demographics
Age: 37
Gender: Male
Education/Career:
VLSI Engineer
Family Status: Married
with wife expecting to
deliver in 3 months
Interests: Cricket,
Innovative technology
Future Goals: Family
Planning, Promotion
Frustrations: Low
patience levels,
standing in a que
for checkup before
meeting the doctor
Relevance to Context:
Looking forward to
saving time to spend
on work and with
family
Persona Name:
Sreeja
Demographics
Age: 26
Gender: Non-
binary
Education/Career:
MS student and ER
Doctor
Family Status:
Single
Interests: Travel,
Trekking, Yoga
Future Goals: Becoming
a certified yoga instructor
and doctor
Frustrations: Recent
back pain symptoms
restricting movement and
mobility; Work not giving
her enough time for self
development
Relevance to Context:
Finding the right doctor
for treatment with
experience in treatment
and rehabilitation, being
more efficient at work to
get tasks completed faster.
Persona Name:
Arun
Demographics
Age: 43
Gender: Male
Education/Career:
Doctor
Family Status:
Wife and 2 year old
daughter
Interests: Stock
market study,
patient’s wellbeing
Future Goals: Planning
schedules better, spending
more quality time with
family
Frustrations: Patient
delays in appointments
and emergency calls;
Dealing with upsetting
responses from daughter
during her appointments
Relevance to Context:
Desperate to find an
easier way to provide
daughter with holistic
care.
Sreeja
Dhruv
Persona Building
17. A3 Mapping User Flow
Docbook Page 58-60
Outlining Func
ti
ons of the Digital Product
Outcome: A Digital Intervention to Reduce Patient Load on Healthcare
Staff in Hospitals
Design Concept - Holistic Healthcare System is designed to reduce patient-load on doctors,
nurses and other involved healthcare workers in a space.
By implementing this digital intervention, the average wait-time in hospitals (observed as
about 2 hours currently) could speculatively but plausibly be cut down to 20-30 minutes.
The patient load on receptionists and nurses that undertake the tasks of form-filling, booking
appointments, analysing vitals and symptoms, will be minimised. Additionally, it enhances the
doctor’s efficiency to diagnose and treat the patient.
The design eliminates the initial back and forth between reception, triage room, doctor,
maybe another doctor, a scan and back to the doctor. This process forms a closed loop by
increasing the overall efficiency and saving 83.3-75% of the patient’s time.
How it works: The system collects user data and processes it, mapping the user to the right
doctor using manual assessment and existing data and doctor information. It results in an
‘Organic Re-organisation of Healthcare Spaces’, and reduces wait time and patient frustrations.
The design’s goal is to facilitate the stakeholders to achieve their goal, hereby enhancing the
overall experience, making it more efficient.
Features for patient’s portal include: A personalised data collection and intelligence model,
a custom 3D intractable graphic anatomic mesh to help patients map points of concern,
speech-to-text and audio options, multi-lingual option, and follow-up notifications.
Patient User Flow Part 1 Patient Us
Patient User Flow Part 1 Patient User Flow Part 2
It also allows “the staff to focus less on forms and more on
you.”
“ ”
18. A3 Mapping User Flow
Docbook Page 60-61
Considera
ti
ons
Doctor User Flow
Features for the Doctor’s portal would include a calendar with patient information that
they can choose to listen to on-the-go. This gives them a fair idea and an option to suggest
investigations like X-rays or ECGs that can be carried out before the visit. It also includes
various other features like options to look at their patients progress and testimonials that
one can provide post procedure. There’s also options to connect with other doctors, view
requested scans, and so on. It also allows doctors or consultants to conveniently type in notes
on the app from their place of convenience rather than using the system to do this.
We think about something going wrong a lot, so if patients upload
their progress or personal feedback like their pain was better
after consultation, it helps us feel better — Cardiac Surgeon, an
Interview Participant, (2023)
“
”
Considerations: Usability, inclusivity, the application should be easy to use by patients that
may not be tech-savvy to reach the larger population. Most often patients can locate their
point of pain but not describe it due to less knowledge about the name of the region, the 3D
intractable model is integrated in the system considering this.
19. A3 HHS Kiosk
Docbook Page 61-62
Kiosk (Not to Scale)
The image is a visual representation of the kiosk that is intended to be placed in hospitals.
Machines (BP monitor, oximeter, and a height-weight measuring scale apt with sensors) that
are used for manual vitals assessment are connected to the kiosk, automating the assessment
process by sending data input of the readings into the patients’ health database. For the
application model, this feature can be used to enter data manually or it can skipped and taken
when the patient is physically in the hospital.
The system exists in two individual parts: An application model and a digital kiosk. The two
perform identical functions and are provided as an option to facilitate ease of usability and
accommodate a wider demographic of users. The kiosk can also be used by doctors and other
staff at their workstations on desktops as a web model.
20. A3 Web Design for Healthcare Sta
f
Docbook Page 63
The design visualises an organic re-organisation of hospital spaces on implementation.
This is speculated to happen by addressing pain-points resonating with patients, nurses,
receptionists, doctor, elevating the holistic experience and reducing healthcare staff’s time
and effort.
21. A3 Applica
ti
on Prototype
Docbook Page 64-65
Application Screens Mock-Up Image 1
Goal: Addressing varying pain points across diverse patient demographics with one proposed
digital solution
22. A3 Applica
ti
on Prototype
Docbook Page 65-66
Application Screens Mock-Up Image 2
The application is synchronised with the kiosk and can be used as an effective alternative
for using the functionalities of the system from a distance. It works as an effective tool to
ease patient diagnosis and finding the right doctor, it also widens the doctor’s scope of
intervention.
Design Considerations During Initial User-Feedback Sessions That Helped Develop The
Prototype:
• Language Barrier - Addressing challenges around literacy - how can users use the features
of the application if they are not literate in English or not very good at reading large
amounts of text?
To tackle this I added the language selection, speech recognition and visual interaction
features in the design
• How to simplify the process of communicating user information to doctors without making
it a tedious process?
The doctor receives patient details in advance and can be informed about the symptoms
which will help treating the patient faster and more efficiently - one can do so by listening
to a summary of the patient’s they are bound to see on-the-go
An example of such a case is if the patient is an emergency case, the doctor in-charge can
be informed of the details and communicate pre-operative information in advance to start
preparing for next steps.
• How will the doctor and patient be up-to-date with their schedules without much manual
intervention?
Notifications and calendar schedules will help doctors and patients plan their days
• Designing a solution that does not frustrate the user and operates on the philosophy of
delivering efficiency
• Making ‘user-choice’ available. Giving the user an option to book an appointment with a
desired doctor even though it is not recommended by the system
A video is a compilation of individual screens and (all the mentioned) flows
linked below, explaining the features and working of the proposed design:
Video Link Here
Please access the YouTube link here incase the above link does not work.
Video Link Here
The
fi
gma link to the design prototype
fi
le containing all the
fl
ows is Figma
Design File
Design Considera
ti
ons
23. A3 Further Poten
ti
al for Product Feature Development
Docbook Page 67
Design Simulation
Tutorials and video demonstra
ti
ons
for educa
ti
ng users and easing use
Communica
ti
ng the most suitable
ti
me to leave from home for an
exis
ti
ng appointment by es
ti
ma
ti
ng
tra
ffi
c condi
ti
ons and doctor’s
schedule
Health data can be stored as NFT
ensuring privacy encryp
ti
on and data
security. This can only be accessed by
the user/pa
ti
ent and doctor, upon
pa
ti
en’t or guardians consent.
25. A3 Product Simula
ti
on
Docbook Page 69-70
User Tes
ti
ng
Category: Adult patient Category: Adult patient
Category: Dependant Category: Dependant
Category: Young adult patient Category: Adult patient
Category: 80+y/o patient Category: 80+y/o patient
ry: Adult patient Category: Adult patient
ry: Dependant Category: Dependant
Category: Young adult patient Category: Adult patient
Category: 80+y/o patient Category: 80+y/o patient
Mapping Demographic Based On
Age Groups Digital Literacy Income Bracket
In cities the traffic is so bad, if I am travelling from Whitefield
to Varthur to see a patient, it would be helpful if I can get an
idea about the details on the way and suggest investigations.
It will save my time and the patient’s
“ ”
26. A3 Feedback
Docbook Page 71-72
Pa
ti
ent Demographic
Patients Healthcare Staff
Initial concept testing feedback:
• Have an exit option at any point in the
flow, if the patient wants to discontinue
• Ask the patient if they are comfortable
sharing information
An observation I made was that some
patients that were not familiar with the BP
machine, found it challenging to use and
tended to oversee the instructions.
Ideating for this challenge, several other
ways to make this an easier process for
the user is (1) video representation rather
than image, with directions (2) using a
model that one can strap on to the wrist
rather than the upper arm (3) manual
communication or help for the first time.
A common response I received was “this is
extremely useful, it opens up a new way of
accessing healthcare which saves time and
promotes well being too”
“Usually I would have to stand in long ques
or wait for a long time before I can actually
meet the doctor”
Questions that guided my enquiry:
Q - How do patients respond to interactions
and communications in the healthcare
space?
Q - What factors affect their behaviour?
Initial concept testing feedback:
• Have the voice option from the first
screen
• Enable note-taking using the app
• We usually just get an SMS with
basic patient details, this is manually
generated or sent out by receptionists;
The proposed design makes our life a
lot easier and helps us understand the
patient better, and plan our meeting
time and personal time better
Verbal Feedback:
Self-assessment takes away the need for
manual assessment and form-filling
Concerns:
• “Is this possible?”
• “I don’t know if the system will be
accurately able to suggest investigations
without human interference”
Feedback Questions:
Does patient interaction provide job
satisfaction and how can this design ensure
that the human-centricity of healthcare is
not diluted through the intervention?
“When the process becomes so efficient,
people will not consider human-
interference as a positive aspect as it
reduces efficiency and takes away control”
“We check BP and all often so we know how to do it (older users who have the machines at
home)”
Number of Patients
I want to be seen by someone without waiting
“ ”
Age Category Literacy level/Job Description
Quantifying Patient Demographic for User Testing
03-13 Dependant Patient 3 Male, 4 Female School going
21-30 Young Adult Patient 5 Male, 5 Female
Students and Working profes-
sionals
35-55 Adult Patient 4 Male, 3 Female Working professionals in tech
35-55 Adult Patient 4 Male, 2 Female
Working as house help or
security
75+ Old Age Patient 2 Male, 4 Female Retired
27. A3 Future Considera
ti
ons and Scope
Docbook Page 73-76
Specula
ti
ve Cri
ti
cal Evalua
ti
on: Hospitals with
Digital Integra
ti
on A
ft
er 5 Years
Future Challenges and Considerations:
• Will this system lead to doctors being overworked or working outside their work hours?
• Is the data centric approach unsympathetic to patients?
• What aspects of human-centricity does this design model retain and neglect?
• What about the kiosk gives people agency?
The project, as seen, is in the ideation, prototype, and testing phases within the construct of
the pre-thesis time-line. Its future scope lies in the field of diagnostic care and health tracking.
As hospital spaces morph to adapt to a digital world, this project can act as a catalyst for that
transformation. An immersive experience, the project can take the form of a kiosk, which can
be placed at multi-speciality hospitals, community health centres, rural community centres,
hyper-local clinics, and old-age homes. Due to its versatility, it can reach a wider user group
and address more complex pain points across different social and economic classes.
This project also got me thinking about preventing illnesses rather than treating them; this
is where I see the future of healthcare. In India, with a doctor-to-patient ratio of 1.8:100, the
medical system is severely overworked. With periodic reviews and self-checkup facilities, both
of which can be achieved by this project, we can detect, track, and solve critical healthcare
issues before they become worse. With the gathered data, we can also plan better healthcare
for areas in need and deploy resources in an optimized manner. This will contribute to making
healthcare more equitable and accessible. With digitization, monitoring health and access to
healthcare should reach the most distant facets of society, leading to holistic community well-
being and a healthier, happier population.
As visible in the image below, the future lies in immersive experiences facilitated by virtual
interactions.
Hospitals across the world will move toward a data-centric approach in the next five years.
With more avenues to capture, process, and store data, treatments can be tailor-made for an
individual’s body type, lifestyle, diet, and other arbitrary factors. The trial-and-error method
currently used will reduce drastically. As the healthcare ecosystem advances digitally, patients
need to become technologically literate. By promoting self-checkup capabilities, a new culture
of being medically aware will become prevalent, and general health concepts will become
more widespread, reducing the spread of misinformation.
These data-driven approaches to healthcare should be monitored, regulated, and overseen
with a great sense of caution. The ownership of this data should reside with the patient
and should be shared with healthcare providers with their consent, as there is a high
chance of this data being misused if done in an unregulated environment. Data can be
misinterpreted and self-diagnosed information can lead to system errors, which might result
in incorrect diagnosis. These elements need to be considered, worked on and tested before
implementation.
The physical spaces in hospitals will become better equipped in a technological sense, while
the operations of a hospital can become optimized with effective scheduling and triaging. This
effect will also trickle down to smaller clinics and community centres as they are in dire need
of structure.
28. A3 Re
fl
ec
ti
on and Conclusion
Docbook Page 77-78
In one sentence — A passion project, close to my heart.
Images taken in the hospital