Name: Borce, Rod Reynon M.

Date:
Group: 2A Name of CI:

I. TITLE: Technical expertise and behavior of the doctor- a major determinant of waiting
time of OPD patients
AUTHOR: Cherry B.,Mamta B.,Mandeep N.,Sanjiv G.,Parveen B.,

SOURCE: https://www.ijcmph.com/index.php/ijcmph/article/view/10591

YEAR OF PUBLICATION: 203

II. SUMMARY
To summarize, categorize, and describe published research on how birthing room design
influences maternal and neonate physical and emotional outcomes. Background: The physical
healthcare environment has significant effects on health and well-being. Research indicates that birthing
environments can impact women during labor and birth. However, summaries of the effects of
different environments around birth are scarce. Methods: We conducted a systematic review,
searching 10 databases in 2016 and 2017 for published research from their inception dates, on how
birthing room design influences maternal and neonate physical and emotional outcomes, using a protocol
agreed a priori. The quality of selected studies was assessed, and data were extracted independently by
pairs of authors and described in a narrative analysis. Results: In total, 3,373 records were identified and
screened by title and abstract; 2,063 were excluded and the full text of 278 assessed for analysis. Another
241 were excluded, leaving 15 articles presenting qualitative and quantitative data from six different
countries on four continents. The results of theanalysis reveal four prominent physical themes in birthing
rooms that positively influence on maternal and neonate physical and emotional outcomes: (1) means of
distraction, comfort, and relaxation; (2) raising the birthing room temperature; (3) features of familiarity;
and (4) diminishing a technocratic environment. Conclusions: The evidence on how birthing environ-
ments affect outcomes of labor and birth is incomplete. There is a crucial need for more res earch in this field
To summarize, categorize, and describe published research on how birthing room design
influences maternal and neonate physical and emotional outcomes. Background: The physical
healthcare environment has significant effects on health and well-being. Research indicates that birthing
environments can impact women during labor and birth. However, summaries of the effects of
different environments around birth are scarce. Methods: We conducted a systematic review,
searching 10 databases in 2016 and 2017 for published research from their inception dates, on how
birthing room design influences maternal and neonate physical and emotional outcomes, using a protocol
agreed a priori. The quality of selected studies was assessed, and data were extracted independently by
pairs of authors and described in a narrative analysis. Results: In total, 3,373 records were identified and
screened by title and abstract; 2,063 were excluded and the full text of 278 assessed for analysis. Another
241 were excluded, leaving 15 articles presenting qualitative and quantitative data from six different
countries on four continents. The results of theanalysis reveal four prominent physical themes in birthing
rooms that positively influence on maternal and neonate physical and emotional outcomes: (1) means of
distraction, comfort, and relaxation; (2) raising the birthing room temperature; (3) features of familiarity;
and (4) diminishing a technocratic environment. Conclusions: The evidence on how birthing environ-
ments affect outcomes of labor and birth is incomplete. There is a crucial need for more res earch in this field
The goal of the study was to better understand the elements that determine how long patients must wait in the
outpatient department (OPD) and to offer suggestions for cutting down on that wait time at the chosen hospital.All new
100 consenting patients at OPD were recruited into the study using a systematic sample technique after determining the
sampling interval. It was a descriptive cross-sectional questionnaire-based study.According to the study, 70% of
patients were satisfied and just 30% were unsatisfied with the OPD staff's attention, cleanliness, and doctor's
attentiveness. However, they express extreme unhappiness with the amount of time they had to wait in the outpatient
department. The majority of the subjects stated that the expertise of the doctor, the doctor's demeanor, the hospital's
partnerships with non-governmental groups and insurance companies for free medication and surgery, as well as the
longer wait times.The patients' lack of knowledge of online appointment scheduling, COVID protocols, prioritizing
referrals made by other doctors or VIPs, and walk-in OPDs attended without an appointment was the main cause of
their dissatisfaction, not a lack of administration.
III. NURSING IMPLICATIONS
A. To Nursing Practice
As nurses, it is our responsibility to ensure that patients receive high-quality care and service. We should be
considerate of patients' needs and provide prompt attention to those in critical conditions. It is essential to communicate
with patients effectively, empathize with them, and listen to their concerns.
In addition, it is crucial to maintain a fair and just process in the OPD to minimize the waiting time. This means that
patients should be attended to based on their medical needs, with priority given to emergency cases. All patients should
receive equal treatment and be seen in the order of arrival, except for cases of urgency.
B. To Nursing Education
Nursing education emphasizes the importance of providing high-quality care and service to patients in the
OPD. Nurses are trained to be patient-centered and to prioritize patients' needs to ensure that they receive the best
possible care. Therefore, we should be empathetic and compassionate towards patients and provide them with the
necessary support to make their experience in the OPD as comfortable as possible.
C. To Nursing Research
The article focuses mainly on patients satisfaction, it would be better if they expanded more to nurses insight
towards patients in the OPD
IV. PERSONAL INSIGHTS
.I agree that some patients may prioritize being treated by a specific doctor over the waiting time in the OPD.
Additionally, addressing and greeting patients by their names can have a significant impact on their satisfaction level
and overall experience in the OPD

Checked and Received: (Signature of CI/Date)