Effect analysis of applying high-quality service model to surgical nursing

BACKGROUND Surgical care of the hand plays a crucial role in the medical field,as problems with the hand can profoundly affect a patient's quality of life and function.In order to meet the needs of patients,improve patient satisfaction and improve treatment outcomes,high-quality service models have been introduced in the field of nursing.AIM To explore the effect analysis of applying high-quality service model to surgical nursing.METHODS We conducted a retrospective study of patients who underwent hand surgery at our hospital between 2019 and 2022,using a quality service model that included improved patient education,pain management,care team collaboration,and effective communication.Another group of patients received traditional care as a control group.We compared postoperative recovery,satisfaction,complication rate,and length of hospital stay between the two groups.Inferential statistics were used to compare the difference between the two groups by independent sample t test,Chi-square test and other methods to evaluate the effect of intervention measures.RESULTS Postoperative recovery time decreased from 17.8±2.3 d to 14.5±2.1 d,pain score decreased from 4.7±1.9 to 3.2±1.4,and hand function score increased from 78.4±7.1 to 88.5±6.2.In terms of patient satisfaction,the quality service model group scored 87.3±5.6 points,which was significantly higher than that of the traditional care group(74.6±6.3 points).At the same time,patients'understanding of medical information also improved from 6.9±1.4 to 8.6±1.2.In terms of postoperative complications,the application of the quality service model reduced the incidence of postoperative complications from 26%to 10%,the incidence of infection from 12%to 5%,and the incidence of bleeding from 10%to 3%.The reduction in these data indicates that the quality service model plays a positive role in reducing the risk of complications.In addition,the average hospital stay of patients in the quality service model group was shortened from 6.8±1.5 d to 5.2±1.3 d,and the hospitalization cost was also reduced from 2800±600 yuan to 2500±500 yuan.CONCLUSION Applying a quality service model to hand surgery care can significantly improve patient clinical outcomes,including faster recovery,less pain,greater satisfaction,and reduced complication rates.

The Chinese Consumers’Service Quality Satisfaction Differences of Cruise Tourism and Precision Marketing Strategy

The paper selected Chinese Cruise Line as the case study. Having based on the survey data of Chinese cruise tourism consumers, the factor analysis method, one-way analysis of variances method, cluster analysis method, and other quantitative and qualitative methods were taken to analyze Chinese consumers’ satisfaction differences of cruise tourism service quality with different segmentation markets and clusters markets, and the reasons of satisfaction differences were also explored. Then precision marketing strategy of Chinese cruise tourism with different segmentation markets and clusters markets from the supply-side reform perspective was discussed. The purpose of current research was to provide suggestions of precision management and precision marketing of Chinese cruise tourism for relevant enterprises and government departments.

Research on the Construction and Application of Service Quality Evaluation Models for Scenic Spots:Taking Chongqing Ciqikou as an Example

In the current environment of increasingly fierce competition in the tourism industry,service quality has become crucial for enhancing the competitiveness of scenic spots.This paper uses the SERVQUAL model to design a service quality evaluation questionnaire that captures the gap between tourists’expectations and perceptions,using the Ciqikou Scenic Spot as a case study.Data collected from field surveys are used to comprehensively and meticulously evaluate the service quality of the Ciqikou Scenic Spot.The analysis results show that the scenic spot,with its unique folk culture experience and beautiful ecological environment,has certain advantages in terms of service quality.However,significant deficiencies exist in infrastructure and environmental hygiene.Accordingly,targeted improvement suggestions are proposed to further enhance the service quality of the Ciqikou Scenic Spot and meet the increasingly diverse and personalized needs of tourists.This study provides not only a specific service quality improvement strategy for the Ciqikou Scenic Spot but also a valuable reference for other tourist attractions.

Quality of Service and Security on Cisco Network Devices, Coupled with the Development of a Mobile Application Prototype Software for Server Room Temperature Monitoring

In an era where digital technology is paramount, higher education institutions like the University of Zambia (UNZA) are employing advanced computer networks to enhance their operational capacity and offer cutting-edge services to their academic fraternity. Spanning across the Great East Road campus, UNZA has established one of the most extensive computer networks in Zambia, serving a burgeoning community of over 20,000 active users through a Metropolitan Area Network (MAN). However, as the digital landscape continues to evolve, it is besieged with burgeoning challenges that threaten the very fabric of network integrity—cyber security threats and the imperatives of maintaining high Quality of Service (QoS). In an effort to mitigate these threats and ensure network efficiency, the development of a mobile application to monitor temperatures in the server room was imperative. According to L. Wei, X. Zeng, and T. Shen, the use of wireless sensory networks to monitor the temperature of train switchgear contact points represents a cost-effective solution. The system is based on wireless communication technology and is detailed in their paper, “A wireless solution for train switchgear contact temperature monitoring and alarming system based on wireless communication technology”, published in the International Journal of Communications, Network and System Sciences, vol. 8, no. 4, pp. 79-87, 2015 [1]. Therefore, in this study, a mobile application technology was explored for monitoring of temperatures in the server room in order to aid Cisco device performance. Additionally, this paper also explores the hardening of Cisco device security and QoS which are the cornerstones of this study.

The Digitization of Public Services and Its Contribution to the Quality of Service in Relation to User Satisfaction

In recent years, some governments have been working on solutions to transform public administrations and provide high-quality services to users. The United Nations has recommended integrating digital technology into various aspects of life, including public services. The objective is to offer real-time, high-quality digital services, improve the delivery of public services, enhance their effectiveness and efficiency, while achieving objectives such as transparency, interoperability and citizen satisfaction. However, most governments in developing countries are unable to keep up with this trend. As a result, they often create digital public services that fall short of users’ expectations. This study aims to identify the fundamental factors influencing the quality of service in relation to user satisfaction and to explore the relevance of digital technology in implementing this quality within Cameroon public administrations. To achieve this, we used a qualimetric research method, which included non-directive interviews, questionnaires, and structured observations. The results showed that the public services offered in our study environment did not meet users’ expectations. However, the study identified the fundamental aspects to be considered in providing quality public services connected to user satisfaction, as well as the strengths of digitization in achieving this quality.

Public satisfaction with the quality of First Health Facility Services in Indonesia: Does sociodemographic matter?

Objective:To investigate individual characteristics related to satisfaction with the quality of First Health Facility Services(FHFS)in Indonesia.Methods:This cross-sectional study analyzes national representation data.Meanwhile,the study involved 9846 representative respondents in 2019.Respondent’s satisfaction with FHFS based on the five dimensions of service quality(SERVQUAL)is a dependent variable.Independent variables consist of sex,marital status,age,education,employment,insurance ownership,and economics.The study used multivariate logistic regression to explain the relationship between individual characteristics and FSHS quality.Results:77.3%Respondents were satisfied with FHFS,with the highest order of satisfaction dimensions being assurance(59.4%),empathy(57.3%),reliability(53.6%),responsiveness(52.7%),and then tangibility(49.1%).Multivariate logistic analysis showed that divorce was 1.48 more likely than never-married to be satisfied(95%CI 1.17-1.87).Employees were 0.77 less likely than the unemployed to get satisfied(95%CI 0.70-0.86).Respondents with higher education was 0.82 less likely than those with primary education to be satisfied(95%CI 0.67-0.99).Meanwhile,respondents who had government-run insurance were 1.61 more likely than uninsured to be satisfied(95%CI 1.42-1.80).Moreover,the rich were 0.82 less likely than the poor to get satisfied(95%CI 0.73-0.92).Conclusions:Community satisfaction with FHFS is generally high,though some areas could be improved.Demographic factors are still strongly related to satisfaction ratings.The government can assess the quality of services in accordance with standards and disseminate information about service standards for primary facilities to all levels of society,ensuring that service satisfaction is rated as good by all groups.

Data Center Traffic Scheduling Strategy for Minimization Congestion and Quality of Service Guaranteeing

According to Cisco’s Internet Report 2020 white paper,there will be 29.3 billion connected devices worldwide by 2023,up from 18.4 billion in 2018.5G connections will generate nearly three times more traffic than 4G connections.While bringing a boom to the network,it also presents unprecedented challenges in terms of flow forwarding decisions.The path assignment mechanism used in traditional traffic schedulingmethods tends to cause local network congestion caused by the concentration of elephant flows,resulting in unbalanced network load and degraded quality of service.Using the centralized control of software-defined networks,this study proposes a data center traffic scheduling strategy for minimization congestion and quality of service guaranteeing(MCQG).The ideal transmission path is selected for data flows while considering the network congestion rate and quality of service.Different traffic scheduling strategies are used according to the characteristics of different service types in data centers.Reroute scheduling for elephant flows that tend to cause local congestion.The path evaluation function is formed by the maximum link utilization on the path,the number of elephant flows and the time delay,and the fast merit-seeking capability of the sparrow search algorithm is used to find the path with the lowest actual link overhead as the rerouting path for the elephant flows.It is used to reduce the possibility of local network congestion occurrence.Equal cost multi-path(ECMP)protocols with faster response time are used to schedulemouse flows with shorter duration.Used to guarantee the quality of service of the network.To achieve isolated transmission of various types of data streams.The experimental results show that the proposed strategy has higher throughput,better network load balancing,and better robustness compared to ECMP under different traffic models.In addition,because it can fully utilize the resources in the network,MCQG also outperforms another traffic scheduling strategy that does rerouting for elephant flows(namely Hedera).Compared withECMPandHedera,MCQGimproves average throughput by 11.73%and 4.29%,and normalized total throughput by 6.74%and 2.64%,respectively;MCQG improves link utilization by 23.25%and 15.07%;in addition,the average round-trip delay and packet loss rate fluctuate significantly less than the two compared strategies.

Auto-Scaling Framework for Enhancing the Quality of Service in the Mobile Cloud Environments

On-demand availability and resource elasticity features of Cloud computing have attracted the focus of various research domains.Mobile cloud computing is one of these domains where complex computation tasks are offloaded to the cloud resources to augment mobile devices’cognitive capacity.However,the flexible provisioning of cloud resources is hindered by uncertain offloading workloads and significant setup time of cloud virtual machines(VMs).Furthermore,any delays at the cloud end would further aggravate the miseries of real-time tasks.To resolve these issues,this paper proposes an auto-scaling framework(ACF)that strives to maintain the quality of service(QoS)for the end users as per the service level agreement(SLA)negotiated assurance level for service availability.In addition,it also provides an innovative solution for dealing with the VM startup overheads without truncating the running tasks.Unlike the waiting cost and service cost tradeoff-based systems or threshold-rule-based systems,it does not require strict tuning in the waiting costs or in the threshold rules for enhancing the QoS.We explored the design space of the ACF system with the CloudSim simulator.The extensive sets of experiments demonstrate the effectiveness of the ACF system in terms of good reduction in energy dissipation at the mobile devices and improvement in the QoS.At the same time,the proposed ACF system also reduces the monetary costs of the service providers.

Evaluation of Recreation Service Quality of Slow Traffic Space in Urban Parks Based on IPA-Space Syntax Model

To build an“ecological and livable city”,it is important to figure out the relationship between human activity and urban park space and create a high-quality urban park through the integration of“people”and“park”.Taking Longhu Park in Huainan Province as an example,the study quantitatively analyzed and evaluated the characteristics and service quality of slow traffic space using importance-performance analysis(IPA)and space syntax,clarified the key indexes and areas to be optimized,and put forward corresponding design countermeasures and suggestions in combination with human activity demand.The results suggest that:①The mean performance of park recreation service quality is 3.63,less than the mean importance(3.95).Tourists pay special attention to the safety and convenience of slow traffic space,and the diversity and identiability of site functions is the focus“to be improved”.②The accessibility of Longhu Park shows a strong irregular shape in the southwest.The dead-end roads in the far lake area and the flora and fauna area on the northwest side have weak spatial perception,and the composite function carrying potential of slow traffic space is better reflected in a small range.Therefore,an optimization strategy for slow traffic space is proposed to enhance the continuity of road network,site identifiability,and functional diversification.The results will provide new thoughts of governance based on spatial humanism for the high-quality renewal of urban parks in the new era.

The Impact of Information Technology on Service Quality,Satisfaction,and Customer Relationship Management(Case Study:IT Organization Individuals)

Recent research and studies have shown that Information Technology(IT)has a significant impact on service quality,customer satisfaction,and customer relationship development.With the proliferation and penetration of technology in all aspects of life,organizations are responding to the implications and opportunities that IT creates in relation to customer services.The main objective of using information technology in organizations is to increase customer satisfaction,service quality,and customer relationship management,which the authors will focus on here.Enhancing service quality,improving customer satisfaction,and establishing close and sustainable customer relationships are key advantages of leveraging information technology in this field.This article examines the impact of information technology on service quality,customer satisfaction,and customer relationship development and provides strategies and models for organizations to improve customer satisfaction and establish closer connections with them through the use of information technology.Seventy individuals from the IT field were used to evaluate the proposed model.The proposed model was compared with three models:SEM,regression,and decision tree,and the results demonstrated better performance of this approach.

Investigation and Analysis of Factors Influencing the Quality of Community Nursing Services in Laishan District,Yantai City

Objective:The purpose of this study is to conduct an in-depth investigation and analysis of the factors affecting the quality of community nursing services in Laishan District,Yantai City,and provide suggestions for improving the quality of the services.Method:The community nursing services in Laishan District,Yantai City were investigated through questionnaires and on-site observations.Result:The content of nursing services was correlated with the professional titles of the staff.The guidance given to patients and caregivers was significantly correlated with the educational level of community nursing personnel.Therefore,this indicates that the professional titles and educational backgrounds of the community nursing personnel have a significant impact on the quality of service provided.Conclusion:The role of professional title evaluation can be optimized,further enhancing the educational level of nurses in surrounding communities,optimizing service content and methods,etc.,in order to improve the quality of community nursing services in the region.

How do Users Evaluate Service Quality of the Dockless Bicycle Sharing System?

In order to improve the public transit’s accessibility and promote service quality of the public transit,it is necessary to alleviate the“last⁃mile”problem.The combination of the public transit and bicycle⁃sharing system is competitive compared with the private car.In 2016,the dockless bicycle⁃sharing system has been undergoing tremendous development.Because the dockless bicycle⁃sharing system is different from previous bicycle⁃sharing systems,components of service quality of the dockless bicycle⁃sharing system differ.However,there are few articles about the service quality of the dockless bicycle⁃sharing system.This paper examined the evaluation of service quality of the dockless bicycle⁃sharing system along with a measurement of users’satisfaction.A questionnaire about service quality was designed,which includes 15 factors.Through the analysis of travelers’evaluation of factors of the dockless bicycle⁃sharing system with Rasch Model,these original ordinal data(Likert data)was transformed to the interval data:the person parameter(ability)and the item parameter(difficulty).Through the analysis of interviewees’abilities,it was found that only education and monthly consumption have significant influence on interviewees’evaluation of service quality of the dockless bicycle⁃sharing system,while there is no significant influence of gender,weekly use of dockless shared⁃bicycle,private car ownership,or monthly income on the evaluation.Furthermore,it was found that users were dissatisfied with cycling under the adverse weather,disturbance from pedestrians and cars,continuity of the bicycle lane,complaint channel,and staff service the most.

Dependability in Future Battle Network System —Transport Layer Ability to Maintain Quality of Service

Modernization of armies is a constant process and is driven by intuitive fact that those who do not modernize will become extinct. In last five decades, the development of modern armies has taken place around Colonel John Boyd’s theory of OODA loop that deals with information superiority. Building a robust, mobile and capable network that could provide for novel appliances and information superiority is the main challenge which modernizers are facing. Network, suitable for future combat operations, and able to transport a vast amount of information on a battlefield, is expensive to build. Every mistake in design and the need to correct those mistakes could halt development in an army for years. Therefore, system dependability analysis during system design phase is needed. In this report, the concept of a future Battle Network System is described. The Report evaluates operational environment of BNS and possible failure reasons of the service, and illustrates the change in BNS Quality of Service due to probable transport layer errors. This paper describes the method of testing the concept of proposed network systems on the drawing board, and emphasizes design points for a new system. Nevertheless, the proposed method is by no means conclusive. Rather, it describes an engineering approach to define the main problems while creating MANET-based networking systems.

Exploratory study of logistics service quality scale based on online shopping malls

Online shopping has already become the new mode that a lot of customers try to adopt. At the same time, the online shopping could not be successfully completed without logistics service. Logistics service quality (LSQ) has significant impact on revenue and profitability. This paper presents the issue from the perspective of the customer, and explores the initial factors of LSQ based on the online shopping through in-depth interview and the Delphi method. The survey uses a standard 7-point Likert-type scale to measure the LSQ. Empirical research results are shown in detail to confirm seven LSQ dimensions with Chinese characteristics, including timeliness quality, personal contact quality, order quality, order discrepancy handling, order condition and convenience. Statistical analyses of the investigation were conducted to test the reliability and validity of the LSQ evaluation model.

Cloud service performance evaluation： status, challenges, and opportunities - a survey from the system modeling perspective

With rapid advancement of Cloud computing and networking technologies, a wide spectrum of Cloud services have been developed by various providers and utilized by numerous organizations as indispensable ingredients of their information systems. Cloud service performance has a significant impact on performance of the future information infrastructure. Thorough evaluation on Cloud service performance is crucial and beneficial to both service providers and consumers; thus forming an active research area. Some key technologies for Cloud computing, such as virtualization and the Service-Oriented Architecture （SOA）, bring in special challenges to service performance evaluation. A tremendous amount of effort has been put by the research community to address these challenges and exciting progress has been made. Among the work on Cloud performance analysis, evaluation approaches developed with a system modeling perspective play an important role. However, related works have been reported in different sections of the literature; thus lacking a big picture that shows the latest status of this area. The objectives of this article is to present a survey that reflects the state of the art of Cloud service performance evaluation from the system modeling perspective. This articles also examines open issues and challenges to the surveyed evaluation approaches and identifies possible opportunities for future research in this important field.

Utility and Weight of Factors of Bus Transit's Service Quality Analysis in Nanjing

Service quality is a major factor that affects how public transport users evaluate bus service. In order to evaluate how bus users make trade-offs across travel cost,time,reliability,etc.,and to investigate the extent to which the components of service quality vary according to relevant trip characteristics,this paper analyzes service quality of bus transit with the conjoint analysis. Through data analysis,the levels 'utility values of reliability,waiting time,walking time,etc.,on the commuter trip and the non-commuter trip are gotten,so it is the utility function of the transit system. Then the factors' weights are obtained through the utility values. The results show that on the commuter trip,passengers value reliability the most,which is followed by waiting time and walking time,while in-bus environment,price and station environment's weights are small. While on the non-commuter trip,the weights in a higher order to lower order are the first for reliability,the second for in-bus environment,the third for walking time,the fourth for station environment and the last for ticket price.

MANAGING HUMAN RESOURCES FOR RETAIL SERVICE QUALITY

This study examines the management of service qua lity in fashion retail operation. The human resources processes leading to external service quality are consolidated into a quality management framework. With reference to the framework, the factors, their importance and relationships within each process are established by the responses of practicing salespersons. A clear picture of the underlying management mechanisms leading to strong sales forces and service quality are produced. Retail management is required to better establish and manage the human resource.

Application of Structural Equation Modeling to Evaluate Service Quality of Sportswear Retailing

Structural Equation Modeling （SEM） used widely in sociology, economics and psychology is adopted. Based on data obtained from marketing research, and using statistical analysis software SPSSll. 0 and LISRELS. 7, Theory of Five Dimensions of service quality is proved to be suitable in sportswear retailing in China. It analyzes the relationship among five dimensions and puts them in order of importance as to service quality in sportswear retailing. Advices are given for sportswear retail companies to improve their .Service quality and enhance customer loyalty.

The Quality of Service Standards and Related Factors in Tourist Hotels in Arusha, Tanzania

The gap in knowledge that existed between the level of service quality standard and the potential of the tourism industry in Tanzania justified the need for the researchers to conduct this study. In this study, a descriptive cross-sectional survey was adopted as the study design. The sample size included 180 guests residing in tourist hotels in Arusha at the time of data collection, 240 service employees, and 28 managers. Purposive, convenient, and simple random sampling methods were used in sampling. A structured questionnaire was used as an instrument of data collection. Data were analyzed by means of Statistical Package for Social Sciences （SPSS） computer package （Version 16） and expressed in descriptive and inferential statistics. The analysis of variance （ANOVA） was used to measure the gap between the managers＇ and guests＇ perceptions, while independent t-test analyzed the role played by managers＇ practices in delivery of quality service. The findings show that in general hotel product, two attributes were found to be significant at the level ofp 〈 0.05. In the front office, restaurant and bar, and guestroom, the results showed that three, six, and nine attributes were respectively found to be significant at the level of p ≤ 0.05. The analysis of management practices provided the evidence that eight practices were significant at the level of p ≤ 0.05. From the findings, two conclusions were made. First, managers＇ and guests＇ perceptions on service quality standards differ significantly; second, it was found that management practices influence significantly the service quality standards in tourist hotels in Arusha.

Optimal Resource Allocation and Quality of Service Prediction in Cloud

In the present scenario,cloud computing service provides on-request access to a collection of resources available in remote system that can be shared by numerous clients.Resources are in self-administration;consequently,clients can adjust their usage according to their requirements.Resource usage is estimated and clients can pay according to their utilization.In literature,the existing method describes the usage of various hardware assets.Quality of Service(QoS)needs to be considered for ascertaining the schedule and the access of resources.Adhering with the security arrangement,any additional code is forbidden to ensure the usage of resources complying with QoS.Thus,all monitoring must be done from the hypervisor.To overcome the issues,Robust Resource Allocation and Utilization(RRAU)approach is developed for optimizing the management of its cloud resources.The work hosts a numerous virtual assets which could be expected under the circumstances and it enforces a controlled degree of QoS.The asset assignment calculation is heuristic,which is based on experimental evaluations,RRAU approach with J48 prediction model reduces Job Completion Time(JCT)by 4.75 s,Make Span(MS)6.25,and Monetary Cost(MC)4.25 for 15,25,35 and 45 resources are compared to the conventional methodologies in cloud environment.