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.

Assessing the Impact of Petrol Service Stations on Selected Physico-Chemical Water Quality Parameters within Port Harcourt Metropolis, Nigeria

This study assessed the impact of petrol service stations on physico-chemical water quality in Port Harcourt metropolis, Rivers State. This threw light on the extent of damage and alteration of water quality in Port Harcourt metropolis as a result of the proliferation of petrol service stations especially the condition of ground and nearby surface water. This serves as a useful tool to government and regulatory authorities for planning especially due to lack of central water supply system in Port Harcourt metropolis. The parameters studied were sampled, measured and analyzed using in situ and other standard methods. Remarkable results above permissible limits of interest for physicochemical parameter analysis revealed pH values from 4.6 to 6.8, electrical conductivity from 0.002 µS/cm to 0.42 µS/cm, salinity from 3 ppm to 4050 ppm, and temperatures from 19.9˚C to 32.6˚C. Total dissolved solids (TDS) varied from 7 ppm to 1000 ppm, biochemical oxygen demand (BOD) from 0.167 mg/L to 2.167 mg/L, chemical oxygen demand (COD) from 0.257 mg/L to 3.253 mg/L, and dissolved oxygen (DO) concentrations from 1.70 mg/L to 4.30 mg/L. Specifically, water samples from NNPC Filling Station (Choba) and Eneka Pond displayed “Poor” water quality with WQI values of 112.003 and 112.076, respectively. Similarly, ALLTEC Filling Station (Eneka) and TOTAL Filling Station (Rumuomasi) had “Poor” water quality with WQI values of 173.707 and 180.946, respectively. In contrast, Excelsis Filling Station (Akpajo) demonstrated “Good” water quality with a WQI of 85.2072, while Total Filling Stations (Slaughter) and Choba River revealed “unsuitable for drinking” water quality with WQI values of 552.461 and 654.601, respectively. Slaughter River also indicated very poor water quality with a WQI of 442.024. The physicochemical and nutrient analyses of the water samples showed that activities of the filling stations within the study area may have polluted groundwater in the environment posing poor aesthetics and great health risk to consumers of the water bodies. The findings underscore the need for immediate remediation efforts and stricter regulatory measures to protect water quality. The study concluded that surface and groundwater near petrol service stations in Port Harcourt are unfit for drinking and irrigation purposes without adequate treatment.

Failure to Rescue as a Quality Metric in Congenital Heart Surgeries in a High-Complexity Service Provider Institution Located in a Middle-Income Country

Background:Failure to rescue has been an effective quality metric in congenital heart surgery.Conversely,mor-bidity and mortality depend greatly on non-modifiable individual factors and have a weak correlation with better-quality performance.We aim to measure the complications,mortality,and risk factors in pediatric patients undergoing congenital heart surgery in a high-complexity institution located in a middle-income country and compare it with other institutions that have conducted a similar study.Methods:A retrospective observational study was conducted in a high-complexity service provider institution,in Cali,Colombia.All pediatric patients undergoing any congenital heart surgery between 2019 and 2022 were included.The main outcomes evaluated in the study were complication,mortality,and failure to rescue rate.Univariate and multivariate logistic regression analysis was performed with mortality as the outcome variable.Results:We evaluated 308 congenital heart sur-geries.Regarding the outcomes,201(65%)complications occurred,23(7.5%)patients died,and the FTR of the entire cohort was 11.4%.The presence of a postoperative complication(OR 14.88,CI 3.06–268.37,p=0.009),age(OR 0.79,CI 0.57–0.96,p=0.068),and urgent/emergent surgery(OR 8.14,CI 2.97–28.66,p<0.001)were the most significant variables in predicting mortality.Conclusions:Failure to rescue is an effective and comparable quality measure in healthcare institutions and is the major contributor to postoperative mortality in congenital heart surgeries.Despite our higher mortality and complication rate,we obtained a comparable failure to rescue rate to high-income countries’health institutions.

Affordability, Accessibility, and Quality of Maternal Health Care Services and Level of Satisfaction of Mothers in Rural Areas in China

Objective:This study aimed to understand the affordability,accessibility,and quality of maternal and child health services for postpartum mothers,and their impact on satisfaction.Methods:The study utilized the Anderson model and revised the Maternal Pregnancy and Perinatal Health Service Questionnaire.A survey was conducted among 289 mothers aged 20–49 in Feicheng City.Results:Regarding accessibility,most respondents(133)reported that travel time to healthcare services exceeded 60 minutes,while 99 respondents indicated a travel time of 16–30 minutes.The issue of affordability was highlighted,with 86.85%of participants perceiving maternal healthcare services as costly,indicating a significant financial burden.More than 50%of respondents were satisfied with two specific dimensions(P<0.05)regarding the quality of maternal healthcare services.Conclusion:The study found that accessibility,affordability,and quality significantly affect mothers’satisfaction with maternal health services.Future research should focus on developing more suitable service pathways for rural mothers.

Construction and Application of a Quality Evaluation System for Group Elderly Care Services Based on the Internet of Things

With the continuous intensification of global aging,the issue of elderly care has become an increasingly prominent social problem.The Internet of Things(IoT)technology,as an emerging field,holds broad application prospects.This article focuses on the application of IoT technology in group elderly care services and constructs a quality evaluation system for these services based on IoT technology.Through the analysis of practical application cases,the advantages and challenges of IoT technology in group elderly care services have been examined,confirming the feasibility and effectiveness of the evaluation system.

Pathways to Enhancing the Quality of Agricultural Statistical Services in the Context of Rural Revitalization

In the strategic context of rural revitalization,optimizing the quality of agricultural statistical services is a crucial element for advancing agricultural modernization and sustainable rural economic development.This paper focuses on the significance of enhancing agricultural statistical service quality under the backdrop of rural revitalization.It addresses current issues such as inadequate implementation of agricultural statistical survey systems,an imperfect data quality control system,and a shortage of statistical service personnel.Proposals are made to improve the statistical survey system,enhance the data quality control framework,and strengthen personnel training.These pathways offer references for elevating the quality of agricultural statistical services and implementing the rural revitalization strategy in the new era.

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.

Evaluating patients' perception of service quality at hospitals in nine Chinese cities by use of the ServQual scale

Objective: To investigate patients' perception of service quality at hospitals in nine Chinese cities and propose some measures for improvement. Methods: The ServQ ual scale method was used in a survey involving patients at out-patient and in-patient facilities in Shanghai, Chongqing, Chengdu, Nanning, Guilin and Laibin of Guangxi, Honghezhou of Yunnan, Wulumuqi of Xinjiang and Zhongshan of Guangdong. The data collected were entered and analyzed using SPSS 20.0. Statistical analyses included descriptive statistics, factor analyses, reliability analyses, product-moment correlations, independent-sample t-tests, One-way ANOVA and regression analyses. Results: The Kaiser-Meyer-Olkin value for the factor analysis of the scale was 0.979. The Cronbach's α for the reliability analysis was 0.978. All the Pearson correlation coei cients were positive and statistically signii cant. Visitors to out-patient facilities reported more positive perception tacilities on tangibles(t = 4.168, P(t = 1.979, P <han visitors to in-patient f 0.05). Patients of 60 years of age and above reported mor< 0.001) and reliability e positive perception th<an those between 40 and 49 on reliability(F = 3.311, P = 0.010), assurances(F = 2.751, P 0.05) and empathy(F = 4.009, P = 0.003). For the i ve dimensions of the scale, patients in Laibin, Guangxi reported the most positive perceived service quality, followed by patients in Shanghai. On the other hand, patients in Chongqing and Nanning and Guilin of Guangxi reported relatively poor perceptions of service quality. Standardized regression coei cients showed statistically significant(P < 0.001) positive values for all Serv Qual dimensions. Empathy(β = 0.267) and reliability(β uality. = 0.239) most strongly predicted perception of service qConclusions: Chinese patients perceived service quality as satisfactory. Hospitals in various regions of China should enhance their awareness and ability to serve their patients.

An Evaluation Scale of Medical Services Quality Based on “Patients' Experience”

An evaluation scale of medical services quality was developed on the basis of ＂patients＇ experience＂. The questionnaires were developed by, among others, searching relevant literature, col- lecting well-established assessment scales, measuring patients＇ experience and satisfaction, brain-storming, literature analysis. Delphi method was adopted for expert consultation. Scale items were screened and revised. The key indexes were converted. Field surveys were conducted for testing the reliability and validity of the scale. Our modified evaluation scale for measuring medical services quality based on ＂patients＇ experience＂ included 6 dimensions （tangibility, reliability, responsiveness, assurance, empathy and continuity）, and 50 items. The novel scale based on ＂patients＇ experience＂ may better serve the purpose of assessin~ medical services quality.

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.

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.

Quality Refrigerated Services联手LXE 确保为全球客户提供新鲜猪肉

Quality Refrigerated Services是一家冷藏存储及食品加工的家族公司,营业21年来,一直将质量放在首位。目前公司在内布拉斯加州的奥马哈、爱荷华州的斯宾塞及明尼苏达州的沃辛顿各设一个分机构,共有员工100人,负责加工及向国内外广大消费者运送猪肉。

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.

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.

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.

A multidimensional and hierarchical model of library mobile service quality

Purpose:Based on the understanding of the characteristics of mobile services(m-services)provided by libraries,we attempt to develop a multidimensional and hierarchical model and a specifically designed measurement scale for the assessment of libraries' m-service quality.Design/methodology/approach:The research has been conducted sequentially in two stages.At the first stage,a multidimensional and hierarchical model of library m-service quality and a measurement scale are developed through literature review and focus group interviews.At the second stage the model is tested using partial disaggregation technique for an analysis of the data collected from over 400 library users in 3 Chinese universities.Findings:The proposed model is shown to fit the data well.The empirical analysis provides strong support for the model,which includes 4 dimensions(service environment,service interaction,information control and service effect) and 12 corresponding sub-dimensions.Research limitations:The sample size needs to be enlarged and the user types need to be expanded to make the sample more representative.Practical implications:The study provides a conceptual framework and measurement tool that can help library managers understand the users' needs in the context of mobile network environment,and boost their libraries' competitiveness by carrying out better services to meet the user demands.Originality/value:The proposed model and measurement scale specifically designed for the assessment of libraries' m-service quality fully reflect the hierarchical structure of libraries' m-service quality.In addition,by using partial disaggregation technique for model testing,we believe our research can serve as a practical reference to those engaged in the development and examination of a multidimensional and hierarchical model.