Objective: To adapt and psychometrically evaluate the SERVQUAL-HF instrument for hospital food service quality assessment by validating its dimensional structure, reliability, and ability to identify key predictors of patient satisfaction.
Methods: This study uses the SERVQUAL framework to assess hospital food service quality, adding variables geared toward meal-specific aspects. A 7-point Likert-scale survey was performed in two hospitals to compare patient expectations to actual reality.
Results: Statistical validation, including multilinear regression and correlation analysis, revealed that responsiveness, food quality, perceived value, empathy, and meal variety are all significant predictors of customer satisfaction. SERVQUAL for Hospital Food Service (SERVQUAL-HF)’s dependability in assessing service quality across hospital settings was proven by a psychometric examination. The study emphasizes methodological modifications, such as the significance of empathy and perceived value, and suggests directions for future research in healthcare service measuring.
Conclusions: The findings add to the literature by improving the use of SERVQUAL in non-traditional hospital settings, ensuring comprehensive evaluation of patient-centered food service models.

Professional nurses, defined in this paper as licensed registered nurses, are a cornerstone of the U.S. healthcare workforce, serving as frontline caregivers and advocates across diverse settings. This is a narrative synthesis which examines the multifaceted challenges currently facing the nursing profession, including workforce shortages, burnout, and inflexibility in skill distribution, which are issues magnified by the COVID-19 pandemic and other public health crises. We examine how demographic shifts, such as an aging population and retiring nurses, along with rapid technological advancements, particularly in digital health and artificial intelligence, are reshaping nursing roles and responsibilities. The evidence presented highlights the critical importance of industry partnerships in addressing these challenges, emphasizing collaboration between nurses and stakeholders in healthcare technology, pharmaceuticals, and medical device manufacturing to develop tools and resources that align with evolving care needs. Additionally, we discuss opportunities for innovation in nursing education, workforce development, and entrepreneurial endeavors aimed at improving workplace conditions and patient outcomes. By analyzing current workforce composition, educational trends, and pathways for strengthening professional practice, the authors aim to inform policy makers, healthcare leaders, and educators about strategies to enhance the future of nursing and ensure the resilience of the broader healthcare system.

Objective: To understand shared-use mobile device deployment, management and usage challenges in healthcare delivery organizations (HDOs), including capabilities and unmet needs in Australia, Canada, the United Kingdom and the United States.
Methods: Online survey of 400 HDO clinical and health information technology leaders with institutional responsibilities for the management of shared-use mobile devices. How the challenges identified in the survey can be overcome is explored by examining the deployment of a mobile device management platform.
Results: Across nations 92% of respondents agreed that mobile devices are essential tools, yet only 56% had fully implemented shared-use device policies and procedures. Respondents stated improvement is needed in auditing facility device usage: 16% have no consistent policy/process for assigning devices at shift start; 46% use verbal or informal processes. Perceived mobile device benefits include: facilitates delivery of high-quality (94%) and accelerated care (51%) enabling reduced length of stay (86%); increased clinician satisfaction (94%) and reduced burnout (90%); enhanced care team coordination/communication (67%); and improved clinical application access (54%). Challenges in ease of use were endemic, including: securing sensitive information (44%); sharing of access credentials (79%); devices left logged in (74%); and ensuring rapid, frictionless access. Clinicians experience access issues, with frequent helpdesk contact (87%) for lockouts. Clinician frustration occurs when devices are unavailable (87%) or broken, uncharged, or missing applications (86%), delaying care delivery. Management issues included lack of visibility into mobile device usage (40%), assignment (48%), and applications accessed (55%); no centralized system for managing devices (39%); and time-consuming device setup (35%), with little variability by nation. When devices are unavailable or access difficult, 81% stated personal devices are used, an unsafe workaround. Substantial minorities across nations reported still relying on manual paper or digital log of device sign-out. A high mean annual rate of mobile device loss (23% across nations) ensures the negative impact of missing/unavailable devices is substantial, increasing risk of information security breach, delays in care communications and delivery, reduced productivity, shift change disruption, and increased staff frustration. Differences in responses by facility size (bed count) were few and modest. HDOs reported meaningful savings of $1.1 million per year on average by deploying shared-use mobile devices, with 92% indicating improved return on investment and reduced manual management workload.
Conclusions: HDOs reported significant perceived challenges in effectively managing shared-use devices, but recognize they facilitate efficient clinical-operational workflows and increased clinician satisfaction. Need exists to overcome substantial capability gaps to systematically manage device fleets while ensuring a friction free, secure and efficient user experience.