Objective The aim of this study was to explore the nature, potential usefulness and meaning of complaints lodged by patients and their relatives. Design A retrospective, descriptive design was used. Setting The study was based on a sample of formal patient complaints made through a patient complaint reporting system for publicly funded healthcare services in Sweden. Participants A systematic random sample of 170 patient complaints was yielded from a total of 5689 patient complaints made in a Swedish county in 2015. Main outcome measure Themes emerging from patient complaints analysed using a qualitative thematic method. Results The patient complaints reported patients’ or their relatives’ experiences of disadvantages and problems faced when seeking healthcare services. The meanings of the complaints reflected six themes regarding access to healthcare services, continuity and follow-up, incidents and patient harm, communication, attitudes and approaches, and healthcare options pursued against the patient’s wishes. Conclusions The patient complaints analysed in this study clearly indicate a number of specific areas that commonly give rise to dissatisfaction; however, the key findings point to the significance of patients’ exposure and vulnerability. The findings suggest that communication needs to be improved overall and that patient vulnerability could be successfully reduced with a strong interpersonal focus. Prerequisites for meeting patients’ needs include accounting for patients’ preferences and views both at the individual and organizational levels.
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The improvement of mental healthcare services requires patients' experiences to identify problems and possible deficits in care. In this study, we explored the nature and meaning of formal patient complaints about mental healthcare services in one region of Sweden using a descriptive design with a qualitative approach. A systematic random sample of 106 formal patient complaints about mental healthcare services in 1 Swedish county was selected and analysed thematically, based on descriptive phenomenology. Themes identified were: lack of access to mental healthcare services and specialist treatment, problems related to unmet needs and difficulties with healthcare staff, insufficient care and treatment and lack of continuity in care, and experiences of not been taken seriously or feeling abused by staff. The vulnerability of patients already in the system is a greater issue than realized. The human right to health and the healthcare of patients with mental ill health can be strengthened by increased access to care, listening to patients properly, and delivering continuity in care.
BMC Nursing 2017, 16(Suppl 1):K1Dramatic changes have occurred during my 40+ years of teaching research methods to nurses and nursing students, including important transformations within the profession, an explosive growth in published research by nurses, greater inter-professional collaboration, increased funding opportunities, and stunning methodologic and technologic advances. In this talk I will describe some of the major ways in which nursing research has evolved over the past 4 decades by tracing content revisions in my textbook Nursing Research: Generating and Assessing Evidence for Nursing Practice-now in its 10th edition and still the world's #1 textbook on research methods for nurses. The earliest editions of this book had no mention of such key concepts as evidence-based practice, mixedmethods research, complex interventions, and systematic reviews; now, entire chapters are devoted to these topics. Indeed, it was not until the 3rd edition of the book (1987) that qualitative research was given serious coverage, and now many chapters of the book describe methods for conducting high-quality qualitative inquiry. My presentation will focus especially on the key revisions I introduced in the 10th edition, which was published in 2016 (2017 copyright date). In particular, I will discuss a topic about which I have become passionate-the measurement and interpretation of clinical significance (distinct from statistical significance) in nursing studies. I will also describe revisions that I am planning to make in the 11th edition, which will be published in early 2020. In all editions published thus far, I have strived to provide guidance on how to do research with rigor and integrity-that is, how to "get it right" when answering a research question. In the 11th edition I plan to devote considerably more attention to what nurse researchers can do to "get it right" in asking their research questions. In this regard, I will provide an overview of strategies for improving the relevance and applicability of nursing research. K2Complex Interventions: areas for further development Souraya Sidani (ssidani@ryerson.ca) School of Nursing, Ryerson University, Toronto, Canada BMC Nursing 2017, 16(Suppl 1):K2 Background Complex interventions consist of multiple components addressing different behaviors at the individual, organization or community levels. Whereas advances have been made in their design and evaluation, additional work is needed to enhance their relevance and transferability. Purpose This methodological presentation offers a glimpse at additional strategies that can be incorporated in early phases of developing and evaluating complex interventions; the goal is to have efficient interventions that incorporate acceptable, feasible and most effective components. Strategies and ImplicationsIn the development and modeling phase, conceptual analysis of the linkages among the context, the problem, the intervention's components and the outcomes is foundational for clearly identifying the active ingredients and the most ...
ProblemLittle is known about issues of patient‐reported problems, in particular within psychiatric services for children with mental ill health. Child and family complaints related to child mental health services can be analyzed and discussed in light of the universal human right to health and healthcare. Therefore, the aim of this study was to analyze child and family complaints related to child mental health services.MethodsA retrospective, descriptive design was used. Child and family complaints were analyzed with a qualitative thematic analysis.FindingsThe findings were described in three themes describing lack of access to care, inadequate communication between services and children with mental ill health and their families, and lack of clarity of who is responsible for care, leading to neglect of children's needs. These issues place a huge responsibility on parents or relatives.ConclusionBetter communication within mental health services, and better collaboration with other services such as school and social services, could limit children's suffering. Healthcare services with named professionals who specialize in child mental health and provide continuity in care, are required. General human rights principles should guide planning and care of children.
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