Client satisfaction, extended intervention and interpersonal skills in community mental health

Sheppard, Michael

doi:10.1046/j.1365-2648.1993.18020246.x

Cited by 77 publications

(53 citation statements)

References 4 publications

(3 reference statements)

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“…Participants in this study might have believed that expressing their dissatisfaction and negative feelings about the care they received would disturb the harmony. In addition, many studies have shown that patient satisfaction results were often skewed to the positive responses, especially with older patients, and the instruments used may not be sensitive enough to detect differences between groups of patients (32)(33)(34). Therefore, the results of this study should be interpreted cautiously.…”

Section: Discussionmentioning

confidence: 90%

Effect of early ambulation after transfemoral cardiac catheterization in Hong Kong: A single-blinded randomized controlled trial

Choi

Wong

et al. 2012

Anadolu Kardiyol Derg

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Objective: The purpose of the study was to investigate the effect of early ambulation after cardiac catheterization (CC) on patients' back pain, puncture site pain, vascular complications, urinary discomfort, general well-being perception and satisfaction level. Methods: This study was a randomized single-blinded controlled trial. Overall, 137 participants were randomly assigned to experimental (63 participants) or control (74 participants) group according to a computer generated random list. Early ambulation (ambulate at 4 hours post-CC) and routine post-procedure care of 12 to 24 hours were used in the experimental and control groups respectively. Independent t-test, Chi-square test, multiple logistic regression and generalized estimation equation model were applied to compare various outcomes between experimental and control groups. Results: Only one patient in the control group experienced puncture site bleeding after CC. Ambulation at 4 hours after CC significantly reduced patients' back pain 8 hours after they returned to the unit (OR=0.19, 95% CI: 0.08-0.45, p<0.001) and in the next morning (OR=0.36, 95% CI: 0.15-0.87, p=0.023), decrease urinary discomfort (OR=0.35, 95% CI: 0.14-0.90, p=0.03 for "very or unbearable urination discomfort" and OR=0.22, 95% CI: 0.06-0.74, p=0.015 for "much difficulty or unable to urinate at all"), and increase general well-being (p=0.005 for vitality subscale and p=0.014 for the total general well-being). However, it made no significant differences on puncture site pain as well as the satisfaction level of patients. Conclusion: The study enhanced health providers' understanding about the effects of early ambulation on patient outcomes. Nurses may provide more individualized and appropriate care to post-CC patients in a more competent and cost-effective way. (Anadolu Kardiyol Derg 2012; 12: 222-30) Key words: Early ambulation, cardiac catheterization, coronary artery disease, randomized controlled trial, logistic regression analysis 222 ÖZET Amaç: Bu çalışmanın amacı, kardiyak kateterizasyon (KK) sonrası hastanın sırt ağrısına, giriş yeri ağrısına, vasküler komplikasyonlara, idrar rahatsızlığına, genel iyilik algısına ve memnuniyet seviyesine erken ambülasyonun etkisini araştırmaktı. Yöntemler: Bu randomize tek-kör kontrollü bir çalışma idi. Bilgisayarın oluşturduğu random listeye göre, 137 katılımcı, rastgele deneysel (63 katılımcı) ve kontrol (74 katılımcı) gruplarına ayrıldı. Erken ambülasyon (KK sonrası 4. saatte ambülasyon) ve 12 ile 24 saat rutin işlem-sonu bakımı, sırası ile deneysel ve kontrol gruplarında kullanıldı. Bağımsız t-testi, Ki-kare testi, çoklu lojistik regresyon ve genelleştirilmiş tahmin denklem modeli, deneysel ve kontrol grupları arasında çeşitli sonuçları karşılaştırmak için uygulanmıştı. Bulgular: Kontrol grubunda sadece bir hastada, KK sonrası giriş yerinde kanama oldu. Kardiyak kateterizasyon sonrası 4 saatte ambülasyonla üniteye geri dönenlerde: 8. saatte (OR=0.19, p<0.001) ve ertesi sabah (OR=0.36, p=0.023), hastanın sırt ağrısı önemli dere...

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Section: Discussionmentioning

confidence: 90%

Effect of early ambulation after transfemoral cardiac catheterization in Hong Kong: A single-blinded randomized controlled trial

Choi

Wong

et al. 2012

Anadolu Kardiyol Derg

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“…Although client satisfaction surveys can reflect unrealistic expectations, research on mental health service users shows that they can effectively discriminate between services that differ in quality (Lebour, 1983;Sheppard, 1993). The sample size in this study was small but reflected local services similar to those in any treatment centre which caters for a mixed semi-urban and rural population.…”

Section: Discussionmentioning

confidence: 93%

Survey of client satisfaction with methadone maintenance programmes

Kumar¹,

Rajwal²

2006

Psychiatr. bull.

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Aims and MethodThe aim of the study was to elicit clients' satisfaction with the methadone maintenance service and their views regarding opiate users not in the service. A self-completion questionnaire with 40 questions covering various aspects of service delivery was given to clients on this programme.ResultsOf a total of 52 questionnaires, 31 (60%) were returned. There was a high level of overall satisfaction (93%) with the service and staff, but there were significant problems related to prolonged waiting times and access to ancillary services. There were also practical difficulties related to prescriptions. Over half of the clients (54%) used additional illicit opiates.Clinical ImplicationsIt is likely that addressing identified problem areas may influence treatment outcome in this challenging group. Staff should maintain optimism in helping the clients who, as seen by this survey, value their advice.

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“…Second, regarding gaps in communication, Sheppard [40] suggested that both nurses and patients are sending more information than is conveyed through verbal or non-verbal messages. However, a perception gap-namely, a communication gap-occurs if that additional information is not received.…”

Section: Nurse-patient Perception Gaps Arising From Conflict a Four mentioning

confidence: 99%

The Concepts of “Patient Suffering” and “Favorable Interaction” in Nurse-Patient Conflicts Based on Gaps in Perception

Uno¹

2018

BJSTR

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With the increasing complexity of advanced medical care services, health care practitioners have entered a period wherein greater emphasis is being placed on the monetary value of health care, and the quality of medical care is based on patient understanding and satisfaction. There is a belief that patient satisfaction should be assessed as part of a broader assessment of care quality-which includes the quality of medical and social services-rather than being Background: Nurse-patient conflicts, and both parties' responses to them, are known to influence patients' perceptions of the quality of nursing care. However, there remains a need to better understand and conceptually interpret both parties' perceptions, which this study aimed to fulfill.

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Client satisfaction, extended intervention and interpersonal skills in community mental health

Cited by 77 publications

References 4 publications

Effect of early ambulation after transfemoral cardiac catheterization in Hong Kong: A single-blinded randomized controlled trial

Effect of early ambulation after transfemoral cardiac catheterization in Hong Kong: A single-blinded randomized controlled trial

Survey of client satisfaction with methadone maintenance programmes

The Concepts of “Patient Suffering” and “Favorable Interaction” in Nurse-Patient Conflicts Based on Gaps in Perception

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