Patient Satisfaction on a Medical Day Ward: a Comparison of Nurse-led and Physician-led Services

Sitzia, John; Fitt, J; Buckingham, Rhona; Dikken, Clare

doi:10.1093/intqhc/8.2.175

Cited by 9 publications

(4 citation statements)

References 28 publications

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“…These findings, together with other research (Crowe 1994, Sitzia et al 1996 highlight a profound communication problem. How can day surgery units ensure that the patient is fully aware of the procedure they experience and understands the activities they can undertake on discharge?…”

Section: University Of Hertfordshiresupporting

confidence: 73%

Patient Perceptions of Day Surgery

James

2000

British Journal of Perioperative Nursing (United Kingdom)

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Having an operation is always a cause for some anxiety, and probably fear for most people. Being told that you don't need to stay in hospital, and that your surgery can be done as a day case with no need for even a one night stay would probably be a comfort. The thought that it will be all over on one day, and that you can go home to your own bed, makes the prospect less daunting. Indeed research has shown that patients prefer day surgery for these and other reasons. Because day surgery means more patients treated at less cost than inpatient surgery, the Government is encouraging the expansion of day surgery services and Trusts are responding. Treating more patients more quickly has got to be good news for the many thousands of patients on waiting lists, but having your operation as a day case should not mean production line treatment. Caring for the personal and meeting individual needs is equally applicable to day case patients as it is to inpatients. This study presents an exploration of some of the actual and potential problems which need to be addressed if day surgery is to become part of the 'first class service' the Government has promised.

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Section: University Of Hertfordshiresupporting

confidence: 73%

Patient Perceptions of Day Surgery

James

2000

British Journal of Perioperative Nursing (United Kingdom)

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“…1999). Such outcomes may contribute to the increased satisfaction expressed by patients using these services, compared with those participating in doctor‐led clinics (Sitzia et al. 1996, Fall et al.…”

Section: Sharing Gp Care With Nursesmentioning

confidence: 99%

Acute back pain management in primary care: a qualitative pilot study of the feasibility of a nurse-led service in general practice

Breen

Carr

Mann

et al. 2004

Journal of Nursing Management

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Barriers to implementation of the RCGP Guideline and to a nurse-led acute back pain service in general practice, were illustrated. These mainly relate to grossly inadequate capacity to deal with multidimensional patient needs, allowing progression to chronic pain states and much higher health care costs. There was a strong desire to include a different group of professionals in primary care. We recommend a local needs assessment and consideration of a national strategy for the implementation of the RCGP Guideline in primary care.

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“…Complimenting this, it has also been suggested that nurse‐led care has a healing value above and beyond assisting physicians with their medical treatments (Walsh et al , 2003). This is further confirmed by additional authors who evaluated nurse‐led services for patient satisfaction and commented that patients attending for physician‐led, investigative procedures were found to be more anxious and generally far less satisfied than those attending for nurse‐led, non‐investigative procedures (Sitzia et al , 1996, Wilson‐Barnett, 2001).…”

Section: Discussionmentioning

confidence: 99%

Urology ward attenders: auditing a nurse‐led service

Nariculam

Murphy

Jenner

2007

Int J of Uro Nursing

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This audit describes a urology walk‐in service where patients are treated on the acute urology ward. Any patient previously known to the urology department or undergoing urology treatment can contact the ward 24 h a day for management of urology‐related issues. The service is nurse led and has evolved to become known as a ‘ward attender’ service. The audit is designed to observe how many patients present over a 12‐month period and the type of conditions seen. The aim is to see what effect this service has on the ward, its resources and primary care. The notes of ward attenders presenting to the urology ward over a 12‐month period were retrospectively analysed. Data collected included source of referral, types of urology conditions seen and treatment provided. Patients were divided in to two groups based on either planned (elective) or unplanned (emergency) attendance. Attenders were given questionnaires to obtain patient opinion on various aspects of service provision. Four hundred and four patients presented to the urology ward for review and treatment in one calendar year. These patients were seen by nursing staff and 21 other patients were reviewed by doctors. Ten patients required admission following review. Emergency attendances included patients with blocked nephrostomy tubes; haematuria, urinary retention or sepsis following endoscopy and catheter‐related issues. Elective attendances included patients requiring bladder washouts, change of catheter and instructions for intermittent self‐catheterization. This service helps forge a close working relationship with general practitioners, community nurses and nursing homes, by accepting direct referrals from them. Patients presenting as ward attenders comment that the service is rapid and that by being seen by more familiar staff, trust and confidence is built. By introducing this service, we feel we are contributing to the changes in the way urology patients are managed in the National Health Service.

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Patient Satisfaction on a Medical Day Ward: a Comparison of Nurse-led and Physician-led Services

Cited by 9 publications

References 28 publications

Patient Perceptions of Day Surgery

Patient Perceptions of Day Surgery

Acute back pain management in primary care: a qualitative pilot study of the feasibility of a nurse-led service in general practice

Urology ward attenders: auditing a nurse‐led service

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