Patient Satisfaction Reporting and Its Implications for Patient Care

Mehta, Shivan J.

doi:10.1001/journalofethics.2015.17.7.ecas3-1507

Cited by 69 publications

(26 citation statements)

References 12 publications

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“…Our study revealed the signs and symptoms that contributed significantly to nurse-perceived patient suffering and loss of dignity in their patients’ final week. Although pain is often the most feared symptom among patients, 34 and pain management has become a benchmark of good care, 4 , 35 , 36 pain was not the most distressing symptom in the studied sample. After accounting for physical pain scores, most of the identified symptoms were still significantly associated with suffering.…”

Section: Discussionmentioning

confidence: 78%

Beyond Pain: Nurses' Assessment of Patient Suffering, Dignity, and Dying in the Intensive Care Unit

Lief

Berlin

et al. 2018

Journal of Pain and Symptom Management

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ContextDeaths in the intensive care unit (ICU) are increasingly common in the U.S., yet little is known about patients’ experiences at the end of life in the ICU.ObjectivesThe objective of this study was to determine nurse assessment of symptoms experienced, and care received by ICU patients in their final week, and their associations with nurse-perceived suffering and dignity.MethodsFrom September 2015 to March 2017, nurses who cared for 200 ICU patients who died were interviewed about physical and psychosocial dimensions of patients’ experiences. Medical chart abstraction was used to document baseline patient characteristics and care.ResultsThe patient sample was 61% males, 70.2% whites, and on average 66.9 (SD 15.1) years old. Nurses reported that 40.9% of patients suffered severely and 33.1% experienced severe loss of dignity. The most common symptoms perceived to contribute to suffering and loss of dignity included trouble breathing (44.0%), edema (41.9%), and loss of control of limbs (36.1%). Most (n = 9) remained significantly (P < 0.05) associated with suffering, after adjusting for physical pain, including fever/chills, fatigue, and edema. Most patients received vasopressors and mechanical ventilation. Renal replacement therapy was significantly (<0.05) associated with severe suffering (adjusted odds ratio [AOR] 2.53) and loss of dignity (AOR 3.15). Use of feeding tube was associated with severe loss of dignity (AOR 3.12).ConclusionDying ICU patients are perceived by nurses to experience extreme indignities and suffer beyond physical pain. Attention to symptoms such as dyspnea and edema may improve the quality of death in the ICU.

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Section: Discussionmentioning

confidence: 78%

Beyond Pain: Nurses' Assessment of Patient Suffering, Dignity, and Dying in the Intensive Care Unit

Lief

Berlin

et al. 2018

Journal of Pain and Symptom Management

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“…First, hospitals that have better engagement with patients may encourage greater observance to clinical standards of care and follow-up; patients who are more satisfied with a service may be more likely to come in for visits and follow the recommendations of the clinicians who they trust. Second, better patient experience scores could indicate that a hospital has stronger teamwork, organizational leadership, and commitment for improvement [ 5 ].…”

Section: Introductionmentioning

confidence: 99%

Patient Satisfaction and Associated Factors among Clients Admitted to Obstetrics and Gynecology Wards of Public Hospitals in Mekelle Town, Ethiopia: An Institution-Based Cross-Sectional Study

Marama

Bayu

Merga

et al. 2018

Obstetrics and Gynecology International

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Background To improve the quality of services, satisfying patients is the primary goal of the Ethiopian reform programme. Objectives To assess patient satisfaction and associated factors among clients admitted to obstetrics and gynecology wards of public hospitals in Mekelle town. Method: Institution-based cross-sectional study design was conducted on 413 participants using systematic sampling methods. Data were collected from March 9 to May 8, 2016, using structured questionnaires. Data were entered and cleaned in Epidata 3.1 and analysed using SPSS V20 with binary logistic regression model. Result. The observed satisfaction rate was 79.7% at 95% CI (75.8%, 83.6%). Clients were dissatisfied towards well-describing side effects of medication, informing what the medication is used for before prescribing and administering, cleanness of toilet and washroom, and access to drinking water, latrine, and hand-washing facility. Respondents live in rural area, stayed < 4 days, admitted for the first time, admitted in Mekelle General Hospital, and who reported their feeling on ways privacy was assured were more likely satisfied than their counterparts. Conclusions The observed satisfaction rate is high. So, policymakers, Regional Health Bureau, hospital managers, caregivers, and researchers should plan and work together to keep track of patient satisfaction. Areas patients are dissatisfied should also improve.

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“…Additionally, better patient experience scores could also indicate that a hospital has stronger teamwork, organizational leadership and commitment to improvement, characteristics that could be associated with better quality measures and patient experience scores. 21 As noted in the other sections of this study, building trust between the patient and healthcare provider can directly improve patient experience. Building trust with the consumer can also be important for the effectiveness of the healthcare system.…”

Section: Clinical Effectiveness (Outcome Variable)mentioning

confidence: 79%

“…Research suggests that the patient's experience is positively associated with clinical effectiveness. 4,16,[20][21] Evidence indicates that when hospitals perform well on patient care experience surveys, such as the HCAHPS survey, they also do better on clinical metrics. 20 Higher levels of adherence to prevention and treatments, better clinical outcomes, and improved patient safety have all been linked to better experiences for patients.…”

Section: Clinical Effectiveness (Outcome Variable)mentioning

confidence: 99%

Evaluating variables of patient experience and the correlation with design

Jha¹,

Frye²,

Schlimgen³

2017

Patient Experience Journal

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The objective of this paper was to understand the variables of patient experience by analyzing recent and relevant evidence and to identify design solutions within the hospital environment that positively impact those variables. A systematic review of literature published from 2008-present was conducted to identify variables that contribute to patient experience benefits. Identified variables were documented and categorized into a design, organizational, and outcome variable matrix. Interviews were conducted with professionals from healthcare institutions, architecture firms and organizations committed to improving the patient experience. Data from healthcare facilities, with high patient experience scores, was also examined to derive effective design solutions. The results showed patient engagement, satisfaction-patient and staff, clinical effectiveness, personalization, patient safety and, admission and discharge process were the variables that demonstrated a strong correlation with patient experience benefits. Analysis of the variables resulted in a range of design solutions, such as private and public interaction spaces, decentralized care models, designated staff areas etc. that could potentially improve the outcomes associated with each variable. This study illustrates that aspects of patient experience adopted before, during, and after the delivery of care have the ability to affect adherence, communication, and ultimately the relationship with the patient. It also shows that design of the physical space has a significant impact on the model of care and the overall experience of the patient and family.

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Patient Satisfaction Reporting and Its Implications for Patient Care

Cited by 69 publications

References 12 publications

Beyond Pain: Nurses' Assessment of Patient Suffering, Dignity, and Dying in the Intensive Care Unit

Beyond Pain: Nurses' Assessment of Patient Suffering, Dignity, and Dying in the Intensive Care Unit

Patient Satisfaction and Associated Factors among Clients Admitted to Obstetrics and Gynecology Wards of Public Hospitals in Mekelle Town, Ethiopia: An Institution-Based Cross-Sectional Study

Evaluating variables of patient experience and the correlation with design

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