Patient satisfaction with community psychiatric nursing: a prospective controlled study

Abstract

A sample of patients allocated to receive either community psychiatric nursing or out-patient psychiatrist follow-up was interviewed at 6-month intervals for a total period of 18 months. Two dimensions of patient satisfaction are discussed: a cross-sectional analysis of the quality of the perceived therapeutic relationship and an analysis over time of attitudes to aspects of the mental health care received. The satisfaction expressed with elements of the therapeutic relationship revealed that patients find nurses more approachable and more sympathetic. The satisfaction expressed by patients receiving the nursing mode of follow-up was superior to that expressed by out-patient psychiatrist patients. Particularly positive were responses made by nursing patients to domiciliary visiting. The greater levels of satisfaction with nursing follow-up increased over time.

Patient satisfaction with skill mix in primary care: a review of the literature

“…Primary care teams do tend to be quite different from each other, largely due to the independent contractor status of the GP and the nature of the population that they serve; many of the studies therefore warned that the results might not be generalized to other practices. Different meanings have been found for 'patient satisfaction' (Bond and Thomas, 1992;Lewis, 1994;Mahon, 1996;Mangen and Grif th, 1982) and the lack of de nition and discriminatory ability might lead to the high levels of satisfaction reported in many studies (Bond and Thomas, 1992).…”

“…Patient satisfaction is affected by knowledge of health services (Bond and Thomas, 1992;Mangen and Grif th, 1982;NHS Executive, 1999). Expectations of services have also be found to be in uenced by previous experiences of health care.…”

The role and use of consumer satisfaction surveys in mental health services

“…This is particularly pertinent for m ental health services since it has been argued that the client is unable to judge interventions because they are at an impaired mental state at the point of treatment (Godin et al, 1987) A similar argument focuses upon the competence of the client to assess com plex or technical interventions, since they do not possess the level of knowledge required to m ake inform ed and sensible judgements. It has also been argued that the introduction of dual roles for the client as both patient and consumer introduces a m isleading supply and demand interpretation to the complex relationship between therapist and client (Mangen & Griffith, 1982) Others have argued that satisfaction is unimportant and that effectiveness data is the only determinant of a successful o utcom e (S cheirer, 1 978) F inally, Fitzpatrick (1991a) emphasised the importance of halo effects whereby judgements about one particular characteristic or surrogate indicator w ill shape and distort others. In essence, Langs (1976) argued that satisfaction is a m easure of therapist transference not an assessm ent of specific com ponents of service delivery, and therefore such data can be put to little functional use (Lebow, 1982) Supporters of consum er satisfaction recognise the merit of such arguments but propose that they are not sufficient in themselves to dismiss or invalidate consumer views (Lebow, 1982;Fitzpatrick, 1991a: Ricketts, 1992Donabedian, 1992) …”

Community psychiatric nursing intervention in an accident and emergency department: a clinical pilot study

“…A controlled trial of the cost-effectiveness of CPN treatment of neurotic outpatients (Paykel et al 1982. Mangen et al 1983, Mangen & Griffith 1982 has demonstrated significantly better outcome when CPNs administered treatment than when patients received routine psychiatric care without CPN involvement.…”