Story completion (SC) – an epistemological approach to the interpretation of patient-reported outcomes?

Meadows, Keith A; Reaney, Matt

doi:10.1080/14737167.2023.2268833

Cited by 2 publications

(2 citation statements)

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“…However, the use of PROMs in drug development and their use in healthcare evaluation do not easily marry together. In drug development, standardization of measurement is key to the interpretation of the formation at a population level with minimal biases (Meadows & Reaney, 2024). Thus, the aim is to ground the care of the individual on evidence of what is the most effective intervention in a studied population (Sackett et al, 2000).…”

Section: Introductionmentioning

confidence: 99%

Phenomenology: A Method for the Interpretation of Patient-Reported Outcomes

Meadows

2024

Clin Nurs Res

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Patient-reported outcome measures (PROMs) play a central role in clinical research and patient care resulting in a plethora of standardized PROMs to measure a range of constructs, including disease symptoms, health-related quality of life, and health status (Meadows/Reaney) used in a range of settings, including the nursing environment. However, the use of PROMs in drug development and their use in healthcare evaluation do not easily marry together. In drug development, standardization of measurement is key to the interpretation of the formation at a population level with minimal biases. However, in health care, the individual patient perspective, priority, and needs should be taken into account whereas, in the clinical encounter, one has to also deal with what is particular and unique. The purpose of this paper is to describe the characteristics of the phenomenological method as a means within a mixed-method framework, to supplement participants’ patient-reported outcome numeric scores with a more in-depth commentary on the essence of the lived health experiences.

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Section: Introductionmentioning

confidence: 99%

Phenomenology: A Method for the Interpretation of Patient-Reported Outcomes

Meadows

2024

Clin Nurs Res

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“…Patient experience (PE) survey scores and patient narratives—descriptions of care experiences stated in the patient or caregiver’s own words—are both elements of PE measurement 1-4. While scores have become broadly accepted measures, long-standing reservations about the scientific value of qualitative data or “stories”5 have resulted in slower uptake of narratives as a tool for measurement and improvement.…”

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confidence: 99%

“Nothing Is More Powerful than Words:” How Patient Experience Narratives Enable Improvement

Grob,

Lee,

Shaller

et al. 2024

Quality Management in Health Care

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Background and Objectives: Patient experience narratives (narratives) are an increasingly important element of both measurement approaches and improvement efforts in healthcare. Prior studies show that narratives are considered by both clinicians and staff to be an appealing, meaningful, and credible form of evidence on performance. They also suggest that making concrete use of narratives within organizational settings to improve care can be complex and challenging. Our qualitative study was designed to explore how middle managers working in a health system’s outpatient clinics value and use written narratives in their day-to-day work. Methods: We conducted qualitative interviews with 20 middle managers working in 8 outpatient clinics. Interviews were fully transcribed, loaded into MAX-QDA software, and coded using thematic analysis techniques. Code reports were extracted and reanalyzed for subthemes related to the objectives of this paper. Results: Middle managers across sites described valuing narratives as a tool to: enable better patient experience assessment by augmenting data from patient experience scores; deepen understanding of and relationships with patients; provide insight about operational issues; identify areas for needed improvement and potential solutions; and facilitate strategic work. They reported using narratives for a range of activities related to their roles as supervisors, such as focusing attention on positive practices and needed improvements, promoting deeper group learning, motivating change, reinforcing sense of purpose for staff, recognizing staff strengths and training needs, and inspiring transformational thinking. Finally, interviewees reported numerous specific quality improvement projects (both short- and longer-term) that were informed by narratives—for example, by identifying an issue to be addressed or by suggesting a workable solution. Together, these interviews suggest a collective “narrative about narratives” woven by these organizational actors—a story which illustrates how narratives are highly relevant for how middle managers derive meaning from their work, put organizational values such as responsive service provision into practice, and enact their roles as supervisors. Conclusions: Our results add to the nascent literature a detailed description of how narratives can be used both as a tool for middle managers in their leadership and supervisory roles, and as a blueprint for improvement work within outpatient settings. They also illuminate why patient experience scores may improve when narrative data are collected and used. Finally, our results suggest that for middle managers, perhaps “nothing is more powerful than words” because narratives function as both an insight provider and a compelling tool that adds direction and meaning to workplace endeavors.

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Story completion (SC) – an epistemological approach to the interpretation of patient-reported outcomes?

Cited by 2 publications

References 50 publications

Phenomenology: A Method for the Interpretation of Patient-Reported Outcomes

Phenomenology: A Method for the Interpretation of Patient-Reported Outcomes

“Nothing Is More Powerful than Words:” How Patient Experience Narratives Enable Improvement

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