The relation of patient satisfaction with treatment of otitis externa to clinical outcomes: Development of an instrument

Shikiar, Richard; Halpern, Michael T.; McGann, Mary; Palmer, Cynthia S.; Seidlin, Mindell

doi:10.1016/s0149-2918(99)80027-7

Cited by 18 publications

(22 citation statements)

References 23 publications

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“…Patient satisfaction with nursing care is considered an important factor in explaining patients' perceptions of service quality [4,5].…”

Section: Introductionmentioning

confidence: 99%

Determinants of Patient Satisfaction Towards Inpatient Nursing Services and its Associated Factors in, Gamo Gofa Zone, Snnpr, Ethiopia, April 2017

Mensa¹

2017

MOJCR

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Background: Patient satisfaction is the perception of carereceived compared with the care expected and patients thereby evaluate the health-careservices as well as the providers from their own subjective point of view. Patient satisfaction with nursing care is considered an important factor in explaining patients' perceptions of service quality. Objective:To assess the level of Patient satisfaction towards inpatient nursing services and its determinants in Arba Minch general hospital Gamo Gofa zone, SNNPR, Ethiopia, April 2017. Methods:A Cross-Sectional Survey was conducted among adult patients admitted to medical, surgical and gynecological wards of Arba Minch General Hospitals on April 2017. Data was collected in accordance with a modified 'Newcastle Satisfaction with Nursing Scale' (NSNS). Data was analyzed by using statistical package for social sciences/SPSS version 20.Results: There were 323 study participants involved in this study. Majority of them 208(64.4%) were females followed by 115(35.6%) males. More than one third 127(39.3%) of study participants were in Age range of 25-34 years with Mean age of 33.65 ± (SD =10.48) years. Majority of participants 198(61.3%) were admitted for 1-5 days followed by 58(18.0%) were admitted for 11-15 days and mean duration of hospitalization of study participants was 6.68 ± (SD=5.65) days. Overall patient satisfaction about inpatient nursing service in the hospital was 132(40.9%). Age category 35-44 years, Respondents attended college and University, Rural residents, Patients admitted to Medical ward, Patients admitted several times and patients admitted second time, Patients with history of surgical operation and Duration of hospitalization more than 15days were factors associated patient satisfaction. Conclusion:Based on this study we conclude that the level of overall adult Patient satisfaction about inpatient nursing service in the hospital was very low. The amount and type of information provided for patients was poor, nurses' awareness about patient needs and keeping privacy of patients in all wards was also low.This requires imperative attention by responsible bodies to enhance patient satisfaction.

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“…Patient satisfaction with nursing care is considered an important factor in explaining patients' perceptions of service quality [4,5].…”

Section: Introductionmentioning

confidence: 99%

Determinants of Patient Satisfaction Towards Inpatient Nursing Services and its Associated Factors in, Gamo Gofa Zone, Snnpr, Ethiopia, April 2017

Mensa¹

2017

MOJCR

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“…Patients tend to overadminister ear drops when pain is greatest and to underadminister as symptoms resolve. 41,143 …”

Section: Assessing Initial Treatment Responsementioning

confidence: 99%

Clinical Practice Guideline: Acute Otitis Externa

Rosenfeld

Schwartz

Cannon

et al. 2014

Otolaryngol.--head neck surg.

128

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Objective. This clinical practice guideline is an update and replacement for an earlier guideline published in 2006 by the American Academy of Otolaryngology-Head and Neck Surgery Foundation. This update provides evidence-based recommendations to manage acute otitis externa (AOE), defined as diffuse inflammation of the external ear canal, which may also involve the pinna or tympanic membrane. The variations in management of AOE and the importance of accurate diagnosis suggest a need for updating the clinical practice guideline. The primary outcome considered in this guideline is clinical resolution of AOE.Purpose. The primary purpose of the original guideline was to promote appropriate use of oral and topical antimicrobials for AOE and to highlight the need for adequate pain relief. An updated guideline is needed because of new clinical trials, new systematic reviews, and the lack of consumer participation in the initial guideline development group. The target patient is aged 2 years or older with diffuse AOE. Differential diagnosis will be discussed, but recommendations for management will be limited to diffuse AOE, which is almost exclusively a bacterial infection. This guideline is intended for primary care and specialist clinicians, including otolaryngologists-head and neck surgeons, pediatricians, family physicians, emergency physicians, internists, nurse practitioners, and physician assistants. This guideline is applicable in any setting in which patients with diffuse AOE would be identified, monitored, or managed.Action Statements. The development group made strong recommendations that (1) clinicians should assess patients with AOE for pain and recommend analgesic treatment based on the severity of pain and (2) clinicians should not prescribe systemic antimicrobials as initial therapy for diffuse, uncomplicated AOE unless there is extension outside the ear canal or the presence of specific host factors that would indicate a need for systemic therapy. The development group made recommendations that (1) clinicians should distinguish diffuse AOE from other causes of otalgia, otorrhea, and inflammation of the external ear canal; (2) clinicians should assess the patient with diffuse AOE for factors that modify management (nonintact tympanic membrane, tympanostomy tube, diabetes, immunocompromised state, prior radiotherapy); (3) clinicians should prescribe topical preparations for initial therapy of diffuse, uncomplicated AOE; (4) clinicians should enhance the delivery of topical drops by informing the patient how to administer topical drops and by performing aural toilet, placing a wick, or both, when the ear canal is obstructed; (5) clinicians should prescribe a non-ototoxic preparation when the patient has a known or suspected perforation of the tympanic membrane, including a tympanostomy tube; and (6) clinicians should reassess the patient who fails to respond to the initial therapeutic option within 48 to 72 hours to confirm the diagnosis of diffuse AOE and to exclude other causes of illness. Keyw...

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“…Initial symptoms at presentation to medical practices range from mild irritation with almost no pain to the strongest pain imaginable as measured by a pain scale. 4 The average experience is slightly below 'very strong pain'. 4 The pain is often proportionate to the swelling in the ear canal, which, if canal closure occurs, also makes the condition very difficult to treat with topical medication.…”

mentioning

confidence: 99%

“…4 The average experience is slightly below 'very strong pain'. 4 The pain is often proportionate to the swelling in the ear canal, which, if canal closure occurs, also makes the condition very difficult to treat with topical medication. As well as pain, other consequences are costs for healthcare and sometimes also loss of productivity.…”

mentioning

confidence: 99%

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Oral corticosteroids for painful acute otitis externa (swimmer’s ear): A triple-blind randomised controlled trial

Balch

Heal

Cervin³

et al. 2019

Aust J Gen Pract

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Background and objective Acute otitis externa is often painful. The aim of this study was to evaluate the efficacy of 10 mg oral prednisolone twice daily for four days in addition to conventional therapy. Methods Patients attending general practice clinics in Far North Queensland, Australia, for acute painful otitis externa were given a study capsule with either 10 mg prednisone or placebo. Results Seventy-three patients were randomised. Results from 19 patients in the intervention group and 11 patients in the control group were analysed. Oral corticosteroids did not decrease the time to being completely pain-free but decreased the time for pain to reduce from more than 'moderate pain' to less than 'moderate pain', from 3.7 days to 2.4 days (P = 0.012, log rank test). Discussion Oral corticosteroids seem to be effective in reducing more than 'moderate pain' to less than 'moderate pain'. However, this result needs to be confirmed in a larger trial.

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The relation of patient satisfaction with treatment of otitis externa to clinical outcomes: Development of an instrument

Cited by 18 publications

References 23 publications

Determinants of Patient Satisfaction Towards Inpatient Nursing Services and its Associated Factors in, Gamo Gofa Zone, Snnpr, Ethiopia, April 2017

Determinants of Patient Satisfaction Towards Inpatient Nursing Services and its Associated Factors in, Gamo Gofa Zone, Snnpr, Ethiopia, April 2017

Clinical Practice Guideline: Acute Otitis Externa

Oral corticosteroids for painful acute otitis externa (swimmer’s ear): A triple-blind randomised controlled trial

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