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Abrahamsen C, Jensen CM, Elkjaer M, Østervang C, Knudsen BM, Jensen SS, Moos C, Viberg B, Mogensen CB. Translation and cultural adaption of the emergency department-consumer assessment of healthcare providers and systems (ED CAPHS)-A questionnaire to measure patient experience in Denmark. Scand J Caring Sci 2023; 37:872-879. [PMID: 36710584 DOI: 10.1111/scs.13146] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/03/2022] [Revised: 12/23/2022] [Accepted: 01/05/2023] [Indexed: 01/31/2023]
Abstract
AIM The aim of this study was to translate and culturally adapt The Emergency Department-Consumer Assessment of Healthcare Providers and Systems (ED CAPHS) to the Danish ED context. BACKGROUND In Denmark, a large number of patients attend emergency departments (ED) every year. During their ED visits, examinations, tests and encounters with different healthcare professionals occur frequently. Moreover, patients receive much information. Patients' direct experiences of care can provide valuable insights into what works and what does not in health care. The emergency department-consumer assessment of healthcare providers and systems (ED CAPHS) is a valid questionnaire designed to measure patients' experiences with ED care and is intended for patients discharged home following their ED visit. METHOD The translation process was systematically planned and executed using the principles of good practice for the translation and cultural adaptation process for patient-reported outcomes (PRO) guidelines by the ISPOR. RESULTS The translation and cultural adaption process were successfully conducted. Three items concerning language and race were omitted as they are not distinct in Danish ED context. Furthermore, a few conceptual factors and linguistic challenges were discussed and harmonised during the reconciliation and harmonisation process respectively. The Danish survey ED CAPHS DK containing 32 items was proofread and finalised. CONCLUSION Overall, patients reported that the survey was relevant and comprehensive, as it focused on essential factors when discharged directly home after an ED admission. ED CAPHS DK is found to be content valid and ready for use. However, a future study testing the Danish version using confirmative factor analysis and internal consistency reliability is needed to ensure construct validity and reliability.
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Affiliation(s)
- Charlotte Abrahamsen
- Department of Regional Health Research, University of Southern Denmark, Odense, Denmark
- Emergency Department, Lillebaelt Hospital, University Hospital of Southern Denmark, Kolding, Denmark
- Department of Orthopaedic Surgery and Traumatology, Lillebaelt Hospital, University Hospital of Southern Denmark, Kolding, Denmark
| | - Charlotte Myhre Jensen
- Department of Orthopaedic Surgery and Traumatology, University Hospital Odense, Odense, Denmark
| | - Mette Elkjaer
- Emergency Department, Hospital Southern Jutland, Aabenraa, Denmark
- Emergency Department, University Hospital Odense, Odense, Denmark
| | - Christina Østervang
- Department of Clinical Research, Hospital Southern Jutland, Aabenraa, Denmark
| | - Bettina Mølri Knudsen
- Department of Regional Health Research, University of Southern Denmark, Odense, Denmark
- Administration, Lillebaelt Hospital, University Hospital of Southern Denmark, Kolding, Denmark
| | - Signe Steenstrup Jensen
- Department of Orthopaedic Surgery and Traumatology, Lillebaelt Hospital, University Hospital of Southern Denmark, Kolding, Denmark
| | - Caroline Moos
- Emergency Department, University Hospital Odense, Odense, Denmark
| | - Bjarke Viberg
- Department of Orthopaedic Surgery and Traumatology, Lillebaelt Hospital, University Hospital of Southern Denmark, Kolding, Denmark
- Department of Orthopaedic Surgery and Traumatology, University Hospital Odense, Odense, Denmark
| | - Christian Backer Mogensen
- Department of Regional Health Research, University of Southern Denmark, Odense, Denmark
- Emergency Department, University Hospital Odense, Odense, Denmark
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Mauri PA, Pilloni E, Stillavato S, Ragusa A, Masturzo B, Trojano G, Piteri G, Pegurri G, Ricci ED, Teodoro MC, Guardalà F, Messina A, Svelato A, Parazzini F, Iurlaro E, Viora E. Role of mode of induction and delivery and women's satisfaction after induction of labour at term: An observational study. Eur J Obstet Gynecol Reprod Biol 2023; 286:47-51. [PMID: 37201318 DOI: 10.1016/j.ejogrb.2023.05.012] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/27/2023] [Revised: 05/03/2023] [Accepted: 05/11/2023] [Indexed: 05/20/2023]
Abstract
This cross-sectional study aimed at evaluating the impact of different modalities of induction of labour (IOL) and delivery on levels of woman' satisfaction. All women aged 18 years or older, who underwent IOL for at-term pregnancy (≥41 weeks of gestation) in randomly selected days during the study period in 6 participating centres were eligible for the study. The questionnaire investigated women's opinion regarding information about induction, pain control, length of induction, their experience about induction, labour and delivery and their attitude towards induction in a subsequent pregnancy. Women were also asked to fill in the Italian version of the Birth Satisfaction Scale-Revised (BSS-R). A total of 300 women entered the study. The answer to the question about a "positive attitude towards induction in a subsequent pregnancy was "absolutely yes" or "yes" respectively in the 77.8%, 52.8% and 48.6% of women who were induced with oral drugs, vaginal drugs and Cook balloon (heterogeneity chi-square p = 0.05). The corresponding values for women who delivered vaginally or by caesarean section (CS) were 63.3% and 36.4% (chi-square p = 0.0009). The mean BSS-R total score was higher among women who underwent IOL with oral drugs than with vaginal drugs (p < 0.0001) or Cook Balloon (p < 0.0001), and among women who delivered vaginally than in those who delivered by CS (p < 0.0001). Women were asked "What do you think is important for a method of induction?": 47.3% (95% CI 41.7%-53.0%) of women answered that "should make the induction as painless as possible", 47.0% (95% CI 41.4%-52.7%) "should induce labour quickly", 44.3% (95% CI 38.8%-50.0%) "should be safe for baby". This study showed that vaginal delivery was associated with a higher rate of satisfaction among induced women. Considering mode of induction, oral drugs were associated with a higher level of satisfaction. Control of pain and quick induction were the most appreciated characteristics.
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Affiliation(s)
- Paola Agnese Mauri
- Midwifery school, Department of Clinical Sciences and Community Health, University of Milan, via Manfredo Fanti 6, 20122 Milan, Italy; SITRA Unit, Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, via Francesco Sforza 35, 20122 Milan, Italy.
| | - Eleonora Pilloni
- Obstetrics and Gynecology Department 3, Sant' Anna Hospital, Corso Spezia 60, 10126 Turin, Italy.
| | - Silvia Stillavato
- Obstetrics and Gynecology Department 3, Sant' Anna Hospital, Corso Spezia 60, 10126 Turin, Italy.
| | - Antonio Ragusa
- Department of Obstetrics and Gynecology, Università Campus Bio Medico di Roma, Via Álvaro del Portillo, 21, 00128 Rome, Italy.
| | - Bianca Masturzo
- Obstetrics and Gynecology Department, General Hospital, Via dei Ponderanesi 2, 13875 Ponderano, Biella- University of Turin, Italy.
| | - Giuseppe Trojano
- Department of Maternal and Child Health "Madonna delle Grazie" Hospital ASM, Contrada Cattedra Ambulante, 75100 Matera, Italy.
| | - Giulia Piteri
- Midwifery school, Department of Clinical Sciences and Community Health, University of Milan, via Manfredo Fanti 6, 20122 Milan, Italy.
| | - Giorgia Pegurri
- Midwifery school, Department of Clinical Sciences and Community Health, University of Milan, via Manfredo Fanti 6, 20122 Milan, Italy.
| | - Elena Delfina Ricci
- Midwifery school, Department of Clinical Sciences and Community Health, University of Milan, via Manfredo Fanti 6, 20122 Milan, Italy.
| | - Maria Cristina Teodoro
- Department Maternal and Child Health, Obstetrics and Gynecology Unit, Hospital AO for Emergency Cannizzaro, via Messina 829, 95126 Catania, Italy.
| | - Fabio Guardalà
- Department Maternal and Child Health, Obstetrics and Gynecology Unit, Hospital AO for Emergency Cannizzaro, via Messina 829, 95126 Catania, Italy.
| | - Alessandro Messina
- Obstetrics and Gynecology Department, General Hospital, Via dei Ponderanesi 2, 13875 Ponderano, Biella- University of Turin, Italy.
| | - Alessandro Svelato
- Obstetric Pathology Unit Ospedale Fatebenefratelli Hospital, Gemelli-Isola Tiberina, via di Ponte Quattro capi 39, 00186 Rome, Italy.
| | - Fabio Parazzini
- Midwifery school, Department of Clinical Sciences and Community Health, University of Milan, via Manfredo Fanti 6, 20122 Milan, Italy.
| | - Enrico Iurlaro
- Obstetric Unit, Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, via della Commenda 12, 20122 Milan, Italy.
| | - Elsa Viora
- Associazione Ostetrici e Ginecologi Italiani, via Abamonti 1, 20129 Milan, Italy.
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Loureiro F, Antunes V. Instruments to evaluate hospitalised children parents' satisfaction with nursing care: a scoping review. BMJ Paediatr Open 2022; 6:e001568. [PMID: 36053623 PMCID: PMC9438009 DOI: 10.1136/bmjpo-2022-001568] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/05/2022] [Accepted: 08/11/2022] [Indexed: 11/05/2022] Open
Abstract
AIM To identify instruments that allow the evaluation of parent's satisfaction regarding nursing care during their child hospitalisation. METHODS A review was performed using Preferred Reporting Items for Scoping Reviews. The study was prospectively registered in Open Science Framework. Research was carried out on EBSCOhost, PubMed, SciELO, Web of Science and ScienceDirect platforms as well as grey literature. Additionally, the references of selected articles were also examined. RESULTS A sample of 65 articles allowed the identifications of 38 distinctive instruments to evaluate parents' satisfaction in different hospital settings. Most studies were applied in paediatric wards (n=28), followed by neonatal intensive care units (n=21), paediatric intensive care units (n=9) and emergency departments (n=7). Sample size ranged from 13 to 3354 and 3 studies used mixed methods, 20 were methodological studies of instruments construction or validation and 43 were quantitative studies. 21 different instruments previously existent were found. In 3 studies, adapted instruments were used and, in 14 studies, structured instruments were purposively designed for the study. Instruments had between 1 and 13 domains and total number of items ranged between 13 and 92. Most studies assessed overall satisfaction (n=53) and instrument reliability (n=49) and/or validity (n=37). CONCLUSION Most instruments consider nursing care as a domain of satisfaction. Only two instruments focused specifically on nursing care. In most of the studies, there was a concern to evaluate instruments psychometric properties. This review clearly shows that there is still a gap in the literature on the range of aspects that influence satisfaction and a lack of consensus on ideal conditions for instrument use and application.
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Affiliation(s)
- Fernanda Loureiro
- Nursing, Egas Moniz Cooperativa de Ensino Superior CRL, Caparica, Portugal
- Nursing, Centro de Investigação Interdisciplinar Egas Moniz, Caparica, Portugal
| | - Vanessa Antunes
- Nursing, Egas Moniz Cooperativa de Ensino Superior CRL, Caparica, Portugal
- Nursing, Centro de Investigação Interdisciplinar Egas Moniz, Caparica, Portugal
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Comparison of Patient-Reported Experience of Patients Receiving Radiotherapy Measured by Two Validated Surveys. ACTA ACUST UNITED AC 2021; 28:2180-2189. [PMID: 34204701 PMCID: PMC8293109 DOI: 10.3390/curroncol28030202] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/22/2021] [Revised: 06/03/2021] [Accepted: 06/10/2021] [Indexed: 11/26/2022]
Abstract
Patient-reported experience is associated with improved patient safety and clinical outcomes. Quality improvement programs rely on validated patient-reported experience measures (PREMs) to design projects. This descriptive study compares the experience of cancer patients treated with radiation as recorded through the Ambulatory Oncology Patient Satisfaction Survey (AOPSS) or as recorded through Your Voice Matters (YVM) between February and August 2019. Six questions were compared (“overall experience with care”, “discussion of worries”, “involvement in decisions”, “trusting providers with confidential information”, “providing family with information”, and “knowing who to contact”). Positive experience scores were calculated by cohort and by tumor groups. Multivariable logistic regression models evaluated factors associated with positive experience. Two cohorts (220 and 200 patients) met the eligibility criteria for the AOPSS and YVM, respectively. Positive experience was reported similarly between the two PREMs for “overall experience with care”, “discussion of worries”, and “trusting providers with confidential information” with a score difference of 1–4% at the cohort level. Positive experience score difference ranged from 5% to 44% across questions at the tumor group level. Different experience gaps were identified with the two measures, mainly at the tumor group level. Programs interested in using these PREMS might consider this when designing projects.
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Rapo S, Mattson Sydner Y, Kautto E, Hörnell A. Exploring patient satisfaction with hospital foodservice: A Swedish study using the Acute Care Hospital Foodservice Patient Satisfaction Questionnaire. Nutr Diet 2021; 78:487-495. [PMID: 33691342 DOI: 10.1111/1747-0080.12665] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/23/2020] [Revised: 02/01/2021] [Accepted: 02/06/2021] [Indexed: 11/27/2022]
Abstract
AIM The aim of this study was to explore patient satisfaction with hospital foodservice in the Swedish setting, using a validated instrument, adding this context to the existing body of research. METHODS The study was carried out at three hospitals employing cyclic menus and conventional cook-serve foodservice systems with centralised tray assemblies and hot-trolley distributions to the wards for service. Patient satisfaction was explored using a translated version of the validated Acute Care Hospital Foodservice Patient Satisfaction Questionnaire. Groups were compared with Mann-Whitney U-test and Kruskal Wallis test with a set significance level of P < .05. RESULTS Questionnaires from 439 patients were included in the analysis. The majority (80%) reported an overall satisfaction of "good" or "very good." Questions related to Staff and Service received mostly the highest possible ratings, while questions related to Food Quality and Meal Size had slightly lower ratings and higher variation. Comparisons between groups showed that differences were small even when statistically significant. Low appetite and a long hospital stay had an adverse effect on overall satisfaction and food quality-related questions. Men and younger patients reported more often being hungry after and between meals. CONCLUSIONS Hospital foodservice faces the challenge of catering to multiple patient needs. Monitoring patient satisfaction is crucial to ensure that foodservice operations remain evidence based. The Acute Care Hospital Foodservice Patient Satisfaction Questionnaire provided a general overview that indicated foodservice areas with potential for improvement, although patient satisfaction overall was high. However, patient satisfaction is a complex measure and reflexivity is required when interpreting empirical results.
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Affiliation(s)
- Sofia Rapo
- Department of Food, Nutrition and Culinary Science, Umeå University, Umeå, Sweden.,Umeå Centre for Gender Studies, Umeå University, Umeå, Sweden
| | - Ylva Mattson Sydner
- Department of Food, Nutrition and Dietetics, Uppsala University, Uppsala, Sweden
| | - Ethel Kautto
- Department of Food, Nutrition and Culinary Science, Umeå University, Umeå, Sweden
| | - Agneta Hörnell
- Department of Food, Nutrition and Culinary Science, Umeå University, Umeå, Sweden
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Waldron MK, Wathen K, Houston S, Coleman L, Mason JJ, Wang Y, Hinds PS. The Impact of Demographics on Child and Parent Ratings of Satisfaction with Hospital Care. Pediatr Qual Saf 2021; 6:e382. [PMID: 38571519 PMCID: PMC10990349 DOI: 10.1097/pq9.0000000000000382] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/03/2020] [Accepted: 09/14/2020] [Indexed: 11/26/2022] Open
Abstract
Introduction Patient satisfaction ratings differ between minority and nonminority respondents in studies of hospitalized adults, but little is known about such differences in pediatrics. Our goal was to determine if patient satisfaction ratings completed by hospitalized children and their parents at the point of discharge differed by race/ethnicity, language, child gender, and age. Methods We used a mixed-methods design. English and Spanish-speaking families from 5 inpatient units at 1 pediatric hospital completed ratings, face-to-face, before scheduled hospital discharge (T1), and again by telephone after discharge (T2). Participating children and their parents completed an 8-item satisfaction survey, and parents additionally completed 7 discharge readiness items. Results The refusal rate was 10.7%, with 600 families enrolled; non-white families represented 66% of both study refusals and completions. The proportion of racial/ethnic groups in our study exceeded those in our standard survey sample. There were no significant differences in satisfaction ratings between non-white and white families or by child gender, age, or language. Conclusions The lack of rating differences by demographic characteristics, the low refusal and attrition rates, and a more racially/ethnically representative sample of both child and parent perspectives indicate this approach to measuring satisfaction is acceptable and feasible to demographically diverse families.
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Affiliation(s)
- Mia K. Waldron
- From the Department of Nursing Science Professional Practice and Quality (NSPPQ) at Children’s National Hospital and the George Washington University, Department of Pediatrics in Washington, D.C
| | - Kourtney Wathen
- Department of Speech-language Pathology, Loyola University Maryland
| | - Sasha Houston
- Departments of Revenue Cycle and Clinical Resource Management at Children’s National Hospital in Washington, D.C
| | - Lael Coleman
- DC Mental Health Access in Pediatrics (MAP) program in the Community Health and Advocacy Institute at Children’s National Hospital in Washington, D.C
| | - Janice J. Mason
- From the Department of Nursing Science Professional Practice and Quality (NSPPQ) at Children’s National Hospital and the George Washington University, Department of Pediatrics in Washington, D.C
| | - Yunfei Wang
- Division of Biostatistics & Study Methodology, Children’s National Hospital in Washington, D.C
| | - Pamela S. Hinds
- From the Department of Nursing Science Professional Practice and Quality (NSPPQ) at Children’s National Hospital and the George Washington University, Department of Pediatrics in Washington, D.C
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Coleman LN, Wathen K, Waldron M, Mason JJ, Houston S, Wang Y, Hinds PS. The Child's Voice in Satisfaction with Hospital Care. J Pediatr Nurs 2020; 50:113-120. [PMID: 31812854 DOI: 10.1016/j.pedn.2019.11.007] [Citation(s) in RCA: 12] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/19/2019] [Revised: 11/15/2019] [Accepted: 11/15/2019] [Indexed: 11/29/2022]
Abstract
PURPOSE Patient satisfaction is a quality improvement indicator used to evaluate care. Ratings of patient satisfaction in pediatrics exclude the child voice. We tested the feasibility and acceptability of a new model that included both child and parent satisfaction ratings. DESIGN AND METHODS We executed a randomized, two-arm, unblinded cohort study comparing child (aged 7-17 years) and parent reports (Arm 1) to parent report only (Arm 2) among a convenience sample of inpatients at a single urban pediatric medical center. The primary (feasibility and acceptability) and secondary outcomes were assessed at the time of discharge (T1) and approximately 10 days following discharge (T2) (standard timing). RESULTS Of 672 screened families, 89.3% (n = 600) enrolled in the study; 362 children and parents were randomized to Arm 1 and 238 parents to Arm 2. Patients (98.6%) and parents (99.8%) indicated preference for providing satisfaction ratings at the time of discharge. Seventy-five percent of families (n = 488) completed T1 and T2; neither child nor parent ratings differed significantly between T1 and T2 nor did parent ratings differ between the two study arms. Nurse friendliness, courtesy, and feeling well cared for were among the highest rated items at T1 and T2 by both children and parents. CONCLUSIONS Children 7 to 17 years of age and their parents are willing and like to provide satisfaction with care ratings prior to hospital discharge. PRACTICE IMPLICATIONS This measurement model could yield valid findings representative of hospitalized children and their parents, and could become the basis for a new and needed measurement approach for pediatric satisfaction with hospital care.
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Affiliation(s)
- Lael N Coleman
- Department of Nursing Science, Professional Practice, and Quality, Children's National Hospital, Washington, D.C. United States of America
| | - Kourtney Wathen
- Department of Nursing Science, Professional Practice, and Quality, Children's National Hospital, Washington, D.C. United States of America
| | - Mia Waldron
- Department of Nursing Science, Professional Practice, and Quality, Children's National Hospital, Washington, D.C. United States of America
| | - Janice J Mason
- Department of Nursing Science, Professional Practice, and Quality, Children's National Hospital, Washington, D.C. United States of America
| | - Sasha Houston
- Patient Care Services, Children's National Hospital, Washington, D.C. United States of America
| | - Yunfei Wang
- Department of Biostatistics Children's National Hospital, Washington, D.C. United States of America; School of Medicine and Health Sciences, the George Washington University, United States of America
| | - Pamela S Hinds
- Department of Nursing Science, Professional Practice, and Quality, Children's National Hospital, Washington, D.C. United States of America; School of Medicine and Health Sciences, the George Washington University, United States of America.
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Alfaro Blazquez R, Ferrer Ferrandiz E, Gea Caballero V, Corchon S, Juarez-Vela R. Women's satisfaction with maternity care during preterm birth. Birth 2019; 46:670-677. [PMID: 31531890 DOI: 10.1111/birt.12453] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/28/2019] [Revised: 08/10/2019] [Accepted: 08/19/2019] [Indexed: 11/29/2022]
Abstract
BACKGROUND Women's satisfaction with maternity care is strongly influenced by their sociodemographic characteristics, values, and attitudes. The arrival of a preterm baby is often a traumatic time, with unique factors involved. The Spanish Preterm Birth Experience and Satisfaction Scale (P-BESS) is a robust instrument capable of assessing women's satisfaction during preterm birth. The purpose of this study was to assess women's satisfaction with maternity care during labor and birth with preterm babies in a Spanish-speaking population. METHODS This is a cross-sectional study. Participants were 182 women who gave birth within 37 weeks' gestation. Factors associated with satisfaction were studied through univariate and bivariate analyses and through multiple linear regression using the backward elimination method. RESULTS Women reported high satisfaction with maternity care overall (average score of 84 out of 95). Women with a university education were generally less satisfied. Women were more satisfied if they were pregnant for the first time. Women who reported a previous premature birth or neonatal death were more satisfied, and women who had prior miscarriages were less satisfied compared with women without these experiences. CONCLUSIONS The analysis confirmed that the majority of women surveyed were very satisfied with their childbirth experience. The Spanish P-BESS can be a useful way of prioritizing intervention measures, focusing on those aspects lowest scored by women, such as "information and explanations" and "confidence in staff," to improve maternity services for families experiencing preterm birth.
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Affiliation(s)
- Ruben Alfaro Blazquez
- Department of Obstetrics, University and Polytechnic Hospital "La Fe", Valencia, Spain.,School of Nursing and Podiatry, University of Valencia, Valencia, Spain
| | - Esperanza Ferrer Ferrandiz
- Nursing School "La Fe", University of Valencia, Valencia, Spain.,Nursing Research Group in Art and Science of Care (GREIACC), Valencia, Spain
| | - Vicente Gea Caballero
- Nursing School "La Fe", University of Valencia, Valencia, Spain.,Nursing Research Group in Art and Science of Care (GREIACC), Valencia, Spain
| | - Silvia Corchon
- School of Nursing and Podiatry, University of Valencia, Valencia, Spain
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Schöpf AC, Vach W, Jakob M, Saxer F. Routine patient surveys: Patients' preferences and information gained by healthcare providers. PLoS One 2019; 14:e0220495. [PMID: 31369612 PMCID: PMC6675389 DOI: 10.1371/journal.pone.0220495] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/01/2019] [Accepted: 07/17/2019] [Indexed: 01/19/2023] Open
Abstract
BACKGROUND Patient feedback after contact with a hospital is regarded as an important source of information for the improvement of local healthcare services. Routine patient surveys are in widespread use to obtain such feedback. While general principles for the composition of this kind of surveys have been described in the literature, it is unknown which method of contact and topics of feedback are important to patients in postcontact healthcare surveys. MATERIAL AND METHODS We invited 2931 consecutive patients who had in- or outpatient contact with the Department of Orthopaedics and Traumatology at the University Hospital Basel to an anonymous survey. They were asked whether they were generally in favor of feedback surveys. They also had the opportunity to state their preferred form of contact (text message, app, email, online or letter) and provide up to three topics that they regarded as specifically important in patient surveys. RESULTS A total of 745 patients participated in the survey (25.4%), of these 61.9% expressed the preference to be surveyed, and 69.1% selected `letter' as one of the preferred forms of contact. Favoring only `letter' contact increased substantially with age. Overall 54.6% of patients stated at least one topic that they wished to give feedback on. The most frequent topics were related to treatment and rather general aspects regarding staff and overall impression. The wish to include suggestions for improvements was rarely mentioned as specific topic. CONCLUSIONS The majority of patients seem to be rather indifferent to the existence and content of patient surveys. They mention a wide range of topics from general to specific ones, but do not express interest in the opportunity to suggest changes. There is a need to effectively engage patients in healthcare planning using new approaches to obtain valuable feedback on patients' hospital stay and contact experiences. These new approaches should ideally be more informative and cost-effective than the current practice.
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Affiliation(s)
- Andrea C. Schöpf
- Section of Healthcare Research and Rehabilitation Research, Faculty of Medicine and Medical Center, University of Freiburg, Freiburg, Germany
| | - Werner Vach
- Department of Orthopaedics and Traumatology, University Hospital Basel, Basel, Switzerland
- * E-mail:
| | - Marcel Jakob
- Department of Orthopaedics and Traumatology, University Hospital Basel, Basel, Switzerland
| | - Franziska Saxer
- Department of Orthopaedics and Traumatology, University Hospital Basel, Basel, Switzerland
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Yurashevich M, Carvalho B, Butwick AJ, Ando K, Flood PD. Determinants of women's dissatisfaction with anaesthesia care in labour and delivery. Anaesthesia 2019; 74:1112-1120. [DOI: 10.1111/anae.14756] [Citation(s) in RCA: 16] [Impact Index Per Article: 3.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 06/07/2019] [Indexed: 12/17/2022]
Affiliation(s)
- M. Yurashevich
- Department of Anesthesiology Duke University Durham NCUSA
| | - B. Carvalho
- Anesthesiology Peri‐operative and Pain Medicine Stanford University School of Medicine Stanford CAUSA
| | - A. J. Butwick
- Anesthesiology Peri‐operative and Pain Medicine Stanford University School of Medicine Stanford CAUSA
| | - K. Ando
- Anesthesiology Peri‐operative and Pain Medicine Stanford University School of Medicine Stanford CAUSA
| | - P. D. Flood
- Anesthesiology Peri‐operative and Pain Medicine Stanford University School of Medicine Stanford CAUSA
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Hargraves JL, Cosenza C, Elliott MN, Cleary PD. The effect of different sampling and recall periods in the CAHPS Clinician & Group (CG-CAHPS) survey. Health Serv Res 2019; 54:1036-1044. [PMID: 31132159 DOI: 10.1111/1475-6773.13173] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/01/2022] Open
Abstract
OBJECTIVE To examine the effect of changing the sampling and reference periods for the CAHPS® Clinician & Group Survey from 12 to 6 months. DATA SOURCES/STUDY SETTING Adult patients with a visit in the last 12 months to New England community health centers. STUDY DESIGN We randomly assigned patients to receive a survey with either a 12- or 6-month recall period. DATA COLLECTION/EXTRACTION METHODS Questionnaires were mailed to patients, with a second questionnaire mailed to nonrespondents, followed by six attempts to complete a telephone interview. PRINCIPAL FINDINGS If the sampling criterion was a visit in the last 6 months, 9 percent of those with a visit in the last 12 months would not have been surveyed. A total of 1837 patients completed 6-month surveys (44.9 percent response rate); 588 completed 12-month surveys (46.0 percent response rate). Shortening the reference from 12 to 6 months reduced the proportion of respondents reporting a blood test, X-ray, or other tests. Adjusting for respondent characteristics, the most positive response was selected more often on the 6-month survey for 12 out of 13 questions, and three of these differences were statistically significant (P < 0.05). CONCLUSIONS Surveys using a 6-month recall period may yield slightly higher scores than surveys with a 12-month recall period.
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Affiliation(s)
- J Lee Hargraves
- Center for Survey Research, University of Massachusetts Boston, Boston, Massachusetts
| | - Carol Cosenza
- Center for Survey Research, University of Massachusetts Boston, Boston, Massachusetts
| | | | - Paul D Cleary
- Health Policy and Management, Yale School of Public Health, New Haven, Connecticut
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Deutsch A, Heinemann AW, Cook KF, Foster L, Miskovic A, Goldsmith A, Cella D. Inpatient Rehabilitation Quality of Care From the Patient's Perspective: Effect of Data Collection Timing and Patient Characteristics. Arch Phys Med Rehabil 2018; 100:1032-1041. [PMID: 30476488 DOI: 10.1016/j.apmr.2018.10.019] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/15/2018] [Revised: 10/11/2018] [Accepted: 10/19/2018] [Indexed: 11/15/2022]
Abstract
OBJECTIVE To compare, by collection time and patient characteristics, inpatient rehabilitation quality measure scores calculated using patient-reported data. DESIGN Cohort study of rehabilitation inpatients with neurologic conditions who reported their experience of care and pain status at discharge and 1month after discharge. SETTING Two inpatient rehabilitation facilities (IRFs). PARTICIPANTS Patients with neurologic conditions (N=391). INTERVENTIONS Not applicable. MAIN OUTCOME MEASURES We calculated 18 quality measure scores using participants' responses to 55 experience of care and health status questions addressing communication, support and encouragement, care coordination, discharge information, goals, new medications, responsiveness of staff, cleanliness, quietness, pain management, care transitions, overall hospital rating, willingness to recommend, and pain. RESULTS Of the 391 participants reporting at discharge, 277 (71%) also reported postdischarge after multiple attempts by e-mail, mail, and telephone. Discharge experience of care quality scores ranged from 25% (responsiveness of hospital staff) to 75% (willingness to recommend hospital); corresponding postdischarge scores were 32% to 87%, respectively. Five of the 16 experience of care quality scores increased significantly between discharge and postdischarge. The percentage of participants reporting high pain levels at discharge did not change across time periods. Patients with less education, older age, higher motor and cognitive function, and those who were not Hispanic or black had more favorable quality measure scores. CONCLUSION Patients' experience of care responses tended to be more favorable after discharge compared to discharge, suggesting that survey timing is important. Responses were more favorable for patients with selected characteristics, suggesting the possible need for risk adjustment if patient-reported quality measure scores are compared across IRFs.
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Affiliation(s)
- Anne Deutsch
- Center for Rehabilitation Outcomes Research, Shirley Ryan AbilityLab, Chicago, IL; Department of Physical Medicine and Rehabilitation, Feinberg School of Medicine, Northwestern University, Chicago, IL; Quality Measurement and Health Policy Program, RTI International, Chicago, IL.
| | - Allen W Heinemann
- Center for Rehabilitation Outcomes Research, Shirley Ryan AbilityLab, Chicago, IL; Department of Physical Medicine and Rehabilitation, Feinberg School of Medicine, Northwestern University, Chicago, IL
| | - Karon F Cook
- Department of Medical Social Sciences, Feinberg School of Medicine, Northwestern University, Chicago, IL
| | - Linda Foster
- Alexian Brothers Rehabilitation Hospital, Elk Grove Village, IL
| | - Ana Miskovic
- Center for Rehabilitation Outcomes Research, Shirley Ryan AbilityLab, Chicago, IL
| | - Arielle Goldsmith
- Center for Rehabilitation Outcomes Research, Shirley Ryan AbilityLab, Chicago, IL
| | - David Cella
- Department of Medical Social Sciences, Feinberg School of Medicine, Northwestern University, Chicago, IL
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What Can We Do to Improve Patient Satisfactıon in the Emergency Department? A Prospective Study in a Turkish University Hospital. ADVANCED JOURNAL OF EMERGENCY MEDICINE 2018; 2:e41. [PMID: 31172104 PMCID: PMC6548146 DOI: 10.22114/ajem.v0i0.94] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [Key Words] [Download PDF] [Subscribe] [Scholar Register] [Indexed: 11/24/2022]
Abstract
Introduction: In recent years, patients' satisfaction with emergency medical services provided to them has been one of the main criteria in the evaluation of the quality of these services. Objective: The goal of our study was to determine the factors that affect the satisfaction of patients admitted to the emergency department (ED) and to provide new regulations. Methods: This prospective and descriptive study included 341 patients who utilized the ED services of a university hospital between October 1, 2004, and June 30, 2005. The patients' demographic and visit characteristics, waiting times, and the total duration of stay in the ED were noted in the prepared questionnaire. In addition, all patients were asked to indicate their level of satisfaction with the care received in the ED based on a five-point Likert scale. The results were analyzed using ANOVA, chi-square, and logistic regression tests. Results: Of the 341 patients, 219 (64.2%) were satisfied with the care they had received in the ED. Factors such as doctor and nurse behavior, medical information, the frequency of doctors and nurses visits, the ease of access to personnel, the cleanliness of the ED, and the availability of technical equipment had a statistically significant effect on the overall satisfaction of the patients (p < 0.05). Conclusion: The quality of patient care provided and the features of the ED determine the patients’ satisfaction with the ED services.
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Wolderslund M, Kofoed PE, Holst R, Axboe M, Ammentorp J. Digital audio recordings improve the outcomes of patient consultations: A randomised cluster trial. PATIENT EDUCATION AND COUNSELING 2017; 100:242-249. [PMID: 27593087 DOI: 10.1016/j.pec.2016.08.029] [Citation(s) in RCA: 17] [Impact Index Per Article: 2.4] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 02/22/2016] [Revised: 08/26/2016] [Accepted: 08/28/2016] [Indexed: 06/06/2023]
Abstract
OBJECTIVES To investigate the effects on patients' outcome of the consultations when provided with: a Digital Audio Recording (DAR) of the consultation and a Question Prompt List (QPL). METHODS This is a three-armed randomised controlled cluster trial. One group of patients received standard care, while the other two groups received either the QPL in combination with a recording of their consultation or only the recording. Patients from four outpatient clinics participated: Paediatric, Orthopaedic, Internal Medicine, and Urology. The effects were evaluated by patient-administered questionnaires. RESULTS A total of 4349 patients participated in the study. DAR significantly increased the probability of fulfilling the participants' self-perceived information needs by 4.1% to 6.3%, particularly with regard to test results (OR=1.41, 95%CI: 1.14-1.74, p=0.001) and treatment options (OR=1.39, 95%CI: 1.13-1.71, p=0.002). Additionally, the interventions positively influenced the participants' satisfaction with the treatment, their relationship with the health professional, and their experience of being involved in the decision-making. CONCLUSION Providing outpatients with a QPL and DAR of their consultation positively influences the patients' perception of having adequate information after the consultation. PRACTICE IMPLICATIONS The implementation of a QPL and audio recording of consultations should be considered in routine practice.
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Affiliation(s)
- Maiken Wolderslund
- Health Services Research Unit, Lillebaelt Hospital, Vejle, Denmark; Institute of Regional Health Research, Faculty of Health Sciences, University of Southern Denmark, Odense, Denmark.
| | - Poul-Erik Kofoed
- Institute of Regional Health Research, Faculty of Health Sciences, University of Southern Denmark, Odense, Denmark; Department of Paediatrics, Lillebaelt Hospital, Kolding, Denmark.
| | - René Holst
- Institute of Regional Health Research, Faculty of Health Sciences, University of Southern Denmark, Odense, Denmark.
| | - Mette Axboe
- Health Services Research Unit, Lillebaelt Hospital, Vejle, Denmark.
| | - Jette Ammentorp
- Health Services Research Unit, Lillebaelt Hospital, Vejle, Denmark; Institute of Regional Health Research, Faculty of Health Sciences, University of Southern Denmark, Odense, Denmark.
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15
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Batbaatar E, Dorjdagva J, Luvsannyam A, Savino MM, Amenta P. Determinants of patient satisfaction: a systematic review. Perspect Public Health 2016; 137:89-101. [PMID: 27004489 DOI: 10.1177/1757913916634136] [Citation(s) in RCA: 335] [Impact Index Per Article: 41.9] [Reference Citation Analysis] [Abstract] [Key Words] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
AIM A large number of studies have addressed the detection of patient satisfaction determinants, and the results are still inconclusive. Furthermore, it is known that contradicting evidence exists across patient satisfaction studies. This article is the second part of a two-part series of research with a goal to review a current conceptual framework of patient satisfaction for further operationalisation procedures. The aim of this work was to systematically identify and review evidence regarding determinants of patient satisfaction between 1980 and 2014, and to seek the reasons for contradicting results in relationships between determinants and patient satisfaction in the literature to design a further robust measurement system for patient satisfaction. METHOD This systematic review followed the guidelines of the Preferred Reporting Items for Systematic Reviews and Meta-Analysis (PRISMA) statement. The search was conducted in PubMed, CINAHL, and Scopus in October 2014. Studies published in full in peer reviewed journals between January 1980 and August 2014 and in the English language were included. We included 109 articles for the synthesis. RESULTS We found several number of determinants of patient satisfaction investigated in a wide diversity of studies. However, study results were varied due to no globally accepted formulation of patient satisfaction and measurement system. CONCLUSIONS Health care service quality indicators were the most influential determinants of patient satisfaction across the studies. Among them, health providers' interpersonal care quality was the essential determinant of patient satisfaction. Sociodemographic characteristics were the most varied in the review. The strength and directions of associations with patient satisfaction were found inconsistent. Therefore, person-related characteristics should be considered to be the potential determinants and confounders simultaneously. The selected studies were not able to show all potential characteristics which may have had effects on satisfaction. There is a need for more studies on how cultural, behavioural, and socio-demographic differences affect patient satisfaction, using a standardised questionnaire.
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Affiliation(s)
- Enkhjargal Batbaatar
- Department of Health Policy and Management, School of Public Health, Mongolian National University of Medical Sciences, Ulaanbaatar, Mongolia; Faculty of Economy and Business Sciences, University of Sannio, Benevento, Italy
| | - Javkhlanbayar Dorjdagva
- Department of Health Policy and Management, School of Public Health, Mongolian National University of Medical Sciences, Ulaanbaatar, Mongolia; The Institute of Public Health and Clinical Nutrition, Faculty of Health Sciences, University of Eastern Finland, Kuopio, Finland
| | - Ariunbat Luvsannyam
- Department of Business Management, Ulaanbaatar University, Ulaanbaatar, Mongolia
| | | | - Pietro Amenta
- Faculty of Economy and Business Sciences, University of Sannio, Benevento, Italy
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Bogomolova S, Tan PJ, Dunn SP, Bizjak-Mikic M. Understanding the factors that influence patient satisfaction with ambulance services. Health Mark Q 2016; 33:163-80. [PMID: 27295008 DOI: 10.1080/07359683.2016.1166864] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
Abstract
The quality of ambulance services has an immense impact on patients' future well-being and quality of life. Patient satisfaction is one of the key metrics for evaluating the quality of this service. Yet, the patient satisfaction measurement may be limited in its ability to accurately reflect this service quality, and even reflect factors beyond the patient experiences. We analyze 10 years of survey data to reveal a number of factors that systematically bias ambulance satisfaction ratings. Taking into account these biases provides more robust comparison of ambulance performance over time or across different jurisdictions.
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Affiliation(s)
- Svetlana Bogomolova
- a Ehrenberg-Bass Institute for Marketing Science , University of South Australia , Adelaide , Australia
| | - P J Tan
- a Ehrenberg-Bass Institute for Marketing Science , University of South Australia , Adelaide , Australia
| | - S P Dunn
- a Ehrenberg-Bass Institute for Marketing Science , University of South Australia , Adelaide , Australia
| | - M Bizjak-Mikic
- b The Council of Ambulance Authorities , Victoria , Australia
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Teunissen TAM, Rotink ME, Lagro-Janssen ALM. Gender differences in quality of care experiences during hospital stay: A contribution to patient-centered healthcare for both men and women. PATIENT EDUCATION AND COUNSELING 2016; 99:631-637. [PMID: 26590706 DOI: 10.1016/j.pec.2015.10.033] [Citation(s) in RCA: 24] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 08/07/2015] [Revised: 10/30/2015] [Accepted: 10/31/2015] [Indexed: 06/05/2023]
Abstract
OBJECTIVES Studies demonstrate that there are important gender differences in perceptions of medicinal care. Our aim is to investigate whether there are also gender differences in patients'quality of care experiences during their hospital stay. METHODS In a cross-sectional survey, patients who were admitted to a university hospital were invited to complete a questionnaire. Answers were compared between men and women of different ages, education levels, and health assessments, using the independent t-test. A linear regression model was performed to investigate the relationship between patient characteristics and hospital assessments RESULTS 4169 questionnaires were sent (41.8% returned). Women rated the hospital significantly (P=0.007) lower than men, especially higher educated women and women between the ages of 18 and 44 years. Behaviors of nurses were perceived to be unsatisfactory by significantly more female patients than male patients (P=0.016). One in six women wanted more privacy compared with one in ten men (P<0.001), and ten percent more women suffered from pain (P<0.001). CONCLUSION Women, particularly those higher educated and between 45 and 64 years of age, assess hospital care significantly lower than men. IMPLICATIONS FOR PRACTICE To optimize patients' assessments of hospital care, women require more gender-sensitive nursing care, more privacy, and better pain management than they receive at present.
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Affiliation(s)
- T A M Teunissen
- Primary and Community Care, Gender & Women's Health, Radboud University Medical Centre, PO Box 9101, 6100HB Nijmegen, The Netherlands.
| | - M E Rotink
- Primary and Community Care, Gender & Women's Health, Radboud University Medical Centre, PO Box 9101, 6100HB Nijmegen, The Netherlands
| | - A L M Lagro-Janssen
- Primary and Community Care, Gender & Women's Health, Radboud University Medical Centre, PO Box 9101, 6100HB Nijmegen, The Netherlands
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18
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Quan X, Joseph A, Nanda U, Moyano-Smith O, Kanakri S, Ancheta C, Loveless EA. Improving Pediatric Radiography Patient Stress, Mood, and Parental Satisfaction Through Positive Environmental Distractions: A Randomized Control Trial. J Pediatr Nurs 2016; 31:e11-22. [PMID: 26395650 DOI: 10.1016/j.pedn.2015.08.004] [Citation(s) in RCA: 14] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/12/2015] [Revised: 08/04/2015] [Accepted: 08/07/2015] [Indexed: 11/18/2022]
Abstract
UNLABELLED To evaluate how a positive environmental distraction intervention impacted pediatric radiography patient behavioral stress-responses, mood states, and parental satisfaction. METHODS Behavioral observation, rating scales, surveys on 182 pediatric patients and their parents randomly assigned to three positive distraction levels (minimum, light, light and animation). RESULTS Under interventional conditions, patients exhibited less low-stress coping behaviors (ps<0.001-0.007) and more verbal behaviors indicating positive affect (p=0.003); parents more favorably rated environmental pleasantness (ps<0.001), sense of environmental control (ps=0.002), and willingness to return and recommend the facility (ps=0.001-0.005). CONCLUSION The intervention improved pediatric radiography experience but needs further investigation in more stressful settings.
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Voutilainen A, Pitkäaho T, Vehviläinen-Julkunen K, Sherwood PR. Meta-analysis: methodological confounders in measuring patient satisfaction. J Res Nurs 2015. [DOI: 10.1177/1744987115619209] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022] Open
Abstract
The study aimed to identify methodological confounding factors affecting patient satisfaction survey results. The data gathered from CINAHL and PubMed databases consisted of 355 surveys published from 2006 to 2012. Linear regression and Bayesian models, with seven potential survey-related confounders together with patient age and gender as explanatory variables, were constructed. According to the linear model, up to 12% of the original variation in patient satisfaction was explained by confounding variables, not by the actual variation in satisfaction. The presence of an interviewer resulted in lower satisfaction levels, and the satisfaction results correlated negatively with the number of items in the questionnaire. According to the Bayesian model, if patients were over 60 years old and the questionnaire consisted mainly of positively phrased items, the probability of rating their experiences as very satisfied was 75%. The Bayesian and linear models endorsed each other and revealed specifically that the surveys reporting high patient satisfaction could be predicted on the basis of confounding variables. The following recommendations are given for constructing a patient satisfaction survey: use neutral rather than negatively or positively phrased items, and use enough items to increase the likelihood that the least satisfactory care components are also included in order to better enable comparisons across sporadic surveys.
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Affiliation(s)
- Ari Voutilainen
- Department of Nursing Science, University of Eastern Finland, Kuopio, Finland
| | - Taina Pitkäaho
- Department of Nursing Science, University of Eastern Finland, Kuopio, Finland
| | - Katri Vehviläinen-Julkunen
- Department of Nursing Science, University of Eastern Finland and Kuopio University Hospital, Kuopio, Finland
| | - Paula R Sherwood
- Department of Acute and Tertiary Care, School of Nursing, University of Pittsburgh, USA
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Lin R, Gallagher R, Spinaze M, Najoumian H, Dennis C, Clifton-Bligh R, Tofler G. Effect of a patient-directed discharge letter on patient understanding of their hospitalisation. Intern Med J 2014; 44:851-7. [DOI: 10.1111/imj.12482] [Citation(s) in RCA: 26] [Impact Index Per Article: 2.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/23/2014] [Accepted: 04/30/2014] [Indexed: 11/28/2022]
Affiliation(s)
- R. Lin
- Royal North Shore Hospital; University of Sydney; Sydney Australia
| | - R. Gallagher
- Royal North Shore Hospital; University of Sydney; Sydney Australia
| | - M. Spinaze
- Royal North Shore Hospital; University of Sydney; Sydney Australia
| | - H. Najoumian
- University of New England; Armidale New South Wales Australia
| | - C. Dennis
- Royal North Shore Hospital; University of Sydney; Sydney Australia
| | - R. Clifton-Bligh
- Royal North Shore Hospital; University of Sydney; Sydney Australia
| | - G. Tofler
- Royal North Shore Hospital; University of Sydney; Sydney Australia
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21
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Measuring patients' satisfaction with pharmaceutical services at a public hospital in Qatar. Int J Health Care Qual Assur 2013; 26:398-419. [DOI: 10.1108/ijhcqa-03-2011-0025] [Citation(s) in RCA: 26] [Impact Index Per Article: 2.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
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22
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Sawyer A, Ayers S, Abbott J, Gyte G, Rabe H, Duley L. Measures of satisfaction with care during labour and birth: a comparative review. BMC Pregnancy Childbirth 2013; 13:108. [PMID: 23656701 PMCID: PMC3659073 DOI: 10.1186/1471-2393-13-108] [Citation(s) in RCA: 126] [Impact Index Per Article: 11.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/03/2012] [Accepted: 05/02/2013] [Indexed: 12/17/2022] Open
Abstract
Background Satisfaction is the one of the most frequently reported outcome measures for quality of care. Assessment of satisfaction with maternity services is crucial, and psychometrically sound measures are needed if this is to inform health practices. This paper comparatively reviews current measures of satisfaction with care during labour and birth. Methods A review of the literature was conducted. Studies were located through computerised databases and hand searching references of identified articles and reviews. Inclusion criteria were that the questionnaire was a multi-item scale of satisfaction with care during labour and birth, and some form of psychometric information (either information about questionnaire construction, or reliability, or validity) had to be reported. Results Nine questionnaires of satisfaction with care during labour and birth were identified. Instruments varied in psychometric properties and dimensions. Most described questionnaire construction and tested some form of reliability and validity. Measures were generally not based on the main theoretical models of satisfaction and varied in scope and application to different types of samples (e.g. satisfaction following caesarean section). For an in-depth measure of satisfaction with intrapartum care, the Intrapartal-Specific Quality from the Patient’s Perspective questionnaire (QPP-I) is recommended. Brief measures with good reliability and validity are provided by the Six Simple Questions (SSQ) or Perceptions of Care Adjective Checklist (PCACL-R). Conclusions Despite the interest in measures of satisfaction there are only a small number of validated measures of satisfaction with care during labour and birth. It is important that brief, reliable and valid measures are available for use in general and specific populations in order to assist research and inform practice.
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Affiliation(s)
- Alexandra Sawyer
- School of Health Sciences, City University London, 20 Bartholomew Close, London, UK
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Paavilainen E, Salminen-Tuomaala M, Leikkola P. Counselling for patients and family members: a follow-up study in the emergency department. ISRN NURSING 2012; 2012:303790. [PMID: 23008782 PMCID: PMC3447345 DOI: 10.5402/2012/303790] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 05/31/2012] [Accepted: 07/18/2012] [Indexed: 11/24/2022]
Abstract
Although the research indicates that patients and family members are not fully satisfied with the counselling they receive, little is known about the quality of counselling in more detail. The purpose of the study was to describe patients' and their family members' experiences about counselling in emergency department, and follow how these experiences possibly change after the educational intervention for the whole nursing staff of the ED ward. The pre-test-post-test follow-up design was implemented including online continuing education for ED staff. The data were collected via questionnaires from patients and their family members in two phases and analyzed statistically. After online education of staff, experiences of patients and family members concerning counselling were better than before the education. Especially, family members' satisfaction had increased. However, our results also indicated that patients and family members desire more information for example, regarding medications. Care practices had developed towards family-centeredness, which patients and family members appreciate. Online education proved also in some degree its usefulness in educating ED staff, by offering the same education to a staff which works in shifts. Furthermore, family presence and participation practices should be developed by offering possibilities for families to stay with each other on ED ward.
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Affiliation(s)
- Eija Paavilainen
- Nursing Science, Research Collegium, School of Health Sciences, University of Tampere, Etelä-Pohjanmaa Hospital District, 33014 Tampere, Finland
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Bjertnaes OA. The association between survey timing and patient-reported experiences with hospitals: results of a national postal survey. BMC Med Res Methodol 2012; 12:13. [PMID: 22335801 PMCID: PMC3298703 DOI: 10.1186/1471-2288-12-13] [Citation(s) in RCA: 32] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/17/2011] [Accepted: 02/15/2012] [Indexed: 11/10/2022] Open
Abstract
Background Research on the effect of survey timing on patient-reported experiences and patient satisfaction with health services has produced contradictory results. The objective of this study was thus to assess the association between survey timing and patient-reported experiences with hospitals. Methods Secondary analyses of a national inpatient experience survey including 63 hospitals in the 5 health regions in Norway during the autumn of 2006. 10,912 (45%) patients answered a postal questionnaire after their discharge from hospital. Non-respondents were sent a reminder after 4 weeks. Multilevel linear regression analysis was used to assess the association between survey timing and patient-reported experiences, both bivariate analysis and multivariate analysis controlling for other predictors of patient experiences. Results Multivariate multilevel regression analysis revealed that survey time was significantly and negatively related to three of six patient-reported experience scales: doctor services (Beta = -0.424, p< 0.05), information about examinations (Beta = -0.566, p < 0.05) and organization (Beta = -0.528, p < 0.05). Patient age, self-perceived health and type of admission were significantly related to all patient-reported experience scales (better experiences with higher age, better health and routine admission), and all other predictors had at least one significant association with patient-reported experiences. Conclusions Survey time was significantly and negatively related to three of the six scales for patient-reported experiences with hospitals. Large differences in survey time across hospitals could be problematic for between-hospital comparisons, implying that survey time should be considered as a potential adjustment factor. More research is needed on this topic, including studies with other population groups, other data collection modes and a longer time span.
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Affiliation(s)
- Oyvind A Bjertnaes
- Department for Quality Measurement and Patient Safety, Norwegian Knowledge Centre for the Health Services, Oslo, Norway.
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Mainil T, Van Loon F, Botterill D, Dinnie K, Platenkamp V, Meulemans H. Framing and measuring international patient management. Adv Health Care Manag 2012; 13:145-159. [PMID: 23265070 DOI: 10.1108/s1474-8231(2012)0000013011] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/01/2023]
Abstract
PURPOSE Hospitals need to determine if an international patient department is a necessity to communicate with and manage international patients. DESIGN/METHODOLOGY/APPROACH A benchmarking instrument was created to assess the level of professionalism in managing international patients, including reviewing and validating processes by two university hospitals, professionals, and an expert panel. FINDINGS First, the differences between the hospitals depended on the will of the hospital to engage in such activities. Second, the differences depended on the embedding national context in which the hospital was situated. Further validation revealed the importance of other supportive services, such as cultural sensitivity and language. Finally, the microlevel phenomenon of international patient departments is placed within a macrolevel transnational health region development scheme. ORIGINALITY/VALUE This study focused on the supply of services with respect to international patient departments, which could be related to efficiency and sustainability on a public health and health systems level.
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Affiliation(s)
- Tomas Mainil
- Centre for Cross-cultural Understanding (CCU), NHTV Breda University of Applied Sciences, Breda, The Netherlands
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Quan X, Joseph A, Ensign JC. Impact of Imaging Room Environment: Staff Job Stress and Satisfaction, Patient Satisfaction, and Willingness to Recommend. HERD-HEALTH ENVIRONMENTS RESEARCH & DESIGN JOURNAL 2012; 5:61-79. [DOI: 10.1177/193758671200500206] [Citation(s) in RCA: 9] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Abstract
Background: The built environment significantly affects the healthcare experiences of patients and staff. Healthcare administrators and building designers face the opportunity and challenge of improving healthcare experience and satisfaction through better environmental design. Objective: The purpose of the study was to evaluate how a novel environmental intervention for imaging rooms, which integrated multiple elements of healing environments including positive distractions and personal control over environment, affects the perceptions and satisfactions of its primary users—patients and staff. Methods: Anonymous questionnaire surveys were conducted to compare patient and staff perceptions of the physical environment, satisfaction, and stress in two types of imaging rooms: imaging rooms with the intervention installed (intervention rooms) and traditionally designed rooms without the intervention (comparison rooms). Results: Imaging technologists and patients perceived the intervention rooms to be significantly more pleasant-looking. Patients in the intervention rooms reported significantly higher levels of environmental control and were significantly more willing to recommend the intervention rooms to others. Conclusions: The environmental intervention was effective in improving certain aspects of the imaging environment: pleasantness and environmental control. Further improvement of the imaging environment is needed to address problematic areas such as noise.
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Bougmiza I, Ghardallou MEL, Zedini C, Lahouimel H, Nabli-Ajmi T, Gataa R, Touati I, Khairi H, Mtiraoui A. [Evaluation of the satisfaction of hospitalized patients in a gynecology obstetric department in Sousse, Tunisia]. Pan Afr Med J 2011; 8:44. [PMID: 22121452 PMCID: PMC3201608 DOI: 10.4314/pamj.v8i1.71161] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/01/2011] [Accepted: 03/28/2011] [Indexed: 11/17/2022] Open
Abstract
Introduction Il est admis que la satisfaction des patients est un indicateur de la qualité des soins. L’objectif de ce travail était de mesurer la satisfaction des patientes du service de gynécologie obstétrique du CHU Farhat Hached de Sousse. Méthodes Une étude transversale a été menée entre mai et octobre 2005. La collecte des données a été faite par trois internes grâce à des entrevues structurées avec des patientes et à partir d’un questionnaire validé. Résultats 600 patientes ont été interviewées. L’âge médian était de 30 ans. Prés de quatre vingt cinq pour cent des femmes étaient instruites. Les patientes analphabètes ont exprimé une meilleure satisfaction (score de 56,6 %) par rapport aux autres (p < 10-3). Par ailleurs, nous avons noté : un niveau de satisfaction globale moyen (score de 51%); un faible niveau de satisfaction pour la restauration et les conditions de séjour; un bon niveau de satisfaction pour les soins médicaux et paramédicaux. Les patientes les plus satisfaites étaient celles qui avaient l’impression que leur état de santé s’est amélioré, celles qui s’attendaient à des services de qualité moindre ou de qualité similaire, et celles qui avaient l’intention de recommander l’hôpital à leurs proches. Conclusion Il est difficile de transposer les résultats de travaux étrangers au contexte tunisien, en raison des différences entre les systèmes de santé d’une part et les caractéristiques socio-démographiques des patientes, d’autre part. En revanche, certains domaines devraient être examinés par des professionnels de la santé afin d’assurer la qualité requise.
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Affiliation(s)
- Iheb Bougmiza
- Département de Médecine Communautaire, Faculté de Médecine Ibn El Jazzar, Université de Sousse, and Service de gynécologie obstétrique, hôpital Farhat Hached, Sousse, Tunisia
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28
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Jensen HI, Ammentorp J, Kofoed PE. User satisfaction is influenced by the interval between a health care service and the assessment of the service. Soc Sci Med 2010; 70:1882-1887. [PMID: 20382459 DOI: 10.1016/j.socscimed.2010.02.035] [Citation(s) in RCA: 27] [Impact Index Per Article: 1.9] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/23/2009] [Revised: 02/18/2010] [Accepted: 02/22/2010] [Indexed: 11/29/2022]
Affiliation(s)
- Hanne Irene Jensen
- Health Services Research Unit, Kolding Hospital/IRS University of Southern Denmark, Skovvangen 2-8, Kolding 6000, Denmark.
| | - Jette Ammentorp
- Health Services Research Unit, Kolding Hospital/IRS University of Southern Denmark, Skovvangen 2-8, Kolding 6000, Denmark
| | - Poul-Erik Kofoed
- Health Services Research Unit, Kolding Hospital/IRS University of Southern Denmark, Skovvangen 2-8, Kolding 6000, Denmark; Department of Paediatrics, Kolding Hospital, Denmark
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29
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Jensen HI, Ammentorp J, Kofoed PE. Assessment of health care by children and adolescents depends on when they respond to the questionnaire. Int J Qual Health Care 2010; 22:259-65. [DOI: 10.1093/intqhc/mzq021] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
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30
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Ammentorp J, Kofoed PE. The long-term impact of a communication course for doctors and nurses: the parents' perspective. Commun Med 2010; 7:3-10. [PMID: 21462852 DOI: 10.1558/cam.v7i1.3] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 05/30/2023]
Abstract
The objective of the study is to investigate the long-term effect of a training course in communication for doctors and nurses. In pre- and post-design, we investigated the effect of Maguire's communication course. Parents'perceptions of the communications with the clinicians were monitored continuously for up to three years following the course using electronic questionnaires. Two hundred and seventy-one responses were obtained from the parents in 2004 (65%), 3712/4875 in 2006 (76%), and 3033/4395 in 2007 (69%). After the course, the proportion of satisfied parents increased significantly. The greatest improvements occurred in response to the statement: 'The clinician tried to understand how I experienced the problem' (OR: 6.4 and 6.3). There was no association between the time since the clinician had participated in the course and the mean score of the perceived communication and satisfaction. In conclusion parents'perceptions of communication improved significantly after the department implemented a communication program, and remained unchanged for up to three years. Electronic and continuous monitoring of quality of care is an appropriate method to evaluate new initiatives, such as training courses.
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Affiliation(s)
- Jette Ammentorp
- Lillebaelt Hospital, IRS University of Southern Denmark, Kolding, Denmark.
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31
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Kritsotakis G, Koutis AD, Kotsori A, Alexopoulos CG, Philalithis AE. Measuring patient satisfaction in oncology units: interview-based psychometric validation of the 'Comprehensive Assessment of Satisfaction with Care' in Greece. Eur J Cancer Care (Engl) 2009; 19:45-52. [PMID: 19708938 DOI: 10.1111/j.1365-2354.2007.00910.x] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
Abstract
The aim of this study is to validate the 'Comprehensive Assessment of Satisfaction with Care' (CASC) in Greece. A total of 84 cancer inpatients met the inclusion criteria. Of them, 32 (38%) refused to participate, leading to a 62% response rate. For the translation of the scale, we followed the European Social Survey procedures encompassing four stages. Interview-based administration was chosen in order to obtain more reliable results in terms of time of assessment, response rate and data omission. Multitrait scaling analyses along with construct, scale-discriminant validity and reliability tests were carried out to establish the Greek version of CASC. Scales on doctors' technical skills, care organization and general satisfaction were in support of the European structure. In general, Doctors' scales had the anticipated structures. Most variations were noticed in the Nurses' scales, leading to a revised item-scale formation, and may reflect different importance patients attribute to various aspects of health care in different countries. Greek version of CASC may be a practical, valid and reliable tool for assessing patient satisfaction in oncology settings. Cross-cultural validation of the existing tools is necessary to enable comparison between various countries and settings. Interview-based administration should be considered when validating patient satisfaction instruments.
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Affiliation(s)
- G Kritsotakis
- Department of Social Medicine, Faculty of Medicine, University of Crete, Crete, Greece.
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32
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Falk-Brynhildsen K, Nilsson U. Cardiac Surgery Patients’ Evaluation of the Quality of Theatre Nurse Postoperative Follow-Up Visit. Eur J Cardiovasc Nurs 2009; 8:105-11. [DOI: 10.1016/j.ejcnurse.2008.07.005] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/03/2007] [Revised: 07/10/2008] [Accepted: 07/14/2008] [Indexed: 11/16/2022]
Affiliation(s)
| | - Ulrica Nilsson
- Department of Cardiothoracic Surgery and Centre for Health Care Sciences, Örebro University Hospital, Sweden
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33
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van den Akker-Scheek I, Zijlstra W, Groothoff JW, van Horn JR, Bulstra SK, Stevens M. Groningen orthopaedic exit strategy: Validation of a support program after total hip or knee arthroplasty. PATIENT EDUCATION AND COUNSELING 2007; 65:171-9. [PMID: 16965889 DOI: 10.1016/j.pec.2006.07.004] [Citation(s) in RCA: 11] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 04/12/2006] [Revised: 07/03/2006] [Accepted: 07/12/2006] [Indexed: 05/11/2023]
Abstract
OBJECTIVE Validation of the program theory of the Groningen orthopaedic exit strategy (GOES), a theory-driven program aiming to improve the rehabilitation of total hip and knee arthroplasty patients after shortened hospital stay. First part of the program theory is the action theory, hypothesising that the GOES treatment positively influences the mediating variables (self-efficacy, social support, pain-coping). The second part, the conceptual theory, hypothesis a positive relationship between these variables and the outcome variables (ADL functioning, physical activity behaviour, quality of life). METHODS Patients were randomly assigned to the GOES or control groups. Questionnaires were used to assess mediating and outcome variables in 103 patients (50 GOES, 53 controls) pre-operatively, and 6 and 26 weeks post-operatively. RESULTS No difference was seen between the two groups in terms of changes between pre-operative and post-operative mediating variables (action theory). Moderate-to-large correlations explaining reasonable amount of variance (22%, 25%, 56%) were found between the mediating and outcome variables (conceptual theory). CONCLUSION The conceptual theory is supported; however, as the treatment did not influence the mediating variables (action theory), it has no added value in its current form. PRACTICE IMPLICATIONS The treatment needs to be adjusted; it is discussed that individualised treatment could be more effective.
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MESH Headings
- Academic Medical Centers
- Activities of Daily Living
- Adaptation, Psychological
- Aftercare/organization & administration
- Aftercare/psychology
- Aged
- Arthroplasty, Replacement, Hip/adverse effects
- Arthroplasty, Replacement, Hip/psychology
- Arthroplasty, Replacement, Hip/rehabilitation
- Arthroplasty, Replacement, Knee/adverse effects
- Arthroplasty, Replacement, Knee/psychology
- Arthroplasty, Replacement, Knee/rehabilitation
- Attitude to Health
- Female
- Home Care Services, Hospital-Based/organization & administration
- Humans
- Male
- Middle Aged
- Netherlands
- Outcome Assessment, Health Care
- Pain, Postoperative/etiology
- Pain, Postoperative/prevention & control
- Pain, Postoperative/psychology
- Patient Discharge
- Program Evaluation
- Psychological Theory
- Quality of Life/psychology
- Regression Analysis
- Self Efficacy
- Social Support
- Surveys and Questionnaires
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Affiliation(s)
- Inge van den Akker-Scheek
- Department of Orthopaedics, University Medical Center Groningen, University of Groningen, The Netherlands.
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