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Zhong C, Huang J, Li L, Luo Z, Liang C, Zhou M, Hu N, Kuang L. Relationship between patient-perceived quality of primary care and self-reported hospital utilisation in China: A cross-sectional study. Eur J Gen Pract 2024; 30:2308740. [PMID: 38407121 PMCID: PMC10898267 DOI: 10.1080/13814788.2024.2308740] [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: 06/21/2023] [Accepted: 01/15/2024] [Indexed: 02/27/2024] Open
Abstract
BACKGROUND Reducing avoidable hospital admissions is a global healthcare priority, with optimal primary care recognised as pivotal for achieving this objective. However, in developing systems like China, where primary care is evolving without compulsory gatekeeping, the relationship between patient-perceived primary care quality and hospital utilisation remains underexplored. OBJECTIVES This study aimed to explore the association between patient-perceived primary care quality and self-reported hospital utilisation in China. METHODS Data were collected from 16 primary care settings. Patient-perceived quality of primary care was measured using the Assessment Survey of Primary Care scale across six domains (first-contact care, continuity, comprehensiveness, accessibility, coordination, and patient-centredness). Hospital utilisation included patient self-reported outpatient visits, hospital admissions, and emergency department (ED) visits in the last six months. Logistic regression analyses were examined associations between self-reported hospital utilisation and perceived primary care quality adjusted for potential confounders. RESULTS Of 1,185 patients recruited, 398 (33.6%) reported hospital utilisation. Logistic regression analyses showed that higher total scores for patient-perceived quality of primary care were associated with decreased odds of hospital utilisation (adjusted odds ratio(AOR): 0.417, 95% confidence interval (CI): 0.308-0.565), outpatient visits (AOR: 0.394, 95% CI: 0.275-0.566) and hospital admissions (AOR: 0.496, 95% CI: 0.276-0.891). However, continuity of care was positively associated with ED visits (AOR: 2.252, 95% CI: 1.051-4.825). CONCLUSION Enhanced patient-perceived quality of primary care in China is associated with a reduction in self-reported overall hospital utilisation, including outpatient visits and hospital admissions. However, better continuity of care may be associated with increased ED visits. Further research is warranted for precise insights and validation of these findings.
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Affiliation(s)
- Chenwen Zhong
- Department of Health Policy and Management, School of Public Health, Sun Yat-sen University, Guangzhou, Guangdong, China
- Jockey Club School of Public Health and Primary Care, The Chinese University of Hong Kong, Hong Kong, China
| | - Junjie Huang
- Jockey Club School of Public Health and Primary Care, The Chinese University of Hong Kong, Hong Kong, China
| | - Lina Li
- Department of Health Policy and Management, School of Public Health, Sun Yat-sen University, Guangzhou, Guangdong, China
| | - Zhuojun Luo
- Department of Health Policy and Management, School of Public Health, Sun Yat-sen University, Guangzhou, Guangdong, China
| | - Cuiying Liang
- Department of Health Policy and Management, School of Public Health, Sun Yat-sen University, Guangzhou, Guangdong, China
| | - Mengping Zhou
- Department of Medical Epidemiology and Biostatistics, Karolinska Institutet, Solna, Sweden
| | - Nan Hu
- Department of Family and Preventive Medicine, and Population Health Sciences, University of UT School of Medicine, Salt Lake City, UT, USA
| | - Li Kuang
- Department of Health Policy and Management, School of Public Health, Sun Yat-sen University, Guangzhou, Guangdong, China
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Magel J, Siantz E, Blosser P, Fritz JM, Gordon AJ. The Development of an Opioid Misuse Training Program for Physical Therapists: A Learning Community Approach. JOURNAL, PHYSICAL THERAPY EDUCATION 2024:00001416-990000000-00109. [PMID: 38739432 DOI: 10.1097/jte.0000000000000343] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 06/20/2023] [Accepted: 02/02/2024] [Indexed: 05/14/2024]
Abstract
INTRODUCTION Musculoskeletal pain and opioid misuse frequently co-occur. REVIEW OF THE LITERATURE The US Preventive Services Task Force calls for all health care providers to be trained to screen for misuse and/or opioid use disorder. The purpose of this study was to develop and implement an opioid misuse training program that could be used by physical therapists. SUBJECTS Thirteen practicing physical therapists were invited to participate in a curriculum development project. METHODS Using the Curriculum Framework, a collaborative learning approach was used to develop an opioid misuse training program and training manual for physical therapists. Four training sessions were provided virtually every 2 weeks. Topics included an introduction to the opioid crisis, screening, assessing, and communicating with patients and with the health care team about opioid misuse. Each didactic session was followed by a participant feedback session where participants provided recommendations on improving the training content and their impressions on the barriers and facilitators to incorporating the training into practice. A companion training manual was created and sent to participants for comment. Participants were asked over email to describe whether and how they incorporated training materials into clinical practice during the training curriculum. RESULTS All participants attended sessions 1-3. Twelve (92.3%) attended the fourth session. Based on the participants' feedback, training sessions were edited, and a companion training manual was finalized and distributed to each participant. After the fourth session, 9 participants (69.2%) reported using what they learned in the training. During the participant feedback sessions, participants regarded the training as important. Some participants expressed barriers to discussing opioids with patients and concerns about whether the training was within physical therapists' scope of practice. DISCUSSION AND CONCLUSION An iteratively developed training program for physical therapists to address opioid misuse was acceptable, feasible, and provided immediate practice change by most participants.
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Affiliation(s)
- John Magel
- John Magel is the research associate professor in the Department of Physical Therapy and Athletic Training at the University of Utah, 520 Wakara Way, Salt Lake City, UT 84108 . Please address all correspondence to John Magel
- Elizabeth Siantz is assistant professor in the College of Social Work at the University of Utah
- Priscilla Blosser is study coordinator in the Department of Internal Medicine at the University of Utah
- Julie M. Fritz is distinguished professor in the Department of Physical Therapy and Athletic Training at the University of Utah
- Adam J. Gordon is professor in the Program for Addiction Research, Clinical Care, Knowledge and Advocacy (PARCKA) and Greater Intermountain Node (GIN) of the NIDA Clinical Trials Network in the Division of Epidemiology in the Department of Internal Medicine at the University of Utah School of Medicine
| | - Elizabeth Siantz
- John Magel is the research associate professor in the Department of Physical Therapy and Athletic Training at the University of Utah, 520 Wakara Way, Salt Lake City, UT 84108 . Please address all correspondence to John Magel
- Elizabeth Siantz is assistant professor in the College of Social Work at the University of Utah
- Priscilla Blosser is study coordinator in the Department of Internal Medicine at the University of Utah
- Julie M. Fritz is distinguished professor in the Department of Physical Therapy and Athletic Training at the University of Utah
- Adam J. Gordon is professor in the Program for Addiction Research, Clinical Care, Knowledge and Advocacy (PARCKA) and Greater Intermountain Node (GIN) of the NIDA Clinical Trials Network in the Division of Epidemiology in the Department of Internal Medicine at the University of Utah School of Medicine
| | - Priscilla Blosser
- John Magel is the research associate professor in the Department of Physical Therapy and Athletic Training at the University of Utah, 520 Wakara Way, Salt Lake City, UT 84108 . Please address all correspondence to John Magel
- Elizabeth Siantz is assistant professor in the College of Social Work at the University of Utah
- Priscilla Blosser is study coordinator in the Department of Internal Medicine at the University of Utah
- Julie M. Fritz is distinguished professor in the Department of Physical Therapy and Athletic Training at the University of Utah
- Adam J. Gordon is professor in the Program for Addiction Research, Clinical Care, Knowledge and Advocacy (PARCKA) and Greater Intermountain Node (GIN) of the NIDA Clinical Trials Network in the Division of Epidemiology in the Department of Internal Medicine at the University of Utah School of Medicine
| | - Julie M Fritz
- John Magel is the research associate professor in the Department of Physical Therapy and Athletic Training at the University of Utah, 520 Wakara Way, Salt Lake City, UT 84108 . Please address all correspondence to John Magel
- Elizabeth Siantz is assistant professor in the College of Social Work at the University of Utah
- Priscilla Blosser is study coordinator in the Department of Internal Medicine at the University of Utah
- Julie M. Fritz is distinguished professor in the Department of Physical Therapy and Athletic Training at the University of Utah
- Adam J. Gordon is professor in the Program for Addiction Research, Clinical Care, Knowledge and Advocacy (PARCKA) and Greater Intermountain Node (GIN) of the NIDA Clinical Trials Network in the Division of Epidemiology in the Department of Internal Medicine at the University of Utah School of Medicine
| | - Adam J Gordon
- John Magel is the research associate professor in the Department of Physical Therapy and Athletic Training at the University of Utah, 520 Wakara Way, Salt Lake City, UT 84108 . Please address all correspondence to John Magel
- Elizabeth Siantz is assistant professor in the College of Social Work at the University of Utah
- Priscilla Blosser is study coordinator in the Department of Internal Medicine at the University of Utah
- Julie M. Fritz is distinguished professor in the Department of Physical Therapy and Athletic Training at the University of Utah
- Adam J. Gordon is professor in the Program for Addiction Research, Clinical Care, Knowledge and Advocacy (PARCKA) and Greater Intermountain Node (GIN) of the NIDA Clinical Trials Network in the Division of Epidemiology in the Department of Internal Medicine at the University of Utah School of Medicine
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Emmesjö L, Gillsjö C, Dahl Aslan AK, Hallgren J. Patients' and next of kin's expectations and experiences of a mobile integrated care model with a home health care physician - a qualitative thematic study. BMC Health Serv Res 2023; 23:921. [PMID: 37644455 PMCID: PMC10466758 DOI: 10.1186/s12913-023-09932-4] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/31/2023] [Accepted: 08/16/2023] [Indexed: 08/31/2023] Open
Abstract
BACKGROUND The organizational principle of remaining at home has offset care from the hospital to the home of the older person where care from formal and informal caregivers is needed. Globally, formal care is often organized to handle singular and sporadic health problems, leading to the need for several health care providers. The need for an integrated care model was therefore recognized by health care authorities in one county in Sweden, who created a cross-organisational integrated care model to meet these challenges. The Mobile integrated care model with a home health care physician (MICM) is a collaboration between regional and municipal health care. Descriptions of patients' and next of kin's experiences of integrated care is however lacking, motivating exploration. METHOD A qualitative thematic study. Data collection was done before the patients met the MICM physician, and again six months later. RESULTS The participants expected a sense of relief when admitted to MICM, and hoped for shared responsibility, building a personal contact and continuity but experienced lack of information about what MICM was. At the follow-up interview, participants described having an easier daily life. The increased access to the health care personnel (HCP) allowed participants to let go of responsibility, and created a sense of safety through the personalised contact and continuity. However, some felt ignored and that the personnel teamed up against the patient. The MICM structure was experienced as hierarchical, which influenced the possibility to participate. However, the home visits opened up the possibility for shared decision making. CONCLUSION Participants had an expectation of receiving safe and coherent health care, to share responsibility, personal contact and continuity. After six months, the participants expressed that MICM had provided an easier daily life. The direct access to HCP reduced their responsibility and they had created a personalised contact with the HCP and that the individual HCP mattered to them, which could be perceived as in line with the goals in the shift to local health care. The MICM was experienced as a hierarchic structure with impact on participation, indicating that all dimensions of person-centred care were not fulfilled.
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Affiliation(s)
- Lina Emmesjö
- School of Health Sciences, University of Skövde, P.O. Box 408, SE-541 28, Skövde, Sweden.
- School of Health and Welfare, Jönköping University, Jönköping, Sweden.
| | - Catharina Gillsjö
- School of Health Sciences, University of Skövde, P.O. Box 408, SE-541 28, Skövde, Sweden
- College of Nursing, University of Rhode Island, Kingston, RI, USA
| | - Anna K Dahl Aslan
- School of Health Sciences, University of Skövde, P.O. Box 408, SE-541 28, Skövde, Sweden
| | - Jenny Hallgren
- School of Health Sciences, University of Skövde, P.O. Box 408, SE-541 28, Skövde, Sweden
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Bernard K, Wildman JM, Tanner LM, Stoniute A, Still M, Green R, Eastaugh C, Sowden S, Thomson KH. Experiences of Non-Pharmaceutical Primary Care Interventions for Common Mental Health Disorders in Socioeconomically Disadvantaged Groups: A Systematic Review of Qualitative Studies. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2023; 20:5237. [PMID: 37047854 PMCID: PMC10094719 DOI: 10.3390/ijerph20075237] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 01/16/2023] [Revised: 03/07/2023] [Accepted: 03/12/2023] [Indexed: 06/19/2023]
Abstract
Common mental health disorders (CMDs) disproportionately affect people experiencing socioeconomic disadvantage. Non-pharmaceutical interventions, such as 'social prescribing' and new models of care and clinical practice, are becoming increasingly prevalent in primary care. However, little is known about how these interventions work and their impact on socioeconomic inequalities in health. Focusing on people experiencing socioeconomic disadvantage, this systematic review aims to: (1) explore the mechanisms by which non-pharmaceutical primary care interventions impact CMD-related health outcomes and inequalities; (2) identify the barriers to, and facilitators of, their implementation in primary care. This study is a systematic review of qualitative studies. Six bibliographic databases were searched (Medline, ASSIA, CINAHL, Embase, PsycInfo and Scopus) and additional grey literature sources were screened. The included studies were thematically analysed. Twenty-two studies were included, and three themes were identified: (1) agency; (2) social connections; (3) socioeconomic environment. The interventions were experienced as being positive for mental health when people felt a sense of agency and social connection. The barriers to effectiveness and engagement included socioeconomic deprivation and underfunding of community sector organisations. If non-pharmaceutical primary care interventions for CMDs are to avoid widening health inequalities, key socioeconomic barriers to their accessibility and implementation must be addressed.
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Affiliation(s)
- Kate Bernard
- Population Health Sciences Institute, Newcastle University, Newcastle-upon-Tyne NE2 4AA, UK
| | - Josephine M. Wildman
- Population Health Sciences Institute, Newcastle University, Newcastle-upon-Tyne NE2 4AA, UK
- National Institute for Health and Care Research (NIHR) Applied Research Collaboration (ARC) for the North-East and North Cumbria (NENC), Newcastle NE4 5TG, UK
| | - Louise M. Tanner
- Population Health Sciences Institute, Newcastle University, Newcastle-upon-Tyne NE2 4AA, UK
- National Institute for Health and Care Research (NIHR) Innovation Observatory, Newcastle University, Newcastle-upon-Tyne NE2 4AA, UK
| | - Akvile Stoniute
- Population Health Sciences Institute, Newcastle University, Newcastle-upon-Tyne NE2 4AA, UK
- National Institute for Health and Care Research (NIHR) Innovation Observatory, Newcastle University, Newcastle-upon-Tyne NE2 4AA, UK
| | - Madeleine Still
- Population Health Sciences Institute, Newcastle University, Newcastle-upon-Tyne NE2 4AA, UK
| | - Rhiannon Green
- National Institute for Health and Care Research (NIHR) Innovation Observatory, Newcastle University, Newcastle-upon-Tyne NE2 4AA, UK
| | - Claire Eastaugh
- Population Health Sciences Institute, Newcastle University, Newcastle-upon-Tyne NE2 4AA, UK
| | - Sarah Sowden
- Population Health Sciences Institute, Newcastle University, Newcastle-upon-Tyne NE2 4AA, UK
- National Institute for Health and Care Research (NIHR) Applied Research Collaboration (ARC) for the North-East and North Cumbria (NENC), Newcastle NE4 5TG, UK
| | - Katie H. Thomson
- Population Health Sciences Institute, Newcastle University, Newcastle-upon-Tyne NE2 4AA, UK
- National Institute for Health and Care Research (NIHR) Applied Research Collaboration (ARC) for the North-East and North Cumbria (NENC), Newcastle NE4 5TG, UK
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Shunmuga Sundaram C, Campbell R, Ju A, King MT, Rutherford C. Patient and healthcare provider perceptions on using patient-reported experience measures (PREMs) in routine clinical care: a systematic review of qualitative studies. J Patient Rep Outcomes 2022; 6:122. [PMID: 36459251 PMCID: PMC9718906 DOI: 10.1186/s41687-022-00524-0] [Citation(s) in RCA: 6] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/30/2022] [Accepted: 11/01/2022] [Indexed: 12/05/2022] Open
Abstract
BACKGROUND Patient-reported experience measures (PREMs) assess quality-of-care from patients' perspectives. PREMs can be used to enhance patient-centered care and facilitate patient engagement in care. With increasing quality improvement studies in clinical practice, the use of PREMs has surged. As a result, knowledge about stakeholder experiences of using PREMs to assess quality of care across diverse clinical settings is needed to inform PREM implementation efforts. To address this, this review examines the qualitative literature on patient and healthcare provider experiences of using PREMs in clinical practice. METHODS Medline, Embase and PsycInfo were systematically searched from inception to May 2021. Additional searching of reference lists for all included articles and relevant review articles were performed. Retrieved articles were screened for eligibility by one reviewer and 25% cross-checked by a second reviewer across all stages of the review. Full texts meeting eligibility criteria were appraised against the COREQ checklist for quality assessment and thematic analysis was used to analyze textual data extracted from the results. RESULTS Electronic searches identified 2683 records, of which 20 studies met eligibility criteria. Extracted data were synthesized into six themes: facilitators to PREM implementation; barriers to PREM implementation; healthcare providers' perspectives towards using PREMs; patients' perspectives towards using PREMs; advantages of using PREMs in clinical practice; limitations and practical considerations to reduce resistance of PREM usage. The primary factors facilitating and impeding the use of PREMs include organizational-, staff- and patient-related factors. CONCLUSION Results can be used to guide the usage and implementation of PREMs in clinical settings by addressing the identified barriers and building on the perceived benefits to encourage adoption of PREMs. Results around facilitators to PREM implementation and practical considerations could also promote appropriate use of PREMs by healthcare providers, helping to improve practice and the quality of care based on patient feedback.
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Affiliation(s)
- Chindhu Shunmuga Sundaram
- Faculty of Science, School of Psychology, Sydney Quality of Life Office, The University of Sydney, Level 6 North, Chris O'Brien Lifehouse (C39Z), Sydney, NSW, 2006, Australia
| | - Rachel Campbell
- Faculty of Science, School of Psychology, Sydney Quality of Life Office, The University of Sydney, Level 6 North, Chris O'Brien Lifehouse (C39Z), Sydney, NSW, 2006, Australia
| | - Angela Ju
- Faculty of Science, School of Psychology, Sydney Quality of Life Office, The University of Sydney, Level 6 North, Chris O'Brien Lifehouse (C39Z), Sydney, NSW, 2006, Australia
| | - Madeleine T King
- Faculty of Science, School of Psychology, Sydney Quality of Life Office, The University of Sydney, Level 6 North, Chris O'Brien Lifehouse (C39Z), Sydney, NSW, 2006, Australia
| | - Claudia Rutherford
- Faculty of Science, School of Psychology, Sydney Quality of Life Office, The University of Sydney, Level 6 North, Chris O'Brien Lifehouse (C39Z), Sydney, NSW, 2006, Australia. .,Faculty of Medicine and Health, The University of Sydney Susan Wakil School of Nursing and Midwifery, Cancer Care Research Unit (CCRU), The University of Sydney, Sydney, Australia. .,The Daffodil Centre, The University of Sydney, a Joint Venture with Cancer Council NSW, Sydney, Australia.
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Siantz E, Henwood B, Rabin B, Center K, Fenwick K, Gilmer T. A Mixed-method Evaluation of the Behavioral Health Integration and Complex Care Initiative Using the Consolidated Framework for Implementation Research. Med Care 2021; 59:632-638. [PMID: 33989248 DOI: 10.1097/mlr.0000000000001569] [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: 11/26/2022]
Abstract
BACKGROUND Integrated behavioral health and primary care can improve the health of persons with complex chronic conditions. The Behavioral Health Integration and Complex Care Initiative (BHICCI) implemented integrated care across a large health system. Whether Behavioral Health Organizations (BHOs) and Federally Qualified Health Centers (FQHCs) implemented the BHICCI differently is unclear. OBJECTIVES The objective of this study was to evaluate integration under the BHICCI and to understand implementation differences between BHOs and FQHCs. METHODS We used a convergent parallel mixed-method design. Integration was measured quantitatively using the Maine Health Access Site Self-Assessment (SSA), which was completed by clinic teams at baseline and 24 months, and through n=70 qualitative interviews with initiative stakeholders, which were organized using the Consolidated Framework for Implementation Research. Results were compared to understand how qualitative findings explained quantitative results. RESULTS Data were collected in 7 clinics (n=2 FQHC; n=5 BHOs). FQHCs reported greatest improvement in the client centered subscale, with a baseline score of 4.6 (SD=0.64) and 7.8 (SD=0.89) at 24 months. BHOs reported greatest improvement in the organizational supports for integration subscale, with a baseline score of 4.8 (SD=1.07) and 7.9 (SD=1.1) at 24 months. Our Consolidated Framework for Implementation Research analysis illustrates contextual factors, such as insurance plan supports and clinic-level challenges, that explain these scores. CONCLUSIONS All clinical settings received support from the health plan, but differences between BHOs and FQHCs affected integration progress. Study results can help identify organizational practices that advance or undermine the delivery of integrated care across multiple clinical settings.
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Affiliation(s)
- Elizabeth Siantz
- Department of Family Medicine and Public Health, University of California San Diego, La Jolla, CA
- College of Social Work, University of Utah, Salt Lake City, UT
| | - Benjamin Henwood
- Suzanne Dworak-Peck School of Social Work at the University of Southern California
| | - Borsika Rabin
- Department of Family Medicine and Public Health, University of California San Diego, La Jolla, CA
| | - Kimberly Center
- Health Services Research Center at University of California San Diego
| | - Karissa Fenwick
- West Los Angeles Veterans Affairs Medical Center, Los Angeles, CA
| | - Todd Gilmer
- Department of Family Medicine and Public Health, University of California San Diego, La Jolla, CA
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Chen X, Zhang Y, Zhang R, Shen G. 'I Accelerate' model: A grounded theory on conceptual framework of patient experience with nursing care in China. J Nurs Manag 2021; 29:1311-1319. [PMID: 33484629 DOI: 10.1111/jonm.13271] [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: 09/30/2020] [Revised: 01/14/2021] [Accepted: 01/19/2021] [Indexed: 11/28/2022]
Abstract
AIM To develop a conceptual framework of patient experience with nursing care. BACKGROUND Patient experience includes several aspects of health care delivery that patients value highly when they seek and receive care and is now increasingly used to evaluate the quality of care. Nurses are the backbone of the health care system, and patient experience with nursing care significantly influences the overall patient satisfaction and hospital performance. However, the conceptual framework of patient experience with nursing care is not clear. METHOD This grounded theory study employed in-depth interviews with 37 inpatients between March and May 2020. RESULTS An explanatory theoretical framework of the patient experience with nursing care emerged and was termed the 'I Accelerate' model; 'I Accelerate' stands for information and interpretation, appropriate attitude, close monitoring of progress, continuity of care, education, linking of the medical team, emotional support, responding to requests promptly, admission and discharge coordination, technical skills, and environment management, highlighting professional, emotional and coordinating functions of nurses. CONCLUSIONS This study resulted in a holistic nursing care model based on patients' views, values and preferences. IMPLICATIONS FOR NURSING MANAGEMENT To create a more therapeutic nurse-patient relationship and a more patient-centred health care system, hospital administrators, nursing managers and nursing practitioners should understand what patients desire and expect. Efforts should be made to explore the barriers and facilitators of using patient experience for quality improvement and to further determine how these patient-perceived attributes of nursing care can be rooted in the daily practice through organisational changes, culture shaping and staff education. There should be recognition of the potential need for psychological and emotional support, as well as of the importance of meeting communication and information needs.
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Affiliation(s)
- Xiao Chen
- Department of Nursing, Zhongshan Hospital of Fudan University, Shanghai, China
| | - Yuxia Zhang
- Department of Nursing, Zhongshan Hospital of Fudan University, Shanghai, China
| | - Ruili Zhang
- Department of Nursing, Zhongshan Hospital of Fudan University, Shanghai, China
| | - Guojing Shen
- Department of Nursing, Zhongshan Hospital of Fudan University, Shanghai, China
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