Abstract
Aims and MethodTen people with a diagnosis of schizophrenia were interviewed. The interviews were analysed qualitatively with the aim of examining the concept of patient satisfaction in the context of a recent in-patient admission.ResultsThe analysis identified two themes that influenced the expression of patient satisfaction: external factors and internal factors. The theme of external factors contained four categories: fear of violence, communication with staff, lack of autonomy and ward routines. The theme of internal factors comprised participants' conceptions and expectations.Clinical ImplicationsThis small study suggests the complexity of the concept of patient satisfaction should be respected in assessing experiences of people with a diagnosis of schizophrenia.
Highlights
The method of choice for assessment of patient experience is the evaluation of patient satisfaction, primarily using surveys (Department of Health, 2000; Healthcare Commission, 2004)
A quantitative study found that 30% of patients believed the ward environment to be unsafe or frightening (Barker, 2000), and this is a finding in other qualitative studies (Sainsbury Centre for Mental Health, 1998)
Qualitative and quantitative studies have stressed the importance of communication in determining satisfaction (Weinstein, 1981; Goodwin et al, 1999), and the Mental Health Act Commission (1997) reported that in 38% of wards there was no contact with patients other than observation
Summary
The analysis identified two themes that influenced the expression of patient satisfaction: external factors and internal factors.The theme of external factors contained four categories: fear of violence, communication with staff, lack of autonomy and ward routines. The theme of internal factors comprised participants’ conceptions and expectations. This small study suggests the complexity of the concept of patient satisfaction should be respected in assessing experiences of people with a diagnosis of schizophrenia. The method of choice for assessment of patient experience is the evaluation of patient satisfaction, primarily using surveys (Department of Health, 2000; Healthcare Commission, 2004). There are specific theoretical concerns regarding the concept of patient satisfaction in patients with a diagnosis of schizophrenia, and these include the possible distorting effects of insight, delusions and interpersonal mechanisms such as transference (Lebow, 1982). The objective of this research was to use qualitative methodology to examine the concept of patient satisfaction in people with a diagnosis of schizophrenia in the context of a recent in-patient admission
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