Degree Of Satisfaction Research Articles

Work Satisfaction and Related Variables among Nurses Employed in Particular Hospitals in Mogadishu, Somalia

Purpose: The objective of this research was to evaluate the degree of job satisfaction and related variables among nurses employed at specific hospitals in Mogadishu, Somalia.  Methods A cross-sectional, descriptive research approach was employed, and a sample of 120 nurses was included in the study. The intended sample was chosen using a straightforward random sampling procedure. Data were gathered using a pre-tested, structured, self- administered questionnaire including a work satisfaction measure. Descriptive statistics were used for analysis after the obtained data were loaded into SPSS version 20.0.  Results The study used 120 study participants in total. Of the nurse practitioners, 41 (34.2%) expressed dissatisfaction with their work. Among the research subjects; 45(37.5%) dissatisfied with payment (salary). Regarding the options for pursuing a postgraduate degree in nursing or additional education 40 (33.3%) were dissatisfied. More than half of participants 75 (62.5%) were decided to resign from current employment due to payment (salary) issues.  Conclusions The nursing staff expressed dissatisfaction with possibilities for professional growth, recognition, low pay, inadequate benefits, doing many incorrect jobs, and increased workload. It is recommended that actions be taken to improve working conditions, pay, and human resource policies in order to raise the degree of job satisfaction among nursing staff.

Determinants of Academic Satisfaction: An Empirical Analysis of a Brazilian National Institute

Objective: The present investigation aims to identify the explanatory factors for academic satisfaction, as well as the influence that the identified factors have on the degree of academic satisfaction in its global context and on the chances of the institution's recommendation to friends and family.
  
 Method: The investigation was conducted with a sample of 290 students from the Federal Institute of Education, Science, and Technology of Piauí (FIEPI-Campus Oeiras). The instrument used for data collection was a questionnaire. The statistical techniques used were of a descriptive, exploratory, and multivariate nature for the treatment, analysis, and validation of the results.
  
 Results and Discussion: The results indicate that Academic Satisfaction is determined by the factors (1) Teaching Environment and (2) Structural Environment and that there is a significant decrease in Academic Satisfaction when students move from the group from High School to Higher Education due to the determinants satisfaction.
  
 Research Implications: The development of strategies for the maintenance and attraction of new students by FIEPI-Campus Oeiras and other educational institutions must be based on academic satisfaction considering their specificities, namely, concerning the different perceptions and expectations generated by students about educational services.
  
 Originality/Value: The relevance of this investigation is based on the fact that the measurement of student satisfaction by a given educational institution becomes essential for it to understand the perception of its students about its products and services, enabling the identification of new ways of generating satisfaction and loyalty.

Cementless Total Hip Arthroplasty With Paavilainen Femoral Shortening Osteotomy Can Provide Good Results at 10 years in Patients Who Have Crowe IV Developmental Dysplasia of the Hip

The aim of this study was to present the clinical and radiologic results of primary total hip arthroplasty (THA) using the femoral shortening osteotomy technique described by Paavilainen in patients who have Crowe IV developmental dysplasia of the hip (DDH). We retrospectively analyzed the results of primary THA using the Paavilainen technique in 335 hips. The mean follow-up was 10.2 years. The degree of limp, leg-length discrepancy, and patient satisfaction were assessed. The Oxford Hip Score was used to examine functional outcomes. A number of radiographic parameters were also assessed. The most common reason for revision surgery was non-union of the distally advanced greater trochanter. This complication was observed in 22 hips (6.5%). The ten-year survival for acetabular components, it was 97.3%, and for femoral components was 98.7% with aseptic loosening as the end point, and 85.9% with re-operation for any reason as the end point. Patients demonstrated improved functional outcomes. The mean limb lengthening was 27.8 mm. Non-union was more common if the contact length of the proximal femoral fragment with the lateral surface of the distal femoral fragment was less than 35 mm. Cementless primary THA using the femoral shortening osteotomy technique described by Paavilainen in patients who have Crowe IV DDH demonstrates good clinical and radiologic postoperative results. If the contact between the fragments after osteotomy is less than 35 mm, there is a high risk of non-union, and supplemental fixation may be warranted.

A Study on the Influence of Service Quality in Customer Satisfaction; Application of Servqual Moel with Special Reference to Home First Finance Company

Service Quality in finance sector is the most important criteria and asset for evaluating and satisfying customers and thereby increases the customer loyalty and average retention rate of customers. Among the service quality determinants, reliability, assurance and empathy have always played a pivotal role. Prior research suggests that customer perceptions and expectations are more likely to be different across service sectors. Hence, this paper examines the effect of service quality determinants on the degree of customer satisfaction in Home First Finance Company. By realizing the gap between the perceived and actual service quality, customer satisfaction can be extremely improved. Keywords: Customer Relationship, Generating Leads, Customer Satisfaction

A study on customer satisfaction regarding mobile wallets with a focus on google pay and Paytm in the Tiruchirappalli district

This research focuses on the study of customer satisfaction regarding mobile wallets. The modern era witnessed an enormous increase in mobile payment transactions within the mobile phone industry. Mobile phones function similarly to minicomputers, and the usage of various efforts allows individuals to engage in a multitude of activities, including but not limited to communication with others, tracking personal health and dietary habits, as well as conducting financial transactions such as making payments and receiving funds. Furthermore, after the implementation of the 'Digital India' initiative, smartphone applications used for digital payments have experienced a surge in popularity. Despite the abundance of banking applications available, Google Pay and Paytm are often regarded as secure and user-friendly options. This study investigates the degree of satisfaction among users of Google Pay and Paytm. The researcher has obtained a sample size of 150 from the population of mobile wallet users in Tiruchirappalli District. The selection of these samples was based on a judgmental sampling technique. The data analysis conducted using ANOVA and Friedman's ANOVA revealed that the respondents expressed satisfaction with both Google Pay and Paytm. Additionally, the reasons for utilizing these programs were largely identical. Despite being compelled to use wallets in some circumstances, respondents nevertheless exhibit apprehension over their usage. Therefore, the government must implement financial literacy initiatives aimed at promoting the widespread use and adoption of mobile wallets.

Application of PRI-E–a combined learning method in oral and maxillofacial oncology education

The traditional lecture-based learning (LBL) method is facing great challenges due to its low efficiency and single proceeding form. We designed a PRI-E learning mode that combined and modified problem-based, case-based, and evidence-based learning with a step-by-step approach. We evaluated the practical learning outcomes of using the PRI-E mode by comparing it with traditional lecture-based learning in oral and maxillofacial oncology education. “PRI-E” consists of the first letters of the English words Passion, Research, Innovation, and Education, and it means “the best Education”. This prospective randomized controlled trial included 40 participants. We evenly divided the participants into the PRI-E (n = 20) and LBL group (n = 20) based on the entrance test scores. The same staff group designed and then taught the learning content with different group measures. The evaluation included the final test scores and questionnaire assessments. Without affecting the examination results, the PRI-E teaching method was more satisfactory and popular with participants in terms of ability development and classroom participation. Enacting the PRI-E teaching method required more time, but this did not affect its popularity among the participants. Compared with the LBL learning mode, the PRI-E learning mode was more organized and efficient in oral and maxillofacial oncology education without affecting academic performance. This model has a high degree of satisfaction, which is conducive to training students' comprehensive ability.

Estimating the eco‐efficiency of urban waste services towards sustainable waste management

AbstractAssessing the eco‐efficiency of municipalities regarding the provision of solid waste services is a useful tool for improving its sustainability. However, robust, and reliable methods are needed to benchmark the performance of municipalities. Data envelopment analysis (DEA) methods typically used to assess the eco‐efficiency of municipal solid waste (MSW) service providers. However, the variables used in the eco‐efficiency assessment bear distinct weights for each individual unit, limiting thus interpretation. Therefore, benchmarking the performance of MSW service providers becomes challenging because different conditions are applied. Thus, this study uses a common set weights DEA (DEA‐CSW) model assess the eco‐efficiency of different municipalities in providing MSW services. Eco‐efficiency scores were estimated by integrating total costs, recycled waste and unsorted waste as input, desirable outputs and undesirable outputs, respectively. The empirical application of the model demonstrated that when using DEA‐CSW, only one municipality (out of 36) was eco‐efficient in managing MSW. The weightings for inputs and outputs were allocated based on the degree of satisfaction estimated for each municipality. Satisfaction ranged from 0.829 to 1.000 indicating that none of the municipalities were heavily penalized based on the eco‐efficiency scores estimation when allocating common weights. In conclusion, this study demonstrates that compared to traditional DEA models, the DEA‐CSW approach is more adequate at benchmarking the performance of municipalities regarding the provision of MSW services.

Healthcare interpreters X, Y, Z

Abstract This study explores how differences between generations X (people born from 1965 to 1980), Y (1980s and 1990s), and Z (mid-90s to early 2000s) have an impact on healthcare interpreters’ job satisfaction. Based on self-determination theory (SDT), the paper argues that the degree to which a work environment nurtures interpreters’ feelings of competence, connectedness, and autonomy can determine how motivated they feel, resulting in different degrees of job satisfaction. Stressing the organismic component in SDT, the paper further hypothesizes that the motivation in healthcare interpreting is mediated by interpreters’ values and that these vary across generations. An exploratory and qualitative study based on semi-structured interviews is conducted with 9 interpreters (3 from each generational group) who are working or have worked for the same hospital group. The differences in motivational factors and satisfaction are explored and implications for the ability of healthcare interpreting to retain the different generations are discussed.

Parents and teachers’ perspectives on a school-located influenza vaccination program: A pilot study in the Region of Murcia, Spain

ABSTRACT During the 2022–2023 season, the Region of Murcia (an autonomous community of Spain) introduced the influenza vaccination campaign in children aged 24–59 months with the live-attenuated influenza nasal spray vaccine. To expand coverage, a pilot study was conducted to include the 3- to 4-year population in 24 public schools. The aim of the study was to assess the experiences of parents and teachers involved in the project. This was a psychosocial qualitative study in which information was collected from a cohort of 23 parents and 17 teachers who attended three and two focus group sessions, respectively. A high degree of satisfaction with the school-located influenza vaccination program was consistently reported. The teachers reported creating a friendly environment and acting as companions to support children in the absence of their parents. They also considered the intranasal route, which avoids intramuscular puncture, as a facilitating element that turned the vaccination process into a kind of game. Parents emphasized the importance of vaccination to protect their children, and secondarily, to ensure protection of the family nucleus. Some parents who had their children already vaccinated in the health care center reported preference for the school setting, probably selecting this option in the future. The availability of school-based influenza vaccination promoted greater equity in accessing the vaccine and facilitated family reconciliation. To optimize coverage and minimize potential reluctance, providing the necessary information to parents both before and after vaccination was considered. School-located influenza vaccination was feasible and is a valuable strategy to be implemented in future campaigns.

Ranking products through online opinions: A text analysis and regret theory-based approach

With the development of e-shopping, a list of similar products can be found with a large volume of valuable customer reviews online. However, it is generally difficult to compare various aspects of similar products effectively by understanding all relevant online opinions. To help consumers, in this study, how products are ranked according to online reviews is investigated. Firstly, an SC-LDA (Seed Constraint-Latent Dirichlet Allocation) model, which is an extension of the classical topic model LDA (Latent Dirichlet Allocation), is proposed to extract product features. The must-link and cannot-link seed constraints are invited to estimate the probability expansion/reduction value. They help to affect the topic allocation by additional constraints in Gibbs sampling for a higher accuracy on feature extraction. Secondly, an improved convolutional memory neural network model is devised to analyze the sentiment polarity. It takes the advantages of CNN (convolutional neural network) and Bi-LSTM (bidirectional Long Short-Term Memory) and performs dynamic pooling in CNN to prevent the loss of important features. Besides, the concept of group satisfaction degree is introduced, which makes products be compared according to the Regret Theory. It ranks products without a commonly applied reference point and take consumer psychology into considerations. Finally, in the case study, an illustrative example is presented to evaluate the proposed framework. Categories of experiments show that the proposed framework provides consumers with effective purchase suggestions. Code metadataPermanent link to reproducible Capsule: https://doi.org/10.24433/CO.6445683.v1 and https://doi.org/10.24433/CO.2658577.v1.

Automatic speaking valve in tracheo-esophageal speech: treatment proposal for a widespread usage.

Aim of this study was to calculate the percentage of the Automatic Speaking Valve (ASV) use in a large cohort of laryngectomized patients with voice prosthesis (VP) and to analyze the main reasons for non-use. Subsequently, a specific rehabilitation training was proposed. One hundred-ten laryngectomized patients with VP were enrolled in the first phase of the study (census). Among them, 57 patients were included in the second phase (intervention), in which a training based on moving phonatory exercises was proposed. Structured questionnaires were used before and after training in order to investigate ASV use rate (days/week and hours/day; reasons for impeding the ASV use), average adhesive life-time during ASV use; hands-free speech duration; skin irritation. Patients also expressed their degree of on a VAS scale from 0 to 100. In the census phase the percentage of use of ASV (everyday, without problems) was equal to 17.27% (19/110 patients). The main causes of disuse concerned excessive fatigue and poor durability of the adhesives. The analysis of the results pre vs. post-training showed a statistically significant increase (p < 0.05) in all the investigated parameters. Patients reported a good level of treatment compliance (average frequency of performing exercises equal to 4.2 ± 2.5days/week for 1.4 ± 1.01h/day) and high degrees of satisfaction. After treatment, the percentage of use of AVS increased by 43% reaching a rate of 60% (66/110 patients). A specific and targeted approach that simulate the phonatory and breathing difficulties of everyday life can increase the ASV usage rate.

A Digital Platform (Telepalliation) for Patients in Palliative Care and Their Relatives: Protocol for a Multimethod Randomized Controlled Trial.

The World Health Organization defines end-of-life palliative care as "prevention and relief of suffering, by means of early identification and impeccable assessment and treatment of pain and other problems, physical, psychosocial and spiritual." Over 20 million people worldwide are in need of palliative care. In Denmark, palliative care is given at a general and a specialist level. The general level comprises health care professionals (HCPs) who do not perform palliative care full-time. The specialist level comprises specialized palliative care (SPC), where HCPs perform palliative care full-time. In total, 20%-30% of patients who need palliative care are referred to SPC. Challenges with SPC include a short time span from referral to end of life, patients who are very ill and may therefore find it hard to travel to an outpatient clinic, and the SPC unit having a relatively small staff. The need for SPC is expected to rise, as the number of patients dying from terminal diseases is increasing. Telehealth has been successfully implemented in different home care settings, including palliative care. The aim of the study is to present the research design of the clinical testing of a telepalliation program by the use of a digital platform for patients in palliative care and their relatives. The telepalliation program will be conducted as a multimethod randomized controlled trial. The intervention group will follow the telepalliation program, while the control group will follow the traditional standard of care program for palliative care. The primary outcome of the study is increased quality of life. Secondary outcomes include enhanced sense of security; reduced experience of pain; satisfactory experiences of patients and relatives with the TelePal platform and degree of satisfaction in being a part of the program; experiences with the use of the TelePal platform on the part of HCPs and the professionals' experiences of being a part of the program; the use of a cross-sector communication platform and the telepalliation program by patients, relatives, and HCPs; and the projected lower cost of health care services. These outcomes will be assessed using questionnaires, data generated by digital technologies, and semistructured interviews. The collection of data began in May 2021 and will be completed in August 2024. The results of the study will be published in peer-reviewed journals and presented at international conferences. Results from the telepalliation program are expected to be published by fall 2024. The expected outcomes of the study are increased quality of life and increased sense of security. We also expect that the study will have a clinical impact on future telepalliation for those patients who are referred to a palliative team. ClinicalTrials.gov NCT04995848; https://clinicaltrials.gov/study/NCT04995848. DERR1-10.2196/49946.

Methods for assessing the quality of medical care in Russia and abroad: formation and modern aspects

The study presents the results of the analysis of available literary sources covering the historical and modern aspects of assessing the quality of medical care in the healthcare systems of the Russian Federation and some foreign countries and shows the relevance and feasibility of improving the methodology for assessing the quality of medical care in the Armed Forces of the Russian Federation. At present, many methods are used for assessing the quality of medical care in the healthcare system of the Russian Federation; however, none of them contains an exhaustive set of criteria that would allow assessing the quality of medical care provided in full. In the Armed Forces of the Russian Federation, the methods used to assess the quality of medical care are also not perfect, which leads to a decrease in the effectiveness of management decisions and thereby a decrease in the effectiveness of military medical organizations and units. To this end, active development of assessment indicators and criteria for the quality of medical care, introduction of new assessment methods, including the use of automated data accounting and analysis tools, and improvement of the procedures and standards of medical care are necessary. The most promising area is the use of comprehensive methods for assessing the effectiveness and quality of medical care, which have recently become widespread. Their application provides comprehensive control over compliance with medical care requirements and allows us to investigate the conditions wherein it is indicated, assess the degree of patient satisfaction, and helps optimize the assessment procedure. In addition, to improve the effectiveness, continuity in the implementation of control measures performed at various levels both within the medical organization and with the participation of departmental and state control bodies must be ensured. To do this, close interaction of all control bodies must be organized, and their activities must be integrated into a single quality management system for medical care. The results of the assessment of the quality of medical care can help determine the main directions of the development of the medical and diagnostic process and optimize the work of medical personnel, which increases the importance of work aimed at improving the assessment methodology. In addition, the quality control of medical care in the Armed Forces of the Russian Federation must be further improved.

A Cross-sectional Study on Patients' Perspective Towards Dermatology Outpatient Services from a Tertiary Care Center in Nepal

Introduction: Patient-centered care has received greater prominence in recent years, and it is paramount to assess the patient’s satisfaction to improve the quality of healthcare services. The present study is aimed at understanding the patients’ perspectives regarding dermatology outpatient services offered at a tertiary care center to determine the areas for improvement for better patient satisfaction. Objective: This study is intended to understand the patients’ perspectives regarding a typical dermatology OPD setup and to identify the areas for improvement in a tertiary center in Nepal. Materials and Methods: The descriptive cross-sectional study was carried out using a content-validated, pre-tested, standardized, and translated questionnaire. All the patients who visited the outpatient department of Dermatology tertiary care center during the month of April 2022 and were willing to participate in the study were included. Result: A total of 157 patients participated in the survey. The majority of the participants were males (56.7%) and belonged to urban domiciles (80.9%). Nearly 42% of the subjects were seeking dermatology consultation for the first time, and 68.2% responded that the duration of consultation was sufficient. The details of symptoms, clinical results, and medication were clearly understood by 89.8%, 82.2%, and 73.9% of the subjects, respectively. Maintenance of privacy was reported by 76.4% of the participants. However, 25.5% of the subjects reported a waiting time of ≥4 hours for consultation, and 34.4% suggested the need for more manpower. Conclusion: The majority of the patients had a high degree of satisfaction. The areas of improvement include the adoption of technology-based appointment booking system, ensuring a good waiting ambience, increasing manpower, and reducing  waiting time for consultations.

Atención farmacéutica en enfermedades respiratorias: situación y oportunidades de la farmacia hospitalaria en España

ObjectiveRespiratory diseases present a challenge for the healthcare system due to their prevalence and clinical impact. The aim of this study was to explore the current situation of hospital pharmacy in the field of respiratory diseases. MethodObservational, cross-sectional study, with a national scope, divided into 2 parts. In an initial phase, the activity and level of pharmaceutical care in respiratory diseases was evaluated through an online questionnaire using REDCap. The survey was addressed to department chiefs and consisted of 17 items, divided into 2 modules: general data and general activity. The second phase was open to hospital pharmacists, with the aim of exploring their opinion on care, training, and improvement needs. The number of items in this phase was 19, divided into 5 modules: general data, pharmaceutical care, competencies, training and degree of satisfaction. ResultsIn the first phase, 23 hospitals were included. Most of them (n=20) had a pharmacist in charge of respiratory diseases. However, a large proportion of them dedicated less than 40% of their working day to this activity. The pharmacist's activity occurred at the level of external patients (n=20), hospitalized patients (n=16), and secondarily in management (n=8). Integration is greater in pathologies such as asthma, IPF, pulmonary hypertension, and bronchiectasis. Participation in committees was present in 15 hospitals, with variability in pathologies and degree of involvement. In the second phase, 164 pharmacists participated, who considered pharmaceutical care in cystic fibrosis, asthma and lung transplant as a priority. Fifty-one percent considered integration to be adequate and 91% considered it necessary to implement prioritization criteria. Professional competencies ranged from 6.5-6.9 out of 10 points. Only 45% of participants had received specific training in the last four years, indicating greater priority for asthma, pulmonary hypertension and IPF. ConclusionsMost centers have pharmacists specialized in respiratory diseases. However, there is room for improvement in terms of sub specialization, participation in multidisciplinary committees, implementation of prioritization criteria, diversification in pathologies treated, as well as greater specific training in this area.

Formalization of annual performance feedback and employees’ job satisfaction in the SME context

ABSTRACT Human resource management (HRM) practices in small and medium-sized enterprises (SMEs) to increase employees’ job satisfaction are on the rise. Given that SMEs often adopt highly formalized HRM practices of large companies, for example, in the case of annual performance appraisals, we investigate the relationship between the degree of formalization of annual performance feedback and employees’ job satisfaction in the SME context. Using an experimental survey study design (N = 166) in a German SME, we find that employees receiving annual performance feedback with a high degree of formalization report lower job satisfaction directly after the annual performance feedback than those who are still to receive their feedback. In contrast, in the case of annual performance feedback with a low degree of formalization, employees report higher job satisfaction right after the annual performance feedback than employees before the feedback. Moreover, we find that employees’ feedback orientation is an important moderator in this relationship.

Effectiveness of a Teach-Back Education Program on Perioperative Pain in Patients With Lung Cancer: An Intervention Study Using Behavior Change Wheel

To assess the effect of a teach-back educational intervention using Behavior Change Wheel (BCW) framework on perioperative pain among patients with lung cancer. A prospective quasi-experimental study was conducted in 88 patients with lung cancer from a tertiary hospital in China. According to the order of admission, they were allocated to either control group or intervention group, with 44 patients in each group. Patients in the control group received routine nursing care, while patients in the intervention group were given a teach-back education program based on BCW framework. The visual analog scale (VAS) was adopted to evaluate patients' pain on the day of surgery (T0), 1 (T1), 2 (T2), and 3 (T3) days after surgery. We also recorded the use of patient-controlled analgesia (PCA), the length of hospital stay, and the degree of patients' satisfaction. Rest pain, pain when coughing, and pain during activity that patients in the intervention group experienced were significantly less severe than those in the control group on T0 and T1. The pain when coughing in the intervention group was also significantly milder on T2 and T3. In addition, the number of self-control time, use duration, and total dose of PCA were significantly lower in the intervention group. Moreover, patients' satisfaction of nursing service was significantly higher in the intervention group. A teach-back education program based on BCW framework was effective in pain management among the perioperative patients with lung cancer. This study demonstrates the application of teach-back method and the BCW in the development of patient education intervention to mitigate perioperative pain.

Gestion de la douleur à domicile après chirurgie de l’avant pied en ambulatoire

Introduction: Healthcare structures must adapt to the shift to ambulatory care. While first ray surgery lends itself well to this organization, it is known to be painful for patients who are often reluctant to undergo this procedure. We studied the evolution of post-operative pain in patients undergoing first ray surgery from D0 to D5. A home nursing protocol was used. Secondary objectives were to assess patient satisfaction and to identify complications.Methods: This is a retrospective, observational, single-center, single-operator study. One hundred and thirty-eight patients undergoing surgery on the first ray of the foot (hallux valgus or rigidus) and eligible for ambulatory care were included between April 2019 and December 2022. The operative technique for the cure of hallux valgus was open surgery by double metatarsal and phalangeal osteotomy; for hallux rigidus, open dorsal plate arthrodesis. Home follow-up was carried out by a healthcare provider. The protocol allowed pain to be managed with an IV nefopam diffuser for a maximum of 5 days, combined with oral analgesics of levels 1 to 3. Pain was recorded at D0, D1, D3 and D5 using a numerical scale from 0 to 10. Patient satisfaction was assessed retrospectively by telephone call.Results: Ten patients were excluded due to incomplete data. The series comprised 102 women and 36 men, with an average age of 59.8 years. There were 116 hallux valgus and 22 hallux rigidus. Thirty-three patients had procedures associated with their 1st ray surgery. Pain analyzed by VAS was 4.21 at D0, 2.96 at D1, 1.90 at D3, 1.33 at D5. The mean duration of nefopam infusions was 4.31 days. Treatment tolerance was satisfactory in 88.4% of cases. Eighty-four percent of patients were very satisfied with their pain management. There were 4 early scar complications that resolved with local care. One infection was noted at a distance from the operation, requiring repeat surgery and re-hospitalization. Four postoperative algoneurodystrophies were identified. Three recurrences of hallux valgus required repeat surgery. The existence of fibromyalgia, algodystrophy, chronic pain on long-term morphine therapy, chronic inflammatory disease, depression or parkinsonian syndrome correlated with higher pain.Conclusion: Pain management after outpatient first ray foot surgery using the injectable nefopam protocol is satisfactory in the majority of cases, with a very high degree of patient satisfaction. This protocol is now routinely offered to our patients undergoing first ray surgery.Level of evidence: IV; cohort study.

Student satisfaction in the context of hybrid learning through sentiment analysis

&lt;span lang="EN-US"&gt;With the incursion of data science into the academic field and the massification of social networks, it is possible to extract information on student satisfaction that contributes to feedback on teacher teaching strategies and methods. This article aims to determine student satisfaction with teaching performance, through sentiment analysis. Methodologically, the research is of a non-experimental longitudinal design, with a quantitative approach. Data collection was carried out through the social network Twitter, and data analysis was carried out through the sentiment analysis technique. As a result, it was identified that in the first week of class, the highest level of satisfaction was obtained, reaching 96.3% of the total number of students. Meanwhile, in the evaluation weeks, the highest level of dissatisfaction was reaching 29.17%. It is concluded that when going from totally virtual learning to hybrid learning, students express a certain level of dissatisfaction typical of a process of progressive adaptation. Therefore, teachers should take advantage of these findings to redesign assessment rubrics in the context of hybrid teaching. Aspects such as collecting opinions through social networks and extracting a degree of satisfaction through them apply in a crossed way to other professional fields.&lt;/span&gt;

Pain Intensity and Satisfaction of Pain Relief in Discharged Cancer Patients: A Large Sample Study in China

Many studies have focused on the quality of pain management in hospitalized patients with cancer pain, while what happens after discharge remains unclear. The purpose of this study was to investigate the pain intensity and satisfaction of pain relief among a large sample of Chinese patients with cancer pain after discharge. Cross-sectional, descriptive, correlational research. ABOUT: 1,013 patients were recruited in a tertiary cancer hospital, and their residence addresses were distributed in 6 geographical regions, including 26 provinces, municipalities, and autonomous regions. The 1,013 patients with cancer pain were discharged from the wards of a national cancer hospital in China from July 2020 to October 2021. A nurse in the pain clinic followed the patients based on a whole-process information system and collected the data after the cancer pain patients were discharged. The study methods followed the STROBE guidelines. The average age of 1,013 discharged patients was 61.30 (±12.56) years. Moderate and severe background pain (BGP) was reported in 749 patients (73.94%), and more than 3 instances of breakthrough pain (BTP) in the past 24 hours were reported in 541 patients (53.41%). More severe BGP was associated with more frequent BTP (p < .01). In addition, there were 572 patients (56.47%) whose satisfaction with pain relief was lower than 70%. More severe BGP was associated with a lower satisfaction degree (r = -0.796, p < .01). Pain among discharged Chinese patients with cancer is poorly managed, and there is a low degree of satisfaction with pain relief. Nurses can do more work to assist cancer patients in managing pain more effectively by ensuring they have a plan to report and manage pain after discharge.