Needs Assessment For Patients Research Articles

Needs assessment in patients with inflammatory bowel disease in the encounter and communication with healthcare professionals: A fieldwork study.

To explore how patients with Inflammatory bowel disease experienced encounters with healthcare professionals in two gastrointestinal outpatient clinics to demonstrate what matters in the communication between patients and healthcare professionals. This fieldwork study is part of a larger study developing an application for patients with inflammatory bowel disease in a framework inspired by Participatory Design. Participatory design consists of three phases and this study focused on the first phase, needs assessment. A phenomenological hermeneutic approach and qualitative methods were applied to obtain an understanding of patients' needs. Three weeks of participant observations and three focus groups with 14 subjects were conducted at two university hospitals in Denmark. Field notes and interview transcripts were analysed using condensation of meaning and interpreted based on interactional nursing practice theory. The reporting method adhered to the EQUATOR guideline: COREQ. Four themes emerged: Easy and dependable access to healthcare professionals. Predictability of follow-up appointments. Importance of privacy during patient exams and Quality of time spent with healthcare professionals. Easy, dependable access, privacy, presence and predictability of follow-up appointments were important to patients with Inflammatory Bowel Disease. In communication with patients with inflammatory bowel disease, healthcare professionals must be aware of privacy and the importance of predictable follow-up agreements. They must be aware that presence and easy, reliable access positively affect patients' self-care skills. This study is part of a larger project based on Participatory design involving patients and healthcare professionals in the development of technology to support communication.

Hypoglycemia: A closer look at a community pharmacist’s impact in optimizing diabetes care

BackgroundHypoglycemia is a complication of diabetes and can have considerable clinical impact on mortality, morbidity, and quality of life. Certain patient populations with diabetes are at an increased risk of experiencing hypoglycemia, posing as a safety concern and may have possible negative affect(s) on diabetes if not appropriately managed. With community pharmacies often being an accessible means of health care, there is potential for widespread diabetes education in this setting. ObjectivesAssess impact of pharmacist-initiated education on proper recognition/management of hypoglycemia in patients with type 1 and 2 diabetes. Secondary objectives aim to optimize diabetes care: (1) assessment of patient need for a glucagon kit prescription, (2) evaluation of adherence to highly recommended vaccinations for individuals with diabetes and acceptance of pharmacist vaccination recommendations, and (3) assessment of patient satisfaction with the study intervention. Setting and practice descriptionA community pharmacy in the Suffolk County of Massachusetts serving middle- to lower-class and medically underserved patients. Most of the population includes an elderly, Hispanic, and Asian demographic. EvaluationOutcomes evaluated through change in hypoglycemia questionnaire scores from preintervention to postintervention, the percentage of patients who received a prescription for glucagon kit post pharmacist intervention, the percentage of patients that received a vaccination because of pharmacist intervention, and Likert scale–based survey for the assessment of patient satisfaction. ResultsParticipant knowledge of hypoglycemia awareness/treatment improved significantly post pharmacist intervention (P < 0.001). Average gain in questionnaire scores from pre-edcation to posteducation was 6.4 points (maximum score = 9, P < 0.001). Glucagon prescriptions were facilitated/dispensed for 28.5% of eligible participants. Fifty-eight vaccinations were recommended, and 25.8% were administered. Patients’ overall satisfaction score averaged 4.7 out of a maximum of 5 (higher scores more favorable). ConclusionAn educational service in a community pharmacy setting can provide effective education to recognize signs, symptoms, and proper treatment of hypoglycemia in patients on diabetes therapy that carries a high risk.

Needs assessment in patients surgically treated for head and neck cancer-a randomized controlled trial.

To investigate the effect and feasibility of a head and neck cancer-specific needs assessment tool integrated into nursing rehabilitation consultations early in the post-surgical period on quality of life, symptom burden, and referrals for multidisciplinary follow-up. Ninety-two surgically treated patients with head and neck cancer were enrolled in a two-arm randomized controlled trial. All participants received nursing rehabilitation consultations prior to discharge, and two weeks andtwomonths post-operative. The intervention group had their needs assessed using Patient Concerns Inventory, while standard care used a systematic questioning approach. Primary outcome was quality of life. Secondary outcomes were symptom burden and referrals for multidisciplinary rehabilitation follow-up. No significant differences were found in quality of life or symptom burden between groups. However, 35% more patients in the intervention group were referred for rehabilitation. The attrition rate was similar in both groups, with a dropout rate of six in each group. No patients declined using the Patient Concerns Inventory. The intervention showed no improvement in QoL or symptom burden compared to standard care. However, the results suggest that important needs were identified and addressed. Especially emotional and existential needs, which were accommodated through referrals and professional advice. Nursing rehabilitation consultations using the Patient Concerns Inventory are feasible and may ensure that patient preferences and priorities are incorporated in their care. ClinicalTrials.com (NCT03443258). Date of registration: May 31st, 2018.

The Quality Improvement Information System for Surveillance and Monitoring for Patient Safety and Personal Safety in Kalasin Hospital, Kalasin Province, Thailand.

This mixed-method research aimed to evaluate in need assessments and develop an intervention model for quality improvement information system-QIIS for surveillance and monitoring Patient safety and Personals safety in Kalasin Hospital, Thailand. The process was divided into 3 phases, 1) Studies on needs assessments of patients and hospital staff-2P, 2) Develop the program and assessment 3) Program implementation and evaluation. The 245 participants were participated during October 2019 - Februarys 2020. A questionnaire and semi-structure interview by content analysis were applied to investigate on needs assessments and intervention evaluation were using checklist for observation. The results revealed that information alert from supportive technology especially in real-time were sophisticated improving and significantly increasing with the positively and satisfaction levels of the staff increasingly particularly in pre and post observation (p-value <0.05). The key success of QIIS was comprised as suddenly response and information alert system, for this reason their staff could be immediately responsive to problems as much as they affords.

An Educational Needs Assessment for Patients with Liver Disease.

IntroductionLiver disease forms a global health burden and is a cause of significant morbidity and mortality. Good patient education has proven to be a key tool in disease management, providing significant benefit in knowledge and behavioral modifications. To develop effective educational tools, a good understanding of patient educational needs and preferred learning methods is necessary. Few studies have evaluated the educational needs of patients with liver disease. This study aims to assess the educational needs of patients at a large tertiary liver center.MethodThis study was a questionnaire-based cross-sectional study evaluating patient demographics,perceived and unperceived educational needs (hepatitis B and hepatitis Cknowledge) at a tertiary liver centreResultsA total of 300 patients completed the questionnaire. Most patients stated they were “extremely” or “quite” interested in learning more about their liver condition (84.9%, n=242), in either “moderate” or “a lot of” detail (94.6%, n=202). There was no association between gender, age, level of education, annual income and interest of patients in learning more about their liver condition. There was a significant association between number of clinic visits and interest to learn more (p=0.022), but there was no association between the duration of their follow-up at the clinic and their interest to learn more (p=0.243).ConclusionsOverall, patients showed great interest in learning more about their liver condition, potentially indicating a need for more educational programs. Most patients prefer reading (via internet or pamphlets/brochures) or one-to-one discussions, giving us a good sense of potentially successful educational strategies that will fit the needs of most patients.

Spiritual Needs and Perception of Quality of Care and Satisfaction With Care in Hematology/Medical Oncology Patients: A Multicultural Assessment

ContextAssessment and response to patients' spiritual concerns are crucial components of high-quality supportive care. Better measures of spiritual needs across the cultural spectrum may help direct necessary interventions. ObjectivesThe objective of this study was to assess spiritual needs in a racially/ethnically and religiously mixed sample of hematology and oncology outpatients and examine the association between spiritual needs and perception of quality of care and satisfaction with care. MethodsThis is an observational study of 727 racially/ethnically and religiously diverse outpatients. Spiritual needs were measured using a validated, 23-item questionnaire, the Spiritual Needs Assessment for Patients. Scales were administered in four languages. ResultsForty-four percent were white, 13% Hispanic, 25% black, and 14% Asian. English was the primary language for 57%; 59% considered themselves “spiritual but not religious.” At least one spiritual need was reported by 79%. Forty-eight percent were comfortable having their physician inquire about spiritual needs. Compared with English-speaking patients, Russian-speaking patients reported lower spiritual needs (P = 0.003). Patients who considered themselves “spiritual but not religious” (P = 0.006) reported a higher level of spiritual needs. Higher spiritual needs were associated with less satisfaction with care (P = 0.018) and lower perception of quality of care (P = 0.002). ConclusionSpiritual needs are common in an ethnically, religiously, and linguistically diverse cancer patient population but may differ by cultural background. High levels of spiritual need are associated with lower levels of satisfaction and diminished perception of quality of care. Training clinicians to address patients' spiritual concerns, with attention to cultural differences, may improve patients' experiences of care.

Validation of questionnaire on the Spiritual Needs Assessment for Patients (SNAP) questionnaire in Brazilian Portuguese.

SummaryObjectivesSpirituality is related to the care and the quality of life of cancer patients. Thus, it is very important to assess their needs. The objective of this study was the translation and cultural adjustment of the Spiritual Needs Assessment for Patients (SNAP) questionnaire to the Brazilian Portuguese language.MethodologyThe translation and cultural adjustment of the SNAP questionnaire involved six stages: backtranslation, revision of backtranslation, translation to the original language and adjustments, pre-test on ten patients, and test and retest with 30 patients after three weeks. Adult patients, with a solid tumour and literate with a minimum of four years schooling were included. For analysis and consistency we used the calculation of the Cronbach alpha coefficient and the Pearson linear correlation.ResultsThe final questionnaire had some language and content adjustments compared to the original version in English. The correlation analysis of each item with the total score of the questionnaire showed coefficients above 0.99. The calculation of the Cronbach alpha coefficient was 0.9. The calculation of the Pearson linear correlation with the test and retest of the questionnaire was equal to 0.95.ConclusionThe SNAP questionnaire translated into Brazilian Portuguese is adequately reliable and consistent. This instrument allows adequate access to spiritual needs and can help patient care.

PHP221 - Assessment Of Patient Need During Hospitalization By Using Neq (Need Evaluation Questionnaire) In Tertiary Care Hospitals, Quetta, Pakistan

PHP221 - Assessment Of Patient Need During Hospitalization By Using Neq (Need Evaluation Questionnaire) In Tertiary Care Hospitals, Quetta, Pakistan

Needs Assessment for Patients with Sickle Cell Disease in South Carolina, 2012.

We conducted a needs assessment for patients with sickle cell disease (SCD) in South Carolina using statewide administrative data to examine acute care utilization during a defined 12-month period. The data were collected to provide information for state and regional service providers, managed care companies, and policy makers to identify demographic gaps in care and inform policy and educational efforts to improve care. We obtained records on emergency department visits and hospitalizations through patient-based uniform billing data. We stratified analyses of acute care utilization and 30-day readmission rates by patient age, region, and expected payer. Young adults, those with public insurance, and those who resided in a region with the largest number of patients had the highest rates of acute care utilization and 30-day readmissions. Patients who resided in a largely rural area without access to comprehensive care also had high rates of acute care utilization and readmissions. The pattern of readmissions data suggested that data on 7- or 14-day readmission rates, in addition to data on 30-day readmission rates, could be used as benchmarks of quality of care for adult patients with SCD. Administrative datasets can provide important information on demographic gaps in care for patients with SCD. The results highlight both national and regional issues in the provision of health-care services for patients with SCD.

Physical and Psychosocial Needs Assessment in Patients with Heart Failure in the Yazd Afshar Hospital

Physical and Psychosocial Needs Assessment in Patients with Heart Failure in the Yazd Afshar Hospital

Needs Assessment of Patients with Obstructive Sleep Apnea at Assiut University Hospital

Abstract: Objective: are in need for different types of support the aim of this study to assess the physical, social, psychological, spiritual and educational needs of patients with obstructive sleep apnea and its associated ith morbidities. Patient and Methods: A descriptive exploratory study design was conducted at the Sleep center in Chest Department at Assiut University Hospital. Sample: A purposive sample of 100 adult patients from both sexes with OSA. Tools: a Patients' interviewing questionnaire sheet, Epworth Sleepiness Scales, Respiratory disturbed index (RDI) after full Polysomnographic study, patients' medical record, and Hamilton Rating Scale. Results: The study findings revealed that 30% of the studied patients were illiterate, 44% of them basic education and 26% of them were university and postgraduates. Moreover, 80% of them were overweight and obese the BMI < 25, 11% of them were smoker, added to them 68% of them had waist circumference < 102 in male and <88 in female. And 29% had neck size < 45cm in male and < 42cm in female. Nearly, 96% of them had respiratory, 95% nocturia and 79% digestive systems problems. Furthermore, 87% of the studied patients had tired and fatigued, 83% had day time sleepiness, 82% had obstruction breathing during sleep, 100% moderate and severe OSA and not present any mild case of OSA. Conclusion: There was no statistically significant relation between patients’ needs and their characteristics, levels of sleepiness and depression. Statistical significant relation between physical, social, psychological and educational needs, level of OSA and educational needs with educational level. Furthermore, there was no statistically significant relation between patients’ needs and age group, gender, and BMI.

PMH10 - Needs Assessment of Patients Treated in Community Psychosocial Centers in São Paulo, Brazil

PMH10 - Needs Assessment of Patients Treated in Community Psychosocial Centers in São Paulo, Brazil

A Chinese Version of the Spiritual Needs Assessment for Patients Survey Instrument

Unmet spiritual needs have been associated with decreased patient ratings of quality of care, satisfaction, and quality of life. Few instruments exist to measure spiritual needs particularly among non-English speaking patients in the U.S. To develop an internally consistent and reliable Chinese version of the Spiritual Needs Assessment for Patients (SNAP). The SNAP consists of 23 total items in 3 domains: psychosocial (n=5), spiritual (n=13), and religious (n=5). The Chinese SNAP was developed through a translation-back translation process followed by cognitive pre-testing. The instrument was then administered to a convenience sample of 30 ambulatory predominantly Mandarin speaking cancer patients in New York. We tested for internal consistency, test-retest reliability, and degree of association with the question "Have your spiritual needs been met?" Mean participant age was 56 years, 70% had less than a high school education. Twenty three percent were Buddhist, 63% identified no religious affiliation, 83% described themselves as spiritual but not religious, 33% reported unmet spiritual needs, and 60% wanted help meeting their spiritual needs. The Cronbach's alpha for the total SNAP was 0.89. Test-retest correlation coefficient for the total SNAP=0.75. Unmet spiritual needs, as assessed through a single-item question, were not associated with higher SNAP scores in contrast to results of the English SNAP. The Chinese SNAP is an internally consistent and reliable instrument for measuring spiritual needs. The apparent lack of correlation between the SNAP score and the question on unmet spiritual needs may suggest that the SNAP captures patient needs considered by Westerners to be spiritual but that Chinese patients might not readily describe as spiritual.

The Spiritual Needs Assessment for Patients (SNAP): Development and Validation of a Comprehensive Instrument to Assess Unmet Spiritual Needs

ContextUnmet spiritual needs have been associated with decreased patient ratings of quality of care, satisfaction, and quality of life. There is a need for a well-validated, psychometrically sound instrument to describe and measure spiritual needs. ObjectivesTo develop a valid and reliable instrument to assess patients’ spiritual needs. MethodsInstrument development was based on a literature review, clinical and pastoral evaluation, and cognitive pretesting (n=15 ambulatory cancer patients). Forty-seven ambulatory cancer patients completed cross-sectional and longitudinal surveys to test instrument validity and reliability. Internal reliability was assessed by Cronbach’s α, test-retest reliability by Spearman’s correlation coefficients, and construct validity by comparing instrument scores to a previously used single-item spiritual needs question. ResultsThe Spiritual Needs Assessment for Patients (SNAP) comprises a total of 23 items in three domains: psychosocial (n=5), spiritual (n=13), and religious (n=5). Sixty percent of participants were white, 21% black, 13% Hispanic, and 6% Asian or other. Fifty-eight percent were Catholic, 13% Jewish, 11% Protestant, 2% Buddhist, 2% Muslim, and 2% Hindu. Sixty-eight percent described themselves as spiritual but not religious; 15% reported unmet spiritual needs; 19% wanted help meeting their spiritual needs. Cronbach’s α for the total SNAP was 0.95, and for the subscales was psychosocial=0.74, spiritual=0.93, and religious needs=0.86. Test-retest correlation coefficients were total SNAP=0.69, psychosocial needs=0.51, spiritual needs=0.70, and religious needs=0.65. Participants reporting unmet spiritual needs had significantly higher mean scores on the total SNAP (66.3 vs. 49.4, P=0.03) and on the spiritual needs subscale (39.0 vs. 28.3, P=0.02). ConclusionThe results provide preliminary evidence that the SNAP is a valid and reliable instrument for measuring spiritual needs in a diverse patient population.

Validation of a Chinese Version of the Spiritual Needs Assessment for Patients (SNAP) (410-C)

Validation of a Chinese Version of the Spiritual Needs Assessment for Patients (SNAP) (410-C)

Measuring acute rehabilitation needs in trauma: Preliminary evaluation of the Rehabilitation Complexity Scale

BackgroundInjury severity, disability and care dependency are frequently used as surrogate measures for rehabilitation requirements following trauma. The true rehabilitation needs of patients may be different but there are no validated tools for the measurement of rehabilitation complexity in acute trauma care. The aim of the study was to evaluate the potential utility of the Rehabilitation Complexity Scale (RCS) version 2 in measuring acute rehabilitation needs in trauma patients. MethodsA prospective observation study of 103 patients with traumatic injuries in a Major Trauma Centre. Rehabilitation complexity was measured using the RCS and disability was measured using the Barthel Index. Demographic information and injury characteristics were obtained from the trauma database. ResultsThe RCS was closely correlated with injury severity (r=0.69, p<0.001) and the Barthel Index (r=0.91, p<0.001). However the Barthel was poor at discriminating between patients rehabilitation needs, especially for patients with higher injury severities. Of 58 patients classified as ‘very dependent’ by the Barthel, 21 (36%) had low or moderate rehabilitation complexity. The RCS correlated with acute hospital length of stay (r=0.64, p=<0.001) and patients with a low RCS were more likely to be discharged home. The Barthel which had a flooring effect (56% of patients classified as very dependent were discharged home) and lacked discrimination despite close statistical correlation. ConclusionThe RCS outperformed the ISS and the Barthel in its ability to identify rehabilitation requirements in relation to injury severity, rehabilitation complexity, length of stay and discharge destination. The RCS is potentially a feasible and useful tool for the assessment of rehabilitation complexity in acute trauma care by providing specific measurement of patients’ rehabilitation requirements. A larger longitudinal study is needed to evaluate the RCS in the assessment of patient need, service provision and trauma system performance.

An assessment of patient need for family intervention in forensic services and staff skill in implementing family interventions

Family interventions result in clinical benefits in the treatment of schizophrenia. This report investigates (i) if forensic patients have a need for family intervention, (ii) if staff have the skills to deliver family intervention, and (iii) the availability of family intervention on forensic wards. The needs of 137 forensic patients and skills of 318 forensic staff were assessed. Patients showed considerable unmet need and relapses were common. Most forensic patients (72%) had regular contact with their relatives, of whom 56% were involved in the patient's discharge planning. Only 7% of staff felt that they were skilled in family interventions and less than half of these received clinical supervision in its application. Family interventions were infrequently available. The results indicate that the future development of family interventions in forensic services is worthwhile, as the need is apparent and is supported by regular family contact, but that it is currently rarely available.

Improving Patient Retention and Access to Oral Health Care: The CARES Program

Improving access to dental care for patients experiencing barriers such as financial, transportation, or mental health is a public health concern. Dental schools have an obligation to assist patients experiencing such barriers as well as to educate future dentists and allied professionals on how to assist these patients in overcoming barriers. Once admitted to the dental clinic, retention issues can further complicate the provision of dental care. This article will describe an innovative program designed to address biopsychosocial barriers to dental care. Needs assessments of patients sitting in the waiting room of the dental clinic were conducted by master's of social work (M.S.W.) students. Based on needs assessment results, common dental care barriers were identified and served as the foundation for the establishment of a social work program in the dental clinic. Dental students, faculty, and staff refer patients to the social work program when barriers to care are found. These biopsychosocial barriers are addressed by social workers, uniquely qualified professionals in providing case management, advocacy, referrals, education, and services (CARES). Over the course of three years, 80 percent of patients experiencing an identified barrier to the receipt of dental care were retained through social work intervention. These patients were able to receive dental care within the past year. Dental schools can collaborate with social work schools to establish a protocol and assistance program for dental patients experiencing difficulty accessing care, thereby improving oral health status, retention rates, and dental student education.

Rehabilitation and the Assessment of Patient Need

Rehabilitation and the Assessment of Patient Need