Perceptions Of Overall Satisfaction Research Articles

77 Evaluating virtual family-centered rounds effectiveness, efficiency and usability during the COVID-19 pandemic

Abstract Background Virtual care has seen exponential growth since the onset of the COVID-19 pandemic, however, the evaluation of virtual care tools and services is lacking, particularly in the inpatient setting. In April 2020, we virtualized our in-person family-centered rounds (FCR) process and demonstrated the ability to perform virtual family-centered rounds (vFCR). In this study, we evaluate vFCR against the accepted standard of in-person FCR to ensure high quality care is maintained and encourage adoption by health care providers, administrators, patients and caregivers. Objectives The objective of this study is to compare vFCR to established core components and timing for in-person FCR. Perceptions of overall satisfaction, safety and technology usability were also explored. Design/Methods This is a mixed methods process evaluation of vFCR. Data collection was through virtual and in-person observation and post-vFCR survey of participants. Virtual observations focused on timing and adherence to core components of FCR, while in-person naturalistic observations focused on technology interaction and usability. Observation data underwent quantitative and content analysis. Data from post-vFCR questionnaires were subject to descriptive statistical analysis and content analysis of free-text responses. Results Sixty-two vFCR were observed virtually and 35 vFCR were observed in-person. Adherence to the core components of FCR during vFCR was variable (Table 1). Mean duration of a single patient round was 8.44 ± 4.93 minutes, with a mean transition time between patients of 3.96 ± 2.96 minutes. One hundred and four surveys were completed (76% response rate), 42 by patients and caregivers and 62 by members of the interdisciplinary medical team. The majority (93%) of respondents surveyed were satisfied or very satisfied with vFCR, and 67% felt it was important or very important to do FCR virtually during the pandemic to keep people safer. Importantly, vFCR was perceived by 96% of medical team members as supporting shared decision making with patients and caregivers, and 78% of patients/caregivers felt like a valued partner in their (child’s) care. Virtual family-centered rounds technology was perceived as easy or very easy to use by 95% of respondents. Additional positive and negative comments were submitted by 38% of respondents about their experience with vFCR (Figure 1). Conclusion Virtual family-centered rounds afford adherence to the core components of family-centered rounds. Satisfaction with vFCR and perceived usability of vFCR technology were both highly rated. Respondents also felt vFCR were important for safety during the pandemic. Rounds duration and transition times between patients were seen as opportunities for improvement. Observation and questionnaire data suggest the efficiency and quality of vFCR may be optimized through routine training on the rounding process and technology, as well as recognition of family-centered rounds as a component of inpatient pediatric care that should be prioritized.

Satisfaction with Nurse Practitioners and Intent to Adhere to Plan

This study explored perceptions of satisfaction with care from nurse practitioners (NPs) and intent to adhere to health plan. A convenience sample of 118 participants was included. The Perception of Satisfaction with Care from NP instrument was used to measure components of satisfaction and overall satisfaction after the visit. Most participants intended to adhere to the plan by the NP. The clients’ perceptions of overall satisfaction with care and intent to adhere to health recommendations were high. Nursing implications include to develop benchmarks for quality of care and promote care provided by NPs. The adapted instrument, Perception of Satisfaction with Care from NP, is reliable and can be useful for students.

A comparison of the levels of satisfaction with the medical services provided by primary healthcare centers in selected communes in Lubelskie Voivodeship

Abstract Introduction. Family medicine remains the primary type of medical services in Poland and it is supposed to treat both individual patients and the society as a whole. Due to the growing commercialization of the health service, most primary healthcare centers have transformed into non-public healthcare facilities. The public ones (called SPZOZ in Polish) account only for a small fraction of the whole number of primary healthcare facilities. The quality of medical services provided by such facilities, as patients see it, remains one of the key elements determining the development of family medicine centers. Aim. The aim of this paper was to assess patient satisfaction levels regarding the healthcare services they received in two primary healthcare institutions, both of the NZOZ and SPZOZ type, in a small town located close to Lublin. Material and methods. An anonymous survey was filled out by 30 patients of both a public and non-public healthcare center located in Niemce (Niemce Commune, Lublin District). The quality of services was assessed using an original questionnaire in the form of a poll. Results. The results obtained indicate a clear relationship between one’s trust to the physician, diagnosis accuracy and visiting the particular center again, in order to continue the treatment. For older subjects, it was nurses’ kindness and politeness that was the most important. The elderly appreciated the kindness and politeness of the nurses in particular. No significant differences were found between the institutions in respect of the overall perception of satisfaction with services. In terms of infrastructure assessment, the majority of positive feedback was provided for NZOZ. Conclusions. The findings above suggest that it is essential to conduct surveys on a regular basis, in order to check patients’ assessment of the service quality in various institutons.

Demographic determinants of patient satisfaction among hypertensive and patients with diabetes in primary health care centers, Jeddah

Background: Patient satisfaction has been widely investigated in health care research as an indicator of the quality of care. It has been viewed as an important tool for assessment of the level of care from the patient's perspective. Objectives: The objective of the study was to explore the degree of chronic patients’ satisfaction towards services provided through the primary health care (PHC) centers in Jeddah city and to determine the demographic characteristics of the patients that might affect their overall perception of satisfaction about the provided services. Material and Methods: A cross-sectional design was adopted where 400 chronic disease patients were selected randomly from eight centers where they were invited to fill predesigned questionnaire prepared to assess their satisfaction about the health services. Results: The overall satisfaction score accounted for 3.7/5 which approximate to 74%, and the highest scores were reported for their satisfaction about the performance and behavior of nurses and physicians. Monthly income was the significant determinant for overall satisfaction; the highest is the income the lowest is the level of satisfaction. Among other determinants which showed statistical significance with satisfaction subscales were age and educational level of with easiness of access to the center; the older patient is more satisfied than the younger one while the highest is the educational level the lowest is the level of satisfaction. Conclusion: Patients with chronic disease are remarkably satisfied about the services provided in PHC centers in Jeddah; and the level of satisfaction is influenced significantly by the age, educational level, and monthly income.

Standardized Synoptic Cancer Pathology Reports — So What and Who Cares?: A Population-Based Satisfaction Survey of 970 Pathologists, Surgeons, and Oncologists

Cancer Care Ontario implemented synoptic pathology reporting across Ontario, impacting the practice of pathologists, surgeons, and medical and radiation oncologists. The benefits of standardized synoptic pathology reporting include enhanced completeness and improved consistency in comparison with narrative reports, with reported challenges including increased workload and report turnaround time. To determine the impact of synoptic pathology reporting on physician satisfaction specific to practice and process. A descriptive, cross-sectional design was utilized involving 970 clinicians across 27 hospitals. An 11-item survey was developed to obtain information regarding timeliness, completeness, clarity, and usability. Open-ended questions were also employed to obtain qualitative comments. A 51% response rate was obtained, with descriptive statistics reporting that physicians perceive synoptic reports as significantly better than narrative reports. Correlation analysis revealed a moderately strong, positive relationship between respondents' perceptions of overall satisfaction with the level of information provided and perceptions of completeness for clinical decision making (r = 0.750, P < .001) and ease of finding information for clinical decision making (r = 0.663, P < .001). Dependent t tests showed a statistically significant difference in the satisfaction scores of pathologists and oncologists (t169 = 3.044, P = .003). Qualitative comments revealed technology-related issues as the most frequently cited factor impacting timeliness of report completion. This study provides evidence of strong physician satisfaction with synoptic cancer pathology reporting as a clinical decision support tool in the diagnosis, prognosis, and treatment of cancer patients.

ON001 Nurse's perception on IBD patients' satisfaction with healthcare services

Background: The satisfaction of patients with inflammatory bowel disease (IBD) with healthcare services may be related to the assistance of health personnel, the information they receive about their illness and the treatments available, adequacy of facilities and the time you spend in the health professional’s office as well as the control of their disease. These patients have specific requirements that make the quality of the health service they receive is as important as the effectiveness of the treatments received. So far the satisfaction questionnaires have focused almost exclusively on treatment. The aim of this study was to determine the perception of nurses on IBD patients’ satisfaction with healthcare services. Methods: An observational, prospective, multicentre study. The questionnaire (it was elaborated and validated for this study) was administered to nurses (28 items) and patients (31 items), with six dimensions and 5 closed answers (from “strongly disagree” to “strongly agree”). The overall score is expressed in a 0 100 scale (a higher score indicates greater satisfaction). Results: The mean(SD) score of the overall perception of satisfaction of patients (N = 327) by nursing staff (N = 32), is 82.2(8.5) and 82.0(10.9) the mean patient satisfaction. Except for the dimension that measures satisfaction with information received by the patient [73.1(23.5)] in all dimensions were less scored by nurses than by patients. The mean(SD) satisfaction with healthcare staff attention was 80.4(23.4), with doctor attention 82.8(23.4), with centre facilities 69.5(23.5), with accessibility to the centre 73.4(23.6) and with received support 76.3(23.7). The aspects with which the patient is less satisfied, according nurses perception, are those related to information (particularly the disease information through leaflets and how to contact with patient associations). Conclusions: Although the patients seem to be more satisfied with healthcare services than nurses thought, there are still areas for improvement to provide a fully satisfactory healthcare to IBD patients. ON002 Efficacy of nurse-driven outpatient clinic for follow-up of inflammatory bowel disease patients on treatment with thiopurinic immunosuppresants M. Lopez1 *, A. Villoria1, A. Dosal1, L. Moreno1, N. Mane1, M. Pujol1, X. Calvet2. 1Parc Tauli, Digestive, Sabadell, Spain, 2CIBERehd, Instituto de Salud Carlos III, Parc Tauli Digestive, Sabadell, Spain

ON002 Efficacy of nurse-driven outpatient clinic for follow-up of inflammatory bowel disease patients on treatment with thiopurinic immunosuppresants

Background: The satisfaction of patients with inflammatory bowel disease (IBD) with healthcare services may be related to the assistance of health personnel, the information they receive about their illness and the treatments available, adequacy of facilities and the time you spend in the health professional’s office as well as the control of their disease. These patients have specific requirements that make the quality of the health service they receive is as important as the effectiveness of the treatments received. So far the satisfaction questionnaires have focused almost exclusively on treatment. The aim of this study was to determine the perception of nurses on IBD patients’ satisfaction with healthcare services. Methods: An observational, prospective, multicentre study. The questionnaire (it was elaborated and validated for this study) was administered to nurses (28 items) and patients (31 items), with six dimensions and 5 closed answers (from “strongly disagree” to “strongly agree”). The overall score is expressed in a 0 100 scale (a higher score indicates greater satisfaction). Results: The mean(SD) score of the overall perception of satisfaction of patients (N = 327) by nursing staff (N = 32), is 82.2(8.5) and 82.0(10.9) the mean patient satisfaction. Except for the dimension that measures satisfaction with information received by the patient [73.1(23.5)] in all dimensions were less scored by nurses than by patients. The mean(SD) satisfaction with healthcare staff attention was 80.4(23.4), with doctor attention 82.8(23.4), with centre facilities 69.5(23.5), with accessibility to the centre 73.4(23.6) and with received support 76.3(23.7). The aspects with which the patient is less satisfied, according nurses perception, are those related to information (particularly the disease information through leaflets and how to contact with patient associations). Conclusions: Although the patients seem to be more satisfied with healthcare services than nurses thought, there are still areas for improvement to provide a fully satisfactory healthcare to IBD patients. ON002 Efficacy of nurse-driven outpatient clinic for follow-up of inflammatory bowel disease patients on treatment with thiopurinic immunosuppresants M. Lopez1 *, A. Villoria1, A. Dosal1, L. Moreno1, N. Mane1, M. Pujol1, X. Calvet2. 1Parc Tauli, Digestive, Sabadell, Spain, 2CIBERehd, Instituto de Salud Carlos III, Parc Tauli Digestive, Sabadell, Spain

국립중앙도서관 디지털도서관 정보광장의 서비스품질에 대한 이용자와 직원의 인식 비교분석

This study tries to survey general behaviors of the users and their`s perceptions on the service quality, with the staff members` expectations, of the Information Commons in the National Digital Library of Korea. `Computer Cluster,` `User guide service` and `Internet information` are most used and general facilities, services, and contents are most satisfied. The comparative analysis shows that the customers` perceptions of overall satisfaction, customer loyalty, and service quality and overall satisfaction of each three primary dimensions(library staff, resources and services, facility and physical environment) are higher than those of staff members` expectations.

Measuring business student satisfaction: a review and summary of the major predictors

Many studies have examined the reasons for students' satisfaction or dissatisfaction with their higher educational experience. However, no single paper reviews the major attributes of an educational program that are most commonly found to be significant predictors of student satisfaction. This paper reviews the major attributes that most influence students' perceptions of overall satisfaction with particular emphasis on business students' satisfaction. Not surprisingly, academic factors such as the quality of teaching, skills and knowledge acquired and the curriculum itself are the most significant determinants of overall satisfaction. A number of other non-academic factors, however, such as the student's feeling of ‘belonging’ and perceptions of the institution's responsiveness and concern, also contribute significantly to overall satisfaction. This paper is intended as a starting point for those who may be designing a student satisfaction survey or those who simply wish to learn about the attributes of an academic program most likely to influence student opinion of the program.

Exploring Negative Experiences and User Loyalty in Paratransit

Negative experiences, commonly expressed in the form of complaints, are not usually considered in the operation of paratransit, especially in developing cities. There have been few studies of negative experiences with paratransit service; that makes it difficult for the authority in charge to plan the improvement agenda. Paratransit (jitney) in this study refers to a public mode of transport of passengers, owned and operated by private individuals or small enterprises. This study aims to explore the users' negative experiences and their relation with the users' perceptions of overall satisfaction and loyalty. The study employs a questionnaire survey distributed to paratransit users in the city of Bandung, Indonesia. The analysis is conducted by using structural equation modeling. The findings illustrate the actual order of the negative experiences and indicate that the issue of quality of life has not been viewed as a primary consideration. Paratransit users are still highly concerned about the fulfillment of their mobility needs. This fact underlines the different perceived levels of importance between developed and developing countries. In addition, this study endeavors to explore the relationship between negative experience, loyalty, and overall satisfaction. Because the relationship is supported by the result of analysis, the proposed model confirms the logical relationship and implies the correlation of theoretical analysis with reality. Thus, this study can be incorporated into the design of an improvement agenda.

The Role of Leisure as an Indictor of Overall Satisfaction with Community Life

An investigation was conducted which assessed residents' perceptions of the importance of and satisfaction with seven dimensions of community life. Further, their perception of overall satisfaction...