Measuring Patient Satisfaction Research Articles

Cross-cultural adaptation and validation of a Norwegian version of the Goodman Satisfaction Score (GSS-NO) for patients with total hip and knee arthroplasty.

Measuring patient satisfaction after total hip (THA) and total knee arthroplasty (TKA) is important. We aimed to cross-culturally adapt and examine the psychometric properties of the self-reported Goodman Satisfaction Score (GSS) in a sample of Norwegian patients following primary THA and TKA. The GSS was translated and adapted into Norwegian (GSS-NO) following standard guidelines. 800 patients from the Norwegian Arthroplasty Register who had undergone surgery 6-11 months prior were invited to complete GSS-NO and questions on sociodemographic factors, pain, and function in a cross-sectional study. We examined validity in relation to internal structure, response processes, and precision using Rasch analysis, relationships between the GSS-NO and pain and function using Pearson's correlation coefficients, and test-retest reliability using linear weighted kappa statistics. The GSS-NO was adapted with few challenges. 404 patients (49% THA, 51% TKA) returned complete answers. The GSS-NO met all criteria regarding the rating scale functioning. Local independence among items and unidimensionality was supported and there was acceptable goodness-of-fit. The internal consistency was 0.94. We found no systematic differential item functioning by age, sex, work status, education, cohabitation status, or hip or knee surgery. The correlation coefficients between GSS-NO and pain and function outcomes were 0.79 (95% confidence interval [CI] 0.76-0.82) and 0.79 (CI 0.76-0.82), respectively. Test-retest reliability with weighted kappa ranged from 0.43-0.55 for THA and 0.54-0.81 for TKA. The cross-cultural adaptation of GSS-NO proved to be a valid and reliable measure for use in Norwegian-speaking patients following primary THA and TKA.

Comparing Patient-Reported Outcomes of Lateral to Paramedian Lumbar Disc Herniation: A Propensity-Score Matched Observational Study.

The aim of this study was to investigate patient-reported outcomes (PROs) following lumbar discectomy on patients with lateral lumbar disc herniation (LDH) compared to patients with paramedian LDH. Surgery for disc herniation is one of the most common procedures of the lumbar spine. LDHs can be divided into median, paramedian, foraminal and extraforaminal types based on the anatomical site of the lesion. Lateral (foraminal and extraforaminal) LDH surgery is considered challenging compared to paramedian LDH surgery. Data on patients with lateral and paramedian LDH, operated between 2017 and 2020 at a single public spine unit, was extracted from the National Danish Spine Registry, DaneSpine. A propensity score-matched, case-control analysis was conducted to compare the two groups. Subgroup analysis was made by further dividing the lateral LDHs into a foraminal and extraforaminal group. Patient demographics, Oswestry Disability Index (ODI), Visual Analogue Scale (VAS) of leg and back pain (0-100), EuroQol-5D questionnaire (EQ-5D), measures of patient improvement and satisfaction were collected at baseline and 1-year postoperatively. Of 887 eligible patients, baseline and 1-year follow-up data was available on 525 paramedian and 68 lateral LDH patients. Following propensity-score matching the two groups were similar in terms of all baseline characteristics (P>0.05). There was no significant difference between the paramedian and lateral LDH group in ODI, VAS leg pain, VAS back pain and EQ-5D 1-year postoperatively. Both groups improved in all outcomes from inclusion to follow-up (P<0.001). Subgroup analysis showed that patients with foraminal LDH, compared to extraforaminal LDH, had a significantly greater improvement in VAS leg pain (x vs x, P = 0.016) with a larger number of patients with clinically significant leg pain improvement (x vs x, P = 0.03). Lateral and paramedian LDH patients reported similar postsurgical outcomes. Spine surgeons should be less hesitant to operate patients with lateral LDH. Extraforaminal LDH patients experienced the least relief of leg pain.

Moral injury and mental health in healthcare workers are linked to organizational culture and modifiable workplace conditions: Results of a national, mixed-methods study conducted at Veterans Affairs (VA) medical centers during the COVID-19 pandemic

Using mixed methods, we examined drivers of risk for moral injury, mental health symptoms, and burnout among frontline healthcare workers in high-risk Veterans Affairs (VA) clinical settings during the COVID-19 pandemic. Across 21 VA medical centers, 2,004 healthcare workers completed an online survey assessing potential risk factors for moral injury, posttraumatic stress, depression, and burnout. Assessed risk factors included: pandemic exposures; individual worker characteristics; aspects of workplace/organizational culture; and facility performance on standardized measures of care quality, patient satisfaction, and employee satisfaction (extracted from VA administrative data). Among surveyed workers, 39% were at risk for moral injury, 41% for posttraumatic stress, 27% for depression, and 25% for persistent burnout. In generalized linear mixed models, significant predictors of moral injury risk included perceived lack of management support for worker health/safety, supervisor support, coworker support, and empowerment to make job-related decisions—all modifiable workplace factors. Pandemic-related risk factors for moral injury included prolonged short-staffing, denying patient-family visits, and high work-family conflict. Predictors of posttraumatic stress, depression, and burnout were similar. Forty-six surveyed workers completed a follow-up qualitative interview about experiences of moral distress in the workplace, and interview themes aligned closely with survey findings. Rapid qualitative analysis identified protective factors that may reduce moral injury risk, including a collaborative workplace community, engaged leadership, empowerment to make changes in the workplace, and opportunity to process distressing events. We conclude with recommendations to mitigate moral injury risk in healthcare organizations. These include involving workers in discussions of high-stakes decisions that will affect them, creating consistent and clear channels of communication between the frontlines and leaders of the organization, practicing leadership rounding to improve leaders’ understanding of the daily work of frontline teams, and collaborating to understand how existing processes and policies may contribute to safety risks and moral conflict.

ESTIMATING PATIENTS’ SATISFACTION IN HEALTHCARE SECTOR USING MULTIPLE REGRESSION ANALYSIS

Measuring patient satisfaction is vital for healthcare providers to constantly enhance the quality of service, operational efficiency, and organizational success. The main goal of the study is to examine the key strengths and weaknesses across six stages visited by outpatients: appointment making, admission, waiting time, diagnosis procedures, laboratory work, and pharmacy. A total of 285 participants were involved. Multiple linear regression analysis was applied on the responses to determine the significant factors affecting healthcare service. The analysis revealed that friendly staff and efficient appointment processes significantly improve patient satisfaction during the initial stages; a clean and well-organized waiting area is crucial; doctors who prioritize kindness and empathy build strong patient relationships; lab personnel who demonstrate empathy and maintain a clean environment contribute to positive patient experiences; and pharmacists who are friendly, efficient, and provide clear medication explanations enhance patient satisfaction and trust. Overall, the study emphasizes the importance of human interaction, efficient processes, and a clean and comfortable environment in improving patient satisfaction and healthcare outcomes. The findings of the study can assist decision makers enhance service quality and patient satisfaction.

Effect of Binaural Beats on Anxiety and Tolerance in Patients Undergoing Upper Gastrointestinal Endoscopy Without Sedation: A Randomized Controlled Trial.

Objective: Binaural beats, or the perceptual auditory illusions created when simultaneously presenting two similar frequencies to each ear separately, have been used to reduce anxiety in various procedures. Unfortunately, no prior study involved preprocedure binaural music exposure among patients undergoing upper gastrointestinal endoscopy, and this study sought to investigate its effect on anxiety and tolerance among participants undergoing sedation-free upper gastrointestinal endoscopy. Methods: The prospective, controlled, randomized trial included the participation of 96 Turkish patients aged between 18 and 70 years who were scheduled for an upper gastrointestinal endoscopy, regardless of sex or illness, and were divided randomly into two different groups to undergo endoscopy, namely, the binaural beats group (n = 48) and a control group (n = 48). Patients in the binaural beat music group wore headphones, and music was given 15 mins before endoscopy; however, no particular treatment was given for either group. Anxiety levels were assessed by using the State Trait Anxiety Inventory questionnaire, in addition to changes before and after endoscopy to measure patient satisfaction based on the physician's recorded numbers of retches noted by doctors as tolerance was documented and compared among both groups. Results: The results showed that following this procedure, in the music group, state scores remained significantly lower than before them (p = 0.016), compared with the control group (p > 0.05). There was no significant difference regarding changes in diastolic or systolic heart rate or blood pressure (p > 0.05). However, the procedure tolerance and satisfaction scores were significantly higher in the music group than those without music (p < 0.05). Conclusion: For patients undergoing upper gastrointestinal endoscopy, music with binaural beats was found to significantly reduce anxiety levels and increase patient tolerance, providing an alternative option to sedative medications as a potential sedative treatment option.Clinical trials registration number: NCT06114524.

Patient satisfaction with synchronous telehealth care after strabismus surgery

BackgroundTo measure patient satisfaction with synchronous telehealth care, we administered the Telemedicine Satisfaction Questionnaire (TSQ) to assess the quality of care provided, its similarity to face-to-face meetings, and patients’ perception of the interaction. MethodsThe Portuguese version of the TSQ was administered during 2022 to patients who received postoperative synchronous telehealth care after strabismus surgery in Curitiba, Brazil, from 2020 to 2022. The interval between the questionnaire application and teleconsultation ranged from 2 to 22 months after the telehealth encounter. All patients received synchronous telehealth care from the same surgeon (LMH) between postoperative days 7 and 10 and attended an in-person consultation on postoperative day 30 6 months after surgery, and yearly thereafter. ResultsWe analyzed the data for 53 patients, of whom 26 (49%) were male and 28 (53%) were <18 years of age. Synchronous telehealth care was considered an excellent experience, with an overall average TSQ rating of 4.3 on a scale of 1-5. The mean score for quality of care provided was 4.1; for similarity of care to face-to-face meetings, 4.5; and for patients’ perception of the interaction, 4.5. ConclusionsRatings of the synchronous telehealth care were strongly associated with the 30-day postoperative evaluation, and patient perceptions of the quality of care in the telehealth encounter were positive.

Pendekatan Fuzzy Servqual Untuk Mengevaluasi Tingkat Kepuasan Pasien di Praktik Dokter Karunia

Measuring patient satisfaction is one of the main indicators of measuring the quality of service in health facilities. Health service providers have difficulty measuring patient satisfaction, problems that are often complained about based on patient perceptions include late arrival of doctors at the clinic, lack of toilet cleanliness, long examination times, and the attitude of some nurses who are not friendly. The purpose of the study was to evaluate the level of satisfaction of patients who were treated at the Karunia Doctor's Practice using the Fuzzy Servqual method. Service quality was analyzed through five dimensions in the Servqual framework, namely tangible evidence, reliability, responsiveness, assurance, and empathy. The results of the study showed that the gap value of the five dimensions was negative, indicating that the quality of service provided did not meet the expectations of patients who were treated at the Karunia Doctor's Practice. The dimension with the highest gap value was tangible evidence with a value of -0.77, while the lowest gap value was in the reliability dimension. Thus, it can be concluded that the tangible evidence dimension requires special attention to improve service quality.

Discrepancies in Subjective Perceptions of Hydrocephalus Management and Self-Reported Outcomes.

Background/Objectives: Despite surgical interventions with advances in endoscopic procedures as well as shunt technologies, the quality of life in patients with hydrocephalus can be poor. Clinical experience suggests discrepancies between objective measures of treatment success and subjective patient satisfaction. With this study, we retrospectively investigated patients' knowledge of their treatment as well as their satisfaction with received interventions. Methods: Retrospective analysis of self-reporting forms, routinely handed out in the hydrocephalus clinic of a tertiary neurosurgical center, was performed. Clinical data were gathered between 1 January 2020 and 31 March 2023. Correlation of self-reporting forms and available clinical data was performed. Results: A total of 261 forms from 215 patients were obtained. The mean age at visit was 57.5 ± 18.5 years (range 19-88). The most common pathology was normal pressure hydrocephalus (NPH, 31.6%); 31.2% had an occlusive etiology, 22.3% posthemorrhagic, 9.8% benign intracranial hypertension and 5.1% another pathology. Overall, 53% of patients (n = 114) indicated the correct therapy on the self-reporting forms (χ2 (56) = 100.986, p < 0.001). Symptoms and subjective benefit did not differ in the different types of provided therapy. Conclusions: Merely half of the patients with hydrocephalus are able to correctly indicate the treatment they had received. The type of shunt valve did not affect the rate of self-reported symptoms. The symptoms and subjective benefits did not differ in the different types of provided therapy. Poor patient knowledge could correlate with poor self-reported quality of life. Medical professionals should emphasize and advocate for better patient education.

Analisis Fuzzy Servqual Dalam Mengukur Tingkat Kepuasan Pasien BPJS Kesehatan Terhadap Kualitas Layanan Pada UPTD Puskesmas

The fuzzy servqual method is a development method of the servqual method that uses the concept of fuzzy logic. The concept of fuzzy logic is used to help respondents give more objective values. Meanwhile, the servqual method is used as a tool to measure patient satisfaction to evaluate service quality based on the gap between perception and expectations. The purpose of this study is to describe the procedure for applying the servqual method to analyze the level of service quality for BPJS Kesehatan patients at the UPTD Kemantren-Jabung Health Center. This method has five dimensions, namely tangible, reliability, responsiveness, assurance, and emphaty. The results of this study show that the gap value of the five dimensions has a negative value. Which means that the expected quality of service is not in accordance with what is expected by BPJS Kesehatan Puskesmas Kemantren-Jabung. The highest gap value is the assurance dimension with a gap value of -0.85 and the lowest gap value is the reliability dimension with a gap value of -0.44. Thus, it can be seen that this assurance dimension is the top priority to be able to improve service quality.

Determinants of Patient-Centered Communication, Its Impact On Quality of Services, Overall Health Status And Trust In The Healthcare System In The United States

Aim; Within the scope of this study, it is aimed to reveal the factors affecting the level of patient-centred communication of the participants through the data of American cancer patients, and to reveal the effect of patient-centred communication on health service quality, general health status and patients' trust in the health system. Method; This study was descriptive and cross-sectional. In the study population, t-tests and ANOVA tests were used. Multiple regression analyses were performed using the data obtained from 900 cancer patients who were research participants. Results; Patient-centred communication levels of cancer patients did not differ according to gender, occupation, family history of cancer, marital status and education variables, but PCC levels differed according to income variables. Patient-centred communication positively affects service quality, health status and trust in the health system. Conclusion; Patient-centred communication positively affects health outcomes. Patient-centered communication should be used effectively in healthcare. Various communication channels such as telephone, e-mail, mobile applications and online platforms should be offered to meet patients' needs. Likewise, surveys, comment boxes and digital feedback systems should be established to measure patient satisfaction and receive feedback

Exploring Patient-Centered Care Through Process Improvement: A Systematic Review of Satisfaction Outcomes

Patient-centered care (PCC) is a vital approach in modern healthcare, focusing on the individual needs, preferences, and values of patients to enhance their overall experience and satisfaction. Process improvement methodologies, such as Lean, Six Sigma, and workflow optimization, aim to streamline healthcare delivery, reduce inefficiencies, and improve quality of care. This systematic review examines the impact of process improvement interventions on patient satisfaction within PCC frameworks. Database searches of PubMed, Scopus, Web of Science, and CINAHL were conducted, targeting peer-reviewed articles from 2016 to 2024 that measured patient satisfaction outcomes related to process improvements. Thirty-five studies met the inclusion criteria, encompassing various healthcare settings and patient populations. Findings indicate that process improvements, particularly Lean and Six Sigma, positively impact patient satisfaction by reducing wait times, minimizing errors, and improving communication and patient flow. Workflow optimization, although showing slightly varied results, also contributed positively when tailored to specific settings. This review highlights the importance of sustainable, patient-centered process improvement practices and suggests further research to assess long-term impacts and explore innovative tools. The study concludes that integrating process improvement methodologies within PCC frameworks can effectively enhance patient satisfaction and overall healthcare quality.Patient-centered care

The Persistence of Biologic Therapies for Psoriatic Arthritis: A Narrative Review.

Drug persistence is a crucial measure of long-term efficacy, safety, and patient satisfaction. Lack of persistence can increase healthcare costs and morbidity and mortality rates. This review aimed to consolidate available data on drug persistence for various biological treatments used as the primary intervention for psoriatic arthritis and identify factors associated with nonpersistence. Reports indicate variable 1-year persistence rates for biologic therapies, ranging from 37% to 73%. Specifically, tumor necrosis factor inhibitors have shown fluctuating 1-year persistence rates ranging from 32% to 85%. IL-12/23 and IL-23 inhibitors demonstrate persistence rates of 25% to 89%, whereas data for IL-17 and JAK inhibitors are more limited, ranging from 51% to 77%. Factors such as female sex and a higher burden of comorbidities have been associated with an increased risk of nonpersistence, although evidence regarding other factors remains scarce. The significant variability in reported persistence rates may be attributed to differences in treatment gaps and methodologies across studies. Addressing and mitigating the factors leading to nonpersistence is essential for improving treatment outcomes in psoriatic arthritis.

Nurse Burnout and Patient Safety, Satisfaction, and Quality of Care

Occupational burnout syndrome is characterized by emotional exhaustion, depersonalization, and a diminished sense of personal accomplishment and is prevalent among nurses. Although previous meta-analyses have explored the correlates of nurse burnout, none have estimated their association with health care quality and safety and patient morbidity and mortality. To evaluate the magnitude and moderators of the association between nurse burnout and patient safety, patient satisfaction, and quality of care. The Web of Science, Scopus, MEDLINE, Embase, PsycINFO, CINAHL, and ProQuest databases were searched from January 1, 1994, to February 29, 2024. Two reviewers independently identified studies that reported a quantifiable association between nurse burnout and any of the outcomes of patient safety, patient satisfaction, or quality of health care. The PRISMA 2020 guideline was followed. Two reviewers independently extracted the standardized mean difference (SMD) (Cohen d) estimates for a random-effects meta-analysis. Subgroup analyses and meta-regressions were conducted using prespecified variables. Any measure of patient safety, patient satisfaction, or quality of health care previously associated with nurse burnout. A total of 85 studies (81 cross-sectional and 4 longitudinal) involving 288 581 nurses from 32 countries (mean [SD] age, 33.9 (2.1) years; 82.7% female; mean [SD] burnout prevalence rate with study-specific ascertainments, 30.7% [9.7%]) were included. Nurse burnout was associated with a lower safety climate or culture (SMD, -0.68; 95% CI, -0.83 to -0.54), lower safety grade (SMD, -0.53; 95% CI, -0.72 to -0.34), and more frequent nosocomial infections (SMD, -0.20; 95% CI, -0.36 to -0.04), patient falls (SMD, -0.12; 95% CI, -0.22 to -0.03), medication errors (SMD, -0.30; 95% CI, -0.48 to -0.11), adverse events or patient safety incidents (SMD, -0.42; 95% CI, -0.76 to -0.07), and missed care or care left undone (SMD, -0.58; 95% CI, -0.91 to -0.26) but not with the frequency of pressure ulcers. Nurse burnout was also associated with lower patient satisfaction ratings (SMD, -0.51; 95% CI, -0.86 to -0.17) but not with the frequencies of patient complaints or patient abuse. Finally, nurse burnout was associated with lower nurse-assessed quality of care (SMD, -0.44; 95% CI, -0.57 to -0.30) but not with standardized mortality rate. The associations were consistent across nurses' age, sex, work experience, and geography and persistent over time. For patient safety outcomes, the association was smaller for the low personal accomplishment subcomponent of burnout than for emotional exhaustion or depersonalization, as well as for nurses with a college education. In this systematic review and meta-analysis, nurse burnout was found to be associated with lower health care quality and safety and lower patient satisfaction. This association was consistent across nurse and study characteristics.

Patient-Centered Care and Process Improvement: A Systematic Review of Impacts on Satisfaction Outcomes

Patient-centered care (PCC) has emerged as a crucial approach in enhancing healthcare delivery, focusing on the needs and preferences of patients. This systematic review explores the impact of process improvement strategies on patient satisfaction outcomes within PCC frameworks. Databases including PubMed, Scopus, and Web of Science were searched for relevant studies published between 2016 and 2024, analyzing the effectiveness of process improvement interventions such as Lean, Six Sigma, and workflow optimization in various healthcare settings. Inclusion criteria focused on studies that specifically measured patient satisfaction as an outcome. The review found that process improvement initiatives positively influence patient satisfaction by streamlining care delivery, reducing wait times, and improving communication between healthcare providers and patients. However, variations in intervention types and healthcare settings highlight the need for context-specific applications. This review underscores the importance of integrating process improvement tools into PCC practices to achieve better satisfaction outcomes and improve overall care quality. Future research should focus on long-term effects and broader applications of these interventions in diverse healthcare environments.

Patient Satisfaction with Health Services (in the Building) at Jajaway Health Center Bandung City

To realize good service quality, health centers must maintain the quality of their services, one way is to measure patient satisfaction. But in fact, the phenomenon that exists at the time of service at the Jajaway Health Center in Bandung City, patients still express a lack of health services provided at the health center such as waiting benches that are lacking so that patients waiting for the queue still have to stand, service hours that are still not on time, minimal information related to the health center and there are still officers who are less friendly during service. This study aims to determine Patient Satisfaction with Health Services (In Building) at the Jajaway Health Center, Bandung City. The type of research used is a quantitative method with a descriptive approach. The patient population in April 2023 in this study was 1294 respondents and the research sample used was 95 respondents. The data collection technique uses stratified random sampling. This research was conducted on July 14-19, 2023 at the Jajaway Health Center, Bandung City. The results of this study showed 2 respondents (2.1%) were very dissatisfied, 1 respondent (1.1%) was dissatisfied, 63 respondents (66.3%) were satisfied, and 29 respondents (30.5%) were very satisfied.

Complications and Patient Satisfaction in Fully Edentulous Patients Treated with a Digital and Conventional Complete Denture, A Cross-Over Clinical Study.

The objective of this clinical study was to evaluate comfort, satisfaction, chewing ability and complications with digital complete dentures (DCD) and conventional complete dentures (CCD). For 16 edentulous patients, two sets of upper and lower dentures were fabricated by students in a university dental clinic. The impression for the DCD was done using indirect scanning of the cast. When the patients were pain free, each set of dentures was worn for four weeks. OHIP-14 and a DSI (Denture Satisfaction Index)were used to measure patient satisfaction and chewing ability respectively. Both questionnaires were administered before fabrication and after wearing each set. Adjustments made during the follow up period were included. At the end of the study, patients could express which set of dentures they preferred. The 25 dental students involved in fabricating the dentures, were questioned in terms of discomfort, preference and future use for both techniques. OHIP-14 showed significantly higher scores for the DCD for the domain concerning psychological discomfort. DSI showed no significant difference for both sets of dentures. In terms of complications, a significant difference was found for occlusion. The DCD required more occlusal adjustments. A minority of the patients (37.5%) chose the DCD as their favourite set. The students preferred the wax try-in and workflow of the CCD. The CCD and DCD showed differences in patient satisfaction. Chewing ability was comparable for both sets of dentures. More occlusal complications were seen in the DCD. Both students and patients preferred the CCD.

Evaluation of an Outpatient Cervical Ripening Program Using Osmotic Dilators and Foley Balloon Catheters.

This study aimed to describe patient characteristics, satisfaction, and outcome measures for patients undergoing outpatient cervical ripening. A retrospective cohort study using electronic health record data from March 2020 to March 2022 from a large health system. The sample included patients with a low-risk singleton pregnancy undergoing outpatient cervical ripening with either an osmotic dilator or Foley balloon catheter. A subset of patients completed satisfaction surveys. Frequencies and means were used to describe the population and conduct comparisons by device type. Inverse probability of treatment weighted estimates were generated to address baseline differences between patients in the two device groups. Outpatient cervical ripening was completed by 120 patients (80 osmotic dilators and 40 Foley balloon catheters). The mean time from insertion to inpatient admission was 16.2 ± 4.8 hours. The mean change in simplified Bishop score (SBS) was 1.8 ± 1.4 and the mean change in dilation was 1.8 ± 1.1 cm. There were no differences in the amount of cervical change by device type. Patients returned earlier than planned 16.7% of the time, primarily for contractions or rupture of membranes. Following outpatient cervical ripening, the time from admission to delivery was 19.9 ± 10.3 hours, with no difference by device type. Vaginal delivery occurred for 74.8% of patients. Patients reported overall satisfaction with the outpatient cervical ripening experience, with the highest satisfaction among those with osmotic dilators. Patients with both device types stated they would recommend outpatient cervical ripening to others, and experienced low levels of stress and discomfort at home prior to hospital admission. Patients participating in outpatient cervical ripening with osmotic dilators or Foley balloon catheters experienced clinically meaningful changes in dilation and SBSs while at home and reported general satisfaction with the outpatient program experience. · Outpatient use of osmotic dilators or Foley balloon catheters improved Bishop scores.. · Patient and device complications were comparable to other research findings.. · Patients reported overall satisfaction with outpatient cervical ripening..

Counselling sessions for patients in contact isolation due to multi-drug-resistant organisms improve informedness and reduce dissatisfaction

The spread of multi-drug-resistant organisms (MDROs) is a critical health issue. Isolation measures imposed to prevent transmission may result in adverse psychological effects among affected patients. This emphasizes the need for better communication and information to improve their hospital experience and mental well-being as well as to prevent inadequate treatment. The present study examined whether tailored counselling sessions during contact isolation could enhance patients' understanding of their situation concerning the significance of their MDRO status and enhance their well-being. A pre-post-intervention study was conducted in a German tertiary-care hospital in which N= 64 patients who were isolated due to MDROs received tailored counselling. The counselling included information about MDROs, the reason for hospital isolation measures, and appropriate behaviour during and after hospitalization. Participants completed questionnaires before and after the counselling sessions to assess its impact on their informedness, patient (dis)satisfaction and well-being measures. Prior to the counselling session, patient dissatisfaction was associated with anxiety and inadequate informedness about MDROs. After the counselling, patients reported a significantly improved comprehension of their MDROs-related situation and a notable decrease in dissatisfaction with their hospital situation, primarily attributed to the acquired information. This is the first German study to show how improved information about MDROs impacts patient satisfaction in hospitals. The findings stress the crucial need for improving healthcare workers' interaction and communication with patients affected by MDROs.

Patient satisfaction with endoscopic ear surgery technique: a comparative study with the postauricular incision microscopic technique

BackgroundEndoscopic ear surgery has numerous benefits, such as the capacity to obtain high-resolution pictures and visualize normally inaccessible locations such as the retrotympanum, sinus tympani, and facial recess. These areas are generally difficult to access with traditional microscopic techniques. Endoscopic ear surgery reduces operating time when performed by skilled surgeons, without the need for a postauricular incision wound.An essential aspect to consider when evaluating the effects of any procedure on individual satisfaction is the assessment of health-associated quality of life. It is a tool used for subjective assessment, which is regarded as a reliable measure of the satisfaction perceived—whether physically or mentally—resulting from a certain procedure.The goal of this study was to identify the benefits of middle ear surgery when done endoscopically compared to postauricular microscopic techniques in middle ear surgery. This was achieved by evaluating and comparing the level of satisfaction among patients who underwent either microscopic or endoscopic ear surgery.MethodsThe Chronic Ear Surgery Survey (CESS), a 13-point Likert scale survey designed specifically for assessing outcomes of surgery for chronic middle ear disease, was implemented to measure patient satisfaction. The survey comprises three subscales. We performed a retrospective study at the Otorhinolaryngology Department, Cairo University, Egypt. The study encompassed individuals who underwent surgery on the middle ear between March 2018 and September 2021.The patients were scheduled into two categories according to the technique of surgery (whether endoscopic or microscopic) in order to assess postoperative satisfaction using the Chronic Ear Surgery Survey (CESS).ResultsOur research findings demonstrated a statistically significant difference between the two categories in terms of the overall scores and all subscale scores of the Chronic Ear Surgery Survey (CESS), with patients who had middle ear surgery endoscopically (EES) showing better outcomes.ConclusionsIdentifying the elements that are strongly associated with subjective outcomes can assist surgeons in identifying patients who are more likely to have poorer satisfaction. This knowledge can be valuable in preoperative counseling. Endoscopic ear surgery (EES) seems to have a higher level of cosmetic acceptability, especially in terms of enhancing the socially related aspects of a patient's pleasure. This work thus supports the ongoing integration of endoscope utilization in otological surgical procedures.

Measuring Patient Satisfaction of Foreign Patients Receiving Services in Private Hospitals and Foundation University Hospitals

Measuring Patient Satisfaction of Foreign Patients Receiving Services in Private Hospitals and Foundation University Hospitals