Tool For Patient Satisfaction Research Articles

Development and validation of a tool to assess patient and caregiver satisfaction for minor pediatric surgical procedures

IntroductionPatient satisfaction questionnaires offer valuable perspectives on patient experiences and the quality of healthcare received. Despite their importance, a gold standard for measuring patient satisfaction in pediatric surgery remains elusive. This study introduces a patient satisfaction questionnaire designed to fill the gap in evaluating patient experiences specifically in pediatric surgical settings, aiming to create a standardized measure for assessing patient satisfaction. MethodsThe think-aloud method was used with patient advisors and an expert panel of hospital stakeholders to refine a novel patient and caregiver satisfaction tool. Through an iterative process, data was gathered, analyzed and the survey progressively revised. The final survey was then pilot tested. ResultsThree patient advisors and seven hospital stakeholders participated in the study. The think-aloud method was used to establish cognitive, content, and face validity. There were five distinct satisfaction domains established. Pilot testing included 30 participants and was used to establish construct validity and test-retest reliability. ConclusionsThis study addresses the existing gap in measuring patient satisfaction in pediatric surgery settings. The think-aloud method was used to ensure cognitive, content, and face validity ensuring multiple domains are addressed. Pilot testing of the tool showed feasibility in both the operating room and minor procedure room setting while also demonstrating test re-test validity. These results indicate that this questionnaire holds promise for use in a variety of pediatric surgical settings. Further research is necessary to confirm these findings in larger, more diverse populations and to assess its impact on improving patient care and experiences. Type of StudySurvey Development and Validation Study. Level of EvidenceIII

Patients’ satisfaction and associated factors towards preoperative informed consent process: A cross-sectional study

BackgroundInformed consent is a process that needs time and effort to satisfy patients' desires. Patient dissatisfaction on preoperative informed consent process may be caused by multiple factors of clinical practice. This study aimed to assess patients’ satisfaction and associated factors of informed consent process among elective surgical patients. MethodsA cross-sectional study was conducted on 404 postoperative patients who signed the informed consent for elective surgery. A systematic sampling technique was applied to select the study participants. Modified Leiden perioperative patient satisfaction tool was adapted to assess patients’ satisfaction with preoperative informed consent process. Data were entered in to Epi-data version 4.20 and exported to SPSS version 20 for analysis. Bivariate and multivariable logistic regression was computed to identify independent variables associated with patient satisfaction towards preoperative informed consent process. A p-value of less than 0.05 was used to declare the statistical significance. ResultsThe overall satisfaction of patients with preoperative informed consent process was 70.3%. Multivariable logistic regression analysis revealed that, being male (AOR: 4.75, 95% CI: 2.47–9.16), primary school (AOR: 8.42, 95% CI: 4.74–7.55), secondary school (AOR: 2.17, 95% CI: 5.74–8.62), rural residence (AOR: 1.8, 95% CI: 2.1–3.9) and received general anesthesia (AOR: 2.92, 95% CI: 1.62–5.26) were significantly associated with patients’ satisfaction with the informed consent process. ConclusionThe overall patients' satisfaction on preoperative informed consent process was relatively low. Being male, low level of education, living in rural area, and receiving general anesthesia were significantly associated with patients' satisfaction on informed consent process. Surgeons and anesthesia professionals need to work more to improving the satisfaction of patients with preoperative informed consent process. Researchers are expected to do periodic assessment of patients’ level of satisfaction and factors affecting satisfaction.

Teledentistry and oral health in older adults - aspects for implementation of the "Patient centric solution for smart and sustainable healthcare (ACESO)" project.

P u r p o s e: Oral health and diseases are significant components of general health. However, oral health-care remains at the lowest of older patients' priorities. The inability to obtain dental care can result in progression of dental disease, leading to a diminished quality of life and overall health. Teledentistry (TD) provides an opportunity to improve the quality of oral health services. The aim of our narrative review was to analyze the usefulness of teledentistry as a part of telemedicine to improve oral health in the elderly. Materials/Methods: The PubMed database search was done for: teledentistry, oral health, oral- health related diseases, elderly, older adults. R e s u l t s: The applicability of TD has been demonstrated from children to older adults. Older adults have many obstacles in getting oral health care, including low income, lack health insurance, frailty, anxiety, depression, mobility problems or other handicaps. Available data suggests that the usefulness of TD in the provision of oral care in elderly people living in residential aged care facilities. Moreover, TD procedures were found to be as accurate as traditional face-to-face dental examinations, they was cost-effective and well accepted among patients and caregivers. C o n c l u s i o n s: TD might be a very useful tool for professional education, improving access and patient satisfaction of dental care. However, such TD modes would be difficult to widely implementation in community-dwelling older people who cannot access dental care. The ongoing "Patient centric solution for smart and sustainable healthcare (ACESO)" project will add to the intelligent oral health solutions.

Shortcoming of Measuring Patient Satisfaction's Association With Anemia-Based Cardiovascular Risk in End-Stage Kidney Disease Patients.

BackgroundPatient-reported humanistic outcomes like patient satisfaction are becoming more important in clinical practice, but their use has limitations. Improvements are needed to better demonstrate how patient satisfaction and clinical outcomes are associated. The objective of the study was to observe the correlation between patient’s hemoglobin and patient satisfaction.MethodsA cross-sectional study was conducted at a University Hospital hemodialysis unit among end-stage kidney disease (ESKD) patients on maintenance hemodialysis in February and March, 2021. During this time period patient satisfaction was measured using an instrument from the Choices for Healthy Outcomes in Caring for End-Stage Renal Disease (CHOICE) study. Spearman’s correlation coefficient was used to find a correlation between patient satisfaction domains and hemoglobin. P value was set at 0.05, and SPSS version 26 was used for the analysis.ResultsOut of 41 patients studied, their satisfaction on care by interprofessional staff was 77.3%, information received was 68.8%, and effectiveness of care was 71.3% for “very good” and “excellent” responses combined. Out of 40 patients, hemoglobin levels were lower in 17 (42.5%) and higher in seven (17.5%) patients than the optimal range of 10 - 12 g/dL. Spearman’s correlation coefficients were not statistically significant for anemia and any patient satisfaction domain (rs: 0.244, 0.101, 0.048, respectively for the three domains). Spearman’s correlation coefficients were high or moderate between patient satisfaction domains; interprofessional staff with information (rs: 0.745, P value < 0.001) and interprofessional staff with the effectiveness of care (rs: 0.619, P value < 0.001). Information domain had a moderate correlation with the effectiveness of care (rs: 0.527, P value < 0.001).ConclusionsNo correlation was observed between patient satisfaction with hemoglobin. Although patient satisfaction among hemodialysis patients was mostly “very good” or “excellent”, nearly half of the patients were anemic, and some had higher hemoglobin than the target. Since both of these groups have higher cardiovascular risk this provides an opportunity for the development of patient satisfaction tools with greater sensitivity to awareness of patients’ cardiovascular risk.

Effect of Discharge Plan on Satisfaction of Patients with Lumbar Disc Herniation Surgery

Background: Discharge planning for patients undergoing lumbar disc herniation surgery is considered as a strategy for promoting their satisfaction at home and in the community. Aim: This study aimed to evaluate the effect of discharge plan on satisfaction of patients with lumbar disc herniation surgery through the following: 1) Assessment of needs of patients with lumbar disc herniation surgery.2) Developing and implementing discharge plan for patients with lumbar disc herniation surgery based on needs assessments 3) Assess the effect of discharge plan on satisfaction of patients with lumbar disc herniation surgery Study design: a quasi-experimental design was utilized to conduct this study. Setting: The study was conducted in neurosurgical ward at El- Demerdash hospital and outpatient clinic at Ain Shams University Hospital which affiliated to Ain Shams University. Subject: A purposive sample of 60 patients with lumbar disc herniation surgery were selected according to certain inclusion criteria. The sample size was determined statistically by power analysis considering the total number of patients with lumbar disc herniation surgery in El Demerdash hospital during the year (2016). Data collection: 1) Patients’ Interviewing questionnaire. and 2) Patient Satisfaction tool. Results: the present study revealed that, mean age of the patients under study was 39.58±8.69and 60% of them were female and There were a highly statistically significant difference among patients under study throughout discharge planning phases regarding their knowledge, There were statistical significant relations between patients' total satisfactory level of knowledge and their satisfaction level three months after implementing discharge plan. Conclusion: Application of discharge planning regarding lumbar disc herniation surgery has a positive improving effect on patients' satisfaction level Recommendations: The discharge plan should be available in the neurosurgical department and clinic for all patients who will be undergoing lumbar disc herniation surgery and should be updated periodically

AN INTEGRATIVE REVIEW ON PATIENT SATISFACTION MEASURING TOOL FOR PHYSIOTHERAPY CARE AMONG CLIENTS IN THE OUT-PATIENT DEPARTMENT

Background and Aims: Patient satisfaction is acknowledged as the corner stone of quality management and it is the paramount of any quality management program in health care system. This study is aimed to conduct an up-to-date systematic review on different validated tools that provide quantification of patient satisfaction in out-patient physical therapy services. Type: Systematic review Literature survey: An extensive literature search was performed using 3 electronic database systems (Google scholar, PubMed, and PEDro) for articles published between 2000 and 2020. Boolean operator AND was used in compilation with the exhaustive list of search terminologies. A total of 19 studies that investigated any patient satisfaction tool in outpatient physiotherapy settings were included. Methodology: The process of data extraction was performed in accordance with PRISMA guidelines (2009). Results: Consensus based standards for the selection of health status measurement instruments (COSMIN) scoring quantified psychometric property of each study as excellent, good, and fair. 8 studies reflected fair scoring of Cronbach alpha, 3 studies showed excellent whereas, 2 appeared to be poor. Conclusion: The COSMIN scoring quantified multiple patient satisfaction tools. However, no gold standard was found. Nevertheless, physiotherapists working in out-patient care can increase the efficiency of patient-centered treatment by identifying and maximizing these patient satisfaction tool determinants.

Assessing the impact of a motivational intervention to improve the working lives of maternity healthcare workers: a quantitative and qualitative evaluation of a feasibility study in Malawi

BackgroundGlobally too many mothers and babies die during childbirth; 98% of maternal deaths are avoidable. Skilled clinicians can reduce these deaths; however, there is a world-wide shortage of maternity healthcare workers. Malawi has enough to deliver 20% of its maternity care. A motivating work environment is important for healthcare worker retention. To inform a future trial, we aimed to assess the feasibility of implementing a motivational intervention (Appreciative Inquiry) to improve the working lives of maternity healthcare workers and patient satisfaction in Malawi.MethodsThree government hospitals participated over 1 year. Its effectiveness was assessed through: a monthly longitudinal survey of working life using psychometrically validated instruments (basic psychological needs, job satisfaction and work-related quality of life); a before and after questionnaire of patient satisfaction using a patient satisfaction tool validated in low-income settings with a maximum score of 80; and a qualitative template analysis encompassing ethnographic data, semi-structured interviews and focus groups with staff.ResultsThe intervention was attended by all 145 eligible staff, who also participated in the longitudinal study. The general trend was an increase in the scores for each scale except for the basic psychological needs score in one site. Only one site demonstrated strong evidence for the intervention working in the work-related quality of life scales. Pre-intervention, 162 postnatal women completed the questionnaire; post-intervention, 191 postnatal women participated. Patient satisfaction rose in all three sites; referral hospital 4.41 rise (95% CI 1.89 to 6.95), district hospital 10.22 (95% CI 7.38 to 13.07) and community hospital 13.02 (95% CI 10.48 to 15.57). The qualitative data revealed that staff felt happier, that their skills (especially communication) had improved, behaviour had changed and systems had developed.ConclusionsWe have shown that it is possible to implement Appreciative Inquiry in government facilities in Malawi, which has the potential to change the way staff work and improve patient satisfaction. The mixed methods approach revealed important findings including the importance of staff relationships. We have identified clear implementation elements that will be important to measure in a future trial such as implementation fidelity and inter-personal relationship factors.

A Personalized Patient Teaching Session at the Time of Radiation Simulation May Improve Patient Satisfaction Scores

PurposeRadiation therapy simulation is an excellent time for patient education. We implemented a comprehensive personalized patient experience-focused (PX) teaching session at the time of simulation and assessed its effect using patient satisfaction scores. Methods and MaterialsFrom February 2016 to June 2018, a single PX-trained radiation therapy therapist met patients at simulation to address and resolve all treatment-related questions. Results from a Centers for Medicare & Medicaid Services approved voluntary patient satisfaction tool were used to assess the effect of this intervention, using tools the patients received during the on-treatment period. Scores from patients contacted by the PX therapist were compared with those of noncontacted patients. ResultsFor the survey, 1369 patients were contacted (median contact duration, 23 minutes; range, 0-117). Of 732 surveys submitted during this time, 98 were from on-treatment patients (69 contacted, 29 not contacted). The majority of contacted patients and survey responders were women (64% and 62%, respectively), patients with breast cancer (38%, 41%), and patients who had received curative therapy (82%, 69%). Scores from contacted patients were significantly higher for 10 of the 17 questions (registration helpfulness, P = .03; registration wait time, P = .048; facility way finding, P = .03; facility cleanliness, P = .01; treatment staff skill, P = .03; treatment staff concern for questions, P = .003; response to concerns, P = .01; staff worked together, P = .01; overall rating of care, P = .01; and likelihood of recommending care, P = .04) and 4 of the 5 domains (registration, P = .04; facility, P = .03; personal issues, P = .02; overall assessment, P = .002). ConclusionsContact by a PX therapist was associated with higher patient satisfaction scores, including areas specifically addressed by the PX teaching session (concerns for questions, response to concerns) as well as other areas (cleanliness, registration wait time).

The impact of the coronavirus (COVID-19) pandemic on elective paediatric otolaryngology outpatient services – An analysis of virtual outpatient clinics in a tertiary referral centre using the modified paediatric otolaryngology telemedicine satisfaction survey (POTSS)

IntroductionVirtual outpatient clinics (VOPC) have been integrated into both paediatric and based adult outpatient services due to a multitude of factors, including increased demand for services, technological advances and rising morbidity secondary to ageing populations. The novel coronavirus disease (COVID-19) has accentuated pressures on the National Health Service (NHS) infrastructure, particularly elective services, whilst radically altering patterns of practice. AimTo evaluate the impact of the COVID-19 pandemic on paediatric otolaryngology outpatient services whilst collating patient feedback to elicit long-term sustainability post COVID-19. MethodA retrospective analysis of VOPCs was undertaken at a tertiary paediatric referral centre over a 3-month capture period during the COVID-19 pandemic. Demographic, generic clinic (presenting complaint, new vs. follow-up, consultation type), as well as outcome data (medical or surgical intervention, discharge vs. ongoing review, onward referral, investigations, and conversion to face-to-face) was collated. Additionally a modified 15-point patient satisfaction survey was created. The Paediatric Otolaryngology Telemedicine Satisfaction survey (POTSS), was an adaptation of 4 validated patient satisfaction tools including the General Medical Council (GMC) patient questionnaire, the telehealth satisfaction scale (TESS), the telehealth usability questionnaire (TUQ), and the telemedicine satisfaction and usefulness questionnaire (TSUQ). ResultsOf 514 patients reviewed virtually over a 3-month period, 225 (45%) were randomly selected to participate, of which 200 met our inclusion criteria. The most common mode of consultation was telephony (92.5%, n = 185). Non-attendance rates were reduced when compared to face-to-face clinics during an equivalent period prior to the COVID-19 pandemic. A significant proportion of patients (29% compared to 26% pre-VOPC) were discharged to primary care. Nine percent were listed for surgery compared to 19% pre-VOPC. A subsequent face-to-face appointment was required in 10% of participants. Overall, the satisfaction when assessing the doctor-patient relationship, privacy & trust, as well as consultation domains was high, with the overwhelming majority of parents’ content with the future integration and participation in VOPCs. ConclusionAn evolving worldwide pandemic has accelerated the need for healthcare services to reform in order to maintain a steady flow of patients within an elective outpatient setting without compromising patient care. Solutions must be sustainable long-term to account for future disruptions, whilst accounting for evolving patient demographics. Our novel survey has demonstrated the vast potential that the integration of VOPCs can offer paediatric otolaryngology services within a carefully selected cohort of patients.

Assessment of Level of Patient Satisfaction after Prostatectomy for Benign Prostatic Hyperplasia in Referral Hospitals in Addis Ababa.

Benign Prostatic hyperplasia is a very common problem in aging men. TURP comprises 95% of all surgical procedures and is the treatment of choice for prostates sized between 30ml and 80-100ml. Open surgery is the treatment of choice for large glands (bigger than 80-100ml) and for those with associated complications that have indication for open surgery. Many literatures show that the overall patient satisfaction rate and clinical outcome of TURP for BPH are very good. The objective of this study was 'assessing the level of patient satisfaction after undergoing TURP and TVP for BPH. In this research, convenient sampling technique was used. The study design was prospective cohort study. Standardized questioner was prepared in English and later translated into Amharic. Information about demographic characteristics, preoperative data, intraoperative data, and immediate postoperative data were taken while the patient was in the hospital. At the first and the third months after the prostatectomy, patients were inquired on their level of satisfaction about their disease specific satisfaction on the urinary function and their sexual function. We used HCAHPS Measure of Patient Satisfaction Tool, to collect data and analyzed using SPSS version 18. A total of 89 patients were enrolled in the study among which 65.2% had undergone TURP. The rate of major perioperative complication was found to be low. Over half of the patients had postoperative hospital stay of three or less days. Majority of the patients were satisfied with the care given by the nurses (68.2%) and doctors (84.3%) with relatively higher physicians' care satisfaction level. More than 60% of the patients were highly satisfied with their urinary surgical outcome. With regard to hospital environment, around 60% of the patients reported that they were very satisfied with cleanliness of the rooms, bath rooms and the quietness of the rooms at night. Both TURP and TVP have high level of patient satisfaction associated with low perioperative major complications. Therefore both can be recommended for patients with clear indications for prostatectomy.

Development of a tool to measure patient expectations with complete removable dentures

INTRODUCTION: Patients' expectations of complete removable dentures may play a role in determining their level of satisfaction with newly constructed complete removable dentures. AIMS AND OBJECTIVES: To develop a Patient Expectation Questionnaire using a validated satisfaction questionnaire as framework and subsequently determine patients' expectations of complete removable dentures. OBJECTIVES: 1. To formulate a patient expectations questionnaire using a validated satisfaction questionnaire framework-that will assesses their perceptions of new dentures 2. To determine patient expectations related to masticatory functional, pain, psychological discomfort and social disability with complete removable dentures. METHODOLOGY: All the aspects of the newly formed Patient Expectation Questionnaire (PEQ) was formulated following the framework of the OHIP-20 patient satisfaction tool. The expectation questionnaire was administered to patients at their first dental visit with the information sheet and informed consent form. RESULTS: A series of statistical tests was done to assess the validity and reliability of the Patient Expectation Questionnaire. These tests concluded that the newly formulated questionnaire was reliable. CONCLUSION: Patient expectations can be determined prior to treatment thereby allowing the clinician to manage these expectations and strive to meet the attainable ones during the construction of the complete removable denture. Amongst others masticatory efficiency and pain were identified as being high on the request list for new complete removable dentures.

Patient Satisfaction with Substance Use Disorder Rehabilitation Services: a Qualitative Study.

Despite its recognized value, there is a gap in the assessment of patient satisfaction among patients with substance use disorder (SUD) in rehabilitation. The study objective was to determine patient satisfaction dimensions relevant to individuals receiving residential rehabilitation for SUD. Semi-structured interviews were conducted with the following: (1) adult males enrolled in the program and (2) counseling staff involved in the care of these individuals. A literature review formed the basis for interviews, which were audio recorded and transcribed. Text data was analyzed using directed content analysis to identify dimensions relevant to patient satisfaction. Eighteen individuals participated, including 14 men with SUD and four staff. Content analysis of the interview transcripts resulted in five themes: (1) counselor (skill), (2) programmatic structure (adhering), (3) skill development (personal responsibility), (4) comparison to other programs, and (5) case management facilitation. These dimensions will be utilized to create a patient satisfaction tool specific to SUD rehabilitation.

Keys to improving patient satisfaction in the pediatric urology clinic: A starting point

Recent developments in healthcare have placed increased focus on patient satisfaction. Among adult populations, validated patient satisfaction tools have now been incorporated into routine practice. This process has been much slower and is significantly less standardized in pediatric populations. The objective of this analysis was to evaluate various factors that predict patient satisfaction in pediatric urology settings. Data from the National Research Corporation (NRC) Health Patient Survey were collected from children receiving urological care between 2017 and 2019. Survey data were merged with demographic and visit-related information from electronic health records (EHR). Rating of provider on the NCR Health survey was chosen as the primary outcome. Two multivariable models were analyzed by logistic regression. The first model contained only demographic and clinic-based predictor variables. The second model contained the NRC survey questions. This analysis includes a total of 3232 surveys. Multivariable analysis of EHR demographic and visit data found that low income insurance (Medicaid) (OR=1.3, p=0.035), primary language Spanish (OR=1.5, p=0.012), and shorter in-office wait time (OR=0.94, p<0.001) were predictors for higher patient satisfaction scores. Multivariable analysis of NCR Health survey data identified physician explanation, listening, respect for patient, time spent with patient and communication between physicians and nurses as highly significant predictors of satisfaction (p<0.001). This analysis has identified several modifiable and non-modifiable variables that predict patient satisfaction in a population of children receiving care in a pediatric urology clinic. Limitations of this study include the possibility for response bias and lack of data on other potentially important but unmeasured factors. Certain patient populations are more satisfied with the outpatient urology clinic experience. Several factors related to physician-patient communication are modifiable areas to improve patient satisfaction. Further intervention studies focusing on the modifiable areas are needed to increase patient satisfaction in pediatric urology.

Effect of Clinical Pathway Application on Health Outcomes of Patients Undergoing Colorectal Surgery

Colorectal cancer is a disease with a major worldwide burden. Care for colorectal cancer patients undergoing surgery tends to be suitable for clinical pathway development because of high-cost of the procedure and the predictable course of events and complications that may occur during hospitalization. Objective: Determine the effect of clinical pathway application on health outcomes of patients undergoing colorectal surgery. Setting: The study was conducted in the Colon and Rectal Surgical Unit at Alexandria Main University Hospital. Subjects: A convenience sample of 50 adult patients with colon or rectal cancer or both undergoing colorectal surgery was included. They were equally and randomly recruited into two groups: a control group and a study 25 each. Tools: Three tools were used for data collection. I: Perioperative Colorectal Surgery Patient Assessment. II: Clinical Pathway Variance Observational Checklist, and III: Colorectal Surgical Patient's Satisfaction tool. Results: There were statistical significant differences between control and study group with whom the (clinical pathway was implemented) as they showed better post colorectal outcomes in relation to wound healing, pain control, achieving criteria for discharge. Conclusion: Patients undergoing colorectal surgery on whom the clinical pathway was applied exhibited improved postoperative outcomes than those on whom it was not. Recommendations: It is recommended that colorectal surgery clinical pathway be used rather than the traditional delivery of care.

Nursing Communication as a Tool for Patient Satisfaction. A Single Hospital Survey

Background: Communication is an essential tool for health promotion. Effective healthcare communication has great therapeutic value. Objective: The aim of the study is to assess the degree of patient satisfaction related to nursing communication in the various stages of hospital stay. Methods: Patients admitted to General University Hospital in medical and surgical department were subjected to this survey using a questionnaire, structured in four sections (acceptance, hospital stay, discharge, pain and new drugs management). Chi-square and multivariate logistic regression models were used to test the association between the outcome of interest defined as the satisfaction of nursing communication and the independent variables. Results: One thousand three hundred seventy questionnaires were administered. In acceptance, among patients satisfied with nursing skills related to explaining the department's functioning, most were satisfied with nursing communication (972 vs 87 p &lt;0.005). Also during the hospital stay, among patients satisfied with nursing Skills and Manner relating to communication most were significantly satisfied with the nursing communication (849 vs 74 p &lt;0.005 and 987 vs 55 p &lt;0.001). At the discharge, the number of patients satisfied with nursing communication was greater among patients who considered the length of hospital stay adequate (1020 vs 65 p &lt;0.001). Data are confirmed by the multiple logistic regression analysis. Conclusion: Our study shows how nursing communication is the key to establishing a good therapeutic care relationship and how it can be associated with patient satisfaction in various phases of hospital stay.

Patients\u2019 Satisfaction with HIV Care Providers in Public Health Facilities in Lusaka: A Study of Patients who were Lost-to-Follow-Up from HIV Care and Treatment

Prognosis among those who are HIV infected has improved but long-term retention is challenging. Health systems may benefit from routinely measuring patient satisfaction which is a potential driver of engagement in HIV care, but it is not often measured in Africa, and Zambia in particular. This study aims to internally validate a patient satisfaction tool, assess satisfaction among patients previously lost-to-follow up (LTFU) from HIV care in Lusaka province and to measure association between patient satisfaction with their original clinic and re-engagement in HIV care. A cross-sectional assessment of satisfaction was conducted by tracing sampled patients drawn from public health facilities. Our findings suggest that satisfaction tool, previously validated in USA, exhibits high internal consistency for measuring patient satisfaction in the Zambian health system. Patient satisfaction with healthcare providers is associated with re-engagement in HIV care. Future interventions on patient-centred care are likely to optimize and support retention in care.

The impact of clinic design on teamwork development in primary care.

Traditional clinic design supports a high-volume, hierarchical practice model. New design models are evolving to foster a high-functioning team delivery model. The goal of this study was to determine whether new design models, specifically colocation, improve care team development. A quasi-experimental design was used in this study to obtain validated teamwork development scores and patient satisfaction data to compare clinic design models. We took advantage of a difference in designs of primary care clinics among several clinics within the same care system in the Upper Midwest region of the United States. The participants were staff members of the primary care delivery teams in the studied clinics. The intervention was a redesign of staff space in the clinic. Our measures included a validated measure of team development and a commonly used patient satisfaction tool that were both in use at our institution at the time of the study. Teamwork scores were significantly higher in clinics where the primary work space of the entire team was colocated than in clinics where providers were in spaces separate from other team members. The differences in scores held across team roles, including providers, registered nurses, and licensed practical nurses. Patient satisfaction was not different. Colocation in clinic design appears to have a significant impact on team development across primary care team member roles. Primary care practice leaders should consider colocated clinic designs if their goal is to optimize care team development in support of team-based care delivery models. A more precise understanding of colocation that includes aspects such as distance to and visibility to teammates might help improve design in the future.

Nurses Perception of Practical Environment Relationship with Patient Satisfaction in Government Hospital Lahore

Introduction: The practical environment is described as the surrounding environments in which an employee works. Nurses practical environment control the delivery of nursing care. It is also important for nurses to develop a awareness about their own perception about working environment that have a positive impact on their performance and enhance the patients’ satisfaction.&#x0D; Objective: The objective of the study is to evaluate Nurses perception of practical environment relationship with patient satisfaction in Government Hospital Lahore.&#x0D; Methodology: Descriptive correlational study design used for study.&#x0D; Sample size Sixty nurses (n=60) and one thirty-three patients (n=133) were selected for study. The tool used for this study included a demographic data, Practice Environment scale Nurse Work Index (PES-NWI) developed by Dr. Eileen Lake (2002), and 2nd tool for patient satisfaction the Hospital Consumer Assessment of Healthcare Provides and Systems (HCAHPS) survey for patients developed by (Long, 2012) used for the study. Results: The results of the study showed the significance positive correlation between the nurse perception and patients’ satisfaction about practical environment.&#x0D; Conclusion: This study concludes that the nurse's perception about nurse practical environment and patient satisfaction from hospital environment show positive relationship. The perception of nurses and patients significantly correlated with practical environment. Healthy environment positive effect on patient satisfaction. Good nursing care enhance patient satisfaction by hospital environment and they will cure early.&#x0D; Int. J. Soc. Sc. Manage. Vol. 6, Issue-3: 75-81

SATISFAÇÃO DO PACIENTE ONCOLÓGICO COM ATIVIDADES DE ENFERMAGEM EMPREENDIDAS POR UM PROGRAMA DE EXTENSÃO UNIVERSITÁRIA

This study aimed at evaluating cancer patients’ satisfaction with the type of educational-assisting nursing care they received and relating it to their sociodemographic data. This is a transversal, quantitative study carried out with cancer patients assisted by the Acolhe-Onco Extension Program of the Federal University of Sao Paulo, at the outpatient care of the Sao Paulo Hospital, in Sao Paulo, Brazil. The tools employed were: sample characterization and the Patient Satisfaction Tool, comprising 25 questions, distributed into three domains using the Likert scale. The data was analyzed through the Kolmogorov-Smirnov test and the Mann-Whitney U test. The results showed patients with a high level of satisfaction in all items and domains, over the 3.3 (0-5) mean value, with the highest satisfaction mean related to the technical-professional and confidence domains. Statistically significant correlation was not found between the sociodemographic data and the patients’ satisfaction. The findings point out the benefits of the nursing actions developed for the self-management evidenced in the patients’ satisfaction evaluation.

An IMPT-IMRT Comparison of Acute Patient Reported Outcomes after Ipsilateral Radiation for Head and Neck Cancers

Intensity modulated proton therapy (IMPT) provides superior normal tissue sparing compared to IMRT when administering ipsilateral radiation therapy (RT) for cancers of the head and neck. To determine if this dosimetric advantage translates to clinical gains, we assessed patient reported outcomes (PRO) for patients undergoing ipsilateral RT for salivary gland and tonsil cancers. PRO assessments are prospectively collected from all consenting patients undergoing RT for curative intent by department policy. Inclusion criteria for this study: completed ipsilateral RT for salivary gland or tonsil cancers between May 2015 and Dec 2017, received at least 60 Gy (RBE 1.1 for protons), and completion of the pre and post RT PRO assessments. The included assessments are the PROMIS GLOBAL 10, an overall quality of life assessment; the Was it Worth It? Questionnaire (WIWI), a patient satisfaction tool; and the EORTC QLQ-H&N35, a head and neck cancer symptom and QOL-specific scale. Outcomes after treatment were compared by modality using a Wilcoxon rank sum test. Thirty-eight patients (IMRT, n=25; IMPT, n= 13) met inclusion criteria. 8 (32%) and 5 (38%) of IMRT and IMPT patients received concomitant chemotherapy. Median dose/fraction #: 63 Gy/30, IMPT; 60 Gy/30, IMRT. Baseline PRO assessments were similar for IMRT and IMPT. At the end of treatment, IMPT was associated with significantly less mean deterioration in the following EORTC HN35 domains: pain (-5 vs -29.8, p=0.02), swallowing function (0.9 vs -23.3, p=0.02), dry mouth (-10.0 vs -46.7, p = p<0.01), sticky saliva (-13.3 vs -56.1, p<0.01), senses (-3.3 vs -44.2, p<0.01), cough (-3.3 vs -36.7, p <0.01), speech (-1.1 vs -18.9, p=0.04), feeling ill (-10.0 vs -28.3, p=0.05), social eating (-5.0 vs -26.7, p = 0.01). For patients treated without chemotherapy, the above domains all remained significant or strongly trended towards favoring IMPT, and nutritional supplementation became significant (p = 0.04). For patients with primary salivary gland cancers (n=23), pain, dry mouth, sticky saliva, senses, cough, feeling ill, social eating, and need for pain medication all significantly favored IMPT. For patients with tonsil primaries, results were underpowered to demonstrate significant differences but similar trends were appreciated. Differences in swallowing function (p=0.07), dry mouth (p=0.09), and senses (p=0.08) approached significance. No significant differences were found between modalities in the WIWI questionnaire, although 91 vs 63% of patients responded Yes to “If you had to do it over, would you choose radiation treatment again?” for IMPT vs IMRT (p=0.34). No significant differences were found in the PROMIS10 mental and physical T scores. IMPT was associated with less acute deterioration in multiple head and neck scales, but differences in global mental and physical quality of life were not detected compared with IMRT. Follow up assessments are needed to determine if these differences persist over time.