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Quan X. Improving Ambulatory Surgery Environments: The Effects on Patient Preoperative Anxiety, Perception, and Noise. HERD-HEALTH ENVIRONMENTS RESEARCH & DESIGN JOURNAL 2023; 16:73-88. [PMID: 36740908 DOI: 10.1177/19375867221149990] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/07/2023]
Abstract
OBJECTIVES The study aimed to comparatively evaluate three types of preoperative care environment in terms of patient experience outcomes including patient preoperative anxiety, perceived environmental qualities, and noise level. BACKGROUND Preoperative anxiety is a major healthcare problem causing delays, complications, dissatisfaction, and rising healthcare costs. The design of preoperative spaces may play an important role in reducing preoperative anxiety and improving outcomes. METHODS Anonymous questionnaire surveys were conducted with 228 patients in the three types of preoperative bays that varied in terms of bay size and the amount of hard-wall partitions between bays to compare patient self-reported anxiety and perceived environmental qualities. Sound level measurements were conducted throughout the three preoperative care units. RESULTS Female patients in the preoperative unit with largest bays and full hard-wall partitions between bays reported significantly lower levels of subjective anxiety (p's = .002, <.001) and higher levels of perceived environmental qualities on privacy, cleanliness, noise, and pleasantness (p's from <.001 to .017) than patients in the units with smaller bays and no or partial hard-wall partitions. Similar but less clear pattern was found among male patients. The lowest average noise levels were recorded in the unit with largest bays and full hard-wall partitions between bays (2.3-6.1 decibels lower than the other units). CONCLUSIONS The design of preoperative care environment may contribute to the better management of preoperative anxiety. Further efforts in research and design are needed to maximize the benefits in clinical, experiential, and financial outcomes.
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Affiliation(s)
- Xiaobo Quan
- Christopher C. Gibbs College of Architecture, University of Oklahoma, Norman, OK, USA
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Langan TM, Rushing CJ, McKenna BJ, Berlet GC, Hyer CF. The Safety Profile of Same-Day Outpatient Total Ankle Arthroplasty. J Foot Ankle Surg 2022; 61:123-126. [PMID: 34391644 DOI: 10.1053/j.jfas.2021.07.003] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/08/2020] [Revised: 10/05/2020] [Accepted: 07/10/2021] [Indexed: 02/03/2023]
Abstract
There has been significant change in the health care policy in the United States in recent years with an increasing focus on health care costs and patient satisfaction. One strategy of cost containment is to transition outpatient surgery away from high cost hospital environments. Total ankle arthroplasty has begun the evolution to outpatient settings; however, there is limited published literature on the results of outpatient total ankle arthroplasty (TAA). The purpose of the present study was to review the safety profile of same day outpatient TAA at an ambulatory surgery center. A review of consecutive patients who underwent same day outpatient TAA for end-stage ankle arthritis with a minimum of 12 months' follow-up was performed. The primary outcomes assessed were the incidence of perioperative adverse medical events, hospital admissions related to the procedure, and postoperative complications (minor and major). Univariate analyses were performed. Fifty-one patients who underwent same-day TAA between June 2016 and July 2018 were included; mean follow-up was 20.7 months (± 7.6). The mean age at time of surgery was 56.5 years (± 7.2), with a mean body mass index of 30.4 (± 5.3). Overall, there were no perioperative adverse medical events or hospital admissions related to the procedure. Five minor complications (9.8%) and 7 major (13.7%) were recorded. Of the major complications, only 1 required TAA revision. Implant survivorship during the most recent follow-up was 98%. The present study suggests that TAA can be performed safely in an outpatient ambulatory setting. Additional comparative studies with larger TAA cohorts and patient reported outcomes are warranted.
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Affiliation(s)
| | | | | | - Gregory C Berlet
- Orthopedic Foot and Ankle Center, Worthington, OH; Attending Physician, Grant Medical Center, Columbus, OH
| | - Christopher F Hyer
- Orthopedic Foot and Ankle Center, Worthington, OH; Residency Program Director, Grant Medical Center, Columbus, OH; Fellowship Director for Advanced Foot and Ankle Surgical Fellowship, Orthopedic Foot and Ankle Center, Worthington, OH
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Mallereau CH, Ollivier I, Valenti-Hirsch MP, Hirsch E, Proust F, Chaussemy D. Vagus nerve stimulation in epilepsy: Efficiency and safety of outpatient practice. Neurochirurgie 2020; 66:270-274. [DOI: 10.1016/j.neuchi.2020.04.134] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/27/2020] [Revised: 03/25/2020] [Accepted: 04/13/2020] [Indexed: 11/27/2022]
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Shaterian A, Sayadi LR, Santos PFJ, Krasnoff C, Evans GRD, Leis AR. Predictors of Patient Satisfaction in Hand and Upper Extremity Clinics. J Hand Microsurg 2019; 11:146-150. [PMID: 32210522 PMCID: PMC7089793 DOI: 10.1055/s-0039-1697065] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/31/2019] [Accepted: 07/31/2019] [Indexed: 12/25/2022] Open
Abstract
Introduction Patient satisfaction is an important clinical marker for hand/upper extremity patients. Few studies have investigated the predictors of patient satisfaction in the clinic setting. Our objective was to analyze patient satisfaction surveys to explore factors that influence patient satisfaction. Materials and Methods We conducted a retrospective analysis assessing patient satisfaction in the hand/upper extremity clinics at our university medical center between 2012 and 2018. Patient satisfaction was assessed via Press Ganey Hospital Consumer Assessment of Healthcare Providers and Systems surveys. Patient demographics, satisfaction scores, and clinic experience questionnaire responses were evaluated. Statistical analysis was conducted to identify significant trends. Results Between 2012 and 2018, 102 surveys were completed. Scores ranged from 5 to 10 with an average provider rating of 9.56. We found six factors significantly influenced patient satisfaction: adequate time was spent with the provider, provider showed respect, patient was seen by provider within 15 minutes of appointment time, provider listened sufficiently, patient received understandable medical instructions, and understandable medical explanations ( p < 0.05). Conclusion Achieving patient satisfaction is an important clinical marker in hand/upper extremity clinics. Patient satisfaction has defined predictors wherein various clinical factors can influence patient satisfaction and willingness to refer their provider to other patients.
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Affiliation(s)
- Ashkaun Shaterian
- Department of Plastic Surgery, University of California, Irvine, Orange, United States
| | - Lohrasb Ross Sayadi
- Department of Plastic Surgery, University of California, Irvine, Orange, United States
| | - Pauline F. Joy Santos
- Department of Plastic Surgery, University of California, Irvine, Orange, United States
| | - Chloe Krasnoff
- University of California, Irvine School of Medicine, Irvine,California, United States
| | - Gregory R. D. Evans
- Department of Plastic Surgery, University of California, Irvine, Orange, United States
| | - Amber R. Leis
- Department of Plastic Surgery, University of California, Irvine, Orange, United States
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Ng JHY, Luk BHK. Patient satisfaction: Concept analysis in the healthcare context. PATIENT EDUCATION AND COUNSELING 2019; 102:790-796. [PMID: 30477906 DOI: 10.1016/j.pec.2018.11.013] [Citation(s) in RCA: 77] [Impact Index Per Article: 15.4] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 05/30/2018] [Revised: 10/08/2018] [Accepted: 11/17/2018] [Indexed: 05/28/2023]
Abstract
OBJECTIVE Patient satisfaction had been the focus of many scientific studies worldwide. However, very few studies published had addressed the definition of the concept of patient satisfaction. Therefore this present concept analysis is to explore the attributes of the concept in the broader healthcare context. METHODS The Rodgers method, an inductive method of concept analysis, was selected to guide this concept analysis. RESULTS The attributes of patient satisfaction in the healthcare context identified were provider attitude, technical competence, accessibility, and efficacy. Perception in relation to expectation, patient demographics and personality, and market competition were regarded as prerequisites of patient satisfaction. Consequences of patient satisfaction identified in this analysis were: patient compliance, clinical outcomes, loyalty and referrals. CONCLUSION As healthcare is becoming an increasingly competitive marketplace, studying patient experience could certainly help practitioners to better encompass patient perspectives in service delivery and improve patient satisfaction. PRACTICE IMPLICATIONS To ensure the validity of patient satisfaction measurement and subsequently improve healthcare quality, practitioners should involve patients in identifying important factors relevant to each attributes of patient satisfaction.
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Affiliation(s)
- Janet H Y Ng
- Faculty of Health and Social Sciences, The Hong Kong Polytechnic University, Hung Hom, Kowloon, Hong Kong, China
| | - Bronya H K Luk
- School of Nursing, Tung Wah College, 31 Wylie Road, Homantin, Kowloon, Hong Kong, China.
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Wendler MC, Smith K, Ellenburg W, Gill R, Anderson L, Spiegel-Thayer K. "To See With My Own Eyes": Experiences of Family Visits During Phase 1 Recovery. J Perianesth Nurs 2017; 32:45-57. [PMID: 28212910 DOI: 10.1016/j.jopan.2015.03.015] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/02/2014] [Revised: 03/11/2015] [Accepted: 03/26/2015] [Indexed: 11/28/2022]
Abstract
PURPOSE Long separations are a characteristic of the day of surgery, keeping patients and their family members waiting and apart. At a time of high vulnerability, these separations can cause anxiety and worry. The purpose of this study was to identify the outcomes and experiences of patients and family members who engaged in a 5- to 10-minute supervised family visit during phase I postanesthesia recovery. DESIGN This was a descriptive, single-group, mixed-methods study. METHODS Quantitative data, gathered on the day of surgery, was obtained from patients (vital signs, state anxiety scores) and their designated family members (state anxiety scores); satisfaction with the visit was also measured. An optional second, qualitative phase included a semi-structured interview examining the remembered experiences of patients and family members. FINDING A statistically significant drop in state anxiety was discovered after the visit, and satisfaction with the visit was exceedingly high. Qualitatively, patients and family members described their overwhelming relief to be able "to see with my own eyes" how well each was doing. CONCLUSIONS This study supports that family visits in the postanesthesia care unit are safe and profoundly important as an independent nursing intervention. Recommendations include implementation of family visits during postanesthesia care unit recovery for all patients and family members who desire them.
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Kaakinen P, Ervasti H, Kääriäinen M. Quality of counselling for knee and shoulder arthroscopy patients during day surgery. Int J Orthop Trauma Nurs 2016; 24:12-20. [PMID: 27931883 DOI: 10.1016/j.ijotn.2016.06.003] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/28/2015] [Revised: 06/14/2016] [Accepted: 06/15/2016] [Indexed: 11/19/2022]
Abstract
BACKGROUND Counselling for day surgery patients is one of the core components for a knee or shoulder arthroscopy patient to succeed in self-care. AIM This cross-sectional study examined the quality of counselling given to patients (n = 86) during their day surgery, using the Counselling Quality Instrument (CQI). METHODS The data were analysed using basic and multivariate statistical methods. RESULTS Most respondents were male and aged over 50 years. Almost all knee and shoulder arthroscopy patients were satisfied with the counselling given on follow-up and rehabilitation as well as the counselling given relating to wound and pain treatment. There was a lack of patient-centred and goal-oriented counselling, although interaction during counselling was good. Counselling was perceived as providing benefit in regard to a patient's self-care, emotions and knowledge. Respondents aged below 40 years were more dissatisfied with counselling for day surgery than those aged 40 years and over. CONCLUSION This study identified a need to train healthcare staff in patient-centred and goal-oriented counselling. Counselling with people who are aged below 40 years should take account of patients' specific concerns.
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Affiliation(s)
- Pirjo Kaakinen
- Research Unit of Nursing Science and Health Management, University of Oulu, Oulu, Finland; Medical Research Center, Oulu, Finland.
| | | | - Maria Kääriäinen
- Research Unit of Nursing Science and Health Management, University of Oulu, Oulu, Finland; Medical Research Center, Oulu, Finland; University Hospital of Oulu, Finland
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Borzou SR, Anosheh M, Mohammadi E, Kazemnejad A. Patients' perception of comfort facilitators during hemodialysis procedure: a qualitative study. IRANIAN RED CRESCENT MEDICAL JOURNAL 2014; 16:e19055. [PMID: 25237587 PMCID: PMC4166106 DOI: 10.5812/ircmj.19055] [Citation(s) in RCA: 14] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Abstract] [Key Words] [Download PDF] [Subscribe] [Scholar Register] [Received: 03/19/2014] [Revised: 05/11/2014] [Accepted: 06/09/2014] [Indexed: 11/16/2022]
Abstract
Background: The patients receiving hemodialysis spend a lot of their lifetime in the hemodialysis departments, which is an unpleasant experience. Therefore, some interventions are necessary to relieve this experience. Objectives: The current study aimed to explore the hemodialysis patients' perceptions of comfort facilitators during the hemodialysis procedure. Patients and Methods: This study was conducted by a qualitative content analysis approach. Twenty four patients receiving hemodialysis participated in this study by purposive sampling. The sampling was over when the data saturation occurred. The semi-structured interviews were applied as the main data gathering tool. The data analysis was conducted by conventional qualitative content analysis in eight phases. Results: Three themes emerged: The presence of competent nurses, the delightful presence of the others, and coping with comfort obstacles. Each theme consisted of some categories. Conclusions: It seems that to achieve the patients' comfort during the hemodialysis procedure, the health care teams, hospitals in charge and the patients themselves have to do their best to provide the patients' comfort.
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Affiliation(s)
- Seyed Reza Borzou
- Department of Nursing, Faculty of Medical Sciences, Tarbiat Modares University, Tehran, IR Iran
| | - Monireh Anosheh
- Department of Nursing, Faculty of Medical Sciences, Tarbiat Modares University, Tehran, IR Iran
- Corresponding Author: Monireh Anoosheh, Department of Nursing, Tarbiat Modares University, Tehran, IR Iran. Tel: +98-218288359, Fax: +98-2182883856, E-mail:
| | - Esa Mohammadi
- Department of Nursing, Faculty of Medical Sciences, Tarbiat Modares University, Tehran, IR Iran
| | - Anoshirvan Kazemnejad
- Department of Statistics, Faculty of Medical Sciences, Tarbiat Modares University, Tehran, IR Iran
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Rogers FB, Krasne M, Bradburn E, Rogers A, Lee J, Wu D, Evans T, Edavettal M, Horst MA, Osler T. Acute Care and Trauma Surgeons: We Can't Get No Satisfaction—What Do Satisfaction Surveys Measure? Am Surg 2012. [DOI: 10.1177/000313481207800708] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
Patient satisfaction surveys are increasingly being used as a measure of physician performance in a hospital setting. We sought to determine what role the clinical condition the physician is treating has on overall patient satisfaction scores. Patient satisfaction scores were calculated for elective and emergent general surgery and trauma patients for eight surgeons taking care of all three types of patients. Both physician satisfaction (PP) and hospital satisfaction (GP) scores were calculated. Mean scores (± standard deviation) between groups were compared with P < 0.05 significance. Of 1521 trauma patients and 3779 general surgery patients, there was 14.8 and 15.1 per cent response rate, respectively, to the survey. Trauma patients had a significantly lower PP than general surgery patients (81.0 ± 19.4 vs 85.7 ± 16.4; P < 0.001). However, the GP between trauma and general surgery was not significant (84.0 ± 13 vs 84.0 ± 12.3; nonsignificant) When general surgery patients were divided into emergent versus elective, the PP was significantly higher for elective than emergent (87.9 ± 14.6 vs 82.7 ± 18; P < 0.001). A patient's underlying clinical condition may influence response to patient satisfaction surveys. Further research needs to be performed before patient satisfaction surveys can be adopted as a overall measure of physician competency.
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Affiliation(s)
| | | | | | | | - John Lee
- Lancaster General Hospital, Lancaster, Pennsylvania
| | - Daniel Wu
- Lancaster General Hospital, Lancaster, Pennsylvania
| | - Tracy Evans
- Lancaster General Hospital, Lancaster, Pennsylvania
| | | | | | - Turner Osler
- Fletcher Allen Hospital, University of Vermont, Burlington, Vermont
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Oetker-Black S, Petrochuk M. A descriptive analysis of nursing satisfaction: first-time versus non-first-time medical-surgical patients. Health Mark Q 2012; 29:303-310. [PMID: 23210671 DOI: 10.1080/07359683.2012.732851] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/01/2023]
Abstract
Patient assessment of satisfaction is very important in achieving high patient-retention rates in a highly competitive environment (Bendall-Lyon & Powers, 2004). This study's purpose was to analyze the perception of nursing satisfaction with first-time versus non-first-time medical-surgical patients. The study involved a patient satisfaction questionnaire sent to 2,265 discharged inpatients in a 537-bed teaching hospital in northeastern Ohio. Group means and standard deviations indicate no difference between first-time and non-first-time admits in nursing care satisfaction; therefore, it's difficult to conclude why patients' assessments were so similar. Quite possibly, all patients recognize the hard work and efforts of registered nurses.
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Denholm B. Clinical Issues—September 2011. AORN J 2011. [DOI: 10.1016/j.aorn.2011.07.001] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/01/2022]
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