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Younis A, Elmubarak M, Elkhwad H, Baig MN, Saeed M, Omer A. Maximizing Satisfaction in Orthopedic Outpatient Clinics: Evidence From Ireland. Cureus 2024; 16:e63104. [PMID: 39055474 PMCID: PMC11271158 DOI: 10.7759/cureus.63104] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 06/25/2024] [Indexed: 07/27/2024] Open
Abstract
Background Patient satisfaction is a critical metric in healthcare, reflecting the quality of care provided and influencing clinical outcomes and healthcare utilization. In orthopedic outpatient clinics, patient satisfaction affects patient adherence to treatment plans and overall health outcomes. This study aims to identify and analyze key factors influencing patient satisfaction in orthopedic outpatient clinics. Methodology This cross-sectional study was conducted from April to May 2024 across 10 orthopedic outpatient clinics. In this study, family members were included as respondents to the Patient Satisfaction Questionnaire (PSQ) when patients were unable to complete the survey due to age, cognitive impairment, or physical disabilities. This approach was adopted to ensure that the experiences of all patients, particularly minors, elderly individuals, and those with disabilities, were accurately captured. The PSQ assessed various aspects of patient satisfaction, including communication, treatment plans, addressing concerns, clinic environment, and overall satisfaction. Quantitative data were analyzed using SPSS version 27.0 (IBM Corp., Armonk, NY, USA). Results The study included 172 respondents. High levels of overall satisfaction were reported, with 142 (82.6%) respondents very satisfied and 28 (16.2%) somewhat satisfied. Significant associations were found between overall satisfaction and several factors, namely, effective communication, thorough explanation of treatment plans, addressing patient concerns, and a clean, comfortable clinic environment. Shorter waiting times were also associated with higher satisfaction. Regression analysis revealed that staff rating and the thoroughness of treatment plans were significant predictors of overall satisfaction. Conclusions Effective communication, thorough treatment explanations, addressing patient concerns, and maintaining a clean clinic environment are key determinants of patient satisfaction in orthopedic outpatient clinics. Reducing waiting times and investing in staff training on communication and empathetic care can further enhance patient satisfaction. These findings provide valuable insights for healthcare providers and administrators aiming to improve patient experiences in orthopedic outpatient settings. Further research is recommended to explore these relationships in diverse settings and develop targeted interventions.
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Affiliation(s)
- Abobaker Younis
- Orthopaedics and Traumatology, University Hospital Galway, Galway, IRL
| | - Mehad Elmubarak
- Orthopaedics and Traumatology, University Hospital Galway, Galway, IRL
| | - Hussam Elkhwad
- Orthopaedics and Traumatology, University Hospital Galway, Galway, IRL
| | - M N Baig
- Orthopaedics, University Hospital Galway, Galway, IRL
| | - Mohamed Saeed
- Orthopaedics and Traumatology, University Hospital Galway, Galway, IRL
| | - Ayman Omer
- Orthopaedics and Traumatology, University Hospital Galway, Galway, IRL
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Huang EY, Park R, Park E, Firpo MA, Park AH. Comparing Satisfaction Among Providers Treating Both Pediatric and Adult Otolaryngology Patients. OTO Open 2024; 8:e141. [PMID: 38706557 PMCID: PMC11066763 DOI: 10.1002/oto2.141] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/07/2024] [Revised: 03/16/2024] [Accepted: 04/07/2024] [Indexed: 05/07/2024] Open
Abstract
Objective Although pediatric otolaryngology providers are reported to garner lower patient satisfaction than adults, this difference is not well characterized. This study investigates whether patient satisfaction differences exist in providers who treat both pediatric and adult patients. Study Design Retrospective review. Setting Tertiary medical center. Methods In this cross-sectional study, Press Ganey surveys (PGS) completed by patients or parents on their first-time visit with 5 general otolaryngology providers from July 2014 to March 2022 were analyzed. Surveys were categorized by child (<18 years old) or adult and consisted of 14 items including 6 service domains of access, visit, nursing, provider, personal issues, and assessment. Analysis was performed with Walsh's t test and analysis of variance. Multivariable logistic regression, controlling for wait times and provider, evaluated the likelihood of highest satisfaction scores (HI-SCORES) based on age. Results A total of 2549 patients (135 pediatric, 2414 adults) completed the PGS on their initial visit. There was no significant difference in the mean overall satisfaction scores between pediatric and adult patients. Further analysis of service domains among pediatric patients found the mean score in the access domain to be higher for the 6- to 11-year-old age group (0-5 years old: 85.5 ± 20.5 [mean ± SD], 6-11 years old: 94.7 ± 11.5, 12-17 years old: 87.3 ± 15.4, P = .03). Pediatric patients did not have a significantly higher likelihood (odds ratio = 1.1, 95% confidence interval: 0.8-1.6, P > .05) of reporting HI-SCORES compared to adults after covariate adjustment. Conclusion There was no significant difference in patient satisfaction scores for providers who treat pediatric and adult patients utilizing the same facility and scheduling team.
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Affiliation(s)
- Emily Y. Huang
- Johns Hopkins University School of MedicineBaltimoreMarylandUSA
| | - Ryan Park
- Department of Otolaryngology–Head and Neck SurgeryUniversity of Utah School of MedicineSalt Lake CityUtahUSA
| | - Erica Park
- Department of Otolaryngology–Head and Neck SurgeryUniversity of Utah School of MedicineSalt Lake CityUtahUSA
| | - Matthew A. Firpo
- Department of SurgeryUniversity of Utah School of MedicineSalt Lake CityUtahUSA
| | - Albert H. Park
- Department of Otolaryngology–Head and Neck SurgeryUniversity of Utah School of MedicineSalt Lake CityUtahUSA
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Kilic U, Büyük Tural E, Oruc MA, Aydın Avci I. The effect of VR headsets used during burn dressing in children on satisfaction and anxiety level of their parents. J Pediatr Nurs 2024; 75:e152-e158. [PMID: 38233321 DOI: 10.1016/j.pedn.2024.01.006] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/14/2023] [Revised: 01/03/2024] [Accepted: 01/04/2024] [Indexed: 01/19/2024]
Abstract
PURPOSE The aim of this study was to determine the effect of virtual reality used during burn dressing in children on the satisfaction and anxiety levels of their parents. METHODS The study, which was designed as a prospective randomized controlled trial, was carried out with the parents of children aged 5-10 years who visited the only burns unit of a hospital in the northern region of Turkiye between 5 July 2021 and 1 April 2022 for dressing. There were a total of 52 participants in the study, 26 in the control and 26 in the intervention group. RESULTS The mean age of the children was 7.31 ± 1.81 years in the intervention group and 7.08 ± 1.72 in the control group. After the dressing was applied to the children, the mean anxiety score of the parents of the children was found to be 0.09 ± 0.28 in the intervention group and 0.64 ± 0.53 in the control group. The mean nursing care satisfaction score of the parents in the intervention group was found to be 4.70 ± 0.50 while it was 2.80 ± 0.26 in the control group. CONCLUSIONS In the study, while the anxiety levels of the ones in the intervention group decreased after the dressing, their satisfaction levels with nursing care were found higher than the control group. PRACTICE IMPLICATIONS Nursing interventions that would reduce the pain and anxiety experienced by children during medical procedures are also effective in reducing the anxiety of parents, and therefore, they should be included in distraction efforts with their children.
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Affiliation(s)
- Ummuhan Kilic
- R&D and Projects Specialist, Samsun Provincial Health Directorate, Adalet Mah, 100. Yıl Blv, No:232, 55060 Ilkadim, Samsun, Turkey
| | - Esra Büyük Tural
- Department of Child Health Nursing, Faculty of Health Sciences, Ondokuz Mayıs University, Samsun, Turkey.
| | - Muhammet Ali Oruc
- Department of Family Medicine, Samsun University, Provincial Health Director, Samsun Provincial Health Directorate, Adalet Mah, 100. Yıl Blv, No:232, 55060 Ilkadim, Samsun, Turkey
| | - Ilknur Aydın Avci
- Department of Public Health and Diseases Nursing, Faculty of Health Sciences, Ondokuz Mayıs University, Kurupelit Campus, 55200 Atakum, Samsun, Turkey.
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Lotakis DM, Spencer BL, Aboumourad N, Hoff L, Gingrich D, Vaishnav A, Speck KE. Implementation of Standardized Educational Material in Outpatient Pediatric Surgery: A Pilot Study. J Surg Res 2024; 294:9-15. [PMID: 37852140 DOI: 10.1016/j.jss.2023.09.032] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/01/2023] [Revised: 09/01/2023] [Accepted: 09/07/2023] [Indexed: 10/20/2023]
Abstract
INTRODUCTION Caregiver health literacy is affected by both personal knowledge and education provided by clinicians. Literature on implementation of educational materials into pediatric surgical clinical practice is scarce. We developed plain-language picture-based educational material and implemented it in a pediatric surgery clinic. We assessed both caregiver and clinician satisfaction before and after implementation. METHODS Picture-based educational material was developed for epigastric/umbilical/inguinal hernias/hydroceles, gastrostomy/gastrojejunostomy tube creation, and soft tissue masses and implemented in an academic pediatric surgery clinic. Pediatric surgeons (n = 12), clinic nurses (n = 4), and physician extenders (n = 2) were surveyed before and after a 4-week pilot implementation period. In parallel, parents of children (0-18 y) completed a 19-item postpre electronic survey capturing demographics, self-professed level of prior knowledge, and opinions regarding the material. Descriptive statistics were performed. RESULTS Clinician response rate was 88% (pre) and 72% (post). Preimplementation, clinicians overwhelmingly reported repetitive parental counseling, need to redraw diagrams, and anticipation of improvement in workflow with standardized materials. Postimplementation, most clinicians felt the material was easy to use (76%), beneficial (77%), and perceived satisfaction in parents they were counseling (77%). Caregiver response rate was 100%. The majority reported their understanding improved after reviewing the material, found the material easy to understand and helpful, were more comfortable managing their child's condition, and recommended continued use of the material during visits. CONCLUSIONS Results indicate clinician satisfaction and willingness to use standardized educational material during outpatient visits, as well as caregiver satisfaction and self-reported improved understanding. These findings support further development and use of standardized educational material for pediatric surgical conditions and procedures.
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Affiliation(s)
- Dimitra M Lotakis
- Section of Pediatric Surgery, Department of Surgery, C.S. Mott Children's Hospital, University of Michigan, Ann Arbor, Michigan.
| | - Brianna L Spencer
- Section of Pediatric Surgery, Department of Surgery, C.S. Mott Children's Hospital, University of Michigan, Ann Arbor, Michigan
| | | | - Lauren Hoff
- Michigan Medicine, University of Michigan, Ann Arbor, Michigan
| | - Devon Gingrich
- Michigan Medicine, University of Michigan, Ann Arbor, Michigan
| | - Anjali Vaishnav
- Michigan Medicine, University of Michigan, Ann Arbor, Michigan
| | - K Elizabeth Speck
- Section of Pediatric Surgery, Department of Surgery, C.S. Mott Children's Hospital, University of Michigan, Ann Arbor, Michigan
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Aldossary MS, Ismail EH, Almutawaa MM, Alhajri SM, Almuaddi AM, El Dalatony MM. Exploring Predictors of Patient Satisfaction in Dental Services: A Secondary Analysis Study. Patient Prefer Adherence 2023; 17:3259-3263. [PMID: 38106366 PMCID: PMC10725688 DOI: 10.2147/ppa.s433352] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/06/2023] [Accepted: 12/04/2023] [Indexed: 12/19/2023] Open
Abstract
Purpose Understanding the factors that influence the level of patient satisfaction with dental services and identifying the strengths and weaknesses in dental clinics will subsequently increase patient satisfaction and contribute to improving dental care quality. This study aims to evaluate the variables that impact patients' satisfaction with dental services received in specialized dental care centers of the Ministry of Health in Saudi Arabia. Patients and Methods Secondary data at the national level from a patient experience program were used in this study. Completed Press Ganey® surveys submitted by patients during the first half of 2022 were included. The effect of the different domains (access to dental clinic, moving through dental visit and dentist) on the overall assessment rating of patient satisfaction was assessed using Pearson's correlation coefficient (r) and multiple linear regression models. Results A total of 964 surveys were completed and subsequently analyzed. The overall assessment rate of patient satisfaction was 73.4%. All items of the domains showed highly significant correlation levels (P < 0.001). However, the Dentist domain exhibited the highest correlation with the overall assessment rate of patient satisfaction. Conclusion The dentist acts as the most significant predictor of patient satisfaction.
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Affiliation(s)
- Mohammed S Aldossary
- General Directorate of Research and Studies, Ministry of Health, Riyadh, Saudi Arabia
| | - Eman H Ismail
- Clinical Dental Science Department, College of Dentistry, Princess Nourah bint Abdulrahman University, Riyadh, Saudi Arabia
| | - Mashael M Almutawaa
- Department of Prosthodontics, College of Dentistry and Nursing, Vision Colleges, Riyadh, Saudi Arabia
| | - Shahad M Alhajri
- General Directorate of Research and Studies, Ministry of Health, Riyadh, Saudi Arabia
| | - Afnan M Almuaddi
- General Directorate of Research and Studies, Ministry of Health, Riyadh, Saudi Arabia
| | - Mervat M El Dalatony
- General Directorate of Research and Studies, Ministry of Health, Riyadh, Saudi Arabia
- Public Health & Community Medicine Department, Faculty of Medicine, Menoufia University, Shibin El Kom, Menoufia Governorate, Egypt
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