A randomized controlled trial to assess the impact of an Admission Service on patient and staff satisfaction

Transformation of admission interview to documentation for nursing practice

The admission interview is usually the first structured meeting between patient and nurse. The interview serves as the basis for personalised nursing and care planning and is the starting point for the clinic's documentation of the patient and his course of treatment. In this way, admission interviews constitute a basis for reporting by each nurse on the patient to nursing colleagues. This study examined how, by means of the admission interview, nurses constructed written documentation of the patient and his course of treatment for use by fellow nurses. A qualitative case study inspired by Ricoeur was conducted and consisted of five taped admission interviews, along with the written patient documentation subsequently worked out by the nurse. The findings were presented in four constructed themes: Admission interviews are the nurse's room rather than the patient's; Information on a surgical object; The insignificant but necessary contact; and Abnormalities must be medicated. It is shown how the nurse's documentation was based on the admission interview, the medical record details on the patient (facts that are essential to know in relation to disease and treatment), as well as the nurse's preconception of how to live a good life, with or without disease. Often, the patient tended to become an object in the nurse's report. It is concluded that in practice, the applied documentation system, VIPS, comes to act as the framework for what is important to the nurse to document rather than a tool that enables her to document what is important to the individual patient and his special circumstances and encounter with the health system.

A descriptive analysis of nursing satisfaction: first-time versus non-first-time medical-surgical patients

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.