Factors associated with patient-satisfaction in student-led physiotherapy clinics: A qualitative study

Peripheral nerve blocks can provide surgical anaesthesia as well as excellent postoperative analgesia. When questioned postoperatively, however, some patients report low levels of satisfaction with their nerve block experience. At our hospital, patients undergoing regional anaesthesia have their patient characteristics, block characteristics and postoperative feedback routinely recorded in a block registry. We analysed data from 979 consecutive patients undergoing peripheral nerve block for orthopaedic surgery to identify factors associated with low levels of patient satisfaction. The primary outcome was patient satisfaction with their peripheral nerve block (scale 1–5: 4–5 is ‘satisfied’, 1–3 is ‘not satisfied’). Eighty-nine percent (871/979) of patients reported being ‘satisfied’ with their block. Factors negatively associated with patient satisfaction were rebound pain (adjusted odds ratio (aOR) 0.19, 95% confidence interval (CI) 0.04 to 0.85 for moderate rebound pain; aOR 0.11, 95% CI 0.03 to 0.48 for severe rebound pain), discomfort during the block (aOR 0.37, 95% CI 0.16 to 0.82 for moderate discomfort; aOR 0.19, 95% CI 0.05 to 0.76 for severe discomfort) and pain in the post-anaesthesia care unit (aOR 0.30, 95% CI 0.17 to 0.55 for pain ≥8/10). Only 24% (26/108) of patients who reported being ‘not satisfied’ stated that they would be unwilling to undergo a hypothetical future nerve block. Rebound pain of at least moderate intensity, procedural discomfort of at least moderate intensity and severe pain in the post-anaesthesia care unit are all negatively associated with patient satisfaction. Of these factors, rebound pain occurs most frequently, being present in 52% (403/777) of our respondents.

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A path analysis study of factors influencing hospital staff perceptions of quality of care factors associated with patient satisfaction and patient experience

BMC Health Services Research ◽

10.1186/s12913-017-2718-x ◽

2017 ◽

Vol 17 (1) ◽

Cited By ~ 4

Author(s):

Sandra G. Leggat ◽

Leila Karimi ◽

Timothy Bartram

Keyword(s):

Patient Satisfaction ◽

Quality Of Care ◽

Path Analysis ◽

Patient Experience ◽

Hospital Staff ◽

Staff Perceptions ◽

Analysis Study ◽

Factors Associated ◽

Factors Influencing

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Experiences of and factors associated with dietary sodium adherence in heart failure from patients’ and their caregivers’ perspectives: A qualitative study

Geriatric Nursing ◽

10.1016/j.gerinurse.2021.07.001 ◽

2021 ◽

Vol 42 (5) ◽

pp. 1190-1197

Author(s):

Seongkum Heo ◽

JinShil Kim ◽

Jae Lan Shim ◽

Tammy Barbe ◽

Vicki Black ◽

...

Keyword(s):

Heart Failure ◽

Qualitative Study ◽

Dietary Sodium ◽

Factors Associated

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Antibiotic stewardship program in Pakistan: a multicenter qualitative study exploring medical doctors’ knowledge, perception and practices

BMC Infectious Diseases ◽

10.1186/s12879-021-06043-5 ◽

2021 ◽

Vol 21 (1) ◽

Author(s):

Muhammad Atif ◽

Beenish Ihsan ◽

Iram Malik ◽

Nafees Ahmad ◽

Zikria Saleem ◽

...

Keyword(s):

Antibiotic Resistance ◽

Qualitative Study ◽

Antibiotic Stewardship ◽

Antibiotic Prescription ◽

Successful Implementation ◽

Rational Use ◽

Factors Associated ◽

Prescription Practices ◽

Stewardship Program ◽

Rational Use Of Antibiotics

Abstract Background The emerging threat of antibiotic resistance is growing exponentially and antibiotic stewardship programs are cornerstone to fight against this global threat. The study aimed to explore the knowledge, perspectives and practices of physicians regarding various aspects of antibiotic stewardship program including antibiotic stewardship activities, rational use of antibiotics, antibiotic resistance, prescribing practices and factors associated with these practices. Methods In this qualitative study, a total of 17 semi-structured, in-depth interviews with doctors of three tertiary care public sector hospitals in Bahawalpur and Rahim Yar Khan were conducted. The convenient sampling method was adopted to collect the data and the saturation point criterion was applied to determine the sample size. Thematic analysis approach was used to draw conclusions from the data. Results The analysis of data yielded five themes, 12 subthemes and 26 categories. The themes included, (i) perception about antibiotic use and antibiotic stewardship, (ii) antibiotic prescription practices, (iii) antibiotic resistance, (iv) limited strategies adopted by hospital administration to ensure quality and safe distribution of antibiotics, (v) implementation of antibiotic stewardship program: barriers, suggestion and future benefits. Doctors had misconceptions about the rational use of antibiotics. The perception regarding antibiotic stewardship programs was poor. Moreover, very few activities related to ASP existed. The participants gave many suggestions for successful implementation of ASP in order to reduce the burden of antibiotic resistance, including development of guidelines for the use of antibiotics, strict legislation regarding use of antibiotics, active participation of healthcare professionals and awareness program among general public about the use of antibiotics. Conclusion This study concluded that poor knowledge of doctors regarding ASP, non-existence of antibiogram of hospital and lack of rules for the safe use of antibiotics were the main driving factors associated with irrational antibiotic prescription practices and development of AR.

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