scholarly journals 188. Working Towards Standards of Care for Patients with Myositis: Results of a Service Evaluation Questionnaire

Rheumatology ◽  
2015 ◽  
Keyword(s):  
Service Evaluation ◽  
Standards Of Care ◽  
Evaluation Questionnaire

Formulation Service Evaluation Questionnaire

2016 ◽  
Author(s):  
Clare Whitton ◽  
Michelle Small ◽  
Hayley Lyon ◽  
Lyndsie Barker ◽  
Martina Akiboh
Keyword(s):  
Service Evaluation ◽  
Evaluation Questionnaire

scholarly journals #3100 A service evaluation of the experiences of patients with functional neurological disorders within the NHS

2021 ◽  
Vol 92 (8) ◽  
pp. A15.2-A15
Author(s):  
Shauna OKeeffe ◽  
Ibrahim Chowdhury ◽  
Anila Sinanaj ◽  
Iberedem Ewang ◽  
Camilla Blain ◽  
...  
Keyword(s):  
Small Sample Size ◽  
Service Evaluation ◽  
Small Sample ◽  
Standards Of Care ◽  
Cross Sectional ◽  
Care Services ◽  
Structured Care ◽  
Health And Social Care ◽  
Patient Groups ◽  
Cross Sectional Design

Objectives/AimsPrevious research into Functional Neurological Disorder (FND) has shown that there are significant barriers in providing multidisciplinary, patient-centred care for these patients, including stigmatising attitudes, poor knowledge about FND, and a lack of structured care pathways. However, there has been no specific research into patient experiences of care for FND within NHS services to date, and whether these experiences meet the standards of care expected for long-term neurological conditions (LTNCs). The current study thus aimed to investigate the types of problems experienced by FND patients, and whether they differed in frequency and type to patients with another LTNC, multiple sclerosis (MS).MethodsBoth FND (n = 40) and MS patients (n = 37) were recruited from tertiary neurology clinics at an NHS hospital and completed two questionnaires on their experiences of health and social care services and on their level of disability.ResultsThe results indicated significant differences in experiences of care between the two patient groups, with FND patients reporting significantly more problems (p<0.001)overall. These problems were reported in relation to their diagnosis and treatment, relationships with healthcare professionals, and difficulties in accessing services. This was despite FND patients reporting significantly higher levels of disability (p=0.001), highlighting the burden of care experienced by FND patients as a result of these difficulties in accessing and receiving care. A small sample size, specificity to a single neurology centre, and a cross-sectional design are acknowledged as limitations.ConclusionsTogether, these results suggest that current care for FND patients is not meeting the standards expected for LTNCs, and highlight the need for further research and the development of structured, multidisciplinary pathways with a patient-centred approach.

scholarly journals 1126 Improving Hand Trauma Clerking Using an Electronic Proforma: A Full Cycle Clinical Audit

2021 ◽  
Vol 108 (Supplement_6) ◽  
Author(s):  
J Luck ◽  
K Spiteri ◽  
A Lim ◽  
J Moledina ◽  
R Adlard
Keyword(s):  
Nurse Practitioners ◽  
Service Evaluation ◽  
Standards Of Care ◽  
Free Text ◽  
Hand Trauma ◽  
Improvement Project ◽  
Documentation Quality ◽  
Surgical Trainees ◽  
Data Points ◽  
Loop 2

Abstract Aim The BSSH standards of care in hand trauma emphasise the importance of accurate and comprehensive documentation. This quality improvement project aimed to evaluate whether an electronic proforma could improve documentation rates in hand trauma. Method This prospective, closed-loop audit involved two cycles of seven consecutive days. Outcomes were evaluated against BSSH standards of care using 15 data points. Pre-audit, a bespoke proforma was piloted in the hand trauma clinic and revised following feedback. In the first cycle (‘Loop 1’), documentation in the hand trauma clinic was compared with that of the acute take, where clinicians were still using free text. The second cycle (‘Loop 2’) compared documentation pre- and post-introduction of the proforma within the acute take setting. Categorical data were interrogated using the χ2 test with significance set at p &lt; 0.05. Results 122 patients were included in the Loop 1 dataset. Free text clerking quality varied between clinician groups (e.g., surgical trainees significantly outperformed advanced nurse practitioners in 5/15 data points); however, some data points were universally poorly documented. 99 patients were included in the Loop 2 dataset. There was excellent uptake of the proforma in both acute take (95%) and hand trauma clinic (100%) settings. Statistically significant improvements were seen in 11/15 data points following the introduction of the proforma. Conclusions This project demonstrates that the introduction of a hand trauma clerking proforma led to significant improvements in documentation quality. The proforma has now been developed into a Trust-wide ClinDoc which brings additional benefits in terms of research, audit and service evaluation.

scholarly journals Gaining an accurate reflection of the reality of palliative care through the use of free-text feedback in questionnaires: the AFTER study

2016 ◽  
Vol 9 (1) ◽  
pp. e17-e17 ◽  
Author(s):  
Anna Victoria Bowyer ◽  
Ilora Finlay ◽  
Jessica Baillie ◽  
Anthony Byrne ◽  
Jacqui McCarthy ◽  
...  
Keyword(s):  
Palliative Care ◽  
Data Analysis ◽  
Visual Cues ◽  
Ad Hoc ◽  
Service Evaluation ◽  
Free Text ◽  
Evaluation Questionnaire ◽  
Care Services ◽  
Analysis Strategies ◽  
Palliative Care Services

BackgroundIn healthcare, many service evaluation questionnaires use free-text boxes without formal mechanisms for analysis. Patients and carers spend time documenting concerns that are often ignored or managed locally in an ad hoc manner. Currently, palliative care experiences of patients and carers in Wales are measured using a service evaluation questionnaire, comprising both closed and open-ended questions. Previous research, exploring free-text responses from this questionnaire, suggests that questionnaire refinement should accommodate service users’ expressed priorities and concerns, and highlights the need to incorporate free-text data analysis strategies during study design.MethodsResults from a previous analysis of 596 free-text responses provided the basis for an expert consensus day, where the current service evaluation questionnaire was refined. The refined version was tested during cognitive interviews with patients (n=10) and carers (n=7) receiving palliative care from 1 of 2 UK hospices. Data were analysed thematically.ResultsInterviews highlighted minor areas for change within the questionnaire and provided broader insight into patients’ experiences of palliative care services. Patients and carers place an emphasis on simplifying language, decreasing the numeric response range and reducing written instructions; relying instead on visual cues, including formatting and layout. Findings highlighted the importance patients attached to providing meaningful free-text contributions.ConclusionsQuestionnaire refinement should use the patient perspective to effectively facilitate respondent understanding, pertinence and usability. The importance of employing data analysis strategies during questionnaire design may reduce research waste, thus enabling a better interrogation of service provision.

scholarly journals A Service Evaluation of the Experiences of Patients With Functional Neurological Disorders Within the NHS

2021 ◽  
Vol 12 ◽  
Author(s):  
Shauna O'Keeffe ◽  
Ibrahim Chowdhury ◽  
Anila Sinanaj ◽  
Iberedem Ewang ◽  
Camilla Blain ◽  
...  
Keyword(s):  
Health Care Services ◽  
Small Sample Size ◽  
Service Evaluation ◽  
Small Sample ◽  
Standards Of Care ◽  
Cross Sectional ◽  
Patient Centred Care ◽  
Care Services ◽  
Structured Care ◽  
Cross Sectional Design

Previous research into Functional Neurological Disorder (FND) has shown that there are significant barriers in providing patient-centred care. However, there has been no specific research into whether patient experiences of care for FND meet the current standards of care. This study aimed to investigate the types of problems experienced by FND patients, and whether these differed to patients with multiple sclerosis (MS). FND (n = 40) and MS patients (n = 37) were recruited from NHS tertiary neurology clinics and completed questionnaires on their experiences of health care services. Significant differences in experiences of care between the two patient groups were found, with FND patients reporting significantly more problems in their diagnosis and treatment (p = 0.003), patient-centred care (p &lt; 0.001), relationships with healthcare professionals (p &lt; 0.001), and in accessing community care (p = 0.001). Limitations include a small sample size, specificity to a single centre, and cross-sectional design. The results suggest that current care for FND patients is not meeting expected standards for long-term neurological conditions, highlighting the need for structured care pathways and patient-centred care.

Evaluation of the Academic Setting in Spain 1This study was financed by the University of Oviedo.

1995 ◽  
Vol 11 (2) ◽  
pp. 133-137 ◽  
Author(s):  
Juan Fernández ◽  
Miguel A. Mateo ◽  
José Muñiz
Keyword(s):  
Higher Education ◽  
Decision Making ◽  
Social Climate ◽  
Three Dimensions ◽  
Academic Setting ◽  
Teaching And Research ◽  
Evaluation Questionnaire ◽  
University Teachers ◽  
The University

The conditions are investigated in which Spanish university teachers carry out their teaching and research functions. 655 teachers from the University of Oviedo took part in this study by completing the Academic Setting Evaluation Questionnaire (ASEQ). Of the three dimensions assessed in the ASEQ, Satisfaction received the lowest ratings, Social Climate was rated higher, and Relations with students was rated the highest. These results are similar to those found in two studies carried out in the academic years 1986/87 and 1989/90. Their relevance for higher education is twofold because these data can be used as a complement of those obtained by means of students' opinions, and the crossing of both types of data can facilitate decision making in order to improve the quality of the work (teaching and research) of the university institutions.

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